| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Cash value of life insurance | 27,916 | 27,916 | |
| Receivable from Officer | 1,075 | 1,075 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Net life insurance costs | 5,300 | 0 | 0 | 0 |
| Name | Address |
|---|---|
| Ralph L and Linda K Aldrich |
26120 West Dodge Road Waterloo,NE680694677 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Excise Tax | 4 | 0 | 0 | 0 |