| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 9,450 | 4,725 | 4,725 | 4,725 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| DEPRECIATION | 67,282 |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| DETAILS FURNISHED UPON REQUEST | 3,371,115 | 3,371,115 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| DETAILS FURNISHED UPON REQUEST | 26,292,516 | 26,292,516 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| LAND BLDG & EQ | 2,288,662 | 1,523,699 | 764,963 | 764,963 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 1,500 | 1,500 |
| Item No. | 1 |
|---|---|
| Lender's Name | PPP LOAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 282,270 |
| Balance Due | |
| Date of Note | 2020-06 |
| Maturity Date | |
| Repayment Terms | FORGIVEN 8/24/21 |
| Interest Rate | 0.0100 |
| Security Provided by Borrower | NONE |
| Purpose of Loan | CASH FLOW/COVID-19 |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| AUTOMOBILE EXP | 14,364 | 14,364 | ||
| BURIAL EXP | 427 | 427 | ||
| CASUAL LABOR | 2,287 | 2,287 | ||
| MEDICAL CARE | 33,877 | 33,877 | ||
| DRUGS & MEDICINES | 34,805 | 34,805 | ||
| FOOD | 86,937 | 86,937 | ||
| HAIRDRESSER EXPENSES | 117 | 117 | ||
| INSURANCE-RESIDENTS | 28,033 | 28,033 | ||
| INSURANCE-LIABILITY | 61,775 | 61,775 | ||
| LANDSCAPING | 24,700 | 24,700 | ||
| LAUNDRY & LINEN | 1,509 | 1,509 | ||
| MISC. CARE & ACTIVITIES | 23,905 | 23,905 | ||
| OFFICE & MISCELLANEOUS | 9,373 | 9,373 | ||
| PAYROLL SERVICE | 12,245 | 12,245 | ||
| REPAIRS & MAINTENANCE | 48,017 | 48,017 | ||
| SPENDING MONEY | 13,950 | 13,950 | ||
| SUPPLIES | 31,159 | 31,159 | ||
| TELEPHONE & CABLE | 23,559 | 23,559 | ||
| UTILITIES | 58,874 | 58,874 | ||
| ADVERTISING | 918 | 918 | ||
| BANK FEES | 210 | 180 | 180 | 30 |
| NURSING HOMES | -317 | -317 | ||
| IT EXPENSES | 9,040 | 9,040 | ||
| COVID EXPENSES | 93,523 | 93,523 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| BOARDING INCOME | 811,124 | 811,124 |
| Description | Amount |
|---|---|
| RESIDENTS ADMISSION CONTRIBUTIONS | 199,562 |
| UNREALIZED GAIN ON INVESTMENTS | 2,779,679 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MGT FEES | 133,882 | 133,882 | 133,882 | |
| 401K PLAN ADMIN SERVICES | 1,119 | 1,119 | ||
| CONSULTANT | 500 | 500 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 107,949 | 107,949 | ||
| FEDERAL INCOME TAXES | 41,900 |