| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 1,000 | 1,000 | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| CONTRIBUTIONS | LINE 1 | SEE ATTACHED SCHEDULE B |
| TAXES | LINE 18 | FEDERAL EXCISE TAXES 265 |
| SCHEDULE OF INVESTMENTS- BOOK | LINE 10 | BOOK MUTUAL FUNDS 1. FIDELITY 500 INDEX FUND (614.506 SHARES) $90,000.00 2. FIDELITY STRATEGIC DIV & INC FND (3,240.779 SHRS) 40,000.00 3. FIDELITY PURITAN FUND(2,553.231 SHARES) 50,000.00 4. FIDELITY VALUE FUND (5,827.700 SHARES) 36,297.45 5. ARTISAN MID CAP FUND (628.253 SHARES) 20,000.00 6. FIDELITY CAPITAL & INCOME FUND(6,553.519 SHARES) 70,000.00 COMMON STOCKS7. JOHN HANCOCK PREFERRED INC FUND III (3,400 SHRS) 80,255.43BONDS8. UNITED STATES TREASURY (30,000.00 SHARES) 30,000.88OTHER9. JPMORGAN CHASE BANK CD (20,000.000 SHARES) 20,000.0010. NORTHEAST BANK CD (20,000.000 SHARES) 20,000.00 TOTAL 456,553.76 |
| SCHEDULE OF INVESTMENTS- FMV | LINE 10 | FMVMUTUAL FUNDS 1. FIDELITY 500 INDEX FUND (614.506 SHARES) $125,475.982. FIDELITY STRATEGIC DIV & INC FND (3,240.779 SHRS) 54,509.90 3. FIDELITY PURITAN FUND(2,553.231 SHARES) 63,447.79 4. FIDELITY VALUE FUND (5,827.700 SHARES) 79,256.72 5. ARTISAN MID CAP FUND (628.253 SHARES) 21,297,77 6. FIDELITY CAPITAL & INCOME FUND(6,553.519 SHARES) 66,518.22 COMMON STOCKS7. JOHN HANCOCK PREFERRED INC FUND III (3,400 SHRS) 51,102.00BONDS8. UNITED STATES TREASURY (30,000 SHARES) 29,994.00OTHER9. JPMORGAN CHASE BANK CD (20,000.000 SHARES) 19,975.2010. NORTHEAST BANK CD (20,000 SHARES) 20,033.60TOTAL 531,611.18 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| FIDELITY MUTUAL FUNDS & STOCKS | 456,554 | 531,611 |
| Description | Amount |
|---|---|
| BOOK TO TAX ADJUSTMENT | 1,455 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAXES | 265 | 265 | 0 |