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MARVIN P VERHULST FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MARVIN P VERHULST FOUNDATION INC (EIN 33-0998350)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-04-15
IRS object ID
202231059349100643
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-04-15T19:49:18-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RANDALL S GROBE CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13404 CIRCLE CLOSEAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53705ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330998350EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARVIN P VERHULST FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARVBusinessNameControlTxt
Phone6088314177PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16616 N CHICKAHAUK TRAILAddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY S BURBACHPersonNm
Person TitlePRESIDENT/TREASURERPersonTitleTxt
Phone6088314177PhoneNum
Signature2022-03-20SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARYPersonFirstNm
Person LastBURBACHPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDALL S GROBEPreparerPersonNm
PTINP01211811PTIN
Phone6082176115PhoneNum
Preparation2022-03-20PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
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$5,558,696FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$119,317DividendsRevAndExpnssAmt
Dividends Net Invst Incm$119,317DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$307,806NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$787,574GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$307,806CapGainNetIncmNetInvstIncmAmt
Gross Profit Rev And Expnss$0GrossProfitRevAndExpnssAmt
Other Income Rev And Expnss$0OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$427,123TotalRevAndExpnssAmt
Total Net Invst Incm$427,123TotalNetInvstIncmAmt
Legal Fees Rev And Expnss$0LegalFeesRevAndExpnssAmt
Accounting Fees Rev And Expnss$2,100AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,050AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,050AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$0OtherProfFeesRevAndExpnssAmt
Taxes Rev And Expnss$4,155TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,322TaxesNetInvstIncmAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Other Expenses Rev And Expnss$29,468OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$29,468OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$35,723TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$31,840TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,050TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$223,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$223,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$258,723TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$31,840TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$224,050TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$168,400ExcessRevenueOverExpensesAmt
Net Investment Income$395,283NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash EOY$53,384CashEOYAmt
Cash EOYFMV$53,384CashEOYFMVAmt
Sav And Temp Cash Invst BOY$102,403SavAndTempCashInvstBOYAmt
Rcvbl From Officers EOY$0RcvblFromOfficersEOYAmt
Other Nts And Loans Rcvbl EOY$0OtherNtsAndLoansRcvblEOYAmt
Corporate Stock BOY$19,422CorporateStockBOYAmt
Corporate Stock EOY$19,422CorporateStockEOYAmt
Corporate Stock EOYFMV$224,925CorporateStockEOYFMVAmt
Land Bldg Investments EOY$0LandBldgInvestmentsEOYAmt
Other Investments BOY$3,636,625OtherInvestmentsBOYAmt
Other Investments EOY$3,854,625OtherInvestmentsEOYAmt
Other Investments EOYFMV$5,280,387OtherInvestmentsEOYFMVAmt
Land EOY$0LandEOYAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$0OtherAssetsEOYAmt
Other Assets EOYFMV$0OtherAssetsEOYFMVAmt
Total Assets BOY$3,758,450TotalAssetsBOYAmt
Total Assets EOY$3,927,431TotalAssetsEOYAmt
Total Assets EOYFMV$5,558,696TotalAssetsEOYFMVAmt
Loans From Officers EOY$0LoansFromOfficersEOYAmt
Mortgages And Notes Payable EOY$0MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$0OtherLiabilitiesEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$3,758,450RetainedEarningBOYAmt
Retained Earning EOY$3,927,431RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,758,450TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,927,431TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,758,450TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,927,431TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,758,450TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$168,400ExcessRevenueOverExpensesAmt
Other Increases$1,338OtherIncreasesAmt
Subtotal$3,928,188SubtotalAmt
Other Decreases$757OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,927,431TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIESPropertyDesc
How AcquiredPHowAcquiredCd
Acquired2020-12-30AcquiredDt
Sold2021-12-31SoldDt
Gross Sales Price$787,574GrossSalesPriceAmt
Depreciation$0DepreciationAmt
Cost Or Other Basis$479,768CostOrOtherBasisAmt
Gain Or Loss$307,806GainOrLossAmt
FMV As Of123169$0FMVAsOf123169Amt
Adjusted Basis As Of123169$0AdjustedBasisAsOf123169Amt
Excess FMV Over Adjusted Bss$0ExcessFMVOverAdjustedBssAmt
Gains Minus Excess Or Losses$307,806GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$307,806CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$5,494InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$5,494SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$5,494TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,600EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$1,600TotalPaymentsAndCreditsAmt
Original Return Tax Paid$1,600OriginalReturnTaxPaidAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Tax Due$3,894TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt

