RIVERSIDE HEALTH FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE HEALTH FOUNDATION (EIN 48-1142989)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-02-03
IRS object ID
202100349349100105
Schema version
2019v5.1
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)
Return2021-02-03T10:46:36-06:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11551 N WATERFRONT PKWY STE 300AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672066601ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481142989EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RONNIE TROYInCareOfNm
Business Name ControlRIVEBusinessNameControlTxt
Phone3169428430PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9527AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672770527ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONNIE TROYPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3169428430PhoneNum
Signature2021-01-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNELL LINOTPreparerPersonNm
PTINP01663908PTIN
Phone3162652811PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$17,694,401FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$261,740DividendsRevAndExpnssAmt
Dividends Net Invst Incm$261,740DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$452,326NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$7,690,861GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$452,326CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$732OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$714,798TotalRevAndExpnssAmt
Total Net Invst Incm$714,066TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$13,873AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,387AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$12,486AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$64,106OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$64,106OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$24,415TaxesRevAndExpnssAmt
Trav Conf Meeting Rev And Expnss$310TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$310TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$3,577OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$564OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$106,281TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$66,057TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$12,796TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$360,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$360,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$466,281TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$66,057TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$372,796TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$248,517ExcessRevenueOverExpensesAmt
Net Investment Income$648,009NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$46,224SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$19,983SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$19,983SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$930,249USGovernmentObligationsBOYAmt
US Government Obligations EOY$647,677USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$647,677USGovtObligationsEOYFMVAmt
Corporate Stock BOY$11,184,227CorporateStockBOYAmt
Corporate Stock EOY$11,097,348CorporateStockEOYAmt
Corporate Stock EOYFMV$11,097,348CorporateStockEOYFMVAmt
Corporate Bonds BOY$5,380,834CorporateBondsBOYAmt
Corporate Bonds EOY$5,929,393CorporateBondsEOYAmt
Corporate Bonds EOYFMV$5,929,393CorporateBondsEOYFMVAmt
Total Assets BOY$17,541,534TotalAssetsBOYAmt
Total Assets EOY$17,694,401TotalAssetsEOYAmt
Total Assets EOYFMV$17,694,401TotalAssetsEOYFMVAmt
Accounts Payable BOY$8,841AccountsPayableBOYAmt
Accounts Payable EOY$11,233AccountsPayableEOYAmt
Total Liabilities BOY$8,841TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,233TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$17,532,693NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$17,683,168NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$0DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$0DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$17,532,693TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$17,683,168TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$17,541,534TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$17,694,401TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$17,532,693TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$248,517ExcessRevenueOverExpensesAmt
Subtotal$17,781,210SubtotalAmt
Other Decreases$98,042OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$17,683,168TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
COMMERCE 69-4$2,903,035$2,784,172$118,863$118,863
COMMERCE 69-2$984,712$943,768$40,944$40,944
COMMERCE 69-3$3,476,018$3,208,883$267,135$267,135
COMMERCE 69-8$327,095$301,711$25,384$25,384
FieldValueIRS element (for citing)
Capital Gain Net Income$452,326CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$757,113AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$17,104,317NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.044264DistributionYr1Rt
Adjusted Qlfy Distri Yr2$961,689AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$17,665,500NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.054439DistributionYr2Rt
Adjusted Qlfy Distri Yr3$1,008,852AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$17,284,619NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.058367DistributionYr3Rt
Adjusted Qlfy Distri Yr4$857,822AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$16,949,599NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.05061DistributionYr4Rt
Adjusted Qlfy Distri Yr5$895,334AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$18,165,228NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.049288DistributionYr5Rt
Total Distribution0.256968TotalDistributionRt
Average Distribution0.051394AverageDistributionRt
