MAX FUND INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MAX FUND INC (EIN 39-1563191)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-02-22
IRS object ID
202320539349100327
Schema version
2022v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-02-22T18:17:44-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110401 W INNOVATION DR STE 300AddressLine1Txt
CityWAUWATOSACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53226ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391563191EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAX FUND INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMAXFBusinessNameControlTxt
Phone4143520339PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12603 W LAKE PARK CTAddressLine1Txt
CityMEQUONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53092ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonR MAX SAMSONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4143520339PhoneNum
Signature2023-02-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRPersonFirstNm
Person LastMAX SAMSONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW C KOMISARPreparerPersonNm
PTINP00281897PTIN
Phone4144761880PhoneNum
Preparation2023-02-16PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$559,461FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$435InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$435InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$12,639DividendsRevAndExpnssAmt
Dividends Net Invst Incm$12,639DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$5,127NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$34,040GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$7,947TotalRevAndExpnssAmt
Total Net Invst Incm$13,074TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$332LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$332LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,255AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,627AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,628AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$3,077OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$3,077OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Other Expenses Rev And Expnss$9,740OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$9,740OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$16,404TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$4,704TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$11,700TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$32,908ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$32,908ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$49,312TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$4,704TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$44,608TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$41,365ExcessRevenueOverExpensesAmt
Net Investment Income$8,370NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$64CashBOYAmt
Cash EOY$68CashEOYAmt
Cash EOYFMV$68CashEOYFMVAmt
Sav And Temp Cash Invst BOY$38,998SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$36,814SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$36,814SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$663,397CorporateStockBOYAmt
Corporate Stock EOY$522,579CorporateStockEOYAmt
Corporate Stock EOYFMV$522,579CorporateStockEOYFMVAmt
Total Assets BOY$702,459TotalAssetsBOYAmt
Total Assets EOY$559,461TotalAssetsEOYAmt
Total Assets EOYFMV$559,461TotalAssetsEOYFMVAmt
Accounts Payable BOY$2,820AccountsPayableBOYAmt
Accounts Payable EOY$2,838AccountsPayableEOYAmt
Total Liabilities BOY$2,820TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,838TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$699,639RetainedEarningBOYAmt
Retained Earning EOY$556,623RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$699,639TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$556,623TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$702,459TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$559,461TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$699,639TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$41,365ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$658,274SubtotalAmt
Other Decreases$101,651OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$556,623TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIESPropertyDesc
Gross Sales Price$34,040GrossSalesPriceAmt
Cost Or Other Basis$39,167CostOrOtherBasisAmt
Gain Or Loss-$5,127GainOrLossAmt
Gains Minus Excess Or Losses-$5,127GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income-$5,127CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$116InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$116SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$116TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$905EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$905TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$789OverpaymentAmt
Applied To ES Tax$789AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksR MAX SAMSONIndividualWithBooksNm
Phone4143520339PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12603 W LAKE PARK CTAddressLine1Txt
CityMEQUONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53092ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

