| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PROFESSIONAL FEES | 600 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| ANNUITY-GENWORTH | AT COST | 106,164 | 106,164 |
| ANNUITY - ATHENE | AT COST | 107,550 | 107,550 |
| ANNUITY-GREAT AMERICAN | AT COST | 60,441 | 60,441 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT INCOME EXCISE TAX | 203 |