H & H VAN KLAVEREN FAMILY FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- H & H VAN KLAVEREN FAMILY FOUNDATION (EIN 56-2296408)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349107949
- 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
- Accounting Fees Schedule
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Income Schedule2
- Other Notes Loans Rcvbl Long Sch
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T19:37:55-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 770000018 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRIMBLEBY COLEMAN CPAS INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W ROSEBURG AVE | AddressLine1Txt |
| City | MODESTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 953505255 | 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 | 562296408 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H & H VAN KLAVEREN FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | H&HV | BusinessNameControlTxt |
| Phone | 2095954606 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6012 WOODLAND AVE | AddressLine1Txt |
| City | MODESTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95358 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID VAN KLAVEREN | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 2095954606 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | VAN KLAVEREN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATHAN A MILLER | PreparerPersonNm |
| PTIN | P00295581 | PTIN |
| Phone | 2095274220 | PhoneNum |
| Preparation | 2022-11-11 | 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) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,989,699 | 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 | $61,736 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $61,736 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $96,578 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $664,995 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $48,063 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $8,207 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $166,521 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $109,799 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $8,485 | AccountingFeesRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $15,914 | OtherProfFeesRevAndExpnssAmt |
| Taxes Rev And Expnss | $1,000 | TaxesRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $1,781 | TravConfMeetingRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $27,180 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $303,505 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $303,505 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $330,685 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $303,505 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$164,164 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $109,799 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $128,363 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $247,539 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $247,539 | SavAndTempCashInvstEOYFMVAmt |
| Other Nts And Loans Rcvbl | $117,279 | OtherNtsAndLoansRcvblAmt |
| Other Nts And Loans Rcvbl BOY | $134,755 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $117,279 | OtherNtsAndLoansRcvblEOYAmt |
| Other Nts And Loans Rcvbl EOYFMV | $117,279 | OtherNtsAndLoansRcvblEOYFMVAmt |
| Corporate Bonds BOY | $67,550 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $44,973 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $47,856 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $1,976,587 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,676,386 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,577,025 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $2,307,255 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,086,177 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,989,699 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $2,307,255 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,086,177 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,307,255 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,086,177 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,307,255 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,086,177 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,307,255 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$164,164 | ExcessRevenueOverExpensesAmt |
| Subtotal | $2,143,091 | SubtotalAmt |
