| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING & TAX PREPARATION | 1,600 | 1,600 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| SEE ATTACHED ACCOUNT STATEMENT | 194,706 | 115,024 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| NYS ANNUAL FILING FEE | 250 | 250 | ||
| INVESTMENT ACCOUNT FEES | 329 | 329 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SECTION 4940 TAX ON NET INVST IN | 380 | |||
| FOREIGN TAX PAID ON DIVIDENDS | 51 | 51 |