PFEFFERKORN FOUNDATION INC 6392-1025876301: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- PFEFFERKORN FOUNDATION INC 6392-1025876301 (EIN 20-3275894)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2023-09-06
- IRS object ID
- 202302499349100130
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-09-06T16:59:27-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560892557 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEVIN SPINNETT & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1025 WEST FIRST STREET | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 271013683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203275894 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PFEFFERKORN FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PFEF | BusinessNameControlTxt |
| Phone | 8003523705 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4625 COUNTRY CLUB ROAD | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD G PFEFFERKORN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3364142775 | PhoneNum |
| Signature | 2023-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RICHARD | PersonFirstNm |
| Person Last | PFEFFERKORN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HUGH L MCLENDON | PreparerPersonNm |
| PTIN | P00148465 | PTIN |
| Phone | 3367254279 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $5,671,914 | 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 | $93 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $9,681 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $9,681 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $182,788 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $182,788 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$37,875 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,425,550 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $1,350 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $1,350 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $156,037 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $193,819 | 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 | $2,136 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $2,136 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $34,374 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $25,781 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $8,593 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $15,277 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,027 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $92 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $92 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $51,879 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $26,900 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $10,729 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $300,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $300,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $352,379 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $26,900 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $311,229 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$196,342 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $166,919 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $19 | CashBOYAmt |
| Cash EOY | $20 | CashEOYAmt |
| Cash EOYFMV | $20 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $49,556 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $111,030 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $111,030 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $3,219,456 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,260,084 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,645,079 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,973,633 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,674,507 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,444,185 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $460,453 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $461,134 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $471,600 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $5,703,117 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,506,775 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,671,914 | 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 | $5,703,117 | RetainedEarningBOYAmt |
| Retained Earning EOY | $5,506,775 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,703,117 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,506,775 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,703,117 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,506,775 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,703,117 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$196,342 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $5,506,775 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,506,775 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $1,394,873 | $1,462,825 | -$67,952 | -$67,952 |
| GPB HOLDINGS LP | P | $600 | -$600 | -$600 | |
| CAPITAL GAINS DIVIDENDS | P | $30,677 | $30,677 | $30,677 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$37,875 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,320 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,320 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,320 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $8,320 | 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 | $8,320 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $3 | EsPenaltyAmt |
| Overpayment | $5,997 | OverpaymentAmt |
| Applied To ES Tax | $5,997 | 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 | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NC | 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 | N/A | WebsiteAddressTxt |
| Individual With Books | WELLS FARGO BANK | IndividualWithBooksNm |
| Phone | 8003523705 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 WEST FOURTH STREET | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27101 | 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 | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| 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 (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 |
|---|---|---|---|---|---|---|---|---|
| SUSAN D PFEFFERKORN | ||||||||
| 1 WEST FOURTH STREET | WINSTON SALEM | NC | 27101 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| RICHARD G PFEFFERKORN | ||||||||
| 1 WEST FOURTH STREET | WINSTON SALEM | NC | 27101 | DIRECTOR | 2.00 | $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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLS FARGO BANK | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 WEST FOURTH STREET | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Service Type | INVESTMENT MANAGEMENT AND CUSTODIAN | ServiceTypeTxt |
| Compensation | $34,374 | CompensationAmt |
| 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 | $5,268,953 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $260,308 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,529,261 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,529,261 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $82,939 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,446,322 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $272,316 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $272,316 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,320 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,320 | TotalTaxAmt |
| Distributable Before Adj | $269,996 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $269,996 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $269,996 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $311,229 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $311,229 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $269,996 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $291,050 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $311,229 | QualifyingDistributionsAmt |
| Applied To Year1 | $291,050 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $20,179 | 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 | $249,817 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (33 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ARBOR ACRES | |||||||
| 1240 ARBOR ROAD | WINSTON SALEM | NC | 27104 | NONE | PC | GENERAL PROGRAM SUPPORT | $13,000 |
| BOOKMARKS | |||||||
| 251 N SPRUCE STREET | WINSTON SALEM | NC | 27101 | NONE | PC | GENERAL PROGRAM SUPPORT | $5,000 |
| CANCER SERVICES | |||||||
| 3175 MAPLEWOOD AVENUE | WINSTON SALEM | NC | 27103 | NONE | PC | GENERAL PROGRAM SUPPORT | $5,000 |
| CENTENARY UNITED METHODIST CHURCH | |||||||
| 646 W FIFTH STREET | WINSTON SALEM | NC | 27101 | NONE | PC | GENERAL PROGRAM SUPPORT | $4,000 |
| CROSBY SCHOLARS | |||||||
| 2100 UNIVERSITY PARKWAY | WINSTON SALEM | NC | 27105 | NONE | PC | GENERAL PROGRAM SUPPORT | $10,000 |
| EXCHANGE CLUB CENTER - PARENTING PATH | |||||||
| 500 NORTHWEST BOULEVARD | WINSTON SALEM | NC | 27105 | NONE | PC | GENERAL PROGRAM SUPPORT | $40,000 |
| FORSYTH COUNTRY DAY SCHOOL | |||||||
| 5501 SHALLOWFORD ROAD | LEWISVILLE | NC | 27023 | NONE | PC | GENERAL PROGRAM SUPPORT | $3,500 |
| FORSYTH MEDICAL CENTER FOUNDATION | |||||||
| 1701 S HAWTHORNE ROAD | WINSTON SALEM | NC | 27103 | NONE | PC | GENERAL PROGRAM SUPPORT | $1,000 |
| FORSYTH TECHNICAL COMMUNITY COLLEGE | |||||||
| 2100 SILAS CREEK PARKWAY | WINSTON SALEM | NC | 27103 | NONE | PC | GENERAL PROGRAM SUPPORT | $10,000 |
| HABITAT FOR HUMANITY | |||||||
| 1023 W 14TH STREET | WINSTON SALEM | NC | 27105 | NONE | PC | GENERAL PROGRAM SUPPORT | $3,500 |
| HISTORIC FLAT ROCK | |||||||
| PO BOX 295 | FLAT ROCK | NC | 28731 | NONE | PC | GENERAL PROGRAM SUPPORT | $2,000 |
| HOSPICE & PALLIATIVE CARECENTER | |||||||
| 101 HOSPICE LANE | WINSTON SALEM | NC | 27103 | NONE | PC | GENERAL PROGRAM SUPPORT | $10,500 |
| IFB SOLUTIONS FOUNDATION | |||||||
| 7730 NORTH POINT DRIVE | WINSTON SALEM | NC | 27106 | NONE | PC | GENERAL PROGRAM SUPPORT | $2,500 |
| JUNIOR LEAGUE OF WINSTON SALEM | |||||||
| 390 S LIBERTY STREET | WINSTON SALEM | NC | 27101 | NONE | PC | GENERAL PROGRAM SUPPORT | $1,000 |
| MUSEUM OF EARLY SOUTHERN DECORATIVE ARTS | |||||||
| 924 S MAIN STREET | WINSTON SALEM | NC | 27101 | NONE | PC | GENERAL PROGRAM SUPPORT | $1,000 |
| OLD SALEM | |||||||
| 600 S MAIN STREET | WINSTON SALEM | NC | 27101 | NONE | PC | GENERAL PROGRAM SUPPORT | $3,000 |
| PIEDMONT LAND CONSERVANCY | |||||||
| PO BOX 4025 | GREENSBORO | NC | 27404 | NONE | PC | GENERAL PROGRAM SUPPORT | $5,000 |
| PROTESTANT EPISCOPAL HIGH SCHOOL | |||||||
| 1200 NORTH QUAKER LANE | ALEXANDRIA | VA | 22302 | NONE | PC | TUITION ASSISTANCE | $40,000 |
| SALVATION ARMY | |||||||
| 1225 N TRADE STREET | WINSTON SALEM | NC | 27101 | NONE | PC | GENERAL PROGRAM SUPPORT | $8,000 |
| SECOND HARVEST FOOD BANK NWNC | |||||||
| 3655 REED STREET | WINSTON SALEM | NC | 27107 | NONE | PC | GENERAL PROGRAM SUPPORT | $8,000 |
| SENIOR SERVICES | |||||||
| 2895 SHOREFAIR DRIVE | WINSTON SALEM | NC | 27105 | NONE | PC | CREATIVE CONNECTIONS PROGRAM | $13,500 |
| SHEPHERD'S CENTER | |||||||
| 1700 EBERT STREET | WINSTON SALEM | NC | 27103 | NONE | PC | GENERAL PROGRAM SUPPORT | $2,000 |
| ST CATHERINES SCHOOL FOUNDATION | |||||||
| 6001 GROVE AVENUE | RICHMOND | VA | 23226 | NONE | PC | GENERAL PROGRAM SUPPORT | $70,000 |
| SUMMIT SCHOOL | |||||||
| 2100 REYNOLDS ROAD | WINSTON SALEM | NC | 27106 | NONE | PC | GENERAL PROGRAM SUPPORT | $6,000 |
| UNC KENAN FLAGER BUSINESS SCHOOL | |||||||
| PO BOX 309 | CHAPEL HILL | NC | 27514 | NONE | PC | GENERAL PROGRAM SUPPORT | $7,500 |
| WINSTON SALEM INDUSTRIES FOR THE BLIND | |||||||
| 7730 NORTH POINT DRIVE | WINSTON SALEM | NC | 27106 | NONE | PC | GENERAL PROGRAM SUPPORT | $8,500 |
| YMCA OF NORTHWEST NC | |||||||
| 301 N MAIN STREET | WINSTON SALEM | NC | 27101 | NONE | PC | GENERAL PROGRAM SUPPORT | $3,000 |
| REYNOLDA HOUSE | |||||||
| 2250 REYNOLDA ROAD | WINSTON SALEM | NC | 27106 | NONE | PC | GENERAL PROGRAM SUPPORT | $1,000 |
| SECU FAMILY HOUSE | |||||||
| 1970 BALDWIN LANE | WINSTON SALEM | NC | 27103 | NONE | PC | GENERAL PROGRAM SUPPORT | $5,000 |
| HILLDSALE COLLEGE | |||||||
| 33 E COLLEGE STREET | HILLSDALE | MI | 49242 | NONE | PC | GENERAL PROGRAM SUPPORT | $1,500 |
| ICAN HOUSE SERVICES | |||||||
| 952 W FOURTH STREET | WINSTON SALEM | NC | 27101 | NONE | PC | GENERAL PROGRAM SUPPORT | $500 |
| CAMP DIVERSITY FOUNDATION | |||||||
| 8 WHITE PALMER COURT | BILTMORE LAKE | NC | 28715 | NONE | PC | SCHOLARSHIPS FOR ECONOMICALLY DISADVANTAGED | $5,000 |
| SIPES ORCHARD HOME | |||||||
| 4431 COUNTY HOME ROAD | CONOVER | NC | 28613 | NONE | PC | GENERAL PROGRAM SUPPORT | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $300,500 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $9,681 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $182,788 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 01 | ExclusionCd |
| Exclusion | $1,350 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$37,875 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $155,944 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $155,944 | 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 | CategoryTxt |
| Amt | $2,136 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $2,136 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| COHEN & STEERS PREFERRED SEC | $324,549 | $281,647 |
| DODGE & COX INCOME FUND | $869,142 | $756,924 |
| PIMCO TOTAL RETURN INSTITUTIONAL | $200,000 | $177,059 |
| TCW EMERGING MARKETS INCOME | $280,816 | $228,555 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (119 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BOOKING HOLDINGS INC | $8,081 | $13,502 |
| COMCAST CORP CLASS A | $14,905 | $14,709 |
| GENERAL MOTORS CO | $3,071 | $3,586 |
| HASBRO INC | $3,941 | $2,591 |
| INTERPUBLIC GROUP COS | $6,808 | $14,467 |
| LAS VEGAS SANDS CORP | $15,643 | $16,704 |
| LOWES COS | $10,572 | $18,507 |
| MCDONALDS CORP | $16,451 | $30,736 |
| NIKE INC | $10,342 | $8,830 |
| TARGET CORP | $14,745 | $11,080 |
| VF CORP | $3,604 | $916 |
| WALT DISNEY CO | $3,371 | $1,964 |
| WARNER BROS DISCOVERY | $3,412 | $1,116 |
| CLOROX CO | $3,713 | $2,863 |
| COLGATE PALMOLIVE CO | $2,539 | $2,542 |
| CVS HEALTH CORP | $16,063 | $17,697 |
| MONDELEZ INTERNATIONAL | $3,908 | $4,303 |
| PEPISCO INC | $7,489 | $11,113 |
| PROCTER & GAMBLE CO | $3,566 | $3,945 |
| SYSCO CORP | $12,049 | $16,695 |
| WALMART INC | $4,102 | $4,715 |
| CHEVRON CORP | $4,698 | $7,867 |
| ERHC ENERGY | $268 | $0 |
| EXXON MOBIL CORP | $3,744 | $4,933 |
| KINDER MORGAN INC | $1,805 | $1,636 |
| MARATHON PETROLEUM | $2,589 | $5,830 |
| PHILLIPS 66 | $6,080 | $8,489 |
| AFLAC INC | $3,140 | $5,863 |
| BERKSHIRE HATHAWAY | $6,446 | $13,299 |
| BLACKROCK INC | $14,012 | $22,116 |
| BLACKSTONE INC | $8,687 | $11,156 |
| CITIGROUP INC | $23,961 | $15,746 |
| JPMORGAN CHASE & CO | $28,519 | $37,524 |
| TRAVELERS COMPANIES | $2,597 | $3,647 |
| TRUIST FINANCIAL CORP | $152,546 | $109,412 |
| US BANCORP | $2,573 | $2,082 |
| ABBOTT LABS | $5,941 | $6,105 |
| ABBVIE INC | $4,352 | $4,042 |
| AMGEN INC | $13,069 | $12,877 |
| BECTON DICKINSON & CO | $4,220 | $5,016 |
| BRISTOL MYERS SQUIBB CO | $6,664 | $7,866 |
| DANAHER CORP | $6,751 | $20,160 |
| ELI LILLY & CO | $13,355 | $22,980 |
| HCA HOLDINGS INC | $1,239 | $4,552 |
| JOHNSON & JOHNSON | $5,635 | $6,290 |
| MERK & CO | $3,830 | $5,770 |
| PFIZER INC | $5,124 | $6,162 |
| THERMO FISHER SCIENTIFIC | $3,269 | $3,131 |
| UNITEDHEALTH GROUP | $17,648 | $41,816 |
| BOEING CO | $21,257 | $13,514 |
