DAVID AND VICKY BLACK FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: DAVID AND VICKY BLACK FOUNDATION (EIN 26-3751282)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-09-26
IRS object ID: 202212699349100661
Schema version: 2021v4.0
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
Other Expenses Schedule
Other Increases Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-09-26T16:05:44-04:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	455478868	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WILSON & WOLPERT CPAS PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 LEXINGTON ST STE 150	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	761022744	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	263751282	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE DAVID & VICKY BLACK FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DAVI	BusinessNameControlTxt
Phone	8175868287	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4825 BRYCE AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76107	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID BLACK	PersonNm
Person Title	PRESIDENT/TREASURER	PersonTitleTxt
Phone	8175868287	PhoneNum
Signature	2022-09-22	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAVID M	PersonFirstNm
Person Last	BLACK	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARK A WILSON CPA	PreparerPersonNm
PTIN	P00295916	PTIN
Phone	8173328700	PhoneNum
Preparation	2022-09-22	PreparationDt

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	$337,832	FMVAssetsEOYAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd

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	$7,508	InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm	$7,508	InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm	$7,508	InterestOnSavingsAdjNetIncmAmt
Total Rev And Expnss	$7,508	TotalRevAndExpnssAmt
Total Net Invst Incm	$7,508	TotalNetInvstIncmAmt
Total Adj Net Incm	$7,508	TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss	$425	AccountingFeesRevAndExpnssAmt
Other Expenses Rev And Expnss	$28	OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss	$453	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$0	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$0	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$16,150	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$16,150	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$16,603	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$0	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$16,150	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	-$9,095	ExcessRevenueOverExpensesAmt
Net Investment Income	$7,508	NetInvestmentIncomeAmt
Adjusted Net Income	$7,508	AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$6,584	CashBOYAmt
Cash EOY	$1,849	CashEOYAmt
Cash EOYFMV	$1,849	CashEOYFMVAmt
Sav And Temp Cash Invst BOY	$338,635	SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY	$335,983	SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV	$335,983	SavAndTempCashInvstEOYFMVAmt
Total Assets BOY	$345,219	TotalAssetsBOYAmt
Total Assets EOY	$337,832	TotalAssetsEOYAmt
Total Assets EOYFMV	$337,832	TotalAssetsEOYFMVAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY	$345,219	NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY	$337,832	NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY	$345,219	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$337,832	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$345,219	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$337,832	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$345,219	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	-$9,095	ExcessRevenueOverExpensesAmt
Other Increases	$1,708	OtherIncreasesAmt
Subtotal	$337,832	SubtotalAmt
Tot Net Ast Or Fund Balances EOY	$337,832	TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Investment Income Excise Tax	$104	InvestmentIncomeExciseTaxAmt
Subtotal	$104	SubtotalAmt
Tax Based On Investment Income	$104	TaxBasedOnInvestmentIncomeAmt
Tax Due	$104	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
At Least5000 In Assets	Yes (true)	AtLeast5000InAssetsInd
Form990 PF Filed With Atty Gen	Yes (true)	Form990PFFiledWithAttyGenInd
Private Operating Foundation	false	PrivateOperatingFoundationInd
New Substantial Contributors	false	NewSubstantialContributorsInd
Own Controlled Entity	false	OwnControlledEntityInd
Donor Advised Fund	false	DonorAdvisedFundInd
Comply With Public Insp Rqr	Yes (true)	ComplyWithPublicInspRqrInd
Website Address	N/A	WebsiteAddressTxt
Individual With Books	VICKY BLACK	IndividualWithBooksNm
Phone	8175868287	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	4825 BRYCE AVE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76107	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
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 (3 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
VICKY BLACK
4825 BRYCE AVE	FORT WORTH	TX	76107	VP/SECRETARY	0.25	$0	$0	$0
DAVID BLACK
4825 BRYCE AVE	FORT WORTH	TX	76107	PRESIDENT/TR	0.25	$0	$0	$0
ALLISON WILKS
4825 BRYCE AVE	FORT WORTH	TX	76107	DIRECTOR	0.25	$0	$0	$0

