| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Annuity | AT COST | 500,000 | 500,000 |
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Management | 22,961 | |||
| Advertising Promotion | 50 | |||
| Office Supplies | 1,162 | |||
| Hall Rental Fee | 100 | |||
| Franchise Tax Board | 10 | |||
| Secretary of State | 20 |