| Item No. | 1 |
|---|---|
| Lender's Name | CIHI |
| Lender's Title | N/A |
| Relationship to Insider | n/a |
| Original Amount of Loan | 500 |
| Balance Due | 500 |
| Date of Note | 2020-12 |
| Maturity Date | 2021-01 |
| Repayment Terms | asap |
| Interest Rate | 0 |
| Security Provided by Borrower | n/a |
| Purpose of Loan | Paid expenses |
| Description of Lender Consideration | n a |
| Consideration FMV | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BAD DEBT EXPENSE | 100,000 | 0 | 0 | 100,000 |
| LICENSES & FEES | 605 | 0 | 0 | 605 |
| Name of 501(c)(3) Organization | Balance Due |
|---|---|
|
Cornerstone Medical Clinic LLC |
80,000 |
|
LUCITA ZAMORIS |
100,000 |