| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEES | 3,175 | 1,587 | 0 | 1,588 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| THRU MERRILL LYNCH | 210,038 | 245,213 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK CHARGES | 32 | 16 | 0 | 16 |
| INVESTMENT FEES | 4,561 | 2,280 | 0 | 2,281 |
| Name | Address |
|---|---|
| INTEGRA HEALTHCARE MANAGEMENT INC |
929 WEST KENNEDY BLVD Lakewood,NJ08701 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL EXCISE TAXES | 3,500 | 0 | 0 | 0 |