| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Equipment purchased and depreciated pursuant to Section 179 | 0 | 4,900 | 0 | 2,500 |
| Description | Amount |
|---|---|
| Employment Taxes Payable | 460 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Advertising & Promotional | 225 | 0 | 225 | 225 |
| Office Supplies | 416 | 0 | 416 | 416 |
| Description | Amount |
|---|---|
| Grants Receivable | 12,558 |
| Name | Address |
|---|---|
| Neil Crabtree |
136 East South Temple Suite 1050 Salt Lake City,UT84111 |
|
Fora Medical Inc |
136 East South Temple Suite 1050 Salt Lake City,UT84111 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Employment Taxes | 1,576 | 0 | 1,576 | 1,576 |