| 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 |
|---|---|---|---|---|---|---|---|---|---|
|
MOUNTVILLE COMMUNITY SERVICES FOUNDATION |
PO BOX 94 MOUNTVILLE,PA17554 |
61,264 | PURSUANT TO IRS REG. SEC. 53.4945-5(d)(1) , SEE ATTACHED REPORT FROM GRANTEE CONCERNING GRANT DATES, AMOUNTS, PURPOSES, AMOUNTS EXPENDED | PURSUANT TO IRS REG. SEC. 53.4945-5(d)(1) , SEE ATTACHED REPORT FROM GRANTEE CONCERNING ANY DIVERSIO | SEE ATTACHED REPORT FROM GRANTEE CONCERNING DATES OF GRANTEE REPORTS | PURSUANT TO IRS REG. SEC. 53.4945-5(d)(1) , SEE ATTACHED REPORT FROM GRANTEE CONCERNING THE DATES AND RESULTS OF ANY VERIFICATION |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| VARIOUS BONDS - SEE ATTACHED | 480,811 | 507,327 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE STOCK | 1,484,641 | 1,672,784 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| MUTUAL FUNDS - SEE ATTACHED | AT COST | 2,836,455 | 3,553,480 |
| Description | Amount |
|---|---|
| ADJUST FOR INCORRECT DIST. REFUNDED | 4,800 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| OTHER INCOME | 361 | 361 |
| Description | Amount |
|---|---|
| BASIS ADJUST. - MUTUAL FUND RECEIPTS/DISBURSEMENTS | 1,319 |
| BASIS ADJUST. - CORP./GOVT. BOND RECEIPTS/DISBURSEMENTS | 1,329 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MNGMNT FEES (DEDUCT | 6,798 | 6,798 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 18 | 18 | 0 | |
| FEDERAL TAX PAYMENT - PRIOR YE | 10,000 | 0 | 0 | |
| FOREIGN TAXES ON QUALIFIED FOR | 878 | 878 | 0 | |
| FOREIGN TAXES ON NONQUALIFIED | 71 | 71 | 0 |