CDV5 FOUNDATION: Form 990PF, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CDV5 FOUNDATION (EIN 38-3035978)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202423209349100027
- 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
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T05:28:43-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 37 OTTAWA AVENUE NW SUITE 600 | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495032627 | 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 | 383035978 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CDV5 FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CDV5 | BusinessNameControlTxt |
| Phone | 6166434700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 MONROE AVENUE NW | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY S BOWERMAN | PersonNm |
| Person Title | VP OF TAX | PersonTitleTxt |
| Phone | 6166434700 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA PISTRO | PreparerPersonNm |
| PTIN | P00227729 | PTIN |
| Phone | 6163367900 | 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 | $81,373,267 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $1,522,387 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,541,187 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $171 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $171 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $295,473 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $1,719,221 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $1,078,642 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $3,241,779 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,915,302 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,185 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $119 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $948 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $475,424 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $322,879 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $148,567 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $275,144 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $30,144 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $69 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $69 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $388 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $388 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $752,210 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $353,142 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $149,972 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $3,592,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $3,592,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,344,710 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $353,142 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $3,742,472 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$1,102,931 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,562,160 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | -$41,915 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $90,265 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $90,265 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $31,897,438 | CorporateStockBOYAmt |
| Corporate Stock EOY | $48,360,112 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $51,847,691 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $42,233,804 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $24,536,019 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $29,185,311 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $250,000 | OtherAssetsBOYAmt |
| Other Assets EOY | $250,000 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $250,000 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $74,339,327 | TotalAssetsBOYAmt |
| Total Assets EOY | $73,236,396 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $81,373,267 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $74,339,327 | RetainedEarningBOYAmt |
| Retained Earning EOY | $73,236,396 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $74,339,327 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $73,236,396 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $74,339,327 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $73,236,396 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $74,339,327 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$1,102,931 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $73,236,396 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $73,236,396 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| INTERNATIONAL PRIVATE EQUITY FUND III | P | 2007-11-20 | 2023-03-14 | $171 | $171 | $0 | $0 |
