| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 9,600 | 7,600 | 2,000 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| DETAIL INFO REQUEST | FORM 990 PF, PART II, LINE 10B | THE INSTRUCTIONS FOR FORM 990-PF REQUIRE A SCHEDULE THAT LISTS EACH SECURITY HELD AT THE END OF THE YEAR, AND TO SHOW WHETHER THAT SECURITY IS REPORTED AT COST BASIS OR FMV. ALL SECURITIES ARE HELD IN A BROKERAGE ACCOUNT THROUGHOUT THE YEAR AND ARE REPORTED AT FMV. THIS SCHEDULE CAN BE PROVIDED TO THE IRS AT THEIR REQUEST. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| FIDELITY INVESTMT - EQUITY | 23,970,300 | 23,970,300 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| NOTE RECEIVABLE - ORTHOFI | 2,512,125 | 0 | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OFFICE EXP | 50 | 50 | 0 | |
| INSURANCE | 23,460 | 13,000 | 10,460 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| STATE TAX REFUND | 5,117 | 5,117 | 5,117 |
| Description | Amount |
|---|---|
| UNREALIZED GAINS LOSSES | 94,626 |
| ACCRUAL TO CASH ADJUSTMENT | 522,369 |
| Name | Address |
|---|---|
|
CREDIT BUREAU OF KNOXVILLE |
PO BOX 12958 KNOXVILLE,TN37921 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL AND STATE TAXES | 16,472 | 0 | 0 | |
| FOREIGN TAXES | 2,909 | 2,909 | 0 |