| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FIDELITY ACCOUNT | AT COST | 7,710,742 | 8,036,773 |
| Description | Amount |
|---|---|
| ADJUSTMENT FROM 2021 | 32,838 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT | 32,728 | 32,728 | 0 | |
| MISCELLANEOUS | 940 | 470 | 470 | |
| LIFE INSURANCE PREMIUM | 95,400 | 0 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY INCOME - LAFAYETTE LIFE INS CO | 26,188 | 26,188 | 26,188 |
| ANNUITY INCOME - AMERICAN GEN LIFE INS COMPANY | 110,762 | 110,762 | 110,762 |
| Description | Amount |
|---|---|
| PRINCIPAL PAYMENT RECEIVED ON ANNUITY | 91,777 |
| RECOVERY OF PREVIOUS CONTRIBUTIONS - CHECKS NOT CASHED | 8,134 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| PROCEEDS RECEIVED ON SALE OF CALL | 92,426 | 13,463 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MICHIGAN ANNUAL REPORT | 20 | 0 | 20 | |
| PAYROLL TAXES | 5,113 | 2,556 | 2,557 | |
| FOREIGN TAXES | 606 | 606 | 0 |