EFTA01087741.pdf

AS ar qlkft3 Coed r) Pace 2 Assets (omit cents) Liabilities (omit cents) 6‘.:-.54 In this Bank l ogle mortgages Primary Residence In Other Institutions 34 2,(71, Payable Ott Wholly-Owned RE (Schedule I) Securities Marketable L i 5-6_9..1I (Schedule 7) Partially Owned RE (Schedule 2) Not Publicly Traded ? 913 Notes To this Bank Payable Other Notes Payable co / 2-2 7 Accounts Receivable/Notes Receivable (Sch. 3) Net Cash Value Ins. & Annuities (Schedule 4) Ir l &I (Schedule 6 & 8) Margin Account 1 Real Primary Residence Taxes Income Taxes 7..5' & Owing Other Taxes Estate Other Wholly-Owned RE i 10, - 21 (Schedule 7) Partially Owned RE Unrealized Asset Apprec. Other Partnership Interest 3 3.2. 04o Estimated Credit Card Balance 2-1O 1 Accounts Payable Equipment & Other Business Assets (Sdi. 8) Deferred Comp & Retirement Plans (Sdi. 5) Other Liabilities (Itemize on page 1 or attachment) y1 b Co Other Assets (Itemize on pg. 1or attach) it. 1-I iiif 16z3 Offshore Assets (Itemize on pg. 1 or attach) * 4e4 d- 011ecbilef x69-61089 Ant/ go c‘t a- life 116, 1/11 Total Liabilities 5/ 62-2_ Total Assets bleyjeWel leg 23, al (2, 00 a, /16 Net Worth (Assets Less Liabilities) 6,.-/i(3 f 0 4/ Contingent Liabilities Instructions: State Total Amount by Type ofLiability and Provide Appropnate DetailIn The Space Below. or agreed to Contingent liabilities are financial obligations of other individuals, partnerships, or companies which you have endorsed, guaranteed otherwiseabove that the balance sheet or have a statutory obligation to honor in the event of certain contingencies and any direct obligations that are not reflected in other banks or creditors of you will be required to honor In the event of certain contingencies. These include obligations to Bank of America as well as to my kind. You must disclose all such guarantees, endorsements, etc. in this schedule. 1. As Guarantor or Endorser 3. Legal Claims or Judgments 5. S andby Letter of Credit 2. On Leases or Contracts 4. Income Tax Claim o Dispute Amount 6. Other Max. Legal Explanation: Include whether you Type Name of Primary I Due To Obligation Maturity anticipate having to honor this St Obligor Amount liability. INTO VARIOUS TRANSACTIONS WITH FAMILY TRUSTS AND ' — — NOTE THAT LEON D. BLACK PURSUANT TO ESTATE PLANNING ENTERED GRANTOR RETAINED ANNUITY TRUSTS. THESE TRANSACTION S GIVE RISE TO RECEIVABLES AND PAYABLES BY LEON D. BLACK TO — INCOME TAX PURPOSES. THESE iNTRA-FAMILY TRANSACTION S FAMILY GRANTOR TRUSTS FOR WHICH LEON CI BALCK IS GRANTOR FOR REPORTING PURPOSES, THESE TRANSACTIo NS ARE NETTED. — PAYABLE. FOR — ARE ZERO SUM TRANSACTIONS AS ANY RECEIVABLE IS EQUAL TO A Annual Income/Expense Information I I I HAVE NO CONTINGENT LIABILITIES for the ddlund cram Afatony, Chid supped or Separate Maintenance Income need nal be revealed unless youMal to have room eionskfeedl as a Dub riPleing Last Year Projected This Last Year Projected this tot 7g, /3 Year 18 _20/// Uses of Cash 19_ Year 19_ Sources of Cash Retuning Expenses Salary & Wages Income Taxes & FICA Commissions, Bonus, Etc. Other Payroll Deduction Interest & Dividends Living Expense, Misc. Real Estate Income Real Estate Expense Trust Income Planned Investments Other Business Income Alimony, Child Support, Separate Maint. Other Other Sub Total Sub Total Non-Retuning Debt Service Commissions, Bonus, Etc. Primary Residence Prnt. Sale of Assets Scheduled Principal & Int. Tax Refund Other Interest Pmts. Other Other Principal Pmts. Contingent Liability Pmts. Total Cash Uses Total Cash Sources 3OO,000 Total Cash Flow VOC, elCo EFTA01087741