| Category | Amount |
|---|---|
| NONE |
| Person Name | Explanation |
|---|---|
| See Attachment | SEE ATTACHMENT |
| Contractor | Explanation |
|---|---|
| MANATT PHELPS PHILLIPS LLP | PROFESSIONAL LEGAL AND CONSULTING SERVICES |
| TYE LAWRENCE S | PROFESSIONAL CONSULTING SERVICES |
| UNIVERSITY OF MASSACHUSETTS MEDICAL | PROFESSIONAL CONSULTING SERVICES |
| NEPC LLC | CONSULTING |
| CENTER FOR HEALTH CARE STRATEGIES I | CONSULTING |
| 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 |
|---|
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| ACCESS CAPITAL COMM INV FUND | FMV | 4,176,424 | 4,024,252 |
| PUTNAM TOTAL RETURN FUND | FMV | 13,962,343 | 13,851,512 |
| PIMCO ALL ASSET FUND | FMV | 3,162,924 | 3,377,090 |
| SSGA S&P 500 TOBACCO FREE FUND | FMV | 15,560,026 | 37,485,652 |
| SANDERSON TOBACCO FREE IN FUND | FMV | 8,195,112 | 16,329,128 |
| PIMCO TOTAL RETURN FUND | FMV | ||
| IRONBRIDGE SM CAP LIFE CY FUND | FMV | 6,880,821 | 6,831,128 |
| CF DV DYNAMIC GROWTH FUND | FMV | 2,481,544 | 3,251,233 |
| SCHRODER EM MKT M/S BND-R6 | FMV | 4,542,668 | 4,426,133 |
| SEGALL BRYANT & HAMILL INTL SM | FMV | 5,268,781 | 4,353,658 |
| SSGA US TIPS INDEX STRATEGY | FMV | 3,598,843 | 4,386,950 |
| SCHRODER EMERG MKT EQ FD-SDR | FMV | 4,011,959 | 5,071,532 |
| WILLIAM BLAIR EMERGING MARKET | FMV | 4,500,000 | 4,671,074 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| POSTAGE AND TELEPHONE | 17,376 | 17,376 | ||
| EXTERNAL PROFESSIONAL SERVICES | 1,677,495 | 1,677,495 | ||
| PURCHASED SERVICES FROM BCBS | 1,860,843 | 1,860,843 | ||
| MISCELLANEOUS EXPENSES | 3,830 | 3,830 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Unrealized Gain Or Loss on Investments |
| Description | Amount |
|---|---|
| UNREALIZED GAIN OR LOSS ON INVESTMENTS | 4,939,549 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| DUE TO AFFILIATE BLUE CROSS AN | 339,034 | 585,673 |
| FEDERAL INCOME TAXES ON INVEST | 372,220 | 440,880 |
| FEDERAL INCOME TAX LIABILITY | 218,515 | 53,725 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX ON INVESTMENT INCOME | 153,870 |