KANSAS HEALTH INSTITUTE: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- KANSAS HEALTH INSTITUTE (EIN 48-1148972)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2022-02-16
- IRS object ID
- 202210479349100306
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Depreciation Schedule
- Land Etc Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-16T07:47:51-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481066439 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BT&CO PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4301 SW HUNTOON ST | AddressLine1Txt |
| City | TOPEKA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481148972 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KANSAS HEALTH INSTITUTE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KANS | BusinessNameControlTxt |
| Phone | 7852335443 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 212 SW 8TH AVENUE NO 300 | AddressLine1Txt |
| City | TOPEKA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 666033936 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT F ST PETER MD | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 7852335443 | PhoneNum |
| Signature | 2022-02-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROBERT | PersonFirstNm |
| Person Last | ST PETER MD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | REBECCA SHAW | PreparerPersonNm |
| PTIN | P01275425 | PTIN |
| Phone | 7852343427 | PhoneNum |
| Preparation | 2022-02-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| PF60 Month Term Sect507b1 B | Yes (X) | PF60MonthTermSect507b1BInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $8,863,788 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $3,648,731 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $34,851 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $34,851 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $34,851 | InterestOnSavingsAdjNetIncmAmt |
| Gross Rents Rev And Expnss | $206,440 | GrossRentsRevAndExpnssAmt |
| Gross Rents Net Invst Incm | $206,440 | GrossRentsNetInvstIncmAmt |
| Gross Rents Adj Net Incm | $206,440 | GrossRentsAdjNetIncmAmt |
| Net Rental Income Or Loss | -$46,114 | NetRentalIncomeOrLossAmt |
| Net Gain Sale Ast Rev And Expnss | -$112 | NetGainSaleAstRevAndExpnssAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $2,020 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $2,020 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $3,891,930 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $241,291 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $243,311 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $441,669 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $441,669 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $441,669 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $1,926,082 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $1,926,082 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $1,926,082 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $452,172 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $452,172 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $452,172 | PensionEmplBnftDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $256,030 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $256,030 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $256,030 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $40 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $40 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $40 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $247,071 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $146,682 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $100,389 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $90,851 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $90,851 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $90,851 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $36,879 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $36,879 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $36,879 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $1,140 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $1,140 | PrintingAndPubAdjNetIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $1,140 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $349,464 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $59,758 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $242,867 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $242,867 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $3,801,398 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $206,440 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $3,548,119 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $3,447,730 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $3,801,398 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $206,440 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $3,548,119 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $3,447,730 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $90,532 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $34,851 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,051,623 | CashBOYAmt |
