JANE E DELINE FOUNDATION: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- JANE E DELINE FOUNDATION (EIN 61-1739748)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-05-17
- IRS object ID
- 202101379349100880
- Schema version
- 2020v4.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T11:13:47-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201317788 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOWERS & COMPANY CPAS PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 COMMERCE PARK DRIVE EAST | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611739748 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANE E DELINE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JANE | BusinessNameControlTxt |
| Phone | 3157886700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 STERLING STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CATHERINE BURNS QUENCER | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 3157886700 | PhoneNum |
| Signature | 2021-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CATHERINE | PersonFirstNm |
| Person Last | BURNS QUENCER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATHANIEL J CARROLL | PreparerPersonNm |
| PTIN | P01052758 | PTIN |
| Phone | 3157887690 | PhoneNum |
| Preparation | 2021-05-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 | $4,226,226 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $117,796 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $117,796 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$3,263 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $609,810 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $974 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $115,507 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $117,796 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $7,795 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $4,063 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $30,043 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $27,039 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $2,503 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,005 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $16,932 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $61,336 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $28,044 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $200,830 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $200,830 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $262,166 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $28,044 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $200,830 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$146,659 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $89,752 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $293,984 | CashBOYAmt |
| Cash EOY | $307,966 | CashEOYAmt |
| Cash EOYFMV | $307,966 | CashEOYFMVAmt |
| Corporate Stock BOY | $3,958,747 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,793,865 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,915,108 | CorporateStockEOYFMVAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $3,152 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $3,152 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $4,252,731 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,104,983 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $4,226,226 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $2,774 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $1,685 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $2,774 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,685 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $4,249,957 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $4,103,298 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,249,957 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,103,298 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,252,731 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,104,983 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,249,957 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$146,659 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $4,103,298 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,103,298 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (25 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN EXPRESS CENTRN | P | 2018-03-29 | 2020-07-08 | $50,000 | $49,775 | $225 | $225 |
