LORENE L KEENA PRIVATE FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LORENE L KEENA PRIVATE FOUNDATION (EIN 94-6429682)
Tax period
2019-09-01 to 2020-08-31
Filed
2021-06-29
IRS object ID
202121809349100407
Schema version
2019v5.0
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)
Return2021-06-29T08:00:38-05:00ReturnTs
Tax Period End2020-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN134008324PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 GRANT STREETAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN946429682EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LORENE LOBNER KEENA TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLOBEBusinessNameControlTxt
Phone8887304933PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16325 S RAINBOW BLVD STE 300AddressLine1Txt
CityLAS VEGASCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89118ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Person-PersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8887304933PhoneNum
Signature2021-06-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH J CASTRIANOPreparerPersonNm
PTINP01251603PTIN
Phone4123556000PhoneNum
Preparation2021-06-29PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$525,226FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$13,172DividendsRevAndExpnssAmt
Dividends Net Invst Incm$13,172DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$55,249NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$275,517GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$55,249CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$536OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$236OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$68,957TotalRevAndExpnssAmt
Total Net Invst Incm$68,657TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$8,193CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$6,145CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$2,048CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$933AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$933AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$1,190OtherProfFeesRevAndExpnssAmt
Other Prof Fees Dsbrs Chrtbl$1,190OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$249TaxesRevAndExpnssAmt
Taxes Net Invst Incm$249TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$10OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$10OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$10,575TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$6,394TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,181TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$18,250ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$18,250ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$28,825TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$6,394TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$22,431TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$40,132ExcessRevenueOverExpensesAmt
Net Investment Income$62,263NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$39,595SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$17,577SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$17,577SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$364,285OtherInvestmentsBOYAmt
Other Investments EOY$426,309OtherInvestmentsEOYAmt
Other Investments EOYFMV$507,649OtherInvestmentsEOYFMVAmt
Total Assets BOY$403,880TotalAssetsBOYAmt
Total Assets EOY$443,886TotalAssetsEOYAmt
Total Assets EOYFMV$525,226TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$403,880CapitalStockBOYAmt
Capital Stock EOY$443,886CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$403,880TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$443,886TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$403,880TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$443,886TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$403,880TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$40,132ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$444,012SubtotalAmt
Other Decreases$126OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$443,886TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (66 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
47. AMEX MATERIALS SPDR2010-04-302019-09-26$2,717$1,547$1,170$1,170
51. AMEX ENERGY SELECT SPDR2010-07-222019-09-26$3,042$2,960$82$82
10. AMEX ENERGY SELECT SPDR2019-02-212019-09-26$596$610-$14-$14
8. VANGUARD INTERMEDIATE TERM B2016-04-202019-09-26$702$684$18$18
23. VANGUARD FTSE EMERGING MARKETS ETF2019-08-072019-09-26$934$913$21$21
436. VANGUARD FTSE EMERGING MARKETS ETF2009-02-062019-09-26$17,698$14,734$2,964$2,964
920.972 JPMORGAN HIGH YIELD-I 35802016-01-222019-10-09$6,603$6,525$78$78
1107.369 JPMORGAN HIGH YIELD-I 35802019-04-052019-10-09$7,940$7,978-$38-$38
55. EATON VANCE GLOB MACRO ADV-I 2082017-10-242019-10-18$564$589-$25-$25
17. ISHARES CORE U.S. AGGREGATE ETF2019-09-262019-10-18$1,918$1,922-$4-$4
10. T ROWE PR REAL ESTATE-I #4322016-01-222019-10-18$300$262$38$38
6. SPDR DJ WILSHIRE INTERNATIONAL R ETF2009-02-062019-10-18$244$146$98$98
154. COMM SERV SELECT SECTOR SPDR2018-11-152019-10-18$7,761$6,894$867$867
16. VANGUARD INTERMEDIATE TERM B2017-06-072019-10-18$1,404$1,361$43$43
4. VANGUARD SHORT TERM BOND ETF2017-01-182019-10-18$323$319$4$4
64. JOHN HANCOCK II-ABSLT RTRN-I 36432019-05-102019-12-06$581$570$11$11
1020.412 JOHN HANCOCK II-ABSLT RTRN-I 36432017-10-242019-12-06$9,271$9,789-$518-$518
40. ISHARES TRS & P 1500 INDEX FD2019-09-262020-02-12$3,039$2,693$346$346
2. ISHARES S&P MID-CAP 400 GROWTH2019-10-182020-02-12$489$449$40$40
21. ISHARES S&P MID-CAP 400 GROWTH2010-04-302020-02-12$5,134$1,887$3,247$3,247
4. ISHARES RUSSELL 2000 ETF2018-01-252020-02-12$672$635$37$37
3. ISHARES S&P MID-CAP 400 VALUE2019-10-182020-02-12$511$479$32$32
29. ISHARES S&P MID-CAP 400 VALUE2010-04-302020-02-12$4,942$2,172$2,770$2,770
160.883 T ROWE PR REAL ESTATE-I #4322016-01-222020-02-12$4,292$4,218$74$74
121. SPDR DJ WILSHIRE INTERNATIONAL R ETF2009-02-062020-02-12$4,739$2,951$1,788$1,788
11. HEALTH CARE SELECT SECTOR2019-05-092020-02-12$1,148$983$165$165
71. HEALTH CARE SELECT SECTOR2011-09-302020-02-12$7,408$3,897$3,511$3,511
117. AMEX CONSUMER DISCR SPDR2010-04-302020-02-12$15,440$3,977$11,463$11,463
23. FINANCIAL SELECT SECTOR SPDR2019-10-182020-02-12$717$647$70$70
605. FINANCIAL SELECT SECTOR SPDR2010-07-222020-02-12$18,848$8,396$10,452$10,452
6. AMEX INDUSTRIAL SPDR2018-11-152020-02-12$509$429$80$80
83. AMEX TECHNOLOGY SELECT SPDR2010-04-302020-02-12$8,416$1,977$6,439$6,439
5. AMEX TECHNOLOGY SELECT SPDR2019-10-182020-02-12$507$408$99$99
35. VANGUARD SHORT TERM BOND ETF2017-01-182020-02-12$2,834$2,772$62$62
53. VANGUARD SHORT TERM BOND ETF2019-02-212020-02-12$4,292$4,182$110$110
