| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| INVESTMENT IN MUTUAL FUND | FMV | 49,880 | 49,880 |
| INVESTMENT IN ANNUITIES | FMV | ||
| CASH SURRENDER VALUE OF LIFE INS | FMV | 1,042,029 | 1,042,029 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| INSURANCE | 32,513 | 32,513 | ||
| NYS FILING FEE | 250 | |||
| REGISTRATION FEE FL | 849 | |||
| BANK CHARGES | 75 | 75 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY 139224 | 64,845 | 64,845 | |
| ANNUITY 131801 | 90,923 | 90,923 | |
| ANNUITY 699199 | 40,611 | 40,611 |
| Description | Amount |
|---|---|
| UNREALIZED INCR-CSV INSURANCE | 137,709 |
| UNREALIZED GAIN-MUTUAL FUND | 12,159 |
| DECR IN UNREALIZED GAIN-ANNUITIES | -206,616 |