| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Audit Fees | 6,000 | 0 | 0 | 6,000 |
| NMTC Audit Fees | 10,000 | 0 | 0 | 10,000 |
| Description of Amortized Expenses | Date Acquired, Completed, or Expended | Amount Amortized | Deduction for Prior Years | Amortization Method | Current Year Amortization | Net Investment Income | Adjusted Net Income | Total Amount of Amortization |
|---|---|---|---|---|---|---|---|---|
| Plan Cost and Review | 2018-04-26 | 2,800 | 823 | 68.000000000000 | 494 | 0 | 494 | 1,317 |
| NMTC Transaction Cost | 2018-04-26 | 364,858 | 108,262 | 68.000000000000 | 64,387 | 0 | 64,387 | 172,649 |
| Deferred Loan Interest | 2018-04-26 | 169,827 | 50,357 | 68.000000000000 | 29,969 | 0 | 29,969 | 80,326 |
| Deferred Management Fees | 2018-04-26 | 65,625 | 19,462 | 68.000000000000 | 11,581 | 0 | 11,581 | 31,043 |
| Audit & Tax Fee | 2018-04-26 | 20,000 | 5,882 | 68.000000000000 | 3,529 | 0 | 3,529 | 9,411 |
| Financing Costs-Alta Survey | 2018-04-26 | 32,054 | 9,508 | 68.000000000000 | 5,657 | 0 | 5,657 | 15,165 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| Building | 1984-12-18 | 1,068,374 | 890,914 | VAR | 40.000000000000 | 15,733 | 0 | 26,709 | |
| Furniture and Fixtures | 1984-12-31 | 233,167 | 233,167 | SL | 10.000000000000 | 0 | 0 | 0 | |
| Fully Dep. Improvements | 1994-06-04 | 10,731 | 10,731 | SL | 10.000000000000 | 0 | 0 | 0 | |
| Furniture | 2018-04-26 | 31,200 | 5,200 | SL | 10.000000000000 | 3,120 | 0 | 3,120 | |
| Furniture | 2018-04-26 | 53,272 | 8,883 | SL | 10.000000000000 | 5,327 | 0 | 5,327 | |
| Donor Wall | 2018-04-26 | 27,000 | 3,600 | SL | 15.000000000000 | 1,800 | 0 | 1,800 | |
| Room Plaque Numbers | 2018-04-26 | 714 | 96 | SL | 15.000000000000 | 48 | 0 | 48 | |
| Furniture | 2018-04-26 | 43,039 | 5,734 | SL | 15.000000000000 | 2,869 | 0 | 2,869 | |
| Lamps | 2018-04-26 | 475 | 80 | SL | 10.000000000000 | 48 | 0 | 48 | |
| Shelving & Casters | 2018-04-26 | 17,917 | 2,986 | SL | 10.000000000000 | 1,792 | 0 | 1,792 | |
| 10 Commercial Vacuums | 2018-04-26 | 3,486 | 581 | SL | 10.000000000000 | 349 | 0 | 349 | |
| LG 4K TV | 2018-04-26 | 2,580 | 430 | SL | 10.000000000000 | 258 | 0 | 258 | |
| Name Plates, Lamps, Stamps | 2018-04-26 | 2,305 | 308 | SL | 15.000000000000 | 154 | 0 | 154 | |
| Plaques | 2018-04-26 | 3,211 | 428 | SL | 15.000000000000 | 214 | 0 | 214 | |
| Artwork | 2018-04-26 | 2,337 | 312 | SL | 15.000000000000 | 156 | 0 | 156 | |
| IT Equipment | 2018-04-26 | 5,639 | 1,316 | SL | 10.000000000000 | 564 | 0 | 564 | |
| Mattresses | 2018-04-26 | 9,366 | 1,561 | SL | 10.000000000000 | 937 | 0 | 937 | |
| IT Equipment | 2018-04-26 | 41,927 | 9,783 | SL | 10.000000000000 | 4,193 | 0 | 4,193 | |
| Repairs | 2018-04-26 | 3,766 | 879 | SL | 10.000000000000 | 377 | 0 | 377 | |
| Cutlery Set | 2018-04-26 | 201 | 47 | SL | 10.000000000000 | 20 | 0 | 20 | |
| Remodeling | 2018-04-26 | 27,218 | 1,814 | VAR | 15.000000000000 | 1,029 | 0 | 1,815 | |
| Furniture-New House | 2018-04-26 | 388,124 | 61,116 | SL | 10.000000000000 | 38,812 | 0 | 38,812 | |
| Signage-New House | 2018-04-26 | 10,968 | 914 | SL | 20.000000000000 | 548 | 0 | 548 | |
| Security System-New House | 2018-04-26 | 38,653 | 9,203 | SL | 7.000000000000 | 5,522 | 0 | 5,522 | |
