RODGER A GRAEF FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- RODGER A GRAEF FOUNDATION (EIN 88-0485247)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-02
- IRS object ID
- 202202459349101000
- 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 Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-09-02T11:00:25-05:00 | 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 | 880485247 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RODGER AND KATE GRAEF FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RODG | BusinessNameControlTxt |
| Phone | 5034643580 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0634 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532010634 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | OFFICERTRUSTEE | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 5034643580 | PhoneNum |
| Signature | 2022-08-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALLISON J VALENTY | PreparerPersonNm |
| PTIN | P00963824 | PTIN |
| Phone | 4123556000 | PhoneNum |
| Preparation | 2022-08-25 | 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 | $2,776,665 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $56,663 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $56,660 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $35,832 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $85,380 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $35,832 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $92,495 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $92,492 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $3,570 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $3,570 | 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 | $1,500 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $1,500 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $24,926 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $22,434 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $2,493 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $521 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $286 | 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 |
| Other Expenses Rev And Expnss | $640 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $640 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $31,157 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $22,720 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $8,203 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $100,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $100,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $131,157 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $22,720 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $108,203 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$38,662 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $69,772 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $186 | CashBOYAmt |
| Cash EOY | $878 | CashEOYAmt |
| Cash EOYFMV | $878 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $36,641 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $46,996 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $46,996 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Corporate Stock BOY | $765,695 | CorporateStockBOYAmt |
| Corporate Stock EOY | $727,954 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,909,089 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $642,900 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $642,900 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $635,589 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $126,726 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $114,907 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $181,492 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $2,794 | OtherAssetsBOYAmt |
| Other Assets EOY | $2,621 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $2,621 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $1,574,942 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,536,256 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,776,665 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $1,574,942 | CapitalStockBOYAmt |
| Capital Stock EOY | $1,536,256 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,574,942 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,536,256 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,574,942 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,536,256 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,574,942 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$38,662 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,536,280 | SubtotalAmt |
| Other Decreases | $24 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,536,256 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (8 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 600. ISHARES S P 500 GROWTH ETF | 2020-04-24 | 2021-05-19 | $39,988 | $27,418 | $12,570 | $12,570 | |
| 49. VIATRIS INC | 2009-10-15 | 2021-05-19 | $762 | $361 | $401 | $401 | |
