| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Investments | FMV | 795,991 | 795,991 |
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| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BankInvestment Charges | 1,710 | 1,710 | ||
| Other Fees | 125 | |||
| Other State Tax Expense | 10 | 10 |
| Name | Address |
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