| EMERSON ELECTRIC | $2,762 | $3,616 |
| GENERAL DYNAMICS CORP | $2,744 | $4,088 |
| ILLINOIS TOOL WORKS | $5,419 | $6,754 |
| L3HARRIS TECHNOLOGIES | $4,081 | $4,307 |
| NORFOLK SOUTHERN CORP | $5,364 | $5,442 |
| RAYTHEON TECHNOLOGIES CORP | $13,777 | $19,984 |
| UNION PACIFIC CORP | $3,779 | $3,069 |
| UNITED PARCEL SERVICE | $9,290 | $9,680 |
| WASTE MANAGEMENT INC | $11,634 | $19,943 |
| ACTIVISION BLIZZARD INC | $1,928 | $2,782 |
| ALPHABET INC C | $28,117 | $62,904 |
| ANALOG DEVICES INC | $4,359 | $7,403 |
| APPLE INC | $33,587 | $106,877 |
| AUTOMATIC DATA PROCESSING | $3,415 | $5,495 |
| BROADCOM INC | $12,999 | $39,034 |
| CISCO SYSTEMS | $16,099 | $24,214 |
| COGNIZANT TECH SOLUTIONS CRP | $8,960 | $7,572 |
| CORNING INC | $2,627 | $3,119 |
| DXC TECHNOLOGY CO | $1,909 | $748 |
| ELECTRONICS ARTS INC | $12,796 | $17,120 |
| INTEL CORP | $7,467 | $6,889 |
| LAM RESEARCH CORP | $6,835 | $21,214 |
| MICROSOFT CORP | $69,422 | $97,735 |
| PAYCHEX INC | $3,404 | $4,810 |
| VISA INC A | $9,062 | $13,061 |
| AIR PRODUCTS & CHEMICALS | $4,535 | $4,493 |
| CELANESE CORP | $10,970 | $8,801 |
| PPG INDUSTRIES | $2,690 | $2,521 |
| AT&T INC | $5,109 | $2,696 |
| EVERSOURCE ENERGY | $3,272 | $2,837 |
| NEXTERA ENERGY | $5,637 | $6,010 |
| PPL CORPORATION | $2,473 | $1,641 |
| SOUTHERN CO | $1,868 | $2,599 |
| WEC ENERGY GROUP | $4,262 | $3,883 |
| ACCENTURE PLC | $4,496 | $5,863 |
| AROWAY ENERGY INC | $2 | $0 |
| BRITISH AMERICAN TOBACCO PLC | $7,271 | $3,486 |
| CHUBB LIMITED | $3,264 | $5,392 |
| DIAGEO PLC | $8,989 | $9,021 |
| EATON CORP PLC | $15,571 | $23,127 |
| FLEX LTD | $1,837 | $4,644 |
| FOBI AI INC | $213 | $5 |
| GARMIN LTD | $2,962 | $2,712 |
| GSK PLC | $2,160 | $1,746 |
| NEW LINDE PLC | $4,482 | $6,859 |
| MANULIFE FINANCIAL CORP | $15,433 | $22,692 |
| MEDTRONIC PLC | $9,350 | $7,400 |
| SUNCOR ENERGY | $9,089 | $12,578 |
| TE CONNECTIVITY LTD | $6,702 | $7,148 |
| TORONTO DOMINION BANK | $16,667 | $17,673 |
| TOTALENERGIES SE | $9,661 | $10,952 |
| UNILEVER PLC | $2,173 | $2,189 |
| VODAFONE GROUP PLC | $5,374 | $1,701 |
| FULLER & THALER BEHAVIORAL | $234,500 | $233,732 |
| ISHARES RUSSELL 2000 ETF | $100,888 | $120,040 |
| PRINCIPAL MIDCAP FUND | $226,616 | $243,901 |
| T ROWE PRICE BLUE CHIP GROWTH | $183,445 | $305,732 |
| VANGUARD MIDCAP VIPER | $270,316 | $240,855 |
| AMERICAN TOWER CORP | $3,287 | $2,521 |
| COHEN & STEERS INSTITUTIONAL REALTY | $110,000 | $85,590 |
| PRINCIPAL RE SECURITIES FUND | $100,000 | $105,641 |
| CREDIT SUISSE COMMODITY RETURN | $196,841 | $186,736 |
| COSTCO WHOLESALE CORP | $3,586 | $3,769 |
| REGIONS FINANCIAL CORP | $1,896 | $1,515 |
| GRAINGER WW | $2,280 | $3,943 |
| META PLATFORMS | $6,399 | $10,331 |
| VANGUARD DIVIDEND APPRECIATION | $157,000 | $164,891 |
| INVESCO OPPENHEIMER DEV MARKETS | $320,909 | $283,428 |
| ISHARES CORE MSCI EAFE ETF | $351,379 | $361,463 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| BELVEDERE LIMITED PARTNERSHIP | AT COST | $3,659 | $2 |
| GPB HOLDINGS | AT COST | $3,150 | $0 |
| NEUBERGER BERMAN LONG SHORT FUND | AT COST | $154,325 | $167,588 |
| PIMCO FLEXIBLE CREDIT INCOME | AT COST | $150,000 | $102,918 |
| BLACKSTONE RE INCOME TRUST | AT COST | $150,000 | $201,092 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| GPB HOLDINGS LP | $69 | $69 | $0 |
| ADR FEES | $23 | $23 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| BELVEDERE LIMITED PARTNERHSIP | $1,339 | $1,339 | $1,339 |
| GPB HOLDINGS LP | $11 | $11 | $11 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT AND CUSTODIAN | CategoryTxt |
| Amt | $34,374 | Amt |
| Net Investment Income | $25,781 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $8,593 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES WITHHELD | $1,027 | $1,027 | $0 |
| FEDERAL TAX ESTIMATES | $9,570 | $0 | $0 |
| OTHER FEDERAL TAX PAYMENTS | $4,680 | $0 | $0 |
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