| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEE (NON-ALLOC | 1,250 | 1,250 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
STONE HOUSE FOUNDATION |
PO BOX 143 STEPHENS CITY,VA22655 |
2021-10-21 | 5,000 | To assist with the cost of archeological investigations at the Stone House Restoration Project. | NO | 4/6/2022 | 2022-04-06 | No funds from this grant have been diverted from the purpose of the grant. |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| VARIOUS SECURITIES | |||
| FIXED INCOME | AT COST | 34,294 | 34,058 |
| EQUITIES | AT COST | 250,426 | 291,858 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OTHER EXPENSE (NON-DEDUCTIBLE | 500 | 500 | 0 |
| Description | Amount |
|---|---|
| BASIS ADJUSTMENT | 7,993 |
| MUTUAL FUND FACTORING | 4 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMNT MNGMNT FEES (NON-DED | 4,429 | 4,429 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 42 | 42 | 0 | |
| FOREIGN TAXES ON QUALIFIED FOR | 36 | 36 | 0 |