| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Mutual Funds | FMV | 192,360 | 192,360 |
| Description | Amount |
|---|---|
| Change in investment value less dividends and interest $2,180 and checks not yet cashed $1,350 | 27,053 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Federal Tax | 34 | 34 | 34 | 0 |
| State Tax | 15 | 15 | 15 | 0 |