| 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 |
|---|
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
Sistersville Volunteer Fire Department |
121 maple lane sistersville,WV26175 |
2021-03-25 | 1,400 | Purchase of New Gas Detectors for Fire Dept | 1,475 | NO | 11/10/2022 | 2022-11-10 | Verified that the funds were used for the purpose designated in the grant application. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| AMC SERIES A PREFERRED STOCK | 0 | 10,000,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK FEES | 2,707 | 2,707 | ||
| GRANT SFTWR LIC & MAINT | 6,775 | |||
| FEDERAL EXCISE TAX PENALTY | 186 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL EXCISE TAX | 15,000 |