ROACH FOUNDATION INC FT WORTH CLUB TOWER PENTHOUSE II-J: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ROACH FOUNDATION INC FT WORTH CLUB TOWER PENTHOUSE II-J (EIN 75-2848244)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349104349
- 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
- Form 990-PF
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:29:17-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 815334664 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BURGHER TAX SERVICES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2501 RIDGMAR PLZ | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76116 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752848244 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ROACH FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROAC | BusinessNameControlTxt |
| Phone | 8173473216 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 TAYLOR STREET PH II-J | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOU ANN BLAYLOCK | PersonNm |
| Person Title | EXEC DIRECTOR | PersonTitleTxt |
| Phone | 8173473216 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LOU ANN | PersonFirstNm |
| Person Last | BLAYLOCK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BEDFORD BURGHER | PreparerPersonNm |
| PTIN | P00848805 | PTIN |
| Phone | 8173325256 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $9,381,170 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $113,875 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $40,214 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $55,140 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $141,084 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $54,824 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $952,871 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $871,626 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $1,121,886 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $966,664 | TotalNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $103,566 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $103,566 | OtherProfFeesNetInvstIncmAmt |
| Interest Rev And Expnss | $8,208 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $8,208 | InterestNetInvstIncmAmt |
| Taxes Rev And Expnss | $93,409 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $93,409 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $30,288 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $30,288 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $235,471 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $235,471 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $789,989 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $789,989 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,025,460 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $235,471 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $789,989 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $96,426 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $731,193 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $864,638 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $375,140 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $375,140 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $3,803,658 | CorporateStockBOYAmt |
| Corporate Stock EOY | $4,802,567 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $4,802,567 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $1,455,285 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,581,349 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,581,349 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $2,622,114 | OtherAssetsBOYAmt |
| Other Assets EOY | $2,622,114 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $2,622,114 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $8,745,695 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,381,170 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $9,381,170 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $8,745,695 | RetainedEarningBOYAmt |
| Retained Earning EOY | $9,381,170 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $8,745,695 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $9,381,170 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $8,745,695 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $9,381,170 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $8,745,695 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $96,426 | ExcessRevenueOverExpensesAmt |
| Other Increases | $539,453 | OtherIncreasesAmt |
| Subtotal | $9,381,574 | SubtotalAmt |
| Other Decreases | $404 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $9,381,170 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $138,213 | $85,944 | $52,269 | $52,269 |
| FROM K1 PASSTHROUGH ENTITY | P | $316 | $316 | $316 | |
| FROM K1 PASSTHROUGH ENTITY | P | $22 | $22 | $22 | |
| FROM K1 PASSTHROUGH ENTITY | P | $304 | $304 | $304 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $54,824 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $52,607 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $10,164 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $10,164 | SubtotalAmt |
| Tax Based On Investment Income | $10,164 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $10,336 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $10,336 | TotalPaymentsAndCreditsAmt |
| Overpayment | $172 | OverpaymentAmt |
| Applied To ES Tax | $172 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | TX | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | LOU ANN BLAYLOCK | IndividualWithBooksNm |
| Phone | 8173473216 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 TAYLOR STREET PH II-J | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JOHN V ROACH | ||||||||
| 777 TAYLOR STREET PH-II J | FORT WORTH | TX | 76102 | PRESIDENT | 000.00 | $0 | $0 | $0 |
| JEAN W ROACH | ||||||||
| 777 TAYLOR STREET PH-II J | FORT WORTH | TX | 76102 | VICE PRES | 000.00 | $0 | $0 | $0 |
| AMY ROACH BAILEY | ||||||||
| 777 TAYLOR STREET PH-II J | FORT WORTH | TX | 76102 | SECRETARY | 000.00 | $0 | $0 | $0 |
| LORI ROACH DAVIS | ||||||||
| 777 TAYLOR STREET PH-II J | FORT WORTH | TX | 76102 | TREASURER | 000.00 | $0 | $0 | $0 |
| LOU ANN BLAYLOCK | ||||||||
| 777 TAYLOR STREET PH-II J | FORT WORTH | TX | 76102 | EXEC DIRECTO | 000.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,002,521 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $786,463 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $2,622,114 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,411,098 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $8,411,098 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $126,166 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,284,932 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $414,247 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $414,247 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $10,164 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $10,164 | TotalTaxAmt |
| Distributable Before Adj | $404,083 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $404,083 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $404,083 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $789,989 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $789,989 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $404,083 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $313,573 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $273,723 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $207,499 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $773,935 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $531,842 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $2,100,572 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $789,989 | QualifyingDistributionsAmt |
| Applied To Current Year | $404,083 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $385,906 | RemainingDistriFromCorpusAmt |
| Total Corpus | $2,486,478 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $313,573 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $2,172,905 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $273,723 | ExcessFromYear4Amt |
| Excess From Year3 | $207,499 | ExcessFromYear3Amt |
| Excess From Year2 | $773,935 | ExcessFromYear2Amt |
| Excess From Year1 | $531,842 | ExcessFromYear1Amt |
| Excess From Current Year | $385,906 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (60 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| ACH CHILD AND FAMILY SERVICES | |||||||||
| 1424 SUMMIT AVE | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $1,500 | ||
| AMON CARTER MUSEUM | |||||||||
| 3501 CAMP BOWIE BLVD | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| BASS PERFORMING ARTS | |||||||||
| 525 COMMERCE ST | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $500 | ||
| BOY SCOUTS OF AMERICA | |||||||||
| 850 CANNON DR | HURST | TX | 75038 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| BOYS AND GIRLS CLUB | |||||||||
| 3218 E BELKNAP ST | FORT WORTH | TX | 76111 | NONE | PC | GENERAL SUPPORT | $1,500 | ||
| BROOKWOOD IN GEORGETOWN | |||||||||
| 905 N CHURCH ST | GEORGETOWN | TX | 78626 | NONE | PC | GENERAL SUPPORT | $150 | ||
| CAMP FIRE FIRST TEXAS | |||||||||
| 2700 MEACHAM BLVD | FORT WORTH | TX | 76137 | NONE | PC | GENERAL SUPPORT | $150 | ||
