OWENS FAMILY CHARITABLE FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
OWENS FAMILY CHARITABLE FOUNDATION (EIN 46-4183686)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-20
IRS object ID
202202939349101400
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)
Return2022-10-20T15:54:00-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13333 New Hyde Park Rd Ste 406AddressLine1Txt
CityNew Hyde ParkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464183686EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Owens Family Charitable FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlOWENBusinessNameControlTxt
Phone8008391754PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personjohn r ryan jrPersonNm
Person TitlepresidentPersonTitleTxt
Phone8008391754PhoneNum
Signature2022-10-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person Firstjohn rPersonFirstNm
Person Lastryan jrPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey D HaskellPreparerPersonNm
PTINP01345770PTIN
Phone8008391754PhoneNum

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
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$9,996,585FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$59InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$59InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$175,004DividendsRevAndExpnssAmt
Dividends Net Invst Incm$175,004DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$719,548NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,369,571GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$690,584CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$49,731OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$50,312OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$944,342TotalRevAndExpnssAmt
Total Net Invst Incm$915,959TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$23,250CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$23,250CompOfcrDirTrstDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$68,710OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$68,710OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$9,754TaxesRevAndExpnssAmt
Taxes Net Invst Incm$5,654TaxesNetInvstIncmAmt
Trav Conf Meeting Rev And Expnss$225TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$225TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$44,870OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$11,939OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$32,991OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$146,809TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$86,303TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$56,466TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$341,470ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$341,470ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$488,279TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$86,303TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$397,936TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$456,063ExcessRevenueOverExpensesAmt
Net Investment Income$829,656NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$126,849SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$195,002SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$195,002SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$2,875AcctRcvblAmt
Acct Rcvbl EOY$2,875AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$2,875AcctRcvblEOYFMVAmt
Corporate Stock BOY$7,117,158CorporateStockBOYAmt
Corporate Stock EOY$7,253,431CorporateStockEOYAmt
Corporate Stock EOYFMV$8,169,463CorporateStockEOYFMVAmt
Other Investments BOY$1,271,896OtherInvestmentsBOYAmt
Other Investments EOY$1,522,658OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,629,245OtherInvestmentsEOYFMVAmt
Total Assets BOY$8,515,903TotalAssetsBOYAmt
Total Assets EOY$8,973,966TotalAssetsEOYAmt
Total Assets EOYFMV$9,996,585TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$8,515,903RetainedEarningBOYAmt
Retained Earning EOY$8,973,966RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$8,515,903TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$8,973,966TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$8,515,903TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$8,973,966TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$8,515,903TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$456,063ExcessRevenueOverExpensesAmt
Other Increases$2,000OtherIncreasesAmt
Subtotal$8,973,966SubtotalAmt
Tot Net Ast Or Fund Balances EOY$8,973,966TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDt
Publicly-traded Securities$3,361,042$2,684,581$676,461$676,461
Passthrough K1 Capital Gain/(Loss)$13,591
KEYSTONE PRIVATE MARKET OPPORTUNITIES VI (Q), LP$8,529$7,997$532$532P2014-06-272021-12-31
FieldValueIRS element (for citing)
Capital Gain Net Income$690,584CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$11,532InvestmentIncomeExciseTaxAmt
Subtotal$11,532SubtotalAmt
Tax Based On Investment Income$11,532TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,855EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$7,300ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$12,155TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$623OverpaymentAmt
Applied To ES Tax$623AppliedToESTaxAmt

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 LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateDEOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
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 (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
James M Bymark
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir, VP1.0$4,500$0$0
Michael P Heck
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir1.0$4,500$0$0
Edward J Matonich
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir1.0$0$0$0
John R Ryan Jr
Foundation Source 501 Silverside RdWilmingtonDE198091377Pres, Dir1.0$4,500$0$0
Todd A Scaia
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir, Sec, Treas1.0$5,250$0$0
John S Shenk MD
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir1.0$4,500$0$0

