| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREP | 1,000 | 0 | 0 | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PUBLICATION FEE | 52 | |||
| SECRETARY OF STATE FEE | 50 |
| Name | Address |
|---|---|
| KEITH MANTIS REVOCABLE LIVING TRUST |
2367 VILLANDRY CT HENDERSON,NV89074 |