GEORGE D BATES FAMILY FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GEORGE D BATES FAMILY FOUNDATION INC (EIN 59-3458518)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-08-08
- IRS object ID
- 202232209349101718
- 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
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-08T16:51:21-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593186310 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMAS HOWELL FERGUSON PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2615 CENTENNIAL BLVD SUITE 200 | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | 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 | 593458518 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGE D BATES JR FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GEOR | BusinessNameControlTxt |
| Phone | 8506272810 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 205 | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 323530205 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK W BATES | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8506272810 | PhoneNum |
| Signature | 2022-07-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARK | PersonFirstNm |
| Person Last | BATES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | YING WANG | PreparerPersonNm |
| PTIN | P01306055 | PTIN |
| Phone | 8506688100 | 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 | $616,534 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $68,851 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $1,716 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,716 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $324,656 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $650,219 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $324,656 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $395,223 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $326,372 | 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 | $2,806 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $903 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $1,475 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $4,813 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $4,432 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $9,997 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $4,432 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $87,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $87,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $96,997 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $4,432 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $87,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $298,226 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $321,940 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $12,588 | CashBOYAmt |
| Cash EOY | $153,548 | CashEOYAmt |
| Cash EOYFMV | $153,548 | CashEOYFMVAmt |
| Corporate Stock BOY | $67,070 | CorporateStockBOYAmt |
| Corporate Stock EOY | $375,076 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $462,986 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $79,658 | TotalAssetsBOYAmt |
| Total Assets EOY | $528,624 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $616,534 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $79,658 | CapitalStockBOYAmt |
| Capital Stock EOY | $528,624 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $79,658 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $528,624 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $79,658 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $528,624 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $79,658 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $298,226 | ExcessRevenueOverExpensesAmt |
| Other Increases | $150,740 | OtherIncreasesAmt |
| Subtotal | $528,624 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $528,624 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (54 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| BOEING CO | P | 2020-11-12 | 2021-01-11 | $1,436 | $1,262 | $174 | $174 |
| CLOVIS ONCOLOGY INC COM | P | 2021-01-13 | 2021-02-08 | $899 | $581 | $318 | $318 |
| CLOVIS ONCOLOGY INC COM | P | 2021-01-26 | 2021-02-08 | $523 | $475 | $48 | $48 |
| TELADOC HEALTH INC COMMON STOCK | P | 2021-01-12 | 2021-02-11 | $1,423 | $1,133 | $290 | $290 |
| ***NOVOCURE LIMITED ORD SHS | P | 2020-06-25 | 2021-03-02 | $3,310 | $1,256 | $2,054 | $2,054 |
| CONTEXTLOGIC INC CLASS A COMMON ST | P | 2021-03-09 | 2021-05-17 | $2,359 | $4,375 | -$2,016 | -$2,016 |
| CONTEXTLOGIC INC CLASS A COMMON ST | P | 2021-05-13 | 2021-05-17 | $590 | $656 | -$66 | -$66 |
| CONTEXTLOGIC INC CLASS A COMMON ST | P | 2021-05-14 | 2021-05-17 | $2,250 | $2,162 | $88 | $88 |
| VARONIS SYSTEMS INC | P | 2021-02-09 | 2021-07-15 | $1,011 | $1,182 | -$171 | -$171 |
