THE PETERNELL FAMILY FOUDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- THE PETERNELL FAMILY FOUDATION (EIN 20-3864384)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-11
- IRS object ID
- 202211319349105521
- 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
- Form 990-PF
- Depreciation Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-11T15:18:16-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION SOURCE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOLLOW LN STE 212 | AddressLine1Txt |
| City | LAKE SUCCESS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | 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 | 203864384 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Peternell Family Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | PETE | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BEN C PETERNELL | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2022-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BEN C | PersonFirstNm |
| Person Last | PETERNELL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
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 | $3,834,150 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $166 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $166 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $53,507 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $53,507 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $124,091 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $476,106 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $124,091 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $177,764 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $177,764 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $15,977 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $15,977 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $2,200 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $19,583 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $19,583 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $37,760 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $15,977 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $19,583 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $136,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $136,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $174,260 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $15,977 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $156,083 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $3,504 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $161,787 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $140,503 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $85,684 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $85,684 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $375,175 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $346,609 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $351,206 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $1,946,004 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,986,369 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,051,659 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $300,970 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $347,494 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $345,601 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $2,762,652 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,766,156 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,834,150 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $2,762,652 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,766,156 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,762,652 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,766,156 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,762,652 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,766,156 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,762,652 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $3,504 | ExcessRevenueOverExpensesAmt |
| Subtotal | $2,766,156 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $2,766,156 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly-traded Securities | PropertyDesc |
| Gross Sales Price | $476,106 | GrossSalesPriceAmt |
| Cost Or Other Basis | $352,015 | CostOrOtherBasisAmt |
| Gain Or Loss | $124,091 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $124,091 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $124,091 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,249 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,249 | SubtotalAmt |
| Tax Based On Investment Income | $2,249 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,401 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Total Payments And Credits | $1,401 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $848 | TaxDueAmt |
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 | DE | 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 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | 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 | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| Andrew Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP | 1.0 | $0 | $0 | $0 |
| Ben C Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres, Dir, Sec | 1.0 | $0 | $0 | $0 |
| Jamie Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP | 1.0 | $0 | $0 | $0 |
| Mark A Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP | 1.0 | $0 | $0 | $0 |
| Pamela Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, VP | 1.0 | $0 | $0 | $0 |
| Sara Delaney Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP | 1.0 | $0 | $0 | $0 |
| 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 | $3,638,261 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $138,004 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,776,265 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,776,265 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $56,644 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,719,621 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $185,981 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $185,981 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,249 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,249 | TotalTaxAmt |
| Distributable Before Adj | $183,732 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $183,732 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $183,732 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $156,083 | 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 | $156,083 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $183,732 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $150,726 | UndistributedIncomePYAmt |
