TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) TOM LOMBARDI...................................................................... PRESIDENT	10.00 .................	X	X
(2) NATE HOROWITZ...................................................................... EXECUTIVE V.P.	5.00 .................	X	X
(3) JOHN SHARKEY...................................................................... 1ST VICE PRES.	5.00 .................	X	X
(4) LOU TUCCILLO...................................................................... 2ND VICE-PRESIDENT	5.00 .................	X	X
(5) CARMEN BROCATO...................................................................... 3RD VICE-PRESIDENT	5.00 .................	X	X
(6) RICH CHARTIER...................................................................... FINANCIAL SECRETARY	5.00 .................	X	X
(7) ED FRISCHKORN...................................................................... RECORDING SECRETARY	5.00 .................	X	X
(8) TOM MILMOE...................................................................... TREASURER	10.00 .................	X	X
(9) JAMES TOMA...................................................................... DELEGATE	10.00 .................	X
(10) CARMEN PANNULLO...................................................................... SGT. AT ARMS	5.00 .................	X	X
(11) PETER ECKERT...................................................................... SGT. AT ARMS	5.00 .................	X	X
(12) MARTY BARRETT...................................................................... TRUSTEE	5.00 .................	X
(13) WALT SUDOL...................................................................... TRUSTEE	5.00 .................	X
(14) TOD COLETTA...................................................................... TRUSTEE	5.00 .................	X
(15) TOM CONNORS...................................................................... TRUSTEE	5.00 .................	X
(16) BOB DEMARCO...................................................................... TRUSTEE	5.00 .................	X
(17) RON BEATTIE...................................................................... TRUSTEE	5.00 .................	X

(A)
Name and title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W-2/1099-MISC)

(E)
Reportable compensation from related organizations (W-2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(1) TOM LOMBARDI......................................................................
PRESIDENT

10.00
.................

(2) NATE HOROWITZ......................................................................
EXECUTIVE V.P.

5.00
.................

(3) JOHN SHARKEY......................................................................
1ST VICE PRES.

5.00
.................

(4) LOU TUCCILLO......................................................................
2ND VICE-PRESIDENT

5.00
.................

(5) CARMEN BROCATO......................................................................
3RD VICE-PRESIDENT

5.00
.................

(6) RICH CHARTIER......................................................................
FINANCIAL SECRETARY

5.00
.................

(7) ED FRISCHKORN......................................................................
RECORDING SECRETARY

5.00
.................

(8) TOM MILMOE......................................................................
TREASURER

10.00
.................

(9) JAMES TOMA......................................................................
DELEGATE

10.00
.................

(10) CARMEN PANNULLO......................................................................
SGT. AT ARMS

5.00
.................

(11) PETER ECKERT......................................................................
SGT. AT ARMS

5.00
.................

(12) MARTY BARRETT......................................................................
TRUSTEE

5.00
.................

(13) WALT SUDOL......................................................................
TRUSTEE

5.00
.................

(14) TOD COLETTA......................................................................
TRUSTEE

5.00
.................

(15) TOM CONNORS......................................................................
TRUSTEE

5.00
.................

(16) BOB DEMARCO......................................................................
TRUSTEE

5.00
.................

(17) RON BEATTIE......................................................................
TRUSTEE

5.00
.................

(A)
Name and title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W-2/1099-MISC)

(E)
Reportable compensation from related organizations (W-2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(18) RICH DUTKA........................................................................
TRUSTEE

5.00
.......................

(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet

	(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

(a) Description	(b) Book value
(1)OFFICER LIFE INSURANCE	45,462
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........	45,462

1.(a) Description of liability	(b) Book value
(1) Federal income taxes

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......	1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................	2e
3	Subtract line 2e from line 1..................	3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................	4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........	1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................	2e
3	Subtract line 2e from line 1...................	3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................	4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5

Return Reference	Explanation
PART X, LINE 2:	THE ASSOCIATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ASSOCIATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2017.

