| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE STOCK | 485,001 | 797,793 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE POLICY | AT COST | 478,924 | 478,924 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 254 | 127 | 0 | 127 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK FEES | 125 | 125 | 0 | 0 |
| INVESTMENT FEES | 9,216 | 9,216 | 0 | 0 |
| MISCELLANEOUS EXPENSES | 38 | 38 | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FRANCHISE TAX | 11 | 0 | 0 | 0 |
| FEDERAL INCOME TAX | 1,898 | 0 | 0 | 0 |