| Prior Year1 | 2019 | PriorYear1Yr |
| Prior Year2 | 2018 | PriorYear2Yr |
| Prior Year3 | 2017 | PriorYear3Yr |
| Qualifying Distributions | $156,083 | QualifyingDistributionsAmt |
| Applied To Year1 | $150,726 | AppliedToYear1Amt |
| Applied To Current Year | $5,357 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $178,375 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | Ben C Peternell | ContributingManagerNm |
| Contributing Manager | Pamela Peternell | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BICYCLE COLORADO | |||||||
| 1525 MARKET ST STE 100 | DENVER | CO | 80202 | N/A | PC | General & Unrestricted | $10,000 |
| CHALLENGE AMERICA | |||||||
| PO BOX 4467 | BASALT | CO | 81621 | N/A | PC | General & Unrestricted | $5,000 |
| EAGLE VALLEY LAND TRUST | |||||||
| 54 WILDCAT | EDWARDS | CO | 81632 | N/A | PC | General & Unrestricted | $10,000 |
| FRIENDS OF THE YAMPA INC | |||||||
| PO BOX 771654 | STEAMBOAT SPRINGS | CO | 80477 | N/A | PC | General & Unrestricted | $7,500 |
| NORTHWEST DENVER NEIGHBORHOOD CENTER | |||||||
| 3435 W 40TH AVE | DENVER | CO | 80211 | N/A | PC | General & Unrestricted | $13,000 |
| ROUNDUP RIVER RANCH | |||||||
| 8333 COLORADO RIVER RD | GYPSUM | CO | 81637 | N/A | PC | kick start to Peternell Staff Development Fund | $10,000 |
| TROUT UNLIMITED INC | |||||||
| PO BOX 7400 | WOOLLY BUGGER | WV | 25438 | N/A | PC | Trout Unlimited's stream flow improvement work in the Rio Grand basin of Colorado | $25,000 |
| UNIVERSITY OF COLORADO FOUNDATION | |||||||
| PO BOX 17126 | DENVER | CO | 80217 | N/A | PC | Leadership and Career Development | $13,500 |
| VAIL VALLEY FOUNDATION INC | |||||||
| PO BOX 6550 | AVON | CO | 81620 | N/A | PC | Youth Power 365 Program | $15,000 |
| WALKING MOUNTAINS | |||||||
| PO BOX 9469 | AVON | CO | 81620 | N/A | PC | General & Unrestricted | $15,000 |
| YAMPA VALLEY COMMUNITY FOUNDATION | |||||||
| PO BOX 881869 | STEAMBOAT SPR | CO | 80488 | N/A | PC | General & Unrestricted | $5,000 |
| YAMPA VALLEY SUSTAINABILITY COUNCIL | |||||||
| PO BOX 881461 | STEAMBOAT SPR | CO | 80488 | N/A | PC | General & Unrestricted | $7,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $136,500 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $166 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $53,507 | 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 | $124,091 | 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 | $177,764 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $177,764 | 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 |
Depreciation Schedule DepreciationSchedule
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (47 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBVIE INC - 4.250% - 11/14/20 | $5,921 | $5,659 |
| ALEXANDRIA REAL ESTATE - 4.900 | $6,041 | $6,012 |
| AMERICAN ELEC PWR INC - 1.000% | $4,919 | $4,891 |
| AMERICAN TOWER CORP - 1.600% - | $5,015 | $4,952 |
| AMGEN INC - 2.200% - 02/21/202 | $5,285 | $5,121 |
| ANHEUSER-BUSCH - 3.650% - 02/0 | $5,268 | $5,371 |
| ANTHEM INC NOTE - 3.650% - 12/ | $4,956 | $5,489 |
| APPLE INC - 2.850% - 02/23/202 | $15,862 | $15,314 |
| AT&T INC - 4.125% - 02/17/2026 | $10,889 | $10,913 |
| BERKSHIRE HATHAWAY NOTE - 3.12 | $15,893 | $16,061 |
| BK OF AMERICA CORP MTN CALL MA | $10,123 | $9,581 |
| BP CAP MKTS AMER - 4.234% - 11 | $5,019 | $5,648 |
| CITIGROUP INC NOTE - 3.668% - | $10,652 | $10,793 |
| COMCAST CORP - 3.300% - 02/01/ | $5,431 | $5,374 |
| COMCAST CORP NOTE - 4.150% - 1 | $5,763 | $5,681 |
| CVS CAREMARK CORP NOTE - 4.300 | $5,901 | $5,615 |
| DISNEY WALT CO - 2.000% - 09/0 | $10,167 | $9,957 |
| DOMINION ENERGY INC SER 2021 A | $5,016 | $4,943 |
| ENBRIDGE INC BOND - 4.000% - 1 | $5,285 | $5,221 |
| EQUINIX INC NOTE CALL MAKE WHO | $5,269 | $5,260 |
| EVERSOURCE ENERGY - 1.650% - 0 | $9,307 | $9,360 |
| GILEAD SCIENCES INC - 1.200% - | $4,803 | $4,836 |
| GOLDMAN SACHS - 3.814% - 04/23 | $5,504 | $5,443 |
| HOME DEPOT - 3.000% - 04/01/20 | $4,963 | $5,315 |
| JPMORGAN CHASE &CO - 3.702% - | $5,511 | $5,440 |
| JPMORGAN CHASE &CO - 3.782% - | $5,722 | $5,416 |
| KINDER MORGAN - 4.300% - 06/01 | $5,419 | $5,387 |
| LOWES - 3.650% - 04/05/2029 | $5,510 | $5,486 |
| MASTERCARD INC - 3.350% - 03/2 | $11,599 | $11,011 |
| MERCK &CO INC - 3.400% - 03/07 | $10,935 | $10,888 |
| MITSUBISHI UFJ FINANCIAL GROUP | $10,484 | $10,299 |
| MORGAN STANLEY SER I MTN CALL | $4,952 | $4,949 |
| ORACLE CORP NOTE - 2.400% - 09 | $5,051 | $5,098 |
| PNC FINL SVCS - 3.500% - 01/23 | $5,252 | $5,236 |
| PROLOGIS LP - 1.250% - 10/15/2 | $4,624 | $4,655 |
| PUBLIC SERVICE ENTERPRIS - 2.8 | $10,568 | $10,357 |
| RAYTHEON TECHNOLOGIES CORP - 3 | $5,526 | $5,289 |
| SCHWAB CHARLES CORP NOTE CALL | $4,930 | $4,879 |
| SHELL INTERNATIONAL - 3.250% - | $15,869 | $15,971 |
| SIMON PPTY GROUP LP - 2.000% - | $5,096 | $5,090 |
| TORONTO DOMINION BANK - 3.250% | $10,670 | $10,452 |
| TOTAL CAPITAL - 3.455% - 02/19 | $5,328 | $5,421 |
| UNITEDHEALTH GROUP INC - 3.850 | $5,651 | $5,577 |
| US BANCORP - 2.375% - 07/22/20 | $14,863 | $15,574 |
| VERIZON COMMUNICATIONS INC - 1 | $4,698 | $4,738 |
| VISA INC NOTE - 3.150% - 12/14 | $5,578 | $5,332 |
| WELLS FARGO & CO - 2.406% - 10 | $10,406 | $10,246 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (12 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ARTISAN DEV WORLD FD | $128,689 | $177,180 |
| ARTISAN HIGH INCOME FUND INVES | $85,160 | $96,422 |
| BRANDYWINEGLOBAL CORPORATE CRE | $99,615 | $96,716 |
| ISHARE SP SMALL CAP 600 INDEX | $111,666 | $185,277 |
| ISHARES TR S & P MIDCAP 400 IN | $75,377 | $144,654 |
| JOHCM INTERNATIONAL SELECT FUN | $20,015 | $20,575 |
| JOHCM INTL SELECT FUND CL I | $200,349 | $255,411 |
| JPMORGAN CORE PLUS BOND FUND | $46,030 | $44,555 |
| SCHWAB 1000 INDEX ETF | $742,712 | $1,283,325 |
| SCHWAB U.S. LARGE-CAP GROWTH | $138,117 | $258,398 |
| SCHWAB US MID CAP | $192,528 | $324,294 |
| SEAFARER OVERSEAS GROWTH & INC | $146,111 | $164,852 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $208,550 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $212,805 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $138,059 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $138,401 | StateLocalSecEOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| Administrative Fees | $19,558 | $19,558 |
| State or Local Filing Fees | $25 | $25 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | CategoryTxt |
| Amt | $15,977 | Amt |
| Net Investment Income | $15,977 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt |
|---|---|
| 990-PF Estimated Tax for 2021 | $1,400 |
| 990-PF Extension for 2020 | $800 |
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