| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PROFESSIONAL FEES | 5,245 | 5,245 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| VARIABLE ANNUITY JACKSON NAT'L LIFE | FMV | 360,232 | 360,232 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| LATE CHARGES | 9 | 9 | ||
| SURRENDER CHARGES | 1,335 | 1,335 | ||
| UNREALIZED LOSS ON INVESTMENT | 9,862 | 9,862 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL TAXES | 600 | 600 |