44.915 EATON VANCE GLOB MACRO ADV-I 2082020-02-132020-03-25$411$478-$67-$67
75.085 EATON VANCE GLOB MACRO ADV-I 2082017-10-242020-03-25$687$804-$117-$117
22. FIDELITY NEW MRKTS INC-Z #33232015-11-202020-03-25$280$331-$51-$51
132. ISHARES CORE U.S. AGGREGATE ETF2019-08-072020-03-25$15,069$14,991$78$78
48. ISHARES CORE MSCI EMERGING ETF2019-08-072020-03-25$1,923$2,367-$444-$444
206. PRINCIPAL HIGH YIELD-R6 #42642019-10-092020-03-25$1,209$1,471-$262-$262
5. CONSUMER STAPLES SECTOR SPDR TR2018-11-152020-03-25$255$279-$24-$24
5. AMEX INDUSTRIAL SPDR2019-10-182020-03-25$279$387-$108-$108
169. AMEX INDUSTRIAL SPDR2010-04-302020-03-25$9,440$5,653$3,787$3,787
148. VANGUARD INTERMEDIATE TERM B2014-04-232020-03-25$12,885$12,462$423$423
20. VANGUARD INTERMEDIATE TERM B2020-02-122020-03-25$1,741$1,776-$35-$35
16. VANGUARD FTSE DEVELOPED ETF2019-08-072020-03-25$506$634-$128-$128
256. VANGUARD FTSE DEVELOPED ETF2013-02-082020-03-25$8,098$9,672-$1,574-$1,574
235. VANGUARD FTSE EMERGING MARKETS ETF2009-02-062020-03-25$7,737$5,523$2,214$2,214
46. ISHARES TRS & P 1500 INDEX FD2019-09-262020-05-06$2,937$3,092-$155-$155
54. ISHARES S&P MID-CAP 400 GROWTH2010-04-302020-05-06$10,917$4,850$6,067$6,067
9. ISHARES S&P MID-CAP 400 GROWTH2020-03-252020-05-06$1,819$1,491$328$328
79. ISHARES RUSSELL 2000 ETF2018-01-252020-05-06$10,001$12,546-$2,545-$2,545
5. ISHARES RUSSELL 2000 ETF2019-10-182020-05-06$633$766-$133-$133
77. ISHARES S&P MID-CAP 400 VALUE2011-08-152020-05-06$9,211$5,395$3,816$3,816
22. ISHARES S&P MID-CAP 400 VALUE2020-03-252020-05-06$2,632$2,286$346$346
13. ISHARES EDGE MSCI USA QUALIT ETF2020-02-122020-05-06$1,171$1,364-$193-$193
14. ISHARES CORE MSCI EMERGING ETF2019-08-072020-05-06$603$665-$62-$62
1919.541 PRINCIPAL HIGH YIELD-R6 #42642019-10-092020-05-06$12,381$13,610-$1,229-$1,229
13. HEALTH CARE SELECT SECTOR2011-09-302020-05-06$1,302$418$884$884
1. AMEX TECHNOLOGY SELECT SPDR2010-04-302020-05-06$92$24$68$68
13. AMEX TECHNOLOGY SELECT SPDR2020-03-252020-05-06$1,198$1,013$185$185
15. VANGUARD DIVIDEND APPRECIATION2020-02-122020-05-06$1,685$1,947-$262-$262
30. VANGUARD FTSE DEVELOPED ETF2013-02-082020-05-06$1,057$1,090-$33-$33
635.87 JAMES ALPHA GL REAL EST-I2020-02-132020-06-12$10,187$11,928-$1,741-$1,741
CAPITAL GAIN DIVIDENDS$636P
FieldValueIRS element (for citing)
Capital Gain Net Income$55,249CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$17,576AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$488,730NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.035963DistributionYr1Rt
Adjusted Qlfy Distri Yr2$3,153AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$493,559NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.006388DistributionYr2Rt
Adjusted Qlfy Distri Yr3$2,969AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$458,535NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.006475DistributionYr3Rt
Adjusted Qlfy Distri Yr4$17,858AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$437,298NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.040837DistributionYr4Rt
Adjusted Qlfy Distri Yr5$19,991AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$473,618NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.042209DistributionYr5Rt
Total Distribution0.131872TotalDistributionRt
Average Distribution0.026374AverageDistributionRt
Net Vl Noncharitable Assets$491,308NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$12,958AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$623NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$13,581AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$22,431QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$623InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$623SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$623TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$148EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$475ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$623TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1WELLS FARGO BANK NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8887304933PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1100 N MAIN ST MAC D4001-117AddressLine1Txt
CityWINSTON SALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27101ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonWELLS FARGO BANK N APersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N MAIN ST MAC D4001-117AddressLine1Txt
CityWINSTON SALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27101ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$8,193CompensationAmt
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
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$469,885AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$28,905AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$498,790TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$498,790AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$7,482CashDeemedCharitableAmt
Net Vl Noncharitable Assets$491,308NetVlNoncharitableAssetsAmt
Minimum Investment Return$24,565MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$24,565MinimumInvestmentReturnAmt
Tax Based On Investment Income$623TaxBasedOnInvestmentIncomeAmt
Total Tax$623TotalTaxAmt
Distributable Before Adj$23,942DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$23,942DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$23,942DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$22,431ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$22,431QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$623PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$21,808AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$23,942DistributableAsAdjustedAmt
Undistributed Income PY$16,312UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$22,431QualifyingDistributionsAmt
Applied To Year1$16,312AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$6,119AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$17,823UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonLORENE LOBNER KEENA SSCHOLARSHIP CORecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line124995 BEN TAYLOR RDAddressLine1Txt
CityCOLFAXCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95713ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9168782366RecipientPhoneNum
Recipient Email AddressN/ARecipientEmailAddressTxt
Form And Info And MaterialsSEE ATTACHED APPLICATION AND PROCEDURES FOR LIST OF INFORMATION NEEDEDFormAndInfoAndMaterialsTxt
Submission DeadlinesMAY 1ST ANNUALLYSubmissionDeadlinesTxt
Restrictions On AwardsGRADUATING STUDENTS OF PLACER UNION HIGH SCHOOL DISTRICT ATTENDING CHANA, COLFAX DEL ORO AND PLACER HIGH SCHOOLSRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)

