ALBERT E HARRISON FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ALBERT E HARRISON FOUNDATION INC (EIN 58-2501770)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-03-17
- IRS object ID
- 202230769349101403
- Schema version
- 2021v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-03-17T16:12:52-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580940010 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAYNES & MOORE LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 N BROAD ST SUITE 450 | AddressLine1Txt |
| City | ROME | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30161 | 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 | 582501770 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ALBERT E HARRISON FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | C/O JOHN M HARRISON | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALBE | BusinessNameControlTxt |
| Phone | 7066975575 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 224 DALTON ST | AddressLine1Txt |
| City | ELLIJAY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30540 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN M HARRISON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7066975575 | PhoneNum |
| Signature | 2022-03-14 | 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 | HARRISON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES A THRELKELD CPA | PreparerPersonNm |
| PTIN | P00643709 | PTIN |
| Phone | 7062914690 | PhoneNum |
| Preparation | 2022-03-13 | 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 | $5,607,471 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $16,813 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $16,813 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $144,340 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $144,340 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$4,513 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $430,314 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $156,640 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $161,153 | 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 | $7,152 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $431 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $37 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $7,620 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $305,700 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $305,700 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $313,320 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $305,700 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$156,680 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $161,153 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $706,732 | CashBOYAmt |
| Cash EOY | $384,475 | CashEOYAmt |
| Cash EOYFMV | $384,475 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $221 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $22,539 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $22,539 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses BOY | $1,040 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $2,120 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $2,120 | PrepaidExpensesEOYFMVAmt |
| US Government Obligations BOY | $239,339 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $198,960 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $208,950 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $860,942 | CorporateStockBOYAmt |
| Corporate Stock EOY | $810,556 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,431,616 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $375,557 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $295,095 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $311,222 | CorporateBondsEOYFMVAmt |
| Invst Land Cost Or Other Basis | $921,795 | InvstLandCostOrOtherBasisAmt |
| Land Bldg Investments BOY | $921,795 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOY | $921,795 | LandBldgInvestmentsEOYAmt |
| Land Bldg Investments EOYFMV | $921,795 | LandBldgInvestmentsEOYFMVAmt |
| Other Investments BOY | $1,333,307 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,644,621 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,324,754 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $4,438,933 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,280,161 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,607,471 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $4,438,933 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $4,280,161 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,438,933 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,280,161 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,438,933 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,280,161 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,438,933 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$156,680 | ExcessRevenueOverExpensesAmt |
| Other Increases | $2 | OtherIncreasesAmt |
| Subtotal | $4,282,255 | SubtotalAmt |
| Other Decreases | $2,094 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,280,161 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (8 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|
| SUNTRUST BKS INC NOTE | 2020-04-08 | 2021-02-03 | $20,000 | $20,023 | -$23 | -$23 |
| BP CAP MKTS AMER INC SER B NOTE | 2020-04-08 | 2021-03-11 | $10,000 | $10,034 | -$34 | -$34 |
| WELLS FARGO & CO MTN | 2020-04-03 | 2021-04-01 | $50,000 | $50,224 | -$224 | -$224 |
| DOLLAR GENERAL CORP | 2020-09-18 | 2021-05-20 | $20,700 | $20,400 | $300 | $300 |
| WELLS FARGO CO NEW COM | 2021-11-02 | $30,010 | $29,986 | $24 | $24 | |
| SNOHOMISH CNTY WASH LTD TAX GO REF BDS | 2021-12-01 | $40,000 | $40,224 | -$224 | -$224 | |
| MORGAN STANLEY INSIGHT A | 2021-12-20 | $187,966 | $196,788 | -$8,822 | -$8,822 | |
| MORGAN STANLEY INSIGHT A | 2021-12-20 | $64,138 | $67,148 | -$3,010 | -$3,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$12,013 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,240 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,240 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,240 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,120 | 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 | $2,120 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $3 | EsPenaltyAmt |
| Tax Due | $123 | 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 | GA | 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 |
| Individual With Books | CORA PAYNE | IndividualWithBooksNm |
| Phone | 7066975677 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 224 DALTON STREET | AddressLine1Txt |
