| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting Fees | 500 | 0 | 0 | 500 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 139 SHARES ALTRIA GROUP INC | 9,962 | 5,607 |
| 232 SHARES MONDELEZ INTL INC | 10,064 | 16,804 |
| 237 FIDELITY INVESTMENTS | 237 | 237 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Refund IL Filing Fee | 15 |
| Name | Address |
|---|---|
| Robert B Colleen M Seiffert |
116 Lou Rosa Drive Collinsville,IL62234 |