| 
 | Enter Total Cash Invested for Company
		Cash Invested | Enter Date(s) of Investment.  If investment spans years, enter range,
		Date(s) Invested | Enter the Name of the Company.
		Company Name | Enter the age of the company in years at the time of initial investment.
		Age of Company (Yrs) | Enter the primary industry in which the company operates.
		Primary Industry | Describe the specific products and services of the company in more detail.
		Description of Products/Services | Enter any cash proceeds received from the investment.
		Cash Proceeds Received from Investment | Enter the cost basis of any cash proceeds received.
		Cost Basis of Cash Proceeds | Enter the Date(s) proceeds were received.  If received over a span of time, enter the range of dates.
		Date(s) Proceeds Received | Enter the value for the firm's holding in the this company if this company was in the portfolio prior to your arrival.
		Valuation of Remaining Holdings | Enter the cost basis of any remaining holdings.  
		Cost Basis of Remaining Holdings | 
 |