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SPECTRUM HEALTH FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SPECTRUM HEALTH FOUNDATION INC (EIN 48-1160123)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-12
IRS object ID
202241329349102799
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)
Return2022-05-12T13:23:59-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN480787299PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SINK GORDON & ASSOCIATES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1727 POYNTZ AVE STE 601AddressLine1Txt
CityMANHATTANCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66502ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481160123EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPECTRUM HEALTH FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSPECBusinessNameControlTxt
Phone3162104981PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12915 STRONG AVEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66106ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCLAY T APPLPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone7854723186PhoneNum
Signature2022-05-09SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCLAYPersonFirstNm
Person LastAPPLPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES L GORDONPreparerPersonNm
PTINP00366238PTIN
Phone7855370190PhoneNum
Preparation2022-05-09PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Initial Return Former Pub ChrtyYes (X)InitialReturnFormerPubChrtyInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,374,293FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$268InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$268InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$58,389DividendsRevAndExpnssAmt
Dividends Net Invst Incm$58,389DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$151,400NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$806,168GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$151,400CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$210,057TotalRevAndExpnssAmt
Total Net Invst Incm$210,057TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$990AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$990AccountingFeesNetInvstIncmAmt
Taxes Rev And Expnss$40TaxesRevAndExpnssAmt
Taxes Net Invst Incm$40TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$56,307OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$56,307OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$57,337TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$57,337TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$123,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$123,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$180,337TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$57,337TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$123,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$29,720ExcessRevenueOverExpensesAmt
Net Investment Income$152,720NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$16,265CashBOYAmt
Cash EOY$23,998CashEOYAmt
Cash EOYFMV$23,998CashEOYFMVAmt
Sav And Temp Cash Invst BOY$607,772SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$326,344SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$326,344SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$1,992,883USGovernmentObligationsBOYAmt
US Government Obligations EOY$2,257,244USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$3,794,870USGovtObligationsEOYFMVAmt
Other Investments BOY$178,848OtherInvestmentsBOYAmt
Other Investments EOY$220,952OtherInvestmentsEOYAmt
Other Investments EOYFMV$229,081OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,795,768TotalAssetsBOYAmt
Total Assets EOY$2,828,538TotalAssetsEOYAmt
Total Assets EOYFMV$4,374,293TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$2,795,768RetainedEarningBOYAmt
Retained Earning EOY$2,828,538RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,795,768TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,828,538TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,795,768TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,828,538TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,795,768TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$29,720ExcessRevenueOverExpensesAmt
Other Increases$3,050OtherIncreasesAmt
Subtotal$2,828,538SubtotalAmt
Tot Net Ast Or Fund Balances EOY$2,828,538TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (18 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
UBS 12024 - SEE ATTACHEDP$205$192$13$13
UBS 10621 - SEE ATTACHEDP$59,798$43,042$16,756$16,756
UBS 12024 - SEE ATTACHEDP$57,015$22,372$34,643$34,643
CHARLES SCHWAB - SEE ATTACHEDP$25,099$21,958$3,141$3,141
UBS 15203 - SEE ATTACHEDP$18$18$18
CHARLES SCHWAB - SEE ATTACHEDP$31,114$26,842$4,272$4,272
UBS 15203 - SEE ATTACHEDP$91,277$54,542$36,735$36,735
UBS 12436 - SEE ATTACHEDP$552$578-$26-$26
UBS 12436 - SEE ATTACHEDP$17,079$10,702$6,377$6,377
UBS 11589 - SEE ATTACHEDP$46,282$50,368-$4,086-$4,086
UBS 11589 - SEE ATTACHEDP$64,771$51,627$13,144$13,144
UBS 11556 - SEE ATTACHEDP$21,253$18,062$3,191$3,191
UBS 11556 - SEE ATTACHEDP$90,311$76,430$13,881$13,881
UBS 11555 - SEE ATTACHEDP$67,836$67,256$580$580
UBS 11555 - SEE ATTACHEDP$152,297$151,238$1,059$1,059
UBS 11346 - SEE ATTACHEDP$25,394$11,548$13,846$13,846
UBS 27036 - SEE ATTACHEDP$47,639$40,306$7,333$7,333
UBS 10621 - SEE ATTACHEDP$7,793$7,705$88$88
FieldValueIRS element (for citing)
Capital Gain Net Income$151,400CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$10,252NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,123InvestmentIncomeExciseTaxAmt
Subtotal$2,123SubtotalAmt
Tax Based On Investment Income$2,123TaxBasedOnInvestmentIncomeAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$53EsPenaltyAmt
Tax Due$2,176TaxDueAmt