| Other Decreases | $56,914 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,086,177 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $48,063 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,526 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $1,526 | SubtotalAmt |
| Tax Based On Investment Income | $1,526 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,164 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $2,164 | TotalPaymentsAndCreditsAmt |
| Overpayment | $638 | OverpaymentAmt |
| Applied To ES Tax | $638 | 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 | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | 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 | C MARK VAN KLAVEREN | IndividualWithBooksNm |
| Phone | 2095954606 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6012 WOODLAND AVE | AddressLine1Txt |
| City | MODESTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95358 | 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 |
|---|---|---|---|---|---|---|---|---|
| BERNICE H VAN KLAVEREN | ||||||||
| 6012 WOODLAND AVE | MODESTO | CA | 95358 | PRESIDENT/DI | 0.00 | $0 | $0 | $0 |
| DAVID VAN KLAVEREN | ||||||||
| 6012 WOODLAND AVE | MODESTO | CA | 95358 | SECRETARY | 0.00 | $0 | $0 | $0 |
| C MARK VAN KLAVEREN | ||||||||
| 6012 WOODLAND AVE | MODESTO | CA | 95358 | TREASURER/DI | 0.00 | $0 | $0 | $0 |
| BRUCE VAN KLAVEREN | ||||||||
| 6012 WOODLAND AVE | MODESTO | CA | 95358 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| HENRY VAN KLAVEREN JR | ||||||||
| 6012 WOODLAND AVE | MODESTO | CA | 95358 | DIRECTOR | 0.00 | $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 | $2,605,916 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $99,859 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,705,775 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $2,705,775 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $40,587 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,665,188 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $133,259 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $133,259 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,526 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,526 | TotalTaxAmt |
| Distributable Before Adj | $131,733 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $131,733 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $131,733 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $303,505 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $303,505 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $131,733 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $106,867 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $21,832 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $158,224 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $128,606 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $79,329 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $494,858 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $303,505 | QualifyingDistributionsAmt |
| Applied To Current Year | $131,733 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $171,772 | RemainingDistriFromCorpusAmt |
| Total Corpus | $666,630 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $106,867 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $559,763 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $21,832 | ExcessFromYear4Amt |
| Excess From Year3 | $158,224 | ExcessFromYear3Amt |
| Excess From Year2 | $128,606 | ExcessFromYear2Amt |
| Excess From Year1 | $79,329 | ExcessFromYear1Amt |
| Excess From Current Year | $171,772 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (28 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| AGAPE FLIGHT | |||||||
| 100 AIRPORT AVE E | VENICE | FL | 34285 | CHARITABLE | TO FURTHER ORGANIZATIONS PURPOSE | $1,000 | |
| ANIMAL COMPASSION TEAM | |||||||
| 2789 S ORANGE AVE | FRESNO | CA | 93725 | CHARITABLE | TO FURTHER ORGANIZATIONS PURPOSE | $1,000 | |
| BACK TO GOD HOUR MINISTRIES | |||||||
| 1700 28TH ST SE | GRAND RAPIDS | MI | 49508 | RELIGIOUS | TO FURTHER PURPOSE OF MINISTRIES | $15,000 | |
| BETHANY CHRISTIAN SERVICES | |||||||
| 3048 HAHN DR | MODESTO | CA | 95350 | RELIGIOUS | TO FURTHER PURPOSE OF ORGANIZATION | $10,000 | |
| COMMUNITY HOSPICE | |||||||
| 4368 SPYRES WAY | MODESTO | CA | 95356 | CHARITABLE | TO FURTHUR PURPOSE OF ORGANIZATION | $3,500 | |
| CORNERSTONE COMM CHURCH DEACON | |||||||
| 2200 SUNRISE AVE | MODESTO | CA | 95350 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $6,000 | |
| DARBY BRILLIANT BEGINNINGS | |||||||
| PO BOX 122 | DARBY | MT | 59829 | CHARITABLE | TO FUTHER ORGANIZATION'S PURPOSE | $1,000 | |
| DORDT COLLEGE | |||||||
