| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 6,000 | 6,000 | 6,000 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| SECURITIES | 659,414 | 799,652 |
| DIVIDEND RECEIVABLE |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| OTHER INVESTMENTS | AT COST | 645,667 | 645,667 |
| Description | Amount |
|---|---|
| INSURANCE POLICY FOR BENEFIT OF FOUNDATION | 24,122 |
| K-1 NON-DEDUCTIBLE | 54 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| FOREIGN TAX PAID | 81 | 81 | 81 | |
| INVESTMENT FEES | 3,571 | 3,571 | 3,571 | |
| OTHER EXPENSES | 170 | 170 | 170 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| PER K-1 LINE 1 | 40,328 | 40,328 | 40,328 |
| PER K-1 LINE 2 | -4,511 | -4,511 | -4,511 |
| PER K-1 OTHER INCOME | 292 | 292 | 292 |
| PER K-1 SECTION 1231 | 864 | 864 | 864 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MN TAX PAID | 25 | 25 | 25 |