| EVERBRIDGE INC COM | P | 2021-02-19 | 2021-07-15 | $912 | $1,226 | -$314 | -$314 |
| EVERBRIDGE INC COM | P | 2021-05-12 | 2021-07-15 | $3,650 | $3,220 | $430 | $430 |
| VARONIS SYSTEMS INC | P | 2021-05-12 | 2021-07-15 | $3,877 | $3,141 | $736 | $736 |
| CHEWY INC CLASS A COMMON STOCK | P | 2021-03-17 | 2021-08-31 | $2,419 | $2,170 | $249 | $249 |
| CHEWY INC CLASS A COMMON STOCK | P | 2021-05-06 | 2021-08-31 | $3,853 | $3,088 | $765 | $765 |
| SPDR DOW JONES INDL AVERAGE ETF TR | P | 2021-05-03 | 2021-09-08 | $78,748 | $76,880 | $1,868 | $1,868 |
| XPO LOGISTICS INC | P | 2021-06-30 | 2021-09-22 | $3,104 | $3,072 | $32 | $32 |
| GXO LOGISTICS INC COMMON STOCK | P | 2021-06-30 | 2021-09-22 | $3,094 | $2,127 | $967 | $967 |
| GXO LOGISTICS INC COMMON STOCK | P | 2021-07-14 | 2021-09-22 | $1,673 | $1,160 | $513 | $513 |
| XPO LOGISTICS INC | P | 2021-07-14 | 2021-09-22 | $1,678 | $1,675 | $3 | $3 |
| HCA HEALTHCARE INC COMMON STOCK | P | 2021-01-12 | 2021-09-27 | $1,812 | $1,203 | $609 | $609 |
| ***FARFETCH LIMITED CLASS A ORDINA | P | 2021-04-08 | 2021-10-22 | $3,313 | $4,250 | -$937 | -$937 |
| ***FARFETCH LIMITED CLASS A ORDINA | P | 2021-05-12 | 2021-10-22 | $768 | $742 | $26 | $26 |
| KURA SUSHI USA INC CLASS A COMMON | P | 2021-01-26 | 2021-10-26 | $84 | $50 | $34 | $34 |
| KURA SUSHI USA INC CLASS A COMMON | P | 2021-01-26 | 2021-10-27 | $84 | $50 | $34 | $34 |
| KURA SUSHI USA INC CLASS A COMMON | P | 2021-01-26 | 2021-10-28 | $208 | $125 | $83 | $83 |
| KURA SUSHI USA INC CLASS A COMMON | P | 2021-01-27 | 2021-10-28 | $83 | $49 | $34 | $34 |
| STARBUCKS CORP | P | 2021-02-05 | 2021-10-29 | $2,437 | $2,461 | -$24 | -$24 |
| STARBUCKS CORP | P | 2021-07-07 | 2021-10-29 | $5,191 | $5,684 | -$493 | -$493 |
| HCA HEALTHCARE INC COMMON STOCK | P | 2021-03-08 | 2021-12-08 | $3,855 | $2,983 | $872 | $872 |
| CHIPOTLE MEXICAN GRILL INC COMMON | P | 2021-06-22 | 2021-12-08 | $6,965 | $5,783 | $1,182 | $1,182 |
| ABBVIE INC | P | 2021-09-08 | 2021-12-08 | $9,401 | $8,381 | $1,020 | $1,020 |
| ABBVIE INC | P | 2021-10-12 | 2021-12-08 | $2,686 | $2,409 | $277 | $277 |
| APPLE INC | P | 2021-10-20 | 2021-12-09 | $4,415 | $3,723 | $692 | $692 |
| SIGNATURE BANK | P | 2018-08-07 | 2021-01-11 | $10,322 | $7,823 | $2,499 | $2,499 |
| SIGNATURE BANK | P | 2018-08-08 | 2021-01-11 | $4,943 | $3,770 | $1,173 | $1,173 |
| DOMINOS PIZZA INC | P | 2017-10-16 | 2021-01-20 | $377 | $193 | $184 | $184 |
| ***NOVOCURE LIMITED ORD SHS | P | 2019-10-31 | 2021-03-02 | $3,911 | $1,856 | $2,055 | $2,055 |
| DOCUSIGN INC COMMON STOCK | P | 2019-02-08 | 2021-03-08 | $30,792 | $7,659 | $23,133 | $23,133 |
| DOCUSIGN INC COMMON STOCK | P | 2018-11-07 | 2021-03-08 | $236,073 | $50,981 | $185,092 | $185,092 |
| SVB FINANCIAL GROUP | P | 2020-03-03 | 2021-04-27 | $3,410 | $1,185 | $2,225 | $2,225 |
| SVB FINANCIAL GROUP | P | 2020-04-06 | 2021-04-27 | $568 | $152 | $416 | $416 |
| SVB FINANCIAL GROUP | P | 2019-10-22 | 2021-04-27 | $9,662 | $3,551 | $6,111 | $6,111 |
| CF INDUSTRIES HOLDINGS INC | P | 2020-04-14 | 2021-04-29 | $2,149 | $1,301 | $848 | $848 |
| DELTA AIR LINES INC DEL COM | P | 2020-05-05 | 2021-06-18 | $4,648 | $2,227 | $2,421 | $2,421 |
| DELTA AIR LINES INC DEL COM | P | 2020-05-05 | 2021-06-22 | $1,000 | $490 | $510 | $510 |
| DOCUSIGN INC COMMON STOCK | P | 2019-02-08 | 2021-07-06 | $26,329 | $4,799 | $21,530 | $21,530 |
| CLOUDFLARE INC CLASS A COMMON | P | 2019-10-10 | 2021-09-23 | $2,642 | $341 | $2,301 | $2,301 |
| SMILEDIRECTCLUB INC CLASS A COMMON | P | 2020-05-07 | 2021-10-22 | $765 | $1,095 | -$330 | -$330 |
| SMILEDIRECTCLUB INC CLASS A COMMON | P | 2020-07-30 | 2021-10-22 | $428 | $673 | -$245 | -$245 |
| SMILEDIRECTCLUB INC CLASS A COMMON | P | 2019-10-08 | 2021-10-22 | $738 | $1,691 | -$953 | -$953 |
| CHIPOTLE MEXICAN GRILL INC COMMON | P | 2020-03-09 | 2021-12-08 | $6,965 | $2,734 | $4,231 | $4,231 |
| HOME DEPOT INC | P | 2020-04-06 | 2021-12-22 | $8,588 | $4,129 | $4,459 | $4,459 |
| HOME DEPOT INC | P | 2019-11-19 | 2021-12-22 | $134,675 | $78,362 | $56,313 | $56,313 |
| HOME DEPOT INC | P | 2019-11-19 | 2021-12-22 | $3,123 | $1,817 | $1,306 | $1,306 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $324,656 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $4,475 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $4,475 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $4,475 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $903 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $4,100 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $5,003 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $2 | EsPenaltyAmt |
| Overpayment | $526 | OverpaymentAmt |
| Applied To ES Tax | $526 | 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 | FL | 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 | 0 | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | MARK W BATES | IndividualWithBooksNm |
