COMMUNITY HEALTH FOUNDATION OF WARREN AND HENDERSON COUNTIES: Form 990PF, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH FOUNDATION OF WARREN AND HENDERSON COUNTIES (EIN 20-8070870)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-05-15
- IRS object ID
- 202541359349104619
- Schema version
- 2024v5.1
- 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 Other Schedule2
- Other Expenses Schedule
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T13:14:30-07:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363794537 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Timmer And Associates CPA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4480 - 48th Avenue Ct Suite 3 | AddressLine1Txt |
| City | Rock Island | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208070870 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH FOUNDATION OF WARREN & | BusinessNameLine1Txt |
| Business Name Line2 | HENDERSON COUNTIES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 3097349333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 EAST BROADWAY | AddressLine1Txt |
| City | MONMOUTH | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61462 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOROTHY RICKETTS | PersonNm |
| Person Title | Secretary | PersonTitleTxt |
| Signature | 2025-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDREA WILLIS CPA | PreparerPersonNm |
| PTIN | P00533697 | PTIN |
| Phone | 5633239407 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $19,246,255 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $851 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $851 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $851 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $519,322 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $519,322 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $519,322 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $763,445 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $4,837,351 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $763,445 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $40,785 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $1,283,618 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,283,618 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $560,958 | TotalAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $1,750 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,750 | AccountingFeesNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $50,000 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $50,000 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $9,179 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $9,179 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $1,394 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,394 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $62,323 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $62,323 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $850,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $850,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $912,323 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $62,323 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $850,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $371,295 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,221,295 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $560,958 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $492,386 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $313,373 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $313,373 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $15,314,674 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $15,954,634 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $18,932,882 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $15,807,060 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,268,007 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $19,246,255 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $15,807,060 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $16,268,007 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $15,807,060 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $16,268,007 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $15,807,060 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $16,268,007 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $15,807,060 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $371,295 | ExcessRevenueOverExpensesAmt |
| Other Increases | $89,652 | OtherIncreasesAmt |
| Subtotal | $16,268,007 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $16,268,007 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| CHARLES SCHWAB - LONG TERM | P | 2023-12-30 | 2024-12-31 | $4,109,594 | $3,386,934 | $722,660 | $722,660 |
| CHARLES SCHWAB - SHORT TERM | P | 2023-12-31 | 2024-12-31 | $727,757 | $686,972 | $40,785 | $40,785 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $763,445 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $40,785 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $16,976 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $16,976 | SubtotalAmt |
| Tax Based On Investment Income | $16,976 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $9,497 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $12,000 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $21,497 | TotalPaymentsAndCreditsAmt |
| Overpayment | $4,521 | OverpaymentAmt |
| Applied To ES Tax | $4,521 | AppliedToESTaxAmt |
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 |
| 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 | DOROTHY RICKETTS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3097342330 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 E BROADWAY | AddressLine1Txt |
| City | MONMOUTH | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61462 | 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 |
| 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 (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| DOROTHY RICKETTS | ||||||
| 202 NORTH G STREET | MONMOUTH | IL | 61462 | CHAIR | 0.00 | $0 |
| GARY HEATON | ||||||
| 715 NORTH 9TH STREET | MONMOUTH | IL | 61462 | Secretary | 0.00 | $0 |
