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DOUG AND JAYNE ORR FAMILY FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DOUG AND JAYNE ORR FAMILY FOUNDATION (EIN 46-1553026)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202223159349102742
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)
Return2022-11-11T22:04:08-06:00ReturnTs
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)
EIN461553026EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Doug and Jayne Orr Family FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlDOUGBusinessNameControlTxt
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)
PersonMASON ORRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8008391754PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMASONPersonFirstNm
Person LastORRPersonLastNm
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$3,502,510FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$50,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$19InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$19InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$12,093DividendsRevAndExpnssAmt
Dividends Net Invst Incm$12,093DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$420,389NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,363,474GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,128,339CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss-$51,747OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm-$51,747OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$430,754TotalRevAndExpnssAmt
Total Net Invst Incm$1,088,704TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Other Prof Fees Rev And Expnss$14,532OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$14,532OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$12,280TaxesRevAndExpnssAmt
Trav Conf Meeting Rev And Expnss$143TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$143TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$5,677OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$130OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$5,525OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$32,632TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$14,662TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$5,668TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$49,200ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$49,200ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$81,832TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$14,662TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$54,868TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$348,922ExcessRevenueOverExpensesAmt
Net Investment Income$1,074,042NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$23,111SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$77,688SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$77,688SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$1,024,450CorporateStockBOYAmt
Corporate Stock EOY$1,368,234CorporateStockEOYAmt
Corporate Stock EOYFMV$1,530,775CorporateStockEOYFMVAmt
Other Investments BOY$1,110,954OtherInvestmentsBOYAmt
Other Investments EOY$1,059,055OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,894,047OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,158,515TotalAssetsBOYAmt
Total Assets EOY$2,504,977TotalAssetsEOYAmt
Total Assets EOYFMV$3,502,510TotalAssetsEOYFMVAmt
Other Liabilities BOY$2,460OtherLiabilitiesBOYAmt
Other Liabilities EOY$0OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,460TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$2,156,055RetainedEarningBOYAmt
Retained Earning EOY$2,504,977RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,156,055TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,504,977TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,158,515TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,504,977TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,156,055TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$348,922ExcessRevenueOverExpensesAmt
Subtotal$2,504,977SubtotalAmt
Tot Net Ast Or Fund Balances EOY$2,504,977TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPublicly-traded SecuritiesPropertyDesc
Gross Sales Price$1,363,474GrossSalesPriceAmt
Cost Or Other Basis$235,135CostOrOtherBasisAmt
Gain Or Loss$1,128,339GainOrLossAmt
Gains Minus Excess Or Losses$1,128,339GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$1,128,339CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$14,929InvestmentIncomeExciseTaxAmt
Subtotal$14,929SubtotalAmt
Tax Based On Investment Income$14,929TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$12,118EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$6,100ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$18,218TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$3,289OverpaymentAmt
Applied To ES Tax$3,289AppliedToESTaxAmt

