SEMLER FAMILY FOUNDATION INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SEMLER FAMILY FOUNDATION INC (EIN 20-3523866)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202113199349107071
- 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 Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T15:38:33-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201717681 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOMERSET CPAS AND ADVISORS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3925 RIVER CROSSING PKWY STE 100 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46240 | 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 | 203523866 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE SEMLER FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SEML | BusinessNameControlTxt |
| Phone | 3179971615 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7920 BEAUMONT GREEN WEST DR | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462501651 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JERRY SEMLER | PersonNm |
| Person Title | OFFICER | PersonTitleTxt |
| Phone | 3179971615 | PhoneNum |
| Signature | 2021-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JERRY | PersonFirstNm |
| Person Last | SEMLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSIE M KEATON CPA | PreparerPersonNm |
| PTIN | P00765420 | PTIN |
| Phone | 3174722200 | PhoneNum |
| Preparation | 2021-11-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | 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 | $2,124,626 | 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 |
| Interest On Sav Rev And Expnss | $6,539 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $6,539 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $34,092 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $34,092 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $54,505 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $771,568 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $54,505 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $95,136 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $95,136 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,900 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,900 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $18,232 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $18,232 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $599 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $599 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $20,731 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $20,731 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $127,770 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $127,770 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $148,501 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $20,731 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $127,770 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$53,365 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $74,405 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $3,594 | CashBOYAmt |
| Cash EOY | $237 | CashEOYAmt |
| Cash EOYFMV | $237 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $63,786 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $111,691 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $111,691 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $502,989 | CorporateStockBOYAmt |
| Corporate Stock EOY | $376,604 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $509,264 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $225,403 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $342,808 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $365,653 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $961,957 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $871,126 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,137,781 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,757,729 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,702,466 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,124,626 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $1,642,061 | CapitalStockBOYAmt |
| Capital Stock EOY | $1,642,061 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $115,668 | RetainedEarningBOYAmt |
| Retained Earning EOY | $60,405 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,757,729 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,702,466 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,757,729 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,702,466 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,757,729 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$53,365 | ExcessRevenueOverExpensesAmt |
| Other Increases | $189 | OtherIncreasesAmt |
| Subtotal | $1,704,553 | SubtotalAmt |
| Other Decreases | $2,087 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,702,466 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| FIDELITY 3003 | P | 2019-08-01 | 2020-07-01 | $60,172 | $75,416 | -$15,244 | -$15,244 |
| FIDELITY 3003 | P | 2015-06-15 | 2020-07-01 | $243,433 | $228,945 | $14,488 | $14,488 |
