| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL & ACCOUNTING | 5,425 | 3,635 | 1,790 |
| Description of Amortized Expenses | Date Acquired, Completed, or Expended | Amount Amortized | Deduction for Prior Years | Amortization Method | Current Year Amortization | Net Investment Income | Adjusted Net Income | Total Amount of Amortization |
|---|---|---|---|---|---|---|---|---|
| LEASE COMMISSION | 2020-08-05 | 5,011 | 4,454 | 36.000000000000 | 557 | 557 | 5,011 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| OFFICE CONDO | 2007-05-04 | 447,201 | 182,044 | SL | 39.000000000000 | 11,467 | 11,467 | ||
| LAND | 2007-05-04 | 50,000 | L | 0 | 0 | ||||
| AC UNIT OFFICE | 2016-10-12 | 10,260 | 10,184 | 200DB | 7.000000000000 | 76 | 76 | ||
| FLOORING | 2020-07-27 | 4,875 | 1,740 | SL | 7.000000000000 | 696 | 696 | ||
| COMPUTER | 2013-02-04 | 3,532 | 3,532 | 200DB | 5.000000000000 | 0 | 0 | ||
| 2013 SERVER | 2013-04-10 | 2,073 | 2,073 | 200DB | 7.000000000000 | 0 | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| CONTROLLED ENTITY INFORMATION | FORM 990-PF, PART VII-A, LINE 11 | OSF OF TENNESSEE, LLC7216 WELLINGTON DRIVE, SUITE 1KNOXVILLE, TN 37919EIN # 20-3115882DESCRIPTION OF TRANSFERS FROM THE LLC:NONE |
| DETAIL INFO REQUEST | FORM 990-PF, PART II, LINE 10B AND LINE 10C | THE INSTRUCTIONS FOR FORM 990 -PF REQUIRE A SCHEDULE THAT LISTS EACH SECURITY HELD AT THE END OF THE YEAR, AND TO SHOW WHETHER THAT SECURITY IS REPORTED AT COST BASIS OR FMV. ALL SECURITIES ARE HELD IN A BROKERAGE ACCOUNT THROUGHOUT THE YEAR AND ARE REPORTED AT COST. THIS SCHEDULE CAN BE PROVIDED TO THE IRS AT THEIR REQUEST. |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE BONDS | 189,368 | 186,711 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE STOCK | 113,538 | 248,035 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| OFFICE CONDO | 447,201 | 193,511 | 253,690 | |
| LAND | 50,000 | 0 | 50,000 | |
| AC UNIT OFFICE | 10,260 | 10,260 | 0 | |
| FLOORING | 4,875 | 2,436 | 2,439 | |
| LEASE COMMISSION | 5,011 | 5,011 | 0 | |
| COMPUTER | 3,532 | 3,532 | 0 | |
| 2013 SERVER | 2,073 | 2,073 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| UTILITY DEPOSIT | 300 | 300 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INSURANCE | 849 | 849 | 0 | |
| OFFICE SUPPLIES | 102 | 102 | 0 | |
| ASSOCIATION FEES - RENTAL | 4,776 | 4,776 | 0 | |
| INSURANCE - RENTAL | 6,882 | 6,882 | 0 | |
| BANK CHARGE-RENTAL | 24 | 24 | 0 | |
| OFFICE SUPPLIES-RENTAL | 80 | 80 | 0 | |
| OTHER EXPENSES | 265 | 265 | 0 | |
| AMORTIZATION | 557 | 557 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| SECURITY DEPOSIT | 5,500 | 3,000 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT FEES | 5,199 | 5,199 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL | 2,327 | 1,559 | 768 | |
| PROPERTY TAX - RENTAL | 3,425 | 3,425 | 0 |