DON JACOBS SR CHARITABLE FOUNDATION INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
DON JACOBS SR CHARITABLE FOUNDATION INC (EIN 35-2373932)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-05-07
IRS object ID
202121279349101902
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)
Return2021-05-07T15:08:53-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN273858252PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DEAN DORTON ALLEN FORD PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 W MAIN STREET STE 1400AddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40507ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352373932EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DON JACOBS SR CHARITABLE FOUNDATION INCBusinessNameLine1Txt
Business Name Line2C/O DOUG DEANBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlDONJBusinessNameControlTxt
Phone8599131375PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 W MAIN STR NO 1400AddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40507ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDON L JACOBS SRPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone8599131375PhoneNum
Signature2021-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDONPersonFirstNm
Person LastJACOBS SRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS DEANPreparerPersonNm
PTINP00167070PTIN
Phone8592552341PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
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$19,462,736FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$752InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$752InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$335,500DividendsRevAndExpnssAmt
Dividends Net Invst Incm$335,500DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$170,742NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$12,122,387GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$5,001OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$5,001OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$170,511TotalRevAndExpnssAmt
Total Net Invst Incm$341,253TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$4,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$2,000CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$2,000CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$5,525AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,762AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,763AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$120,735OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$120,735OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$6,647TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$15OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$8OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$7OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$136,922TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$125,505TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,770TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,091,452ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,091,452ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$2,228,374TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$125,505TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$2,096,222TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,057,863ExcessRevenueOverExpensesAmt
Net Investment Income$215,748NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$498,717SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$454,086SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$454,086SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$1,104,037USGovernmentObligationsBOYAmt
US Government Obligations EOY$399,441USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$399,898USGovtObligationsEOYFMVAmt
Corporate Stock BOY$9,059,464CorporateStockBOYAmt
Corporate Stock EOY$9,705,159CorporateStockEOYAmt
Corporate Stock EOYFMV$13,339,420CorporateStockEOYFMVAmt
Corporate Bonds BOY$2,927,598CorporateBondsBOYAmt
Corporate Bonds EOY$2,367,558CorporateBondsEOYAmt
Corporate Bonds EOYFMV$2,368,814CorporateBondsEOYFMVAmt
Other Investments BOY$2,913,920OtherInvestmentsBOYAmt
Other Investments EOY$2,257,157OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,900,518OtherInvestmentsEOYFMVAmt
Total Assets BOY$16,503,736TotalAssetsBOYAmt
Total Assets EOY$15,183,401TotalAssetsEOYAmt
Total Assets EOYFMV$19,462,736TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$16,503,736RetainedEarningBOYAmt
Retained Earning EOY$15,183,401RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$16,503,736TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$15,183,401TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$16,503,736TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$15,183,401TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$16,503,736TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,057,863ExcessRevenueOverExpensesAmt
Other Increases$737,528OtherIncreasesAmt
Subtotal$15,183,401SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$15,183,401TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES - DETAIL AVAILABLE UPON REQUEST2020-12-312020-12-31$12,110,669$12,293,129-$182,460-$182,460
CAPITAL GAINS DIVIDENDS$11,718$11,718$11,718P
FieldValueIRS element (for citing)
Capital Gain Net Income-$170,742CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,999InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,999SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,999TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$5,800EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$5,800TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$2,801OverpaymentAmt
Applied To ES Tax$2,801AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateKYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8599131375PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1250 W MAIN STR NO 1400AddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40507ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CATHY JACOBS
250 W MAIN STR STE 1400LEXINGTONKY40507PRESIDENT, DIRECTOR1.00$0$0$0
DOUG DEAN
250 W MAIN STR STE 1400LEXINGTONKY40507VICE PRESIDENT, DIRECTOR0.50$0$0$0
KAREN L WEST
250 W MAIN STR STE 1400LEXINGTONKY40507TREASURER, DIRECTOR1.00$4,000$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$17,600,307AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$415,224AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$18,015,531TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$18,015,531AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$270,233CashDeemedCharitableAmt
Net Vl Noncharitable Assets$17,745,298NetVlNoncharitableAssetsAmt
Minimum Investment Return$887,265MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$887,265MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,999TaxBasedOnInvestmentIncomeAmt
Total Tax$2,999TotalTaxAmt
Distributable Before Adj$884,266DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$884,266DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$884,266DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,096,222ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,096,222QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$2,096,222AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$884,266DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$1,091,489ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$900,101ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$1,780,052ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$2,008,459ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,151,216ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$6,931,317TotalExcessDistributionCyovAmt
Qualifying Distributions$2,096,222QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$884,266AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,211,956RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$8,143,273TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$1,091,489ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$7,051,784ExcessDistriCyovToNextYrAmt
Excess From Year4$900,101ExcessFromYear4Amt
Excess From Year3$1,780,052ExcessFromYear3Amt
Excess From Year2$2,008,459ExcessFromYear2Amt
Excess From Year1$1,151,216ExcessFromYear1Amt
Excess From Current Year$1,211,956ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ONE PARENT SCHOLAR HOUSE
PO BOX 1458LEXINGTONKY40588NONEPCSUBSIDY$10,000
THE HOPE CENTER
360 W LOUDON AVELEXINGTONKY40508NONEPCSUBSIDY$20,000
UNIVERSITY OF KENTUCKY
WILLIAM B STURGILL DEV BLDGLEXINGTONKY40506NONEPCSUBSIDY$2,001,452
WORLDWIDE HEARTS AND HANDS
1604 HARMONY HALL LANELEXINGTONKY40502NONEPCSUBSIDY$10,000
JUBILEE JOBS OF LEXINGTON
1450 N BROADWAYLEXINGTONKY40505NONEPCSUBSIDY$5,000
UK MARKEY CANCER FOUNDATION
1000 S LIMESTONELEXINGTONKY40536NONEPCSUBSIDY$10,000
BLUEGRASS COMMUNITY FOUNDATION
499 EAST HIGH STREET SUITE 112LEXINGTONKY40507NONEPCSUBSIDY$25,000
THE LEXINGTON CANCER FOUNDATION
1504 COLLEGE WAYLEXINGTONKY40502NONEPCSUBSIDY$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,091,452TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$752ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$335,500ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$5,001ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$170,742ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$170,511ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$170,511TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$5,525Amt
Net Investment Income$2,762NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,763DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AMERICAN WTS INTERNATIONAL GROUP INC - 4,671.914 SHS$82,460$561
BAIRD AGGREGATE BOND INSTL CL - 133,327.93 SHS$1,505,684$1,586,724
BAIRD SHORT TERM BOND INST CL - 80,266.14 SHS$779,414$781,529

