FAIRMAN FAMILY FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FAIRMAN FAMILY FOUNDATION (EIN 20-4373954)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-04
- IRS object ID
- 202221249349101922
- 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 Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-04T12:59:50-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 250997271 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARKEY PICCIRILLO & KEEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 991 BEAVER DRIVE | AddressLine1Txt |
| City | DUBOIS | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15801 | 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 | 204373954 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRMAN FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAIR | BusinessNameControlTxt |
| Phone | 8143718863 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 414 RANDALL COURT | AddressLine1Txt |
| City | DUBOIS | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOYCE FAIRMAN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8143718863 | PhoneNum |
| Signature | 2022-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOYCE | PersonFirstNm |
| Person Last | FAIRMAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK R KEEN CPA | PreparerPersonNm |
| PTIN | P00121273 | PTIN |
| Phone | 8143718340 | PhoneNum |
| Preparation | 2022-05-03 | PreparationDt |
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 | $1,878,786 | 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 |
| Dividends Rev And Expnss | $33,342 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $33,342 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $111,725 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $194,142 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $111,725 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $145,067 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $145,067 | 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 | $1,441 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $1,441 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $543 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $14,115 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $14,045 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $70 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $16,099 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $14,045 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,511 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $59,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $59,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $75,099 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $14,045 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $60,511 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $69,968 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $131,022 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,072 | CashBOYAmt |
| Cash EOY | $5,018 | CashEOYAmt |
| Cash EOYFMV | $5,018 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $44,276 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $110,115 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $110,115 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $224,023 | CorporateStockBOYAmt |
| Corporate Stock EOY | $209,982 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $850,120 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $768,284 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $782,508 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $913,533 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,037,655 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,107,623 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,878,786 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $1,037,655 | CapitalStockBOYAmt |
| Capital Stock EOY | $1,107,623 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,037,655 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,107,623 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,037,655 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,107,623 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,037,655 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $69,968 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,107,623 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,107,623 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (11 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 100 SH DISNEY WALT CO | P | 2011-06-03 | 2021-06-10 | $17,655 | $3,940 | $13,715 | $13,715 |
| 55 SH ISHARES RUSSELL 2000 INDEX FUND ETF | P | 2015-06-05 | 2021-06-10 | $12,648 | $6,852 | $5,796 | $5,796 |
