DAVID S ASCHER MD CHARITABLE FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
DAVID S ASCHER MD CHARITABLE FOUNDATION (EIN 33-0243114)
Tax period
2019-12-01 to 2020-11-30
Filed
2021-09-01
IRS object ID
202122449349101212
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)
Return2021-09-01T17:01:34-07:00ReturnTs
Tax Period End2020-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352495028PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Johnson Tax & ConsultingBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 Spectrum Center Dr Ste 400AddressLine1Txt
CityIrvineCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330243114EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1David S Ascher MD CharitableBusinessNameLine1Txt
Business Name Line2FoundationBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlDAVIBusinessNameControlTxt
Phone9492755086PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1309 Emerald Bay DriveAddressLine1Txt
CityLaguna BeachCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92651ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRenetta CayaPersonNm
Person TitleCEO/DIRECTORPersonTitleTxt
Signature2021-09-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa JohnsonPreparerPersonNm
PTINP00167963PTIN
Phone9494246242PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$592,409FMVAssetsEOYAmt
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$804InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$804InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$804InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$35,875DividendsRevAndExpnssAmt
Dividends Net Invst Incm$35,875DividendsNetInvstIncmAmt
Dividends Adj Net Incm$35,875DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$16,151NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$478,027GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$16,151CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$19,588NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$52,830TotalRevAndExpnssAmt
Total Net Invst Incm$52,830TotalNetInvstIncmAmt
Total Adj Net Incm$56,267TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$1,035AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,035AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$1,035AccountingFeesAdjNetIncmAmt
Taxes Rev And Expnss$86TaxesRevAndExpnssAmt
Taxes Net Invst Incm$86TaxesNetInvstIncmAmt
Taxes Adj Net Incm$86TaxesAdjNetIncmAmt
Other Expenses Rev And Expnss$7,014OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$7,014OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$7,014OtherExpensesAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$8,135TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$8,135TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$8,135TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$183,860ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$183,860ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$191,995TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$8,135TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$8,135TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$183,860TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$139,165ExcessRevenueOverExpensesAmt
Net Investment Income$44,695NetInvestmentIncomeAmt
Adjusted Net Income$48,132AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$2,046CashBOYAmt
Cash EOY$2,046CashEOYAmt
Cash EOYFMV$2,046CashEOYFMVAmt
Sav And Temp Cash Invst BOY$57,374SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$56,575SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$56,575SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$1,035PrepaidExpensesBOYAmt
Corporate Stock BOY$76,167CorporateStockBOYAmt
Corporate Stock EOY$269,869CorporateStockEOYAmt
Corporate Stock EOYFMV$281,380CorporateStockEOYFMVAmt
Other Investments BOY$554,914OtherInvestmentsBOYAmt
Other Investments EOY$223,881OtherInvestmentsEOYAmt
Other Investments EOYFMV$252,408OtherInvestmentsEOYFMVAmt
Total Assets BOY$691,536TotalAssetsBOYAmt
Total Assets EOY$552,371TotalAssetsEOYAmt
Total Assets EOYFMV$592,409TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$691,536RetainedEarningBOYAmt
Retained Earning EOY$552,371RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$691,536TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$552,371TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$691,536TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$552,371TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$691,536TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$139,165ExcessRevenueOverExpensesAmt
Subtotal$552,371SubtotalAmt
Tot Net Ast Or Fund Balances EOY$552,371TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
INVESCO UNIT TRS UNITP2020-01-012020-01-13$260,071$243,923$16,148$16,148
GUGGENHEIM DEFINEDP2020-01-012020-07-29$106,653$103,213$3,440$3,440
FIRST TRUST PREFERREDP2018-02-012020-10-29$76,562$79,138-$2,576-$2,576
FIRST TRUST PREFERREDP2018-02-012020-11-12$19,741$19,785-$44-$44
BLACKROCK MULTI ASSETP2014-08-142019-02-26$226$226
BLACKROCK MULTI ASSETP2014-08-142020-11-12$14,774$15,591-$817-$817
FieldValueIRS element (for citing)
Capital Gain Net Income$16,151CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$19,588NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$248,949AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$806,507NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.30868DistributionYr1Rt
Adjusted Qlfy Distri Yr2$188,799AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$979,903NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.19267DistributionYr2Rt
Adjusted Qlfy Distri Yr3$234,739AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,140,291NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.20586DistributionYr3Rt
