| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Tax and Accounting | 3,000 | 0 | 0 | 3,000 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 1,000 Shs of Clean Harbors, Inc | 49,544 | 202,404 |
| Item No. | 1 |
|---|---|
| Lender's Name | J Peter Noonan Sr |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 2,225 |
| Balance Due | 2,225 |
| Date of Note | 2000-11 |
| Maturity Date | |
| Repayment Terms | Due on Demand |
| Interest Rate | |
| Security Provided by Borrower | None |
| Purpose of Loan | To Cover Operating Expenses |
| Description of Lender Consideration | None |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Filing Fees | 193 | 193 | ||
| Penalties and Interest | 10,546 | 10,546 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Federal Taxes | 103 | 103 |