AMICUS FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- AMICUS FOUNDATION (EIN 47-2605358)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-07
- IRS object ID
- 202222509349100307
- 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
- Schedule B
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-09-07T09:04:58-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 391774588 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VOGEL CONSULTING GROUP SC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3415 GATEWAY ROAD | AddressLine1Txt |
| City | BROOKFIELD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53045 | 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 | 472605358 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMICUS FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AMIC | BusinessNameControlTxt |
| Phone | 4066823906 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 286 | AddressLine1Txt |
| City | CAMERON | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59720 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN LAKE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4066823906 | PhoneNum |
| Signature | 2022-07-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | LAKE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHANNON M ZUR | PreparerPersonNm |
| PTIN | P00366024 | PTIN |
| Phone | 2627904960 | PhoneNum |
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 | $10,019,108 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $610,114 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $206,764 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $206,764 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $648,917 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,339,478 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $648,917 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | -$96 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $820 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $1,465,699 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $856,501 | 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 | $6,891 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $1,534 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,534 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $32,075 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $32,075 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $40,500 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $33,609 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,045,700 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,045,700 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,086,200 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $33,609 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,045,700 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $379,499 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $822,892 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $722,846 | CashBOYAmt |
| Cash EOY | $435,292 | CashEOYAmt |
| Cash EOYFMV | $435,292 | CashEOYFMVAmt |
| Corporate Stock BOY | $2,825,388 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,793,009 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $6,518,187 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $2,078,343 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $2,456,357 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,065,629 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $5,626,577 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,684,658 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $10,019,108 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $5,705 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $5,000 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $5,705 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,000 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $5,620,872 | RetainedEarningBOYAmt |
| Retained Earning EOY | $5,679,658 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,620,872 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,679,658 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,626,577 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,684,658 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,620,872 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $379,499 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $6,000,371 | SubtotalAmt |
| Other Decreases | $320,713 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,679,658 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (10 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| SCHWAB 8701 - SEE ATTACHED | P | 2021-11-15 | 2021-11-15 | $10 | $10 | $0 | $0 |
| SCHWAB 8701 - SEE ATTACHED | P | 2019-01-01 | 2021-12-31 | $1,101,263 | $542,334 | $558,929 | $558,929 |
| SCHWAB 9819 - SEE ATTACHED | P | 2021-01-01 | 2021-12-31 | $41,734 | $32,356 | $9,378 | $9,378 |
| SCHWAB 9819 - SEE ATTACHED | P | 2019-01-01 | 2021-12-31 | $158,968 | $115,861 | $43,107 | $43,107 |
| BOLTHOUSE FIXED INCOME LP | P | 2021-01-01 | 2021-12-31 | $8,282 | $8,282 | $8,282 | |
| BOLTHOUSE FIXED INCOME LP | P | 2020-01-01 | 2021-12-31 | $4,229 | $4,229 | $4,229 | |
| BOLTHOUSE EQUITY LP | P | 2021-01-01 | 2021-12-31 | $2,233 | $2,233 | $2,233 | |
| BOLTHOUSE EQUITY LP | P | 2020-01-01 | 2021-12-31 | $14,959 | $14,959 | $14,959 | |
| SECTION 1231 CAP GAIN | P | 2020-01-01 | 2021-12-31 | $7,692 | $7,692 | $7,692 | |
| SECTION 1250 GAIN | P | 2020-01-01 | 2021-12-31 | $108 | $108 | $108 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $648,917 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $11,438 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $11,438 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $11,438 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $10,726 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $7,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $17,726 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $6,288 | OverpaymentAmt |
| Applied To ES Tax | $6,288 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | MT | 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 | Yes (1) | 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 | VOGEL CONSULTING GROUP SC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2627904960 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3415 GATEWAY ROAD | AddressLine1Txt |
| City | BROOKFIELD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53045 | 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 (2 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN LAKE | ||||||||
| 1511 US HIGHWAY 287 NORTH | CAMERON | MT | 59720 | DIRECTOR & PRESIDENT | 5.00 | $0 | $0 | $0 |
| SHEILA LAKE | ||||||||
| 1511 US HIGHWAY 287 NORTH | CAMERON | MT | 59720 | DIRECTOR & SECRETARY | 5.00 | $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 | $6,901,526 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $272,129 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $2,125,151 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $9,298,806 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $9,298,806 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $139,482 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $9,159,324 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $457,966 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $457,966 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $11,438 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $11,438 | TotalTaxAmt |
