| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT ACCOUNTING FEES | 14,400 | 14,400 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| 2016 KIA SEDONA VAN | 2016-08-01 | 34,500 | 20,825 | S/L | 5.0000 | 2,075 | 2,075 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| 2016 KIA SEDONA VAN | 34,500 | 22,900 | 11,600 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| DEPOSITS | 2,133 | 2,133 | 2,133 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| AUTO EXPENSE | 4,878 | 4,878 | ||
| BANK CHARGES | 319 | 319 | ||
| CLEANING AND JANITORIAL | 612 | 612 | ||
| CONTRACT SERVICES | 1,785 | 1,785 | ||
| FIELD TRIPS AND ACTIVITIES | 409 | 409 | ||
| FOOD AND SUPPLIES | 11,669 | 11,669 | ||
| INSURANCE - LIABILITY | 4,122 | 4,122 | ||
| INSURANCE - D&O | 1,023 | 1,023 | ||
| INSURANCE - WORKERS COMP | 4,347 | 4,347 | ||
| MAINTENANCE AND REPAIRS | 17,554 | 17,554 | ||
| OFFICE EXPENSE | 867 | 867 | ||
| PAYROLL PROCESSING FEES | 68 | 68 | ||
| RECRUITING AND HIRING | 185 | 185 | ||
| SUPPLIES | 1,458 | 1,458 | ||
| TEAM RECOGNITION | 118 | 118 | ||
| TEAM TRAINING | 60 | 60 | ||
| UTILITIES | 14,075 | 14,075 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ROOM AND BOARD | 28,004 | 28,004 | |
| MEDICARE MED-WAIVER REVENUE | 134,002 | 134,002 | |
| PRIVATE PAY REVENUE | 42,000 | 42,000 | |
| OTHER MISCELLANEOUS INCOME | 178 | 178 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| LOAN PAY - SBA PPP | 65,400 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT OTHER PROFESSIONAL FEES | 5,340 | 5,340 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LICENSES AND FEES | 1,531 | 1,531 | ||
| PAYROLL TAXES | 13,140 | 13,140 |