FAIRMAN FAMILY FOUNDATION: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
FAIRMAN FAMILY FOUNDATION (EIN 20-4373954)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-04-29
IRS object ID
202421209349101017
Schema version
2023v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-04-29T15:47:39-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN250997271PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SHARKEY PICCIRILLO & KEEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1991 BEAVER DRIVEAddressLine1Txt
CityDUBOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN204373954EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAIRMAN FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAIRBusinessNameControlTxt
Phone8143718863PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1414 RANDALL COURTAddressLine1Txt
CityDUBOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOYCE FAIRMANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8143718863PhoneNum
Signature2024-04-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOYCEPersonFirstNm
Person LastFAIRMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK R KEEN CPAPreparerPersonNm
PTINP00121273PTIN
Phone8143718340PhoneNum
Preparation2024-04-25PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,688,701FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$4,060InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$4,060InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$33,301DividendsRevAndExpnssAmt
Dividends Net Invst Incm$33,301DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$51,694NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$245,899GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$51,694CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$218OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$89,273TotalRevAndExpnssAmt
Total Net Invst Incm$89,055TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,519AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,519AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$140TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$12,778OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$12,778OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$14,437TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$12,778TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,519TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$59,530ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$59,530ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$73,967TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$12,778TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$61,049TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$15,306ExcessRevenueOverExpensesAmt
Net Investment Income$76,277NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,491CashBOYAmt
Cash EOY$5,520CashEOYAmt
Cash EOYFMV$5,520CashEOYFMVAmt
Sav And Temp Cash Invst BOY$74,432SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$96,396SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$96,396SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$205,801CorporateStockBOYAmt
Corporate Stock EOY$191,111CorporateStockEOYAmt
Corporate Stock EOYFMV$772,596CorporateStockEOYFMVAmt
Other Investments BOY$774,864OtherInvestmentsBOYAmt
Other Investments EOY$778,867OtherInvestmentsEOYAmt
Other Investments EOYFMV$814,189OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,056,588TotalAssetsBOYAmt
Total Assets EOY$1,071,894TotalAssetsEOYAmt
Total Assets EOYFMV$1,688,701TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$1,056,588CapitalStockBOYAmt
Capital Stock EOY$1,071,894CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,056,588TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,071,894TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,056,588TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,071,894TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,056,588TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$15,306ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,071,894SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,071,894TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP$243,888$194,205$49,683$49,683
CAPITAL GAINS DIVIDENDSP$2,011$2,011$2,011
FieldValueIRS element (for citing)
Capital Gain Net Income$51,694CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,060InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,060SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,060TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$280EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$280TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$780TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StatePAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8143718863PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1414 RANDALL COURTAddressLine1Txt
CityDUBOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOYCE FAIRMAN
414 RANDALL COURTDUBOISPA15801PRESIDENT2.00$0$0$0
LISA PFINGSTLER
239 EAST LOGAN AVENUEDUBOISPA15801VICE-PRESIDENT1.00$0$0$0
DEREK FAIRMAN
413 PANTOPS PARADEPORT MATILDAPA16870SECRETARY/TREASURER1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,520,735AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$103,382AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,624,117TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,624,117AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$24,362CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,599,755NetVlNoncharitableAssetsAmt
Minimum Investment Return$79,988MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$79,988MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,060TaxBasedOnInvestmentIncomeAmt
Total Tax$1,060TotalTaxAmt
Distributable Before Adj$78,928DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$78,928DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$78,928DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$61,049ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$61,049QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$78,928DistributableAsAdjustedAmt