| Distributable Before Adj | $446,528 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $446,528 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $446,528 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,045,700 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $1,045,700 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $446,528 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $113,504 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $69,403 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $307,220 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $31,681 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $521,808 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,045,700 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $446,528 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $599,172 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,120,980 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $113,504 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,007,476 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $69,403 | ExcessFromYear4Amt |
| Excess From Year3 | $307,220 | ExcessFromYear3Amt |
| Excess From Year2 | $31,681 | ExcessFromYear2Amt |
| Excess From Current Year | $599,172 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (24 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line1RecipientForeignAddress/AddressLine1Txt | Province Or StateRecipientForeignAddress/ProvinceOrStateNm | CountryRecipientForeignAddress/CountryCd |
|---|---|---|---|---|---|---|---|---|---|
| AFRICAN PARKS FOUNDATION | |||||||||
| 21 WEST 46TH STREET | NEW YORK | NY | 10036 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $30,000 | |||
| BAKERSFIELD PREGNANCY CENTER | |||||||||
| 1801 18TH STREET | BAKERSFIELD | CA | 93302 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $15,400 | |||
| CM RUSSELL MUSEUM | |||||||||
| 400 13TH ST N | GREAT FALLS | MT | 59401 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $5,000 | |||
| CAHP WIDOWS AND ORPHANS TRUST FUND | |||||||||
| PO BOX 161209 | SACRAMENTO | CA | 95816 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $1,000 | |||
| COMPASSION INTERNATIONAL | |||||||||
| 12290 VOYAGER PARKWAY | COLORADO SPRINGS | CO | 80921 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $5,000 | |||
| DSC FOUNDATION | |||||||||
| 13709 GAMMA ROAD | DALLAS | TX | 75244 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $30,000 | |||
| KERN KIWANIS FOUNDATION | |||||||||
| PO BOX 2532 | BAKERSFIELD | CA | 93303 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $3,000 | |||
| KERN VALLEY FFA | |||||||||
| PO BOX 460 | GALT | CA | 95632 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $10,000 | |||
| MADISON VALLEY BAPTIST CHURCH | |||||||||
| 5050 HWY 287 N PO BOX 668 | ENNIS | MT | 59729 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $1,000 | |||
| MADISON VALLEY FIRE DISTRICT | |||||||||
| PO BOX 849 | ENNIS | MT | 59729 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $5,000 | |||
| MADISON VALLEY MEDICAL FOUNDATION | |||||||||
| PO BOX 993 | ENNIS | MT | 59729 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $65,600 | |||
| MONTANA NON PROFIT ASSOCIATION | |||||||||
| PO BOX 1744 | HELANA | MT | 59624 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $200 | |||
| NATIONAL ALLIANCE FOR MENTAL ILLNESS | |||||||||
| 4301 WILSON BLVD SUITE 300 | ARLINGTON | VA | 22203 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $5,000 | |||
| NATIONAL CHRISTIAN FOUNDATION | |||||||||
| 11625 RAINWATER DRIVE SUITE 500 | ALPHARETTA | GA | 30009 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $800,000 | |||
| OUR LADY OF PERPETUAL HELP | |||||||||
| 1775 GROVE STREET | GLEVIEW | IL | 60025 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $500 | |||
| OUTDOORS FOR OUR HEROS | |||||||||
| 13830 LOREECE LANE SW | TENNINO | WA | 98589 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $3,000 | |||
| RIGHT TO LIFE OF KERN COUNTY | |||||||||
| PO BOX 11104 | BAKERSFIELD | CA | 93389 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $2,000 | |||
| SCI FOUNDATION | |||||||||
| PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $14,000 | 170 KENNINGTON LANE | LONDON | UK | ||||
| STANDING WITH HOPE | |||||||||
| PO BOX 159115 | NASHVILLE | TN | 37215 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $5,000 | |||
| THE BROOM TREE REFUGE | |||||||||
| 4001 SUNNY FOX RD | MOUNTAIN VIEW | AR | 72560 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $10,000 | |||
| TREASURE STATE FOUNDATION | |||||||||
| 400 N CALIFONIA ST | HELENA | MT | 59601 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $5,000 | |||
| UC REGENTS | |||||||||
| 1111 FRANKLIN ST 12TH FLOOR | OAKLAND | CA | 94607 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $10,000 | |||
| UC SANTA BARBARA FOUNDATION | |||||||||
| 4219 CHEADLE HALL | SANTA BARBARA | CA | 93106 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $10,000 | |||
| WOMEN AT RISK INTERNATIONAL | |||||||||
| 2790 44TH ST SW | WYOMING | MI | 49519 | PUBLIC CHARITY | CARRY OUT CHARITABLE PURPOSE OF FOUNDATION | $10,000 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,045,700 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $206,764 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $820 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $648,917 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ENTERPRISE ORDINARY | Desc |
| Exclusion | 14 | ExclusionCd |
| Exclusion | -$916 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $855,585 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $855,585 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | JOHN LAKE | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1511 US HIGHWAY 287 NORTH | AddressLine1Txt |
| City | CAMERON | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $610,114 | TotalContributionsAmt |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | MARKETABLE SECURITIES | NoncashPropertyDesc |
| Fair Market Value | $610,114 | FairMarketValueAmt |
| Received | 2021-12-16 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $6,891 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | EQUITIES | StockNm |
| EOY Book Value | $2,793,009 | EOYBookValueAmt |
| EOYFMV | $6,518,187 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MUTUAL FUNDS | AT COST | $909,665 | $940,478 |
| PARTNERSHIPS | AT COST | $1,546,692 | $2,125,151 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHANGE IN UNREALIZED BUILT IN GAIN ON CONTRIBUTED ASSETS | Desc |
| Amt | $320,713 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER DEDUCTIONS | Desc |
| Revenue And Expenses Per Books | $32,075 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $32,075 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| OTHER PORTFOLIO INCOME | $252 | $252 | $252 |
| TAX EXEMPT INCOME | $568 | $568 | $568 |
| ENTERPRISE ORDINARY | -$916 | -$916 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OUTSTANDING CHECKS | Desc |
| BOY Book Value | $5,705 | BOYBookValueAmt |
| EOY Book Value | $5,000 | EOYBookValueAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FEDERAL TAXES | $0 | $0 | $0 |
| FOREIGN TAXES | $1,534 | $1,534 | $0 |
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