| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| VARIOUS CORPORATE STOCKS | 699,138 | 699,138 |
| Item No. | 1 |
|---|---|
| Lender's Name | |
| Lender's Title | |
| Original Amount of Loan | |
| Balance Due | 6749 |
| 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 | ||||
| MEMBERSHIP FEES | 320 |
| Description | Amount |
|---|---|
| UNREALIZED GAINS/LOSSES | 63,275 |
| NON TAXABLE DISTRIBUTION | 377 |
| FOREIGN TAX WITHHELD | -1,031 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BROKERAGE FEES | 6,074 | 6,074 |