Net Vl Noncharitable Assets$17,489,075NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$898,834AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$6,480NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$905,314AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$372,796QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$12,960InvestmentIncomeExciseTaxAmt
Subtotal$12,960SubtotalAmt
Tax Based On Investment Income$12,960TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$15,250EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$15,250TotalPaymentsAndCreditsAmt
Overpayment$2,290OverpaymentAmt
Applied To ES Tax$2,290AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
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 StateKSOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1RONNIE TROYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3169428430PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9527AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672770527ZIPCd
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
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
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 (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
RANDY COONROD
PO BOX 9527WICHITAKS672770527CHAIRMAN/DIRECTOR1.0$0$0$0
DR JERRY GASTON
PO BOX 9527WICHITAKS672770527VICE CHAIRMAN/DIRECTOR0.5$0$0$0
RONNIE TROY
PO BOX 9527WICHITAKS672770527SECRETARY/TREASURER/DIRECTOR1.0$0$0$0
TERRY FRY
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR CAROLINE SORIA
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
SENATOR LES DONOVAN
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR DAN MCCARTY
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR JON KIRKPATRICK
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
JAMES ERNSTMANN
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$17,696,191AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$59,215AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$17,755,406TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$17,755,406AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$266,331CashDeemedCharitableAmt
Net Vl Noncharitable Assets$17,489,075NetVlNoncharitableAssetsAmt
Minimum Investment Return$874,454MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$874,454MinimumInvestmentReturnAmt
Tax Based On Investment Income$12,960TaxBasedOnInvestmentIncomeAmt
Total Tax$12,960TotalTaxAmt
Distributable Before Adj$861,494DistributableBeforeAdjAmt
Distributable Before Ded$861,494DistributableBeforeDedAmt
Distributable As Adjusted$861,494DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$372,796ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$372,796QualifyingDistributionsAmt
Adjusted Qualifying Distri$372,796AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$861,494DistributableAsAdjustedAmt
Undistributed Income PY$350,370UndistributedIncomePYAmt
Prior Year12017PriorYear1Yr
Prior Year22016PriorYear2Yr
Prior Year32015PriorYear3Yr
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$372,796QualifyingDistributionsAmt
Applied To Year1$350,370AppliedToYear1Amt
Applied To Current Year$22,426AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$839,068UndistributedIncomeCYAmt
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)
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 PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
MENTAL HEALTH ASSOCIATION OF SOUTH CENTRAL KANSAS
555 N WOODLAWN SUITE 3105WICHITAKS67208NONEPCGENERAL HEALTH AND WELFARE$100,000
GUADALUPE CLINIC INC
940 S FRANCISWICHITAKS67211NONESO IGENERAL HEALTH AND WELFARE$100,000
GRACEMED HEALTH CLINIC
1122 N TOPEKAWICHITAKS67214NONEPCGENERAL HEALTH AND WELFARE$100,000
HUNTER HEALTH CLINIC
2318 EAST CENTRALWICHITAKS67214NONEPCGENERAL HEALTH AND WELFARE$25,000
CENTRAL PLAINS HEALTH CARE PARTNERSHIP INC
1102 S HILLSIDE STWICHITAKS67211NONEPCGENERAL HEALTH AND WELFARE$20,000
GREATER WICHITA YMCA
402 N MARKET STWICHITAKS67202NONEPCGENERAL HEALTH AND WELFARE$10,000
SEDGWICK COUNTY OSTEOPATHIC MEDICAL SOCIETY
2131 N RIDGE RDWICHITAKS67212NONEPCGENERAL HEALTH AND WELFARE$5,000STE 101
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$360,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$261,740ExclusionAmt
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 Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$452,326ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Exclusion01ExclusionCd
Exclusion$732ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$714,798ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$714,798TotalIncomeProducingActyAmt

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/TAX PREP FEESCategoryTxt
Amt$13,873Amt
Net Investment Income$1,387NetInvestmentIncomeAmt
Disbursements Charitable Prps$12,486DisbursementsCharitablePrpsAmt

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Other Program Related Invst AllOtherProgramRelatedInvstGrp

FieldValueIRS element (for citing)
DescNONEDesc

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCOMMERCE 69-4 - SEE STMT 1BondNm
EOY Book Value$5,929,393EOYBookValueAmt
EOYFMV$5,929,393EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
COMMERCE 69-2 - SEE STMT 2$2,607,095$2,607,095
COMMERCE 69-3 - SEE STMT 3$7,601,193$7,601,193
COMMERCE 69-8 - SEE STMT 4$889,060$889,060

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$647,677USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$647,677USGovtObligationsEOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSESDesc
Amt$98,042Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
LICENSES & PERMITS$40
MARKETING$208
BANK SERVICE CHARGES$564$564
INSURANCE$2,567
SUPPLIES$198

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Revenue And Expenses Per Books$732RevenueAndExpensesPerBooksAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT EXPENSECategoryTxt
Amt$64,106Amt
Net Investment Income$64,106NetInvestmentIncomeAmt

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