AARON AND SYLVIA ROTHENBERG FAMILY FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
AARON AND SYLVIA ROTHENBERG FAMILY FOUNDATION INC (EIN 65-0922300)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-04-28
IRS object ID
202201189349100620
Schema version
2021v4.2
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)
Return2022-04-28T11:38:04-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222128332PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Mach & Associates CPA PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line129 Main AveAddressLine1Txt
CityElmwood ParkCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07407ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650922300EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AARON & SYLVIA ROTHENBERG FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAAROBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 A PALM POINT CIRCLE CO WEISSAddressLine1Txt
CityPALM BEACH GARDENSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33418ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLOIS WEISSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5616243016PhoneNum
Signature2022-04-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLOISPersonFirstNm
Person LastWEISSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLeonard KaplanPreparerPersonNm
PTINP00400847PTIN
Phone2017978338PhoneNum
Preparation2022-04-28PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,236,022FMVAssetsEOYAmt
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$28,617DividendsRevAndExpnssAmt
Dividends Net Invst Incm$28,617DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$2,684NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$54,724GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$2,684CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$72NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$11,939OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$11,939OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$43,240TotalRevAndExpnssAmt
Total Net Invst Incm$43,240TotalNetInvstIncmAmt
Total Adj Net Incm$72TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$800AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$800AccountingFeesNetInvstIncmAmt
Taxes Rev And Expnss$721TaxesRevAndExpnssAmt
Taxes Net Invst Incm$721TaxesNetInvstIncmAmt
Printing And Pub Rev And Expnss$1,328PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$1,229PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$99PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$538OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$477OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$61OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$3,387TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,227TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$160TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$55,820ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$55,820ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$59,207TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,227TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$55,980TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$15,967ExcessRevenueOverExpensesAmt
Net Investment Income$40,013NetInvestmentIncomeAmt
Adjusted Net Income$72AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$133,077SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$85,417SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$86,917SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$45,394USGovernmentObligationsBOYAmt
US Government Obligations EOY$45,371USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$55,964USGovtObligationsEOYFMVAmt
Corporate Stock BOY$597,933CorporateStockBOYAmt
Corporate Stock EOY$629,649CorporateStockEOYAmt
Corporate Stock EOYFMV$1,087,618CorporateStockEOYFMVAmt
Corporate Bonds BOY$5,000CorporateBondsBOYAmt
Corporate Bonds EOY$5,000CorporateBondsEOYAmt
Corporate Bonds EOYFMV$5,523CorporateBondsEOYFMVAmt
Total Assets BOY$781,404TotalAssetsBOYAmt
Total Assets EOY$765,437TotalAssetsEOYAmt
Total Assets EOYFMV$1,236,022TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$781,404RetainedEarningBOYAmt
Retained Earning EOY$765,437RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$781,404TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$765,437TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$781,404TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$765,437TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$781,404TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$15,967ExcessRevenueOverExpensesAmt
Subtotal$765,437SubtotalAmt
Tot Net Ast Or Fund Balances EOY$765,437TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (7 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmt
VANGUARD INTL EQUITY INDEX FDSP2020-12-102021-08-17$5,015$4,943$72
DTE ENERGY CO JR SUB BDP2016-10-282021-12-15$10,000$10,000
ISHARES SELECT DIVIDEND ETFP2019-09-092021-01-23$10,062$10,072-$10
LAMB WESTON HLDGS INCP2013-01-082021-08-11$4,333$1,421$2,912
PRUDENTIAL PLC 675 PERPP2004-10-052021-12-23$15,000$15,405-$405
VIATRIS INCP2011-11-212021-04-20$314$199$115
VORNADO RLTY TR PFD SER KP2012-07-112021-10-13$10,000$10,000
FieldValueIRS element (for citing)
Capital Gain Net Income$2,684CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$72NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$556InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$556SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$556TaxBasedOnInvestmentIncomeAmt
Tax Due$556TaxDueAmt

