| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
MOTHER NEPAL DISABLED ASSOCIATION |
C/O SANJAY NEPAL HEMENWAY TRUST CO SALEM,NH03079 |
2023-02-09 | 7,300 | PURCHASE AND PROVIDE HEALTHY FOOD FOR ORPHANS LIVING AT MOTHER NEPAL DISABLED ASSOCIATION | 7,300 | NO | SEE ATTACHED |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL COUNSEL & SERVICES | 9,881 | 9,881 |
| Description | Amount |
|---|---|
| DUE TO ROUNDING | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| NEW HAMPSHIRE NHCT-12 FILING | 75 | 75 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| 2022 REFUND AND INTEREST | 10,409 | ||
| NON-TAXABLE STOCK DIVIDENDS | 3,782 |
| Description | Amount |
|---|---|
| DUE TO ROUNDING | 1 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| NEPAL CONSULTANTING | 12,000 | 12,000 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAX CREDIT/ADR | 10 | 10 | ||
| 2022 EXCISE TAX WITH EXTENSION | 20,000 | |||
| 2023 EXISE TAX ESTIMATE | 10,409 |