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 BooksMARY S BURBACHIndividualWithBooksNm
Phone6088314177PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line16616 N CHICKAHAUK TRLAddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
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
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
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 (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARY S BURBACH
6616 N CHICKAHAUK TRLMIDDLETONWI53562PRESIDENT1.00$0$0$0
KENNETH M BURBACH
6616 N CHICKAHAUK TRLMIDDLETONWI53562SECRETARY1.00$0$0$0
PATRICIA DORFMAN
6616 N CHICKAHAUK TRLMIDDLETONWI53562DIRECTOR1.00$0$0$0
BRIAN BURBACH
6616 N CHICKAHAUK TRLMIDDLETONWI53562DIRECTOR1.00$0$0$0
SARAH BRUCH
6616 N CHICKAHAUK TRLMIDDLETONWI53562DIRECTOR1.00$0$0$0
ROBERT DORFMAN
6616 N CHICKAHAUK TRLMIDDLETONWI53562DIRECTOR1.00$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)
Description1N/ADescription1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt
All Other Program Rltd Invst Tot$0AllOtherProgramRltdInvstTotAmt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$5,362,862AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$81,630AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,444,492TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$5,444,492AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$81,667CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,362,825NetVlNoncharitableAssetsAmt
Minimum Investment Return$268,141MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$268,141MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,494TaxBasedOnInvestmentIncomeAmt
Total Tax$5,494TotalTaxAmt
Distributable Before Adj$262,647DistributableBeforeAdjAmt
Distributable Before Ded$262,647DistributableBeforeDedAmt
Distributable As Adjusted$262,647DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$224,050ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$224,050QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$262,647DistributableAsAdjustedAmt
Undistributed Income PY$230,180UndistributedIncomePYAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,982ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$17,790ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$6,481ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$27,253TotalExcessDistributionCyovAmt
Qualifying Distributions$224,050QualifyingDistributionsAmt
Applied To Year1$224,050AppliedToYear1Amt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$27,253ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$27,253ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$6,130Taxable2Amt
Undistributed Income CY$235,394UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonMARY S BURBACHRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line16616 N CHICKSAHAUK TRAILAddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
FieldValueIRS element (for citing)
Form And Info And MaterialsN/AFormAndInfoAndMaterialsTxt
Submission DeadlinesN/ASubmissionDeadlinesTxt
Restrictions On AwardsN/ARestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
NORTH HUDSON ELEMENTARY SCHOOL
510 LEMON ST NORTHHUDSONWI54016GOVTPROGRAM SUPPORT$13,000
ST MARKS EPISCOPAL SCHOOL
3395 BURNS ROADPALM BEACH GARDENSFL33410PCPROGRAM SUPPORT$10,000
THE PHIPPS CENTER FOR ART
109 LOCUST STHUDSONWI54016PCPROGRAM SUPPORT$5,000
SUSTAIN HUDSON INC
10 BIRKMOSE PARK LANEHUDSONWI54016PCPROGRAM SUPPORT$4,000
OSPREY WILDS ENV LEARNING CTR
54165 AUDUBON DRSANDSTONEMN55072PCPROGRAM SUPPORT$32,000
BPS FREE CLINIC
1409 EMIL STMADISONWI53713PCPROGRAM SUPPORT$5,000
OLBRICH BOTANICAL GARDENS
3330 ATWOOD AVEMADISONWI53704PCPROGRAM SUPPORT$15,000
THE SHARING TREE INC
218 E 3RD AVETALLAHASSEEFL32303PCPROGRAM SUPPORT$3,000
CHICAGO NORTHWEST HIST SOCIETY
3634 SPRINGFIELD DROMAHANE68114PCPROGRAM SUPPORT$5,000
MAKING EVERY DAY COUNT
501 S FLAGLER DRWEST PALM BEACHFL33401PCPROGRAM SUPPORT$30,000
VOLUNTEERS IN MEDICINE
41 E DUVAL STJACKSONVILLEFL32202PCPROGRAM SUPPORT$20,000
MADISON CHILDRENS MUSEUM
100 N HAMILTON STMADISONWI53703PCPROGRAM SUPPORT$50,000
ST CROIX BIKE & PEDESTRIAN TRAILS
1230 OAKWOOD LANEHUDSONWI54016PCPROGRAM SUPPORT$4,000
ST CROIX VALLEY FOOD BANK
1231 INDUSTRIAL ST STE 400HUDSONWI54016PCPROGRAM SUPPORT$10,000
UNIVERSITY OF WISCONSIN FOUNDATION
1848 UNIVERSITY AVEMADISONWI53726PCPROGRAM SUPPORT$15,000
CORNELL LAB OF ORNITHOLOGY
159 SAPSUCKER WOODS ROADITHACANY14850PCPROGRAM SUPPORT$2,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$223,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$119,317ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$307,806ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$427,123ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$427,123TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryRANDALL GROBE, CPA TAX PREPARATIONCategoryTxt
Amt$2,100Amt
Net Investment Income$1,050NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,050DisbursementsCharitablePrpsAmt

