| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|
| Item No. | 1 |
|---|---|
| Lender's Name | ARTHUR SPEARS |
| Lender's Title | |
| Original Amount of Loan | 543 |
| Balance Due | 2753 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | EDUCATIONAL |
| Description of Lender Consideration | NO INTEREST |
| Consideration FMV |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|