DON JACOBS SR CHARITABLE FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DON JACOBS SR CHARITABLE FOUNDATION INC (EIN 35-2373932)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-10
IRS object ID
202211309349102846
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-10T13:34:32-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN273858252PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DEAN DORTON ALLEN FORD PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 W MAIN STREET STE 1400AddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40507ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352373932EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DON JACOBS SR CHARITABLE FOUNDATION INCBusinessNameLine1Txt
Business Name Line2C/O DOUG DEANBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlDONJBusinessNameControlTxt
Phone8599131375PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 WEST MAIN STREET 300AddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40507ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDON L JACOBS SRPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone8599131375PhoneNum
Signature2022-05-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDONPersonFirstNm
Person LastJACOBS SRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALLISON C CARTERPreparerPersonNm
PTINP01242412PTIN
Phone8592552341PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$24,547,071FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$121InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$121InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$251,543DividendsRevAndExpnssAmt
Dividends Net Invst Incm$251,543DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$34,192NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,287,442GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$17,758CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$218OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$218OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$286,074TotalRevAndExpnssAmt
Total Net Invst Incm$269,640TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$4,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$2,000CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$2,000CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,280AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,640AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,640AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$146,077OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$146,077OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$199TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$15OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$8OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$7OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$153,571TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$149,725TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,647TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$507,429ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$507,429ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$661,000TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$149,725TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$511,076TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$374,926ExcessRevenueOverExpensesAmt
Net Investment Income$119,915NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$454,086SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$239,926SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$239,926SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$399,441USGovernmentObligationsBOYAmt
US Government Obligations EOY$0USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$0USGovtObligationsEOYFMVAmt
Corporate Stock BOY$9,705,159CorporateStockBOYAmt
Corporate Stock EOY$10,347,413CorporateStockEOYAmt
Corporate Stock EOYFMV$18,872,200CorporateStockEOYFMVAmt
Corporate Bonds BOY$2,367,558CorporateBondsBOYAmt
Corporate Bonds EOY$2,289,220CorporateBondsEOYAmt
Corporate Bonds EOYFMV$2,304,260CorporateBondsEOYFMVAmt
Other Investments BOY$2,257,157OtherInvestmentsBOYAmt
Other Investments EOY$1,928,349OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,130,685OtherInvestmentsEOYFMVAmt
Total Assets BOY$15,183,401TotalAssetsBOYAmt
Total Assets EOY$14,804,908TotalAssetsEOYAmt
Total Assets EOYFMV$24,547,071TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$15,183,401RetainedEarningBOYAmt
