| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| PRUDENTIAL LIFE INSURANCE POLICY V2048842 | FMV | 251,833 | 251,833 |
| Description | Amount |
|---|---|
| CASH VALUE OF POLICY | 1,030 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LIFE INSURANCE PREMIUM | 47,348 | 0 | 0 | 0 |
| INSURANCE ADMINISTRATIVE COSTS | 0 | 2,112 | 0 | 0 |