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 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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Bryce Orr
Foundation Source 501 Silverside RdWilmingtonDE198091377VP1.0$0$0$0
Mason D Orr
Foundation Source 501 Silverside RdWilmingtonDE198091377Pres, Dir, Sec1.0$0$0$0
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$1,397,047AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$43,999AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$1,894,047FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,335,093TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,335,093AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$50,026CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,285,067NetVlNoncharitableAssetsAmt
Minimum Investment Return$164,253MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$164,253MinimumInvestmentReturnAmt
Tax Based On Investment Income$14,929TaxBasedOnInvestmentIncomeAmt
Total Tax$14,929TotalTaxAmt
Distributable Before Adj$149,324DistributableBeforeAdjAmt
Distributable Before Ded$149,324DistributableBeforeDedAmt
Distributable As Adjusted$149,324DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$54,868ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$54,868QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$149,324DistributableAsAdjustedAmt
Undistributed Income PY$54,016UndistributedIncomePYAmt
Prior Year12019PriorYear1Yr
Prior Year22018PriorYear2Yr
Prior Year32017PriorYear3Yr
Qualifying Distributions$54,868QualifyingDistributionsAmt
Applied To Year1$54,016AppliedToYear1Amt
Applied To Current Year$852AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$148,472UndistributedIncomeCYAmt
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 (14 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALLIES IN YOUTH DEVELOPMENT
221 JUNIPER STMANSFIELDTX76063N/APCGeneral & Unrestricted$6,000
CHRISTIAN CHRONICLE CORPORATION
PO BOX 11000OKLAHOMA CITYOK73136N/APCGeneral & Unrestricted$500
CHRISTIAN HEALTH SERVICE CORPS
201 PRIVATE RD 5819GRAND SALINETX75140N/APCGeneral & Unrestricted$6,000
CHRISTIAN RELIEF FUND
1501 SW 58TH AVEAMARILLOTX79110N/APCGeneral & Unrestricted$700
COMMUNITY ENRICHMENT CENTER INC
6250 NE LOOP 820FORT WORTHTX76180N/APCCharitable Event$10,000
EXODUS MINISTRIES
4630 MUNGER AVE APT 110DALLASTX75204N/APCGeneral & Unrestricted$1,000
HOPE FOR HAITIS CHILDREN MINISTRIES INC
12020 SOUTHWICK LNCINCINNATIOH45241N/APCGeneral & Unrestricted$1,000
IMPOSSIBLE POSSIBILITIES
PO BOX 470906FORT WORTHTX76147N/APCGeneral & Unrestricted$1,000
NORTH RICHLAND HILLS CITIZENS POLICE ACADEMY ALUMN
4301 CITY POINT DRN RICHLND HLSTX76180N/APCGeneral & Unrestricted$500
OUR FATHERS CHILDREN INC
6250 NE LOOP 820FORT WORTHTX76180N/APCCharitable Event$5,000
TEEN LIFELINE INC
2501 W SOUTHLAKE BLVDSOUTHLAKETX76092N/APCCharitable Event$5,000
TEEN LIFELINE INC
2501 W SOUTHLAKE BLVDSOUTHLAKETX76092N/APCCharitable Event$5,000
TEXAS ACADEMY 4
1905 W BROADWAYFORT WORTHTX76102N/APCCharitable Event$5,000
TEXAS ACADEMY 4
1905 W BROADWAYFORT WORTHTX76102N/APCCharitable Event$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$49,200TotalGrantOrContriPdDurYrAmt

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$19ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$12,093ExclusionAmt
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)
Exclusion18ExclusionCd
Exclusion$420,389ExclusionAmt
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
Exclusion14ExclusionCd
Exclusion-$51,747ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$380,754ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$380,754TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonOrr R DouglasContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line16628 Carston CourtAddressLine1Txt
CityNorth Richland HillsCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76180ZIPCd
FieldValueIRS element (for citing)
Total Contributions$50,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (27 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBOTT LABS$65,060$83,740
ACCENTURE PLC$47,306$68,401
ADOBE SYSTEMS, INC$84,974$84,492
AIRBNB$39,462$43,787
ALIGN TECHNOLOGY, INC$23,881$26,287
ALPHABET INC CL A$34,097$43,456
ALPHABET INC CL C$98,423$121,531
AMAZON COM$133,653$130,038
AUTODESK, INC$50,729$50,614
DOCUSIGN INC$9,144$8,834
FIRSTCASH INC$19,098$29,924
GARTNER INC$30,396$45,802
ILLUMINA INC COM$32,748$27,772
INTUITIVE SURGICAL$27,973$34,134
MASTERCARD INC$74,354$73,661
META PLATFORMS INC$93,731$92,496
MICROSOFT CORP$68,082$86,434
MSCI INC$20,050$24,508
NETFLIX INC$36,105$42,171
NIKE INC-CL B$26,542$33,834
PAYPAL HOLDINGS, INC$48,375$33,567
SALESFORCE.COM$65,647$70,902
SERVICE NOW$48,095$57,122
STARBUCKS CORP COM$37,160$38,951
UNITEDHEALTH GROUP INC$40,448$52,725
VISA INC$61,792$58,728
ZOETIS INC$50,909$66,864

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemTIMELY TELEHEALTH LLCCategoryOrItemTxt
Book Value$1,059,055BookValueAmt
EOYFMV$1,894,047EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Administrative Fees$5,500$5,500
K-1 Exp TIMELY TELEHEALTH LLC$152$130
State or Local Filing Fees$25$25

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescK-1 Inc/Loss TIMELY TELEHEALTH LLCDesc
Revenue And Expenses Per Books-$51,747RevenueAndExpensesPerBooksAmt
Net Investment Income-$51,747NetInvestmentIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescOUTSTANDING OPTIONSDesc
BOY Book Value$2,460BOYBookValueAmt
EOY Book Value$0EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryInvestment Management ServicesCategoryTxt
Amt$14,532Amt
Net Investment Income$14,532NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmt
990-PF Estimated Tax for 2021$12,100
990-PF Extension for 2020$180

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