| FIDELITY 2997 | P | 2019-08-15 | 2020-07-01 | $21,327 | $17,625 | $3,702 | $3,702 |
| FIDELITY 2997 | P | 2015-06-15 | 2020-07-01 | $436,627 | $395,077 | $41,550 | $41,550 |
| CAPITAL GAINS DIVIDENDS | P | $10,009 | $10,009 | $10,009 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $54,505 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,034 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,034 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,034 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $600 | 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 | $600 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $434 | TaxDueAmt |
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 | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IN | 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 | JERRY SEMLER | IndividualWithBooksNm |
| Phone | 3179971615 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7920 BEAUMONT GREEN WEST DR | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46250 | 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 (9 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 |
|---|---|---|---|---|---|---|---|---|
| JERRY D SEMLER | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| ROSEMARY R SEMLER | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | VICE-PRESIDENT | 1.00 | $0 | $0 | $0 |
| MICHAEL R SEMLER | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | TREASURER | 1.00 | $0 | $0 | $0 |
| KIMBERLY D HAMILTON | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | SECRETARY | 1.00 | $0 | $0 | $0 |
| MARY D DODSON | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| JOHN R SEMLER | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| KRISTIN D TERRELL | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| JEFFREY R SEMLER | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| SALLY D BUTLER | ||||||||
| 7920 BEAUMONT GREEN WEST DR | INDIANAPOLIS | IN | 46250 | DIRECTOR | 1.00 | $0 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | CONTRIBUTIONS TO VARIOUS PUBLIC CHARITIES TO CARRY OUT CHARITABLE GOALS. SEE LIST OF CHARITIES ATTACHED TO TAX RETURN. | Description1Txt |
| Expenses1 | $127,770 | Expenses1Amt |
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 | $1,857,043 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $26,222 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,883,265 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,883,265 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $28,249 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,855,016 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $92,751 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $92,751 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,034 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,034 | TotalTaxAmt |
| Distributable Before Adj | $91,717 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $91,717 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $91,717 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $127,770 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $127,770 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $127,770 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $91,717 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr4 | $22,584 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $5,924 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $31,917 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $60,425 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $127,770 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $91,717 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $36,053 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $96,478 | 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 | $96,478 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $22,584 | ExcessFromYear4Amt |
| Excess From Year3 | $5,924 | ExcessFromYear3Amt |
| Excess From Year1 | $31,917 | ExcessFromYear1Amt |
| Excess From Current Year | $36,053 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | JERRY D SEMLER | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7920 BEAUMONT GREEN WEST DR | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46250 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3172851615 | RecipientPhoneNum |
| Form And Info And Materials | SUBMIT LETTER DESCRIBING NEED FOR AND PURPOSE OF REQUESTED CONTRIBUTION. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | N/A | SubmissionDeadlinesTxt |
| Restrictions On Awards | N/A | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (38 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMANDA STRONG | |||||||
| 19120 TOMLINSON RD | WESTFIELD | IN | 46074 | NO RELATION | INDIVIDUAL | PROGRAM SUPPORT | $100 |
| AMERICAN HEART ASSOCIATION | |||||||
| 6100 W 96TH ST STE 200 | INDIANAPOLIS | IN | 46278 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| ATO | |||||||
| 333 N ALABAMA ST STE 220 | INDIANAPOLIS | IN | 46204 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $5,000 |
| BISHOP CHATARD HIGH SCHOOL-KYLE GUYTON MEMORIAL | |||||||
| 5885 N CRITTENDEN AVE | INDIANAPOLIS | IN | 46220 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| BLESSINGS IN A BACKPACK | |||||||
