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FELTEL FAMILY FOUNDATION INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FELTEL FAMILY FOUNDATION INC (EIN 59-3757056)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-06-28
IRS object ID
202111799349100301
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-06-28T07:54:04-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Heinz Jolles & Berry LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110375 Centurion Parkway N Ste 115AddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32256ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593757056EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Feltel Family FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARY FELTELInCareOfNm
Business Name ControlFELTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19274 River Shores LaneAddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32257ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY FELTELPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone9047390303PhoneNum
Signature2021-06-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARYPersonFirstNm
Person LastFELTELPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMIE M JOLLESPreparerPersonNm
PTINP00293744PTIN
Phone9046522230PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,186,411FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

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$21,973DividendsRevAndExpnssAmt
Dividends Net Invst Incm$21,973DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$46,393NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$41,228GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$46,393CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$68,366TotalRevAndExpnssAmt
Total Net Invst Incm$68,366TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$1,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$500AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$359OtherProfFeesRevAndExpnssAmt
Taxes Rev And Expnss$49TaxesRevAndExpnssAmt
Taxes Net Invst Incm$49TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$146OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$85OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$1,554TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$634TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$50,010ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$50,010ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$51,564TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$634TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$50,010TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$16,802ExcessRevenueOverExpensesAmt
Net Investment Income$67,732NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$57,291CashBOYAmt
Cash EOY$52,560CashEOYAmt
Cash EOYFMV$52,560CashEOYFMVAmt
Corporate Stock BOY$902,744CorporateStockBOYAmt
Corporate Stock EOY$927,125CorporateStockEOYAmt
Corporate Stock EOYFMV$1,133,851CorporateStockEOYFMVAmt
Total Assets BOY$960,035TotalAssetsBOYAmt
Total Assets EOY$979,685TotalAssetsEOYAmt
Total Assets EOYFMV$1,186,411TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$960,035RetainedEarningBOYAmt
Retained Earning EOY$979,685RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$960,035TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$979,685TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$960,035TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$979,685TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$960,035TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$16,802ExcessRevenueOverExpensesAmt
Other Increases$2,848OtherIncreasesAmt
Subtotal$979,685SubtotalAmt
Tot Net Ast Or Fund Balances EOY$979,685TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
1300 SHS BLACKROCK BASIC VALUE FUND INCP2020-12-24$24,362$43,346-$18,984-$18,984
900 SHS BLACKROCK BASIC VALUE FUND INCP2020-12-24$16,866$25,594-$3,381-$8,728
CAPITAL GAIN DIVIDENDSP$68,758
CAPITAL GAIN DIVIDENDSP$68,758
FieldValueIRS element (for citing)
Capital Gain Net Income$46,393CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$941InvestmentIncomeExciseTaxAmt
Subtotal$941SubtotalAmt
Tax Based On Investment Income$941TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$36EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$36TotalPaymentsAndCreditsAmt
Es Penalty$19EsPenaltyAmt
Tax Due$924TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
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 StateFLOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1MARY FELTELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9047390303PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line19274 RIVER SHORES LANEAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32257ZIPCd
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 AppYes (true)UndistrIncmSect4942a2NotAppInd
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

