| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEE (NON-ALLOC | 1,000 | 1,000 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| MISSING INFORMATION | PART XIV | KEYBANK, NA, AS TRUSTEE WAS UNABLE TO OBTAIN A FULL LIST OF RECIPIENT ADDRESSES. AN AMENDED RETURN WILL BE FILED TO INCLUDE THIS INFORMATION ONCE RECEIVED. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 911312106 UNITED PARCEL SERVIC | ||
| 037833100 APPLE INC COM | ||
| 166764100 CHEVRON CORP COM | ||
| 260557103 DOW INC COM | ||
| 26614N102 DUPONT DE NEMOURS IN | ||
| 30231G102 EXXON MOBIL CORP COM | ||
| 40434L105 HP INC COM | ||
| 464287200 ISHARES CORE S&P 500 | ||
| 464287234 ISHARES MSCI EMERGIN | ||
| 46625H100 JP MORGAN CHASE & CO | ||
| 594918104 MICROSOFT CORP COM | ||
| 806857108 SCHLUMBERGER LTD FGN | ||
| 832696405 SMUCKER J M CO COM | ||
| 88579Y101 3M CO COM | ||
| G5960L103 MEDTRONIC PLC FGN CO | ||
| 931427108 WALGREENS BOOTS ALLI |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| 020002101 ALLSTATE CORP | AT COST | 23,082 | 218,123 |
| 023135106 AMAZON COM INC | AT COST | 124,527 | 250,076 |
| 053015103 AUTOMATIC DATA PROCE | AT COST | 23,563 | 172,606 |
| 17275R102 CISCO SYS INC | AT COST | 9,042 | 266,154 |
| 256206103 DODGE & COX INTERNAT | AT COST | 271,643 | 353,866 |
| 437076102 HOME DEPOT INC | AT COST | 44,398 | 332,008 |
| 458140100 INTEL CORP | AT COST | 12,544 | 185,400 |
| 464287655 ISHARES RUSSELL 2000 | AT COST | 152,413 | 489,390 |
| 478160104 JOHNSON & JOHNSON | AT COST | 11,227 | 171,070 |
| 713448108 PEPSICO INC | AT COST | 32,600 | 86,855 |
| 89417E109 TRAVELERS COS INC | AT COST | 8,734 | 78,215 |
| 26614N102 DUPONT DE NEMOURS IN | AT COST | 12,163 | 39,501 |
| 40434L105 HP INC | AT COST | 40,864 | 52,738 |
| 464287200 ISHARES CORE S&P 500 | AT COST | 44,976 | 71,549 |
| 166764100 CHEVRON CORP | AT COST | 11,438 | 70,410 |
| 260557103 DOW INC | AT COST | 8,440 | 27,736 |
| 037833100 APPLE INC | AT COST | 42,128 | 550,467 |
| 594918104 MICROSOFT CORP | AT COST | 41,250 | 504,480 |
| 911312106 UNITED PARCEL SERVIC | AT COST | 28,899 | 85,736 |
| G5960L103 MEDTRONIC PLC | AT COST | 75,413 | 103,450 |
| 46625H100 JP MORGAN CHASE & CO | AT COST | 18,097 | 79,175 |
| 464287234 ISHARES MSCI EMERGIN | AT COST | 134,515 | 170,975 |
| 806857108 SCHLUMBERGER LTD | AT COST | 64,072 | 29,950 |
| 832696405 SMUCKER J M CO | AT COST | 30,920 | 54,328 |
| 88579Y101 3M CO | AT COST | 17,891 | 142,104 |
| 30231G102 EXXON MOBIL CORP | AT COST | 806 | 73,428 |
| 998143905 KEYBANK DEPOSIT SWEE | AT COST | 78,373 | 78,373 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| STATE FILING/TAXES PAID | 200 | 0 | 200 |
| Description | Amount |
|---|---|
| ROUNDING | 2 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMNT MNGMNT FEES (NON-DED | 26,232 | 26,232 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 354 | 354 | 0 | |
| FEDERAL ESTIMATES - PRINCIPAL | 3,500 | 0 | 0 | |
| FOREIGN TAXES ON NONQUALIFIED | 154 | 154 | 0 |