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WI AND INEZ DAVIS FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
WI AND INEZ DAVIS FOUNDATION (EIN 75-2574976)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-07-15
IRS object ID
202221969349100707
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-07-15T15:09:51-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721434223PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1C SCOTT MASSEY CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1333 TEXAS STREET SUITE 700AddressLine1Txt
CitySHREVEPORTCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71101ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752574976EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE WI & INEZ DAVIS FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWI&IBusinessNameControlTxt
Phone9365989330PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2077AddressLine1Txt
CityCENTERCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75935ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNEILSON DAVISPersonNm
Person TitleCO-TRUSTEEPersonTitleTxt
Phone9365989330PhoneNum
Signature2022-06-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNEILSONPersonFirstNm
Person LastDAVISPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00042109PTIN
Phone3182209939PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
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$4,500,943FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$14,018InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$14,018InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$103,035DividendsRevAndExpnssAmt
Dividends Net Invst Incm$103,035DividendsNetInvstIncmAmt
Gross Rents Rev And Expnss$54,000GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm$54,000GrossRentsNetInvstIncmAmt
Net Rental Income Or Loss$44,992NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss$143,869NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$607,931GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$143,869CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$314,922TotalRevAndExpnssAmt
Total Net Invst Incm$314,922TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,380AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$299TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$9,008DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Other Expenses Rev And Expnss$342OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$13,029TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$164,580ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$164,580ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$177,609TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$164,580TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$137,313ExcessRevenueOverExpensesAmt
Net Investment Income$314,922NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$28,930SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$12,797SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$12,797SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$5,000PrepaidExpensesBOYAmt
Corporate Stock BOY$912,280CorporateStockBOYAmt
Corporate Stock EOY$958,588CorporateStockEOYAmt
Corporate Stock EOYFMV$1,058,032CorporateStockEOYFMVAmt
Invst Land Cost Or Other Basis$425,000InvstLandCostOrOtherBasisAmt
Invst Land Accum Depreciation$63,148InvstLandAccumDepreciationAmt
Land Bldg Investments BOY$370,860LandBldgInvestmentsBOYAmt
Land Bldg Investments EOY$361,852LandBldgInvestmentsEOYAmt
Land Bldg Investments EOYFMV$361,852LandBldgInvestmentsEOYFMVAmt
Other Investments BOY$2,213,443OtherInvestmentsBOYAmt
Other Investments EOY$2,305,425OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,068,262OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,530,513TotalAssetsBOYAmt
Total Assets EOY$3,638,662TotalAssetsEOYAmt
Total Assets EOYFMV$4,500,943TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$3,530,513CapitalStockBOYAmt
Capital Stock EOY$3,638,662CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,530,513TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,638,662TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,530,513TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,638,662TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,530,513TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$137,313ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,667,826SubtotalAmt
Other Decreases$29,164OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,638,662TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (93 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
HILL-ROM HOLDINGSP2021-07-072021-12-14$3,231$2,117$1,114$1,114
SPIRE INCP2021-03-092021-07-21$141$144-$3-$3
RAYMOND JAMES FINANICALP2021-09-222021-09-22$44$44$44
ACUSHNET HOLDINGS CORPP2017-06-292021-12-14$743$279$464$464
AVERY DENNISON CORPP2017-03-012021-08-24$219$82$137$137
BANK OZKP2017-03-012021-10-11$879$1,189-$310-$310
BRUNSWICK CORPP2019-12-122021-12-14$608$363$245$245
CABOT OIL & GASP2019-11-212021-10-11$181$97$84$84
CATHAY GENERAL BANCORPP2019-02-072021-10-06$589$528$61$61
CRANE COMPANYP2017-03-012021-07-13$280$224$56$56
CULLEN FROST BANKERSP2017-03-012021-08-17$230$192$38$38
CYRUSONE INCP2018-12-072021-12-22$2,415$1,418$997$997
EAST BANK BANCORPP2017-03-012021-10-11$1,372$1,070$302$302