| 25 SH NVIDIA CORP | P | 2018-02-15 | 2021-12-09 | $7,646 | $1,553 | $6,093 | $6,093 |
| 1766.784 SH VANGUARD TOTAL BOND MKT INDEX FUND | P | 2019-02-27 | 2021-06-10 | $20,000 | $18,569 | $1,431 | $1,431 |
| 6 SH ALPHABET INC | P | 2009-05-11 | 2021-06-10 | $14,587 | $1,233 | $13,354 | $13,354 |
| 58 SH APPLE INC | P | 2009-05-22 | 2021-06-10 | $7,318 | $255 | $7,063 | $7,063 |
| 50 SH APPLE INC | P | 2009-05-22 | 2021-12-10 | $8,801 | $220 | $8,581 | $8,581 |
| 246 SH AT&T INC | P | 2021-12-10 | $5,612 | $5,932 | -$320 | -$320 | |
| 9429.266 SH FEDERATED #251 STRATEGIC VALUE DIVIDEND FUND | P | 2021-06-10 | $54,595 | $42,955 | $11,640 | $11,640 | |
| 25 SH THERMO FISHER SCIENTIFIC INC | P | 2021-12-09 | $15,996 | $908 | $15,088 | $15,088 | |
| CAPITAL GAINS DIVIDENDS | P | $29,284 | $29,284 | $29,284 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $111,725 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,821 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,821 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,821 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $480 | 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 | $480 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $1,341 | TaxDueAmt |
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 | PA | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8143718863 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 414 RANDALL COURT | AddressLine1Txt |
| City | DUBOIS | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15801 | 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 (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 |
|---|---|---|---|---|---|---|---|---|
| JOYCE FAIRMAN | ||||||||
| 414 RANDALL COURT | DUBOIS | PA | 15801 | PRESIDENT | 2.00 | $0 | $0 | $0 |
| LISA PFINGSTLER | ||||||||
| 239 EAST LOGAN AVENUE | DUBOIS | PA | 15801 | VICE-PRESIDENT | 1.00 | $0 | $0 | $0 |
| DEREK FAIRMAN | ||||||||
| 413 PANTOPS PARADE | PORT MATILDA | PA | 16870 | SECRETARY/TREASURER | 1.00 | $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 | $1,725,824 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $75,380 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,801,204 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,801,204 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $27,018 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,774,186 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $88,709 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $88,709 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,821 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,821 | TotalTaxAmt |
| Distributable Before Adj | $86,888 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $86,888 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $86,888 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $60,511 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $60,511 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $86,888 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr3 | $18,408 | ExcessDistributionCyovYr3Amt |
| Total Excess Distribution Cyov | $18,408 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $60,511 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $60,511 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $18,408 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $18,408 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $7,969 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | JOYCE FAIRMAN | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | JOYCE FAIRMAN | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 414 RANDALL COURT | AddressLine1Txt |
| City | DUBOIS | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 8143718863 | RecipientPhoneNum |
| Form And Info And Materials | THE FOUNDATION WILL ACCEPT WRITTEN REQUESTS FROM POTENTIAL RECIPIENT ORGANIZATIONS. THE REQUEST MUST INCLUDE PROOF THAT THE POTENTIAL RECIPIENT ORGANIZATION IS A TAX EXEMPT ORGANIZATION UNDER PROVISIONS OF THE INTERNAL REVENUE CODE. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NO | SubmissionDeadlinesTxt |
| Restrictions On Awards | THE FOUNDATION WAS FORMED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC PURPOSES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. SPECIFICALLY, THE FOUNDATION WILL PROVIDE FUNDING FOR MUNICIPAL, EDUCATIONAL, RELIGIOUS, AND CHARITABLE PURPOSES TO RECIPIENTS WHO QUALIFY AS TAX EXEMPT ORGANIZATIONS UNDER PROVISIONS OF THE INTERNAL REVENUE CODE. IN ADDITION, THE FOUNDATION WILL PROVIDE FUNDING FOR PUBLIC PURPOSES WHICH QUALIFY AS MUNICIPAL GIVING OR TAX EXEMPT UNDER PROVISIONS OF THE INTERNAL REVENUE CODE. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| DUBOIS AREA UNITED WAY | |||||||
| 223 SOUTH JARED STREET | DUBOIS | PA | 15801 | N/A | PC | GENERAL | $1,500 |