| BMW BK NORTH AMER SALT LAKE | P | 2018-03-29 | 2020-09-08 | $50,000 | $49,150 | $850 | $850 |
| CAPITAL ONE BK USA NATL AS | P | 2017-07-20 | 2020-07-20 | $50,000 | $49,773 | $227 | $227 |
| CLEARBRIDGE MLP AND MIDSTREAM FUND INC COMMON STOCCK | P | 2015-06-26 | 2020-09-14 | $5,225 | $34,104 | -$28,879 | -$28,879 |
| DIVERSIFED HEALTHCARE TRUST COMMON SHARES OF BENEFICAL | P | 2015-06-26 | 2020-12-29 | $6,918 | $25,244 | -$18,326 | -$18,326 |
| EMERSON ELECTRIC CO | P | 2015-08-26 | 2002-11-18 | $23,249 | $12,462 | $10,787 | $10,787 |
| EPR PROPERTIES COMMON SHARES OF BENEFICIAL | P | 2018-01-17 | 2020-12-28 | $16,040 | $28,874 | -$12,834 | -$12,834 |
| GENERAL MILLS INC | P | 2018-03-20 | 2020-07-08 | $57,499 | $44,810 | $12,689 | $12,689 |
| HUNTINGTON BANCSHARES | P | 2016-01-26 | 2020-08-11 | $20,550 | $15,858 | $4,692 | $4,692 |
| JPMORGAN CHASE BK NA COLUMBUS OHIO C/D FDIC INS TO LIMITS | P | 2019-02-26 | 2020-02-28 | $50,000 | $49,750 | $250 | $250 |
| JPMORGAN CHASE BK NA COLUMBUS OHIO C/D FDIC INS TO LIMITS | P | 2020-03-16 | 2019-03-13 | $50,000 | $49,775 | $225 | $225 |
| JPMORGAN CHASE BK NA COLUMBUS OHIO C/D FDIC INS TO LIMITS | P | 2019-07-24 | 2020-07-31 | $50,000 | $49,725 | $275 | $275 |
| JPMORGAN CHASE BK NA COLUMBUS OHIO C/D FDIC INS TO LIMITS | P | 2019-09-23 | 2020-09-30 | $50,000 | $49,750 | $250 | $250 |
| VIATRIS INC | D | 2014-06-28 | 2020-11-23 | $2 | $1 | $1 | $1 |
| CALL BMY | P | 2020-07-08 | 2020-12-21 | $2,210 | $2,210 | $2,210 | |
| CALL GILD | P | 2020-02-24 | 2020-08-24 | $2,268 | $2,268 | $2,268 | |
| CALL GIS | P | 2019-10-10 | 2020-01-21 | $1,220 | $1,220 | $1,220 | |
| CALL MRK | P | 2020-02-06 | 2020-07-20 | $655 | $655 | $655 | |
| CUMMINS INC | P | 2020-02-07 | 2020-04-28 | $32,954 | $31,156 | $1,798 | $1,798 |
| FIVE STARS SENIOR LIVING INC COMMON STOCK | P | 2020-01-02 | 2020-01-08 | $2 | $2 | $0 | $0 |
| FIVE STARS SENIOR LIVING INC COMMON STOCK | P | 2020-01-02 | 2020-12-29 | $766 | $419 | $347 | $347 |
| MOLSON COORS BEVERAGE COMPANY CLASS B COMMON STOCK | P | 2019-11-26 | 2020-02-12 | $24,180 | $20,591 | $3,589 | $3,589 |
| WELLS FARGO BANK NATL ASSN | P | 2020-02-04 | 2020-08-28 | $50,000 | $49,900 | $100 | $100 |
| GAIN ADJUSTMENT - TO 1099 | P | 2020-12-31 | 2020-12-31 | $1,954 | -$1,954 | -$1,954 | |
| CAPITAL GAINS DIVIDENDS | P | $16,072 | $16,072 | $16,072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$3,263 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,248 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,248 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,248 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,400 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $4,400 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $3,152 | OverpaymentAmt |
| Applied To ES Tax | $3,152 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | 0 | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NY | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | CATHERINE BURNS QUENCER | IndividualWithBooksNm |
| Phone | 3157886700 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 STERLING STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | 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 WHEELER | ||||||||
| 417 LACHENAUER DRIVE | WATERTOWN | NY | 13601 | TRUSTEE | 0.50 | $1,559 | $0 | $0 |
| THOMAS E COLLIGAN | ||||||||
| 546 NE MONROE STREET | PORTLAND | OR | 97212 | TRUSTEE | 0.50 | $1,559 | $0 | $0 |
| RICHARD E POULSEN | ||||||||
| PO BOX 437 | HENDEERSON HARBOR | NY | 13651 | TRUSTEE | 0.50 | $1,559 | $0 | $0 |
| WILLIAM G HARTMAN | ||||||||
| 926 GOTHAM STREET | WATERTOWN | NY | 13601 | TRUSTEE | 0.50 | $1,559 | $0 | $0 |
| CATHERINE BURNS QUENCER | ||||||||
| 220 STERLING STREET | WATERTOWN | NY | 13601 | TRUSTEE | 0.50 | $1,559 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $3,746,547 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $310,553 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,057,100 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $4,057,100 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $60,857 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,996,243 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $199,812 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $199,812 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,248 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,248 | TotalTaxAmt |
