| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL - TAX RETURN | 4,972 | 0 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 590 SH NICOLET BANKSHARES | 5,900 | 47,483 |
| 1400 SH NICOLET BANKSHARES | 14,000 | 112,672 |
| 1000 SH NICOLET BANKSHARES | 10,000 | 80,480 |
| 2000 SH NICOLET BANKSHARES | 20,000 | 160,960 |
| 1000 SH NICOLET BANKSHARES | 10,000 | 80,480 |
| 500 SH NICOLET BANKSHARES | 5,000 | 40,240 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| 2019 BASIS ADJ - 2000 SH NICOLET BANKSHS | 94,733 | 38,031 | |
| 2020 BASIS ADJ - 2400 SH NICOLET BANKSHARES | 135,603 | 135,603 | |
| 2021 BASIS ADJ - 2000 SH NICOLET BANKSHARES | 122,200 | 122,200 | |
| 2022 BASIS ADJ - 1000 SH NICOLET BANKSHARES | 80,750 | 80,750 | |
| 2023 BASIS ADJ - 500 SH NICOLET BANKSHARES | 0 | 34,338 |
| Description | Amount |
|---|---|
| NON-DEDUCTIBLE CONTRIBUTION | 3,000 |
| Description | Amount |
|---|---|
| ROUNDING | 1 |
| Name | Address |
|---|---|
| JAMES E FALCK |
1144 MOONRIVER DRIVE DE PERE,WI54115 |
| LINDA L FALCK |
1144 MOONRIVER DRIVE DE PERE,WI54115 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 2023 ESTIMATED TAX | 290 | 0 | 0 |