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lincoln Financial AdvisorsBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 S Harrison StAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP468012239ZIPCd
FieldValueIRS element (for citing)
Service TypeInvestment MgmtServiceTypeTxt
Compensation$57,674CompensationAmt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$8,466,776AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$163,662AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$1,189,086FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$9,819,524TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$9,819,524AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$147,293CashDeemedCharitableAmt
Net Vl Noncharitable Assets$9,672,231NetVlNoncharitableAssetsAmt
Minimum Investment Return$483,612MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$483,612MinimumInvestmentReturnAmt
Tax Based On Investment Income$11,532TaxBasedOnInvestmentIncomeAmt
Income Tax$2,895IncomeTaxAmt
Total Tax$14,427TotalTaxAmt
Distributable Before Adj$469,185DistributableBeforeAdjAmt
Recoveries Qualfied Distri$2,000RecoveriesQualfiedDistriAmt
Distributable Before Ded$471,185DistributableBeforeDedAmt
Distributable As Adjusted$471,185DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$397,936ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$397,936QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$471,185DistributableAsAdjustedAmt
Undistributed Income PY$397,006UndistributedIncomePYAmt
Prior Year12019PriorYear1Yr
Prior Year22018PriorYear2Yr
Prior Year32017PriorYear3Yr
Qualifying Distributions$397,936QualifyingDistributionsAmt
Applied To Year1$397,006AppliedToYear1Amt
Applied To Current Year$930AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$470,255UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Current Year$0ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (30 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATI
7900 WEST 78TH ST SUITE 100MINNEAPOLISMN55439N/APCGeneral & Unrestricted$1,000
ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATI
7900 WEST 78TH ST SUITE 100MINNEAPOLISMN55439N/APCCharitable Event$750
AMERICAN ASSOCIATION OF UNIVERSITY WOMEN INC
1310 L ST NW STE 1000WASHINGTONDC20005N/APCCharitable Event$2,500
ANGEL FUND INC
PO BOX 114HIBBINGMN55746N/APCIn support of Rock for an Angel$1,000
BOREALIS ART GUILD
214 E HOWARD ST STE GHIBBINGMN55746N/APCthe Borealis Art Guild reopening fund$2,882
CENTRAL MESABI MEDICAL FOUNDATION
750 E 34TH STHIBBINGMN55746N/APCCharitable Event$2,500
CENTRAL MESABI MEDICAL FOUNDATION
750 E 34TH STHIBBINGMN55746N/APCKids Kare Fund for the 5K run/walk$1,500
CENTRAL MESABI MEDICAL FOUNDATION - FAIRVIEW RANGE
1101 EAST 37TH ST STE 27HIBBINGMN55746N/APCGeneral & Unrestricted$2,500
CHISHOLM PUBLIC SCHOOL DISTRICT
300 SW 3RD AVECHISHOLMMN55719N/AGOVGeneral & Unrestricted$8,000
CHISHOLM VETERANS MEMORIAL ASSOCIATION INC
8001 HWY 73ANGORAMN55703N/APCGeneral & Unrestricted$1,500
GREENHAVEN PARENT TEACHER ORGANIZATION
323 E 37TH STHIBBINGMN55746N/APCInclusive Community Playground project$25,000
HIBBING COLLEGE FOUNDATION
1515 E 25TH STHIBBINGMN55746N/APCComplete funding for the new sky projector$15,000
HIBBING DYLAN PROJECT
2210 11TH AVE EHIBBINGMN55746N/APCIn support of the City of Dylan Music Installation$5,000
HIBBING HIGH
800 E 21ST STHIBBINGMN55746N/AGOVIn support of STEM education for the 6 through 9th grades of the hibbing school district$93,397
HIBBING HIGH
800 E 21ST STHIBBINGMN55746N/AGOVOFCF Scholarship fund$5,926
HIBBING PUBLIC SCHOOL DISTRICT
800 E 21ST STHIBBINGMN55746N/AGOVthe Cheever Field restoration fund$63,000
HIBBING PUBLIC SCHOOL DISTRICT
800 E 21ST STHIBBINGMN55746N/AGOVGeneral & Unrestricted$11,000
HIBBING PUBLIC SCHOOL DISTRICT
800 E 21ST STHIBBINGMN55746N/AGOVPurchase of the Ramsey Classroom for the Independent living classes$2,300
HIBBING PUBLIC SCHOOL DISTRICT
800 E 21ST STHIBBINGMN55746N/AGOVEducation materials fund for the new Hibbing Early learning center$5,000
HIBBING QUARTERBACK CLUB
PO BOX 843HIBBINGMN55746N/APCGeneral & Unrestricted$5,000
HIBBING-CHISHOLM YOUTH HOCKEY ASSOCIATION
PO BOX 193HIBBINGMN55746N/APCCharitable Event$2,215
HONOR FLIGHT NORTHLAND INC
4535 AIRPORT APPROACH RDDULUTHMN55811N/APCGeneral & Unrestricted$2,500
MESABA COUNTRY CLUB YOUTH GOLF ASSOCIATION INC
415 E 51ST STHIBBINGMN55746N/APCCharitable Event$1,000
PROJECT CARE FREE CLINIC
1200 E 25TH ST STE 103HIBBINGMN55746N/APCGeneral & Unrestricted$12,500
RANGE REGIONAL HEALTH SERVICES
750 E 34TH STHIBBINGMN55746N/APCSupport toward purchase of Kinderguard Security Equipment system for newborns$30,000
SAINT PAUL & MINNESOTA FOUNDATION
101 5TH E ST STE 2400SAINT PAULMN55101N/APCSupport programs of the Hibbing Foundation$6,000
THE SALVATION ARMY
107 W HOWARD STHIBBINGMN55746N/APCChildrens Christmas gift and Bicycle Project$2,500
THE SALVATION ARMY
107 W HOWARD STHIBBINGMN55746N/APCChristmas Program$5,000
UNITED WAY OF NORTHEASTERN MINNESOTA INC
608 EAST DRCHISHOLMMN55719N/APCthe Imagination Library$5,000
UNITED WAY OF NORTHEASTERN MINNESOTA INC
608 EAST DRCHISHOLMMN55719N/APCGeneral & Unrestricted$20,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$341,470TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$59ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$175,004ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business525990BusinessCd
Unrelated Business Taxbl Incm$28,964UnrelatedBusinessTaxblIncmAmt
Exclusion18ExclusionCd
Exclusion$690,584ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescK-1 Inc/LossDesc
Business525990BusinessCd
Unrelated Business Taxbl Incm-$581UnrelatedBusinessTaxblIncmAmt
Exclusion14ExclusionCd
Exclusion$50,312ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$28,383UnrelatedBusinessTaxblIncmAmt
Exclusion$915,959ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$944,342TotalIncomeProducingActyAmt