| 111 E WAYNE ST | FT WAYNE | IN | 46802 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| BSA CROSSROADS OF AMERICA COUNCIL | |||||||
| 7125 FALL CREEK RD | INDIANAPOLIS | IN | 46256 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| CENTRAL INDIANA POLICE FOUNDATION | |||||||
| 1525 S SHELBY | INDIANAPOLIS | IN | 46203 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $1,000 |
| CHILDREN'S MUSEUM | |||||||
| PO BOX 3000 | INDIANAPOLIS | IN | 46206 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $500 |
| CHRISTEL HOUSE INTERNATIONAL | |||||||
| 10 W MARKET ST STE 1990 | INDIANAPOLIS | IN | 46204 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $1,000 |
| CLD | |||||||
| 2425 MARTIN LUTHER KING JR ST | INDIANAPOLIS | IN | 46208 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $10,000 |
| CONNOR PRAIRIE | |||||||
| 13400 ALLISONVILLE RD | FISHERS | IN | 46038 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $3,500 |
| CROSSROADS OF AMERICA COUNCIL | |||||||
| 7125 FALL CREEK RD | INDIANAPOLIS | IN | 46256 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $2,500 |
| CULVER BOYS & GIRLS CLUB | |||||||
| 401 SCHOOL ST | CULVER | IN | 46511 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $1,000 |
| FIRST TEE OF INDIANA | |||||||
| 2625 HURRICANE RD | FRANKLIN | IN | 46131 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| FOLDS OF HONOR | |||||||
| 4000 W 196TH ST STE 125-347 | INDIANAPOLIS | IN | 46032 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| GLEANERS FOOD BANK | |||||||
| 3737 WALDEMERE AVE | INDIANAPOLIS | IN | 46241 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $1,000 |
| HOOSIER SALON PATRONS ASSOC | |||||||
| 1060 N CAPITOL AVE C365 | INDIANAPOLIS | IN | 46204 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $6,000 |
| HUMANE SOCIETY OF INDIANAPOLIS | |||||||
| 7929 N MICHIGAN RD | INDIANAPOLIS | IN | 46268 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| JOSEPH MALEY FOUNDATION | |||||||
| 7128 LAKEVIEW PKWY W DR | INDIANAPOLIS | IN | 46268 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $300 |
| KATE'S KART | |||||||
| 10376 LEO RD STE A | FT WAYNE | IN | 46825 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| KIDNEY CANCER FOUNDATION | |||||||
| PO BOX 803338 38269 | CHICAGO | IL | 60680 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| LAKE MAX ENVIROMENTAL FUND | |||||||
| 116 N MAIN ST | CULVER | IN | 46511 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $1,000 |
| MAKE A WISH | |||||||
| 6201 CORPORATE DR STE 100 | INDIANAPOLIS | IN | 46278 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $200 |
| MARIAN UNIVERSITY SCOTT DAVIDSON PROJECT | |||||||
| 3200 COLD SPRING RD | INDIANAPOLIS | IN | 46222 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $5,000 |
| MDRT | |||||||
| 3258 W TOUHY AVE | PARK RIDGE | IL | 60068 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $5,000 |
| NATIONAL EATING DISORDERS ASSOCIATION | |||||||
| 1500 BROADWAY STE 1101 | NEW YORK | NY | 10036 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| OUR LADY OF MOUNT CARMEL- KNIGHTS OF HOLY TEMPLE | |||||||
| 1045 W 146TH ST STE A | CARMEL | IN | 46032 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| OUR LADY OF MOUNT CARMEL- MERCIFUL HELP | |||||||
| 1045 W 146TH ST STE A | CARMEL | IN | 46032 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $300 |
| RILEY CHILDRENS FOUNDATION | |||||||
| 30 S MERIDIAN ST STE 200 | INDIANAPOLIS | IN | 46204 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $11,670 |
| SEEDS OF HOPE | |||||||
| 1425 MICKLEY AVE | INDIANAPOLIS | IN | 46241 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $20,100 |
| ST MEINRED | |||||||
| 200 HILL DR | ST MEINRED | IN | 47577 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $2,000 |
| ST THOMAS AQUINAS BOILER AWAKENING | |||||||
| 535 WEST STATE ST | WEST LAFAYETTE | IN | 47906 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| ST VINCENT FOUNDATION | |||||||
| 8402 HARCOURT RD | INDIANAPOLIS | IN | 46268 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $300 |
| STUDENT IMPACT FUND | |||||||
| 536 N UNION ST | WESTFIELD | IN | 46074 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $100 |
| SYCAMORE FOUNDATION | |||||||
| 101 WEST OHIO ST | INDIANAPOLIS | IN | 46204 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $1,000 |
| THE INDIANA ACADEMY (ICI) | |||||||
| 30 S MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $1,000 |
| UNITED CATHOLIC APPEAL (ARCH OF INDIANAPOLIS) | |||||||
| PO BOX 6043 | INDIANAPOLIS | IN | 46206 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $10,000 |
| INDIANA HISTORICAL SOCIETY | |||||||
| 450 W OHIO ST | INDIANAPOLIS | IN | 46202 | NO RELATION | PUBLIC CHARITY | PROGRAM SUPPORT | $37,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $127,770 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $6,539 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $34,092 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $54,505 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $95,136 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $95,136 | TotalIncomeProducingActyAmt |
