| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEE (NON-ALLOC | 900 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
| GREATER ROCKINGHAM AREA HEALTH SERV |
ONE HOSPITAL COURT BELLOWS FALLS,VT05101 |
2018-09-12 | 6,105 | GENERAL USE | 2019-09-12 |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| BONDS - SEE ATTACHED | 322,300 | 336,811 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| STOCKS - SEE ATTACHED | 261,721 | 419,692 |
| Description | Amount |
|---|---|
| FED 1041 REF + INT | 450 |
| FED 1041 TAX | 5,585 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| FEDERAL TAX REFUND FOR FORM 990-PF | 864 | 0 | |
| FEDERAL REFUND FOR FORM 990-PF | 431 | 0 |
| Description | Amount |
|---|---|
| POSTING ADJUSTMENT | 13 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| STATE INCOME TAXES - PRINCIPAL | 399 | 399 | 0 | |
| FOREIGN TAXES ON QUALIFIED FOR | 44 | 44 | 0 | |
| FOREIGN TAXES ON NONQUALIFIED | 2 | 2 | 0 |