THE ERNEST EARL MAHONEY HOSPITAL FUND: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- THE ERNEST EARL MAHONEY HOSPITAL FUND (EIN 59-6811062)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-11
- IRS object ID
- 202201319349104300
- Schema version
- 2021v4.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-11T11:00:35-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 134008324 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 GRANT STREET 45TH FLOOR | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 596811062 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNEST E MAHONEY TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAHO | BusinessNameControlTxt |
| Phone | 8887304933 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6325 S RAINBOW BLVD STE 300 | AddressLine1Txt |
| City | LAS VEGAS | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89118 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | - | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 8887304933 | PhoneNum |
| Signature | 2022-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH J CASTRIANO | PreparerPersonNm |
| PTIN | P01251603 | PTIN |
| Phone | 4123556000 | PhoneNum |
| Preparation | 2022-04-27 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $73,652 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $1,768 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,762 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $4,660 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $32,135 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $4,660 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $6,428 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $6,422 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $1,444 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $1,300 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $144 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $972 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $972 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $53 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $11 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Tot Opr Expenses Rev And Expnss | $2,469 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,311 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,116 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,469 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,311 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $3,116 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,959 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $5,111 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $2,774 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $2,118 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $2,118 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Corporate Stock EOY | $57,831 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $71,534 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $55,206 | OtherInvestmentsBOYAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $57,980 | TotalAssetsBOYAmt |
| Total Assets EOY | $59,949 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $73,652 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $57,980 | CapitalStockBOYAmt |
| Capital Stock EOY | $59,949 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $57,980 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $59,949 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $57,980 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $59,949 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $57,980 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,959 | ExcessRevenueOverExpensesAmt |
| Other Increases | $10 | OtherIncreasesAmt |
| Subtotal | $59,949 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $59,949 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (102 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 2. INV OPP DEVELOP MRKTS-R6 7038 | 2017-01-18 | 2021-02-25 | $112 | $66 | $46 | $46 | |
| 31.4 ARTISAN MID CAP FUND-INS 1333 | 2012-07-16 | 2021-02-25 | $1,763 | $1,169 | $594 | $594 | |
| 6.631 ARTISAN MID CAP FUND-INS 1333 | 2021-02-25 | $372 | $323 | $49 | $49 | ||
| 4. ISHARES MSCI USA QUALITY FAC ETF | 2020-03-25 | 2021-02-25 | $477 | $314 | $163 | $163 | |
| 20. ISHARES MSCI USA QUALITY FAC ETF | 2020-02-13 | 2021-02-25 | $2,386 | $2,097 | $289 | $289 | |
| 28. PIMCO COMMODITY REAL RET STRAT-I45 | 2020-10-21 | 2021-02-25 | $186 | $154 | $32 | $32 | |
| 169.588 T ROWE PR OVERSEAS STOCK-I #521 | 2017-04-21 | 2021-02-25 | $2,132 | $1,652 | $480 | $480 | |
| 5. TOUCHSTONE SANDS EM GR-INST #565 | 2020-12-15 | 2021-02-25 | $114 | $106 | $8 | $8 | |
