ARTHUR C CHAFEE TR 1013002786: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ARTHUR C CHAFEE TR 1013002786 (EIN 56-6089459)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-02-07
- IRS object ID
- 202310389349100806
- Schema version
- 2021v4.1
- 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 Other Schedule2
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-02-07T11:00:26-06:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 134008324 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 GRANT STREET 45TH FLOOR | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 566089459 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARTHUR C CHAFFEE TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAF | BusinessNameControlTxt |
| Phone | 8887304933 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6325 S RAINBOW BLVD STE 300 | AddressLine1Txt |
| City | LAS VEGAS | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89118 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | - | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 8887304933 | PhoneNum |
| Signature | 2022-12-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA B STROBEL | PreparerPersonNm |
| PTIN | P01271955 | PTIN |
| Phone | 4123556000 | PhoneNum |
| Preparation | 2022-12-19 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization4947a1 Trtd PF | Yes (X) | Organization4947a1TrtdPFInd |
| FMV Assets EOY | $3,685,648 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $107,722 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $107,722 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$8,698 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,494,852 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $99,024 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $107,722 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $51,827 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $46,645 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $5,183 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,077 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $1,077 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $13,081 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $700 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $20 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $20 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $66,005 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $47,345 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $6,280 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $215,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $215,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $281,005 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $47,345 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $221,280 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$181,981 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $60,377 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $100,520 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $141,398 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $141,398 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Other Investments BOY | $4,127,554 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,905,317 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,544,250 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $4,228,074 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,046,715 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,685,648 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $4,228,074 | CapitalStockBOYAmt |
| Capital Stock EOY | $4,046,715 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,228,074 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,046,715 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,228,074 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,046,715 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,228,074 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$181,981 | ExcessRevenueOverExpensesAmt |
| Other Increases | $622 | OtherIncreasesAmt |
| Subtotal | $4,046,715 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,046,715 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (56 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 21. ISHARES RUSSELL 2000 ETF | 2021-02-11 | 2021-10-20 | $4,738 | $4,764 | -$26 | -$26 | |
| 3022. ISHARES CORE MSCI EMERGING ETF | 2021-10-20 | $194,359 | $201,535 | -$7,176 | -$7,176 | ||
| 597. VANGUARD DIVIDEND APPRECIATION | 2020-02-13 | 2021-10-20 | $96,645 | $77,736 | $18,909 | $18,909 | |
| 94. VANGUARD MIDCAP VIPER | 2020-02-13 | 2021-10-20 | $23,543 | $17,419 | $6,124 | $6,124 | |
| 397. ISHARES RUSSELL 2000 ETF | 2021-02-11 | 2021-12-14 | $85,672 | $90,058 | -$4,386 | -$4,386 | |
| 35. GOLDMAN ACTIVEBETA US LC ETF | 2021-10-20 | 2022-02-18 | $3,022 | $3,172 | -$150 | -$150 | |
| 164. ISHARES CORE S&P TOTAL U.S. ETF | 2021-10-20 | 2022-02-18 | $16,027 | $17,002 | -$975 | -$975 | |
| 86. ISHARES RUSSELL 1000 VALUE ETF | 2021-07-28 | 2022-02-18 | $13,916 | $13,703 | $213 | $213 | |
| 2618. PIMCO COMMODITY REAL RET STRAT-I45 | 2021-01-26 | 2022-02-18 | $18,431 | $16,101 | $2,330 | $2,330 | |
| 78. VANGUARD DIVIDEND APPRECIATION | 2021-01-25 | 2022-02-18 | $12,371 | $11,014 | $1,357 | $1,357 | |
| 1108. ISHARES RUSSELL 1000 VALUE ETF | 2021-07-28 | 2022-04-22 | $180,959 | $176,540 | $4,419 | $4,419 | |
| 440. ISHARES RUSSELL 2000 ETF | 2022-04-22 | $86,313 | $85,792 | $521 | $521 | ||
| 853. ISHARES CORE S&P SMALL-CAP E | 2021-03-29 | 2022-04-22 | $89,856 | $93,152 | -$3,296 | -$3,296 | |
| 338. ISHARES CORE MSCI EMERGING ETF | 2021-07-28 | 2022-04-22 | $17,883 | $21,171 | -$3,288 | -$3,288 | |
| 2387. ISHARES CORE MSCI EMERGING ETF | 2022-04-22 | $126,292 | $132,415 | -$6,123 | -$6,123 | ||
| 7205.109 PIMCO COMMODITY REAL RET STRAT-I45 | 2022-04-22 | $55,479 | $47,322 | $8,157 | $8,157 | ||
| 11947.959 PIMCO COMMODITY REAL RET STRAT-I45 | 2021-01-26 | 2022-04-22 | $91,999 | $73,480 | $18,519 | $18,519 | |
| 7272. PGIM HIGH YIELD-Q 1067 | 2021-07-29 | 2022-04-22 | $36,433 | $40,650 | -$4,217 | -$4,217 | |
| 3698. PGIM HIGH YIELD-Q 1067 | 2022-07-21 | $17,529 | $20,649 | -$3,120 | -$3,120 | ||
| 21827. PGIM HIGH YIELD-Q 1067 | 2021-01-26 | 2022-07-21 | $103,460 | $120,922 | -$17,462 | -$17,462 | |
| 422. ISHARES CORE S&P TOTAL U.S. ETF | 2022-08-09 | $38,642 | $42,338 | -$3,696 | -$3,696 | ||
| 34. ISHARES JP MORGAN USD EMERGING | 2021-10-20 | 2022-08-09 | $3,034 | $3,723 | -$689 | -$689 | |
| 1615. ISHARES CORE MSCI EMERGING ETF | 2022-08-09 | $79,557 | $81,149 | -$1,592 | -$1,592 | ||
| 85. ISHARES CORE TOTAL BOND ETF | 2021-10-20 | 2022-08-09 | $4,034 | $4,503 | -$469 | -$469 | |
| 234. ISHARES CORE TOTAL BOND ETF | 2021-01-25 | 2022-08-09 | $11,105 | $12,724 | -$1,619 | -$1,619 | |
| 10454. PGIM HIGH YIELD-Q 1067 | 2021-01-26 | 2022-08-09 | $50,597 | $57,915 | -$7,318 | -$7,318 | |
| 19. VANGUARD DIVIDEND APPRECIATION | 2022-04-22 | 2022-08-09 | $2,916 | $3,044 | -$128 | -$128 | |
| 136. VANGUARD MIDCAP VIPER | 2021-12-14 | 2022-08-09 | $29,602 | $33,557 | -$3,955 | -$3,955 | |
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P | |||||
| CAPITAL GAIN DIVIDENDS | $438 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$8,698 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $839 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $839 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $839 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $8,620 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $8,620 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $7,781 | OverpaymentAmt |
| Applied To ES Tax | $840 | AppliedToESTaxAmt |
| Refund | $6,941 | RefundAmt |
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 | NC | 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 |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLS FARGO BANK NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8887304933 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N MAIN ST MAC D4001-117 | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| NECT Filing In Lieu OF Form1041 | Yes (X) | NECTFilingInLieuOFForm1041Ind |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WELLS FARGO BANK N A | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N MAIN ST MAC D4001-117 | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $51,827 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
| 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 | $4,293,108 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $122,971 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,416,079 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $4,416,079 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $66,241 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,349,838 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $217,492 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $217,492 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $839 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $839 | TotalTaxAmt |
