DR DONALD N & JANE L BERNING: Form 990PF, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- DR DONALD N & JANE L BERNING (EIN 45-2457323)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202403209349108355
- Schema version
- 2023v5.1
- 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
- Form 990-PF
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Land Schedule2
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T19:03:18-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3333 New Hyde Park Rd Ste 406 | AddressLine1Txt |
| City | New Hyde Park | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452457323 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dr Donald N & Jane L Berning Private | BusinessNameLine1Txt |
| Business Name Line2 | Foundation | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | DRDO | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACK BENSON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| Phone | 8008391754 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $8,040,819 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $2,735 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2,735 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $6,004 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $6,004 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$175 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $10,757 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $71,618 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $61,280 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $80,182 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $70,019 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $126,230 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $126,230 | CompOfcrDirTrstDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $10,321 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $10,321 | PensionEmplBnftDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $5,560 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $5,560 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $15,178 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $4,357 | TaxesNetInvstIncmAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $0 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $2,193 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $2,193 | OccupancyNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $61,306 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $21,198 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $40,108 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $220,788 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $33,308 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $176,659 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $250,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $250,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $470,788 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $33,308 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $426,659 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$390,606 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $36,711 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $392,229 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $239,484 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $239,484 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $8,265 | AcctRcvblAmt |
| Acct Rcvbl BOY | $108,322 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $8,265 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $8,265 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $307,820 | CorporateStockBOYAmt |
| Corporate Stock EOY | $308,974 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $310,139 | CorporateStockEOYFMVAmt |
| Invst Land Cost Or Other Basis | $566,698 | InvstLandCostOrOtherBasisAmt |
| Invst Land Accum Depreciation | $59,878 | InvstLandAccumDepreciationAmt |
| Land Bldg Investments BOY | $404,636 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOY | $506,820 | LandBldgInvestmentsEOYAmt |
| Land Bldg Investments EOYFMV | $589,198 | LandBldgInvestmentsEOYFMVAmt |
| Other Investments BOY | $7,776,238 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $7,535,560 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $6,893,733 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $8,989,245 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,599,103 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $8,040,819 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $3,835 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $4,299 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $3,835 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,299 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $8,985,410 | RetainedEarningBOYAmt |
| Retained Earning EOY | $8,594,804 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $8,985,410 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $8,594,804 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $8,989,245 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $8,599,103 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $8,985,410 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$390,606 | ExcessRevenueOverExpensesAmt |
| Subtotal | $8,594,804 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $8,594,804 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly-traded Securities | PropertyDesc |
| Gross Sales Price | $10,757 | GrossSalesPriceAmt |
| Cost Or Other Basis | $10,932 | CostOrOtherBasisAmt |
| Gain Or Loss | -$175 | GainOrLossAmt |
| Gains Minus Excess Or Losses | -$175 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$175 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $510 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $510 | SubtotalAmt |
| Tax Based On Investment Income | $510 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $800 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Backup Withholding Withheld | $451 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,251 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $741 | OverpaymentAmt |
| Applied To ES Tax | $741 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | DE | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| Faith Benson | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Sec | 1.0 | $0 | $0 | $0 |
| Jack Benson | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Pres | 40.0 | $126,230 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $291,334 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $324,208 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $6,871,103 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $7,486,645 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $7,486,645 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $112,300 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $7,374,345 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $368,717 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $368,717 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $510 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $510 | TotalTaxAmt |