| Cash EOY | $1,543,772 | CashEOYAmt |
| Cash EOYFMV | $1,543,772 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $1,800,000 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $1,750,000 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $1,750,000 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $128,440 | AcctRcvblAmt |
| Acct Rcvbl BOY | $41,849 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $128,440 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $128,440 | AcctRcvblEOYFMVAmt |
| Grants Receivable BOY | $193,534 | GrantsReceivableBOYAmt |
| Grants Receivable EOY | $8,033 | GrantsReceivableEOYAmt |
| Grants Receivable EOYFMV | $8,033 | GrantsReceivableEOYFMVAmt |
| Prepaid Expenses BOY | $31,819 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $28,832 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $28,832 | PrepaidExpensesEOYFMVAmt |
| Invst Land Cost Or Other Basis | $5,599,052 | InvstLandCostOrOtherBasisAmt |
| Invst Land Accum Depreciation | $737,410 | InvstLandAccumDepreciationAmt |
| Land Bldg Investments BOY | $4,943,848 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOY | $4,861,642 | LandBldgInvestmentsEOYAmt |
| Land Bldg Investments EOYFMV | $4,861,642 | LandBldgInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $1,368,211 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $825,142 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $587,324 | LandBOYAmt |
| Land EOY | $543,069 | LandEOYAmt |
| Land EOYFMV | $543,069 | LandEOYFMVAmt |
| Total Assets BOY | $8,649,997 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,863,788 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $8,863,788 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $357,246 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $445,586 | AccountsPayableEOYAmt |
| Deferred Revenue BOY | $556,399 | DeferredRevenueBOYAmt |
| Deferred Revenue EOY | $591,318 | DeferredRevenueEOYAmt |
| Other Liabilities BOY | $2,000 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $2,000 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $915,645 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,038,904 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $7,734,352 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $7,824,884 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $7,734,352 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $7,824,884 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $8,649,997 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $8,863,788 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $7,734,352 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $90,532 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $7,824,884 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $7,824,884 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | LOSS ON DISPOSAL OF FIXED ASSETS | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Depreciation | $14,756 | DepreciationAmt |
| Cost Or Other Basis | $14,868 | CostOrOtherBasisAmt |
| Gain Or Loss | -$112 | GainOrLossAmt |
| Gains Minus Excess Or Losses | -$112 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$112 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $0 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $484 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $484 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $484 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,763 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,763 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,279 | OverpaymentAmt |
| Applied To ES Tax | $1,279 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | KS | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (1) | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.KHI.ORG | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7852335443 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 212 SW 8TH AVENUE NO 300 | AddressLine1Txt |
| City | TOPEKA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 666033936 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | 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 | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| ROBERT F ST PETER MD | ||||||||
| 212 SW 8TH AVE STE 300 | TOPEKA | KS | 666033936 | PRESIDENT | 40.00 | $397,419 | $28,500 | $0 |
| JANET STANEK | ||||||||
| 400 SW WHITEHALL LANE | TOPEKA | KS | 66606 | CHAIR | 1.00 | $3,750 | $0 | $0 |
| MATT PERRIER | ||||||||
| 1823 G50 RD | EUREKA | KS | 67045 | DIRECTOR | 1.00 | $3,000 | $0 | $0 |
| JEAN CLIFFORD | ||||||||
| 102 DRURY LANE | GARDEN CITY | KS | 67846 | DIRECTOR | 1.00 | $3,000 | $0 | $0 |
