CHERNOWITZ MEDICAL RESEARCH FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHERNOWITZ MEDICAL RESEARCH FOUNDATION INC (EIN 47-5210479)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-01
IRS object ID
202203059349100005
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)
Return2022-11-01T07:55:11-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN232978890PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PEARL ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11036 MILLCREEK DRAddressLine1Txt
CityFEASTERVILLE TREVOSECityNm
State AbbreviationPAStateAbbreviationCd
ZIP19053ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN475210479EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERNOWITZ MEDICAL RESEARCHBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHERBusinessNameControlTxt
Phone8009018658PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11392 S VINE STREETAddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD JACOBYPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2157400870PhoneNum
Signature2022-10-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICHARDPersonFirstNm
Person LastJACOBYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTI SHARPEPreparerPersonNm
PTINP01317490PTIN
Phone2153223985PhoneNum
Preparation2022-11-01PreparationDt
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$10,184,948FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$219ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$291,437DividendsRevAndExpnssAmt
Dividends Net Invst Incm$291,437DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$31,147NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,284,969GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$31,147CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$73,588OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$73,588OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$396,391TotalRevAndExpnssAmt
Total Net Invst Incm$396,172TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$125,004CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$36,700CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$88,304CompOfcrDirTrstAdjNetIncmAmt
Pension Empl Bnft Rev And Expnss$9,755PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$2,865PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$6,890PensionEmplBnftAdjNetIncmAmt
Other Prof Fees Rev And Expnss$6,840OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$6,840OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$5,814TaxesRevAndExpnssAmt
Taxes Net Invst Incm$5,814TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$45,861OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$44,336OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$1,525OtherExpensesAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$193,274TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$96,555TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$96,719TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$514,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$439,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$707,274TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$96,555TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$96,719TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$439,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$310,883ExcessRevenueOverExpensesAmt
Net Investment Income$299,617NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
US Government Obligations BOY$743,579USGovernmentObligationsBOYAmt
US Government Obligations EOY$115,067USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$115,067USGovtObligationsEOYFMVAmt
Corporate Stock BOY$6,535,101CorporateStockBOYAmt
Corporate Stock EOY$7,944,090CorporateStockEOYAmt
Corporate Stock EOYFMV$7,944,090CorporateStockEOYFMVAmt
Corporate Bonds BOY$2,627,920CorporateBondsBOYAmt
Corporate Bonds EOY$2,125,791CorporateBondsEOYAmt
Corporate Bonds EOYFMV$2,125,791CorporateBondsEOYFMVAmt
Total Assets BOY$9,906,600TotalAssetsBOYAmt
Total Assets EOY$10,184,948TotalAssetsEOYAmt
Total Assets EOYFMV$10,184,948TotalAssetsEOYFMVAmt
Grants Payable EOY$75,000GrantsPayableEOYAmt
Total Liabilities EOY$75,000TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$9,906,600NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$10,109,948NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$9,906,600TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$10,109,948TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$9,906,600TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$10,184,948TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$9,906,600TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$310,883ExcessRevenueOverExpensesAmt
Other Increases$514,231OtherIncreasesAmt
Subtotal$10,109,948SubtotalAmt
Tot Net Ast Or Fund Balances EOY$10,109,948TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIESPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$3,232,019GrossSalesPriceAmt
Cost Or Other Basis$3,253,822CostOrOtherBasisAmt
Gain Or Loss-$21,803GainOrLossAmt
Gains Minus Excess Or Losses-$21,803GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$31,147CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,165InvestmentIncomeExciseTaxAmt
Subtotal$4,165SubtotalAmt
Tax Based On Investment Income$4,165TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,800EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$2,000ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$3,800TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$18EsPenaltyAmt
Tax Due$383TaxDueAmt