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 StateFLOrgReportOrRegisterStateCd
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
Individual With BooksLOIS WEISSIndividualWithBooksNm
Phone5616243016PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1110 A PALM POINT CIRCLEAddressLine1Txt
CityPALM BEACH GARDENSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33418ZIPCd
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 PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LOIS WEISS
110 A PALM POINT CIRCLEPALM BEACH GARDENSFL33418PRESIDENT0.00$0$0$0
TRISHA ROTH
2800 NEILSON WAY 901SANTA MONICACA90405VICE PRESIDENT0.00$0$0$0
JANET DWORK
203 VIA EMILA PALMPALM BEACH GARDENSFL33418SECRETARY0.00$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NADescription1Txt
Expenses1$0Expenses1Amt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,063,357AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$88,243AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,151,600TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,151,600AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$17,274CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,134,326NetVlNoncharitableAssetsAmt
Minimum Investment Return$56,716MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$56,716MinimumInvestmentReturnAmt
Tax Based On Investment Income$556TaxBasedOnInvestmentIncomeAmt
Total Tax$556TotalTaxAmt
Distributable Before Adj$56,160DistributableBeforeAdjAmt
Distributable Before Ded$56,160DistributableBeforeDedAmt
Distributable As Adjusted$56,160DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$55,980ExpensesAndContributionsAmt
Qualifying Distributions$55,980QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$56,160DistributableAsAdjustedAmt
Excess Distribution Cyov Yr4$2,355ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr2$157ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,185ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$3,697TotalExcessDistributionCyovAmt
Qualifying Distributions$55,980QualifyingDistributionsAmt
Applied To Current Year$55,980AppliedToCurrentYearAmt
Excess Distri Cyov App CY Corpus$180ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$180ExcessDistributionCyovAppCYAmt
Total Corpus$3,517TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$3,517ExcessDistriCyovToNextYrAmt
Excess From Year4$2,175ExcessFromYear4Amt
Excess From Year2$157ExcessFromYear2Amt
Excess From Year1$1,185ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNAContributingManagerNm
Shareholder ManagerNAShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (30 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
JEWISH FEDERATION OF PALM BEACH CTY
1 HARVARD CIRCLE SUITE 100WEST PALM BEACHFL33417NAGIVEN TO PRESELECTED ORGANIZATIONS$7,500
PALM BEACH DRAMAWORKS
201 CLEMATIS STREETWEST PALM BEACHFL33401NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
TEMPLE EMANUEL OF BEVERLY HILLS
300 N CLARK DRIVEBEVERLY HILLSCA90211NAGIVEN TO PRESELECTED ORGANIZATIONS$3,320
PLANNED PARENTHOOD OF FLORIDA
200 NORTH MANGO ROADWEST PALM BEACHFL33409NAGIVEN TO PRESELECTED ORGANIZATIONS$2,500
TEMPLE BETH AM
2250 CENTRAL BLVDJUPITERFL33458NAGIVEN TO PRESELECTED ORGANIZATIONS$8,000
ADL
5295 TOWN CENTER ROAD SUITE 300BOCA RATONFL33486NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
ARMORY ART CENTER
811 PARK PLACEWEST PALM BEACHFL33401NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
BALLEN ISLES CHARITABLE FOUNDATION
303 BALLENISLES DRIVEPALM BEACH GARDENSFL33418NAGIVEN TO PRESELECTED ORGANIZATIONS$3,000
EMOTIONAL HEALTH ASSOCIATION
6666 GREEN VALLEY CIRCLECULVER CITYCA90230NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
JEWISH NATIONAL FUND
PO BOX 971054BOCA RATONFL33497NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
FRIENDS OF THE PALM BEACH LIBRARY
3650 SUMMIT BLVDWEST PALM BEACHFL33406NAGIVEN TO PRESELECTED ORGANIZATIONS$500
FRIENDS OF WLRN
PO BOX 19731MIAMIFL331019731NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
SANTA MONICA EDUCATION FOUNDATION
1645 16TH STREETSANTA MONICACA90404NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
SOUTH FLORIDA PBS
PO BOX 61002MIAMIFL33261NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
TEMPLE ISAIAH
10345 WEST PICO BLVDLOS ANGELESCA90064NAGIVEN TO PRESELECTED ORGANIZATIONS$2,000
MILLER SCHOOL OF MEDICINE
1501 NW 9TH AVENUE 2ND FLOORMIAMIFL33136NAGIVEN TO PRESELECTED ORGANIZATIONS$5,000
MERCER ISLAND SCHOOLS FOUNDATION
PO BOX 1243MERCER ISLANDWA98040NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
MIRASOL FOUNDATION
114 MONTE CARLO DRIVEPALM BEACH GARDENSFL33418NAGIVEN TO PRESELECTED ORGANIZATIONS$2,000
OLLIFAU
5353 PARKSIDE DRJUPITERFL33458NAGIVEN TO PRESELECTED ORGANIZATIONS$2,000
THE MALTZ JUPITER THEATER
14243 US HIGHWAY 1JUNO BEACHFL33408NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
ADLER APHASIA CENTER
60 WEST HUNTER AVENUEMAYWOODNJ07607NAGIVEN TO PRESELECTED ORGANIZATIONS$500
FURRY FRIENDS ADOPTION CLINIC RAN
100 CAPITAL STREETJUPITERFL33458NAGIVEN TO PRESELECTED ORGANIZATIONS$500
LEUKEMIA LYMPHOMA SOCIETY
140 GREENWICH CIRCLEJUPITERFL33458NAGIVEN TO PRESELECTED ORGANIZATIONS$500
NAMI LA
921 WESTWOOD BLVDLOS ANGELESCA90024NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
NEA-BPD PERSONALITY DISORDER
52 WHITE BEACHESTOWNSHIP OF WASHINGTONNJ07676NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
NO MORE STARVING ARRTISTS FD
703 39TH STREETWEST PALM BEACHFL33407NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
OCEAN CHARTER SCHOOL
12870 PANAMA STREETLOS ANGELESCA90066NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
PLANNED PARENTHOOD FD OF AMERICA
PO BOX 97166WASHINGTONDC20077NAGIVEN TO PRESELECTED ORGANIZATIONS$2,000
SIMMONS UNIVERSITY FUND
300 THE FENWAYBOSTONMA02115NAGIVEN TO PRESELECTED ORGANIZATIONS$1,500
WESTWOOD INVOLVEMENT SUPPORTS ED
2050 SELBY AVENUELOS ANGELESCA90025NAGIVEN TO PRESELECTED ORGANIZATIONS$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$55,820TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$28,617RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$2,684RelatedOrExemptFunctionIncmAmt

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
CAPITAL GAIN DIST$11,439
OTHER INCOME$500

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$43,240RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$43,240TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$800Amt
Net Investment Income$800NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCORPORATE BONDSBondNm
EOY Book Value$5,000EOYBookValueAmt
EOYFMV$5,523EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (5 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
COMMON STOCKS$223,479$415,196
PREFERRED STOCKS$0$0
MUTUAL FUNDS$189,346$241,992
OTHER$32,519$77,870
EXCHANGE TRADED PRODUCTS$184,305$352,560

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
State Local Sec Book Vl EOY$45,371StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$55,964StateLocalSecEOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FL ANNUAL FEE$61$0$0$61
BANK CHARGES$9$9$0$0
BOND PREMIUM$468$468$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
OTHER INCOME$500$500$0
LT CAPITAL GAIN DISTRIBUTIONS$11,439$11,439$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX$210$210$0$0
FEDERAL TAX$511$511$0$0

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