| DAVID E GRAHAM MD | ||||||||
| 10213 S NORTHLAKE AVE | OLATHE | KS | 66061 | DIRECTOR | 1.00 | $3,000 | $0 | $0 |
| CHRISTY HOPKINS | ||||||||
| PO BOX 142 | TRIBUNE | KS | 67879 | DIRECTOR | 1.00 | $3,000 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| KARI BRUFFETT | ||||||||
| 1734 E 800 ROAD | LAWRENCE | KS | 66049 | VP OF POLICY | 40.00 | $197,722 | $25,402 | $0 |
| GIANFRANCO PEZZINO MD | ||||||||
| 2823 SW MACVICAR AVENUE | TOPEKA | KS | 66611 | SENIOR FELLOW | 40.00 | $193,467 | $19,356 | $0 |
| WEN-CHIEH LIN | ||||||||
| 4320 HUTTON CIRCLE | LAWRENCE | KS | 66049 | DIRECTOR OF RESEARCH | 40.00 | $163,093 | $26,656 | $0 |
| TATIANA LIN | ||||||||
| 15119 W 156TH STREET | OLATHE | KS | 66062 | SENIOR ANALYST | 40.00 | $126,350 | $20,409 | $0 |
| LINDA SHEPPARD | ||||||||
| 2733 LAWRENCE AVE | LAWRENCE | KS | 66047 | SENIOR ANALYST | 40.00 | $125,850 | $20,691 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 19 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GORENFLO CONSULTING INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 577 E SHADOW LN | AddressLine1Txt |
| City | STATE COLLEGE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Service Type | ADMINISTRATION | ServiceTypeTxt |
| Compensation | $123,163 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | CORE OPERATING RESEARCH | Description1Txt |
| Expenses1 | $826,862 | Expenses1Amt |
| Description2 | OTHER PROGRAM RESEARCH | Description2Txt |
| Expenses2 | $1,038,356 | Expenses2Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $4,197,450 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,197,450 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $4,197,450 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $62,962 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,134,488 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $206,724 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $3,447,730 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $3,447,730 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $3,447,730 | AdjustedQualifyingDistriAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 1995-07-14 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $3,447,730 | CurrentYearAmt |
| Year1 | $3,938,296 | Year1Amt |
| Year2 | $3,836,543 | Year2Amt |
| Year3 | $4,239,608 | Year3Amt |
| Total | $15,462,177 | TotalAmt |
Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $3,447,730 | CurrentYearAmt |
| Year1 | $3,938,296 | Year1Amt |
| Year2 | $3,836,543 | Year2Amt |
| Year3 | $4,239,608 | Year3Amt |
| Total | $15,462,177 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $137,816 | CurrentYearAmt |
| Year1 | $136,039 | Year1Amt |
| Year2 | $115,187 | Year2Amt |
| Year3 | $101,373 | Year3Amt |
| Total | $490,415 | TotalAmt |
Total Support TotalSupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Public Support Type PublicSupportType
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Largest Support From EO LargestSupportFromEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Investment Income GrossInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
| Total Grant Or Contri Pd Dur Yr | $0 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $34,851 | ExclusionAmt |
Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 16 | ExclusionCd |
| Exclusion | -$46,114 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$112 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt | ExclusionExclusionCd |
|---|---|---|
| OTHER INCOME | $2,020 | |
| ROYALTY INCOME | 15 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | -$11,375 | ExclusionAmt |
| Related Or Exempt Function Incm | $2,020 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | -$9,355 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 11 | LineNumberTxt |
| Relationship Statement | INCOME IS RELATED TO FURTHERING THE MISSION OF THE ORGANIZATION, WHICH IS TO IMPROVE THE HEALTH OF ALL KANSANS THROUGH NONPARTISAN RESEARCH, EDUCATION AND ENGAGEMENT THAT SUPPORT EFFECTIVE POLICYMAKING. | RelationshipStatementTxt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (11 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| ROBERT WOOD JOHNSON FOUNDATION | ||||||
| 1 | ROUTE 1 AND COLLEGE ROAD EAST | PRINCETON | NJ | 08543 | $611,231 | Yes (X) |
| KANSAS ACTION FOR CHILDREN | ||||||
| 2 | 720 SW JACKSON SUITE 201 | TOPEKA | KS | 66603 | $35,000 | Yes (X) |
| KANSAS HEALTH FOUNDATION | ||||||
| 3 | 309 E DOUGLAS | WICHITA | KS | 67202 | $2,648,412 | Yes (X) |
| BLUE CROSS BLUE SHIELD OF KANSAS | ||||||
| 4 | 1133 SW TOPEKA BLVD | TOPEKA | KS | 66629 | $158,844 | Yes (X) |
| KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES | ||||||
| 5 | 503 S KANSAS AVENUE NEW ENGLAND BLD | TOPEKA | KS | 66603 | $11,000 | Yes (X) |
| AARP KANSAS STATE OFFICE | ||||||
| 6 | 6220 SW 29TH STREET | TOPEKA | KS | 66614 | $5,941 | Yes (X) |
| SHAWNEE COUNTY HEALTH DEPARTMENT | ||||||
