EDWIN S SOFORENKO FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
EDWIN S SOFORENKO FOUNDATION (EIN 05-6019803)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-12
IRS object ID
202201329349100940
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-12T10:00:37-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE FINANCIAL PLAZA SUITE 2300AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN056019803EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EDWIN SOFORENKO FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOFOBusinessNameControlTxt
Phone4012824743PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE CITIZENS BANK WAY JCB115AddressLine1Txt
CityJOHNSTONCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02919ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONALD LUSTIGPersonNm
Person TitleTAX OFFICERPersonTitleTxt
Phone4012824743PhoneNum
Signature2022-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRADLEY N SPRONGPreparerPersonNm
PTINP00642561PTIN
Phone4012282600PhoneNum
Preparation2022-05-05PreparationDt

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
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$4,356,204FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$93,070DividendsRevAndExpnssAmt
Dividends Net Invst Incm$93,070DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$147,981NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$321,228GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$147,981CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$968OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$242,019TotalRevAndExpnssAmt
Total Net Invst Incm$241,051TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$17,249CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$8,625CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$8,624CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$725AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$725AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$10,593OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$10,593OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$815TaxesRevAndExpnssAmt
Taxes Net Invst Incm$815TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$50OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$50OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$29,432TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$20,033TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$9,399TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$196,057ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$196,057ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$225,489TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$20,033TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$205,456TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$16,530ExcessRevenueOverExpensesAmt
Net Investment Income$221,018NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$83,672SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$102,424SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$102,424SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$2,570,017OtherInvestmentsBOYAmt
Other Investments EOY$2,565,122OtherInvestmentsEOYAmt
Other Investments EOYFMV$4,253,780OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,653,689TotalAssetsBOYAmt
Total Assets EOY$2,667,546TotalAssetsEOYAmt
Total Assets EOYFMV$4,356,204TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$2,653,689CapitalStockBOYAmt
Capital Stock EOY$2,667,546CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$2,653,689TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,667,546TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,653,689TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,667,546TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,653,689TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$16,530ExcessRevenueOverExpensesAmt
Other Increases$5,305OtherIncreasesAmt
Subtotal$2,675,524SubtotalAmt
Other Decreases$7,978OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,667,546TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (26 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
420. AT&T INC2007-09-202021-10-07$11,395$17,657-$6,262-$6,262
140. AMERIPRISE FINL INC1997-07-242021-10-07$38,870$2,283$36,587$36,587
41. BOEING CO1977-02-082021-10-07$9,291$55$9,236$9,236
265. DENTSPLY SIRONA INC COM2005-01-132021-10-07$15,432$7,323$8,109$8,109
469. DUKE ENERGY CORP NEW COM2006-01-302021-10-07$47,465$22,916$24,549$24,549
216. FISERV INC2015-10-202021-10-07$23,696$10,021$13,675$13,675
400. INTEL CORP.2019-07-052021-10-07$21,768$19,148$2,620$2,620
7717.047 PIMCO INFLATION RESPONSE MULTIASST INSTL2019-04-232021-04-07$69,839$61,814$8,025$8,025
138. SCHEIN HENRY INC2015-10-202021-10-07$11,010$7,903$3,107$3,107
150. STARBUCKS CORP2019-07-052021-10-07$16,879$13,089$3,790$3,790
150. 3M CO1981-08-072021-10-07$26,740$1,013$25,727$25,727
329.128 VANGUARD COMMODITY STRATEGY FUND2021-04-072021-10-07$12,000$9,564$2,436$2,436
32. VIATRIS INC2015-10-202021-07-12$454$461-$7-$7
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
CAPITAL GAIN DIVIDENDS$16,389P
FieldValueIRS element (for citing)
Capital Gain Net Income$147,981CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,072InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,072SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,072TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,080EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$2,080TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$992TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

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 StateRIOrgReportOrRegisterStateCd
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 Line1CITIZENS BANK NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4012824743PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1ONE CITIZENS PLAZAAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
LAWRENCE SOFORENKO
209 ANGELL STREETPROVIDENCERI02906CO-TRUSTEE2$0
MAX KOHLENBERG
2500 HOSPITAL TRUST PLAZAPROVIDENCERI02903CO-TRUSTEE2$715
CITIZENS BANK N A
ONE CITIZENS PLAZAPROVIDENCERI02903TRUSTEE2$16,534
ANDREW KOHLENBERG
PO BOX 235WESTPORT PTMA02791CO-TRUSTEE2$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
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$4,188,854AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$95,429AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,284,283TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,284,283AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$64,264CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,220,019NetVlNoncharitableAssetsAmt
Minimum Investment Return$211,001MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$211,001MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,072TaxBasedOnInvestmentIncomeAmt
Total Tax$3,072TotalTaxAmt
Distributable Before Adj$207,929DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$207,929DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$207,929DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$205,456ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$205,456QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$207,929DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$16,280ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$19,996ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$30,737ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$8,589ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$25,640ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$101,242TotalExcessDistributionCyovAmt
Qualifying Distributions$205,456QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$205,456AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$2,473ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$2,473ExcessDistributionCyovAppCYAmt
Total Corpus$98,769TotalCorpusAmt
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$13,807ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$84,962ExcessDistriCyovToNextYrAmt
Excess From Year4$19,996ExcessFromYear4Amt
Excess From Year3$30,737ExcessFromYear3Amt
Excess From Year2$8,589ExcessFromYear2Amt
Excess From Year1$25,640ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonCITIZENS NARecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1ONE CITIZENS PLAZAAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Recipient Phone4014567301RecipientPhoneNum
Form And Info And MaterialsNAME OF ORGANIZATION AND USE OF FUNDSFormAndInfoAndMaterialsTxt
Submission DeadlinesNO DEADLINE: NOTICE OF APPROVAL OR REJECTION WITHIN ONE MONTH OF SUBMISSIONSubmissionDeadlinesTxt
Restrictions On AwardsSHOULD BE A CHARITABLE ORGANIZATIONRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEE ATTACHED STATEMENTBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1SEE ATTACHED STATEMENTAddressLine1Txt
CityJOHNSTONCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02919ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusN/ARecipientFoundationStatusTxt
Grant Or Contribution PurposeUNLESS SPECIFIED ONGrantOrContributionPurposeTxt
Amt$196,057Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$196,057TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$93,070ExclusionAmt
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$147,981ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
Desc990PF REFUNDDesc
Exclusion1ExclusionCd
Exclusion$968ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$242,019ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$242,019TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

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)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$725Amt
Disbursements Charitable Prps$725DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemSEE ATTACHED STATEMENTCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$2,565,122BookValueAmt
EOYFMV$4,253,780EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (3 entries)

DescDescAmtAmt
MUTUAL FUND TIMING DIFFERENCE$478
2021 GRANT NOT CASHED$6,000
REISSUE OF 2020 CHECK IN 2021$1,500

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOTHER ALLOCABLE EXPENSE-PRINCIDesc
Revenue And Expenses Per Books$50RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$50DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Revenue And Expenses Per Books$968RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
2020 GRANT REVERSED IN 2021$5,000
ROC ADJUSTMENTS$305

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMNT MNGMNT FEES (NON-DEDCategoryTxt
Amt$10,593Amt
Net Investment Income$10,593NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES$68$68$0
FOREIGN TAXES ON QUALIFIED FOR$609$609$0
FOREIGN TAXES ON NONQUALIFIED$138$138$0

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