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 StateNJOrgReportOrRegisterStateCd
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 AddressWWW.CHERNOWITZ.ORGWebsiteAddressTxt
Individual With BooksJACK PLATTIndividualWithBooksNm
Phone8009018658PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1100 BREYER DRIVE UNIT 4DAddressLine1Txt
CityELKINS PARKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19027ZIPCd
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 PYYes (true)UndistributedIncomePYInd
Undistributed Income PY12018UndistributedIncomePY1Yr
Undistr Incm Sect4942a2 Not AppYes (true)UndistrIncmSect4942a2NotAppInd
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
RICHARD JACOBY
1392 SOUTH VINE STREETDENVERCO80210TRUSTEE000.00$45,000$0$0
JACK PLATT
100 BREYER DRIVE UNIT 4DELKINS PARKPA19027TRUSTEE000.00$45,000$0$0
BENJAMIN JACOBY
3964 YATES STREETDENVERCO80212TRUSTEE000.00$35,004$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$10,045,774AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$10,045,774TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$10,045,774AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$150,687CashDeemedCharitableAmt
Net Vl Noncharitable Assets$9,895,087NetVlNoncharitableAssetsAmt
Minimum Investment Return$494,754MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$494,754MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,165TaxBasedOnInvestmentIncomeAmt
Total Tax$4,165TotalTaxAmt
Distributable Before Adj$490,589DistributableBeforeAdjAmt
Distributable Before Ded$490,589DistributableBeforeDedAmt
Distributable As Adjusted$490,589DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$439,000ExpensesAndContributionsAmt
Set Aside Cash Distri Test$75,000SetAsideCashDistriTestAmt
Qualifying Distributions$514,000QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$490,589DistributableAsAdjustedAmt
Undistributed Income PY$475,450UndistributedIncomePYAmt
Prior Year12014PriorYear1Yr
Total For Prior Years$29,552TotalForPriorYearsAmt
Qualifying Distributions$514,000QualifyingDistributionsAmt
Applied To Year1$475,450AppliedToYear1Amt
Applied To Current Year$38,550AppliedToCurrentYearAmt
Prior Year Undistributed Incm$29,552PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$29,552PriorYearDeficiencyOrTaxAmt
Undistributed Income CY$452,039UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)

Address Line1RecipientUSAddress/AddressLine1TxtAddress Line2RecipientUSAddress/AddressLine2TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
UNIVERSITY OF PENNSYLVANIA
3451 WALNUT STREET5TH FLOORPHILADELPHIAPA19104501(C)(3)MEDICAL RESEARCH$75,000
UNIVERSITY OF COLORADO
PO BOX 910238DENVERCO80291501(C)(3)MEDICAL RESEARCH$137,500
UNIVERSITY OF MIAMI
PO BOX 025388MIAMIFL33102501(C)(3)MEDICAL RESEARCH$75,000
UNIVERSITY OF ROCHESTER
910 GENESEE STREET SUITEROCHESTERNY14611501(C)(3)MEDICAL RESEARCH$80,000
MOSS REHABILITATION
5501 OLD YORK ROADPHILADELPHIAPA19141501(C)(3)MEDICAL RESEARCH$71,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$439,000TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF MIAMIBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 025388AddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33102ZIPCd
FieldValueIRS element (for citing)
Recipient Foundation Status501(C)(3)RecipientFoundationStatusTxt
Grant Or Contribution PurposeMEDICAL RESEARCHGrantOrContributionPurposeTxt
Amt$75,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$75,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$291,437ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$73,588RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$31,147RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$291,437ExclusionAmt
Related Or Exempt Function Incm$104,735RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$396,172TotalIncomeProducingActyAmt

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

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCORPORATE BONDSBondNm
EOY Book Value$2,125,791EOYBookValueAmt
EOYFMV$2,125,791EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCORPORATE STOCKStockNm
EOY Book Value$7,944,090EOYBookValueAmt
EOYFMV$7,944,090EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$115,067USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$115,067USGovtObligationsEOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmtNet Investment IncomeNetInvestmentIncomeAmt
EXPENSES
WEBSITE$868$868
PAYROLL SERVICE FEES$938$657$281
ACCOUNT SERVICE FEES$44,055$44,055

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescPARTNERSHIP INCOMEDesc
Revenue And Expenses Per Books$73,588RevenueAndExpensesPerBooksAmt
Net Investment Income$73,588NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINSDesc
Amt$514,231Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryPROFESSIONAL FEESCategoryTxt
Amt$6,840Amt
Net Investment Income$6,840NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
FOREIGN TAXES PAID$2,019$2,019
EXCISE TAX$3,795$3,795

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