| BDT CAPITAL PARTNERS ANNEX FUND I-A, LP | P | 2023-01-01 | 2023-12-31 | $129,237 | $129,237 | ||
| BDT RYE HOLDINGS, LLC | P | 2023-01-01 | 2023-12-31 | $257,127 | $257,127 | ||
| PCP V CAYMAN AIV, LP | P | 2023-01-01 | 2023-12-31 | -$99,137 | -$99,137 | ||
| PRUDENTIAL CAPITAL PARTNERS V, LP | P | 2023-01-01 | 2023-12-31 | $8,246 | $8,246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $295,473 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $35,614 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $35,614 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $35,614 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $57,113 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $57,113 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $21,499 | OverpaymentAmt |
| Applied To ES Tax | $21,499 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | CDV5FOUNDATION.ORG | WebsiteAddressTxt |
| Individual With Books | ROBERT H SCHIERBEEK | IndividualWithBooksNm |
| Phone | 6166434700 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 MONROE AVENUE NW | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | Yes (1) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|
| SUZANNE C DEVOS | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | PRESIDENT/DIRECTOR | 1.00 | $0 | $0 | $0 |
| ROBERT H SCHIERBEEK | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | COO/VP/DIRECTOR | 0.10 | $0 | $0 | $0 |
| JEFFREY S BOWERMAN | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | VP OF TAX | 0.10 | $0 | $0 | $0 |
| SUSAN E VALCQ | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | TREASURER/SECRETARY | 0.10 | $0 | $0 | $0 |
| NICHOLAS J THOLE | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | VICE PRESIDENT | 0.10 | $0 | $0 | $0 |
| JASON ZYLSTRA | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | FOUNDATION MANAGER | 4.00 | $0 | $0 | $0 |
| PAMELA PARRIOTT | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | FOUNDATION MANAGER | 8.00 | $0 | $0 | $0 |
| DOUGLAS L DEVOS | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| HANNAH J SHUE | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| KATELYN S RENKER | ||||||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RDV CORPORATION | |||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | MANAGEMENT FEE | $363,481 |
| OTTAWA AVENUE PRIVATE CAPITAL | |||||
| 200 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | MANAGEMENT FEE | $98,450 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $47,156,333 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $89,592 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $31,240,308 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $78,486,233 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $78,486,233 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,177,293 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $77,308,940 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $3,865,447 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $3,865,447 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $35,614 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $35,614 | TotalTaxAmt |
| Distributable Before Adj | $3,829,833 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $3,829,833 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $3,829,833 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $3,742,472 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $3,742,472 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $3,829,833 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $5,211,084 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $4,495,304 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $4,544,489 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $1,629,067 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $763,384 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $16,643,328 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $3,742,472 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $3,742,472 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $87,361 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $87,361 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $16,555,967 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $5,123,723 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $11,432,244 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $4,495,304 | ExcessFromYear4Amt |