Business Name Line2RecipientBusinessName/BusinessNameLine2TxtAddress Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
MICHELLE CHAMBERLIN CO SONOMA
STATE UNIVERSITY1801 EAST COTATI AVEROHNERT PARKCA94928NONEISCHOLARSHIP$3,000
ZACHARY CRAWFORD CO CALIFORNIA
STATE UNIVERSITY - MARITIME200 MARITIME ACADEMY DRVALLEJOCA94590NONEISCHOLARSHIP$3,000
OLIVIA DE LA TORRE CO CALIFORNIA
POLYTECHNIC STATE UNIVERSITY1 GRAND AVENUESAN LUIS OBISPOCA93407NONEISCHOLARSHIP$1,000
ELAINA HANSON CO UNIVERSITY OF
CALIFORNIA - SANTA BARBARA2101 SAASBSANTA BARBARACA93106NONEISCHOLARSHIP$1,000
PANKA KERNACS CO SIERRA COLLEGE
5000 ROCKLIN ROADROCKLINCA95677NONEISCHOLARSHIP$2,000
MAYA STRAUTMAN CO GRAND CANYON
UNIVERSITY3300 W CAMELBACK RDPHEONIXAZ85017NONEISCHOLARSHIP$4,000
SEBASTIAN MATTHEWS CO NORTHWESTERN
UNIVERSITY633 CLARK STEVANSTONIL602080001NONEISCHOLARSHIP$1,250
KATIE HAYDON CO UNIVERSITY OF
CALIFORNIA-BERKELEY1995 UNIVERSITY AVE STE 401BERKELEYCA94704NONEISCHOLARSHIP$3,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$18,250TotalGrantOrContriPdDurYrAmt

