| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 4,810 | 0 | 4,810 | 0 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Miscellaneous | 129,434 | 129,434 | 129,434 |
| Item No. | 1 |
|---|---|
| Lender's Name | |
| Lender's Title | |
| Original Amount of Loan | |
| Balance Due | 31 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Airlines/transportation | 3,194 | 3,194 | ||
| BCCD - donation of essentials | 2,639 | 2,639 | ||
| BCCD - food donation | 3,248 | 3,248 | ||
| Equip and supplies (Admin) | 4,779 | 4,779 | ||
| Equip/Suppl (patient care) | 3,997 | 3,997 | ||
| freight & shipping | 11,745 | 11,745 | ||
| Patient medicines | 15,798 | 15,798 | ||
| Radiation Therapy & Pathology | 19,110 | 19,110 | ||
| wire fees | 45 | 45 |
| Name | Address |
|---|---|
| Ellsworth Grant |
1000 E Ocean Blvd apt 201 Long Beach,CA90802 |
| Dellone Pascascio |
43908 Emila Zola St Lancaster,CA93535 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 60 | 60 |