| Excess From Year3 | $4,544,489 | ExcessFromYear3Amt |
| Excess From Year2 | $1,629,067 | ExcessFromYear2Amt |
| Excess From Year1 | $763,384 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | SUZANNE C DEVOS | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | SUZANNE C DEVOS | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 MONROE AVENUE NW | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 6166434700 | RecipientPhoneNum |
| Form And Info And Materials | DETAILS AVAILABLE AT CDV5FOUNDATION.ORG | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | MORE INFORMATION ON THE FOUNDATION'S FUNDING PRIORITIES IS AVAILABLE AT CDV5FOUNDATION.ORG | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (59 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| ACCESS OF WEST MICHIGAN | ||||||||
| 1700 28TH ST SE | GRAND RAPIDS | MI | 49508 | NONE | PC | GENERAL OPERATING | $30,000 | |
| ADA CHRISTIAN SCHOOL SOCIETY | ||||||||
| 6206 ADA DR SE | ADA | MI | 49301 | NONE | PC | CAPITAL CAMPAIGN | $125,000 | |
| ALL BELONG CENTER FOR INCLUSIVE EDUCATION | ||||||||
| 4340 BURLINGAME AVE SW | WYOMING | MI | 49509 | NONE | PC | GENERAL OPERATING | $15,000 | |
| AYA YOUTH COLLECTIVE | ||||||||
| 320 STATE ST SE | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $20,000 | |
| BASE CAMP URBAN OUTREACH | ||||||||
| PO BOX 7186 | GRAND RAPIDS | MI | 49510 | NONE | PC | GENERAL OPERATING | $20,000 | |
| BAXTER COMMUNITY CENTER | ||||||||
| 935 BAXTER SE | GRAND RAPIDS | MI | 49506 | NONE | PC | GENERAL OPERATING | $30,000 | |
| BETHANY CHRISTIAN SERVICES INC | ||||||||
| 901 EASTERN AVENUE NE PO BOX 294 | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $40,000 | |
| BOYS & GIRLS CLUBS OF GRAND RAPIDS | ||||||||
| 235 STRAIGHT AVE NW | GRAND RAPIDS | MI | 49504 | NONE | PC | GENERAL OPERATING | $100,000 | |
| BRIDGE STREET MINISTRIES | ||||||||
| 1034 BRIDGE ST NW | GRAND RAPIDS | MI | 49504 | NONE | PC | GENERAL OPERATING | $15,000 | |
| CHICAGO CUBS CHARITIES | ||||||||
| 1060 WEST ADDISON STREET | CHICAGO | IL | 606134566 | NONE | PC | GENERAL OPERATING | $10,000 | |
| CHILDRENS ADVOCACY CENTER OF KENT COUNTY | ||||||||
| 2855 MICHIGAN ST NE | GRAND RAPIDS | MI | 49506 | NONE | PC | GENERAL OPERATING | $30,000 | |
| CHILDREN'S HEALING CENTER | ||||||||
| 1530 FULTON ST E | GRAND RAPIDS | MI | 49503 | NONE | PC | CAPITAL CAMPAIGN | $500,000 | |
| COMMUNITY FOOD CLUBS | ||||||||
| 1100 DIVISION AVE | GRAND RAPIDS | MI | 49507 | NONE | PC | GENERAL OPERATING | $30,000 | |
| COREWELL HEALTH FOUNDATION | ||||||||
| 100 MICHIGAN NE | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $25,000 | |
| DEGAGE MINISTRIES | ||||||||
| 139 SHELDON AVE SE | GRAND RAPIDS | MI | 495034211 | NONE | PC | GENERAL OPERATING | $30,000 | |
| DOWNTOWN GRAND RAPIDS INC DBA ARTPRIZE | ||||||||
| 29 PEARL ST NW | GRAND RAPIDS | MI | 49503 | NONE | PC | PROJECT/PROGRAM - ARTPRIZE | $25,000 | |
| ENVISION FOUNDATION INC | ||||||||
| 610 N MAIN 4TH FLOOR | WICHITA | KS | 672033618 | NONE | PC | GENERAL OPERATING | $250,000 | |
| EXALTA HEALTH | ||||||||
| 2060 DIVISION AVE S | GRAND RAPIDS | MI | 49507 | NONE | PC | GENERAL OPERATING | $50,000 | |
| FAMILY PROMISE OF GRAND RAPIDS | ||||||||
| 516 CHERRY STREET SE | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $20,000 | |
| FREDERIK MEIJER GARDENS AND SCULPTURE PARK | ||||||||
| 1000 E BELTLINE AVE NE | GRAND RAPIDS | MI | 49525 | NONE | PC | GENERAL OPERATING | $7,500 | |
| GILDA'S CLUB GRAND RAPIDS | ||||||||
| 1806 BRIDGE STREET NW | GRAND RAPIDS | MI | 49504 | NONE | PC | GENERAL OPERATING | $20,000 | |
| GRAND RAPIDS ART MUSEUM | ||||||||
| 101 MONROE CENTER STREET NW | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $15,000 | |
| GRAND RAPIDS CHILDREN'S MUSEUM | ||||||||
| 11 SHELDON AVENUE NE | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $40,000 | |
| GRAND RAPIDS DOWNTOWN MARKET EDUCATION FOUNDATION | ||||||||
| 435 IONIA AVE SW | GRAND RAPIDS | MI | 495035161 | NONE | PC | PROJECT/PROGRAM - CHRISTKINDL MARKET | $20,000 | |
