| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 5,725 | 0 | 0 | 3,263 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE STOCK | 550,303 | 550,303 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL | 50 | 0 | 0 | 29 |
| Item No. | 1 |
|---|---|
| Lender's Name | MARTIN J O'MEARA JR |
| Lender's Title | DIRECTOR |
| Original Amount of Loan | 255000 |
| Balance Due | |
| Date of Note | 2010-05 |
| Maturity Date | |
| Repayment Terms | ON DEMAND |
| Interest Rate | 0.000000000000 |
| Security Provided by Borrower | NONE |
| Purpose of Loan | CASH FLOW |
| Description of Lender Consideration | NONE |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | MARTIN J O'MEARA JR |
| Lender's Title | DIRECTOR |
| Original Amount of Loan | 4999 |
| Balance Due | |
| Date of Note | 2010-11 |
| Maturity Date | |
| Repayment Terms | ON DEMAND |
| Interest Rate | 0.000000000000 |
| Security Provided by Borrower | NONE |
| Purpose of Loan | CASH FLOW |
| Description of Lender Consideration | NONE |
| Consideration FMV |
| Item No. | 3 |
|---|---|
| Lender's Name | MARTIN J O'MEARA JR |
| Lender's Title | DIRECTOR |
| Original Amount of Loan | 1045 |
| Balance Due | |
| Date of Note | 2011-08 |
| Maturity Date | |
| Repayment Terms | ON DEMAND |
| Interest Rate | 0.000000000000 |
| Security Provided by Borrower | NONE |
| Purpose of Loan | CASH FLOW |
| Description of Lender Consideration | NONE |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OFFICE EXPENSES | 1,565 | 0 | 0 | 892 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| REIMBURSEMENT | 10,310 | 10,310 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN DIVIDEND TAX | 390 | 390 | 0 | 0 |
| PROPERTY TAXES | 35 | 35 | 0 | 0 |
| PAYROLL TAXES | 2,553 | 1,455 | 0 | 1,098 |
| FEDERAL EXCISE TAXES | 939 | 939 | 0 | 0 |