Undistributed Income PY$22,903UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$61,049QualifyingDistributionsAmt
Applied To Year1$22,903AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$38,146AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$40,782UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJOYCE FAIRMANContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonJOYCE FAIRMANRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1414 RANDALL COURTAddressLine1Txt
CityDUBOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd
FieldValueIRS element (for citing)
Recipient Phone8143718863RecipientPhoneNum
Form And Info And MaterialsTHE FOUNDATION WILL ACCEPT WRITTEN REQUESTS FROM POTENTIAL RECIPIENT ORGANIZATIONS. THE REQUEST MUST INCLUDE PROOF THAT THE POTENTIAL RECIPIENT ORGANIZATION IS A TAX EXEMPT ORGANIZATION UNDER PROVISIONS OF THE INTERNAL REVENUE CODE.FormAndInfoAndMaterialsTxt
Submission DeadlinesNOSubmissionDeadlinesTxt
Restrictions On AwardsTHE FOUNDATION WAS FORMED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC PURPOSES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. SPECIFICALLY, THE FOUNDATION WILL PROVIDE FUNDING FOR MUNICIPAL, EDUCATIONAL, RELIGIOUS, AND CHARITABLE PURPOSES TO RECIPIENTS WHO QUALIFY AS TAX EXEMPT ORGANIZATIONS UNDER PROVISIONS OF THE INTERNAL REVENUE CODE. IN ADDITION, THE FOUNDATION WILL PROVIDE FUNDING FOR PUBLIC PURPOSES WHICH QUALIFY AS MUNICIPAL GIVING OR TAX EXEMPT UNDER PROVISIONS OF THE INTERNAL REVENUE CODE.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
DUBOIS AREA UNITED WAY
223 SOUTH JARED STREETDUBOISPA15801N/APCGENERAL$1,500
DUBOIS CENTRAL CATHOLIC
200 CENTRAL CHRISTIAN ROADDUBOISPA15801N/APCEDUCATIONAL$1,030
FOUNDATION FOR IUP
103 SUTTON HALL 1011 SOUTH DRIVEINDIANAPA15705N/APCPUNXSUTAWNEY CULINARY ARTS$20,000
GRADY'S DECISION
5390 CRAY ROADERIEPA16509N/APCGENERAL$1,000
PENN HIGHLANDS DUBOIS
100 HOSPITAL AVENUEDUBOISPA15801N/APCPEDIATRIC WAITING ROOM$5,000
PENN STATE UNIVERSITY
1 COLLEGE PLACEDUBOISPA15801N/APCLAUNCHBOX$5,000
PENN STATE UNIVERSITY
201 OLD MAINUNIVERSITY PARKPA16802N/APCPAW CENTER$20,000
ST VINCENT COLLEGE
300 FRASER PURCHASE ROADLATROBEPA15650N/APCGENERAL$1,000
DUBOIS AREA YMCA
25 PARKWAY DRIVEDUBOISPA15801N/APCSTRONG KIDS CAMPAIGN$1,000
CATHOLIC CHARITIES
90 BEAVER DRIVE 119D BOX 2DUBOISPA15801N/APCHOME SAFETY PROGRAM$2,000
CENTRE GIVESCENTRE FOUNDATION
1377 RIDGEMASTER DRIVESTATE COLLEGEPA16803N/APCGENERAL$1,000
WE CARE FOR KIDS
69 BEAVER DRIVEDUBOISPA15801N/APCGENERAL$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$59,530TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$4,060ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$33,301ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$51,694ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescEXCISE TAX - INVESTMENT INCOME REFUNDDesc
Related Or Exempt Function Incm$218RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$89,055ExclusionAmt
Related Or Exempt Function Incm$218RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$89,273TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11LineNumberTxt
Relationship StatementEXCISE TAX - INVESTMENT INCOME REFUNDRelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryPREPARATION OF FORM 990-PF AND STATE CHARITABLE REGISTRATION STATEMENTCategoryTxt
Amt$1,519Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,519DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (28 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
88 SH MCDONALDS CORP$4,959$26,093
153 SH TARGET CORP$7,198$21,790
97 SH CHEVRON CORPORATION$6,861$14,468
136 SH EXXON MOBIL CORP$9,596$13,597
105 SH THERMO FISHER SCIENTIFIC INC$3,967$55,733
55 SH FEDEX CORP$2,990$13,913
450 SH APPLE INC$2,381$86,639
190 SH MICROSOFT CORP$4,835$71,448
200 SH ORACLE CORP$4,182$21,086
129 SH CONOCOPHILLIPS$4,892$14,973
182 SH QUALCOMM INC$8,245$26,323
100 SH VISA INC$1,675$26,035
307 SH XCEL ENERGY INC$6,132$19,006
173 SH WAL-MART STORES INC$8,836$27,273
65 SH HUMANA INC$3,131$29,758
68 SH CUMMINS ENGINE INC$4,645$16,291
419 SH CISCO SYSTEMS$7,457$21,168
113 SH DISNEY WALT CO$4,373$10,203
100 SH JP MORGAN CHASE & CO$9,438$17,010
234 SH METLIFE INC$10,507$15,474
400 SH ALPHABET INC - CL A$4,419$55,876
390 SH MASCO CORP$10,834$26,122
50 SH BECTON DICKINSON & CO$10,696$12,191
75 SH JOHNSON & JOHNSON$9,881$11,755
175 SH NVIDIA CORP$10,871$86,664
50 SH AIR PRODS & CHEMS INC$8,379$13,690
50 SH PEPSICO INC$9,731$8,492
65 SH PROCTER & GAMBLE CO$10,000$9,525

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (15 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
500 SH ISHARES SELECT DIVIDEND ETFFMV$42,835$58,610
735 SH ISHARES MSCI EAFE INDEX FUNDFMV$51,457$55,382
25 SH ISHARES RUSSELL 2000 INDEX FD ETFFMV$3,114$5,018
200 SH PROSHARES S&P 500 DIVIDEND A ETFFMV$9,541$19,040
150 SH SPDR CONSUMER DISCRETIONARY SECT ETFFMV$15,721$26,821
1750 SH SPDR FINANCIALS SECTOR ETFFMV$50,343$65,800
125 SH SPDR MATERIALS SECTOR ETFFMV$7,425$10,693
10160.973 SH JP MORGAN CORE BOND #3720FMV$117,000$104,658
9388.638 SH VANGUARD TOTAL BOND MKT INDEX FDFMV$101,431$91,164
8745.163 SH FEDERATED #225 TOTAL RETURN BIND FUNDFMV$100,000$83,779
906.783 SH VANGUARD INTL GROWTH FUNDFMV$100,000$92,320
7102.521 SH DODGE & COX INCOME FUNDFMV$85,000$89,634
2582.645 SH FIDELITY EMRG MKT INSFMV$25,000$25,956
495.190 SH FULLER & THALER BEHAVIORAL SM CP EQFMV$17,500$20,778
2577.320 SH FIDELITY SML CAP INSFMV$52,500$64,536

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT FEES$12,493$12,493$0
FOREIGN TAXES - DIVIDENDS$285$285$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescEXCISE TAX - INVESTMENT INCOME REFUNDDesc
Revenue And Expenses Per Books$218RevenueAndExpensesPerBooksAmt
Adjusted Net Income$218AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAX BASED ON INVESTMENT INCOMECategoryTxt
Amt$140Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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