| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ANDERSEN TAX LLC | 4,000 | 1,000 | 3,000 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| S&P 500 STOCK INDEX - CLASS I | 675,017 | 696,864 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL EXCISE TAX PAYMENT | 212 | 0 | 0 | |
| FEDERAL ESTIMATED TAX PAYMENT | 2,000 | 0 | 0 |