| 300. ISHARES S P 500 GROWTH ETF | 2017-03-17 | 2021-07-23 | $22,828 | $9,951 | $12,877 | $12,877 | |
| 130. ISHARES MSCI USA QUALITY FACTOR ETF | 2020-04-30 | 2021-08-25 | $18,270 | $11,818 | $6,452 | $6,452 | |
| CAPITAL GAIN DIVIDENDS | $3,532 | P | |||||
| CAPITAL GAIN DIVIDENDS | $3,532 | P | |||||
| CAPITAL GAIN DIVIDENDS | $3,532 | P | |||||
| CAPITAL GAIN DIVIDENDS | $3,532 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $35,832 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $970 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $970 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $970 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $424 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $546 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $970 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| 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 | NV | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | US BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7022511676 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 SW OAK | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97204 | 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 | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| 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 (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| MARK GRAEF | ||||||
| 24070 COUNTRY SQUIRE BLVD 219 | CLINTON TOWNSHIP | MI | 48035 | Secretary | 1 | $595 |
| PEGGY GRAEF | ||||||
| 312 WILD PLUM LANE | LAS VEGAS | NV | 89107 | Co-Trustee | 1 | $595 |
| CATHERINE M PREST | ||||||
| 2449 SUMMERHILL LN | FALLBROOK | CA | 92028 | Treasurer | 1 | $595 |
| DWIGHT A GRAEF | ||||||
| 6226 FLAMINGO WAY | ROCKLIN | CA | 95765 | President | 1 | $595 |
| BRIAN A GRAEF | ||||||
| 659 WOODCREEK CT | SALINE | MI | 481761172 | Director | 1 | $595 |
| MICHELLE STACHERSKI | ||||||
| 4987 TRILLIUM TRAIL | LONG GROVE | IL | 60047 | DIRCETOR | 1 | $595 |
| 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 | $2,592,891 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $50,021 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,642,912 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,642,912 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $39,644 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,603,268 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $130,163 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $130,163 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $970 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $970 | TotalTaxAmt |
| Distributable Before Adj | $129,193 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $129,193 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $129,193 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $108,203 | 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 | $108,203 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $129,193 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $21,562 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $23,719 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $9,675 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $54,956 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $108,203 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $108,203 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $20,990 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $20,990 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $33,966 | 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 | $33,966 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $572 | ExcessFromYear4Amt |
| Excess From Year3 | $23,719 | ExcessFromYear3Amt |
| Excess From Year2 | $9,675 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | ENA LICINA | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 W SAHARA AVE STE 200 | AddressLine1Txt |
| City | LAS VEGAS | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 7022511649 | RecipientPhoneNum |
| Form And Info And Materials | CONTACT ABOVE | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | CONTACT ABOVE | SubmissionDeadlinesTxt |
| Restrictions On Awards | CONTACT ABOVE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (20 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| DANNY'S MIRACLE ANGEL NETWORK | ||||||||
| 1701 MORTHFIELD DR | ROCHESTER HILLS | MI | 48309 | NONE | PC | GENERAL OPERATING | $5,000 | |
| VOLUNTEERS OF AMERICA MICHIGAN | ||||||||
| 21415 CIVIC CENTER DRIVE STE 306 | SOUTHFIELD | MI | 48076 | NONE | PC | GENERAL OPERATING | $5,500 | ATTN DARIN ESTEP |
| MATRIX HUMAN SERVICES | ||||||||
| 1400 WOODBRIDGE | DETROIT | MI | 48207 | NONE | PC | GENERAL OPERATING | $5,000 | |
| NORTHSIDE EDUCATION FOUNDATION | ||||||||
| 6632 BANDERA ROAD BUILDING A | SAN ANTONIO | TX | 78238 | NONE | PC | GENERAL OPERATING | $7,500 | |
| ROBBIE'S HOPE FOUNDATION | ||||||||
| 3440 YOUNGFIELD ST STE 267 | WHEAT RIDGE | CO | 80033 | NONE | PC | GENERAL OPERATING | $5,000 | |
| RYAN HOUSE | ||||||||
