BETA

SINAI MEDICAL STAFF FOUNDATION: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SINAI MEDICAL STAFF FOUNDATION (EIN 23-7078893)
Tax period
2022-07-01 to 2023-06-30
Filed
2023-12-14
IRS object ID
202343489349100009
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)
Return2023-12-14T16:42:06-06:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12601 CAMBRIDGE CT STE 300AddressLine1Txt
CityAUBURN HILLSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48326ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237078893EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SINAI MEDICAL STAFF FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSINABusinessNameControlTxt
Phone2486424260PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16735 TELEGRAPH ROADAddressLine1Txt
CityBLOOMFIELD HILLSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHAROLD WILLENSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2486424260PhoneNum
Signature2023-11-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstHAROLDPersonFirstNm
Person LastWILLENSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone2483757100PhoneNum
Preparation2023-11-28PreparationDt

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$4,727,607FMVAssetsEOYAmt
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$237,841DividendsRevAndExpnssAmt
Dividends Net Invst Incm$237,841DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$71,361NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$895,705GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$70,394CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$309,202TotalRevAndExpnssAmt
Total Net Invst Incm$308,235TotalNetInvstIncmAmt
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$3,045AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,523AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,522AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$35,603OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$17,603OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$18,000OtherProfFeesDsbrsChrtblAmt
Other Expenses Rev And Expnss$21,128OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$14,556OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$6,572OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$59,776TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$33,682TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$26,094TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$268,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$268,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$327,776TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$33,682TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$294,094TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$18,574ExcessRevenueOverExpensesAmt
Net Investment Income$274,553NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$252,558SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$152,616SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$152,616SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$2,827,279CorporateStockBOYAmt
Corporate Stock EOY$2,921,007CorporateStockEOYAmt
Corporate Stock EOYFMV$2,921,007CorporateStockEOYFMVAmt
Other Investments BOY$1,511,860OtherInvestmentsBOYAmt
Other Investments EOY$1,653,984OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,653,984OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,591,697TotalAssetsBOYAmt
Total Assets EOY$4,727,607TotalAssetsEOYAmt
Total Assets EOYFMV$4,727,607TotalAssetsEOYFMVAmt
Grants Payable BOY$15,000GrantsPayableBOYAmt
Grants Payable EOY$15,000GrantsPayableEOYAmt
Total Liabilities BOY$15,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,000TotalLiabilitiesEOYAmt
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$4,576,697RetainedEarningBOYAmt
Retained Earning EOY$4,712,607RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$4,576,697TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,712,607TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,591,697TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,727,607TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,576,697TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$18,574ExcessRevenueOverExpensesAmt
Other Increases$154,484OtherIncreasesAmt
Subtotal$4,712,607SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,712,607TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyALLOCATED REALIZED GAIN/LOSS FROM POOLED FUNDSPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$895,705GrossSalesPriceAmt
Cost Or Other Basis$825,311CostOrOtherBasisAmt
Gain Or Loss$70,394GainOrLossAmt
Gains Minus Excess Or Losses$70,394GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$70,394CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,816InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,816SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,816TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,240EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$4,240TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$424OverpaymentAmt
Applied To ES Tax$424AppliedToESTaxAmt
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 StateMIOrgReportOrRegisterStateCd
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 AddressWWW.SINAIDETROITMEDICALFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksDOROTHY BENYASIndividualWithBooksNm
Phone2486424260PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line16735 TELEGRAPH ROADAddressLine1Txt
CityBLOOMFIELD HILLSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48301ZIPCd
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
HAROLD WILLENS
6735 TELEGRAPH ROADBLOOMFIELD HILLSMI48301PRESIDENT0.00$0$0$0
MARTY LEVINSON
6735 TELEGRAPH ROADBLOOMFIELD HILLSMI48301VICE PRESIDENT0.00$0$0$0
LEON HOCHMAN
6735 TELEGRAPH ROADBLOOMFIELD HILLSMI48301TREASURER0.00$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$4,624,484AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,624,484TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,624,484AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$69,367CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,555,117NetVlNoncharitableAssetsAmt
Minimum Investment Return$227,756MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$227,756MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,816TaxBasedOnInvestmentIncomeAmt
Total Tax$3,816TotalTaxAmt
Distributable Before Adj$223,940DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$223,940DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$223,940DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$294,094ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$294,094QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$223,940DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$5,630ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$93,886ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$99,516TotalExcessDistributionCyovAmt
Qualifying Distributions$294,094QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$223,940AppliedToCurrentYearAmt
Remaining Distri From Corpus$70,154RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$169,670TotalCorpusAmt
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$169,670ExcessDistriCyovToNextYrAmt
Excess From Year2$5,630ExcessFromYear2Amt
Excess From Year1$93,886ExcessFromYear1Amt
Excess From Current Year$70,154ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
FRESH AIR SOCIETY
6735 TELEGRAPH RDBLOOMFIELD HILLSMI48301PCTO SUPPORT THE MEDICAL CARE PROGRAM$35,000
FRIENDSHIP CIRCLE
6892 W MAPLE RDWEST BLOOMFIELDMI48322PCTO SUPPORT MENTAL HEALTH AND RECOVERY$15,000
JEWISH FAMILY SERVICE
6555 WEST MAPLE RDWEST BLOOMFIELDMI48322PCTO SUPPORT HEALTH MANAGEMENT$38,000
JEWISH HOSPICE AND CHAPLAINCY NETWORK
6555 WEST MAPLE RDWEST BLOOMFIELDMI48322PCTO SUPPORT END OF LIFE CARE$20,000
PLANNED PARENTHOOD OF MICHIGAN
PO BOX 3673ANN ARBORMI48106PCTO SUPPORT EQUITY IN REPRODUCTIVE HEALTH CARE$35,000
AVALON HEALING CENTER
2727 2ND AVENUE STE 300DETROITMI48201PCTO PROVIDE MEDICAL CARE TO VICTIMS OF VIOLENCE$20,000
PROJECT HEALTHY COMMUNITY
PO BOX 252433WEST BLOOMFIELDMI48325PCTO SUPPORT COMMUNITY & ECONOMIC DEVELOPMENT$10,000
COMMON GROUND
1410 S TELEGRAPH RDBLOOMFIELD HILLSMI48302PCTO SUPPORT PEOPLE IN CRISIS$20,000
STARFISH FAMILY SERVICES
30000 HIVELEY RDINKSTERMI48141PCTO SUPPORT CHILD WELFARE AND EDUCATION$25,000
DR GARY BURNSTEIN COMMUNITY HEALTH CLINIC
45580 WOODWARD AVEPONTIACMI48341PCTO PROVIDE MEDICAL CARE FOR LOW INCOME AND UNINSURED$29,000
UNITED JEWISH FOUNDATION - ARCHIVES
6735 TELEGRAPH RDBLOOMFIELD HILLSMI48301PCTO SUPPORT THE JEWISH COMMUNITY$6,000
ALZHEIMERS ASSOCIATION
20300 CIVIC CENTER DR 100SOUTHFIELDMI48076PCTO SUPPORT FIRST RESPONDERS DEMNTIA TRAINING PROGRAM$15,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$268,000TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN DIABETES ASSOCIATIONBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7023AddressLine1Txt
CityMERRIFIELDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22116ZIPCd
FieldValueIRS element (for citing)
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeTO SUPPORT MEDICAL RESEARCHGrantOrContributionPurposeTxt
Amt$15,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$15,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$237,841ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$71,361ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$309,202ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$309,202TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,045Amt
Net Investment Income$1,523NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,522DisbursementsCharitablePrpsAmt

