| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 1,872 | 1,872 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| COMMON STOCK & MUTUAL FUNDS | 1,313,877 | 2,219,762 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 1,883 | 1,883 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| DIVIDEND RECEIVABLE | 0 | 311 | 311 |
| Description | Amount |
|---|---|
| CONTRIBUTION OF STOCKS (DIFFERENCE BETWEEN FMV AND TAX BASIS) | 100,169 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OREGON ANNUAL REPORT FEE | 299 | 299 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT FEES | 12,495 | 12,495 | 0 |
| Name | Address |
|---|---|
| STEPHEN AND SHELLY LOOSLEY |
1940 NW EXCELLO DRIVE ROSEBURG,OR97471 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAX PAID | 914 | 914 | 0 | |
| EXCISE TAX | 2,136 | 0 | 0 |