| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 1,200 | 1,200 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 32,507 | 38,821 |
| Description | Amount |
|---|---|
| DIFFERENCE BETWEEN FAIR MARKET VALUE AND BOOK VALUE | -1,243 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OHIO FILING FEE | 50 | 50 |