| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL AND ACCOUNTING | 210 | 210 | 0 |
| 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 |
|---|---|---|---|---|---|---|---|---|
| LEASE COMMISSION | 2020-08-05 | 5,011 | 36.000000000000 | 1,114 | 1,114 | 1,114 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| OFFICE CONDO | 2007-05-04 | 447,201 | 147,643 | SL | 39.000000000000 | 11,467 | 11,467 | ||
| LAND | 2007-05-04 | 50,000 | L | 0 | 0 | ||||
| AC UNIT OFFICE | 2016-10-12 | 10,260 | 8,657 | 200DB | 7.000000000000 | 458 | 1,466 | ||
| FLOORING | 2020-07-27 | 4,875 | SL | 7.000000000000 | 348 | 464 | |||
| COMPUTER | 2013-02-04 | 3,532 | 3,532 | 200DB | 5.000000000000 | 0 | 0 | ||
| 2013 SERVER | 2013-04-10 | 2,073 | 2,073 | 200DB | 7.000000000000 | 0 | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| CONTROLLED ENTITY INFORMATION | FORM 990-PF, PART VII-A, LINE 11 | OSF OF TENNESSEE, LLC7216 WELLINGTON DRIVE, SUITE 1KNOXVILLE, TN 37919EIN # 20-3115882DESCRIPTION OF TRANSFERS FROM THE LLC:CASH $12,000 |
| DETAIL INFO REQUEST | FORM 990-PF, PART II, LINE 10B AND LINE 10C | THE INSTRUCTIONS FOR FORM 990 -PF REQUIRE A SCHEDULE THAT LISTS EACH SECURITY HELD AT THE END OF THE YEAR, AND TO SHOW WHETHER THAT SECURITY IS REPORTED AT COST BASIS OR FMV. ALL SECURITIES ARE HELD IN A BROKERAGE ACCOUNT THROUGHOUT THE YEAR AND ARE REPORTED AT COST. THIS SCHEDULE CAN BE PROVIDED TO THE IRS AT THEIR REQUEST. |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE BONDS | 238,264 | 243,196 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE STOCK | 171,586 | 307,743 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| OFFICE CONDO | 447,201 | 159,110 | 288,091 | |
| LAND | 50,000 | 0 | 50,000 | |
| AC UNIT OFFICE | 10,260 | 9,115 | 1,145 | |
| FLOORING | 4,875 | 348 | 4,527 | |
| LEASE COMMISSION | 5,011 | 1,114 | 3,897 | |
| COMPUTER | 3,532 | 3,532 | 0 | |
| 2013 SERVER | 2,073 | 2,073 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| UTILITY DEPOSIT | 300 | 300 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MISCELLANEOUS INVESTMENT ADJUSTMENT | 943 | 943 | 0 | |
| INSURANCE | 1,654 | 1,654 | 0 | |
| ASSOCIATION FEES - RENTAL | 4,175 | 4,175 | 0 | |
| INSURANCE - RENTAL | 2,315 | 2,315 | 0 | |
| MAINTENANCE AND REPAIRS | 2,670 | 2,670 | 0 | |
| BANK CHARGE | 24 | 24 | 0 | |
| AMORTIZATION | 1,114 | 1,114 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| SECURITY DEPOSIT | 0 | 2,500 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT FEES | 6,499 | 6,499 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL | 1,819 | 1,219 | 600 | |
| FOREIGN TAXES | 60 | 60 | 0 | |
| ANNUAL REPORT | 20 | 0 | 20 | |
| TN ANNUAL REPORT - RENTAL | 307 | 307 | 0 | |
| PROPERTY TAX - RENTAL | 2,748 | 2,748 | 0 |