| 498 4TH AVE NE | SIOIX CENTER | IA | 51250 | EDUCATIONAL | TO FURTHUR ACTIVITY OF ORGANIZATION | $180,000 | |
| DOUGLAS COUNTY ASSOC | |||||||
| 6012 WOODLAND AVE | MODESTO | CA | 95358 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $3,000 | |
| HOPE MOUNTAIN FOUNDATION | |||||||
| 2648 REGGIO CT | MERCED | CA | 95340 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $1,000 | |
| K LOVE | |||||||
| 5700 W OAK BLVD | ROCKLIN | CA | 95765 | CHARITABLE | TO FURTHER CHARITABLE ORGANIZATION | $500 | |
| KUYPER COLLEGE | |||||||
| 3333 E BELTLINE AVE NE | GRAND RAPIDS | MI | 49525 | EDUCATIONAL | TO FURTHER PURPOSE OF EDUCATION | $10,000 | |
| LEUKEMIA LYMPHOMA SOCIETY | |||||||
| PO BOX 102488 | PASADENA | CA | 91189 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $2,000 | |
| LIVING WATER INTERNATIONAL | |||||||
| 4001 GREENBRIAR DR | STAFFORD | TX | 77477 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $5,000 | |
| LUKE SOCIETY | |||||||
| 3409 S GATEWAY BLVD 1000 | SIOUX FALLS | SD | 57106 | CHARITABLE | TO FURTHER ORGANIZATIONS PURPOSE | $5,000 | |
| MISSION INDIA | |||||||
| 1142 44TH ST SE | KENTWOOD | MI | 49508 | CHARITABLE | TO FURTHER PURPOSE OF ORGANIZATION | $15,000 | |
| PARTNERS WORLDWIDE | |||||||
| 6139 TAHOE DR SE | GRAND RAPIDS | MI | 49546 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $15,000 | |
| PLANT A SEED FOUNDATION | |||||||
| PO BOX 1039 | MODESTO | CA | 95353 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $2,500 | |
| SAMARITANS PURSE INT RELIEF | |||||||
| PO BOX 3000 | BOONE | NC | 28607 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $5,000 | |
| ST JUDE | |||||||
| 262 DANNY THOMAS | MEMPHIS | TN | 38105 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $2,500 | |
| THE LIGHT HOUSE RECOVERY PROGRAM | |||||||
| 1651 L ST | FRESNO | CA | 93721 | CHARITABLE | TO FURTHER ORGANATIONS PURPOSE | $1,500 | |
| TRINITY PREGNANCY CENTER | |||||||
| PO BOX 518 | CHOWCHILLA | CA | 93610 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $1,000 | |
| VALLEY CHILDRENS HOSPITAL | |||||||
| 9300 VALLEY CHILDRENS PL | MADERA | CA | 93636 | CHARITABLE | TO FURTHER PURPOSE OF ORGANIZATION | $1,500 | |
| WOODLAND AVE FIREMANS ASSOC | |||||||
| 3300 WOODLAND AVE | MODESTO | CA | 95358 | CHARITABLE | TO RUTHER ORGANIZATION'S PURPOSE | $1,000 | |
| WORLD RENEW | |||||||
| 1700 28TH ST SE | GRAND RAPID | MI | 49508 | CHARITABLE | TO FURTHER ORGANIZATIONS PURPOSE | $12,000 | |
| MADERA RESCUE MISSION | |||||||
| 332 ELM ST | MADERA | CA | 93638 | CHARITABLE | TO FURTHER ORGANIZATION'S PURPOSE | $1,000 | |
| CALIFORNIA FOUNDATION FOR AG CLASSR | |||||||
| 2600 RIVER PLAZA DR | SACRAMENTO | CA | 95833 | CHAIRTABLE | TO FURTHER ORGANIZATION'S PURPOSE | $500 | STE 200 |
| TRINITY PREGNANCY CENTER | |||||||
| 350 TRINITY AVE | COWCHILLA | CA | 93610 | CHAIRTABLE | TO FURTHER ORGANIZATIONS PURPOSE | $1,005 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $303,505 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $61,736 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $71,725 | ExclusionAmt |
| Related Or Exempt Function Incm | $24,853 | RelatedOrExemptFunctionIncmAmt |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| INTEREST -NOTE | 14 | $7,620 |
| MISCELLANOUS | 1 | $587 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $141,668 | ExclusionAmt |
| Related Or Exempt Function Incm | $24,853 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $166,521 | 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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $8,485 | Amt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (5 entries)
| AssetAssetDesc | How AcquiredHowAcquiredTxt | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Total NetTotalNetAmt | AcquiredAcquiredDt | SoldSoldDt |
|---|---|---|---|---|---|---|
| MERRILL LYNCH 02432 STCG | PURCHASE | $1,608 | $1,730 | -$122 | ||
| MERRILL LYNCH 02432 LTCG | PURCHASE | $57,945 | $34,161 | $23,784 | ||
| MERRILL LYNCH 02432 OCG | PURCHASE | $14 | $14 | 2021-11 | 2021-11 | |
| MERRILL LYNCH 04000 STCG | PURCHASE | $24,467 | $25,931 | -$1,464 | ||
| MERRILL LYNCH 04000 LTCG | PURCHASE | $532,898 | $506,581 | $26,317 |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (6 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BRISTOL MEYERS SQUIBB | ||
| CALENERGY CO INC | $13,073 | $13,834 |
| ELI LILLY | $11,405 | $11,859 |
| GOLDMAN SACHS GROUP | ||
| VERIZON COMMUNICATIONS | $10,237 | $11,116 |
| MORGAN STANLEY SEBORDINATED | $10,258 | $11,047 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (77 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ABBOTT LABS | AT COST | $4,705 | $15,904 |
