| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Prudential Life Insurance Policy V2048842 | FMV | 182,232 | 182,232 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Commonwealth of PA Filing fee | 15 | 0 | 15 | |
| Life Insurance Premium | 47,348 | 0 | 47,348 |
| Description | Amount |
|---|---|
| Cash Value of Policy | 21,659 |
| Name | Address |
|---|---|
| Stephen A Cozen |
1230 Mt Pleasant Road Villanova,PA19085 |