BIRK FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BIRK FOUNDATION (EIN 20-0464855)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-16
- IRS object ID
- 202211369349100416
- 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
- Accounting Fees Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T07:08:39-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351515068 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE SHINE & CO INC CPA'S | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22039 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402529804 | 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 | 200464855 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BIRK FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | C/O F JAMES WALKER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BIRK | BusinessNameControlTxt |
| Phone | 5029058888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36 S WASHINGTON DR | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34236 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | F JAMES WALKER | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 5029058888 | PhoneNum |
| Signature | 2022-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | F | PersonFirstNm |
| Person Last | JAMES WALKER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | S B SHAW CPA | PreparerPersonNm |
| PTIN | P00075273 | PTIN |
| Phone | 5024230311 | PhoneNum |
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 | 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 | $1,310,710 | 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 | $12 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $12 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $14,038 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $14,038 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $42,832 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $371,783 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $42,832 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $56,882 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $56,882 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $14,548 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $13,108 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $4,906 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $353 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $3,030 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $22,484 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $13,461 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $45,100 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $45,100 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $67,584 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $13,461 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $45,100 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$10,702 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $43,421 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $22,360 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $7,992 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $7,992 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $1,010,932 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,014,598 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,302,718 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,033,292 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,022,590 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,310,710 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $1,033,292 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,022,590 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,033,292 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,022,590 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,033,292 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,022,590 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,033,292 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$10,702 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,022,590 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,022,590 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (53 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| ABBOTT LABORATORIES XXX-XX-XXXX | P | 2020-09-24 | 2021-04-30 | $4,547 | $3,876 | $671 | $671 |
| ABBOTT LABORATORIES XXX-XX-XXXX | P | 2020-09-24 | 2021-05-14 | $2,367 | $2,040 | $327 | $327 |
| ADOBE INC 00724F101 | P | 2020-09-24 | 2021-02-26 | $3,692 | $3,736 | -$44 | -$44 |
| AIR PDTS & CHEMICALS XXX-XX-XXXX | P | 2020-09-24 | 2021-02-12 | $11,461 | $12,664 | -$1,203 | -$1,203 |
| ALPHABET INC 02079K107 | P | 2020-09-24 | 2021-03-26 | $6,114 | $4,295 | $1,819 | $1,819 |
| ALPHABET INC 02079K107 | P | 2020-09-24 | 2021-03-31 | $2,086 | $1,432 | $654 | $654 |