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp

FieldValueIRS element (for citing)
AssetMISCELLANEOUS INCOMEAssetDesc
How AcquiredPURCHASEDHowAcquiredTxt
Basis MethodCOSTBasisMethodTxt
Sales Expense$0SalesExpenseAmt
Total Net$967TotalNetAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (12 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
HARDING LOEVNER GLOBAL EQUITY$298,957$298,957
ADVISERS INVT INDEPENDENT$451,199$451,199
CAUSEWAY INTERNATIONAL VALUE$214,731$214,731
FMI INTERNATIONAL FUNDS$222,459$222,459
FIRST EAGLE GLOBAL I$284,621$284,621
AEON GLOBAL EQUITY$271,533$271,533
PZENA EMERGING MARKETS$132,764$132,764
RBC EMERGING MARKETS$105,473$105,473
PRINCIPAL DIVERSIFIED REAL ASSET INST$402,867$402,867
PIMCO INCOME FUND$86,590$86,590
GW&K$126,155$126,155
FIDELITY 500$323,658$323,658

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (33 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
IR&M CORE BOND FUND II LLCFMV$466,607$466,607
CANYON VALUE REALIZATION LTDFMV$148,112$148,112
SIGULER GUFF DISTRESSED OPP FUNDFMV$4,773$4,773
PAUL CAPITAL PARTNERS IX LPFMV$2,683$2,683
NB CROSSROADS FUND 23FMV$96,364$96,364
PIMCO DISTRESSED FUND IIFMV$91,715$91,715
BAIN CAPITAL MIDDLE MARKETFMV$8,999$8,999
PIMCO BRAVO FUND IIIFMV$44,642$44,642
PIMCO COMMERCIAL RE DEBT FUND LPFMV$45,392$45,392
CASTLELAKE INCOME OPPORTUNITIESFMV$55,303$55,303
TUDOR RIVERBANDFMV$35,369$35,369
CAPULA VOLATILITYFMV$18,309$18,309
PHARO GAIAFMV$19,189$19,189
ANATOLEFMV$13,663$13,663
BREVAN HOWARDFMV$38,065$38,065
DAVIDSON KEMPNERFMV$48,143$48,143
SILVER POINTFMV$41,288$41,288
ARKKANFMV$31,898$31,898
COMMODITIES & MACROFMV$20,118$20,118
AURELIUSFMV$25,761$25,761
ATALANFMV$27,653$27,653
ELLIOTTFMV$47,447$47,447
BAIN CAPITAL REAL ESTATEFMV$32,039$32,039
SIXTH STREETFMV$36,379$36,379
STONEPEAKFMV$29,333$29,333
SWEETWATERFMV$33,661$33,661
ANOMALYFMV$31,772$31,772
HG VORAFMV$32,142$32,142
SHELLBACKFMV$26,733$26,733
ICG STRATEGIC EQUITY IVFMV$62,764$62,764
NB CROSSROADS FUND 24FMV$9,732$9,732
CASTLELAKE INCOME OPPORTUNITIES IIFMV$26,405$26,405
PATHWAY CAPITALFMV$1,531$1,531

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE EXPENSES$2,686$1,343$1,343
OTHER FEES$8,989$4,495$4,494
TAXES$8,583$8,583$0
TRIBUTES$600$0$600
MISCELLANEOUS EXPENSES$270$135$135

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescALLOCATED UNREALIZED GAIN POOLED FUNDSDesc
Amt$154,484Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryADVISORY FEESCategoryTxt
Amt$35,603Amt
Net Investment Income$17,603NetInvestmentIncomeAmt
Disbursements Charitable Prps$18,000DisbursementsCharitablePrpsAmt

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