THEODORE RHYNE AND KIRAN SAGAR FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THEODORE RHYNE AND KIRAN SAGAR FOUNDATION (EIN 85-6459525)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-06-15
IRS object ID
202221669349101002
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-06-15T14:17:04-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391557315PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDALORO SMITH & KRUEGER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1N19W24200 RIVERWOOD DR STE 310AddressLine1Txt
CityWAUKESHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP531881166ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN856459525EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THEODORE RHYNE AND KIRAN SAGARBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTHEOBusinessNameControlTxt
Phone3032507035PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12310 E GLENDALE AVENUEAddressLine1Txt
CityWHITEFISH BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP532111244ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIRAN B SAGAR MDPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone3032507035PhoneNum
Signature2022-06-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKIRANPersonFirstNm
Person LastSAGARPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY E NELSONPreparerPersonNm
PTINP00152652PTIN
Phone2625442000PhoneNum
Preparation2022-06-15PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$211,129FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$100,670ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$803InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$803InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$273DividendsRevAndExpnssAmt
Dividends Net Invst Incm$273DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$2,117NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$35,503GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$2,117CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$103,863TotalRevAndExpnssAmt
Total Net Invst Incm$3,193TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$670AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$670AccountingFeesNetInvstIncmAmt
Other Prof Fees Rev And Expnss$1,278OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$1,278OtherProfFeesNetInvstIncmAmt
Interest Rev And Expnss$631InterestRevAndExpnssAmt
Interest Net Invst Incm$631InterestNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$2,579TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,579TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$5,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$5,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$7,579TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,579TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$5,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$96,284ExcessRevenueOverExpensesAmt
Net Investment Income$614NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$2,428CashBOYAmt
Cash EOY$9,373CashEOYAmt
Cash EOYFMV$9,373CashEOYFMVAmt
Sav And Temp Cash Invst BOY$1,000SavAndTempCashInvstBOYAmt
US Government Obligations BOY$17,229USGovernmentObligationsBOYAmt
US Government Obligations EOY$41,419USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$41,419USGovtObligationsEOYFMVAmt
Corporate Stock BOY$68,579CorporateStockBOYAmt
Corporate Stock EOY$139,732CorporateStockEOYAmt
Corporate Stock EOYFMV$139,732CorporateStockEOYFMVAmt
Corporate Bonds BOY$11,469CorporateBondsBOYAmt
Corporate Bonds EOY$20,605CorporateBondsEOYAmt
Corporate Bonds EOYFMV$20,605CorporateBondsEOYFMVAmt
Total Assets BOY$100,705TotalAssetsBOYAmt
Total Assets EOY$211,129TotalAssetsEOYAmt
Total Assets EOYFMV$211,129TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$100,705NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$211,129NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$100,705TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$211,129TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$100,705TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$211,129TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$100,705TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$96,284ExcessRevenueOverExpensesAmt
Other Increases$14,140OtherIncreasesAmt
Subtotal$211,129SubtotalAmt
Tot Net Ast Or Fund Balances EOY$211,129TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
UBS BROKERAGEP$33,499$31,386$2,113$2,113
UBS BROKERAGEP$2,000$2,000
FieldValueIRS element (for citing)
Capital Gain Net Income$2,117CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$2,113NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$9InvestmentIncomeExciseTaxAmt
Subtotal$9SubtotalAmt
Tax Based On Investment Income$9TaxBasedOnInvestmentIncomeAmt
Extsn Request Income Tax Paid$9ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$9TotalPaymentsAndCreditsAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksTIMOTHY FARRELLIndividualWithBooksNm
Phone3032507035PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12310 E GLENDALE AVEAddressLine1Txt
CityWHITEFISH BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53211ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KIRAN B SAGAR MD
2310 E GLENDALE AVEWHITEFISH BAYWI53211TRUSTEE000.00$0$0$0
TIMOTHY F FARRELL
2310 E GLENDALE AVEWHITEFISH BAYWI53211TRUSTEE000.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$0TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$0AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$0CashDeemedCharitableAmt
Net Vl Noncharitable Assets$0NetVlNoncharitableAssetsAmt
Minimum Investment Return$0MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Tax Based On Investment Income$9TaxBasedOnInvestmentIncomeAmt
Total Tax$9TotalTaxAmt
Distributable As Adjusted$0DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$5,000ExpensesAndContributionsAmt
Qualifying Distributions$5,000QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$0DistributableAsAdjustedAmt
Qualifying Distributions$5,000QualifyingDistributionsAmt
Remaining Distri From Corpus$5,000RemainingDistriFromCorpusAmt
Total Corpus$5,000TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$5,000ExcessDistriCyovToNextYrAmt
Excess From Current Year$5,000ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1DOCTORS WITHOUT BORDERS USABusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5023AddressLine1Txt
CityHAGERSTOWNCityNm
State AbbreviationMDStateAbbreviationCd
ZIP217415023ZIPCd
FieldValueIRS element (for citing)
Grant Or Contribution PurposeGRANTGrantOrContributionPurposeTxt
Amt$5,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$5,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$803RelatedOrExemptFunctionIncmAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$273RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$2,117RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$3,193RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$3,193TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonKIRAN B SAGAR MDContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line12310 E GLENDALE AVEAddressLine1Txt
CityWHITEFISH BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53211ZIPCd
FieldValueIRS element (for citing)
Total Contributions$100,670TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$670Amt
Net Investment Income$670NetInvestmentIncomeAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondUBS BROKERAGEBondNm
EOY Book Value$20,605EOYBookValueAmt
EOYFMV$20,605EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockUBS BROKERAGEStockNm
EOY Book Value$139,732EOYBookValueAmt
EOYFMV$139,732EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$41,419USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$41,419USGovtObligationsEOYFMVAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINSDesc
Amt$14,140Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT ADVISORY FEESCategoryTxt
Amt$1,278Amt
Net Investment Income$1,278NetInvestmentIncomeAmt

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