ENPRO INDUSTRIESP2019-10-112021-07-07$282$202$80$80
FNF GROUPP2017-03-012021-10-26$999$695$304$304
HASBRO INCP2017-11-152021-12-22$781$767$14$14
HUNTINGTON INGALLSP2020-03-242021-12-22$360$329$31$31
HUNTSMAN CORPP2017-03-012021-05-14$181$139$42$42
LCI INDUSTRIESP2018-07-132021-12-14$316$189$127$127
LINCOLN ELECTRICP2017-03-012021-10-06$264$175$89$89
LITTLEFUSE INCP2017-03-012021-01-14$282$166$116$116
MSA SAFETYP2017-03-012021-07-26$482$220$262$262
NATIONAL HEALTH INVSP2019-05-062021-05-19$933$969-$36-$36
NORDSON CORPP2017-03-012021-11-08$703$372$331$331
ONE GAS INCP2020-03-102021-07-21$295$367-$72-$72
PACKAGING CORP OF AMERP2017-03-012021-01-14$432$281$151$151
PORTLAND GENERAL ELECTRICP2019-03-072021-08-09$499$510-$11-$11
RAYMOND JAMES FINANICALP2020-03-302021-07-01$522$255$267$267
SERVISFIRST BANCSHARESP2019-11-212021-08-09$735$436$299$299
SPIRE INCP2020-03-102021-07-21$637$700-$63-$63
STORE CAPITAL CORPP2019-07-052021-05-06$237$234$3$3
TARGA RESOURCES CORPP2017-03-012021-10-11$266$249$17$17
TELEFLEX INCORPP2017-03-012021-02-19$796$391$405$405
WASHINGTON TRP2017-03-012021-06-23$206$220-$14-$14
JOHN WILEY & SONS INCP2019-10-082021-11-08$216$173$43$43
ASSURED GUARANTYP2018-03-062021-10-06$391$279$112$112
JAMES RIVER GRPP2017-11-272021-12-02$560$638-$78-$78
NVENT ELECTRICP2019-10-042021-10-06$610$370$240$240
STERIS PLCP2017-03-012021-07-26$1,012$355$657$657
MDC HOLDINGSP2021-03-172021-03-17$46$46$46
PUTNAM ULTRA SHORTP2021-09-012021-09-16$76$76$0$0
AT&T INCP2013-11-212021-06-28$4,061$5,005-$944-$944
PUTNAM ULTRA SHORTP2020-09-012021-09-16$17,084$17,078$6$6
CORESITE REALTY CORPP2021-05-272021-07-30$1,385$1,213$172$172
DOLLAR GENERALP2021-02-262021-03-26$4,560$4,267$293$293
ISHARES GOLD TRUSTP2020-12-042021-02-05$11,165$10,925$240$240
ISHARES CORE MSCIP2020-04-172021-02-04$1,055$776$279$279
NEWMONT CORPP2021-02-042021-02-26$3,723$4,207-$484-$484
NIKE INCP2020-06-092021-05-27$688$515$173$173
PUTNAM ULTRA SHORTP2021-05-032021-05-27$21,599$21,585$14$14
SELECT SECTOR MATERIALSP2021-07-302021-10-19$21,492$19,878$1,614$1,614
SELECT SECTOR HEALTH CAREP2020-12-042021-02-26$11,389$10,314$1,075$1,075
SELECT SECTOR CONSUMERP2020-08-242021-07-30$362$296$66$66
THERMO FISHERP2020-06-092021-05-27$1,395$1,052$343$343
TRUSTMARK CORPP2020-09-252021-08-02$984$686$298$298
VANGUARD SHORT TERMP2021-02-262021-07-30$12,686$12,675$11$11
ZOETIS INCP2021-02-262021-03-26$3,062$2,772$290$290
LINDE PLCP2021-02-262021-03-26$4,963$4,335$628$628
CHARTER COMMUNICATIONSP2020-01-292021-02-26$4,907$3,910$997$997
CORESITE REALTY CORPP2019-05-152021-07-30$15,931$8,721$7,210$7,210
COSTCO WHSLP2018-04-232021-02-26$5,029$2,893$2,136$2,136
DANAHER CORPP2019-07-032021-05-27$9,147$5,209$3,938$3,938
HOME DEPOTP2013-06-272021-02-04$8,064$2,208$5,856$5,856
ISHARES ETFP2019-02-222021-07-30$36,044$20,938$15,106$15,106
ISHARES RUSSELL ETFP2019-05-172021-07-30$38,489$25,694$12,795$12,795
ISHARES RUSSELL ETFP2018-02-092021-10-19$10,530$6,849$3,681$3,681
ISHARES JP MORGANP2012-12-272021-07-30$8,459$8,344$115$115
ISHARES IBOXXP2016-03-232021-07-30$3,427$3,296$131$131
ISHARES CORE MSCIP2019-07-232021-02-04$12,384$10,854$1,530$1,530
MICROSOFT CORPP2019-05-152021-10-19$26,799$5,725$21,074$21,074
MONDELEZ INTERNATIONALP2014-02-252021-03-31$9,899$9,000$899$899
NEXTERA ENERGYP2019-10-312021-03-26$6,693$5,440$1,253$1,253
NIKE INCP2020-04-172021-05-27$5,227$3,328$1,899$1,899
PROCTOR & GAMBLEP2019-10-312021-01-11$7,858$7,080$778$778
S&P GLOBALP2019-04-102021-01-11$7,023$4,710$2,313$2,313
SPDR S&P500P2020-01-292021-03-26$36,965$28,754$8,211$8,211
SPDR SER TRP2019-07-232021-03-26$7,471$7,483-$12-$12
SELECT SECTOR CONSUMERP2020-07-242021-07-30$10,852$7,971$2,881$2,881
SECTOR SPDR TRP2020-04-242021-07-30$18,566$11,053$7,513$7,513
SELECT SECTOR SPDRP2020-03-022021-05-27$1,106$725$381$381
THERMO FISHERP2020-04-172021-05-27$1,860$1,318$542$542
TRUSTMARK CORPP2020-06-092021-08-02$5,514$5,217$297$297
US TREASURY NOTESP2016-12-212021-07-30$9,050$8,992$58$58
US TREASURY NOTESP2016-01-292021-10-19$16,378$15,950$428$428
VANGUARD LT ETFP2019-09-092021-07-30$7,304$6,864$440$440
VANGUARD INTL EQUITYP2020-04-172021-10-19$29,165$21,595$7,570$7,570
VANGUARD SHORT TERMP2016-08-232021-07-30$83$81$2$2
VANGUARD INTL EQUITYP2020-06-092021-07-30$2,979$2,913$66$66
ZOETIS INCP2020-01-292021-03-26$306$279$27$27
GENERAL MILLSP2012-12-272021-10-14$4,000$4,243-$243-$243
WELLS FARGO FUNDSP2021-07-012021-07-26$103$103$0$0
WELLS FARGO FUNDSP2020-07-242021-07-26$71,276$71,283-$7-$7
CAPITAL GAINS DIVIDENDSP$23,339$23,339$23,339
FieldValueIRS element (for citing)
Capital Gain Net Income$143,869CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,377InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$4,377SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$4,377TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$5,003EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$5,003TotalPaymentsAndCreditsAmt
Es Penalty$20EsPenaltyAmt
Overpayment$606OverpaymentAmt
Applied To ES Tax$606AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateTXOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksKELLE WILLIAMSIndividualWithBooksNm
Phone9365989330PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line145 PORTER STAddressLine1Txt
CityCENTERCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75935ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

