| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| UBS | FMV | 23,111 | 23,111 |
| Description | Amount |
|---|---|
| UNREALIZED LOSS | 5,200 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ANNUAL FEE | 34 | 0 | 0 |
| Name | Address |
|---|---|
| MICHAEL MILLER |
10 TILLOU COURT SOUTH ORANGE,NJ07079 |