| Lender's Name | Lender's Address | Amount Borrowed | Use of Borrowed Funds | Election Statement |
|---|---|---|---|---|
|
GERMAN AMERICAN |
711 MAIN ST JASPER,IN47546 |
100,000 | MORTGAGE | The private foundation elects to treat repayments of loan principal as qualifying distributions. |
| 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 | 2017-12-31 | 719,894 | 47,992 | SL | 30.0000 | 23,996 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Furniture and Fixtures | 11,662 | 11,662 | ||
| Buildings | 731,556 | 83,650 | 647,906 | |
| Miscellaneous | 5,290 | 5,290 |
| Item No. | 1 |
|---|---|
| Lender's Name | CITIZENS FIRST |
| Lender's Title | |
| Relationship to Insider | INDEPENDENT |
| Original Amount of Loan | |
| Balance Due | |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | MUSEUM |
| 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 |
|---|---|---|---|---|
| DUES | 148 | |||
| EXHIBITS AND CAVE ITEMS | 59,360 | |||
| INSURANCE | 933 | |||
| PRINCIPAL PAYMENTS | 100,000 | |||
| UTILITIES | 2,844 |
| Name | Address |
|---|---|
| GORDON SMITH |
9850 N SKYLINE DR FLOYD KNOBS,IN47119 |