| GRAND RAPIDS INITIATIVE FOR LEADERS | ||||||||
| PO BOX 7865 | GRAND RAPIDS | MI | 49510 | NONE | PC | GENERAL OPERATING | $20,000 | |
| GRAND RAPIDS PUBLIC SCHOOLS FOUNDATION | ||||||||
| THE LEDYARD BLDG 125 OTTAWA AVE NW | GRAND RAPIDS | MI | 49503 | NONE | PC | PROJECT/PROGRAM - GR8 SPORTS, GREAT KIDS | $135,000 | STE 210 |
| GRAND RAPIDS SYMPHONY SOCIETY | ||||||||
| 300 OTTAWA NW STE 100 | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $100,000 | |
| GUIDING LIGHT MISSION INC | ||||||||
| 255 DIVISION AVE S | GRAND RAPIDS | MI | 495034538 | NONE | PC | GENERAL OPERATING | $10,000 | |
| HEART OF WEST MICHIGAN UNITED WAY | ||||||||
| 118 COMMERCE AVENUE SW SUITE 100 | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $50,000 | |
| HELEN DEVOS CHILDREN'S HOSPITAL FOUNDATION | ||||||||
| 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $10,000 | |
| HOME REPAIR SERVICES OF KENT COUNTY INC | ||||||||
| 1100 SOUTH DIVISION AVE | GRAND RAPIDS | MI | 49507 | NONE | PC | GENERAL OPERATING | $15,000 | |
| HOME REPAIR SERVICES OF KENT COUNTY INC | ||||||||
| 1100 SOUTH DIVISION AVE | GRAND RAPIDS | MI | 49507 | NONE | PC | PROJECT/PROGRAM - VETERAN HEROES PROGRAM | $100,000 | |
| HOPE NETWORK | ||||||||
| 3075 ORCHARD VISTA SE | GRAND RAPIDS | MI | 49546 | NONE | PC | PROJECT/PROGRAM - YOUR UNTAPPED POTENTIAL | $50,000 | |
| ICCF COMMUNITY HOMES | ||||||||
| 415 FRANKLIN ST SE STE 100 | GRAND RAPIDS | MI | 49507 | NONE | PC | GENERAL OPERATING | $30,000 | |
| INTERNATIONAL JUSTICE MISSION | ||||||||
| PO BOX 96961 | WASHINGTON | DC | 200906961 | NONE | PC | GENERAL OPERATING | $25,000 | |
| JUVENILE DIABETES RESEARCH FOUNDATION | ||||||||
| PO BOX 5021 | HAGERSTOWN | MD | 217415021 | NONE | PC | GENERAL OPERATING | $50,000 | |
| KEYSTONE COMMUNITY CHURCH | ||||||||
| 655 SPAULDING AVE SE | ADA | MI | 49301 | NONE | PC | GENERAL OPERATING | $100,000 | |
| KIDS HOPE USA INC | ||||||||
| 201 W WASHINGTON AVE SUITE 20 | ZEELAND | MI | 49464 | NONE | PC | GENERAL OPERATING | $20,000 | |
| KIDS' FOOD BASKET | ||||||||
| 1300 PLYMOUTH AVE NE | GRAND RAPIDS | MI | 49505 | NONE | PC | GENERAL OPERATING | $100,000 | |
| NEW CITY KIDS INC | ||||||||
| 936 ALPINE AVE NW | GRAND RAPIDS | MI | 49504 | NONE | PC | GENERAL OPERATING | $25,000 | |
| OAKDALE NEIGHBORS | ||||||||
| 1260 KALAMAZOO AVE SE | GRAND RAPIDS | MI | 49507 | NONE | PC | GENERAL OPERATING | $10,000 | |
| OUR HOPE ASSOCIATION | ||||||||
| 324 LYON ST NE | GRAND RAPIDS | MI | 49503 | NONE | PC | CAPITAL CAMPAIGN | $150,000 | |
| PARTNERS WORLDWIDE | ||||||||
| 6139 TAHOE DRIVE SE | GRAND RAPIDS | MI | 49456 | NONE | PC | GENERAL OPERATING | $30,000 | |
| POTTER'S HOUSE | ||||||||
| 810 VAN RAALTE DRIVE SW | WYOMING | MI | 49509 | NONE | PC | GENERAL OPERATING | $75,000 | |
| PROJECT GREEN | ||||||||
| 1333 ALGER ST SE | GRAND RAPIDS | MI | 49507 | NONE | PC | PROJECT/PROGRAM - FINANCIAL CAPABILITY AND SAVINGS PROGRAMMING | $25,000 | |
| REHOBOTH CHRISTIAN SCHOOL ASSOCIATION | ||||||||
| PO BOX 41 | REHOBOTH | NM | 873220041 | NONE | PC | GENERAL OPERATING | $100,000 | |
| ROOSEVELT PARK MINISTRIES INC | ||||||||
| 1530 GRANDVILLE AVE SW | GRAND RAPIDS | MI | 49503 | NONE | PC | GENERAL OPERATING | $35,000 | |
| SAFE HAVEN MINISTRIES INC | ||||||||
| 2627 BIRCHCREST DR SE | GRAND RAPIDS | MI | 49506 | NONE | PC | GENERAL OPERATING | $50,000 | |
| STRATEGIC WORKFORCE SOLUTIONS | ||||||||
| 215 STRAIGHT AVE NW | GRAND RAPIDS | MI | 49504 | NONE | PC | PROJECT/PROGRAM - HIREREACH | $25,000 | |
| STREAMS | ||||||||
| 280 60TH ST SE SUITE 100 | GRAND RAPIDS | MI | 49548 | NONE | PC | GENERAL OPERATING | $7,500 | |
| TALL TURF MINISTRIES | ||||||||
| 2010 KALAMAZOO AVE SE | GRAND RAPIDS | MI | 49507 | NONE | PC | GENERAL OPERATING | $50,000 | |
| THE FIRST TEE OF WEST MICHIGAN | ||||||||
| 3450 36TH ST SE | GRAND RAPIDS | MI | 49512 | NONE | PC | GENERAL OPERATING | $10,000 | |
| THE OTHER WAY MINISTRIES | ||||||||
| 839 SIBLEY ST NW | GRAND RAPIDS | MI | 49504 | NONE | PC | GENERAL OPERATING | $20,000 | |
| THE VILLAGE LEARNING CENTER | ||||||||
| 190 N MAIN ST NE | CEDAR SPRINGS | MI | 493198037 | NONE | PC | CAPITAL CAMPAIGN | $182,500 | |
| THE VILLAGE LEARNING CENTER | ||||||||
| 190 N MAIN ST NE | CEDAR SPRINGS | MI | 493198037 | NONE | PC | GENERAL OPERATING | $40,000 | |
| WEDGWOOD CHRISTIAN SERVICES | ||||||||
| 3300 36TH STREET SE | GRAND RAPIDS | MI | 49512 | NONE | PC | GENERAL OPERATING | $50,000 | |
