| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| BUILDING | 59,572 | 59,572 |
| Item No. | 1 |
|---|---|
| Lender's Name | MORTGAGELOAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | |
| Balance Due | 187,129 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| INSURANCE | 3,628 | |||
| OPERATIONS | 99,722 | |||
| UTILITIES | 19,878 | |||
| INTEREST | 4,673 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| OTHER LIABILITIES | 24,560 |