| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| CASH VALUE OF LIFE INSURANCE | AT COST | 365,604 | 365,604 |
| Description | Amount |
|---|---|
| INCREASE IN CASH VALUE-LIFE INSURANCE | 5,392 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX | 92 | 0 | 0 |