JWJ FAMILY FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- JWJ FAMILY FOUNDATION (EIN 20-8411928)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-04-11
- IRS object ID
- 202221019349100712
- 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
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Expenses Schedule
- Other Income Schedule2
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-04-11T10:12:49-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 461491609 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VINSON SCOTT & ASSOCIATES CPAS RLLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1767 | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 830011767 | 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 | 208411928 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE JWJ FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JWJF | BusinessNameControlTxt |
| Phone | 3077334299 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3185 W INDIAN TERRACE DR | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 83002 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WORTHINGTON JOHNSON JR | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 2037836460 | PhoneNum |
| Signature | 2022-04-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WORTHINGTON | PersonFirstNm |
| Person Last | JOHNSON JR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MIKE L VINSON CPAMACC | PreparerPersonNm |
| PTIN | P00861820 | PTIN |
| Phone | 3077338377 | PhoneNum |
| Preparation | 2022-04-05 | 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 | $3,430,629 | 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 | $1,200 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,200 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $59,449 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $59,449 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$85,291 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $13,953 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $13,449 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $3,707 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $3,707 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | -$20,935 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $77,805 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $3,502 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,502 | AccountingFeesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $6,717 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $6,717 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $10,219 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $10,219 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $114,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $114,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $124,719 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $10,219 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $114,500 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$145,654 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $67,586 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $23,264 | CashBOYAmt |
| Cash EOY | $13,690 | CashEOYAmt |
| Cash EOYFMV | $13,690 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $97,384 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $66,210 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $66,210 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $366,547 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $366,547 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $509,761 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $1,575,063 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,470,157 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,789,678 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $46,885 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $46,885 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $51,290 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $2,109,143 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,963,489 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,430,629 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $2,109,143 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $1,963,489 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,109,143 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,963,489 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,109,143 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,963,489 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,109,143 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$145,654 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,963,489 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,963,489 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $13,449 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $939 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $939 | SubtotalAmt |
| Tax Based On Investment Income | $939 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,028 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,028 | TotalPaymentsAndCreditsAmt |
| Overpayment | $89 | OverpaymentAmt |
| Applied To ES Tax | $89 | AppliedToESTaxAmt |
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 |
| 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 | VINSON SCOTT ASSOC CPAS RLLP | IndividualWithBooksNm |
| Phone | 3077338377 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1767 | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 83001 | 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 | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|---|
| WORTHINGTON JOHNSON JR | |||||||||
| PO BOX 30000 | PO BOX 30000 | JACKSON | WY | 83002 | TREASURER | 000.00 | $0 | $0 | $0 |
| MARIA JOHNSON | |||||||||
| PO BOX 30000 | PO BOX 30000 | JACKSON | WY | 83002 | PRESIDENT | 000.00 | $0 | $0 | $0 |
| NINA JOHNSON LYNCH | |||||||||
| 1329 BROWNING AVE | 1329 BROWNING AVE | SALT LAKE CITY | UT | 84105 | SECRETARY | 000.00 | $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 | $3,076,724 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $50,137 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,126,861 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $3,126,861 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $46,903 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,079,958 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $153,998 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $153,998 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $939 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $939 | TotalTaxAmt |