| City | ELLIJAY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30540 | 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN M HARRISON | ||||||||
| 224 DALTON STREET | ELLIJAY | GA | 30540 | PRESIDENT/TRUSTEE | 1.00 | $0 | $0 | $0 |
| MARIANNE H BOWMAN | ||||||||
| 224 DALTON STREET | ELLIJAY | GA | 30540 | SEC-TREAS/TRUSTEE | 1.00 | $0 | $0 | $0 |
| DOUGLAS P HARRISON | ||||||||
| 224 DALTON STREET | ELLIJAY | GA | 30540 | VP/TRUSTEE | 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 | $4,014,941 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $506,170 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $921,796 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,442,907 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,442,907 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $81,644 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,361,263 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $268,063 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $268,063 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,240 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,240 | TotalTaxAmt |
| Distributable Before Adj | $265,823 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $265,823 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $265,823 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $305,700 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $305,700 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $265,823 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $21,947 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $23,983 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $91,350 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $106,587 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $90,967 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $334,834 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $305,700 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $265,823 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $39,877 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $374,711 | 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 | $21,947 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $352,764 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $23,983 | ExcessFromYear4Amt |
| Excess From Year3 | $91,350 | ExcessFromYear3Amt |
| Excess From Year2 | $106,587 | ExcessFromYear2Amt |
| Excess From Year1 | $90,967 | ExcessFromYear1Amt |
| Excess From Current Year | $39,877 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BOYS & GIRLS CLUB OF NORTH GA | |||||||
| PO BOX 649 | JASPER | GA | 30143 | N/A | NC | UNRESTRICTED DONATION | $35,000 |
| CARES OF PICKENS COUNTY | |||||||
| 89 CARES DR | JASPER | GA | 30143 | N/A | NC | UNRESTRICTED DONATION | $2,000 |
| COPPER BASIN RURAL COMMUNITY ASSOCIATION | |||||||
| 300 COUGAR DRIVE | COPPERHILL | TN | 37317 | N/A | NC | SCHOLARSHIPS | $15,000 |
| DAILY WALK MINISTRIES | |||||||
| 443 PLEASANT GROVE RD | ELLIJAY | GA | 30540 | N/A | NC | UNRESTRICTED DONATION | $10,000 |
| FANNIN COUNTY SCHOLARSHIP FOUNDATION INC | |||||||
| PO BOX 1883 | BLUE RIDGE | GA | 30513 | N/A | NC | SCHOLARSHIP | $50,000 |
| GEORGIA MOUNTAIN HOSPICE | |||||||
| 70 CARING WAY | JASPER | GA | 30143 | N/A | NC | UNRESTRICTED DONATION | $700 |
| GILMER COUNTY FOOD PANTRY | |||||||
| 5273 GA-52 | ELLIJAY | GA | 30536 | N/A | NC | UNRESTRICTED DONATION | $2,000 |
| GILMER EDUCATION FOUNDATION | |||||||
| 408 BOBCAT TRAIL | ELLIJAY | GA | 30540 | N/A | NC | SCHOLARSHIP | $97,000 |
| MINERAL SPRINGS CENTER | |||||||
| 35 CIRCLE DRIVE | BLUE RIDGE | GA | 30513 | N/A | NC | UNRESTRICTED DONATION | $5,000 |
| MOUNTAIN EDUCATION CHARTER HIGH SCHOOL | |||||||
| 175 PRIMARY SCHOOL ROAD | ELLIJAY | GA | 30540 | N/A | NC | SCHOLARSHIPS | $25,000 |
| NORTH GEORGIA CHRISTIAN ACADEMY | |||||||
| 191 HAROLD PRITCHETT ROAD | ELLIJAY | GA | 30540 | N/A | NC | SCHOLARSHIP | $6,000 |
| NORTH GEORGIA CHRISTIAN ACADEMY | |||||||
| 191 HAROLD PRITCHETT ROAD | ELLIJAY | GA | 30540 | N/A | NC | UNRESTRICTED DONATION | $5,000 |
| PICKENS COUNTY SCHOOL SYSTEM | |||||||
| 100 DB CARROLL STREET | JASPER | GA | 30143 | N/A | NC | SCHOLARSHIP | $50,000 |
| REINHARDT UNIVERSITY | |||||||
| 7300 REINHARDT CIRCLE | WALESKA | GA | 30183 | N/A | NC | SCHOLARSHIP | $2,000 |
| U-LEAD ATHENS SCHOLARSHIP FUND | |||||||
| 130 HOPE AVE | ATHENS | GA | 30606 | N/A | NC | SCHOLARSHIP | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $305,700 | 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 |
| Exclusion | $16,813 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $144,340 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 01 | ExclusionCd |
| Exclusion | $7,500 | ExclusionAmt |
| Related Or Exempt Function Incm | -$12,013 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $24,313 | ExclusionAmt |
| Related Or Exempt Function Incm | $132,327 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $156,640 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 3 | LineNumberTxt |
| Relationship Statement | DIVIDENDS & INTEREST EARNED FROM INVESTMENTS THAT ARE USED FULFILL THE FOUNDATION'S EXEMPT PURPOSE. | RelationshipStatementTxt |
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 | ACCOUNTING | CategoryTxt |
| Amt | $7,152 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | GA POWER EASEMENT | AssetDesc |
| How Acquired | PURCHASED | HowAcquiredTxt |
| Gross Sales Price | $7,500 | GrossSalesPriceAmt |
| Basis Method | COST | BasisMethodTxt |
| Sales Expense | $0 | SalesExpenseAmt |
| Total Net | $7,500 | TotalNetAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | FIDELITY 5176 | BondNm |
| EOY Book Value | $295,095 | EOYBookValueAmt |
| EOYFMV | $311,222 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | FIDELITY 5176 | StockNm |
| EOY Book Value | $810,556 | EOYBookValueAmt |
| EOYFMV | $1,431,616 | EOYFMVAmt |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $48,016 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $50,725 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $150,944 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $158,225 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| FIDELITY 5176 | AT COST | $1,627,517 | $2,311,539 |
| FIDELITY 5176 | AT COST | $17,104 | $13,215 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONDEDUCTIBLE EXPENSES | Desc |
| Amt | $2,094 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT FEES | Desc |
| Revenue And Expenses Per Books | $37 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROUNDING | Desc |
| Amt | $2 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | OTHER | CategoryTxt |
| Amt | $431 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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