| AMAZON INC XXX-XX-XXXX | P | 2020-09-29 | 2021-02-12 | $3,249 | $3,161 | $88 | $88 |
| AMAZON INC XXX-XX-XXXX | P | 2020-09-24 | 2021-03-31 | $3,118 | $3,040 | $78 | $78 |
| AMAZON INC XXX-XX-XXXX | P | 2020-09-24 | 2021-05-28 | $3,241 | $3,040 | $201 | $201 |
| AMERICAN TOWER CORP NEW 03027X100 | P | 2020-09-24 | 2021-01-15 | $12,728 | $13,817 | -$1,089 | -$1,089 |
| APPLE INC XXX-XX-XXXX | P | 2020-09-24 | 2021-05-28 | $6,750 | $5,883 | $867 | $867 |
| BAIRD SHT TRM BD I XXX-XX-XXXX | P | 2020-09-24 | 2021-03-31 | $4,706 | $4,754 | -$48 | -$48 |
| BAIRD AGGRT BD I XXX-XX-XXXX | P | 2020-09-24 | 2021-03-31 | $8,966 | $9,410 | -$444 | -$444 |
| BANK AMERICA CORP XXX-XX-XXXX | P | 2021-03-15 | 2021-09-27 | $2,203 | $1,914 | $289 | $289 |
| BANK AMERICA CORP XXX-XX-XXXX | P | 2021-03-15 | 2021-11-30 | $1,291 | $1,089 | $202 | $202 |
| CONSTELLATION BRANDS 21036P108 | P | 2020-09-24 | 2021-08-13 | $3,204 | $2,740 | $464 | $464 |
| DANAHER CORP XXX-XX-XXXX | P | 2020-09-24 | 2021-03-31 | $2,935 | $2,644 | $291 | $291 |
| WALT DISNEY XXX-XX-XXXX | P | 2021-11-30 | $10,918 | $13,132 | -$2,214 | -$2,214 | |
| DOLLAR TREE XXX-XX-XXXX | P | 2020-12-15 | 2021-02-26 | $8,767 | $9,802 | -$1,035 | -$1,035 |
| DOMINOES PIZZA 25754A201 | P | 2020-09-24 | 2021-03-15 | $3,250 | $3,733 | -$483 | -$483 |
| DOMINOES PIZZA 25754A201 | P | 2020-09-24 | 2021-07-30 | $4,741 | $3,733 | $1,008 | $1,008 |
| DUPONT DE NEMOURS 26614N102 | P | 2021-11-15 | $4,571 | $4,595 | -$24 | -$24 | |
| DUPONT DE NEMOURS 26614N102 | P | 2021-02-26 | 2021-11-16 | $9,551 | $8,605 | $946 | $946 |
| EDWARDS LIFESCIENCES 28176E108 | P | 2021-05-14 | $3,945 | $3,562 | $383 | $383 | |
| ELECTRONIC ARTS XXX-XX-XXXX | P | 2020-09-24 | 2021-03-15 | $14,918 | $14,624 | $294 | $294 |
| ENPHASE ENERGY 29355A107 | P | 2021-03-31 | 2021-07-15 | $10,544 | $10,406 | $138 | $138 |
| FISERV INC XXX-XX-XXXX | P | 2021-06-29 | $18,161 | $15,882 | $2,279 | $2,279 | |
| GENERAC HOLDINGS INC XXX-XX-XXXX | P | 2020-09-24 | 2021-03-31 | $5,569 | $3,009 | $2,560 | $2,560 |
| ISHS CORE S&P MDCP XXX-XX-XXXX | P | 2020-09-24 | 2021-03-26 | $16,376 | $11,196 | $5,180 | $5,180 |
| ISHS CORE S&P SMCP XXX-XX-XXXX | P | 2020-09-24 | 2021-03-26 | $23,266 | $14,463 | $8,803 | $8,803 |
| JPM E/MKT EQ L 4812A0631 | P | 2021-03-31 | $4,319 | $3,556 | $763 | $763 | |
| KEYSIGHT TECHS INC 49338L103 | P | 2020-09-24 | 2021-01-29 | $3,816 | $2,596 | $1,220 | $1,220 |
| L3HARRIS TECHS INC XXX-XX-XXXX | P | 2020-09-24 | 2021-01-29 | $8,571 | $8,668 | -$97 | -$97 |
| MFS INST INTL EQ XXX-XX-XXXX | P | 2021-03-31 | $4,661 | $4,146 | $515 | $515 | |
| MASTEC INC XXX-XX-XXXX | P | 2021-03-31 | 2021-09-01 | $10,184 | $10,586 | -$402 | -$402 |
| MASTERCARD INC A 57636Q104 | P | 2020-11-25 | 2021-10-15 | $3,892 | $3,770 | $122 | $122 |
| NVIDIA CORP 67066G104 | P | 2020-11-25 | 2021-06-29 | $1,591 | $1,059 | $532 | $532 |
| OREILLY AUTOMOTIVE 67103H107 | P | 2020-10-30 | 2021-02-26 | $8,958 | $8,705 | $253 | $253 |
| PIONEER NATRUAL RES XXX-XX-XXXX | P | 2021-11-16 | $10,972 | $8,064 | $2,908 | $2,908 | |
| THERMO FISHER SCIENTIFIC XXX-XX-XXXX | P | 2020-09-24 | 2021-05-14 | $5,512 | $5,014 | $498 | $498 |
| TRUIST FINL CORP 89832Q109 | P | 2021-05-28 | 2021-08-13 | $9,484 | $10,194 | -$710 | -$710 |
| WALMART INC | P | 2020-09-24 | 2021-02-26 | $10,193 | $10,619 | -$426 | -$426 |
| WASTE MANAGEMENT INC 94106L109 | P | 2020-09-24 | 2021-01-15 | $10,566 | $10,186 | $380 | $380 |
| XILINX INC XXX-XX-XXXX | P | 2020-09-24 | 2021-03-31 | $10,825 | $8,560 | $2,265 | $2,265 |
| APTIV PLC G6095L109 | P | 2021-02-26 | 2021-04-16 | $9,478 | $10,006 | -$528 | -$528 |
| ABBOTT LABORATORIES XXX-XX-XXXX | P | 2020-09-24 | 2021-12-14 | $11,665 | $8,975 | $2,690 | $2,690 |
| DOMINOES PIZZA 25754A201 | P | 2020-09-24 | 2021-10-15 | $8,791 | $7,881 | $910 | $910 |
| IQVIA HOLDINGS INC 46266C105 | P | 2020-09-24 | 2021-09-30 | $4,582 | $2,798 | $1,784 | $1,784 |
| JPMORGAN CHASE 46625H100 | P | 2020-09-24 | 2021-09-27 | $2,166 | $1,196 | $970 | $970 |
| KEYSIGHT TECHS INC 49338L103 | P | 2020-09-24 | 2021-09-30 | $2,484 | $1,442 | $1,042 | $1,042 |
| MICROSOFT CORP XXX-XX-XXXX | P | 2020-09-24 | 2021-09-27 | $2,059 | $1,425 | $634 | $634 |
| NIKE INC B XXX-XX-XXXX | P | 2020-09-24 | 2021-09-30 | $3,763 | $3,228 | $535 | $535 |
| CAPITAL GAINS DIVIDENDS | P | $6,016 | $6,016 | $6,016 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $42,832 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $604 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $604 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $604 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $3,200 | 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 | $3,200 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $2,596 | OverpaymentAmt |