| 110 W MUHAMMAD ALI WAY FLOOR 1 | PHOENIX | AZ | 85013 | NONE | PC | GENERAL OPERATING | $9,000 | |
| SOUTH CAROLINA AQUARIUM | ||||||||
| 100 AQUARIUM WHARF | CHARLESTON | SC | 29401 | NONE | PC | GENERAL OPERATING | $2,000 | |
| STEPS TO RECOVERY HOMES | ||||||||
| 516 E STATE ROUTE 89A SUITE 113 | COTTONWOOD | AZ | 86326 | NONE | PC | GENERAL OPERATING | $5,000 | |
| TRIPLE H YOUTH RANCH INC | ||||||||
| 20606 S CARROLTON AVE | RIPON | CA | 95366 | NONE | PC | GENERAL OPERATING | $3,500 | |
| WILLIAM JESSUP UNIVERSITY | ||||||||
| 2121 UNIVERSITY AVENUE | ROCKLIN | CA | 95765 | NONE | PC | GENERAL OPERATING | $10,000 | |
| GRANDMA'S PLACE | ||||||||
| 184 SPARROW DRIVE | ROYAL PALM BEACH | FL | 33411 | NONE | PC | GENERAL OPERATING | $2,500 | |
| APPARO ACADEMY | ||||||||
| 3104 SKINNER MILL RD | AUGUSTA | GA | 30909 | NONE | PC | GENERAL OPERATING | $5,000 | |
| AUTISM MODEL COMMUNITY SCHOOL | ||||||||
| 3020 TREMAINSVILLE ROAD | TOLDEO | OH | 43613 | NONE | PC | GENERAL OPERATING | $5,000 | |
| AUTISM SOCIETY OF SOUTHERN ARIZONA | ||||||||
| 2600 NORTH WYATT DRIVE | TUCSON | AZ | 85712 | NONE | PC | GENERAL OPERATING | $5,000 | |
| BEYOND THE GAME | ||||||||
| PO BOX 8516 | CANTON | OH | 44711 | NONE | PC | GENERAL OPERATING | $10,000 | |
| DALE K GRAHAM VETERANS FOUNDATION | ||||||||
| 1268 NORTH INTERSTATE DR | NORMAN | OK | 73072 | NONE | PC | GENERAL OPERATING | $6,000 | |
| DEVELOPMENT CENTERS | ||||||||
| 17421 TELEGRAPH | DETROIT | MI | 48219 | NONE | PC | GENERAL OPERATING | $2,500 | |
| FOR THE GIRLS INC | ||||||||
| 514 HILLSBORO DRIVE | SILVER SPRING | MD | 20902 | NONE | PC | GENERAL OPERATING | $2,500 | |
| CAROL'S KITCHEN | ||||||||
| 244 MAPLE AVE STE W | BEAUMONT | CA | 92223 | NONE | PC | GENERAL OPERATING | $1,500 | |
| WARRIORS AND CAREGIVERS UNITED | ||||||||
| PO BOX 1586 | ANN ARBOR | MI | 48106 | NONE | PC | GENERAL OPERATING | $2,500 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $100,000 | 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 | $56,663 | 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 | $35,832 | 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 | $92,495 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $92,495 | 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 | $1,500 | Amt |
| Disbursements Charitable Prps | $1,500 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (5 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 87234N765 TCW EMERGING MARKETS | ||
| 74440B884 PGIM TOTAL RETURN BO | $353,730 | $363,215 |
| 72369L107 PIONEER ILS INTERVAL | $50,000 | $43,499 |
| 258620103 DOUBLELINE TOTAL RET | $239,170 | $228,875 |
| 95768D400 WESTERN ASSET MACRO |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (25 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 594918104 MICROSOFT CORP | $9,150 | $100,896 |
| 260557103 DOW INC | $2,789 | $4,708 |
| 06828M876 BARON EMERGING MARKE | $49,967 | $90,103 |
| 452308109 ILLINOIS TOOL WORKSI | $5,332 | $30,850 |
| 464287408 ISHARES S P 500 VALU | $71,591 | $117,473 |
| 20825C104 CONOCOPHILLIPS | $7,511 | $18,045 |
| 74254V273 PRINCIPAL GL R E SEC | $24,989 | $31,204 |
| 031162100 AMGEN INC | $6,736 | $22,497 |
| 464287309 ISHARES S P 500 GROW | $81,643 | $225,909 |
| 670678507 NUVEEN REAL ESTATE S | $37,644 | $45,157 |
| 78462F103 SPDR S P 500 ETF | $38,171 | $154,362 |
| 03027X100 AMERICAN TOWER CORP | $4,669 | $36,563 |
| 464287168 ISHARES SELECT DIVID | $55,618 | $134,972 |
| 68389X105 ORACLE CORPORATION | $7,108 | $34,884 |
| 464287804 ISHARES CORE S P SMA | $22,355 | $80,042 |
| 46432F842 ISHARES CORE MSCI EA | $170,340 | $238,027 |
| 717081103 PFIZER INC | $6,640 | $23,620 |
| 26614N102 DUPONT DE NEMOURS IN | $4,257 | $6,705 |
| 46625H100 J P MORGAN CHASE CO | $8,986 | $31,670 |
| 78467Y107 SPDR S P MIDCAP 400 | $103,908 | $245,898 |
| 037833100 APPLE INC | $1,037 | $142,056 |
| 22160K105 COSTCO WHSL CORP | $1,869 | $56,770 |
| 88579Y101 3M CO | $5,191 | $13,322 |
| 001055102 AFLAC INC | $453 | $23,356 |
| 92556V106 VIATRIS INC |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| 46432F339 ISHARES MSCI USA QUA | AT COST | $51,818 | $82,969 |
| 46432F388 ISHARES MSCI USA VAL | AT COST | $63,089 | $98,523 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 000000000 MISCELLANEOUS ENTRY | Desc |
| BOY Book Value | $2,794 | BOYBookValueAmt |
| EOY Book Value | $2,621 | EOYBookValueAmt |
| EOYFMV | $2,621 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PY RETURN OF CAPITAL ADJ | $11 |
| ROUNDING | $13 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OTHER MISC EXPENSES | $590 | $0 | $590 |
| STATE FILING FEE/TAX | $50 | $0 | $50 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | OTHER EXPENSE (NON-DEDUCTIBLE | CategoryTxt |
| Amt | $24,926 | Amt |
| Net Investment Income | $22,434 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $2,493 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $177 | $177 | $0 |
| FEDERAL ESTIMATES - PRINCIPAL | $235 | $0 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $109 | $109 | $0 |
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