KUZAK FAMILY FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KUZAK FAMILY FOUNDATION (EIN 81-6923316)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-13
IRS object ID
202241339349100944
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T09:48:56-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11001 WOODWARD SUITE 700AddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48226ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN816923316EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KUZAK FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKUZABusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 TURTLE GROVE CTAddressLine1Txt
CityBLOOMFIELD HILLSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48302ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDERRICK KUZAKPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2487913730PhoneNum
Signature2022-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDERRICKPersonFirstNm
Person LastKUZAKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD A FAVOR JRPreparerPersonNm
PTINP01242390PTIN
Phone3133963733PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
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$562,578FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$168,559ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$9,759DividendsRevAndExpnssAmt
Dividends Net Invst Incm$9,759DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$113,676NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$214,395GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$113,676CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$291,994TotalRevAndExpnssAmt
Total Net Invst Incm$123,435TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$5,595AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,798AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,798AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$1,455OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$727OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$727OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$88TaxesRevAndExpnssAmt
Taxes Net Invst Incm$88TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$7,138TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,613TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,525TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$215,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$215,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$222,138TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,613TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$218,525TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$69,856ExcessRevenueOverExpensesAmt
Net Investment Income$119,822NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$77,636CashBOYAmt
Cash EOY$83,937CashEOYAmt
Cash EOYFMV$83,937CashEOYFMVAmt
Acct Rcvbl$359AcctRcvblAmt
Acct Rcvbl BOY-$439AcctRcvblBOYAmt
Acct Rcvbl EOY$359AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$359AcctRcvblEOYFMVAmt
Corporate Stock BOY$117,147CorporateStockBOYAmt
Corporate Stock EOY$173,371CorporateStockEOYAmt
Corporate Stock EOYFMV$259,482CorporateStockEOYFMVAmt
Corporate Bonds BOY$97,285CorporateBondsBOYAmt
Corporate Bonds EOY$118,010CorporateBondsEOYAmt
Corporate Bonds EOYFMV$118,106CorporateBondsEOYFMVAmt
Other Investments BOY$109,796OtherInvestmentsBOYAmt
Other Investments EOY$95,604OtherInvestmentsEOYAmt
Other Investments EOYFMV$100,694OtherInvestmentsEOYFMVAmt
Total Assets BOY$401,425TotalAssetsBOYAmt
Total Assets EOY$471,281TotalAssetsEOYAmt
Total Assets EOYFMV$562,578TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$401,425RetainedEarningBOYAmt
Retained Earning EOY$471,281RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$401,425TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$471,281TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$401,425TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$471,281TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$401,425TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$69,856ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$471,281SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$471,281TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
UBS #16007 - SEE ATTACHED$150,226$40,187$110,039$110,039
UBS #20178 - SEE ATTACHED$11,115$9,422$1,693$1,693
UBS #20178 - SEE ATTACHED$52,924$51,110$1,814$1,814
CAPITAL GAINS DIVIDENDS$130$130$130P
FieldValueIRS element (for citing)
Capital Gain Net Income$113,676CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,666InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,666SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,666TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,937EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$1,937TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$271OverpaymentAmt
Applied To ES Tax$271AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksDERRICK KUZAK TRUSTEEIndividualWithBooksNm
Phone2482607171PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12811 TURTLE GROVE CTAddressLine1Txt
CityBLOOMFIELD HILLSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48302ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDERRICK KUZAKPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 TURTLE GROVE CTAddressLine1Txt
CityBLOOMFIELD HILLSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48302ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos0.50AverageHrsPerWkDevotedToPosRt
Compensation$0CompensationAmt
Employee Benefit Program$0EmployeeBenefitProgramAmt
Expense Account Other Allwnc$0ExpenseAccountOtherAllwncAmt
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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$361,713AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$37,076AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$398,789TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$398,789AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$5,982CashDeemedCharitableAmt
Net Vl Noncharitable Assets$392,807NetVlNoncharitableAssetsAmt
Minimum Investment Return$19,640MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$19,640MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,666TaxBasedOnInvestmentIncomeAmt
Total Tax$1,666TotalTaxAmt
Distributable Before Adj$17,974DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$17,974DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$17,974DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$218,525ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$218,525QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$17,974DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$3,992ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$56,735ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$113,120ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$144,104ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$157,331ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$475,282TotalExcessDistributionCyovAmt
Qualifying Distributions$218,525QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$17,974AppliedToCurrentYearAmt
Remaining Distri From Corpus$200,551RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$675,833TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$3,992ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$671,841ExcessDistriCyovToNextYrAmt
Excess From Year4$56,735ExcessFromYear4Amt
Excess From Year3$113,120ExcessFromYear3Amt
Excess From Year2$144,104ExcessFromYear2Amt
Excess From Year1$157,331ExcessFromYear1Amt
Excess From Current Year$200,551ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (6 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
DETROIT CRISTO REY HIGH SCHOOL
5679 VERNOR HWYDETROITMI48209PCCONTRIBUTION TO VARIOUS FUNDS OF THE PARISH AND SCHOOLS$32,500
JOHNS HOPKINS MEDICAL INSTITUTE
3400 N CHARLES STREETBALTIMOREMD21218PCCONTRIBUTION MADE TO THE KUZAK FAMILY FOUNDATION SCHOLARSHIP$35,000
UNIVERSITY OF DETROIT-MERCY
4001 W MCNICHOLSDETROITMI48221PCCONTRIBUTION MADE TO THE KUZAK FAMILY FOUNDATION SCHOLARSHIP$90,000
OUR LADY OF REFUGE INC
2110 E BRIARSPRINGFIELDMO65804PCCONTRIBUTION TO VARIOUS FUNDS OF OUR LADY OF REFUGE$15,000
DOLLARS FOR SCHOLARS FOUNDATION INC
3909 FRIENDSHIP ROADTALLASSEEAL36078PCCONTRIBUTION MADE TO THE KUZAK FAMILY FOUNDATION SCHOLARSHIP$17,500
THE REAGAN FOUNDATION
1775 N WARM SPRINGS RDSALT LAKE CITYUT84116PCCONTRIBUTION MADE TO THE KUZAK FAMILY FOUNDATION SCHOLARSHIP$25,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$215,000TotalGrantOrContriPdDurYrAmt
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$9,759ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$113,676ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$123,435ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$123,435TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndNoncash ContributionNoncashContributionInd
DERRICK KUZAK
12811 TURTLE GROVE CTBLOOMFIELD HILLSMI48302$75,245Yes (X)
DERRICK KUZAK
22811 TURTLE GROVE CTBLOOMFIELD HILLSMI48302$149,850Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor2ContributorNum
Noncash Property7,400 SHS OF FORD MOTOR CO ; BASIS $ 93,314NoncashPropertyDesc
Fair Market Value$149,850FairMarketValueAmt
Received2021-12-23ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryDELOITTE TAX, LLPCategoryTxt
Amt$5,595Amt
Net Investment Income$2,798NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,798DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (8 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ISHARES BROAD USD INVT GRADE CORP BOND - 346 SHS$21,395$20,670
SCHWAB US TIPS ETF - 167 SHS$9,653$10,503
LORD ABBETT BOND DEBENTURE FUND CLASS F - 2,917.917 SHS$23,680$24,394
LORD ABBETT HIGH YEILD FUND CLASS F - 934.57 SHS$6,972$7,000
PGIM HIGH YIELD CL Z - 1,274.336 SHS$7,073$7,008
ISHARES CMBS ETF - 259 SHS$14,014$13,735
GUGGENHEIM TOTAL RETURN BOND FUND CLASS INSTITUTIONAL - 608.697 SHS$17,668$17,384
PGIM TOTAL RETURN COND CL Z - 1203.291 SHS$17,555$17,412