| Phone | 8506272810 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 205 | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 323530205 | 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 (4 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 |
|---|---|---|---|---|---|---|---|---|
| MARK W BATES | ||||||||
| 505 HIGHLAND AVE | QUINCY | FL | 32351 | PRESIDENT | 0.00 | $0 | $0 | $0 |
| PATRICIA C BATES | ||||||||
| 505 HIGHLAND AVE | QUINCY | FL | 32351 | SECRETARY | 0.00 | $0 | $0 | $0 |
| JOHN C BATES | ||||||||
| 722 PRICE RD | HENDERSONVILLE | NC | 28739 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| JULIA C BATES | ||||||||
| 114 PROSPECT PARK W | BROOKLYN | NY | 112151401 | DIRECTOR | 0.00 | $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 | $273,104 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $58,737 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $331,841 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $331,841 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $4,978 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $326,863 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $16,343 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $16,343 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $4,475 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $4,475 | TotalTaxAmt |
| Distributable Before Adj | $11,868 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $11,868 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $11,868 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $87,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $87,000 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $11,868 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $57,147 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $30,029 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $142,077 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $149,174 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $114,123 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $492,550 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $87,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $11,868 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $75,132 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $567,682 | 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 | $57,147 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $510,535 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $30,029 | ExcessFromYear4Amt |
| Excess From Year3 | $142,077 | ExcessFromYear3Amt |
| Excess From Year2 | $149,174 | ExcessFromYear2Amt |
| Excess From Year1 | $114,123 | ExcessFromYear1Amt |
| Excess From Current Year | $75,132 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| CENTENARY UM CHURCH | ||||||
| 646 W FIFTH STREET | WINSTONSALEM | NC | 27101 | PC | MUSIC & MISSIONS PROGRAMS | $42,500 |
| GADSDEN ARTS CENTER & MUSEUM | ||||||
| 13 N MADISON STREET | QUINCY | FL | 32351 | PC | ART PROGRAM | $12,500 |
| THE UNIVERSITY OF THE SOUTH | ||||||
| 735 UNIVERSITY AVE | SEWANEE | TN | 37383 | EDUCATIONAL ORG. | SCHOLARSHIPS | $22,000 |
| FLORIDA UNITED METHODIST CHILDREN'S HOME | ||||||
| 51 CHILDRENS WAY | ENTERPRISE | FL | 32725 | PC | CHILDREN'S SUPPORT | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $87,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,716 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $324,656 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $326,372 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $326,372 | 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 Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK BATES REVOCABLE TRUST | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 205 | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 323530205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $336,563 | TotalContributionsAmt |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | 1500 SHARES OF DOCUSIGN, INC. | NoncashPropertyDesc |
| Fair Market Value | $336,563 | FairMarketValueAmt |
| Received | 2021-03-03 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | THOMAS HOWELL FERGUSON, P.A. | CategoryTxt |
| Amt | $2,806 | 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 | COMMON STOCK | StockNm |
| EOY Book Value | $375,076 | EOYBookValueAmt |
| EOYFMV | $462,986 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PORTFOLIO MANAGEMENT FEES | $4,432 | $4,432 | $0 |
| CORPORATE FILING FEES | $61 | $0 | $0 |
| MEALS | $320 | $0 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET ASSET ADJUSTMENT | Desc |
| Amt | $150,740 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES WITHHELD | $0 | $0 | $0 |
| FEDERAL EXCISE TAXES | $903 | $0 | $0 |
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