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 | $1,900 | Amt |
| Net Investment Income | $1,900 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (11 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| CARILLON REAMS UNCONSTRAINED BOND I | $53,774 | $60,336 |
| JPMORGAN MORTGAGE BACKED SEC CLASS I | $25,018 | $25,943 |
| MAINSTAY MACKAY CONVERTIBLE CL I | $21,644 | $31,426 |
| STONE RIDGE HIGH YLD REINSRNCE RSK PREM I | $46,704 | $45,635 |
| VANGUARD HI YIELD CORPORATE ADMIRAL | $15,038 | $16,489 |
| WELLS FARGO SHT TERM HIGH YLD BD I | $15,000 | $15,412 |
| FORT MYERS FLA CAP IMPT REV BDS SER | $24,999 | $25,485 |
| NEW HAMPSHIRE ST GO CAP IMPT BDS | $30,685 | $31,565 |
| JACKSON ST UNIV EDL BLDG CORP MISS REV | $24,070 | $26,402 |
| UNITED STATES TREAS SER AL-2022 | $30,578 | $30,818 |
| FEDERAL FARM CR BKS BOND | $55,298 | $56,142 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (45 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| JOHNSON CONTROLS INTERNATIONAL PLC | $9,132 | $11,415 |
| GARMIN LTD COM CHF10.00 | $4,631 | $7,419 |
| CHECK POINT SOFTWARE TECHNOLOGIES LTD | $8,883 | $13,956 |
| AT&T INC COM USD1 | $8,168 | $7,334 |
| ALPHABET INC CAP STK CL C | $4,504 | $15,767 |
| AMAZON.COM INC | $9,708 | $9,771 |
| AMERICAN EXPRESS CO COM USD0.20 | $6,744 | $12,091 |
| AMERICAN INTERNATIONAL GROUP | $12,560 | $9,654 |
| ANHEUSER-BUSCH INBEV SA/NV ADR EAH | $11,347 | $9,787 |
| APPLE INC COM USD 0.00001 | $4,593 | $22,823 |
| BERKSHIRE HATHAWAY INC COM USD 0.0033 | $9,594 | $10,898 |
| BORG WARNER INC COM USD 0.01 | $10,389 | $11,631 |
| BRISTOL-MYERS SQUIBB CO COM | $9,751 | $12,406 |
| BROADRIDGE FINANCIAL SOLUTION INC | $4,331 | $6,894 |
| CVS HEALTH CORPORATION COM | $12,261 | $11,884 |
| CAPITAL ONE FINANCIAL CORP COM | $11,960 | $13,246 |
| CHEVRON CORP NEW COM | $11,846 | $9,290 |
| COLFAX CORP | $4,599 | $5,774 |
| COMCAST CORP | $5,224 | $5,554 |
| COMPASS MINERALS INTERNATIONL INC | $10,817 | $12,714 |
| CORTEVA INC COM | $9,072 | $12,351 |
| DOMINION ENERGY INC COM | $7,712 | $8,648 |
| EDISON INTERNATIONAL | $5,943 | $6,722 |
| EXXON MOBIL CORP | $8,710 | $4,658 |
| FIDELITY NATIONAL FINANCIAL FNF GROUP | $11,525 | $11,727 |
| FIFTH THIRD BANCORP | $9,500 | $10,532 |
| FIRST SOLAR INC | $9,962 | $24,136 |
| HANESBRANDS INC COM USD 0.01 | $4,800 | $4,476 |
| HONEYWELL INTERNATIONAL INC | $6,578 | $14,889 |
| IQVIA HLDGS INC COM | $4,954 | $10,750 |
| KRAFT HEINZ CO COM | $8,543 | $10,814 |
| LEVI STRAUSS & CO NEW CL A COM STK | $5,156 | $7,731 |
| MCKESSON CORP | $5,466 | $8,696 |
| MERCK & CO. INC COM | $6,887 | $10,225 |
| MICROSOFT CORP | $9,600 | $15,569 |
| QUALCOMM INC | $7,241 | $20,566 |
| RAYTHEON TECHNOLOGIES | $8,651 | $10,798 |
| SCHLUMBERGER LIMITED COM USD 0.01 | $10,593 | $14,146 |
| STARBUCKS CORP COM USD 0.001 | $8,344 | $13,265 |
| TJX COMPANIES INC | $9,280 | $11,541 |
| UNITED HEALTH GROUP INC | $7,180 | $10,170 |
| VERIZON COMMUNICATIONS INC | $7,017 | $8,343 |
| VIATRIS INC COM | $10,468 | $11,656 |
| WELLS FARGO CO NEW COM | $11,478 | $9,597 |
| ZIMMER BIOMET HOLDINGS INC COM | $10,902 | $16,950 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (22 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ACCRUED INTEREST | AT COST | $1,112 | $1,112 |
| OMEGA HEALTHCARE INVESTORS INC | AT COST | $7,494 | $10,496 |
| SIMON PROPERTY GROUP | AT COST | $8,431 | $4,776 |
| FIDELITY TOTAL INTL INDEX FUND | AT COST | $98,599 | $103,769 |
| FIDELITY ADVISOR REAL ESTATE INCOME Z | AT COST | $38,584 | $37,690 |
| BLACKROCK SYSTEMATIC MULTI-STRATEGY INSTL | AT COST | $30,000 | $29,881 |
| CALAMOS MARKET NEUTRAL INCOME CL I | AT COST | $43,322 | $45,884 |
| DIAMOND HILL LONG/SHRT FUND CL I | AT COST | $40,339 | $44,880 |
| FEDERATED HERMES INTL EQ CL IS | AT COST | $65,181 | $86,965 |
| JP MORGAN MID CAP VALUE FUND CLASS L | AT COST | $12,018 | $13,197 |
| JANUS HENDERSON ENTERPRISES | AT COST | $65,000 | $83,935 |
| VANGUARD EMERG MKTS SELECT STOCK INVSTR | AT COST | $14,863 | $18,448 |
| DBX ETF TR XTRACK MSCI EAFE | AT COST | $12,936 | $16,032 |
| ISHARES S&P 500 | AT COST | $26,318 | $41,293 |
| ISHARES S&P 500 GROWTH ETF | AT COST | $203,676 | $319,100 |
| ISHARES S&P MIDCAP 400 INDEX FUND | AT COST | $28,620 | $34,475 |
| ISHARES CORE S&P SMALL-CAP E | AT COST | $37,904 | $63,411 |
| SPDR SERIES TRUST S&P 600 SMCP VAL | AT COST | $55,602 | $79,428 |
| ISHARES TR ISHS 5-10YR INVS | AT COST | $49,964 | $53,757 |
| ISHARES TR ISHS 1-5YR INVS | AT COST | $9,884 | $10,206 |
| SPDR SER TR BLMBRG BRC CNVRT | AT COST | $9,225 | $17,800 |
| ISHARES TR EXPANDED TECH | AT COST | $12,054 | $21,246 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADJUSTMENT | Desc |
| Amt | $2,087 | Amt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONDIVIDEND DISTRIBUTIONS | Desc |
| Amt | $189 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FIDELITY FEES | CategoryTxt |
| Amt | $18,232 | Amt |
| Net Investment Income | $18,232 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAX | CategoryTxt |
| Amt | $599 | Amt |
| Net Investment Income | $599 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |