| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| CASH VALUE LIFE INSURANCE POLICY | AT COST | 2,660,412 | 2,660,412 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| POLICY PREMIUM EXPENSE | 155,163 | 0 | 0 |
| Description | Amount |
|---|---|
| INCREASE IN CASH SURRENDER VALUE | 64,417 |