| Applied To ES Tax | $2,596 | 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 |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IN | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | 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 | N/A | WebsiteAddressTxt |
| Individual With Books | F JAMES WALKER | IndividualWithBooksNm |
| Phone | 5029058888 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36 S WASHINGTON DR | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34236 | 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 (2 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 |
|---|---|---|---|---|---|---|---|---|
| F JAMES WALKER | ||||||||
| 36 S WASHINGTON DRIVE | SARASOTA | FL | 34236 | TRUSTEE, ADVISOR COMMITTEE | 0.00 | $0 | $0 | $0 |
| MERRITT K ALCORN | ||||||||
| ONE WEST SIXTH STREET | MADISON | IN | 47250 | ADVISOR COMMITTEE | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
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 | $1,219,434 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $15,176 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,234,610 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,234,610 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $18,519 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,216,091 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $60,805 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $60,805 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $604 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $604 | TotalTaxAmt |
| Distributable Before Adj | $60,201 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $60,201 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $60,201 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $45,100 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $45,100 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $60,201 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $70,336 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $47,806 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $132,162 | ExcessDistributionCyovYr3Amt |
| Total Excess Distribution Cyov | $250,304 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $45,100 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $45,100 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $15,101 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $15,101 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $235,203 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $55,235 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $179,968 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $47,806 | ExcessFromYear4Amt |
| Excess From Year3 | $132,162 | ExcessFromYear3Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (6 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BOYS AND GIRLS CLUB | |||||||
| 1551 MSH NORTH GATE RD | MADISON | IN | 47250 | NONE | EXEMPT | TO FURTHER EXEMPT PURPOSE | $5,000 |
| COMMUNITY FOUNDATION OF MADISON AND JEFFERSON COUNTY | |||||||
| 416 WEST ST | MADISON | IN | 47250 | NONE | EXEMPT | TO FURTHER EXEMPT PURPOSE | $20,000 |
| FRATERNAL ORDER OF POLICE 128 | |||||||
| 317 WALNUT ST | MADISON | IN | 47250 | NONE | EXEMPT | TO FUTHER EXEMPT PURPOSE | $3,500 |
| GIRLS INCORPORATED OF JEFFERSON COUNTY | |||||||
| 109 W 3RD ST | MADISON | IN | 47250 | NONE | EXEMPT | TO FURTHER EXEMPT PURPOSE | $3,600 |
| POPE JOHN XXIII ELEMENTARY SCHOOL | |||||||
| 221 W STATE ST | MADISON | IN | 47250 | NONE | EXEMPT | TO FURTHER EXEMPT PURPOSE | $12,000 |
| PRINCE OF PEACE CATHOLIC SCHOOLS | |||||||
| 305 W STATE ST | MADISON | IN | 47250 | NONE | EXEMPT | TO FURTHER EXEMPT PURPOSE | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $45,100 | 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 | 18 | ExclusionCd |
| Exclusion | $12 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $14,038 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $42,832 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $56,882 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $56,882 | TotalIncomeProducingActyAmt |
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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PROFESSIONAL SERVICES | $1,440 | $0 | $0 |
| INVESTMENT FEES | $13,108 | $13,108 | $0 |
| $0 | $0 | $0 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | INVESTMENTS | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $1,014,598 | BookValueAmt |
| EOYFMV | $1,302,718 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUES, SUPPLIES, SHIPPING, TRAVEL REIMBURSEMENT | Desc |
| Revenue And Expenses Per Books | $3,030 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| TAX PAYMENTS | $4,553 | $0 | $0 |
| FOREIGN TAX PAID | $353 | $353 | $0 |