Retained Earning EOY$14,804,908RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$15,183,401TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$14,804,908TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$15,183,401TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$14,804,908TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$15,183,401TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$374,926ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$14,808,475SubtotalAmt
Other Decreases$3,567OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$14,804,908TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIES - DETAIL AVAILABLE UPON REQUESTP2021-12-312021-12-31$1,283,936$1,269,684$14,252$14,252
CAPITAL GAINS DIVIDENDSP$3,506$3,506$3,506
FieldValueIRS element (for citing)
Capital Gain Net Income$17,758CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,667InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,667SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,667TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,000EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$3,000TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$1,333OverpaymentAmt
Applied To ES Tax$1,333AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateKYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8599131375PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1100 WEST MAIN STREET 300AddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40507ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CATHY JACOBS
100 WEST MAIN STREET SUITE 300LEXINGTONKY40507PRESIDENT, DIRECTOR1.00$0$0$0
DOUG DEAN
100 WEST MAIN STREET SUITE 300LEXINGTONKY40507VICE PRESIDENT, DIRECTOR0.50$0$0$0
KAREN L WEST
100 WEST MAIN STREET SUITE 300LEXINGTONKY40507TREASURER, DIRECTOR1.00$4,000$0$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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$21,362,632AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$329,671AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$21,692,303TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$21,692,303AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$325,385CashDeemedCharitableAmt
Net Vl Noncharitable Assets$21,366,918NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,068,346MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,068,346MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,667TaxBasedOnInvestmentIncomeAmt
Total Tax$1,667TotalTaxAmt
Distributable Before Adj$1,066,679DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,066,679DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,066,679DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$511,076ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$511,076QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,066,679DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$900,101ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$1,780,052ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,008,459ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,151,216ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,211,956ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$7,051,784TotalExcessDistributionCyovAmt
Qualifying Distributions$511,076QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$511,076AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$555,603ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$555,603ExcessDistributionCyovAppCYAmt
Total Corpus$6,496,181TotalCorpusAmt
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$344,498ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$6,151,683ExcessDistriCyovToNextYrAmt
Excess From Year4$1,780,052ExcessFromYear4Amt
Excess From Year3$2,008,459ExcessFromYear3Amt
Excess From Year2$1,151,216ExcessFromYear2Amt
Excess From Year1$1,211,956ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHRYSALIS HOUSE
1589 HILL RISE DRIVELEXINGTONKY40504NONEPCSUBSIDY$10,000
GOD'S PANTRY FOOD BANK
1685 JAGGIE FOX WAYLEXINGTONKY40511NONEPCSUBSIDY$5,000
JUBILEE JOBS OF LEXINGTON
1450 N BROADWAYLEXINGTONKY40505NONEPCSUBSIDY$2,500
ONE PARENT SCHOLAR HOUSE
PO BOX 1458LEXINGTONKY40588NONEPCSUBSIDY$10,000
THE HOPE CENTER
360 W LOUDON AVELEXINGTONKY40508NONEPCSUBSIDY$102,500
THE LEXINGTON CANCER FOUNDATION
1504 COLLEGE WAYLEXINGTONKY40502NONEPCSUBSIDY$10,000
UK MARKEY CANCER FOUNDATION
1000 S LIMESTONELEXINGTONKY40536NONEPCSUBSIDY$154,929
WORLDWIDE HEARTS AND HANDS
1604 HARMONY HALL LANELEXINGTONKY40502NONEPCSUBSIDY$10,000
