FURP.ORG / PUBLIC DATA EXPLORER

BLR FOUNDATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
BLR FOUNDATION INC (EIN 20-3936633)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-09-27
IRS object ID
202302709349100720
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-09-27T13:53:21-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN311119890PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Barnes Dennig & Co LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1150 East Fourth StreetAddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203936633EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLR Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBLRFBusinessNameControlTxt
Phone5133610444PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14229 Roundbottom RoadAddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45244ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDoug EvansPersonNm
Person TitlePresidentPersonTitleTxt
Phone5133610444PhoneNum
Signature2023-09-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDougPersonFirstNm
Person LastEvansPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaula HumePreparerPersonNm
PTINP00537516PTIN
Phone5132418313PhoneNum

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 TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$824,495FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$25,975DividendsRevAndExpnssAmt
Dividends Net Invst Incm$25,975DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$34,544NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$566,372GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$34,544CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$60,519TotalRevAndExpnssAmt
Total Net Invst Incm$60,519TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$4,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,600AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,400AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$8,695OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$8,695OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$3,925TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$200TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$3,000TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$750TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$1,250TravConfMeetingDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$19,620TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$11,045TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,850TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$52,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$52,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$71,620TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$11,045TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$55,850TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$11,101ExcessRevenueOverExpensesAmt
Net Investment Income$49,474NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$632SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$158,918SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$158,918SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$774,882OtherInvestmentsBOYAmt
Other Investments EOY$605,495OtherInvestmentsEOYAmt
Other Investments EOYFMV$665,577OtherInvestmentsEOYFMVAmt
Total Assets BOY$775,514TotalAssetsBOYAmt
Total Assets EOY$764,413TotalAssetsEOYAmt
Total Assets EOYFMV$824,495TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
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$775,514RetainedEarningBOYAmt
Retained Earning EOY$764,413RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$775,514TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$764,413TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$775,514TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$764,413TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$775,514TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$11,101ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$764,413SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$764,413TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
2022 SalesP$563,970$531,828$32,142$32,142
2022 Wash Sales addbackP$2,402$2,402$2,402
FieldValueIRS element (for citing)
Capital Gain Net Income$34,544CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$688InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$688SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$688TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$430EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$1,200ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$1,630TotalPaymentsAndCreditsAmt
Es Penalty$9EsPenaltyAmt
Overpayment$933OverpaymentAmt
Applied To ES Tax$933AppliedToESTaxAmt
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 Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateOHOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Doug EvansBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5133610444PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line14229 Roundbottom RoadAddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45244ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Douglas L Evans
4229 Roundbottom RoadCincinnatiOH45244President1.00$0$0$0
Reece Evansn - Began 92622
4229 Roundbottom RoadCincinnatiOH45244Secretary/Treasurer1.00$0$0$0
Richard E Evans - Ended 92622
4229 Roundbottom RoadCincinnatiOH45244Vice President0.00$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$822,954AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$53,929AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$876,883TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$876,883AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$13,153CashDeemedCharitableAmt
Net Vl Noncharitable Assets$863,730NetVlNoncharitableAssetsAmt
Minimum Investment Return$43,187MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$43,187MinimumInvestmentReturnAmt
Tax Based On Investment Income$688TaxBasedOnInvestmentIncomeAmt
Total Tax$688TotalTaxAmt
Distributable Before Adj$42,499DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$42,499DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$42,499DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$55,850ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$55,850QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$42,499DistributableAsAdjustedAmt
Undistributed Income PY$48,800UndistributedIncomePYAmt
Prior Year12020PriorYear1Yr
Total For Prior Years$6,955TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$55,850QualifyingDistributionsAmt
Applied To Year1$48,800AppliedToYear1Amt
Applied To Prior Years$6,955AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$95AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$42,404UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonRobert EdmistonRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1537 Pete Rose WayAddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5133610444RecipientPhoneNum
Form And Info And MaterialsOne Page LetterFormAndInfoAndMaterialsTxt
Submission DeadlinesNoneSubmissionDeadlinesTxt
Restrictions On AwardsNoneRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
Inter Parish Ministry
3509 Debolt RdCincinnatiOH45244PCUnrestricted Donation$1,000
Pink Ribbon Girls
32 E MAIN STTipp CityOH45371PCUnrestricted Donation$5,000
Shriners Hospital
2900 Rocky Point DrTampaFL33607PCUnrestricted Donation$2,000
Frederick Douglas Project
5636 Conneticut Ave NW 6376WashingtonDC20015PCUnrestricted Donation$10,000
Families Against Mandatory Minimums
1100 H Street NW Suite 100WashingtonDC20005PCUnrestricted Donation$10,000
Friends of Turpin
2650 Bartels RdCincinnatiOH45244PCUnrestricted Donation$5,000
Forest Hills Foundation
7550 Forest Hills RdCincinnatiOH45255pcUnrestricted Donation$8,000
The Shield Ohio
7149 Ridge RdCincinnatiOH45237PCUnrestricted Donation$5,000
Anderson HS Athletic Department
7560 Forest RdCincinnatiOH45230PCUnrestricted Donation$5,000
Leukemia & Lymphoma Society
3 International Dr Suite 200Rye BrookNY10573PCUnrestricted Donation$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$52,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$25,975ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$34,544ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$60,519ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$60,519TotalIncomeProducingActyAmt

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)
CategoryAccountingCategoryTxt
Amt$4,000Amt
Net Investment Income$1,600NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,400DisbursementsCharitablePrpsAmt