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARY FELTEL
9274 River Shores LaneJacksonvilleFL32257PRESIDENT, DIRECTOR1.0$0$0$0
DEBORAH WILLIAMS
808 POINT LA VISTA RD WJACKSONVILLEFL32207DIRECTOR1.0$0$0$0
KIMBERLY CARLSON
227 23RD STDELMARCA92014DIRECTOR1.0$0$0$0
JENNIFER VOSS
405 GLENMONT DRSOLONO BEACHCA92075DIRECTOR1.0$0$0$0
GILBERT FELTEL JR
2848 SYLVAN LANE SJACKSONVILLEFL32257DIRECTOR1.0$0$0$0
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$996,483AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$13,346AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,009,829TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,009,829AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$15,147CashDeemedCharitableAmt
Net Vl Noncharitable Assets$994,682NetVlNoncharitableAssetsAmt
Minimum Investment Return$49,734MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$49,734MinimumInvestmentReturnAmt
Tax Based On Investment Income$941TaxBasedOnInvestmentIncomeAmt
Total Tax$941TotalTaxAmt
Distributable Before Adj$48,793DistributableBeforeAdjAmt
Distributable Before Ded$48,793DistributableBeforeDedAmt
Distributable As Adjusted$48,793DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$50,010ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$50,010QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$50,010AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$48,793DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12018PriorYear1Yr
Prior Year22017PriorYear2Yr
Prior Year32016PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$5,080ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$43ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,127ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$728ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$6,978TotalExcessDistributionCyovAmt
Qualifying Distributions$50,010QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$48,793AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,217RemainingDistriFromCorpusAmt
Total Corpus$8,195TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$8,195ExcessDistriCyovToNextYrAmt
Excess From Year4$5,080ExcessFromYear4Amt
Excess From Year3$43ExcessFromYear3Amt
Excess From Year2$1,127ExcessFromYear2Amt
Excess From Year1$728ExcessFromYear1Amt
Excess From Current Year$1,217ExcessFromCurrentYearAmt
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 (33 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
AIR FORCE ENLISTED VILLAGE
92 SUNSET LANESHALIMARFL32579N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
CASA DE AMPARA
3355 MISSION AVENUEOCEANSIDECA92058N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000STE 238
CELIAC DISEASE FOUNDATION
13251 VENTURA BOULEVARDSTUDIO CITYCA91604N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000STE 1
CHRISTIAN APPALACHIAN PROJECT DEVELOPMENT OFFICE
PO BOX 55911LEXINGTONKY405559944N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$3,000
CHRISTIAN FAMILY CHAPEL
10365 ST AUGUSTINE ROADJACKSONVILLEFL32257N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
CITY RESCUE MISSION
PO BOX 60291JACKSONVILLEFL32236N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
DANIEL FOUNDATION INC
4203 SOUTHPOINT BOULEVARDJACKSONVILLEFL32216N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$4,000
DREAMS COME TRUE
6803 SOUTHPOINT PARKWAYJACKSONVILLEFL32216N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
LAKEWOOD UNITED METHODIST
6133 SAN JOSE BOULEVARDJACKSONVILLEFL32217N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
MAYO CLINIC - LYMPHOMA MIGRAINES ALZHEIMERS
4500 SAN PABLO ROADJACKSONVILLEFL32224N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$4,000
MENINAK CLUB OF JACKSONVILLE
PO BOX 8626JACKSONVILLEFL32239N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
SBPC FOSTER YOUTH MINISTRY
125 13TH STREETDEL MARCA92014N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
THE SALVATION ARMY
PO BOX 52508JACKSONVILLEFL32201N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$4,000
THE SALVATION ARMY DOOR OF HOPE
2799 HEALTH CENTER DRSAN DIEGOCA92123N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,500
ST JUDE CHILDREN'S RESEARCH HOSPITAL
501 ST JUDE PLACEMEMPHISTN381019929N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$2,000
UK COLLEGE OF ENGINEERING
251 RALPH G ANDERSON BLDGLEXINGTONKY40502N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$4,000
THE SALVATION ARMY WOMEN'S AUXILIARY
PO BOX 52508JACKSONVILLEFL32201N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
XAVIER UNIVERSITY
3800 VICTORY PARKWAYCINCINNATIOH45207N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$3,000
WOLFSON CHILDREN'S HOSPITAL
800 PRUDENTIAL DRIVEJACKSONVILLEFL32207N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
DCRCC
5321 FIRST PL NEWASHINGTONDC20011N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
SOLANA BEACH PRESBYTERIAN CHURCH
120 STEVENS AVESOLANA BEACHCA92075N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
HUBBARD HOUSE
PO BOX 4909JACKSONVILLEFL32201N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$5,000
SAN DIEGO RESCUE MISSION
PO BOX 80427SAN DIEGOCA921380427N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
AMERICAN HEART ASSOC GIFT PROCESSING
PO BOX 78851PHOENIXAZ85062N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
THE LYMPHOMA RESEARCH FOUNDATION
WALL ST PLAZA 88 PINE ST STE 2400NEW YORKNY10005N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
200 CLUB
PO BOX 14798JACKSONVILLEFL92238N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$200
SHERIFFS YOUTH RANCHES
PO BOX 2000BOYS RANCHFL32064N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$100
MANDARIN PRESBYTERIAN CHURCH
2501 LORETTO ROADJACKSONVILLEFL32223N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
SICKLE CELL DISEASE ASSOC
7240 PARKWAY DRHANOVERMD21076N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
AIR FORCE ASSOC
PO BOX 1860MERRIFIELDVA22116N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$110
WILLIAMS COLLEGE PARENTS FUND
75 PARK STWILLIAMSTOWNMA01267N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
LUSTGARTEN FDTN PANCREATIC CANCER RESEARCH
415 CROSSWAYS PARK DR STE DWOODBURYNY11797N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,100
CEDARS-SINAI MEDICAL CENTER
6500 WILSHIRE BLVD STE 1650LOS ANGELESCA90048N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$50,010TotalGrantOrContriPdDurYrAmt

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$21,973ExclusionAmt
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$46,393ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$68,366ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$68,366TotalIncomeProducingActyAmt

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 FEESCategoryTxt
Amt$1,000Amt
Net Investment Income$500NetInvestmentIncomeAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
MERRILL LYNCH$494,349$528,243
VANGUARD$371,648$548,398
REGIONS$61,128$57,210

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
PORTFOLIO MANAGEMENT FEES$85$85
ANNUAL REGISTRATION FEE$61

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON INVESTMENTSDesc
Amt$2,848Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Amt$359Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
EXCISE TAX ON INVESTMENT INCOM$0$0
FOREIGN TAX PAID ON INVESTMENT$49$49

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