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
NEILSON DAVIS
PO BOX 352CENTERTX75935CO-TRUSTEE0.50$0$0$0
GUY W GRIFFIN
PO BOX 2077CENTERTX75935CO-TRUSTEE0.50$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1LEASE QUALITY FACILITIES TO TWO OTHER 501(C)(3) ORGANIZATIONS FOR NOMINAL AMOUNTS PER REGS. SECTION 53.4942(A)-2(C)(3)(11)(F)Description1Txt
Expenses1$54,000Expenses1Amt
Description2CONTRIBUTIONS TO OTHER QUALIFYING 501(C)(3) ORGANIZATIONS TO SUPPORT THEIR CHARITABLE PURPOSES.Description2Txt
Expenses2$164,580Expenses2Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$3,900,153AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$23,232AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,923,385TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,923,385AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$58,851CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,864,534NetVlNoncharitableAssetsAmt
Minimum Investment Return$193,227MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$193,227MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,377TaxBasedOnInvestmentIncomeAmt
Total Tax$4,377TotalTaxAmt
Distributable Before Adj$188,850DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$188,850DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$188,850DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$164,580ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$164,580QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$188,850DistributableAsAdjustedAmt
Undistributed Income PY$163,796UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$164,580QualifyingDistributionsAmt
Applied To Year1$163,796AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$784AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$188,066UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
COMMUNITY CHRISTIAN SERVICES
270 CR 3590JOAQUINTX75954PCTO SUPPORT MINISTRY SERVICES$6,000
COURT APPOINTED SPECIAL ADVOCATES (CASA) OF DEEP EAST TEXAS
PO BOX 1299CENTERTX75935PCTO SUPPORT ADVOCACY IN COURT FOR ABUSED CHILDREN$13,500
HUXLEY VOLUNTEER FIRE DEPARTMENT
PO BOX 226SHELBYVILLETX75973PFTO SUPPORT HUXLEY FIRE DEPARTMENT$20,000
METHODIST CHILDREN'S HOME
1111 HERRING AVENUEWACOTX76708PCTO SUPPORT THE MINISTRIES TO OFFER HOPE TO CHILDREN AND YOUTH.$25,000
OPERATION BLUE SANTA
PO BOX 322CENTERTX75935PCTO SUPPORT CHRISTMAS GIFTS TO CHILDREN LESS FORTUNATE.$6,000
SHELBY COUNTY CHILDREN'S ADVOCACY CENTER
131 TENAHA STREETCENTERTX75935PCTO SUPPORT ABUSED CHILDREN IN FURTHERANCE OF THEIR CHARITABLE MISSION$40,500
SHELBY COUNTY OUTREACH
906 SHELBYVILLE STREETCENTERTX75935PCTO SUPPORT THE THE COMMUNITY OF SHELBY COUNTY.$6,000
SHELBYVILLE ISD SCHOLARSHIP FUND
343 FM 417 ESHELBYVILLETX75973PFTO SUPPORT SHELBYVILLE ISD SCHOLARSHIP FUND$6,476
SHELBYVILLE VOLUNTEER FIRE DEPARTMENT
140 CR 2064SHELBYVILLETX75973PFTO SUPPORT THE SHELBYVILLE FIRE DEPARTMENT$20,000
JACKSONVILLE COLLEGE
105 BJ ALBRITTON DRIVEJACKSONVILLETX75766PCTO SUPPORT THE HIGHER EDUCATION OF DISADVANTAGED MINORITY STUDENT$104
LYDIA MISSONARY BAPTIST CHURCH
14998 FM 139SHELBYVILLETX75973PCTO SUPPORT MINISTRY SERVICES$6,000
SHELBYVILLE HIGH SCHOOL
PO BOX 325SHELBYVILLETX75973PCTO SUPPORT SHELBYVILLE HIGH SCHOOL AG DEPT$15,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$164,580TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$14,018ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$103,035ExclusionAmt

