| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting Fees | 8,965 | 2,690 | 2,690 | 5,625 |
| Description of Amortized Expenses | Date Acquired, Completed, or Expended | Amount Amortized | Deduction for Prior Years | Amortization Method | Current Year Amortization | Net Investment Income | Adjusted Net Income | Total Amount of Amortization |
|---|---|---|---|---|---|---|---|---|
| LOC Origination Cost | 2020-01-27 | 2,646 | 0000000005.000000000000 | 2,646 | 2,646 | |||
| Web Design | 2020-05-31 | 6,154 | 0000000005.000000000000 | 6,154 | 6,154 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| Computers | 46,522 | 1,554 | SL | 0000000005.000000000000 | 5,033 | ||||
| Vet Equipment | 176,002 | 7,500 | SL | 0000000005.000000000000 | 19,400 | 19,400 | |||
| Buildings Improvement | 16,500,493 | SL | 0000000039.000000000000 | 211,545 | |||||
| Furniture Fixtures | 230,983 | SL | 0000000007.000000000000 | 16,499 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| Part 1, Line 4 - Interest Income 1,180 Bank Interest 227,599 Interest - Form 1099 70,258 Interest - | Part 1 Line 4 Interest Income 1180 Bank Interest 227599 Interest Form 1099 70258) Interest Claimed in 2019 accrual adjustment 158521 Form 6252 Line 2 Installment Sale Income Date Acquired The acquired date for the stock being sold in the installment sale is the original basis for the donor. the sotck |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Land | 3,104,780 | 3,104,780 | 3,104,780 | |
| Computer Equipment | 46,522 | 6,587 | 39,935 | 39,935 |
| Vet Equipment | 176,002 | 26,900 | 149,101 | 149,101 |
| Furniture Equipment | 230,983 | 16,499 | 214,484 | 214,484 |
| Buidling | 16,500,493 | 211,545 | 16,288,948 | 16,288,948 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal Fees | 59,516 | 58,691 | 58,691 | 825 |
| Item No. | 1 |
|---|---|
| Lender's Name | Republic Bank of Arizona |
| Lender's Title | |
| Relationship to Insider | None |
| Original Amount of Loan | 5,000,000 |
| Balance Due | 4,000,000 |
| Date of Note | 2020-01 |
| Maturity Date | |
| Repayment Terms | Monthly payments ongoing |
| Interest Rate | 0000000000.050000000000 |
| Security Provided by Borrower | Building |
| Purpose of Loan | LOC for Program Operations |
| Description of Lender Consideration | Line of Credit |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | SBA PPP Loan |
| Lender's Title | |
| Relationship to Insider | None |
| Original Amount of Loan | 44,658 |
| Balance Due | 44,658 |
| Date of Note | 2020-07 |
| Maturity Date | |
| Repayment Terms | Eligible for Forgiveness |
| Interest Rate | 0000000000.010000000000 |
| Security Provided by Borrower | None |
| Purpose of Loan | COVID |
| Description of Lender Consideration | Paycheck Protection Plan |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Deposit | 1,360 | 1,360 | 1,360 |
| Construction in Process | 8,614,118 | ||
| Held For Construction and Operations | 5,959,005 | ||
| Equipment Deposit | 70,054 | ||
| Net Intangible Assets | 51,228 | 51,228 | |
| Stock Sale Receivable | 4,800,021 | 3,600,013 | 3,600,013 |
| Description | Amount |
|---|---|
| Unrealized Gains/Losses on Investments | 31,679 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Amortization. See attached statement | 8,800 | 8,800 | ||
| Insurance | 25,644 | 1,459 | 24,185 | |
| IT Expenses | 38,168 | 10,968 | 27,200 | |
| General Office Expenses | 89,588 | 20,811 | 68,778 | |
| Advertising Marketing | 2,730 | 1,204 | 1,526 | |
| Heidis Village Clinic Expenses | 277,866 | 275,355 | 2,511 | |
| Excess Program Expenses Over Program Inc related to Charitable Activities | -912,365 | 912,365 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Adoption Revenue | 67,823 | 67,823 | |
| Boarding Revenue | 124,677 | 124,677 | |
| Veterinary Revenue | 124,558 | 124,558 | |
| Other Program Revenue | 1,260 | 1,260 | |
| Other Kennel Revenue | 3,571 | 3,571 | |
| Pet Supplies net of COGS | 4,976 | 4,976 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Veterinarian | 12,549 | 12,549 | ||
| Investment Advisory Fees | 500 | 500 | 500 | |
| Other Professional Fees | 43,145 | 13,561 | 29,584 | |
| Payroll Processing | 41,779 | 23,693 | 18,086 |
| Name | Address |
|---|---|
| Virginia B Jontes |
78 Biltmore Estates Phoenix,AZ85016 |
| Marjorie Chapman Memorial Fund |
8020 Forsyth Blvd St Louis,MO63105 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Payroll Taxes | 116,257 | 67,892 | 48,365 | |
| Excise Taxes | 84,000 |