| Distributable Before Adj | $216,653 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $216,653 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $216,653 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $221,280 | 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 | $221,280 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $216,653 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $211,140 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $221,280 | QualifyingDistributionsAmt |
| Applied To Year1 | $211,140 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $10,140 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $206,513 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE HEALTHCARE HOSPITALS INC | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ATTENTION KATHY TOMLINSON | AddressLine1Txt |
| City | MORGANTON | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28655 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | NONE | RecipientRelationshipTxt |
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | GENERAL OPERATING | GrantOrContributionPurposeTxt |
| Amt | $215,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $215,000 | 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 |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $107,722 | 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 | -$8,698 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $99,024 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $99,024 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE (NON-ALLOC | CategoryTxt |
| Amt | $1,077 | Amt |
| Disbursements Charitable Prps | $1,077 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (41 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| 921937819 VANGUARD INTERMEDIAT | |||
| 46090F100 INVESCO OPTIMUM YIEL | AT COST | $176,451 | $159,616 |
| 464287705 ISHARES S&P MID-CAP | |||
| 922042858 VANGUARD FTSE EMERGI | |||
| 921943858 VANGUARD FTSE DEVELO | |||
| 81369Y100 AMEX MATERIALS SPDR | |||
| 315920702 FID ADV EMER MKTS IN | |||
| 81369Y308 CONSUMER STAPLES SEC | |||
| 464287655 ISHARES RUSSELL 2000 | AT COST | $69,762 | $72,400 |
| 464287606 ISHARES S&P MID-CAP | |||
| 81369Y407 AMEX CONSUMER DISCR | |||
| 77958B402 T ROWE PRICE INST FL | |||
| 81369Y803 AMEX TECHNOLOGY SELE | |||
| 87234N765 TCW EMRG MKTS INCM-I | |||
| 921937827 VANGUARD BD INDEX FD | |||
| 78463X863 SPDR DJ WILSHIRE INT | |||
| 779919307 T ROWE PR REAL ESTAT | |||
| 81369Y605 AMEX FINANCIAL SELEC | |||
| 81369Y209 HEALTH CARE SELECT S | |||
| 81369Y860 REAL ESTATE SELECT S | |||
| 4812C0803 JPMORGAN HIGH YIELD | |||
| 46434G103 ISHARES CORE MSCI EM | AT COST | $80,049 | $72,378 |
| 81369Y506 AMEX ENERGY SELECT S | |||
| 81369Y704 AMEX INDUSTRIAL SPDR | |||
| 464287226 ISHARES CORE U.S. AG | AT COST | $804,870 | $737,001 |
| 81369Y852 COMM SERV SELECT SEC | |||
| 464287150 ISHARES CORE S&P TOT | AT COST | $702,369 | $749,744 |
| 31641Q755 FIDELITY NEW MRKTS I | |||
| 803431410 JAMES ALPHA GL REAL | |||
| 921908844 VANGUARD DIVIDEND AP | AT COST | $229,908 | $217,878 |
| 922908629 VANGUARD MIDCAP VIPE | AT COST | $661,684 | $607,739 |
| 46432F339 ISHARES EDGE MSCI US | |||
| 74256W626 PRINCIPAL HIGH YIELD | |||
| 464287804 ISHARES CORE S&P SMA | |||
| 46434V613 ISHARES CORE TOTAL B | AT COST | $277,628 | $232,913 |
| 74440Y884 PGIM HIGH YIELD-Q 10 | AT COST | $142,012 | $114,584 |
| 381430503 GOLDMAN ACTIVEBETA U | AT COST | $346,124 | $286,495 |
| 464287598 ISHARES RUSSELL 1000 | |||
| 464288281 ISHARES JP MORGAN US | AT COST | $315,095 | $222,717 |
| 381430107 GOLDMAN SACHS ACTIVE | AT COST | $99,365 | $70,785 |
| 722005667 PIMCO COMMODITY REAL |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FILING FEE/STATE TAX | $10 | $0 | $10 |
| FILING FEE/STATE TAX | $10 | $0 | $10 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MUTUAL FUND TIMING ADJ | $621 |
| ROUNDING | $1 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $293 | $293 | $0 |
| FEDERAL TAX PAYMENT - PRIOR YE | $3,761 | $0 | $0 |
| FEDERAL ESTIMATES - PRINCIPAL | $8,620 | $0 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $407 | $407 | $0 |
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