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (51 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBOTT LABORATORIES - 2,553 SHS$196,063$279,528
ABIOMED - 200 SHS$50,289$64,840
ADOBE - 790 SHS$295,186$395,095
AIR PRODUCT & CHEMICALS INC. - 700 SHS$148,969$191,254
ALIGN TECHNOLOGY - 200 SHS$53,467$106,876
ALPHABET INC - 206 SHS$272,986$361,044
AMAZON - 50 SHS$111,093$162,846
AMERICAN TOWER CORP - 500 SHS$116,889$112,230
APPLE INC - 6,000 SHS$260,577$796,140
BANK OF AMERICA - 7,000 SHS$200,196$212,170
BLACKROCK INC - 500 SHS$217,552$360,770
BROADCOM INC. - 1,000 SHS$327,002$437,850
CADENCE DESIGN SYSTEMS INC. - 550 SHS$73,688$75,036
CONSTELLATION BRANDS INC - 1,500 SHS$283,482$328,575
COSTCO WHSL CORP NEW - 714 SHS$172,233$269,021
DOLLAR TREE - 1,800 SHS$201,751$194,472
DOMINO'S PIZZA - 1,000 SHS$393,320$383,460
EDWARDS LIFE SCIENCES - 1,900 SHS$166,041$173,337
ELI LILY CO. - 500 SHS$83,140$84,420
FACEBOOK INC - 1,000 SHS$165,343$273,160
FISERV INC - 3,388 SHS$325,960$385,758
FORTINET INC. - 1,750 SHS$235,567$259,927
GARMIN LTD - 1,575 SHS$180,346$188,464
HOME DEPOT INC - 1,485 SHS$282,628$394,446
ILLINOIS TOOL WORKS INC - 1,437 SHS$200,156$292,976
INTUIT - 950 SHS$281,709$360,857
JACOBS ENGINEERING GROUP - 2,900 SHS$243,656$315,984
JOHNSON & JOHNSON - 1,530 SHS$200,407$240,791
JOHNSON CONTROLS INTL - 2,500 SHS$87,514$116,475
JP MORGAN CHASE & CO - 3,500 SHS$361,381$444,745
LAM RESEARCH CORP - 500 SHS$93,946$236,135
LOWES COMPANIES, INC. - 2,000$339,020$321,020
MERCK & CO INC NEW - 2,646 SHS$187,910$216,443
MGM RESORTS INTL - 3,400 SHS$55,728$94,530
MICROSOFT CORP - 2,064 SHS$224,235$459,075
NIKE INC. - 2,225 SHS$190,654$314,771
NVIDIA - 590 SHS$147,114$308,098
O REILLY AUTOMOTIVE - 420 SHS$187,101$190,079
PAYPAL HOLDING INC. - 1,000 SHS$93,440$234,200
PIONEER NATURAL RESOURCES CO. - 1,700 SHS$200,957$193,613
ROCKWELL AUTOMATION INC. - 1,000 SHS$221,851$250,810
SALESFORCE.COM INC. - 750 SHS$117,794$166,897
SEALED AIR CORP - 1,600 SHS$72,987$73,264
TARGET CORP - 1,500 SHS$107,385$264,795
THERMO FISCHER SCIENTIFIC - 467 SHS$130,800$217,519
UNION PACIFIC CORP - 1,262 SHS$179,140$262,774
VERIZON COMMUNICATIONS - 3,476 SHS$171,645$204,215
VISA INC CLASS A - 1,100 SHS$179,938$240,603
WASTE MANAGEMENT - 1,630 SHS$147,137$192,226
XILINX INC. - 2,150 SHS$215,043$304,806
ZOETIS INC. CLA - 2,000 SHS$252,743$331,000

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$399,441USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$399,898USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SPDR S&P 500 TRUST ETF - 752 SHSAT COST$328,808$281,158
VANGUARD MIDCAP ETF - 6,098 SHSAT COST$933,299$1,260,883
VANGUARD SMALL CAP ETF - 6,978 SHSAT COST$995,050$1,358,477

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescSTATE REGISTRATION FEEDesc
Revenue And Expenses Per Books$15RevenueAndExpensesPerBooksAmt
Net Investment Income$8NetInvestmentIncomeAmt
Disbursements Charitable Prps$7DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Revenue And Expenses Per Books$5,001RevenueAndExpensesPerBooksAmt
Net Investment Income$5,001NetInvestmentIncomeAmt
Adjusted Net Income$5,001AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON STOCK GIFTDesc
Amt$737,528Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$120,735Amt
Net Investment Income$120,735NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXESCategoryTxt
Amt$6,647Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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