| CAMP SUMMIT | |||||||||
| 17210 CAMPBELL RD 180-W | DALLAS | TX | 75252 | NONE | PC | GENERAL SUPPORT | $2,000 | ||
| CATHOLIC CHARITIES OF FORT WORTH | |||||||||
| 249 THORNHILL DR | FORT WORTH | TX | 76115 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| COMMUNITIES IN SCHOOLS | |||||||||
| 5601 BRIDGE ST | FORT WORTH | TX | 76112 | NONE | PC | GENERAL SUPPORT | $5,500 | ||
| COOK CHILDREN'S | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | NONE | PC | GENERAL SUPPORT | $2,000 | ||
| COOK CHILDRENS NEUROLOGY CLINIC | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| DELTA DELTA DELTA | |||||||||
| 1917 TURNER RIDGE DR 2310 | FORT WORTH | TX | 76110 | NONE | PC | GENERAL SUPPORT | $10,500 | ||
| DOCTORS WITHOUT BORDERS | |||||||||
| 40 RECTOR ST 16TH FLOOR | NEW YORK | NY | 10006 | NONE | PC | GENERAL SUPPORT | $500 | ||
| DR PEPPER MUSEUM | |||||||||
| 300 S 5TH ST | WACO | TX | 76701 | NONE | PC | GENERAL SUPPORT | $250 | ||
| FIRST TEE FORT WORTH | |||||||||
| PO BOX 4767 | FORT WORTH | TX | 76112 | NONE | PC | GENERAL SUPPORT | $5,000 | ||
| FIRST UNITED METHODIST CURCH | |||||||||
| 800 W 5TH ST | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| FORT WORTH COUNTRY DAY SCHOOL | |||||||||
| 4200 COUNTRY DAY LANE | FORT WORTH | TX | 76109 | NONE | PC | GENERAL SUPPORT | $7,650 | ||
| FORT WORTH GARDEN CLUB | |||||||||
| 3220 BOTANIC GARDEN BLVD | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $550 | ||
| FORT WORTH PUBLIC LIBRARY | |||||||||
| 500 W 3RD ST | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $250 | ||
| FORT WORTH REPORT | |||||||||
| PO BOX 1538 | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $4,000 | ||
| FORT WORTH SYMPHONY ORCHESTRA | |||||||||
| 330 E 4TH ST STE 200 | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $33,900 | ||
| GILL CHILDREN'S SERVICES INC | |||||||||
| 555 HEMPHILL ST NO 200 | FORT WORTH | TX | 76104 | NONE | PC | GENERAL SUPPORT | $650 | ||
| GIRL SCOUT OF TX OK PLAINS | |||||||||
| 4901 BRIARHAVEN RD | FORT WORTH | TX | 76109 | NONE | PC | GENERAL SUPPORT | $250 | ||
| GOODFELLOWS | |||||||||
| 400 W 7TH ST | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $8,500 | ||
| GREEN OAKS SCHOOL OF ADULT LEARNING | |||||||||
| 500 HOUSTON ST | ARLINGTON | TX | 76011 | NONE | PC | GENERAL SUPPORT | $500 | ||
| HSC FOUNDATION | |||||||||
| 3500 CAMP BOWIE BLVD | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $1,250 | ||
| JAMES L WEST CENTER | |||||||||
| 1111 SUMMIT AVE | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $5,000 | ||
| JEWEL CHARITY | |||||||||
| 3301 HAMILTON AVE 121 | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $500 | ||
| JUNIOR LEAGUE OF FORT WORTH | |||||||||
| 255 BAILEY AVE | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $20,230 | ||
| KEY CENTER FOR LEARNING DIFFERENCES | |||||||||
| 3947 E LOOP 820 SOUTH | FORT WORTH | TX | 76116 | NONE | PC | GENERAL SUPPORT | $10,000 | ||
| KIMBELL ART MUSEUM | |||||||||
| 3333 CAMP BOWIE BLVD | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $15,000 | ||
| KINDERFROGS SCHOOL | |||||||||
| TCU BOX 297900 | FORT WORTH | TX | 76129 | NONE | PC | GENERAL SUPPORT | $35,100 | ||
| LENA POPE HOME | |||||||||
| 3200 SANGUINET ST | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $500 | ||
| LUKEMIA & LYMPHOMA SOCIETY | |||||||||
| 1300 SUMMIT AVE | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $250 | ||
| MAKE A WISH FOUNDATION | |||||||||
| 16803 DALLAS PKWY | ADDISON | TX | 75001 | NONE | PC | GENERAL SUPPORT | $100 | NORTH TEXAS | SUITE 100 |
| MD ANDERSON CANCER CENTER | |||||||||
| 6900 FANNIN 6TH FLOOR | HOUSTON | TX | 77030 | NONE | PC | GENERAL SUPPORT | $5,000 | ||
| MODERN ART MUSEUM OF FORT WORTH | |||||||||
| 3200 DARNELL ST | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $75 | ||
| MONCRIEF CANCER INSTITUTE | |||||||||
| 400 W MAGNOLIA AVE | FORT WORTH | TX | 76104 | NONE | PC | GENERAL SUPPORT | $2,500 | ||
| MULTICULTURAL ALLIANCE | |||||||||
| 500 W 7TH STREET 1707 | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $500 | ||
| NAT'L MUSEUM WOMEN IN THE ARTS | |||||||||
| 1250 NEW YOURK AVE NW | WASHINGTON | DC | 20005 | NONE | PC | GENERAL SUPPORT | $2,000 | ||
| PERFORMING ARTS FORT WORTH | |||||||||
| 330 E 4TH ST | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $6,000 | ||
| PRESBYTERIAN NIGHT SHELTER | |||||||||
| 2400 CYPRESS ST | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| REGENTS SCHOOL OF CHARLOTTESVILLE | |||||||||
| 200 BOB FINLEY WAY | CHARLOTTESVILLE | VA | 22903 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| RUTLEDGE CANCER FOUNDATION | |||||||||
