DR DONALD N & JANE L BERNING: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
DR DONALD N & JANE L BERNING (EIN 45-2457323)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202303209349100225
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)
Return2023-11-15T23:51:02-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13333 New Hyde Park Rd Ste 406AddressLine1Txt
CityNew Hyde ParkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452457323EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dr Donald N & Jane L Berning PrivateBusinessNameLine1Txt
Business Name Line2FoundationBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlDRDOBusinessNameControlTxt
Phone8008391754PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACK BENSONPersonNm
Person TitleDir, PresPersonTitleTxt
Phone8008391754PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJACKPersonFirstNm
Person LastBENSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey D HaskellPreparerPersonNm
PTINP01345770PTIN
Phone8008391754PhoneNum

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
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$8,284,336FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$1,575InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,575InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$5,983DividendsRevAndExpnssAmt
Dividends Net Invst Incm$5,983DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$3,544NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$309,736GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$89,897OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$79,660OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$93,911TotalRevAndExpnssAmt
Total Net Invst Incm$87,218TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$118,417CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$118,417CompOfcrDirTrstDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$9,815PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Dsbrs Chrtbl$9,815PensionEmplBnftDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$7,493OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$7,493OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$4,346TaxesRevAndExpnssAmt
Taxes Net Invst Incm$4,251TaxesNetInvstIncmAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$0DeprecAndDpltnAdjNetIncmAmt
Other Expenses Rev And Expnss$50,035OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$19,151OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$30,884OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$190,106TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$30,895TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$159,116TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$335,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$335,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$525,106TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$30,895TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$494,116TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$431,195ExcessRevenueOverExpensesAmt
Net Investment Income$56,323NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$416,819SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$392,229SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$392,229SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$108,322AcctRcvblAmt
Acct Rcvbl BOY$8,265AcctRcvblBOYAmt
Acct Rcvbl EOY$108,322AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$108,322AcctRcvblEOYFMVAmt
Corporate Stock BOY$335,308CorporateStockBOYAmt
Corporate Stock EOY$307,820CorporateStockEOYAmt
Corporate Stock EOYFMV$264,919CorporateStockEOYFMVAmt
Invst Land Cost Or Other Basis$464,514InvstLandCostOrOtherBasisAmt
Invst Land Accum Depreciation$59,878InvstLandAccumDepreciationAmt
Land Bldg Investments BOY$290,686LandBldgInvestmentsBOYAmt
Land Bldg Investments EOY$404,636LandBldgInvestmentsEOYAmt
Land Bldg Investments EOYFMV$487,014LandBldgInvestmentsEOYFMVAmt
Other Investments BOY$8,369,814OtherInvestmentsBOYAmt
Other Investments EOY$7,776,238OtherInvestmentsEOYAmt
Other Investments EOYFMV$7,031,852OtherInvestmentsEOYFMVAmt
Total Assets BOY$9,420,892TotalAssetsBOYAmt
Total Assets EOY$8,989,245TotalAssetsEOYAmt
Total Assets EOYFMV$8,284,336TotalAssetsEOYFMVAmt
Other Liabilities BOY$4,287OtherLiabilitiesBOYAmt
Other Liabilities EOY$3,835OtherLiabilitiesEOYAmt
Total Liabilities BOY$4,287TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,835TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$9,416,605RetainedEarningBOYAmt
Retained Earning EOY$8,985,410RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$9,416,605TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$8,985,410TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$9,420,892TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$8,989,245TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$9,416,605TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$431,195ExcessRevenueOverExpensesAmt
Subtotal$8,985,410SubtotalAmt
Tot Net Ast Or Fund Balances EOY$8,985,410TotNetAstOrFundBalancesEOYAmt

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$309,736GrossSalesPriceAmt
Cost Or Other Basis$313,280CostOrOtherBasisAmt
Gain Or Loss-$3,544GainOrLossAmt
Gains Minus Excess Or Losses-$3,544GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income-$3,544CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$783InvestmentIncomeExciseTaxAmt
Subtotal$783SubtotalAmt
Tax Based On Investment Income$783TaxBasedOnInvestmentIncomeAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Tax Due$783TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateDEOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

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
Faith Benson
Foundation Source 501 Silverside RdWilmingtonDE198091377Sec1.0$0$0$0
Jack Benson
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir, Pres40.0$118,417$0$0
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$299,660AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$463,859AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$7,518,867FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$8,282,386TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$8,282,386AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$124,236CashDeemedCharitableAmt
Net Vl Noncharitable Assets$8,158,150NetVlNoncharitableAssetsAmt
Minimum Investment Return$407,908MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$407,908MinimumInvestmentReturnAmt
Tax Based On Investment Income$783TaxBasedOnInvestmentIncomeAmt
Total Tax$783TotalTaxAmt
Distributable Before Adj$407,125DistributableBeforeAdjAmt
Distributable Before Ded$407,125DistributableBeforeDedAmt
Distributable As Adjusted$407,125DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$494,116ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$494,116QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$407,125DistributableAsAdjustedAmt
Undistributed Income PY$351,923UndistributedIncomePYAmt
Prior Year12020PriorYear1Yr
Prior Year22019PriorYear2Yr
Prior Year32018PriorYear3Yr
Qualifying Distributions$494,116QualifyingDistributionsAmt
Applied To Year1$351,923AppliedToYear1Amt
Applied To Current Year$142,193AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$264,932UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Current Year$0ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHICKS AND CHUCKS INC
136 RIDGE HILL DRHIGHLAND HGTSKY41076N/APCGeneral & Unrestricted$15,000
FRIENDS OF THE ROSE GARDEN MISSION INC
PO BOX 122089COVINGTONKY41012N/APCGeneral & Unrestricted$25,000
GO PANTRY CORPORATION
7960 KENTUCKY DR STE 1FLORENCEKY41042N/APCGeneral & Unrestricted$20,000
NORTHERN KENTUCKY AREA DEVELOPMENT DISTRICT
22 SPIRAL DRFLORENCEKY41042N/APCMeals on Wheels$175,000
PADDLING FOR CANCER AWARENESS INC
PO BOX 76213HIGHLAND HGTSKY41076N/APCGeneral & Unrestricted$20,000
PENDLETON COUNTY EDUCATION FOUNDATION INC
PO BOX 88FALMOUTHKY41040N/APCBerning Scholarship Fund$20,000
SUNRISE CHILDRENS SERVICES
PO BOX 1429MT WASHINGTONKY40047N/APCGeneral & Unrestricted$60,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$335,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,575ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$5,983ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$3,544ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
NET INC FROM ANNUITIES14$79,660
INCOME FROM LIFE INSURANCE POLICIES14$10,237

