FURP.ORG / PUBLIC DATA EXPLORER

ANNE EMBREE CHARITABLE FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ANNE EMBREE CHARITABLE FOUNDATION (EIN 46-2962001)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-02
IRS object ID
202241229349101259
Schema version
2021v4.0
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)
Return2022-05-02T11:50:11-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN208019714PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JDS PROFESSIONAL GROUPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110303 E DRY CREEK RD STE 400AddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462962001EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANNE EMBREE CHARITABLE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANNEBusinessNameControlTxt
Phone2392611400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1599 9TH STREET NORTH SUITE 312AddressLine1Txt
CityNAPLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34102ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTONI CAMPBELLPersonNm
Person TitleTREASURER/DIRECTORPersonTitleTxt
Phone3035949518PhoneNum
Signature2022-04-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTONIPersonFirstNm
Person LastCAMPBELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI B BAUER CPAPreparerPersonNm
PTINP01260252PTIN
Phone3037710123PhoneNum
Preparation2022-05-02PreparationDt
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$2,076,498FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$15,308InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$807InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$21,616DividendsRevAndExpnssAmt
Dividends Net Invst Incm$21,616DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$115,683NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,149,698GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$115,683CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$99OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$99OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$152,706TotalRevAndExpnssAmt
Total Net Invst Incm$138,205TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$18,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$9,000CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$9,000CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,350AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$675AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$675AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$6,088OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$6,088OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$1,952TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,547TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$10TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$628OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$628OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$28,018TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$17,310TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$10,313TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$90,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$90,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$118,018TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$17,310TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$100,313TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$34,688ExcessRevenueOverExpensesAmt
Net Investment Income$120,895NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$3,171CashBOYAmt
Cash EOY$1,887CashEOYAmt
Cash EOYFMV$1,887CashEOYFMVAmt
Sav And Temp Cash Invst BOY$113,175SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$44,344SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$44,344SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$528,848USGovernmentObligationsBOYAmt
US Government Obligations EOY$597,650USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$597,650USGovtObligationsEOYFMVAmt
Corporate Bonds BOY$20,237CorporateBondsBOYAmt
Other Investments BOY$1,333,447OtherInvestmentsBOYAmt
Other Investments EOY$1,422,732OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,422,732OtherInvestmentsEOYFMVAmt
Other Assets BOY$9,885OtherAssetsBOYAmt
Other Assets EOY$9,885OtherAssetsEOYAmt
Other Assets EOYFMV$9,885OtherAssetsEOYFMVAmt
Total Assets BOY$2,008,763TotalAssetsBOYAmt
Total Assets EOY$2,076,498TotalAssetsEOYAmt
Total Assets EOYFMV$2,076,498TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$2,008,763NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$2,076,498NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$2,008,763TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,076,498TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,008,763TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,076,498TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,008,763TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$34,688ExcessRevenueOverExpensesAmt
Other Increases$33,047OtherIncreasesAmt
Subtotal$2,076,498SubtotalAmt
Tot Net Ast Or Fund Balances EOY$2,076,498TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (27 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
FEDERAL HOME LOAN BANKS BONDP2021-05-052021-08-27$55,000$55,024-$24-$24
SELECT SECTOR SPDR TRUST COMMP2020-11-092021-05-13$57,586$54,999$2,587$2,587
FIRST TRUST EXCHANGE-TRADED FU CAPP2021-01-012021-04-13$30,496$23,933$6,563$6,563
SELECT SECTOR SPDR TRUST RLP2021-08-132021-08-30$29,997$29,810$187$187
INVESCO QQQ TRUSTP2021-06-242021-07-27$36,130$35,048$1,082$1,082
SELECT SECTOR SPDR TRUST SBIP2021-04-162021-09-21$57,552$59,705-$2,153-$2,153
INVESCO EXCHANGE TRADED FRP2020-07-242021-07-07$42,554$28,000$14,554$14,554
VANECK ETF TRUSTP2021-09-132021-09-16$17,238$18,025-$787-$787
ISHARES TRUST US HLTHCAREP2020-11-092021-09-21$55,148$55,957-$809-$809
INVESCO EXCHANGED TRADED FUNTP2020-12-232021-06-14$67,724$49,349$18,375$18,375
ISHARES TRUST RUSSELL 2000P2020-11-102021-07-07$31,420$24,149$7,271$7,271
SELECT SECTOR SPDR TRUST SBIP2021-04-162021-09-21$59,021$59,724-$703-$703
ISHARES TRUST US ENERGYP2021-05-132021-08-13$13,965$14,404-$439-$439
BANK OF AMERICA CORP NOTEP2019-10-112021-05-17$20,000$20,173-$173-$173
ISHARES US ETF TRUST CONSUMERP2020-11-092021-03-05$25,504$25,790-$286-$286
INVESCO EXCHANGED TRADED S&PP2018-08-202021-07-07$15,198$13,854$1,344$1,344
ISHARES S&P 500P2021-03-052021-08-13$168,562$154,653$13,909$13,909
INVESCO EXCHANGE TRADED FUND TP2019-12-052021-01-21$29,008$6,835$22,173$22,173
SPDR INDEX SHARESP2020-12-282021-05-12$20,133$16,126$4,007$4,007
ISHARES TRUST MSCI INDONIAP2018-11-202021-06-25$10,714$12,261-$1,547-$1,547
SELECT SECTOR SPDR TRUSTP2020-06-292021-06-14$67,699$43,467$24,232$24,232
ISHARES TRUST MSCI CHINAP2020-01-012021-12-06$42,253$42,501-$248-$248
SELECT SECTOR SPDR TRUS SBIP2021-04-132021-08-13$43,190$41,915$1,275$1,275
TEXAS TRSN COMM CENTP2020-02-212021-04-28$48,900$50,024-$1,124-$1,124
SELECT SECTOR SPDR TRUST ENERGYP2021-03-052021-04-16$26,103$28,052-$1,949-$1,949
SELECT SECTOR SPDR TRUST FINP2021-03-052021-04-12$29,576$27,805$1,771$1,771
SELECT SECTOR SPDR TRUST TECHP2021-03-052021-08-13$48,568$42,432$6,136$6,136
FieldValueIRS element (for citing)
Capital Gain Net Income$115,683CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$94,799NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,680InvestmentIncomeExciseTaxAmt
Subtotal$1,680SubtotalAmt
Tax Based On Investment Income$1,680TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$380EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$380TotalPaymentsAndCreditsAmt
Tax Due$1,300TaxDueAmt