| 45.383 TRIBUTARY SMALL CO-INST PLUS #1705 | 2020-05-08 | 2021-02-25 | $1,490 | $974 | $516 | $516 | |
| 2. VANGUARD MIDCAP VIPER | 2019-10-17 | 2021-02-25 | $436 | $336 | $100 | $100 | |
| 1. GOLDMAN ACTIVEBETA US LC ETF | 2021-02-25 | 2021-03-29 | $79 | $79 | |||
| 1. ISHARES CORE S&P TOTAL U.S. ETF | 2021-02-25 | 2021-03-29 | $91 | $91 | |||
| 1.007 JENSEN QUALITY GROWTH-Y #6299 | 2021-02-26 | 2021-03-29 | $58 | $54 | $4 | $4 | |
| .993 JENSEN QUALITY GROWTH-Y #6299 | 2020-02-14 | 2021-03-29 | $57 | $53 | $4 | $4 | |
| 2. MFS VALUE FUND-R6 4810 | 2021-03-29 | $98 | $66 | $32 | $32 | ||
| 515. PGIM HIGH YIELD-Q 1067 | 2021-03-29 | $2,838 | $2,764 | $74 | $74 | ||
| 2.027 TOUCHSTONE MID CAP-INST #353 | 2021-02-26 | 2021-03-29 | $95 | $92 | $3 | $3 | |
| .973 TOUCHSTONE MID CAP-INST #353 | 2020-02-14 | 2021-03-29 | $46 | $41 | $5 | $5 | |
| 2. UNDISC MGRS BEHAV VAL - R6 | 2021-02-26 | 2021-03-29 | $156 | $149 | $7 | $7 | |
| 18.053 EV GL MACR ABS RTRN ADV-R6 #1072 | 2021-07-28 | $192 | $190 | $2 | $2 | ||
| 116.784 EV GL MACR ABS RTRN ADV-R6 #1072 | 2021-07-28 | $1,239 | $1,243 | -$4 | -$4 | ||
| 5. GOLDMAN ACTIVEBETA US LC ETF | 2021-02-25 | 2021-07-28 | $442 | $393 | $49 | $49 | |
| 2. ISHARES CORE S&P TOTAL U.S. ETF | 2021-02-25 | 2021-07-28 | $201 | $183 | $18 | $18 | |
| 6. ISHARES RUSSELL 2000 ETF | 2021-07-28 | $1,317 | $1,354 | -$37 | -$37 | ||
| 4. JENSEN QUALITY GROWTH-Y #6299 | 2019-10-18 | 2021-07-28 | $256 | $207 | $49 | $49 | |
| 1. MFS VALUE FUND-R6 4810 | 2011-05-25 | 2021-07-28 | $52 | $24 | $28 | $28 | |
| 34.108 METROPOLITAN WEST T/R BD-PLN #712 | 2021-07-28 | $355 | $346 | $9 | $9 | ||
| 89.892 METROPOLITAN WEST T/R BD-PLN #712 | 2021-07-28 | $935 | $933 | $2 | $2 | ||
| 14. TOUCHSTONE MID CAP-INST #353 | 2020-02-14 | 2021-07-28 | $678 | $591 | $87 | $87 | |
| 4. VANGUARD MIDCAP VIPER | 2019-10-17 | 2021-07-28 | $955 | $672 | $283 | $283 | |
| .015 INV OPP DEVELOP MRKTS-R6 7038 | 2021-07-29 | 2021-08-05 | $1 | $1 | |||
| .985 INV OPP DEVELOP MRKTS-R6 7038 | 2021-03-30 | 2021-08-05 | $52 | $53 | -$1 | -$1 | |
| 1. GOLDMAN ACTIVEBETA US LC ETF | 2021-02-25 | 2021-08-05 | $89 | $79 | $10 | $10 | |
| 1. ISHARES CORE S&P TOTAL U.S. ETF | 2021-02-25 | 2021-08-05 | $101 | $91 | $10 | $10 | |
| 1. ISHARES CORE MSCI EMERGING ETF | 2021-02-25 | 2021-08-05 | $64 | $67 | -$3 | -$3 | |
| 1. JENSEN QUALITY GROWTH-Y #6299 | 2019-10-18 | 2021-08-05 | $65 | $52 | $13 | $13 | |
| 1. MFS VALUE FUND-R6 4810 | 2011-05-25 | 2021-08-05 | $52 | $24 | $28 | $28 | |
| 9. METROPOLITAN WEST T/R BD-PLN #712 | 2021-08-05 | $94 | $91 | $3 | $3 | ||
| 6. PIMCO TOTAL RET FD-INST #35 | 2019-12-05 | 2021-08-05 | $63 | $63 | |||
| 11. PGIM HIGH YIELD-Q 1067 | 2021-07-29 | 2021-08-05 | $61 | $61 | |||
| 3. T ROWE PR OVERSEAS STOCK-I #521 | 2021-07-29 | 2021-08-05 | $40 | $40 | |||
| 3. TOUCHSTONE SANDS EM GR-INST #565 | 2021-03-30 | 2021-08-05 | $68 | $64 | $4 | $4 | |
| 487.28 METROPOLITAN WEST T/R BD-PLN #712 | 2021-09-27 | $5,024 | $4,874 | $150 | $150 | ||
| 4.926 INV OPP DEVELOP MRKTS-R6 7038 | 2021-10-20 | $265 | $262 | $3 | $3 | ||
| 50.202 INV OPP DEVELOP MRKTS-R6 7038 | 2021-10-20 | $2,700 | $1,563 | $1,137 | $1,137 | ||
| 161.177 PIMCO HIGH YIELD FD-INST #108 | 2021-07-29 | 2021-10-20 | $1,457 | $1,467 | -$10 | -$10 | |
| 2. TOUCHSTONE SANDS EM GR-R6 #525 | 2021-03-30 | 2021-10-20 | $45 | $43 | $2 | $2 | |
| 1. TOUCHSTONE MID CAP-R6 #355 | 2020-02-14 | 2021-10-20 | $49 | $42 | $7 | $7 | |
| 1. UNDISC MGRS BEHAV VAL - R6 | 2021-10-20 | $85 | $81 | $4 | $4 | ||
| 3. ISHARES RUSSELL 2000 ETF | 2021-12-14 | $647 | $543 | $104 | $104 | ||
| 6. ISHARES RUSSELL 2000 ETF | 2021-03-29 | 2021-12-14 | $1,295 | $1,318 | -$23 | -$23 | |
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P | |||||
| CAPITAL GAIN DIVIDENDS | $326 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $4,660 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $71 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $71 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $71 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $48 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $48 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $23 | TaxDueAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | FL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLS FARGO BANK NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8887304933 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N MAIN ST MAC D4001-117 | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WELLS FARGO BANK N A | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N MAIN ST MAC D4001-117 | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $1,444 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $69,821 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,560 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $72,381 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $72,381 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,086 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $71,295 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $3,565 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $3,565 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $71 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $71 | TotalTaxAmt |
| Distributable Before Adj | $3,494 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $3,494 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $3,494 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $3,116 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $3,116 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $3,494 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $177 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $989 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $281 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,447 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $3,116 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $3,116 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $378 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $378 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,069 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,069 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $788 | ExcessFromYear2Amt |
| Excess From Year1 | $281 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALDO COUNTY GENERAL HOSPITAL | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ATTN LINDA DRINKWATER CFO | AddressLine1Txt |
| City | BELFAST | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04915 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | NONE | RecipientRelationshipTxt |
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | GENERAL OPERATING | GrantOrContributionPurposeTxt |
| Amt | $2,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,768 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $4,660 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $6,428 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $6,428 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE (NON-ALLOC | CategoryTxt |
| Amt | $972 | Amt |
| Disbursements Charitable Prps | $972 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (18 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 31641Q755 FIDELITY NEW MRKTS I | $1,479 | $1,426 |
| 476313408 JENSEN QUALITY GROWT | $2,199 | $3,010 |
| 872365713 TCW EMRG MRKTS INC-P | $2,931 | $2,837 |
| 464287150 ISHARES CORE S&P TOT | $9,798 | $15,191 |
| 693390700 PIMCO TOTAL RET FD-I | $3,577 | $3,610 |
| 904504479 UNDISC MGRS BEHAV VA | $1,286 | $1,443 |
| 89155T490 TOUCHSTONE MID CAP-R | $2,637 | $3,711 |
| 74440Y884 PGIM HIGH YIELD-Q 10 | $5,322 | $5,734 |
| 256219106 DODGE & COX STOCK FU | $2,140 | $2,197 |
| 381430503 GOLDMAN ACTIVEBETA U | $3,271 | $5,423 |
| 55273H353 MFS VALUE FUND-R6 48 | $886 | $2,255 |
| 46434G103 ISHARES CORE MSCI EM | $3,734 | $3,412 |
| 464287655 ISHARES RUSSELL 2000 | $1,780 | $2,447 |
| 722005667 PIMCO COMMODITY REAL | $1,940 | $2,085 |
| 89154M702 TOUCHSTONE SANDS EM | $2,029 | $1,848 |
| 77956H435 T ROWE PR OVERSEAS S | $1,434 | $1,436 |
| 057071854 BAIRD AGGREGATE BOND | $5,105 | $5,062 |
| 922908629 VANGUARD MIDCAP VIPE | $6,283 | $8,407 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (20 entries)
| Category Or ItemCategoryOrItemTxt |
|---|
| 77956H435 T ROWE PR OVERSEAS S |
| 592905764 METROPOLITAN WEST T/ |
| 55273H353 MFS VALUE FUND-R6 48 |
| 04314H600 ARTISAN MID CAP FUND |
| 87234N765 TCW EMRG MKTS INCM-I |
| 381430503 GOLDMAN ACTIVEBETA U |
| 693390700 PIMCO TOTAL RET FD-I |
| 922908629 VANGUARD MIDCAP VIPE |
| 464287150 ISHARES TRS & P 1500 |
| 00143W859 INV OPP DEVELOP MRKT |
| 31641Q755 FIDELITY NEW MRKTS I |
| 89154Q562 TOUCHSTONE SANDS EM |
| 89609H704 TRIBUTARY SMALL CO-I |
| 464287655 ISHARES RUSSELL 2000 |
| 27830W108 EV GL MACR ABS RTRN |
| 722005667 PIMCO COMMODITY REAL |
| 46432F339 ISHARES EDGE MSCI US |
| 74440Y884 PGIM HIGH YIELD-Q 10 |
| 89155T649 TOUCHSTONE MID CAP-I |
| 476313408 JENSEN QUALITY GROWT |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MUTUAL FUND TIMING ADJ | $9 |
| ROUNDING | $1 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $5 | $5 | $0 |
| FEDERAL ESTIMATES - PRINCIPAL | $42 | $0 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $6 | $6 | $0 |
Comments