| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| CASH VALUE OF LIFE INSURANCE POLICY | FMV | 74,898 | 155,749 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| DELAWARE ANNUAL FEE | 542 | 0 | 0 | |
| INSURANCE | 12,920 | 0 | 0 | |
| BANK FEES | 0 | 0 | 0 |