Applied To Prior Year Election AppliedToPriorYearElection

FieldValueIRS element (for citing)
ElectionBLR Foundation, Inc.20-3936633For Tax Year Ended 12/31/22Pursuant to IRC Sec. 4942(h)(2) and Reg. 53.4942(a)-3(d)(2), the above referenced foundation hereby elects to treat current year qualifying distributions in excess of the immediately preceding tax year's undistributed income as being made out of undistributed income from the tax year ending December 31, 2020 in the amount of $6,955.Signed: Doug EvansName and Title: PresidentElectronically acknowledged by signature on Form 8879ElectionDesc

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (68 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ALPHABET INC - CL AAT COST$3,467$6,176
AMAZON.COM INCAT COST$4,233$4,956
ANALOG DEVICES INCAT COST$2,067$6,397
COSTCO WHOLESALE CORPAT COST$1,514$4,565
FISERV INCAT COST$6,049$9,096
JP MORGAN CHASE & COAT COST$4,426$10,326
JOHNSON & JOHNSONAT COST$6,113$7,773
M & T BANK CORPAT COST$4,818$4,497
MCCORMICK & CO INC COM NON VTGAT COST$9,589$8,455
MICROSOFT CORPAT COST$6,005$19,425
NEXTERA ENERGY INCAT COST$727$5,852
TEXAS INSTRUMENTS INCAT COST$3,889$7,765
UNITEDHEALTH GROUP INCAT COST$5,764$11,664
VALERO ENERGY CORPAT COST$6,785$12,940
VISA INC CLASS A SHARESAT COST$3,885$11,219
ACCENTURE PLC CL AAT COST$3,736$7,738
CHUBB LIMITEDAT COST$3,206$7,059
Crown Castle INTL CorpAT COST$4,863$4,883
Nvidia CorpAT COST$1,816$5,115
Procter & Gamble COAT COST$7,566$9,397
WEC ENERGY GROUP INCAT COST$5,572$6,094
APPLE INCAT COST$8,256$14,682
ELI LILLY & CO W/1 RT/SHAT COST$3,123$8,414
PEPSICO INCAT COST$4,891$7,046
SHERWIN-WILLIAMS CO W 1 RT SHAT COST$5,362$5,696
BANK OF AMERICA CORPAT COST$9,615$7,684
BOOKING HOLDINGS INCAT COST$4,376$4,031
CATERPILLAR INCAT COST$5,773$6,229
CHIPOTLE MEXICAN GRILLAT COST$5,776$5,550
Danaher CorpAT COST$9,017$7,697
Deere & CoAT COST$5,881$7,289
Humana INCAT COST$5,759$7,683
MCDONALDS CORPAT COST$9,061$9,224
Pioneer Natural ResourceAT COST$5,005$5,938
Prudental Financial INCAT COST$7,905$7,261
Regions Financial HoldingsAT COST$5,672$5,325
Tesla IncAT COST$5,124$2,587
Wasatch Wasatch Emerging MarketsAT COST$17,078$10,830
FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND R-6AT COST$6,493$6,155
FEDERATED TOTAL RETURN BOND FUND-RGAT COST$26,328$24,316
GUGGENHEIM LIMITED DURATION CLAT COST$18,879$18,202
ISHARES CORE S&P SMALL-CAP ETFAT COST$26,973$22,524
LORD ABBETT SHORT DURATION INCOME FUND - CLASS IAT COST$25,191$24,152
MFS GLOBAL REAL ESTATE FUND-R6AT COST$28,046$26,116
METROPOLITAN WEST UNC BD-1AT COST$9,655$9,046
PIMCO INCOME FUND - INSTITUTIONAL CLASSAT COST$10,973$8,948
Vanguard Inflation Protected Securities FundAT COST$6,506$5,839
Victory Sycamore Est ValueAT COST$36,963$32,766
FIRST EAGLE OVERSEAS FUND -CLASS IAT COST$60,055$56,726
LOOMIS SAYLES INVESTMENT GRADE BOND FUNDAT COST$25,457$24,236
SERVICENOW INCAT COST$5,270$4,271
WAL-MART STORES INCAT COST$5,117$5,104
NORTHROP GRUMMAN CORP W/1 RT/SHAT COST$3,657$4,365
OCCIDENTAL PETROLEUM CORPAT COST$8,775$9,134
O'REILLY AUTOMOTIVE INCAT COST$4,217$5,064
LOCKHEED MARTIN CORPORATIONAT COST$4,763$5,351
ELECTRONIC ARTS INCAT COST$8,971$8,186
ELEVANCE HEALTH INCAT COST$3,118$3,591
EMERSON ELECTRIC COAT COST$4,613$4,803
EOG RESOURCES INCAT COST$5,633$5,699
EXXON MOBIL CORPAT COST$4,837$4,853
DIAGEO PLCAT COST$5,317$5,702
DOLLAR GENERAL CORPAT COST$7,661$7,634
CONSTELLATION BRANDS INCAT COST$8,659$8,343
ATOMATIC DATA PROCESSINGAT COST$11,209$11,704
AMERICAN ELECTRIC POWERAT COST$7,431$7,026
AT&T INCAT COST$3,863$3,406
ABBVIE INCAT COST$7,101$7,757

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryInvestment feesCategoryTxt
Amt$8,695Amt
Net Investment Income$8,695NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Federal Income$3,725$0$0
Ohio Registration fee$200$0$200