| WEST MICHIGAN SPORTS COMMISSION | ||||||||
| 300 OTTAWA NW STE 240 | GRAND RAPIDS | MI | 49503 | NONE | PC | CAPITAL CAMPAIGN | $150,000 | |
| YMCA OF GREATER GRAND RAPIDS | ||||||||
| 475 LAKE MICHIGAN DR NW | GRAND RAPIDS | MI | 49504 | NONE | PC | CAPITAL CAMPAIGN | $250,000 | |
| YOUNG LIFE - CENTRAL GRAND RAPIDS | ||||||||
| PO BOX 68206 | GRAND RAPIDS | MI | 495168206 | NONE | PC | GENERAL OPERATING | $25,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $3,592,500 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (2 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ACCESS OF WEST MICHIGAN | |||||||
| 1700 28TH ST SE | GRAND RAPIDS | MI | 49508 | NONE | PC | GENERAL OPERATING | $15,000 |
| ADA CHRISTIAN SCHOOL SOCIETY | |||||||
| 6206 ADA DR SE | ADA | MI | 49301 | NONE | PC | CAPITAL CAMPAIGN | $125,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $140,000 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,522,387 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,719,221 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $171 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $3,241,779 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $3,241,779 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $1,185 | Amt |
| Net Investment Income | $119 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $948 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (12 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| INNOVATION TECH INVESTORS, LLC (SERIES B COMMON) | $631,173 | $0 |
| MULTIPLAN CORPORATION (COMMON STOCK) | $935,681 | $423,484 |
| VANGUARD EMERGING MARKETS STOCK INDEX ADMIRAL | $1,987,632 | $2,053,417 |
| VANGUARD DEVELOPED MARKETS INDEX ADMIRAL | $7,557,890 | $8,654,460 |
| VANGUARD TOTAL STOCK MARKET INDEX ADMIRAL | $15,217,070 | $18,283,869 |
| FLEXSHARES MORNINGSTAR GLOBAL UPSTREAM NATURAL RESOURCES INDEX FUND | $3,189,832 | $3,167,237 |
| ISHARES GLOBAL INFRASTRUCTURE ETF | $2,247,916 | $2,282,348 |
| VANGUARD SHORT-TERM BOND INDEX ADMIRAL | $2,497,733 | $2,538,482 |
| NORTHERN ULTRA-SHORT FIXED INCOME | $1,934,185 | $1,970,643 |
| VANGUARD TOTAL BOND MARKET INDEX ADMIRAL | $6,243,172 | $6,305,578 |
| VANGUARD HIGH-YIELD CORPORATE ADMIRAL | $5,750,370 | $6,000,715 |
| NORTHERN INSTITUTIONAL FUNDS - U.S. GOVERNMENT PORTFOLIO | $167,458 | $167,458 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (8 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| BDT CAPITAL PARTNERS ANNEX FUND I-A, LP | FMV | $4,003,435 | $9,212,611 |
| BDT RYE HOLDINGS, LLC | FMV | $1,949,777 | $2,790,361 |
| FREEDOM CAPITAL MANAGEMENT, LP | FMV | $9,179,826 | $9,179,826 |
| PRUDENTIAL CAPITAL PARTNERS V, LP | FMV | $5,077,940 | $3,967,237 |
| ROUNDTABLE HEALTHCARE CAPITAL PARTNERS III, LP | FMV | $4,183,842 | $3,549,813 |
| INNOVATION TECH INVESTORS, LLC (SENIOR TERM LOAN) | FMV | $140,261 | $112,967 |
| FREEDOM ASSET MANAGEMENT, LP II | FMV | $0 | $82,843 |
| PARTNERS GROUP CLIENT ACCESS 25, LP INC. | FMV | $938 | $289,653 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ICCF - NOTE RECEIVABLE | Desc |
| BOY Book Value | $250,000 | BOYBookValueAmt |
| EOY Book Value | $250,000 | EOYBookValueAmt |
| EOYFMV | $250,000 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| STATIONERY/OTHER | $374 | $0 | $374 |
| MISCELLANEOUS | $14 | $0 | $14 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (9 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| ANNEX I-A SPIRITS, LP | $0 | $5,983 | $0 |
| BDT CAPITAL PARTNERS ANNEX FUND I-A, LP | $374,972 | $29,832 | $374,972 |
| BDT RYE HOLDINGS, LLC | $0 | $19,584 | $0 |
| FREEDOM ASSET MANAGEMENT LP II | $0 | $241 | $0 |
| FREEDOM CAPITAL MANAGEMENT, LP | $539,193 | $343,812 | $539,193 |
| PARTNERS GROUP CLIENT ACCESS 25, LP INC. | $79,457 | -$466 | $79,457 |
| PCP V CAYMAN AIV, LP | $0 | $9,791 | $0 |
| PRUDENTIAL CAPITAL PARTNERS V, LP | $275,488 | $144,479 | $275,488 |
| ROUNDTABLE HEALTHCARE CAPITAL PARTNERS III, LP | $450,111 | $525,386 | $450,111 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| MANAGEMENT FEES | $461,931 | $311,442 | $146,511 |
| CONSULTING FEES | $1,744 | $0 | $1,744 |
| BANK/CUSTODIAL FEES | $11,749 | $11,437 | $312 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FEDERAL EXCISE TAX | $245,000 | $0 | $0 |
| FOREIGN TAXES | $30,144 | $30,144 | $0 |
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