| 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 |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| FISERV, INC | 804,950 | 1,571,874 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Administrative Fees | 4,774 | 4,774 | ||
| State or Local Filing Fees | 25 | 25 | ||
| BANK FEES | 125 | 125 | 125 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| OUTSTANDING OPTIONS | 0 | 4,783 |