DV8 KITCHEN VOCATIONAL TRUST
183 WALTON AVENUELEXINGTONKY40508NONEPCSUBSIDY$2,500
UNIVERSITY OF KENTUCKY
ROSE STREETLEXINGTONKY40508NONEPCSUBSIDY$200,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$507,429TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$121ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$251,543ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$218ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$34,192ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$286,074ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$286,074TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,280Amt
Net Investment Income$1,640NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,640DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BAIRD AGGREGATE BOND INSTL CL - 134,950.172 SHS$1,505,684$1,534,383
BAIRD SHORT TERM BOND INST CL - 79,042.823 SHS$783,536$769,877

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (57 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBOTT LABORATORIES - 2,553 SHS$196,063$359,309
ABIOMED - 200 SHS$50,289$71,834
ADOBE - 790 SHS$295,186$447,977
AIR PRODUCTS & CHEMICALS INC. - 700 SHS$148,969$212,982
ALIGN TECHNOLOGY - 200 SHS$53,467$131,436
ALPHABET INC - 206 SHS$272,986$596,790
AMAZON - 50 SHS$111,093$166,717
AMERICAN TOWER CORP - 500 SHS$116,889$146,250
APPLE INC - 6,000 SHS$260,577$1,065,420
BANK OF AMERICA - 7,000 SHS$200,196$311,430
BLACKROCK INC - 500 SHS$217,552$457,780
BROADCOM INC. - 1,000 SHS$327,002$665,410
CADENCE DESIGN SYSTEMS INC. - 550 SHS$73,688$102,493
CELANESE CORP DEL SER A - 550 SHS$74,802$92,433
CONSTELLATION BRANDS INC - 1,500 SHS$283,482$376,455
COOPER COS INC NEW - 200 SHS$75,725$83,788
COSTCO WHSL CORP NEW - 714 SHS$172,233$405,338
DOMINO'S PIZZA - 1,000 SHS$393,320$564,330
EDWARDS LIFE SCIENCES - 1,900 SHS$166,041$246,145
ELI LILY CO. - 500 SHS$83,140$138,110
ETSY INC - 425 SHS$74,761$93,050
FORTINET INC. - 1,750 SHS$235,567$628,950
GARMIN LTD - 1,575 SHS$180,346$214,468
HOME DEPOT INC - 1,485 SHS$282,628$616,290
ILLINOIS TOOL WORKS INC - 1,437 SHS$200,156$354,652
INGERSOLL RAND INC - 3,300 SHS$199,893$204,171
INTUIT - 950 SHS$281,709$611,059
JACOBS ENGINEERING GROUP - 2,900 SHS$243,656$403,767
JOHNSON & JOHNSON - 1,530 SHS$200,407$261,737
JOHNSON CONTROLS INTL - 2,500 SHS$87,514$203,275
JP MORGAN CHASE & CO - 3,500 SHS$361,381$554,225
LAM RESEARCH CORP - 500 SHS$93,946$359,575
LENNAR CORP - 1,000 SHS$102,035$116,160
LKQ CORP - 3,400 SHS$197,337$204,102
LOWES COMPANIES, INC. - 2,000$339,020$516,960
META PLATFORMS INC - 1,000 SHS$165,343$336,350
MICRON TECHNOLOGY INC - 1,500 SHS$111,977$139,725
MICROSOFT CORP - 2,064 SHS$224,235$694,164
NIKE INC. - 2,225 SHS$190,654$370,841
NVIDIA - 2,360 SHS$147,114$694,100
O REILLY AUTOMOTIVE - 420 SHS$187,101$296,617
PAYPAL HOLDING INC. - 1,000 SHS$93,440$188,580
PIONEER NATURAL RESOURCES CO. - 1,700 SHS$200,957$309,196
REGENERON PHARMACEUTICALS INC - 185 SHS$120,170$116,831
ROCKWELL AUTOMATION INC. - 1,300 SHS$297,283$453,505
SALESFORCE.COM INC. - 1,500 SHS$299,497$381,195
SEALED AIR CORP - 3,000 SHS$149,608$202,410
TARGET CORP - 1,500 SHS$107,385$347,160
THERMO FISCHER SCIENTIFIC - 361 SHS$101,111$240,874
UNION PACIFIC CORP - 1,262 SHS$179,140$317,936
VERIZON COMMUNICATIONS - 3,476 SHS$171,645$180,613
VIATRIS INC - 5,000 SHS$76,755$67,650
VISA INC CLASS A - 1,100 SHS$179,938$238,381
WASTE MANAGEMENT - 1,630 SHS$147,137$272,047
XILINX INC. - 2,150 SHS$215,043$455,865
ZEBRA TECHNOLOGIES CORP CL A - 160 SHS$76,081$95,232
ZOETIS INC. CLA - 2,000 SHS$252,743$488,060

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
VANGUARD MIDCAP ETF - 6,098 SHSAT COST$933,299$1,553,587
VANGUARD SMALL CAP ETF - 6,978 SHSAT COST$995,050$1,577,098

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON STOCK GIFTDesc
Amt$3,567Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescSTATE REGISTRATION FEEDesc
Revenue And Expenses Per Books$15RevenueAndExpensesPerBooksAmt
Net Investment Income$8NetInvestmentIncomeAmt
Disbursements Charitable Prps$7DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INVESTMENT INCOMEDesc
Revenue And Expenses Per Books$218RevenueAndExpensesPerBooksAmt
Net Investment Income$218NetInvestmentIncomeAmt
Adjusted Net Income$218AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$146,077Amt
Net Investment Income$146,077NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXESCategoryTxt
Amt$199Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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