| MICHAEL CONNELL | ||||||
| 1150 WARREN SCHOOL RD | MONMOUTH | IL | 61462 | VICE CHAIR | 0.00 | $0 |
| DR JAMES BATTENDURG | ||||||
| 2028 62ND ST | MONMOUTH | IL | 61462 | Director | 0.00 | $0 |
| DON GLADFELTER | ||||||
| 3610 AVIAN CT | MILAN | IL | 61264 | Director | 0.00 | $0 |
| SPUD RILEY | ||||||
| 1361 EAST BROADWAY | MONMOUTH | IL | 61462 | Director | 0.00 | $0 |
| CAROL SHAW | ||||||
| 1008 HWY 116 | ROSEVILLE | IL | 61462 | Director | 0.00 | $0 |
| JON FERGUSON | ||||||
| 17 FAIRWAY DRIVE | MONMOUTH | IL | 61462 | Director | 0.00 | $0 |
| LYNNE HAASE | ||||||
| RRI BOX 112 | BIGGSVILLE | IL | 61418 | Director | 0.00 | $0 |
| MARIA GODINA | ||||||
| 2176 US HWY 67 | MONMOUTH | IL | 61462 | Director | 0.00 | $0 |
| BRANDON OUELLETTE | ||||||
| 525 NORTH 11TH ST | MONMOUTH | IL | 61462 | Director | 0.00 | $0 |
| RACHEL KUNKLE | ||||||
| 1174 230TH AVE | GERLAW | IL | 61435 | Director | 0.00 | $0 |
| LISA DEKEZEL | ||||||
| 1000 W HARLEM AVE | MONMOUTH | IL | 61462 | EX-OFFICIO | 0.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $18,136,480 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $402,880 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $18,539,360 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $18,539,360 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $278,090 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $18,261,270 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $913,064 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $913,064 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $16,976 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $16,976 | TotalTaxAmt |
| Distributable Before Adj | $896,088 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $896,088 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $896,088 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $850,000 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $850,000 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $896,088 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $121,973 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $88,275 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr2 | $58,459 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $268,707 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $850,000 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $850,000 | AppliedToCurrentYearAmt |
| Excess Distri Cyov App CY Corpus | $46,088 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $46,088 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $222,619 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $75,885 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $146,734 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $88,275 | ExcessFromYear4Amt |
| Excess From Year2 | $58,459 | ExcessFromYear2Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | DOROTHY RICKETTS | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 EAST BROADWAY | AddressLine1Txt |
| City | MONMOUTH | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61462 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Info And Materials | N/A | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | N/A | SubmissionDeadlinesTxt |
| Restrictions On Awards | N/A | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | OSF HEALTHCARE SYSTEMS FD | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 WEST HARLEM AVENUE | AddressLine1Txt |
| City | MONMOUTH | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61462 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | NONE | RecipientRelationshipTxt |
| Recipient Foundation Status | NONPROFIT | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | EXPANSION | GrantOrContributionPurposeTxt |
| Amt | $850,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $850,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $851 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $519,322 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $763,445 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $520,173 | ExclusionAmt |
| Related Or Exempt Function Incm | $763,445 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,283,618 | TotalIncomeProducingActyAmt |
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 RETURN | CategoryTxt |
| Amt | $1,750 | Amt |
| Net Investment Income | $1,750 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (21 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DOUBLELINE CORE FIXED IN | AT COST | $961,479 | $948,488 |
| FIDELITY U.S. BOND INDEX | AT COST | $856,183 | $827,713 |
| GUGGENHEIM TOTAL RETURN | AT COST | $1,252,167 | $1,174,721 |
| PIMCO INCOME INSTL | AT COST | $464,858 | $471,393 |
| AMERICAN FUNDS EUROPACIF | AT COST | $812,453 | $958,265 |
| FIDELITY EMERGING MARKET | AT COST | $468,803 | $496,946 |
| FIDELITY INTERNATIONAL INDEX | AT COST | $1,037,555 | $1,297,625 |
| GMO QUALITY I | AT COST | $386,490 | $482,380 |
| JPMORGAN LARGE CAP GROWT | AT COST | $832,191 | $1,282,394 |
| SCHWAB FUNDAMENTAL US LA | AT COST | $1,309,939 | $1,647,325 |
| SCHWAB TOTAL STOCK MARKE | AT COST | $4,017,402 | $5,787,505 |
| ISHARES CORE S&P MID CAP 400 | AT COST | $393,463 | $415,608 |
| ISHARES 7-10 YEAR TRSURY | AT COST | $1,174,506 | $1,083,976 |
| VANGUARD INTERNATNL HGH | AT COST | $569,215 | $546,434 |
| VANGUARD MEGA CAP ETF | AT COST | $946,025 | $1,018,641 |
| VANGUARD SMALL CAP VALUE | AT COST | $471,905 | $493,468 |
| GUGGENHEIM LIMITED DURAT | AT COST | ||
| PIMCO LOW DURATION INCOM | AT COST | ||
| GMO RESOURCES I | AT COST | ||
| ISHARES MSCI USA MIN VOL | AT COST | ||
| ISHARES 1-3 YEAR TREASRY | AT COST |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| INSURANCE | $1,052 | $1,052 |
| LICENSES AND FEES | $15 | $15 |
| MEMBERSHIPS AND DUES | $115 | $115 |
| WEBSITE HOSTING | $212 | $212 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PRIOR PERIOD ADJUSTMENT | Desc |
| Amt | $89,652 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $50,000 | Amt |
| Net Investment Income | $50,000 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAXES | CategoryTxt |
| Amt | $9,179 | Amt |
| Net Investment Income | $9,179 | NetInvestmentIncomeAmt |
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