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 StateKSOrgReportOrRegisterStateCd
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 BooksALLISON A STEWARTIndividualWithBooksNm
Phone9138312979PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12915 STRONG AVEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66106ZIPCd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CLAY T APPL
4247 N WESTLAKE CTBEL AIREKS67220CHAIRMAN1.00$0$0$0
ALLISON A STEWART
510 E 4TH AVEBELLE PLAINEKS67013SECRETARY1.00$0$0$0
CORY M APPL
9430 HURRELBRINK RDKANSAS CITYKS66109TREASURER1.00$0$0$0
BRADLEY APPL
4309 W 93RD STPRAIRIE VILLAGEKS66207DIRECTOR1.00$0$0$0
GUNNAR J APPL
21429 W 47TH CTSHAWNEEKS66218DIRECTOR1.00$0$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$3,908,850AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$283,536AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$50,000FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,242,386TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$4,242,386AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$63,636CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,178,750NetVlNoncharitableAssetsAmt
Minimum Investment Return$208,938MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$208,938MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,123TaxBasedOnInvestmentIncomeAmt
Total Tax$2,123TotalTaxAmt
Distributable Before Adj$206,815DistributableBeforeAdjAmt
Distributable Before Ded$206,815DistributableBeforeDedAmt
Distributable As Adjusted$206,815DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$123,000ExpensesAndContributionsAmt
Qualifying Distributions$123,000QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$206,815DistributableAsAdjustedAmt
Qualifying Distributions$123,000QualifyingDistributionsAmt
Applied To Current Year$123,000AppliedToCurrentYearAmt
Undistributed Income CY$83,815UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (24 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
KANSAS FOOD BANK
1919 E DOUGLASWICHITAKS67211PROVIDE MEALS$3,250
UNITED METHODIST OPEN DOORS INC
402 E 2ND STWICHITAKS67202PROVIDE SUPPORT$3,250
USD 357 SCHOOL DISTRICT
901 N MAINBELLE PLAINEKS67013ASSIST CHILDREN$8,000
ST MICHAELS CATHOLIC CHURCH
525 E MAIN STMULVANEKS67110FOOD FOR NEEDY$3,500
THE LORD'S DINER
520 N BROADWAYWICHITAKS67214PROVIDE DAILY MEALS$11,000
KANSAS HONOR FLIGHT
PO BOX 2371HUTCHINSONKS67504VETERAN FLIGHT$5,000
RONALD MCDONALD HOUSE
1110 N EMPORIAWICHITAKS67214FAMILY OF HOSP CHILD$2,500
MOTHER TERESA CHARITABLE TRUST
13095 S MER-LEN SUITE 100OLATHEKS66062HELP ORPHAN CHILDREN$10,000
URBAN SCHOLASTIC CENTER
2900 MINNESOTA AVEKANSAS CITYKS66102PROVIDE MEALS$3,500
VILLA ST FRANCIS
16600 W 126TH STOLATHEKS66062ASSIST FRAILE/ELDERLY$3,000
HAPPY HEARTS WORKING INC
15091 158TH STBONNER SPRINGSKS66012DEVELOPMENTAL DISABILITY SUPPORT$20,000
JOY MEADOWS INC
12400 170TH STLINWOODKS66052FOSTER CARE SERVICES$2,000
ST PAUL UNIVERSITY PARISH
1810 N ROOSEVELT STWICHITAKS67208LOCAL CHURCH$2,000
GUADALUPE CLINIC
940 S ST FRANCISWICHITAKS67211NECESSITIES OF NEEDY$3,500
CENTRAL AVENUE CENTER OF HOPE
11 N 15TH STKANSAS CITYKS66102PROVIDE MEALS$7,000
WELLNESS FOR AFRICA INC
8820 MONROVIA STLENEXAKS66285PROVIDE SUPPORT$6,000
KAPAUN MT CARMEL
8506 E CENTRALWICHITAKS67206EDUCATIONAL COST$3,500
VALLEY RIDGE ELDER CARE
860 N WOODLAWN RDBELLE PLAINEKS67013PROVIDE SUPPORT$1,000
CATHOLIC CHARITIES
4374 N TOPEKAWICHITAKS67202COUNSELING & SUPPORT$3,500
BREAST CANCER RESEARCH FOUNDATION
28 WEST 44TH ST STE 609NEW YORKNY10036BREAST CANCER RESEARCH$4,000
ST ANTHONY'S CATHOLIC CHURCH
600 S 4TH STLEOTIKS67861LOCAL CHURCH$10,000
CAMP ENCOURAGE
4025 CENTRAL STKANSAS CITYMO64111YOUTH WITH AUTISM$7,500
RESURRECTION CATHOLIC SCHOOL
4900 N WOODLAWN RDBEL AIREKS67220NON-PUBLIC ELEMENTARY SCHOOL$5,000
KU ENDOWMENT GIRLS NIGHT OUT
3901 RAINBOW BLVDKANSAS CITYKS66160GIRLS WITH AUTISM (VOIDED CHECK)-$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$123,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$268RelatedOrExemptFunctionIncmAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$58,389RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$151,400RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$210,057RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$210,057TotalIncomeProducingActyAmt

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)
Amt$990Amt
Net Investment Income$990NetInvestmentIncomeAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$2,257,244USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$3,794,870USGovtObligationsEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (4 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
CHARLES SCHWAB - EXCHG TRADED FUNDS$23,847$34,236
CHARLES SCHWAB - REIT$1,548$496
UBS - ANCHOR BAL - EXCHANGE PRODUCTS$145,557$144,349
ALTERNATE INVESTMENT$50,000$50,000

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
EXPENSES
INVESTMENT FEES$56,016$56,016
INSURANCE$291$291

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryANNUAL REPORT FEECategoryTxt
Amt$40Amt
Net Investment Income$40NetInvestmentIncomeAmt

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