| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| ANNUITIES-JACKSON NATIONAL LIFE INS OF NEW YORK | 348,271 | 356,082 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Amortization | 0 | |||
| BANK CHARGES | 103 | 103 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| DISTRIBUTIONS FROM ANNUITIES | 27,754 | 27,754 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| IRS | 23 | |||
| NYS FILING FEE | 100 | 50 | 50 |