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

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
R MAX SAMSON
2603 W LAKE PARK CTMEQUONWI53092PRESIDENT0.25$0$0$0
NANCY PINTER
2603 W LAKE PARK CTMEQUONWI53092VP/SECRETARY0.25$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$566,791AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$40,124AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$606,915TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$606,915AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$9,104CashDeemedCharitableAmt
Net Vl Noncharitable Assets$597,811NetVlNoncharitableAssetsAmt
Minimum Investment Return$29,891MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$29,891MinimumInvestmentReturnAmt
Tax Based On Investment Income$116TaxBasedOnInvestmentIncomeAmt
Total Tax$116TotalTaxAmt
Distributable Before Adj$29,775DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$29,775DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$29,775DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$44,608ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$44,608QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$29,775DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$67,539ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$18,644ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$17,115ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$24,721ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$18,234ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$146,253TotalExcessDistributionCyovAmt
Qualifying Distributions$44,608QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$29,775AppliedToCurrentYearAmt
Remaining Distri From Corpus$14,833RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$161,086TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$67,539ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$93,547ExcessDistriCyovToNextYrAmt
Excess From Year4$18,644ExcessFromYear4Amt
Excess From Year3$17,115ExcessFromYear3Amt
Excess From Year2$24,721ExcessFromYear2Amt
Excess From Year1$18,234ExcessFromYear1Amt
Excess From Current Year$14,833ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerR MAX SAMSONContributingManagerNm
Contributing ManagerNANCY PINTERContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonR MAX SAMSONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line12603 W LAKE PARK CTAddressLine1Txt
CityMEQUONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53092ZIPCd
FieldValueIRS element (for citing)
Recipient Phone4143520339RecipientPhoneNum
Form And Info And MaterialsNO SPECIFIC FORMAT REQUIREDFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (20 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
CONGREGATION SHIR HADASH
2717 E HAMPSHIRE STMILWAUKEEWI53211N/APCOPERATING EXPENSES$3,600
LIVE OAK INSTITUTE
1328 SIXTH STREET 4BERKELEYCA94710N/APCOPERATING EXPENSES$5,000
MILWAUKEE ALLIANCE JEWISH RECONNECTION INC
3322 N 51ST BLVDMILWAUKEEWI53216N/APCOPERATING EXPENSES$180
MILWAUKEE PUBLIC TELEVISION
700 W STATE ST RM S214MILWAUKEEWI53233N/APCOPERATING EXPENSES$60
THE OPTIMIST THEATRE
2010 N 1ST STMILWAUKEEWI53212N/APCOPERATING EXPENSES$1,800
VOCES DE LA FRONTERA
1027 S 5TH STMILWAUKEEWI53204N/APCOPERATING EXPENSES$1,000
HIDE & SEEK FOUNDATION
6475 EAST PACIFIC COAST HIGHWAYLONG BEACHCA90803N/APCOPERATING EXPENSES$1,000SUITE 466
AMERICANS FOR PEACE NOW
2100 M ST NW SUITE 619WASHINGTONDC20037N/APCOPERATING EXPENSES$120
GIVAT HAVIVA EDUCATIONAL FOUNDATION
601 WEST 26TH STREET SUITE 325-25NEW YORKNY10001N/APCOPERATING EXPENSES$2,500
LIGA MAC CO BAJA COMMUNITY FOUNDATION
300 LAKESIDE AVE SSEATTLEWA98144N/APCOPERATING EXPENSES$158
CHABAD OF DOWNTOWN
PO BOX 510525MILWAUKEEWI53201N/APCOPERATING EXPENSES$3,600
BAJA COMMUNITY FOUNDATION
PO BOX 2641SILVERDALEWA98383N/APCOPERATING EXPENSES$3,850
RENAISSANCE THEATERWORKS INC
158 N BROADWAY NO 500MILWAUKEEWI53202N/APCOPERATING EXPENSES$500
AMY BIEHL FOUNDATION
PO BOX 66073SAN MARCOSCA92079N/APCOPERATING EXPENSES$1,760
AMERICARES FOUNDATION INC
88 HAMILTON AVENUESTAMFORDCT06902N/APCOPERATING EXPENSES$1,250
CHILDREN'S MIRACLE NETWORK
205 WEST 700 SOUTHSALT LAKE CITYUT84101N/APCOPERATING EXPENSES$180
J STREET EDUCATION FUND
PO BOX 66073WASHINGTONDC20035N/APCOPERATING EXPENSES$5,000
PEACE HARVEST INC
2538 N 73RD STMILWAUKEEWI53213N/APCOPERATING EXPENSES$180
WISCONSIN PUBLIC RADIO
310 W WISCONSIN AVEMILWAUKEEWI53202N/APCOPERATING EXPENSES$120
HARRY & ROSE SAMSON FAMILY CENTER
6255 N SANTA MONICA BLVDWHITEFISH BAYWI53217N/APCOPERATING EXPENSES$1,050
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$32,908TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$435ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$12,639ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$5,127ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$7,947ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$7,947TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,255Amt
Net Investment Income$1,627NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,628DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (25 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBOTT - 200 SH$21,958$21,958
ABBVIE - 250 SH$40,403$40,403
AMGEN - 100 SH$26,264$26,264
APPLE - 300 SH$38,979$38,979
APTIV PLC - 200 SH$18,626$18,626
BECTON DICKINSON - 75 SH$19,073$19,073
BERKSHIRE HATHAWAY - 75 SH$23,168$23,168
CISCO - 250 SH$11,910$11,910
CORNING - 500 SH$15,970$15,970
DOMINION ENERGY - 200 SH$12,264$12,264
FISERV - 175 SH$17,687$17,687
GENERAL MILLS - 300$25,155$25,155
HONEYWELL - 100 SH$21,430$21,430
HUNTINGTON BANCSHARES - 1,100 SH$15,510$15,510
INTEL - 350 SH$9,250$9,250
INT'L PAPER - 350 SH$12,121$12,121
MICROSOFT - 125 SH$29,978$29,978
PFIZER - 350 SH$17,934$17,934
US BANCORP - 892 SH$38,900$38,900
VERIZON - 250 SH$9,850$9,850
WALT DISNEY - 125 SH$10,860$10,860
ISHARES CORE S&P 500 - 75 SH$28,816$28,816
ISHARES MSCI EAFE - 326 SH$21,399$21,399
ISHARES RUSSELL 2000 - 65 SH$11,333$11,333
ISHARES RUSSELL MIDCAP - 352 SH$23,741$23,741

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$332LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$332DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN/LOSS ON VALUATION OF SECURITIESDesc
Amt$101,651Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
STORAGE$9,425$0$9,425
CREDIT CARD FEES$59$0$59
OTHER EXPENSES$196$0$196
MEALS & ENTERTAINMENT$60$0$60

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$3,077Amt
Net Investment Income$3,077NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Comments

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