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$13,172ExclusionAmt
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$55,249ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp (3 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
FEDERAL TAX REFUND1$300
OTHER INCOME1$231
OTHER INCOME1$5

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$68,957ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$68,957TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

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)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$933Amt
Disbursements Charitable Prps$933DisbursementsCharitablePrpsAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
IdentifierPART VIII: INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, FOUNDIdentifierTxt
Form And Line ReferenceATION MANAGERS, HIGHLY PAID EMPLOYEES, AND CONTRACTORS.THE COMPENFormAndLineReferenceDesc
Medium ExplanationSATION REPORTED IN COLUMN (C) IS CALCULATED BASED ON PERIODIC MAR KET VALUES AND/OR THE APPLICABLE FEE AGREEMENT. IT IS NOT DETERMI NED ON AN HOURLY BASIS AND THE REFERENCE TO ONE HOUR PER WEEK IS AN ESTIMATE ONLY. CORPORATE TRUSTEE SERVICES INCLUDE, BUT ARE NO T LIMITED TO, ADMINISTRATIVE SERVICES SUCH AS FIDUCIARY ACCOUNTI NG, CUSTODY OF ASSETS, COMPLYING WITH TAX FILING REQUIREMENTS, CO MPLYING WITH DISTRIBUTION PROVISIONS, AND COMPLYING WITH FEDERAL AND STATE LAWS APPLICABLE TO PRIVATE FOUNDATIONS, PLUS ASSET MANA GEMENT SERVICES SUCH AS CREATING ASSET ALLOCATION STRATEGIES, INV ESTMENTS REPORTING AND REALLOCATING AND REBALANCING OF PORTFOLIOS AS NECESSARY.MediumExplanationTxt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (31 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
277923264 EATON VANCE GLOB MACAT COST$14,518$14,603
46434G103 ISHARES CORE MSCI EMAT COST$26,741$28,675
78463X863 SPDR DJ WILSHIRE INT
81369Y704 AMEX INDUSTRIAL SPDR
81369Y209 HEALTH CARE SELECT SAT COST$3,626$12,450
779919307 T ROWE PR REAL ESTAT
921937827 VANGUARD BD INDEX FD
921937819 VANGUARD INTERMEDIATAT COST$22,460$25,192
81369Y100 AMEX MATERIALS SPDR
81369Y407 AMEX CONSUMER DISCR
87234N765 TCW EMRG MKTS INCM-IAT COST$20,638$21,230
47803M168 JOHN HANCOCK II-CURR
464287705 ISHARES S&P MIDCAP 4
81369Y852 COMM SERV SELECT SEC
31641Q755 FIDELITY NEW MRKTS IAT COST$10,192$10,116
4812C0803 JPMORGAN HIGH YIELD
921943858 VANGUARD FTSE DEVELOAT COST$19,089$22,107
464287226 ISHARES CORE U.S. AGAT COST$74,101$78,834
464287606 ISHARES S&P MIDCAP 4
922042858 VANGUARD EMERGING MA
81369Y308 CONSUMER STAPLES SECAT COST$3,775$7,542
464287655 ISHARES RUSSELL 2000AT COST$10,387$11,813
464287150 ISHARES TRS & P 1500AT COST$53,679$65,569
81369Y803 AMEX TECHNOLOGY SELEAT COST$4,286$22,857
81369Y605 AMEX FINANCIAL SELEC
81369Y506 AMEX ENERGY SELECT S
46432F339 ISHARES EDGE MSCI USAT COST$30,973$33,780
46090F100 INVESCO OPTIMUM YIELAT COST$14,192$16,626
74440Y884 PGIM HIGH YIELD-Q 10AT COST$26,731$29,122
921908844 VANGUARD DIVIDEND APAT COST$27,602$33,039
922908629 VANGUARD MIDCAP VIPEAT COST$63,319$74,094

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
MUTUAL FUND TIMING DIFFERENCE$123
ROUNDING$3

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescFILING FEE/STATE TAXDesc
Revenue And Expenses Per Books$10RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$10DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
FEDERAL TAX REFUND$300$0
OTHER INCOME$231$231
OTHER INCOME$5$5

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategorySCHOLARSHIP ADMIN FEESCategoryTxt
Amt$1,190Amt
Disbursements Charitable Prps$1,190DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES$48$48$0
FOREIGN TAXES ON QUALIFIED FOR$64$64$0
FOREIGN TAXES ON NONQUALIFIED$137$137$0

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