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

FieldValueIRS element (for citing)
Business531120BusinessCd
Related Or Exempt Function Incm$44,992RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$143,869ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$260,922ExclusionAmt
Related Or Exempt Function Incm$44,992RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$305,914TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number5LineNumberTxt
Relationship StatementLEASE QUALITY FACILITIES TO TWO OTHER 501(C)(3) ORGANIZATIONS FOR NOMINAL AMOUNT PER REGS. SECTION 53.4942(A)-2(C)(3)(11)(F)RelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryC.SCOTT MASSEY CPA, LLCCategoryTxt
Amt$3,380Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Applied To Prior Year Election AppliedToPriorYearElection

FieldValueIRS element (for citing)
ElectionTHE FOUNDATION HEREBY ELECTS UNDER CODE SEC. 53.4942(A)-3(D)(2) TO APPLY PART OF THE REMAINING QUALIFYING DISTRIBUTIONS TO ANY UNDISTRIBUTED INCOME REMAINING FROM THE YEAR 2010.ElectionDesc

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (3 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmt
OFFICE BUILDING2015-12-16$330,000$42,663SL39.000000000000$8,462$0
FURNITURE AND FIXTURES2015-12-16$12,500$5,227200DB7.000000000000$546$0
LAND2015-12-16$82,500L$0$0

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCHEVRON CORP COMMON STOCKStockNm
EOY Book Value$958,588EOYBookValueAmt
EOYFMV$1,058,032EOYFMVAmt

Investments Land Schedule2 InvestmentsLandSchedule2

Investment Land InvestmentLandGrp (3 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
OFFICE BUILDING$330,000$51,125$278,875
FURNITURE AND FIXTURES$12,500$12,023$477
LAND$82,500$0$82,500

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (4 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
WELLS FARGO-8131AT COST$1,057,450$1,336,280
WELLS FARGO-4903AT COST$880,343$936,576
WELLS FARGO-7894AT COST$267,486$653,937
WELLS FARGO-3762AT COST$100,146$141,469

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
NONDEDUCTIBLE FEDERAL TAX PAYMENTS$9,650
NONDEDUCTIBLE ADVISORY FEES$19,514

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK SERVICE CHARGES$184$0$0
OFFICE EXPENSE$158$0$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXESCategoryTxt
Amt$299Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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