| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 1,000 | 500 | 0 | 500 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| FIDELITY INVESTMENTS | 323,144 | 631,544 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 5,057 | 2,528 | 0 | 2,528 |
| Item No. | 1 |
|---|---|
| Lender's Name | NY LIFE POLICY LOAN |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 82,680 |
| Balance Due | 175,143 |
| Date of Note | 2012-02 |
| Maturity Date | |
| Repayment Terms | NONE |
| Interest Rate | 0.062000000000 |
| Security Provided by Borrower | CSV OF LIFE INS |
| Purpose of Loan | BORROWED TO PAY PREMIUMS |
| Description of Lender Consideration | |
| Consideration FMV | 175143 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| FMV LIFE INSURANCE | 1,273,422 | 1,326,656 | 1,300,039 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAX PAID | 34 | 34 | 0 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| INCREASE IN LIFE INSURANCE CV | 53,234 | 53,234 | 53,234 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL ESTIMATED TAXES | 1,000 | 1,000 | 0 | 0 |