| ABBVIE INC | AT COST | $11,845 | $20,039 |
| AIR PRODUCTS | AT COST | $12,000 | $23,124 |
| ALTRIA GROUP | AT COST | $91,964 | $78,667 |
| AMERICAN TOWER | AT COST | $9,928 | $12,870 |
| AMGEN INC | AT COST | ||
| AT & T | AT COST | $9,746 | $7,380 |
| AT&T | AT COST | $5,632 | $6,150 |
| AUTOMATIC DATA | AT COST | $10,699 | $19,233 |
| BEST BUY CO INC | AT COST | $10,850 | $9,347 |
| BLACKROCK EQUITY | AT COST | ||
| BLACKROCK GLOBAL | AT COST | ||
| BLACKROCK INC | AT COST | $8,577 | $21,058 |
| BRISTOL-MYERS | AT COST | $5,546 | $6,235 |
| BRISTOL-MYERS | AT COST | $17,460 | $17,146 |
| BROADCOM | AT COST | $13,701 | $29,943 |
| CATALENT INC | AT COST | $15,052 | $23,045 |
| CHEVRON | AT COST | $13,471 | $13,847 |
| CISCO SYSTEMS | AT COST | $16,379 | $20,912 |
| CISCO SYSTEMS | AT COST | $4,475 | $6,020 |
| CISCO SYSTEMS | AT COST | $9,409 | $20,975 |
| COCA COLA | AT COST | ||
| COMCAST | AT COST | $6,902 | $9,059 |
| CORNING INC | AT COST | $6,907 | $6,366 |
| CROWN CASTLE REIT | AT COST | $7,660 | $19,830 |
| EATON CORP | AT COST | $7,262 | $11,752 |
| ELI LILLY CO | AT COST | $7,113 | $17,678 |
| EVERSOURCE ENERGY | AT COST | $4,777 | $5,550 |
| FIRST EAGLE GLOBAL CLASS | AT COST | $167,202 | $186,985 |
| FIRST EAGLE GOLD FUND | AT COST | $51,548 | $41,849 |
| FIRST TRUST PREFERRED | AT COST | $98,690 | $102,413 |
| HARTFORD MUT | AT COST | $130,365 | $145,041 |
| HOME DEPOT | AT COST | $7,002 | $25,316 |
| HONEYWELL | AT COST | $17,831 | $24,604 |
| HONEYWELL | AT COST | $3,320 | $5,213 |
| ILLINOIS TOOL WORKS | AT COST | $5,816 | $11,600 |
| ISHARES IBOXX HIGH YIELD | AT COST | $50,034 | $49,161 |
| ISHARES TIPS | AT COST | $9,032 | $10,207 |
| JOHNSON AND JOHNSON | AT COST | $64,312 | $110,853 |
| JOHNSON AND JOHNSON | AT COST | ||
| JP MORGAN CHASE | AT COST | $12,242 | $28,028 |
| LOCKHEED MARTIN CORP | AT COST | $7,517 | $11,018 |
| LORD ABBETT SHORT | AT COST | ||
| LYONDELLBASELL INDUSTRIE | AT COST | ||
| MARSH & MCLENNAN COS INC | AT COST | $8,468 | $18,425 |
| MCDONALDS CORP | AT COST | $9,985 | $16,620 |
| MEDTRONIC PLC SHS | AT COST | $14,691 | $16,345 |
| MERCK AND CO INC | AT COST | $20,362 | $20,769 |
| MFS VALUE FD | AT COST | $69,369 | $91,127 |
| MICROSOFT CORP | AT COST | $58,433 | $448,987 |
| MICROSOFT CORP | AT COST | $4,727 | $31,278 |
| MONDELEZ INTERNATIONAL INC | AT COST | $18,223 | $22,744 |
| NEXTERA ENERGY INC | AT COST | $8,132 | $27,448 |
| PAYCHEX INC | AT COST | $5,690 | $16,380 |
| PEPSICO INC | AT COST | $13,906 | $22,930 |
| PGIM | AT COST | ||
| PHILLIPS 66 | AT COST | $6,055 | $3,985 |
| PNC FINCL SERVICES GROUP | AT COST | $11,186 | $15,240 |
| PROCTER & GAMBLE CO | AT COST | $18,527 | $22,556 |
| PROCTOR & GAMBLE | AT COST | $16,543 | $30,262 |
| PROLOGIS INC | AT COST | $8,686 | $16,668 |
| QUALCOMM INC | AT COST | $12,758 | $19,201 |
| RAYTHEON TECHNOLOGIES | AT COST | $15,818 | $19,364 |
| REALTY INCM CRP | AT COST | $10,646 | $12,027 |
| SEMPRA ENERGY | AT COST | $11,376 | $12,963 |
| SPDR US FINANCIAL | AT COST | $15,982 | $21,595 |
| STARBUCKS CORP | AT COST | $7,477 | $16,961 |
| TCW SELECT | AT COST | $94,531 | $122,316 |
| TEXAS INSTRUMENT | AT COST | $53,214 | $77,273 |
| TEXAS INSTRUMENTS | AT COST | $10,676 | $28,459 |
| TRUIST FINL CORP | AT COST | $12,637 | $19,966 |
| UNITED PARCEL SVC | AT COST | $13,355 | $14,575 |
| US BANCORP | AT COST | $9,234 | $9,886 |
| VERIZON COMMUNICATIONS | AT COST | $6,065 | $6,027 |
| WAL-MART STORES INC | AT COST | $16,637 | $31,542 |
| WEC ENERGY GROUP INC | AT COST | $4,795 | $9,028 |
| T ROWE PRICE | AT COST | $151,231 | $159,660 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BASIS ADJUSTMENT | Desc |
| Amt | $56,914 | Amt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt |
|---|---|
| INTEREST -NOTE | $7,620 |
| MISCELLANOUS | $587 |
Other Notes Loans Rcvbl Long Sch OtherNotesLoansRcvblLongSch
Other Notes Loans Rcvbl Long OtherNotesLoansRcvblLongGrp
Borrower Name BorrowerNameGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VALLEY COMMUNITY CHURCH | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Loan Original | $300,000 | LoanOriginalAmt |
| Balance Due | $117,279 | BalanceDueAmt |
| Note | 2004-01 | NoteDt |
| Loan Maturity | 2022-12 | LoanMaturityDt |
| Repayment Terms | DUE THE 10TH DAY OF MONTH | RepaymentTermsTxt |
| Interest | 0.0600 | InterestRt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT ACCOUNT FEES | CategoryTxt |
| Amt | $15,914 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | US TREASURY | CategoryTxt |
| Amt | $1,000 | Amt |