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 StateCOOrgReportOrRegisterStateCd
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 BooksTONI CAMPBELLIndividualWithBooksNm
Phone3035949518PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1C/O JDS 10303 E DRY CREEK RD 400AddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd
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
Undistributed Income PYfalseUndistributedIncomePYInd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
GREG STOIA
599 9TH STREET NORTH SUITE 312NAPLESFL34102PRES/EXEC DI2.30$6,000$0$0
CARLA SKEEN
C/O JDS 10303 E DRY CREEK RD 400ENGLEWOODCO80112VP/SEC/DIREC2.30$6,000$0$0
TONI CAMPBELL
C/O JDS 10303 E DRY CREEK RD 400ENGLEWOODCO80112TREASURER/DI2.30$6,000$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,962,278AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$123,845AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$9,885FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,096,008TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$2,096,008AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$31,440CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,064,568NetVlNoncharitableAssetsAmt
Minimum Investment Return$103,228MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$103,228MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,680TaxBasedOnInvestmentIncomeAmt
Total Tax$1,680TotalTaxAmt
Distributable Before Adj$101,548DistributableBeforeAdjAmt
Distributable Before Ded$101,548DistributableBeforeDedAmt
Distributable As Adjusted$101,548DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$100,313ExpensesAndContributionsAmt
Qualifying Distributions$100,313QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$101,548DistributableAsAdjustedAmt
Undistributed Income PY$77,043UndistributedIncomePYAmt
Qualifying Distributions$100,313QualifyingDistributionsAmt
Applied To Year1$77,043AppliedToYear1Amt
Applied To Current Year$23,270AppliedToCurrentYearAmt
Undistributed Income CY$78,278UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonGREG STOIARecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1599 9TH STREET NORTH SUITE 312AddressLine1Txt
CityNAPLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34102ZIPCd
FieldValueIRS element (for citing)
Recipient Phone2392611400RecipientPhoneNum
Recipient Email AddressANNEEMBREECHARITABLEFOUNDATION@GMAIL.COMRecipientEmailAddressTxt
Form And Info And MaterialsAN APPLICATION WILL NEED TO BE COMPLETED. THE APPLICATION IS A BASIC FORMAT WHERE YOU WILL NEED TO PROVIDE THE NAME OF THE ORGANIZATION, FEDERAL ID NUMBER, CONTACT INFORMATION OF THE APPLICANT, AND A DESCRIPTION OF THE ORGANIZATION AND HOW THE DONATION WILL BE USED.FormAndInfoAndMaterialsTxt
Submission DeadlinesBY AUGUST 31ST OF EACH YEAR.SubmissionDeadlinesTxt
Restrictions On AwardsTHE ONLY RESTRICTION IS THAT THE APPLICANT'S MISSION BE ANIMALS AND/OR ART - THERE ARE NO OTHER RESTRICTIONS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ANIMAL PROTECTION OF NEW MEXICO
PO BOX 11395ALBUQUERQUENM87192NONEPAIDDONATION$2,500
BIG CANOE ANIMAL RESCUE
10676 BIG CANOEBIG CANOEGA30143NONEPAIDDONATION$7,500
WEEPING WILLOW 2ND CHANCE GS SANC
2469 HEWITT GIFFORD RD SWLORDSTOWNOH44481NONEPAIDDONATION$7,500
DENVER ART SOCIETY
734 SANTA FE DRDENVERCO80204NONEPAIDDONATION$7,500
4 PAWS 4 LIFE
3648 N PERRY PARK RDSEDALIACO80135NONEPAIDDONATION$7,500
EVERGREEN ANIMAL PROTECTIVE LEAGUE
PO BOX 2517EVERGREENCO80437NONEPAIDDONATION$7,500
516 ARTS
516 CENTRAL AVE SWALBUQUERQUENM87102NONEPAIDDONATION$2,500
VITAL SPACES INC
PO BOX 2893SANTA FENM87504NONEPAIDDONATION$5,000
MUSEUM OF NEW MEXICO FOUND
PO BOX 2065SANTA FENM87504NONEPAIDDONATION$10,000
OFFCENTER COMM ARTS FOUND
808 PARK AVE SWALBUQUERQUENM87102NONEPAIDDONATION$10,000
HERO DOG RESCUE INC
2300 BETHELVIEW RDCUMMINGGA30040NONEPAIDDONATION$7,500
OPERATION FREEDOM PAWS
777 FIRST STGILROYCA95020NONEPAIDDONATION$7,500
MOUNTAIN PET RESCUE
PO BOX 1841WINTER PARKCO80482NONEPAIDDONATION$7,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$90,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$15,308ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$21,616ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion15ExclusionCd
Exclusion$99ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$115,683ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$152,706ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$152,706TotalIncomeProducingActyAmt