| Bedding-New House | 2018-04-26 | 45,730 | 15,243 | SL | 5.000000000000 | 9,146 | 0 | 9,146 | |
| Kitchen Equipment-New House | 2018-04-26 | 108,246 | 18,176 | SL | 10.000000000000 | 10,825 | 0 | 10,825 | |
| Construction Costs-New House | 2018-04-26 | 10,507,284 | 417,320 | SL | 40.000000000000 | 262,682 | 0 | 262,682 | |
| Land Improvements | 2018-04-26 | 3,136 | 264 | SL | 20.000000000000 | 157 | 0 | 157 | |
| Construction Costs-New House | 2018-04-26 | 1,319,598 | 55,533 | SL | 40.000000000000 | 32,990 | 0 | 32,990 | |
| Architect Fees | 2019-02-05 | 1,050 | 69 | SL | 14.000000000000 | 75 | 0 | 75 | |
| Sentry Fence | 2019-01-23 | 5,250 | 263 | SL | 20.000000000000 | 263 | 0 | 263 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Building | 1,068,374 | 906,647 | 161,727 | |
| Furniture and Fixtures | 233,167 | 233,167 | 0 | |
| Fully Dep. Improvements | 10,731 | 10,731 | 0 | |
| Furniture | 31,200 | 8,320 | 22,880 | |
| Furniture | 53,272 | 14,210 | 39,062 | |
| Donor Wall | 27,000 | 5,400 | 21,600 | |
| Room Plaque Numbers | 714 | 144 | 570 | |
| Furniture | 43,039 | 8,603 | 34,436 | |
| Lamps | 475 | 128 | 347 | |
| Shelving & Casters | 17,917 | 4,778 | 13,139 | |
| 10 Commercial Vacuums | 3,486 | 930 | 2,556 | |
| LG 4K TV | 2,580 | 688 | 1,892 | |
| Name Plates, Lamps, Stamps | 2,305 | 462 | 1,843 | |
| Plaques | 3,211 | 642 | 2,569 | |
| Artwork | 2,337 | 468 | 1,869 | |
| IT Equipment | 5,639 | 1,880 | 3,759 | |
| Mattresses | 9,366 | 2,498 | 6,868 | |
| IT Equipment | 41,927 | 13,976 | 27,951 | |
| Repairs | 3,766 | 1,256 | 2,510 | |
| Cutlery Set | 201 | 67 | 134 | |
| Remodeling | 27,218 | 2,843 | 24,375 | |
| Furniture-New House | 388,124 | 99,928 | 288,196 | |
| Signage-New House | 10,968 | 1,462 | 9,506 | |
| Security System-New House | 38,653 | 14,725 | 23,928 | |
| Bedding-New House | 45,730 | 24,389 | 21,341 | |
| Kitchen Equipment-New House | 108,246 | 29,001 | 79,245 | |
| Construction Costs-New House | 10,507,284 | 680,002 | 9,827,282 | |
| Land Improvements | 3,136 | 421 | 2,715 | |
| Plan Cost and Review | 2,800 | 1,317 | 1,483 | |
| NMTC Transaction Cost | 364,858 | 172,649 | 192,209 | |
| Deferred Loan Interest | 169,827 | 80,326 | 89,501 | |
| Deferred Management Fees | 65,625 | 31,043 | 34,582 | |
| Audit & Tax Fee | 20,000 | 9,411 | 10,589 | |
| Construction Costs-New House | 1,319,598 | 88,523 | 1,231,075 | |
| Architect Fees | 1,050 | 144 | 906 | |
| Sentry Fence | 5,250 | 526 | 4,724 |
| Item No. | 1 |
|---|---|
| Lender's Name | Western Reserve DF Affiliate |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | |
| Balance Due | 7,125,000 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | Chase Bank NA |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | |
| Balance Due | 2,564,000 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Financing Costs | 22,546 | 16,890 | 16,890 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Insurance - Directors | 1,175 | 0 | 0 | 1,175 |
| Amortization | 115,617 | 115,617 | 115,617 | 0 |
| State Filing Fees | 200 | 0 | 0 | 200 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Fee Refunds | 609 | 609 | |
| Real Estate Rental | 573,588 | 573,588 | 573,588 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| NMTC Monitoring Fees | 37,500 | 0 | 0 | 37,500 |