| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| corporate bonds | 51,979 | 51,979 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Corporate Stock | 412,238 | 412,238 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Investments Other | FMV | 371,620 | 371,620 |
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV | |||
| FMV |
| Description | Amount |
|---|---|
| Loss from sale of assets | 55,817 |
| decrease in FMV of assets | 21,734 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| investment management fee | 6,432 | 6,432 | 6,432 |
| Name | Address |
|---|
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| taxes | 658 | |||
| annual state filing fee | 10 |