| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 1,450 | 0 | 1,450 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SAMPLE PROCESSING | 6,456 | 0 | 6,456 | |
| WISCONSIN DFI REGISTRATION FEES | 40 | 0 | 40 |
| Name | Address |
|---|---|
| BRUCE SEMON MD PHD AND LORI KORNBLU |
PO BOX 170867 GLENDALE,WI53217 |