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Other Program Related Invst AllOtherProgramRelatedInvstGrp

FieldValueIRS element (for citing)
DescNONEDesc
Amt$0Amt

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (2 entries)

AssetAssetDescGross Sales PriceGrossSalesPriceAmtBasisBasisAmtTotal NetTotalNetAmt
PUBLICLY TRADED STOCKS$620,635$479,768$140,867
CAPITAL GAIN DISTRIBUTIONS$166,939$166,939

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBOTT LABORATORIES$4,295$70,370
ABBVIE, INC.$4,658$67,700
PEPSICO, INC.$10,469$86,855

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (23 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
AMERICAN FDS STRATEGIC BOND FUND$240,000$240,627
FIRST TRUST PREF SECURITIES & INCOME ETF$123,705$121,920
CAPITAL WORLD GROWTH & INCOME FD$130,000$163,064
DFA US SMALL CAP PORTFOLIO$54,836$108,748
DFA US CORE EQUITY 1 PORTFOLIO$426,485$764,533
FIDELITY ADV STK SELECTOR - MIDCAP FD$76,414$180,685
FIDELITY ADV NEW INSIGHTS FD$26,683$55,991
FUNDAMENTAL INVESTORS$185,745$363,643
GROWTH FUND OF AMERICA$34,951$117,038
PRIME CAP ODYSSEY GROWTH FD$139,950$213,544
WASHINGTON MUTUAL INV FD$229,739$382,081
DFA EMERGING MARKETS PORTFOLIO$115,230$156,307
DFA INTL CORE EQUITY PORTFOLIO$107,892$150,525
DFA INTL LARGE CAP GROWTH$100,000$158,363
DODGE & COX INTL STOCK FUND$79,429$120,895
EUROPACIFIC GROWTH FUND$53,971$107,092
SMALLCAP WORLD FD$42,580$136,523
BLACKROCK STRATEGIC INCOME OPTIONS PORT.$276,357$278,589
DODGE & COX INCOME FD$493,454$502,656
BLACKROCK EVENT DRIVEN EQUITY FD$120,000$124,035
PGIM TOTAL RETURN BOND FD$103,741$106,457
WESTERN ASSET CORE PLUS BOND FD$498,463$508,193
ARTISAN PARTNERS HIGH INCOME FD$195,000$218,878

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Amt$757Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescINV PROGRAM FEESDesc
Revenue And Expenses Per Books$29,468RevenueAndExpensesPerBooksAmt
Net Investment Income$29,468NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescNON-DIVIDEND DISTRIBUTIONSDesc
Amt$1,338Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
FOREIGN TAXES$1,322$1,322
FEDERAL INCOME TAXES$2,833

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