| 7 | 2600 SW EAST CIRCLE DRIVE | TOPEKA | KS | 66606 | $27,063 | Yes (X) |
| KCUR KANSAS NEWS SERVICE | ||||||
| 8 | 4825 TROOST SUITE 202 | KANSAS CITY | MO | 64110 | $14,956 | Yes (X) |
| ORAL HEALTH OF KANSAS | ||||||
| 9 | 712 KANSAS AVE SUITE 412 | TOPEKA | KS | 66603 | $15,000 | Yes (X) |
| KANSAS DEPARTMENT FOR HEALTH AND ENVIRONMENT | ||||||
| 10 | 1000 SW JACKSON | TOPEKA | KS | 66612 | $73,570 | Yes (X) |
| RAWLINS COUNTY HEALTH DEPARTMENT | ||||||
| 11 | 216 S 4TH ST | ATWOOD | KS | 67730 | $13,033 | Yes (X) |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (16 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Computation MethodComputationMethodTxt |
|---|---|---|---|---|---|---|---|---|
| EQUIPMENT | 2010-06-30 | $246,680 | $241,923 | 5.000000000000 | $0 | $0 | $0 | |
| FURNITURE | 2010-06-30 | $391,220 | $307,588 | 7.000000000000 | $0 | $0 | $0 | |
| HAYDEN BUILDING | 2015-01-01 | $3,507,648 | $520,461 | 39.000000000000 | $0 | $0 | $0 | |
| HAYDEN BUILDING- RENOVATION | 2017-01-01 | $1,924,880 | $204,387 | 39.000000000000 | $0 | $0 | $0 | |
| HAYDEN BUILDING-IMPROVEMENTS | 2016-01-01 | $3,122 | $1,768 | 39.000000000000 | $0 | $0 | $0 | |
| HAYDEN BUILDING-IMPROVEMENTS | 2017-01-01 | $3,351 | $1,639 | 39.000000000000 | $0 | $0 | $0 | |
| LAND | 2015-01-01 | $277,550 | $0 | $0 | $0 | L | ||
| HAYDEN BUILDING-IMPROVEMENTS | 2018-01-01 | $11,745 | $2,713 | 39.000000000000 | $0 | $0 | $0 | |
| HAYDEN BUILDING-RENOVATION | 2019-12-31 | $56,260 | $1,795 | 39.000000000000 | $0 | $0 | $0 | |
| EQUIPMENT | 2019-12-31 | $19,037 | $5,398 | 5.000000000000 | $0 | $0 | $0 | |
| FURNITURE | 2019-12-31 | $17,779 | $2,273 | 7.000000000000 | $0 | $0 | $0 | |
| HAYDEN BUILDING-IMPROVEMENTS | 2019-12-31 | $27,646 | $3,530 | 15.000000000000 | $0 | $0 | $0 | |
| COMPUTERS | 2019-01-01 | $357,947 | $260,008 | 5.000000000000 | $0 | $0 | $0 | |
| COMPUTERS | 2020-12-31 | $43,226 | $7,642 | 5.000000000000 | $0 | $0 | $0 | |
| FURNITURE | 2020-12-31 | $14,772 | $309 | 7.000000000000 | $0 | $0 | $0 | |
| HAYDEN BUILDING-IMPROVEMENTS | 2020-12-31 | $64,400 | $1,118 | 15.000000000000 | $0 | $0 | $0 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (16 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| EQUIPMENT | $246,680 | $241,923 | $4,757 |
| FURNITURE | $391,220 | $307,588 | $83,632 |
| HAYDEN BUILDING | $3,507,648 | $520,461 | $2,987,187 |
| HAYDEN BUILDING- RENOVATION | $1,924,880 | $204,387 | $1,720,493 |
| HAYDEN BUILDING-IMPROVEMENTS | $3,122 | $1,768 | $1,354 |
| HAYDEN BUILDING-IMPROVEMENTS | $3,351 | $1,639 | $1,712 |
| LAND | $277,550 | $0 | $277,550 |
| HAYDEN BUILDING-IMPROVEMENTS | $11,745 | $2,713 | $9,032 |
| HAYDEN BUILDING-RENOVATION | $56,260 | $1,795 | $54,465 |
| EQUIPMENT | $19,037 | $5,398 | $13,639 |
| FURNITURE | $17,779 | $2,273 | $15,506 |
| HAYDEN BUILDING-IMPROVEMENTS | $27,646 | $3,530 | $24,116 |
| COMPUTERS | $357,947 | $260,008 | $97,939 |
| COMPUTERS | $43,226 | $7,642 | $35,584 |
| FURNITURE | $14,772 | $309 | $14,463 |
| HAYDEN BUILDING-IMPROVEMENTS | $64,400 | $1,118 | $63,282 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (18 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| PROFESSIONAL DEVELOPMENT | $5,050 | $0 | $5,050 | $5,050 |
| VEHICLE | $11,914 | $0 | $11,914 | $11,914 |
| MISCELLANEOUS CONTRACTS | $88,430 | $0 | $88,430 | $88,430 |
| POSTAGE | $1,439 | $0 | $1,439 | $1,439 |
| SUPPLIES | $8,596 | $0 | $8,596 | $8,596 |
| DUES & SUBSCRIPTIONS | $9,237 | $0 | $9,237 | $9,237 |
| INFORMATION SYSTEMS | $20,105 | $0 | $20,105 | $20,105 |
| COMMUNICATIONS | $9,452 | $0 | $9,452 | $9,452 |
| DATABASE/SOFTWARE | $23,863 | $0 | $23,863 | $23,863 |
| JANITORIAL SERVICES | $8,175 | $0 | $8,175 | $8,175 |
| PARKING | $9,260 | $0 | $9,260 | $9,260 |
| INSURANCE | $18,560 | $0 | $18,560 | $18,560 |
| MISCELLANEOUS | $16,220 | $3,418 | $12,077 | $12,077 |
| TELEPHONE | $7,407 | $0 | $7,407 | $7,407 |
| BOOKS | $152 | $0 | $152 | $152 |
| HAYDEN CAM EXPENSES | $102,454 | $102,454 | $0 | $0 |
| OTHER OFFICE EXPENSES | $9,150 | $0 | $9,150 | $9,150 |
| RENTAL EXPENSES IN EXCESS OF NII LIMITATION | $0 | -$46,114 | $0 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Revenue And Expenses Per Books | $2,020 | RevenueAndExpensesPerBooksAmt |
| Adjusted Net Income | $2,020 | AdjustedNetIncomeAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SECURITY DEPOSITS | Desc |
| BOY Book Value | $2,000 | BOYBookValueAmt |
| EOY Book Value | $2,000 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| RECRUITING | $2,777 | $0 | $2,777 | $2,777 |
| PROJECT CONSULTANTS & FEES | $228,268 | $0 | $228,268 | $228,268 |
| FINANCIAL SERVICES | $24,985 | $0 | $24,985 | $24,985 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | OTHER TAXES | CategoryTxt |
| Amt | $40 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $40 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $40 | DisbursementsCharitablePrpsAmt |
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