| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| IMOAX TRANSAMERICA | AT COST | 134,738 | 113,589 |
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| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE | 22,018 | 48,213 | 48,213 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OFFICE SUPPLIES | 160 | 160 | ||
| SUPPLIES | 306 | 306 | ||
| LIFE INSURANCE | 13,805 |
| Description | Amount |
|---|---|
| NET CAPITAL GAIN | 2,049 |
| Name | Address |
|---|---|
| DENNIS KLUMB |
W257S7715 PRAIRIESIDE DR WAUKESHA,WI53189 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL EXCISE TAX | 54 |