| DUBOIS CENTRAL CATHOLIC | |||||||
| 200 CENTRAL CHRISTIAN ROAD | DUBOIS | PA | 15801 | N/A | PC | GENERAL | $1,000 |
| FOUNDATION FOR IUP | |||||||
| 103 SUTTON HALL 1011 SOUTH DRIVE | INDIANA | PA | 15705 | N/A | PC | PUNXSUTAWNEY CULINARY ARTS | $20,000 |
| PENN HIGHLANDS DUBOIS | |||||||
| 100 HOSPITAL AVENUE | DUBOIS | PA | 15801 | N/A | PC | PEDIATRIC WAITING ROOM | $5,000 |
| PENN STATE UNIVERSITY | |||||||
| 1 COLLEGE PLACE | DUBOIS | PA | 15801 | N/A | PC | EDUCATIONAL | $5,000 |
| PENN STATE UNIVERSITY | |||||||
| 201 OLD MAIN | UNIVERSITY PARK | PA | 16802 | N/A | PC | EDUCATIONAL | $20,000 |
| PENN STATE UNIVERSITY | |||||||
| 1 COLLEGE PLACE | DUBOIS | PA | 15801 | N/A | PC | GENERAL | $5,000 |
| GRADY'S DECISION | |||||||
| 5390 CRAY ROAD | ERIE | PA | 16509 | N/A | PC | GENERAL | $1,000 |
| PENN STATE UNIVERSITY | |||||||
| 1 COLLEGE PLACE | DUBOIS | PA | 15801 | N/A | PC | EDUCATIONAL | $500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $59,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $33,342 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $111,725 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $145,067 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $145,067 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PREPARATION OF FORM 990-PF AND STATE CHARITABLE REGISTRATION STATEMENT | CategoryTxt |
| Amt | $1,441 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,441 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (31 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 88 SH MCDONALDS CORP | $4,959 | $23,590 |
| 153 SH TARGET CORP | $7,198 | $35,410 |
| 97 SH CHEVRON CORPORATION | $6,861 | $11,383 |
| 136 SH EXXON MOBIL CORP | $9,596 | $8,322 |
| 105 SH THERMO FISHER SCIENTIFIC INC | $3,967 | $70,060 |
| 55 SH FEDEX CORP | $2,990 | $14,225 |
| 500 SH APPLE INC | $2,601 | $88,785 |
| 208 SH MICROSOFT CORP | $5,190 | $69,955 |
| 384 SH ORACLE CORP | $7,620 | $33,489 |
| 160 SH VERIZON COMMUNICATIONS | $4,348 | $8,314 |
| 265 SH GENERAL MILLS INC | $7,015 | $17,856 |
| 129 SH CONOCOPHILLIPS | $4,892 | $9,312 |
| 86 SH ZIMMER BIOMET HLDGS INC | $3,927 | $10,925 |
| 182 SH QUALCOMM INC | $8,245 | $33,282 |
| 180 SH VISA INC | $3,015 | $39,008 |
| 307 SH XCEL ENERGY INC | $6,132 | $20,784 |
| 173 SH WAL-MART STORES INC | $8,836 | $25,031 |
| 250 SH INTEL CORP | $5,141 | $12,875 |
| 77 SH HUMANA INC | $3,709 | $35,717 |
| 68 SH CUMMINS ENGINE INC | $4,645 | $14,833 |
| 419 SH CISCO SYSTEMS | $7,457 | $26,552 |
| 113 SH DISNEY WALT CO | $4,373 | $17,502 |
| 100 SH JP MORGAN CHASE & CO | $9,438 | $15,835 |
| 234 SH METLIFE INC | $10,507 | $14,623 |
| 20 SH ALPHABET INC - CL A | $4,419 | $57,941 |
| 390 SH MASCO CORP | $10,834 | $27,386 |
| 75 SH PNC BANK CORP | $11,986 | $15,039 |
| 50 SH BECTON DICKINSON & CO | $10,950 | $12,574 |
| 75 SH JOHNSON & JOHNSON | $9,881 | $12,830 |
| 175 SH NVIDIA CORP | $10,871 | $51,469 |
| 50 SH AIR PRODS & CHEMS INC | $8,379 | $15,213 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (18 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| 2423.283 SH HARDING LOEVNER INST EMER M-I | FMV | $48,689 | $59,516 |
| 715 SH ISHARES SELECT DIVIDEND ETF | FMV | $59,404 | $87,652 |
| 300 SH ISHARES MSCI EAFE INDEX FUND | FMV | $19,672 | $23,604 |
| 25 SH ISHARES RUSSELL 2000 INDEX FD ETF | FMV | $3,114 | $5,561 |
| 200 SH PROSHARES S&P 500 DIVIDEND A ETF | FMV | $9,541 | $19,636 |
| 1104.326 SH FEDERATED #108 ULTRASHORT BOND FUND | FMV | $10,044 | $10,127 |
| 150 SH SPDR CONSUMER DISCRETIONARY SECT ETF | FMV | $15,721 | $30,666 |
| 1750 SH SPDR FINANCIALS SECTOR ETF | FMV | $50,343 | $68,337 |
| 125 SH SPDR MATERIALS SECTOR ETF | FMV | $7,425 | $11,326 |
| 400 SH ISHARES INTERNATIONAL SELECT ETF | FMV | $13,524 | $12,472 |
| 7570.345 SH JP MORGAN CORE BOND #3720 | FMV | $90,000 | $89,406 |
| 7566.953 SH WESTERN ASSET CORE PLUS BOND FD | FMV | $90,000 | $90,198 |
| 5888.638 SH VANGUARD TOTAL BOND MKT INDEX FD | FMV | $66,431 | $65,894 |
| 941.266 SH JP MORGAN SM-CAP EQUITY SEL #367 | FMV | $51,000 | $63,150 |
| 8745.163 SH FEDERATED #225 TOTAL RETURN BIND FUND | FMV | $100,000 | $97,509 |
| 906.783 SH VANGUARD INTL GROWTH FUND | FMV | $100,000 | $126,315 |
| 1223.691 SH JP MORGAN SML CP GROWTH | FMV | $25,000 | $29,564 |
| 2386.484 SH FIDELITY FLOATING RATE HIGH INCOME FUND | FMV | $22,600 | $22,600 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INVESTMENT FEES | $13,750 | $13,750 | $0 |
| FOREIGN TAXES - DIVIDENDS | $295 | $295 | $0 |
| STATE FEE | $70 | $0 | $70 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAX BASED ON INVESTMENT INCOME | CategoryTxt |
| Amt | $543 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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