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (11 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ISHARES CORE S&P SMALL-CAP ETF - 59 SHS$4,868$6,756
ISHARES MSCI USA MIN VOL FACTORY ETF - 44 SHS$2,980$3,560
ISHARES CORE MSCI EAFE ETF - 218 SHS$14,244$16,272
ISHARES MSCI USA VOL FACTORY ETF - 110 SHS$7,310$12,042
ISHARES CORE MSCI EMERGING MARKETS ETF - 184 SHS$9,904$11,013
VANGUARD VALUE ETF - 106 SHS$12,721$15,594
VANGUARD MID CAP ETF - 68 SHS$12,792$17,324
VANUARD GROWTH ETF - 51 SHS$9,772$16,366
VANGUARD INDUSTRIALS ETF - 17 SHS$2,442$3,450
FORD MOTOR CO COM - 7,400 SHS$93,313$153,698
VANGUARD CONSUMER DISCRETIONARY ETF - 10 SHS$3,025$3,407

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
LORD ABBETT BOND DEBENTURE FUND CLASS F - 11,656.194 SHSAT COST$92,252$97,446
SPDR GOLD SHARES ETF - 19 SHSAT COST$3,352$3,248

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryMANAGEMENT FEECategoryTxt
Amt$1,455Amt
Net Investment Income$727NetInvestmentIncomeAmt
Disbursements Charitable Prps$727DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFEDERAL NII EXCISE TAXCategoryTxt
Amt$88Amt
Net Investment Income$88NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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