| 5608 MALVEY AVE STE 306 | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $500 | ||
| TARRANT AREA FOOD BANK | |||||||||
| 2600 CULLEN STREET | FORT WORTH | TX | 76107 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| TEXAS CHRISTIAN UNIVERSITY | |||||||||
| TCU BOX 297440 | FORT WORTH | TX | 76129 | NONE | PC | GENERAL SUPPORT | $481,034 | ||
| TEACH FOR AMERICA | |||||||||
| 315 W 36TH ST 7TH FLOOR | NEW YORK | NY | 10018 | NONE | PC | GENERAL SUPPORT | $3,000 | ||
| TEXAS BALLET THEATER | |||||||||
| PO BOX 123290 | FORT WORTH | TX | 76121 | NONE | PC | GENERAL SUPPORT | $100 | ||
| TEXAS BUSINESS HALL OF FAME | |||||||||
| 675 BERING DRIVE | HOUSTON | TX | 77057 | NONE | PC | GENERAL SUPPORT | $5,000 | SUITE 200 | |
| TEXAS COWBOY HALL OF FAME | |||||||||
| 128 E EXCHANGE AVE | FORT WORTH | TX | 76164 | NONE | PC | GENERAL SUPPORT | $20,600 | ||
| TEXAS CULTURAL TRUST | |||||||||
| 901 S MOPAC EXPY | AUSTIN | TX | 78746 | NONE | PC | GENERAL SUPPORT | $1,200 | BARTON OAKS PL II STE 410 | |
| TEXAS WESLEYAN UNIVERSITY | |||||||||
| 1201 WESLEYAN STREET | FORT WORTH | TX | 76105 | NONE | PC | GENERAL SUPPORT | $2,500 | ||
| THE BIG GOOD | |||||||||
| PO BOX 101852 | FORT WORTH | TX | 76185 | NONE | PC | GENERAL SUPPORT | $4,500 | ||
| THE LEMONAID STAND | |||||||||
| 2448 COLONIAL PARKWAY | FORT WORTH | TX | 76109 | NONE | PC | GENERAL SUPPORT | $250 | ||
| THE SAVING HOPE FOUNDATION | |||||||||
| 950 COMMERCE STREET | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $1,200 | ||
| TRI DELTA FOUNDATION | |||||||||
| 14951 N DALLAS PKWY 500 | DALLAS | TX | 75254 | NONE | PC | GENERAL SUPPORT | $3,000 | ||
| UNION GOSPEL MISSION OF TARRANT CO | |||||||||
| 1331 E LANCASTER AVE | FORT WORTH | TX | 76102 | NONE | PC | GENERAL SUPPORT | $1,000 | ||
| UNITED WAY OF TARRANT COUNTY | |||||||||
| 1500 N MAIN ST STE 200 | FORT WORTH | TX | 76164 | NONE | PC | GENERAL SUPPORT | $20,000 | ||
| UNIVERSITY CHRISTIAN CHURCH | |||||||||
| 2720 S UNIVERSITY | FORT WORTH | TX | 76109 | NONE | PC | GENERAL SUPPORT | $48,300 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $789,989 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $113,875 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900099 | BusinessCd |
| Unrelated Business Taxbl Incm | $316 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $54,824 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (4 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt | BusinessBusinessCd | Unrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmt |
|---|---|---|---|---|
| OTHER INCOME | 18 | $7,480 | ||
| ROYALTY INCOME | 18 | $864,146 | ||
| KAYNE SENIOR CREDIT FD III | 18 | $49,828 | ||
| KAYNE SENIOR CREDIT FD III | 900099 | $31,417 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $31,733 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $1,090,153 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,121,886 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| FROST BROKERAGE SERVICES | $3,107,862 | $3,107,862 |
| MERRILL LYNCH | $1,089,647 | $1,089,647 |
| KIMBELL ROYALTY PARTNERS | $605,058 | $605,058 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (4 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| CHEROKEE HORN | FMV | $285,531 | $285,531 |
| JOHKIM CAPITAL PARTNERS | AT COST | $217,802 | $217,802 |
| KAYNE ANDERSON | FMV | $786,789 | $786,789 |
| CAZ | FMV | $291,227 | $291,227 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MRD ROYALTY INVESTMENT | $200,220 | $200,220 | $200,220 |
| COLLINS & WARE | $2,421,894 | $2,421,894 | $2,421,894 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PENALTIES | Desc |
| Amt | $404 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXPENSES | ||
| BANK FEES | $363 | $363 |
| OTHER EXPENSES | $1,066 | $1,066 |
| OTHER OIL AND GAS EXPENSES | $28,859 | $28,859 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| OTHER INCOME | $7,480 | $7,480 |
| ROYALTY INCOME | $864,146 | $864,146 |
| KAYNE SENIOR CREDIT FD III LP | $49,828 | |
| KAYNE SENIOR CREDIT FD III LP | $31,417 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAINS/LOSSES | Desc |
| Amt | $539,453 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| INVESTMENT MANAGEMENT FEES | $64,266 | $64,266 |
| CONSULTING | $32,000 | $32,000 |
| TAX PREP | $7,300 | $7,300 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (5 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| FEDERAL INCOME TAXES | $18,803 | $18,803 |
| PROPERTY TAX | $25,866 | $25,866 |
| SEVERANCE TAXES | $47,055 | $47,055 |
| STATE TAXES | $1,657 | $1,657 |
| FOREIGN TAX | $28 | $28 |
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