| 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 |
|---|---|---|
| INVESTMENTS | 9,498,898 | 9,287,150 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE CONTRACTS | 5,302,750 | 5,463,919 | 3,151,687 |
| KERANETICS, LLC | 1,186 | 1,097 | 1,097 |
| FCA HEALTH INNOVATORS | 252,503 | 252,503 | 252,503 |
| OLATEC THERAPEUTIC | 120,628 | 117,617 | 117,617 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| INCREASE IN CASH SURRENDER VALUE OF LIFE | |||
| INSURANCE CONTRACTS | 131,366 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| WELLS FARGO MANAGEMENT FEES | 49,808 | 49,808 | ||
| CHARLES SCHWAB MANAGEMENT FEES | 34,264 | 34,264 | ||
| CONSULTING FEES | 84,174 | 84,174 |
| Name | Address |
|---|---|
| Keith Five Star LLC |
5201 GORHAM DRIVE CHARLOTTE,NC28226 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 553 | 553 | ||
| AUTOMATIC EXTENTION PAYMENT | ||||
| IRS PAYMENT | 15,000 | 15,000 |