| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 4,000 | 200 | 3,800 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| DEPRECIATION | 32,958 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| CHAR | PURCHASE |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| EQUITIES | 461,004 | 461,004 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| MUTUAL FUNDS | FMV | 630,524 | 630,524 |
| MONEY MARKET | FMV | 26,747 | 26,747 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| BUILDING & IMPROVEMENTS | 649,391 | 312,455 | 336,936 | 336,936 |
| FURNITURE AND FIXTURES | 90,155 | 70,207 | 19,948 | 19,948 |
| LAND | 1,100 | 1,100 | 1,100 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| INTEREST IN TRUST | 75,613 | 75,757 | 75,757 |
| Description | Amount |
|---|---|
| UNREST. INVESTMENTS UNREALIZED LOSS | 113,993 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| ADVERTISING/PUBLIC RELATIONS | 2,909 | 2,909 | ||
| BANK CHARGES | ||||
| DEPRECIATION ADJUSTMENT | ||||
| DUES AND SUBSCRIPTIONS | 1,799 | 1,799 | ||
| FEDERAL INCOME TAX | ||||
| HOUSEKEEPING SUPPLIES | 4,065 | 4,065 | ||
| INSURANCE | 23,442 | 23,442 | ||
| INVESTMENT FEES | 7,645 | 7,645 | 7,645 | |
| LICENSES & FEES | 636 | 636 | ||
| MEDICAL SUPPLIES | 120 | |||
| OFFICE | 4,327 | 4,327 | ||
| PAYROLL SERVICE | 5,845 | 5,845 | ||
| PURCHASED SERVICES | 31,433 | 31,433 | ||
| REPAIRS AND MAINTENANCE | 13,708 | 13,708 | ||
| RESIDENT FOOD | 64,248 | 64,248 | ||
| RESIDENT GIFTS AND ENTERTAINM | 3,596 | |||
| STATE INCOME TAX | ||||
| TELEPHONE | 1,317 | 1,317 | ||
| DONATIONS | ||||
| UNEMPLOYMENT COMPENSATION | 546 | 546 | ||
| SMALL FURNITURE AND EQUIPMENT | 759 | 759 | ||
| MISCELLANEOUS | 125 | 125 | ||
| EMPLOYEE BONUSES AND GIFTS | 125 | 125 | ||
| FEDERAL EXCISE TAX | 444 | 444 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ROOM & BOARD | 476,307 | 476,307 | |
| INCOME FROM CAPEN TRUST | 7,811 | 7,811 | 7,811 |
| Description | Amount |
|---|---|
| POLLARD UNREALIZED GAIN | 32 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| DEFERRED FEDERAL EXCISE TAX | 1,454 | 318 |