| Distributable Before Adj | $198,564 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $198,564 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $198,564 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $200,830 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $200,830 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $200,830 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $198,564 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr3 | $32,415 | ExcessDistributionCyovYr3Amt |
| Total Excess Distribution Cyov | $32,415 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $200,830 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $198,564 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,266 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $34,681 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $34,681 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $32,415 | ExcessFromYear3Amt |
| Excess From Current Year | $2,266 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | CATHERINE BURNS QUENCER | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 STERLING STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3157886700 | RecipientPhoneNum |
| Form And Info And Materials | WRITTEN APPLICATION THAT IS SUFFICIENT TO DEMONSTRATE NEED. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE. | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ACR HEALTH | |||||||
| 120 WASHINGTON STREET 3 | WATERTOWN | NY | 13601 | NONE | PC | ASSISTANCE | $8,500 |
| AMERICAN RED CROSS | |||||||
| 203 N HAMILTON STREET | WATERTOWN | NE | 13601 | NONE | PC | ASSISTANCE | $4,000 |
| CREDO COMMUNITY CENTER FOR TREATMENT OF ADDICTIONS | |||||||
| 595 W MAIN ST | WATERTOWN | NY | 13601 | NONE | PC | ASSISTANCE | $31,500 |
| HOSPICE OF JEFFERSON | |||||||
| 1398 GOTHAM STREET | WATERTOWN | NY | 13601 | NONE | PC | ASSISTANCE | $55,000 |
| JEFFERSON REHABILITATION CENTER | |||||||
| 380 GAFFNEY DRIVE | WATERTOWN | NY | 13601 | NONE | PC | ASSISTANCE | $47,430 |
| NORTH COUNTRY FAMILY | |||||||
| 238 ARSENAL STREET | WATERTOWN | NY | 13601 | NONE | PC | ASSISTANCE | $10,000 |
| TRANSITIONAL LIVING SERVICES | |||||||
| 482 BLACK RIVER PARKWAY | WATERTOWN | NY | 13601 | NONE | PC | ASSISTANCE | $4,400 |
| WATERTOWN FAMILY YMCA | |||||||
| 119 WASHINGTON STREET | WATERTOWN | NY | 13601 | NONE | PC | ASSISTANCE | $30,000 |
| RESOLUTION CENTER OF JEFFERSON & LEWIS COUNTIES INC | |||||||
| 531 WASHINGTON ST SUITE 4124 | WATERTOWN | NY | 13601 | NONE | PC | ASSISTANCE | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $200,830 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $117,796 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 19 | ExclusionCd |
| Exclusion | -$3,263 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GAIN ON DEFERRED TAX ASSET | Desc |
| Related Or Exempt Function Incm | $974 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $114,533 | ExclusionAmt |
| Related Or Exempt Function Incm | $974 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $115,507 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 2 | LineNumberTxt |
| Relationship Statement | ASSISTANCE TO CHARITABLE, RELIGIOUS, AND SCIENTIFIC INSTITUTIONS, AS WELL AS FOR LITERARY AND/OR EDUCATIONAL PORPOSES. | RelationshipStatementTxt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $4,063 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| US EQUITIES - RBC | $2,094,130 | $2,265,280 |
| MIXED SECURITIES - RBC | $1,699,735 | $1,649,828 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DEFERRED TAX ASSET | $0 | $0 | |
| FEDERAL EXCISE TAX OVERPAYMENT | $3,152 | $3,152 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INSURANCE | $1,942 | $0 | $0 |
| MISCELLANEOUS | $7,165 | $0 | $0 |
| ADJ TO GAIN LOSS | $7,825 | $0 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GAIN ON DEFERRED TAX ASSET | Desc |
| Revenue And Expenses Per Books | $974 | RevenueAndExpensesPerBooksAmt |
| Adjusted Net Income | $974 | AdjustedNetIncomeAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| FEDERAL EXCISE TAX PAYABLE | $115 | $0 |
| DEFERRED TAX LIABILITY | $2,659 | $1,685 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ADVISOR FEES | CategoryTxt |
| Amt | $30,043 | Amt |
| Net Investment Income | $27,039 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FEDERAL & NYS INCOME TAX | $1,498 | $0 | $0 |
| FOREIGN TAX PAID | $1,005 | $1,005 | $0 |
Comments