| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 1,500 | 1,500 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE POLICY | AT COST | 121,590 | 178,469 |
| FIFTH THIRD SECURITIES MUTUAL FNDS | AT COST | 203,877 | 200,576 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| OHIO STATE FILING FEE | 200 | 200 | ||
| BANK SERVICE CHARGE | 10 | 10 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| RETURNED DONATION CHECK FROM | 5,000 | 5,000 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 2003 FEDERAL ESTIMTE | 892 | 892 | ||
| 2002 FEDERAL TAX DUE | 22 | 22 |