ROSELYN MEYER FAMILY FOUNDATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ROSELYN MEYER FAMILY FOUNDATION INC (EIN 65-1106116)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202303199349101710
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)
Return2023-11-15T08:27:47-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN650277818PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JAY SHAPIRO & ASSOC'S PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11950 N COMMERCE PKWY STE 5AddressLine1Txt
CityWESTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33326ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN651106116EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROSELYN MEYER FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROSEBusinessNameControlTxt
Phone9543899849PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12395 PHEASANT LANEAddressLine1Txt
CityWESTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33327ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACQUELINE GILLMANPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9545570218PhoneNum
Signature2023-11-15SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJACQUELINEPersonFirstNm
Person LastGILLMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAY S SHAPIRO CPAPreparerPersonNm
PTINP00642141PTIN
Phone9543856616PhoneNum
Preparation2023-11-09PreparationDt

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$2,982,266FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$72,705DividendsRevAndExpnssAmt
Dividends Net Invst Incm$72,705DividendsNetInvstIncmAmt
Dividends Adj Net Incm$72,705DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss-$7,251NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,179,063GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$65,454TotalRevAndExpnssAmt
Total Net Invst Incm$72,705TotalNetInvstIncmAmt
Total Adj Net Incm$72,705TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$65,845CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$2,450AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$2,450AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$61TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$61TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$17,882OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$8,941OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$8,941OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$86,238TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$8,941TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$11,452TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$215,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$215,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$301,738TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$8,941TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$226,952TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$236,284ExcessRevenueOverExpensesAmt
Net Investment Income$63,764NetInvestmentIncomeAmt
Adjusted Net Income$72,705AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$6,636CashBOYAmt
Cash EOY$15,326CashEOYAmt
Cash EOYFMV$15,326CashEOYFMVAmt
Sav And Temp Cash Invst BOY$41,908SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$118,378SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$118,695SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$2,160,618CorporateStockBOYAmt
Corporate Stock EOY$1,723,984CorporateStockEOYAmt
Corporate Stock EOYFMV$1,753,280CorporateStockEOYFMVAmt
Other Investments BOY$1,107,101OtherInvestmentsBOYAmt
Other Investments EOY$1,170,558OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,094,965OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,316,263TotalAssetsBOYAmt
Total Assets EOY$3,028,246TotalAssetsEOYAmt
Total Assets EOYFMV$2,982,266TotalAssetsEOYFMVAmt
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$3,316,263RetainedEarningBOYAmt
Retained Earning EOY$3,028,246RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,316,263TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,028,246TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,316,263TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,028,246TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,316,263TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$236,284ExcessRevenueOverExpensesAmt
Other Increases$3,108OtherIncreasesAmt
Subtotal$3,083,087SubtotalAmt
Other Decreases$54,841OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,028,246TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
NORTHERN TRUST (D-1)P2022-10-252022-12-08$269,883$287,357-$17,474-$17,474
NORTHERN TRUST (D-2)P2021-06-102022-12-30$908,008$898,957$9,051$9,051
Capital Gains DividendsP$1,172$1,172$1,172
FieldValueIRS element (for citing)
Capital Gain Net Income-$7,251CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$17,474NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$886InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$886SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$886TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$897EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$897TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$11OverpaymentAmt
Applied To ES Tax$11AppliedToESTaxAmt
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 StateFLOrgReportOrRegisterStateCd
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 AddressNONEWebsiteAddressTxt
Individual With BooksJACQUELINE GILLMANIndividualWithBooksNm
Phone9545570218PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12395 PHEASANT LANEAddressLine1Txt
CityWESTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33327ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JACQUELINE GILLMAN
2395 PHEASANT LANEWESTONFL33327SECRETARY/TR4.00$26,046$0$0
DEBORAH BARNEY
11391 MANATEE TERRACELAKE WORTHFL33449PRESIDENT20.00$32,487$0$0
MATTHEW BARNEY
11391 MANATEE TERRACELAKE WORTHFL33449DIRECTOR2.00$3,656$0$0
SAMUEL BARNEY
11391 MANATEE TERRACELAKE WORTHFL33449DIRECTOR2.00$3,656$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$2,973,693AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$110,102AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,083,795TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,083,795AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$46,257CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,037,538NetVlNoncharitableAssetsAmt
Minimum Investment Return$151,877MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$151,877MinimumInvestmentReturnAmt
Tax Based On Investment Income$886TaxBasedOnInvestmentIncomeAmt
Total Tax$886TotalTaxAmt
Distributable Before Adj$150,991DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$150,991DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$150,991DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$226,952ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$226,952QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$150,991DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr1$7,503ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$7,503TotalExcessDistributionCyovAmt
Qualifying Distributions$226,952QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$150,991AppliedToCurrentYearAmt
Remaining Distri From Corpus$75,961RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$83,464TotalCorpusAmt
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$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$83,464ExcessDistriCyovToNextYrAmt
Excess From Year1$7,503ExcessFromYear1Amt
Excess From Current Year$75,961ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
DOGS FOR BETTER LIVES
10175 WHEELER ROADCENTRAL POINTOR97502NONEFUNDING FOR SUPPPORT DOGS$15,000
GOODMAN JEWISH FAMILY SERVICES
5890 S PINE ISLAND ROADDAVIEFL33328NONEFUNDING TO PROVIDE SUPPORT TO JEWISH FAMILIES$20,000
JAFCO - SOS VILLAGE
4200 N UNIVERSITY DRIVESUNRISEFL33351NONEFUNDING FOR CHILDREN ORPHANAGE$15,000
JEWISH FEDERATION OF BROWARD COUNTY
5890 S PINE ISLAND ROADDAVIEFL33328NONEFUNDING ADDRESS LOCAL EDUCATIONAL AND SOCIAL SERVICE NEEDS AND PERPETUATE JEWISH HERITAGE$7,500
KIDS IN DISTRESS
819 NE 26TH STREETFR LAUDERDALEFL33137NONEFUNDING CARE TO LESS FORTUNATE CHILDREN$15,000
MEMORIAL FOUNDATION CANCER INSTITUTE
3329 JOHNSON STREETHOLLYWOODFL33021NONEFUNDING TO PROVIDE FOR CANCER RESEARCHFUNDING TO PROVIDE MEDICAL SERVICES FOR NEEDY CHILDREN$20,000
MIAMI JEWISH HEALTH SYSTEMS FOUNDATION
5200 NE 2ND AVENUEMIAMIFL33137NONEFUNDING TO CULTIVATE PHILANTHROPIC SUPPORT FOR PATIENT SERVICES, PROGRAM DEVELOPMENT, AND RESEARCH$15,000
ONE FAMILY FUND
1029 TEANECK ROAD STE 3BTEANECKNJ07666NONEFUNDING TO ASSIST EMOTIONALLY DISTRESSED VICTIMS$18,000
ROTARY CLUB OF WESTON
304 INDIAN TRACE PMB 130WESTONFL33326NONEFUNDING TO PROVIDE LOCAL HUMANITARIAN SERVICES$5,000
SHRINER'S HOSPITAL FOR CHILDREN
12502 USF PINE DRIVETAMPAFL33612NONEFUNDING TO PROVIDE MEDICAL SERVICES FOR NEEDY CHILDREN$15,000
SPEAK UP FOR KIDS
PO BOX 1896WEST PALM BEACHFL33402NONEFUNDING JUSTICE FOR CHILDREN$15,000
ST JUDE'S CHILDREN'S HOSPITAL
501 ST JUCE PLACEMEMPHISTN38105NONEFUNDING FOSTER CARE CENTER IN ISRAEL$15,000
TEMPLE DOR DORIM
2360 GLADES CIRCLE NWESTONFL33327NONEFUNDING JEWISH EDUCATION FOR KIDS$5,000
THE PINK FUND
PO BOX 603BLOOMFIELD HILLSMI48303NONEFUNDING TO SUPPORT BREAST CANCER PATIENTS$30,000
YMCA OF SOUTH FLORIDA DROWNING PREVENTION
20201 SADDLE CLUB ROADWESTONFL33327NONEFUNDING TO TEACH SURVIVAL SWIMMING$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$215,500TotalGrantOrContriPdDurYrAmt
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$72,705ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$7,251ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$65,454ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$65,454TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (3 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
3N/A
4N/A
8N/A

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)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$2,450Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$2,450DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockSEE ATTACHED - EQUITY SECURITIESStockNm
EOY Book Value$1,723,984EOYBookValueAmt
EOYFMV$1,753,280EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SEE ATTACHED - CORPORATE BONDSAT COST$851,292$745,088
SEE ATTACHED - REAL ESTATEAT COST$157,317$145,525
SEE ATTACHED - COMMODITIESAT COST$161,949$204,352

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (3 entries)

DescDescAmtAmt
PRIOR YEARS' ADJUSTMENT$44,984
FOREIGN TAXES PAID$3,211
PAYROLL TAXES$6,646

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INDIRECT INVESTMENT FEE (NORTHERN TRUST)$4,485$2,242$0$2,243
INDIRECT OTHER DEDUCTIONS (NORTHERN TRUST)$13,397$6,699$0$6,698

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (3 entries)

DescDescAmtAmt
FEDERAL INCOME TAXES$1,943
NONDIVIDEND DISTRIBUTIONS$793
OTHER REFUNDS$372

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT TAXES/LICENSESCategoryTxt
Amt$61Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$61DisbursementsCharitablePrpsAmt

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