| Distributable Before Adj | $368,207 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $368,207 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $368,207 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $426,659 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $426,659 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $368,207 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $264,932 | UndistributedIncomePYAmt |
| Qualifying Distributions | $426,659 | QualifyingDistributionsAmt |
| Applied To Year1 | $264,932 | AppliedToYear1Amt |
| Applied To Current Year | $161,727 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $206,480 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| CHICKS AND CHUCKS INC | |||||||
| 136 RIDGE HILL DR | HIGHLAND HGTS | KY | 41076 | N/A | PC | General & Unrestricted | $15,000 |
| FRIENDS OF THE ROSE GARDEN MISSION INC | |||||||
| PO BOX 122089 | COVINGTON | KY | 41012 | N/A | PC | General & Unrestricted | $25,000 |
| GO PANTRY CORPORATION | |||||||
| 7960 KENTUCKY DR | FLORENCE | KY | 41042 | N/A | PC | General & Unrestricted | $20,000 |
| NORTHERN KENTUCKY AREA DEVELOPMENT DISTRICT | |||||||
| 22 SPIRAL DR | FLORENCE | KY | 41042 | N/A | PC | Meals on Wheels | $100,000 |
| PADDLING FOR CANCER AWARENESS INC | |||||||
| PO BOX 76213 | HIGHLAND HGTS | KY | 41076 | N/A | PC | General & Unrestricted | $20,000 |
| PENDLETON COUNTY EDUCATION FOUNDATION INC | |||||||
| PO BOX 88 | FALMOUTH | KY | 41040 | N/A | PC | General & Unrestricted | $20,000 |
| SUNRISE CHILDRENS SERVICES INC | |||||||
| PO BOX 1429 | MT WASHINGTON | KY | 40047 | N/A | PC | General & Unrestricted | $50,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $250,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2,735 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $6,004 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$175 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| NET INC FROM ANNUITIES | 14 | $61,280 |
| NET INC FROM LIFE INSURANCE POLICY | 14 | $10,338 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $80,182 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $80,182 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (7 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|---|---|---|---|---|
| BLDG - 1 SUNNYMEDE | 2010-12-31 | $190,000 | $59,878 | SL | 27 | $0 | $0 | $0 |
| BLDG IMPR-1 SUNNY | $51,499 | $0 | SL | 27 | $0 | $0 | $0 | |
| LAND IMPRV-1 SUNNY | $74,065 | $0 | SL | 15 | $0 | |||
| LAND - 1 SUNNYMEDE | 2012-12-31 | $35,000 | L | |||||
| BLDG IMPRV-1 SUNNY | 2022-12-31 | $113,950 | $0 | SL | 27 | $0 | $0 | $0 |
| HVAC SUNNYMEDE | 2023-04-05 | $3,100 | SL | 7 | $0 | $0 | $0 | |
| BLDG IMPR-1 SUNNY | 2023-12-31 | $99,084 | SL | 27 | $0 | $0 | $0 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (20 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AMAZON COM | $22,845 | $36,466 |
| BORG WARNER INC | $16,476 | $10,755 |
| CLEAN ENERGY FUELS CORP | $17,609 | $7,660 |
| GILEAD SCIENCES INC | $12,280 | $8,101 |
| ISHARES BROAD USD INV GRD CORP | $13,422 | $13,891 |
| ISHARES CORE MSCI EMERGING MAR | $15,693 | $17,096 |
| ISHARES MSCI EAFE VALUE INX | $15,667 | $17,870 |
| ISHARES MSCI GRW IDX | $14,542 | $16,465 |
| ISHARES RUSSELL MIDCAP G IN FD | $9,347 | $10,968 |
| ISHARES RUSSELL MIDCAP VALUE | $16,532 | $17,676 |
| ISHARES RUSSELL TOP 200 GROW | $39,431 | $54,318 |
| ISHARES RUSSELL TOP 200 VALUE | $31,026 | $32,840 |
| KINDER MORGAN INC | $21,458 | $8,820 |
| PHINIA INC | $2,243 | $1,817 |
| POLARIS INDUSTRIES | $15,236 | $9,477 |
| VANGUARD GOVT BOND ETF INTERME | $8,764 | $8,839 |
| VANGUARD LT GOV BOND ETF | $4,276 | $4,246 |
| VANGUARD MORTGAGE-BACKED SEC I | $16,103 | $15,948 |
| VANGUARD RUSSELL 2000 ETF | $8,434 | $9,245 |
| VANGUARD SHOR-TERM GOV BOND | $7,590 | $7,641 |
Investments Land Schedule2 InvestmentsLandSchedule2
Investment Land InvestmentLandGrp (7 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|---|
| BLDG - 1 SUNNYMEDE | $190,000 | $59,878 | $130,122 | $212,500 |
| BLDG IMPR-1 SUNNY | $51,499 | $0 | $51,499 | $51,499 |
| LAND IMPRV-1 SUNNY | $74,065 | $0 | $74,065 | $74,065 |
| LAND - 1 SUNNYMEDE | $35,000 | $35,000 | $35,000 | |
| BLDG IMPRV-1 SUNNY | $113,950 | $0 | $113,950 | $113,950 |
| HVAC SUNNYMEDE | $3,100 | $0 | $3,100 | $3,100 |
| BLDG IMPR-1 SUNNY | $99,084 | $0 | $99,084 | $99,084 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (18 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AMERICO FINANCIAL - ANNUITY PO | $279,432 | $265,460 |
| AMERICO FINANCIAL - ANNUITY PO | $560,680 | $527,040 |
| AMERICO FINANCIAL - ANNUITY PO | $531,933 | $500,017 |
| ASPIDA LIFE INSURANCE 3440 | $700,000 | $690,000 |
| ASSURITY LIFE INSURANCE CO - P | $301,000 | $297,144 |
| ATHENE LIFE INSURANCE CO - ANN | $450,640 | $429,350 |
| ATHENE LIFE INSURANCE CO - ANN | $509,152 | $485,763 |
| DELAWARE LIFE INSURANCE COMPAN | $405,000 | $350,901 |
| EQUITRUST LIFE INSURANCE CO - | $464,385 | $433,183 |
| EQUITRUST LIFE INSURANCE CO - | $380,166 | $380,166 |
| FIDELITY & GUARANTY LIFE INSUR | $318,914 | $234,010 |
| FIDELITY & GUARANTY LIFE INSUR | $591,353 | $555,872 |
| NATIONAL WESTERN LIFE - ANNUIT | $387,583 | $374,422 |
| NATIONAL WESTERN LIFE - ANNUIT | $528,347 | $464,757 |
| NATIONAL WESTERN LIFE - ANNUIT | $147,518 | $128,397 |
| NATIONWIDE - ANNUITY POLICY # | $165,647 | $144,853 |
| SILAC (EQUITABLE) INSURANCE CO | $513,810 | $365,949 |
| FIDELITY & GUARNATEE LIFE INS | $300,000 | $266,449 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $39,387 | $39,387 | |
| POSTAGE AND DELIVERY | $157 | $157 | |
| Payroll Processing Fees | $696 | $696 | |
| Property insurance | $5,276 | $5,276 | |
| Property Maintenance | $15,765 | $15,765 | |
| State or Local Filing Fees | $25 | $25 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| NET INCOME FROM ANNUITIES | $61,280 | $61,280 |
| NET INCOME FROM LIFE INSURANCE POLICY | $10,338 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PAYROLL TAX WITHHOLDINGS | Desc |
| EOY Book Value | $4,299 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | CategoryTxt |
| Amt | $5,560 | Amt |
| Net Investment Income | $5,560 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (6 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 990-PF Estimated Tax for 2023 | $800 | |
| 990-PF Excise Tax for 2021 | $5,208 | |
| 990-PF Excise Tax for 2022 | $783 | |
| IRS MISCELLANEOUS FEE | $3,579 | |
| Property Taxes | $4,357 | $4,357 |
| BACKUP WITHHOLDING TAX | $451 |
Comments