| Distributable Before Adj | $153,059 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $153,059 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $153,059 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $114,500 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $114,500 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $153,059 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $32,616 | UndistributedIncomePYAmt |
| Qualifying Distributions | $114,500 | QualifyingDistributionsAmt |
| Applied To Year1 | $32,616 | AppliedToYear1Amt |
| Applied To Current Year | $81,884 | AppliedToCurrentYearAmt |
| Undistributed Income CY | $71,175 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)
| Business Name Line2RecipientBusinessName/BusinessNameLine2Txt | Address Line1RecipientUSAddress/AddressLine1Txt | Address Line2RecipientUSAddress/AddressLine2Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|---|---|
| CHOATE ROSEMARY HALL | |||||||||
| CHOATE ROSEMARY HALL | 333 CHRISTIAN STREET | 333 CHRISTIAN STREET | WALLINGFORD | CT | 06492 | NONE | CHARITY | PERPETUAL CONTRIBUTION TO CLASS | $11,000 |
| COLGATE UNIVERSTIY | |||||||||
| COLGATE UNIVERSITY | 13 OAK DRIVE | 13 OAK DRIVE | HAMILTON | NY | 13346 | NONE | CHARITY | J W JOHNSON ENDOWED SCHOLARSHIP | $2,000 |
| COMMUNITY FOUNDATION OF JH | |||||||||
| COMMUNITY FOUNDATION OF JH | 245 E SIMPSON AVE | 245 E SIMPSON AVE | JACKSON | WY | 83001 | NONE | CHARITY | COMMUNITY SUPPORT | $76,500 |
| MIDDLEBURY COLLEGE | |||||||||
| MIDDLEBURY COLLEGE | 5370 MIDDLEBURY COLLEGE | 5370 MIDDLEBURY COLLEGE | MIDDLEBURY | VT | 05753 | NONE | CHARITY | MAINTENANCE OF KOHN FIELD | $5,000 |
| UNIVERSITY OF DENVER | |||||||||
| UNIVERSITY OF DENVER | 2190 EAST ASBURY AVENUE | 2190 EAST ASBURY AVENUE | DENVER | CO | 80208 | NONE | CHARITY | ENDOWMENT | $10,000 |
| US FIGURE SKATING | |||||||||
| US FIGURE SKATING ASSOCIATION | 20 FIRST STREET | 20 FIRST STREET | COLORADO SPRINGS | CO | 80906 | NONE | CHARITY | PERPETUAL GIFT - FRANCES C JOHNSON | $1,000 |
| WOMEN FOR WOMEN INTERNAT | |||||||||
| WOMEN FOR WOMEN INTERNATIONAL GLOBAL SUPPORT CENT | PO BOX 9224 | PO BOX 9224 | CENTRAL ISLIP | NY | 11722 | NONE | CHARITY | ASSIST REFUGEE WOMEN | $500 |
| WOUNDED WARRIOR PROJECT | |||||||||
| WOUNDED WARRIOR PROJECT | PO BOX 758517 | PO BOX 758517 | TOPEKA | KS | 66675 | NONE | CHARITY | REHABILITATION FOR WOUNDED TROOPS | $500 |
| WYOMING PBS | |||||||||
| WYOMING PBS | 2660 PECK AVE | 2660 PECK AVE | RIVERTON | WY | 82501 | NONE | CHARITY | CHANNEL PROGRAM | $1,000 |
| OCEANA | |||||||||
| OCEANA | 1025 CONNECTICUTT AVE NW | 1025 CONNECTICUTT AVE NW | WASHINGTON | DC | 20036 | NONE | CHARITY | CONSERVATION | $1,000 |
| SHRINERS HOSPITAL | |||||||||
| SHRINERS HOSPITAL | 2900 N ROCKY POINT DR | 2900 N ROCKY POINT DR | TAMPA | FL | 33607 | NONE | CHARITY | CHILDRENS HEALTHCARE | $1,000 |
| HOME FOR OUR TROOPS | |||||||||
| HOME FOR OUR TROOPS | 6 MAIN STR | 6 MAIN STR | TAUNTON | MA | 02780 | NONE | CHARITY | VETERAN HOUSING | $1,000 |
| ST JOHN'S FOUNDATION | |||||||||
| ST JOHN'S FOUNDATION | 555 E BROADWAY AVE 213 | 555 E BROADWAY AVE 213 | JACKSON | WY | 83001 | NONE | CHARITY | GENERAL OPERTATIONS | $1,000 |
| JH CONSERVATION ALLIANCE | |||||||||
| JH CONSERVATION ALLIANCE | 685 S CACHE ST | 685 S CACHE ST | JACKSON | WY | 83001 | NONE | CHARITY | GENERAL OPERTATIONS | $1,000 |
| WYO FILE | |||||||||
| WYO FILE | PO BOX 1099 | PO BOX 1099 | LANDER | WY | 82520 | NONE | CHARITY | GENERAL OPERTATIONS | $1,500 |
| RUNNING RIVERS | |||||||||
| RUNNING RIVERS | 815 LEYDEN STREET | 815 LEYDEN STREET | DENVER | CO | 80220 | NONE | CHARITY | GENERAL OPERATIONS | $500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $114,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,200 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $59,449 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3,707 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $13,449 | ExclusionAmt |
| Related Or Exempt Function Incm | -$98,740 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $77,805 | ExclusionAmt |
| Related Or Exempt Function Incm | -$98,740 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | -$20,935 | 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 | VINSON SCOTT CPAS | CategoryTxt |
| Amt | $3,502 | Amt |
| Net Investment Income | $3,502 | NetInvestmentIncomeAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | INTERACTIVE BROKERS | AssetDesc |
| Acquired | 2014-12 | AcquiredDt |
| How Acquired | PURCHASE | HowAcquiredTxt |
| Sold | 2021-10 | SoldDt |
| Gross Sales Price | $504 | GrossSalesPriceAmt |
| Basis | $99,244 | BasisAmt |
| Total Net | -$98,740 | TotalNetAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | 50,000 APPLE INC | BondNm |
| EOY Book Value | $46,885 | EOYBookValueAmt |
| EOYFMV | $51,290 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (15 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 5,000 BRISTOL-MYERS SQUIBB CO | $157,178 | $311,750 |
| 3,100 WELLTOWER INC | $135,865 | $265,887 |
| 6,295 PFIZER INC | $108,015 | $371,720 |
| 2,470 ISHARE BARCLAYS 20 + YR TREAS | $291,955 | $366,029 |
| 15,000 BLACKROCK KELSO CAP CORP | $142,804 | $60,000 |
| 15,000 BLACKROCK KELSO CAP CORP | $143,006 | $60,000 |
| 10,000 STARWOOD PPTY TR INC | $224,775 | $243,000 |
| 1,984 ZOETIS INC | $36,280 | $484,156 |
| 200 IEF | $20,734 | $23,000 |
| ISHARES 1-3 TREASURY | $9,716 | $9,837 |
| 5,500 GOLUB CAP BDC INC | $99,646 | $84,920 |
| 2,000 ZOETIS INC | $87,100 | $488,060 |
| 544 WP GLIMCHER INC | ||
| 2,688 BLACKROCK KELSO CAP CORP | $7,159 | $10,752 |
| 781 VIATRIS INC | $5,924 | $10,567 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $366,547 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $509,761 | USGovtObligationsEOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXPENSES | ||
| INTERACTIVE BROKERS - INV FEE | $1,250 | $1,250 |
| BANK FEES | $24 | $24 |
| MISC EXPENSE | $100 | $100 |
| BASIS ADJUSTMENT | $5,343 | $5,343 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONDIVIDEND DISTRIBUTIONS | Desc |
| Revenue And Expenses Per Books | $3,707 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $3,707 | NetInvestmentIncomeAmt |
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