| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| LINCOLN LIFE AMERICAN LEGACY | AT COST | 390,141 | 883,788 |
| Name of 501(c)(3) Organization | Balance Due |
|---|---|
|
LOAN RECEIVABLE |
1,000 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FTB-FORM 199 | 10 | |||
| IRS FORM 990 |