| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| MERRILL LYNCH BROKERAGE ACCOUNT | FMV | 404,318 | 404,318 |
| AMERIPRISE BROKERAGE ACCOUNT | FMV | 1,451 | 1,451 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal Fees | 7,039 | 0 | 0 | 3,520 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| DIVIDENDS RECEIVABLE | 12 | 12 | 12 |
| JACKSON NATIONAL LIFE ANNUITY | 135,463 | 148,728 | 148,728 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNT MAINTENANCE FEES | 100 | 100 | ||
| BANK CHARGES | 140 | |||
| FOREIGN TAXES PAID | 178 | 178 | ||
| INVESTMENT ADVISORY FEES | 6,309 | 6,309 | ||
| NYS FILING FEE | 100 | 100 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ROYALTIES | 612 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| IRS EXCISE TAX | 49 |