| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 6,380 | 6,380 | 0 | 0 |
| Item No. | 1 |
|---|---|
| Lender's Name | LARRY HERRIG |
| Lender's Title | |
| Original Amount of Loan | 400000 |
| Balance Due | |
| Date of Note | 2011-01 |
| Maturity Date | |
| Repayment Terms | INTEREST ONLY PAYMENTS |
| Interest Rate | 6.000000000000 |
| Security Provided by Borrower | ALL EXISTING & FUTURE SECURITY INTERESTS |
| Purpose of Loan | PURCHASE ANNUITIES |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 1 |
|---|---|
| Lender's Name | STATE CENTRAL BANK |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 1,100,000 |
| Balance Due | 0 |
| Date of Note | 2006-11 |
| Maturity Date | |
| Repayment Terms | LINE OF CREDIT |
| Interest Rate | 5.000000000000 |
| Security Provided by Borrower | LIFE INSURANCE POLICY |
| Purpose of Loan | PURCHASE INSURANCE POLICY |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | ARCHDIOCESE OF DUBUQUE |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 2,000,000 |
| Balance Due | 0 |
| Date of Note | 2003-08 |
| Maturity Date | |
| Repayment Terms | INTEREST ONLY PAYMENTS |
| Interest Rate | 8.500000000000 |
| Security Provided by Borrower | ANNUITIES |
| Purpose of Loan | PURCHASE ANNUITY |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 3 |
|---|---|
| Lender's Name | ST MARY'S HOME |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 500,000 |
| Balance Due | 0 |
| Date of Note | 2003-11 |
| Maturity Date | |
| Repayment Terms | INTEREST ONLY PAYMENTS |
| Interest Rate | 6.000000000000 |
| Security Provided by Borrower | ANNUITIES |
| Purpose of Loan | PURCHASE ANNUITY |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 4 |
|---|---|
| Lender's Name | DUBUQUE BANK AND TRUST COMPANY |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 2,000,000 |
| Balance Due | 0 |
| Date of Note | 2006-09 |
| Maturity Date | |
| Repayment Terms | INTEREST ONLY PAYMENTS |
| Interest Rate | 6.500000000000 |
| Security Provided by Borrower | ANNUITIES |
| Purpose of Loan | PURCHASE ANNUITIES |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 5 |
|---|---|
| Lender's Name | STATE CENTRAL BANK |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 2,000,000 |
| Balance Due | 0 |
| Date of Note | 2008-09 |
| Maturity Date | |
| Repayment Terms | INTEREST ONLY PAYMENTS |
| Interest Rate | 6.500000000000 |
| Security Provided by Borrower | ANNUITIES |
| Purpose of Loan | PURCHASE ANNUITIES |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 6 |
|---|---|
| Lender's Name | PREMIER BANK |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 350,000 |
| Balance Due | 0 |
| Date of Note | 2008-12 |
| Maturity Date | 2012-10 |
| Repayment Terms | INTEREST ONLY PAYMENTS |
| Interest Rate | 6.150000000000 |
| Security Provided by Borrower | ANNUITIES |
| Purpose of Loan | PURCHASE ANNUITIES |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 7 |
|---|---|
| Lender's Name | JIM KLAUER |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 130,000 |
| Balance Due | 0 |
| Date of Note | 2010-06 |
| Maturity Date | 2011-12 |
| Repayment Terms | 2 PAYMENTS, 60,000 AND 77,800 |
| Interest Rate | 6.000000000000 |
| Security Provided by Borrower | CONSECO TERM LIFE INSURANCE POLICY |
| Purpose of Loan | PAY LIFE INSURANCE PREMIUM |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 8 |
|---|---|
| Lender's Name | PREMIER BANK |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 1,500,000 |
| Balance Due | 0 |
| Date of Note | 2008-12 |
| Maturity Date | 2012-09 |
| Repayment Terms | INTEREST ONLY PAYMENTS |
| Interest Rate | 5.900000000000 |
| Security Provided by Borrower | ANNUITIES |
| Purpose of Loan | PURCHASE ANNUITIES |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 9 |
|---|---|
| Lender's Name | LARRY HERRIG |
| Lender's Title | |
| Relationship to Insider | TRUSTEE |
| Original Amount of Loan | 400,000 |
| Balance Due | 0 |
| Date of Note | 2011-01 |
| Maturity Date | |
| Repayment Terms | INTEREST ONLY PAYMENTS |
| Interest Rate | 6.000000000000 |
| Security Provided by Borrower | ALL EXISTING & FUTURE SECURITY INTERESTS |
| Purpose of Loan | PURCHASE ANNUITIES |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE POLICIES | 566,289 | 233,280 | 233,280 |
| Description | Amount |
|---|---|
| CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE POLICIES | 333,009 |
| LIFE INSURANCE PREMIUMS PAID | 184,206 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK FEES | 161 | 161 | 0 | 0 |
| ADVERTISING | 200 | 200 | 0 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY PAYMENTS | 337,656 | 337,656 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL TAXES | 2,594 | 0 | 0 | 0 |