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)
CategoryACCOUNTING FEESCategoryTxt
Amt$1,350Amt
Net Investment Income$675NetInvestmentIncomeAmt
Disbursements Charitable Prps$675DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondBANK OF AMERICA 3.499 5.17.22BondNm

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$49,134USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$49,134USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$516,523StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$516,523StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (34 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
FIRST TRUST NASDAQ CMTYBK ETFFMV$50,195$50,195
INVESCO S&P 500 PUR VAL ETFFMV
ISHARES MSCI CDA ETFFMV$63,026$63,026
ISHARES MSCI FRANCE ETFFMV$27,994$27,994
ISHARES MSCI GERMANY ETFFMV$23,602$23,602
ISHARES US MEDICAL DEVICES ETFFMV$94,824$94,824
ISHARES MSCI INDONIA ETFFMV
ISHARES MSCI JAPAN ETFFMV$78,344$78,344
ISHARES MSCI TAIWAN ETFFMV$83,262$83,262
SELECT SECTOR SPDR TRUST HEALTH CR EFMV$81,716$81,716
SPDR S&P AEROSPACE & DEF ETFFMV$86,188$86,188
SPDR S&P BIOTECH ETFFMV$79,492$79,492
INVESCO EXCHANGE TRADED FD WATER RESFMV$47,455$47,455
INVESCO EXCHANGE TRADED FUND SOLARFMV$64,655$64,655
ISHARES INC. MSCI SWITZERLANDFMV$44,293$44,293
ISHARES INC. MSCI STH KORFMV$54,509$54,509
ISHARES TRUST MSCI ACWI EXFMV$91,184$91,184
ISHARES TRUST EAGE GRWTH ETFFMV$61,762$61,762
ISHARES TRUST MSCI CHINA ETFFMV
FIRST TRUST EXCHANGE TRADE FU CAPFMV$71,022$71,022
INVESCO EXCHANGE TRADED FUND T KBWFMV
ISHARES TRUST RUSSELL 2000 ETFFMV
ISHARES TRUST US HLTHCARE ETFFMV
ISHARES US ETF TRUST CONSUMERFMV
SELECT SECTOR SDDR TRUST SBI MATERIAFMV
SELECT SECTOR SPDR TRUST COMM.FMV
SPDR INDEX SHARES FUNDSFMV
ISHARES INC MSCI SWEDEN ETFFMV$17,605$17,605
ISHARES TRUST US FINLS ETFFMV$41,611$41,611
SELECT SECTOR SPDR TRUST SBI CONSFMV$32,710$32,710
SELECT SECTOR SPDR TRUST ENERGYFMV$34,410$34,410
SELECT SECTOR SPDR TRUST TECHFMV$33,035$33,035
SPDR SERIES TRUST TR UNIT ETFFMV$94,992$94,992
VANECK ETF TRUST SEMICONDUCTORFMV$64,846$64,846

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ARTWORK$7,885$7,885$7,885
ROYALTY INT IN WELL MOFFAT COUNTY CO$2,000$2,000$2,000

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXPENSES
INSURANCE$628$628

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescROYALTY INCOME - OIL & GASDesc
Revenue And Expenses Per Books$99RevenueAndExpensesPerBooksAmt
Net Investment Income$99NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINSDesc
Amt$33,047Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$6,088Amt
Net Investment Income$6,088NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
ANNUAL FEE$10$10
FOREIGN TAXES ON INVESTMENTS$1,547$1,547
FEDERAL PY BALANCE DUE$15
FEDERAL ESTIMATE$380