Field	Value	IRS element (for citing)
Comp Of Hghst Pd Empl Or NONE	NONE	CompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONE	NONE	CompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Field	Value	IRS element (for citing)
Description1	N/A	Description1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

Field	Value	IRS element (for citing)
Average Monthly FMV Of Sec	$0	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$346,699	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$346,699	TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast	$346,699	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$5,200	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$341,499	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$17,075	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$17,075	MinimumInvestmentReturnAmt
Tax Based On Investment Income	$104	TaxBasedOnInvestmentIncomeAmt
Total Tax	$104	TotalTaxAmt
Distributable Before Adj	$16,971	DistributableBeforeAdjAmt
Distributable Before Ded	$16,971	DistributableBeforeDedAmt
Distributable As Adjusted	$16,971	DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$16,150	ExpensesAndContributionsAmt
Qualifying Distributions	$16,150	QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$16,971	DistributableAsAdjustedAmt
Qualifying Distributions	$16,150	QualifyingDistributionsAmt
Applied To Current Year	$16,150	AppliedToCurrentYearAmt
Undistributed Income CY	$821	UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Contributing Manager	DAVID VICKY BLACK	ContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

Field	Value	IRS element (for citing)
Recipient Person	DAVID VICKY BLACK	RecipientPersonNm

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	4825 BRYCE AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76107	ZIPCd

Field	Value	IRS element (for citing)
Recipient Phone	8172716039	RecipientPhoneNum
Recipient Email Address	DNVBLACK@GMAIL.COM	RecipientEmailAddressTxt
Form And Info And Materials	BRIEF WRITTEN DESCRIPTION OF PROJECT, INCLUDING USES OF FUNDS.	FormAndInfoAndMaterialsTxt
Submission Deadlines	JUNE 1ST AND NOVEMBER 1ST.	SubmissionDeadlinesTxt
Restrictions On Awards	NONE.	RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (3 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Recipient RelationshipRecipientRelationshipTxt	Recipient Foundation StatusRecipientFoundationStatusTxt	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt	Address Line2RecipientUSAddress/AddressLine2Txt
FAIRY BAPTIST CHURCH
9955 E FM 129	HICO	TX	76457	NONE	501C3	YOUTH ACTIVITIES & MININSTRY	$12,000
CAMP JOHN MARC
4925 GREENVILLE AVE	DALLAS	TX	75602	NONE	501C3	CAMP PROGRAMS-KIDS WITH CANCER	$3,900	SUITE 400
JUVENIILE DIABETES
200 VERSEY ST	NEW YORK	NY	10281	NONE	501C3	CHILD DIABETES RESEARCH	$250	28TH FLOOR

Field	Value	IRS element (for citing)
Total Grant Or Contri Pd Dur Yr	$16,150	TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$7,508	ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Exclusion	$7,508	ExclusionAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$7,508	TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO	false	TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO	false	TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO	false	PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets	false	RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements	false	ReimbursementArrangementsInd
Loans Or Loan Guarantees	false	LoansOrLoanGuaranteesInd
Performance Of Services Etc	false	PerformanceOfServicesEtcInd
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO	false	RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	TAX PREPARATION	CategoryTxt
Amt	$425	Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
EXPENSES
POSTAGE & MAILING	$28

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

Field	Value	IRS element (for citing)
Desc	PRIOR PERIOD ADJUSTMENT	Desc
Amt	$1,708	Amt

DAVID AND VICKY BLACK FOUNDATION: Form 990PF, tax year 2021

Return header ReturnHeader

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Preparer US Address PreparerUSAddress

Filer Filer

Business Name BusinessName

US Address USAddress

Business Officer BusinessOfficerGrp

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Preparer Person PreparerPersonGrp

Form 990-PF IRS990PF

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Statements Regarding Acty StatementsRegardingActyGrp

Location Of Books US Address LocationOfBooksUSAddress

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

Distributable Amount DistributableAmountGrp

PF Qualifying Distributions PFQualifyingDistributionsGrp

Undistributed Income UndistributedIncomeGrp

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

Recipient US Address RecipientUSAddress

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (3 entries)

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

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