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HURLBURT FAMILY FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HURLBURT FAMILY FOUNDATION INC (EIN 46-0643574)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-29
IRS object ID
202213339349100711
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)
Return2022-11-29T15:11:25-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN203743855PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EVANS & HURLBURT CPAs PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15125 S LAKELAND DR STE 3AddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33813ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460643574EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HURLBURT FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHURLBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15125 S LAKELAND DRIVE STE 3AddressLine1Txt
CityLAKELANDCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33813ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT D HURLBURTPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8937019717PhoneNum
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROBERTPersonFirstNm
Person LastHURLBURTPersonLastNm

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert D HurlburtPreparerPersonNm
PTINP00589102PTIN
Phone8637019717PhoneNum
Preparation2022-11-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
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$364,121FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$7,125DividendsRevAndExpnssAmt
Dividends Net Invst Incm$7,125DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$10,268NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$39,664GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$10,268CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$440NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$17,393TotalRevAndExpnssAmt
Total Net Invst Incm$17,393TotalNetInvstIncmAmt
Total Adj Net Incm$440TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$285AccountingFeesRevAndExpnssAmt
Other Prof Fees Rev And Expnss$4,776OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$4,776OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$236TaxesRevAndExpnssAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$5,297TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$4,776TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$13,950ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$13,950ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$19,247TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$4,776TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$13,950TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$1,854ExcessRevenueOverExpensesAmt
Net Investment Income$12,617NetInvestmentIncomeAmt
Adjusted Net Income$440AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,596CashBOYAmt
Cash EOY$5,050CashEOYAmt
Cash EOYFMV$5,050CashEOYFMVAmt
Sav And Temp Cash Invst BOY$1,529SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$3,559SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$3,559SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$114,673CorporateStockBOYAmt
Corporate Stock EOY$91,505CorporateStockEOYAmt
Corporate Stock EOYFMV$228,465CorporateStockEOYFMVAmt
Corporate Bonds BOY$84,468CorporateBondsBOYAmt
Corporate Bonds EOY$100,224CorporateBondsEOYAmt
Corporate Bonds EOYFMV$127,047CorporateBondsEOYFMVAmt
Total Assets BOY$202,266TotalAssetsBOYAmt
Total Assets EOY$200,338TotalAssetsEOYAmt
Total Assets EOYFMV$364,121TotalAssetsEOYFMVAmt
Other Liabilities EOY$106OtherLiabilitiesEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$106TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$202,266NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$200,232NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$202,266TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$200,232TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$202,266TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$200,338TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$202,266TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$1,854ExcessRevenueOverExpensesAmt
Subtotal$200,412SubtotalAmt
Other Decreases$180OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$200,232TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmt
IVESCO EXCH TRD SLFIDX FD BULSHSP2020-04-272021-03-01$11,461$11,021$440
40 SHS APPLEP2013-11-222021-02-09$5,471$980$4,491
130 SHS AT&TP2010-08-232021-05-18$3,837$3,459$378
50 SHS DISCOVER FINANCIAL SERVICESP2020-03-052021-06-09$6,161$3,265$2,896
175 SHS INVESCO EXCH TRD SLFIDX FDP2019-04-252021-03-10$4,061$4,295-$234
65 SHS ISHARES TRUST 0-5YR HI YIELDP2017-01-252021-03-02$2,960$3,101-$141
10 SHS ORGANON & CO COMMON STOCKP2011-06-142021-06-08$291$171$120
25 SHS UNITED PARCEL SERVICE INCP2017-09-202021-06-09$5,017$2,942$2,075
22 SHS VIATRIS INC COMP2010-08-232021-02-09$405$162$243
FieldValueIRS element (for citing)
Capital Gain Net Income$10,268CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$440NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$175InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$175SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$175TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$69EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$200ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$269TotalPaymentsAndCreditsAmt
Overpayment$94OverpaymentAmt
Applied To ES Tax$94AppliedToESTaxAmt

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 StateFLOrgReportOrRegisterStateCd
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
Individual With BooksROBERT D HURLBURTIndividualWithBooksNm
Phone8637019717PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line15125 S LAKELAND DRIVEAddressLine1Txt
CityLAKELANDCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33813ZIPCd
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
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ROBERT D HURLBURT
5125 S LAKELAND DRIVELAKELANDFL33813PRESIDENT1.00$0$0$0
MICHAEL T HURLBURT
13350 LEWIS GALLAGHER RDDOVERFL33527SECRETARY1.00$0$0$0
DOUGLAS J HURLBURT
5116 MOLL ACRESPLANT CITYFL33567TREASURER1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$326,391AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,364AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$327,755TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$327,755AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$4,916CashDeemedCharitableAmt
Net Vl Noncharitable Assets$322,839NetVlNoncharitableAssetsAmt
Minimum Investment Return$16,142MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$16,142MinimumInvestmentReturnAmt
Tax Based On Investment Income$175TaxBasedOnInvestmentIncomeAmt
Total Tax$175TotalTaxAmt
Distributable Before Adj$15,967DistributableBeforeAdjAmt
Distributable Before Ded$15,967DistributableBeforeDedAmt
Distributable As Adjusted$15,967DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$13,950ExpensesAndContributionsAmt
Qualifying Distributions$13,950QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$15,967DistributableAsAdjustedAmt
Excess Distribution Cyov Yr2$1,869ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$178ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,047TotalExcessDistributionCyovAmt
Qualifying Distributions$13,950QualifyingDistributionsAmt
Applied To Current Year$13,950AppliedToCurrentYearAmt
Excess Distri Cyov App CY Corpus$2,017ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$2,017ExcessDistributionCyovAppCYAmt
Total Corpus$30TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$30ExcessDistriCyovToNextYrAmt
Excess From Year1$30ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerROBERT D HURLBURTContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
GOSPEL INC
PO BOX 3278LAKELANDFL33802NONEPCDONATION$750
OPTIONS FOR WOMEN PREGNANCY HELP CL
4435 FLORIDA NATIONAL DRIVELAKELANDFL33813NONEPCDONATION$2,400
A WOMANS CHOICE INC
1234 E LIME STREETLAKELANDFL33801NONEPCDONATION$500
GENEVA CLASSICAL ACADEMY
1735 NEW JERSEY ROADLAKELANDFL33803NONEPCDONATION$1,000
FAITH NOW INC
PO BOX 2FAIRMONTWV26555NONEPCDONATION$4,650
PREGNANCY CARE CENTER PC
304 N COLLINS STPLANT CITYFL33563NONEPCDONATION$2,325
THE ROCK OF WINTER HAVEN
PO BOX 10366WINTER HAVENFL33885NONEPCDONATION$2,325
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$13,950TotalGrantOrContriPdDurYrAmt
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$7,125ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$10,268ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$17,393ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$17,393TotalIncomeProducingActyAmt

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$285Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (3 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
COMPUTER2006-05-07$1,570$1,570M5$0$0$0
DESK2006-05-07$370$370M7$0$0$0
PRINTER2006-05-07$300$300M5$0$0$0

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondFIDELITY INVESTMENTSBondNm
EOY Book Value$100,224EOYBookValueAmt
EOYFMV$127,047EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
FIDELITY INVESTMENTS$90,337$228,465
FIDELITY INVESTMENTS - ADJMT$1,168$0

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescPRIOR PERIOD TAX EXPENSEDesc
Amt$180Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescINCOME TAXES PAYABLEDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$106EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$4,776Amt
Net Investment Income$4,776NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
STATE ANNUAL FEE$61$0$0$0
INVESTMENT INCOME TAX$175$0$0$0

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