| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FGMK LLC | 6,800 | 0 | 6,800 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FIDELITY ACCOUNT | AT COST | 8,061,570 | 8,419,134 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT | 32,678 | 32,678 | 0 | |
| MISCELLANEOUS | 454 | 227 | 227 | |
| LIFE INSURANCE PREMIUM | 237,800 | 0 | 0 | |
| TRAVEL | 2,799 | 0 | 2,799 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY INCOME - LAFAYETTE LIFE INS CO | 26,188 | 26,188 | 26,188 |
| ANNUITY INCOME - AMERICAN GEN LIFE INS COMPANY | 110,762 | 110,762 | 110,762 |
| Description | Amount |
|---|---|
| ADJUSTMENT TO BASIS OF ASSETS | 16,636 |
| PRINCIPAL PAYMENT RECEIVED ON ANNUITY | 91,777 |
| RECOVERY OF PREVIOUS CONTRIBUTION | 1,000 |
| REFUND OF 2018 990-PF OVERPAYMENT | 10,000 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| PROCEEDS RECEIVED ON SALE OF CALL | 0 | 92,426 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MICHIGAN ANNUAL REPORT | 30 | 0 | 30 | |
| PAYROLL TAXES | 4,030 | 2,015 | 2,015 | |
| FOREIGN TAXES | 547 | 547 | 0 |