| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 1,520 | 0 | 1,520 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE POLICY | FMV | 745,242 | 462,328 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MN FILING FEE | 25 | 0 | 25 |
| Description | Amount |
|---|---|
| INSURANCE POLICY BASIS ADJUSTMENT | 18,601 |