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

NEW JERSEY STATE PBA
RETIRED OFFICER'S LOCAL #600 INC

Employer identification number

56-2312881

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS MEMBERS WHO ARE RETIRED LAW ENFORCEMENT OFFICERS WITHIN THE STATE OF NEW JERSEY.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS VOTE TO ELECT MEMBERS OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBERS GET TO VOTE ON APPROVING CHANGES IN THE ORGANIZATION'S BY-LAWS AND APPROVING OTHER SIGNIFICANT DECISIONS OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION RECIEVES A ELECTRONIC COPY OF THE 990. THE PRESIDENT AND TREASURER REVIEW THE 990 BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ALL DIRECTORS, PRINCIPAL OFFICERS, OR MEMBERS OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ARE SUBJECTED TO THE CONFLICT OF INTEREST POLICY AND SHALL REPORT THE POSSIBLE EXISTENCE OF A CONFLICT OF INTEREST FOR HIM/HERSELF, OR ANY OTHER PERSON SUBJECT TO THE POLICY, TO THE BOARD OF DIRECTORS. AFTER CONDUCTING DUE DILIGENCE, THE BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED BOARD MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IN QUESTION IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO OR ALLOW THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION AND POSSIBLE ACTIONS TO BE TAKEN. AS PART OF ITS DUE DILIGENCE EFFORTS, THE BOARD SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN AN EQUALLY ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD GIVE RISE TO A CONFLICT OF INTEREST. IF IT IS DETERMINED THAT THE MEMBER IS AN INTERESTERD PERSON AND HAS FAILED TO DISCLOSE AN ACTUALY OR POSSIBLE CONFLICT OF INTEREST, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSED OR FOUND TO HAVE AN FINANCIAL INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN, AND THE BOARD OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST EXISTED. THE MINUTES WILL ALSO CONTAIN THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO ANY TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION INCLUDING ALTERNATIVE ARRANGEMENTS, AND A RECORD OF VOTES TAKEN.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION HAS NOT COMPENSATED THE OFFICERS, AND DOES NOT ANTICIPATE COMPENSATING THE OFFICERS IN THE FUTURE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S MAKES ITS GOVERNING DOCUMENTS, FORM 990 AND THE FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THEY ARE ALSO AVAILABLE ON GUIDESTAR.ORG AND OTHER SIMILIAR TYPES OF WEBSITES. IN ADDITION, INTERESTED PARTIES CAN ALSO CONTACT THE PRESIDENT AT 158 MAIN STREET, WOODBRIDGE, NJ 07095 OR BY CALLING 732-636-0299.
FORM 990, PART XI, LINE 9:	CSV-OLI -1,512.
FORM 990, PART XII, LINE 1:	THE MODIFIED CASH BASIS IS A METHOD THAT COMBINES ELEMENTS OF THE TWO MAJOR BOOKKEEPING PRACTICES, CASH AND ACCRUAL ACCOUNTING, RECORDING SALES AND EXPENSES FOR LONG-TERM ASSETS ON AN ACCRUAL BASIS AND THOSE OF SHORT-TERM ASSETS ON A CASH BASIS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION WAS ESTABLISHED TO FURTHER THE INTERESTS OF ITS MEMBERSHIP BY SEEKING IMPROVED RETIREMENT BENEFITS IN POST EMPLOYMENT, TO RENDER MORAL AND MATERIAL AID TO MEMBERS AS NEEDED, AND TO PROMOTE SOCIAL AND FRATERNAL ACTIVITIES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	18
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,131	1,114
9	Program service revenue (Part VIII, line 2g) .........	438,610	417,886
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,219	1,030
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	60,655	12,608
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	503,615	432,638
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,000	960
14	Benefits paid to or for members (Part IX, column (A), line 4).....	225,395	360,377
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	118,376	101,409
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	348,771	462,746
19	Revenue less expenses. Subtract line 18 from line 12.......	154,844	-30,108
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	312,166	280,546
21	Total liabilities (Part X, line 26).............	0	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	312,166	280,546

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	THE ORGANIZATION WAS ESTABLISHED TO FURTHER THE INTERESTS OF ITS MEMBERSHIP BY SEEKING IMPROVED RETIREMENT BENEFITS IN POST EMPLOYMENT, TO RENDER MORAL AND MATERIAL AID TO MEMBERS AS NEEDED, AND TO PROMOTE SOCIAL AND FRATERNAL ACTIVITIES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,114

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,114

		Business Code
2a	DUES	900099	237,965	237,965
b	MEMBER INSURANCE CONTR	900099	103,851	103,851
c	VISION PLAN CONTR.	900099	76,070	76,070
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		417,886

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,030			1,030
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	85,844
b	Less: cost of goods sold ..		10b	75,718
c	Net income or (loss) from sales of inventory..			10,126	10,126
Business Code			Miscellaneous Revenue
11a	OTHER PROGRAM SERVICE		900099	2,482	2,482
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,482
12	Total revenue. See instructions.....			432,638	430,494	0	1,030

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	960
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	360,377
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	3,486
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	25,202
12	Advertising and promotion ....
13	Office expenses .......	27,853
14	Information technology ......	1,430
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	3,778
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	1,754
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MAGAZINE	26,392
b	OFFICERS' EXPENSES	10,786
c	SALES TAX EXPENSE	728
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	462,746
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1
2	Savings and temporary cash investments .........		312,166	2	235,084
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............			4
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........		0	15	45,462
16	Total assets. Add lines 1 through 15 (must equal line 33)...		312,166	16	280,546

17	Accounts payable and accrued expenses .....		17
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	0	26	0

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	244,002	27	157,912
28	Net assets with donor restrictions ...........	68,164	28	122,634
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	312,166	32	280,546
33	Total liabilities and net assets/fund balances ........	312,166	33	280,546

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..		0

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)