| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING SERVICES AND PREPARATION OF FORM 990PF | 2,125 | 0 | 2,125 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| BERKSHIRE HATHAWAY INC (BRK-B) COMMON SHARES | 86,925 | 178,330 |
| SURMODICS INC (SRDX) COMMON SHARES | 36,270 | 36,350 |
| INTEL CORP (INTC) COMMON SHARES | 45,216 | 40,200 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 200 | 0 | 200 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ILLINOIS CHARITY BUREAU FUND - STATE REGISTRATION FEE | 15 | 0 | 15 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BMO BANK NA - TAX PREPARATION FEE | 200 | 0 | 200 | |
| BMO BANK NA - BUNDLED TRUST FEES | 12,210 | 5,953 | 6,257 |
| Name | Address |
|---|---|
| NANCY SILVERMAN |
625 SUNSET RIDGE RD NORTHFIELD,IL60093 |