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$93,911ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$93,911TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (5 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
BLDG-1 SUNNYMEDE2010-12-31$190,000$59,878SL27$0$0$0
BLDG IMPR-1 SUNNY$51,499$0SL27$0$0$0
LAND IMPR-1 SUNNY$74,065$0SL15$0
LAND-1 SUNNYMEDE2012-12-31$35,000L
BLDG IMPR-1 SUNNY$113,950SL27$0$0$0

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (21 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AMAZON COM$22,845$20,160
BORG WARNER INC$18,719$12,075
CLEAN ENERGY FUELS CORP$17,609$10,400
GILEAD SCIENCES INC$12,280$8,585
ISHARES BROAD USD INV GRD CORP$13,274$13,161
ISHARES CORE MSCI EMERGING MAR$15,693$15,785
ISHARES JP MORGAN USD EM MKTS$1,365$1,015
ISHARES MSCI EAFE VALUE INX$15,667$15,737
ISHARES MSCI GRW IDX$15,822$15,496
ISHARES RUSSELL MIDCAP G IN FD$7,377$7,106
ISHARES RUSSELL MIDCAP VALUE$16,532$16,012
ISHARES RUSSELL TOP 200 GROW$38,093$36,158
ISHARES RUSSELL TOP 200 VALUE$31,483$30,861
KINDER MORGAN INC$21,458$9,040
POLARIS INDUSTRIES$15,236$10,100
VANGUARD GOVT BOND ETF INTERME$8,764$8,714
VANGUARD LT GOV BOND ETF$3,241$3,143
VANGUARD MORTGAGE-BACKED SEC I$14,743$14,293
VANGUARD RUSSELL 2000 ETF$10,950$10,415
VANGUARD SHOR-TERM GOV BOND$5,954$5,955
XTRACKERS USD HIGH YIELD CORPO$715$708

Investments Land Schedule2 InvestmentsLandSchedule2

Investment Land InvestmentLandGrp (5 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmtEOYFMVEOYFMVAmt
BLDG-1 SUNNYMEDE$190,000$59,878$130,122$212,500
BLDG IMPR-1 SUNNY$51,499$0$51,499$51,499
LAND IMPR-1 SUNNY$74,065$0$74,065$74,065
LAND-1 SUNNYMEDE$35,000$35,000$35,000
BLDG IMPR-1 SUNNY$113,950$0$113,950$113,950

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (17 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
AMERICAN NATIONAL DEFERRED ANN$700,000$689,058
AMERICO FINANCIAL - ANNUITY PO$314,411$295,546
AMERICO FINANCIAL - ANNUITY PO$597,421$555,602
AMERICO FINANCIAL - ANNUITY PO$586,107$545,079
ASSURITY LIFE INSURANCE CO - P$301,000$288,364
ATHENE LIFE INSURANCE CO - ANN$494,361$461,188
ATHENE LIFE INSURANCE CO - ANN$571,504$528,175
DELAWARE LIFE INSURANCE COMPAN$450,000$450,000
EQUITRUST LIFE INSURANCE CO -$508,032$462,614
EQUITRUST LIFE INSURANCE CO -$369,828$369,828
FIDELITY & GUARANTY LIFE INSUR$346,435$274,805
FIDELITY & GUARANTY LIFE INSUR$651,583$605,972
NATIONAL WESTERN LIFE - ANNUIT$431,096$411,136
NATIONAL WESTERN LIFE - ANNUIT$584,554$508,806
NATIONAL WESTERN LIFE - ANNUIT$163,144$140,489
NATIONWIDE - ANNUITY POLICY #$178,115$155,793
SILAC (EQUITABLE) INSURANCE CO$528,647$289,397

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Administrative Fees$30,163$30,163
Bank Charges$149$149
Payroll Processing Fees$696$696
Property insurance$5,101$5,101
Property Maintenance$13,901$13,901
State or Local Filing Fees$25$25

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
net income from annuities$79,660$79,660
income from life insurance policy$10,237

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescPAYROLL TAX WITHHOLDINGSDesc
BOY Book Value$4,287BOYBookValueAmt
EOY Book Value$3,835EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryInvestment Management ServicesCategoryTxt
Amt$7,493Amt
Net Investment Income$7,493NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
IRS MISCELLANEOUS FEE$95
Property Taxes$4,251$4,251

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