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

Depreciation Schedule DepreciationSchedule

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
Identifierpart I line 6A (990-PF)IdentifierTxt
Form And Line ReferencePART I LINE 6A (990-PF)FormAndLineReferenceDesc
Medium ExplanationRECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $690,584 TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $28,964 TOTAL PART I, LINE 6A: $719,548 DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRAIDED SECURITIES GROSS SALES PRICE: $3,361,042 BOOK BASIS: $2,684,581 NET GAIN/(LOSS): $676,461 PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $13,591 SALES OF OTHER ITEMIZED ASSETS GROSS SALES PRICE: $8,529 BOOK BASIS: $7,997 NET GAIN/(LOSS): $532MediumExplanationTxt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (23 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BOSTON PARTNERS SM CAP VALUE I$349,954$482,311
CARILLON REAMS UNCONSTRAINED B$187,753$186,289
COLUMBIA MORTGAGE OPPORTUNITIE$375,089$371,930
DEER PARK TOTAL RETURN CREDIT$488,380$520,445
EVENTIDE HEALTHCARE & LIFE SCI$161,949$123,680
GRANDEUR PEAK GLOBAL CONTRARIA$197,693$190,811
GRANITESHARES BLOOMBERG COMMOD$239,205$256,500
HARTFORD CORE EQUITY CL I$168,334$212,592
HOTCHKIS AND WILEY VALUE OPP C$426,984$538,171
JPMORGAN US QUALITY FACTOR ETF$207,488$303,905
KOPERNIK GLOBAL ALL CAP FUND C$470,185$586,198
LOCORR MANAGED FUTURES STRATEG$312,949$306,690
NUANCE CONCENTRATED VAL LG SHT$578,834$480,025
OAKMARK GLOBAL SELECT ADVISOR$393,487$483,420
OAKMARK INTERNATIONAL ADVISOR$436,313$435,543
RMB MENDON FINANCIAL SERVICES$181,189$296,323
ROBO GLOBAL HEALTHCARE TECH. A$81,931$93,288
TORTOISE MLP AND PIPELINE FUND$575,310$515,610
TORTOISE PIPELINE & ENERGY FD$18,645$29,307
VICTORY GLOBAL NATURAL RESOURC$250,793$341,490
WCM ALTERNATIVES EVENT-DRIVEN$537,843$508,697
WCM FOCUSED INTL GROWTH FUNDS$163,614$291,257
WILLIAM BLAIR EMERGING MARKETS$449,509$614,981

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (4 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
KEYSTONE PRIVATE INCOME FUND C$500,000$500,000
KEYSTONE PRIVATE MARKET OPPORT$278,656$307,072
KEYSTONE REAL ESTATE LENDING F$484,548$475,000
PRINCETON PRIVATE INVESTMENTS$259,454$347,173

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Administrative Fees$31,575$31,575
Bank Charges$400$400
Indemnification Insurance$1,383$1,383
K-1 EXP KEYSTONE PRIV MARKE VI$3,211$3,206
K-1 EXP KEYSTONE PRIV VIII$7,650$7,715
K-1 Exp KEYSTONE REAL ESTATE L$618$618
Postage/Delivery Service$33$33

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
K-1 Inc/Loss KEYSTONE PRIVate MARKET vi$843$323
K-1 Inc/Loss KEYSTONE PRIV MARKET viii$28,976$30,077
K-1 Inc/Loss KEYSTONE REAL ESTATE LENDING FUND LP$19,912$19,912

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescRETURNED GRANTDesc
Amt$2,000Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryInvestment Management ServicesCategoryTxt
Amt$68,710Amt
Net Investment Income$68,710NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
990-PF Estimated Tax for 2021$4,100
Foreign Tax Paid$5,654$5,654

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