Adjusted Qlfy Distri Yr4$351,591AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,483,893NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.23694DistributionYr4Rt
Adjusted Qlfy Distri Yr5$368,841AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,846,980NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.19970DistributionYr5Rt
Total Distribution1.143844TotalDistributionRt
Average Distribution0.228769AverageDistributionRt
Net Vl Noncharitable Assets$683,978NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$156,473AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$447NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$156,920AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$183,860QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$447InvestmentIncomeExciseTaxAmt
Subtotal$447SubtotalAmt
Tax Based On Investment Income$447TaxBasedOnInvestmentIncomeAmt
Extsn Request Income Tax Paid$200ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$200TotalPaymentsAndCreditsAmt
Tax Due$247TaxDueAmt

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 SatisfiedfalseSection508eRqrSatisfiedInd
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 Line1Renetta CayaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9492755086PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1309 Emerald Bay DriveAddressLine1Txt
CityLaguna BeachCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92651ZIPCd
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
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 IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Renetta Caya
309 Emerald Bay DriveLaguna BeachCA92651CEO/DIRECTOR0.00$0
LINNSEY CAYA
309 EMERALD BACY DRIVELAGUNA BEACHCA92651VP/DIRECTOR0.00$0
VIVIANN TABB
309 EMERALD BAY DRIVELAGUNA BEACHCA92651TREASURER/DIREC0.00$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$508,973AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$185,421AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$694,394TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$694,394AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$10,416CashDeemedCharitableAmt
Net Vl Noncharitable Assets$683,978NetVlNoncharitableAssetsAmt
Minimum Investment Return$34,199MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$34,199MinimumInvestmentReturnAmt
Tax Based On Investment Income$447TaxBasedOnInvestmentIncomeAmt
Total Tax$447TotalTaxAmt
Distributable Before Adj$33,752DistributableBeforeAdjAmt
Distributable Before Ded$33,752DistributableBeforeDedAmt
Distributable As Adjusted$33,752DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$183,860ExpensesAndContributionsAmt
Qualifying Distributions$183,860QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$447PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$183,413AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$33,752DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$278,586ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$278,622ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$178,464ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$140,988ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$208,710ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,085,370TotalExcessDistributionCyovAmt
Qualifying Distributions$183,860QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$33,752AppliedToCurrentYearAmt
Remaining Distri From Corpus$150,108RemainingDistriFromCorpusAmt
Total Corpus$1,235,478TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$278,586ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$956,892ExcessDistriCyovToNextYrAmt
Excess From Year4$278,622ExcessFromYear4Amt
Excess From Year3$178,464ExcessFromYear3Amt
Excess From Year2$140,988ExcessFromYear2Amt
Excess From Year1$208,710ExcessFromYear1Amt
Excess From Current Year$150,108ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (20 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
OCEANA
1025 CONNECTICUT AVE NW SUITE 200WASHINGTONDC20036NONEPCHEALTH, EDUCATION, OR WELFARE$11,660
CASA
1505 EAST 17TH STREET SUITE 214SANTA ANACA92705NONEPCHEALTH, EDUCATION, OR WELFARE$12,200
VALLEY HIGH SCHOOL
1801 S GREENVILLE STSANTA ANACA92704NONEPCHEALTH, EDUCATION, OR WELFARE$2,000
THE CHILDREN'S SCHOOL
3400 MICHAELSON DR SUITE 200IRVINECA92612NONEPCHEALTH, EDUCATION, OR WELFARE$27,000
WEORG
300 W ADAMS SUITE 1000CHICAGOIL60606NONEPCHEALTH, EDUCATION, OR WELFARE$2,000
ST MARY'S SCHOOL
5648 N EL DORADO STSTOCKTONCA95207NONEPCHEALTH, EDUCATION, OR WELFARE$500
ST JOSEPH FOUNDATION
1010 WEST LA VETA SUITE 300ORANGECA92868NONEPCHEALTH, EDUCATION, OR WELFARE$2,000
AOCDS OC DEPUTY SHERIFFS
1600 N MAIN STSANTA ANACA92701NONEPCHEALTH, EDUCATION, OR WELFARE$4,000
AMERICAN UNIVERSITY OF ARMENIA
1001 MARINA VILLAGE PARKWAY 402ALAMEDACA94501NONEPCHEALTH, EDUCATION, OR WELFARE$5,000
BOSTON COLLEGE
140 COMMONWEALTH AVECHESTNUT HILLMA02467NONEPCHEALTH, EDUCATION, OR WELFARE$37,500
THOMAS HOUSE
12601 MORINGSIDE AVE 6GARDEN GROVECA92843NONEPCHEALTH, EDUCATION, OR WELFARE$40,000
SANTA CLARA UNIVERSITY
500 EL CAMINO REALSANTA CLARACA95053NONEPCHEALTH, EDUCATION, OR WELFARE$5,000
ILLINOIS WESLEYAN UNIVERSITY
1312 PARK STBLOOMINGTONIL61701NONEPCHEALTH, EDUCATION, OR WELFARE$5,000
ALZHEIMERS ASSOCIATION
225 N MICHIGAN AVE FLOOR 17CHICAGOIL60601NONEPCHEALTH, EDUCATION, OR WELFARE$2,000
BRAILLE INSTITUTE
741 N VERMONT AVELOS ANGELESCA90029NONEPCHEALTH, EDUCATION, OR WELFARE$2,000
ORANGEWOOD CHILDREN'S FOUNDATION
1575 E 17TH STSANTA ANACA92705NONEPCHEALTH, EDUCATION, OR WELFARE$1,000
REDLANDS UNIVERSITY
1200 E COLTON AVEREDLANDSCA92374NONEPCHEALTH, EDUCATION, OR WELFARE$10,000
TAHIRIH JUSTICE CENTER
881 SNEATH LANE SUITE 115SAN BRUNOCA94066NONEPCHEALTH, EDUCATION, OR WELFARE$5,000
SERVITE HIGH SCHOOL
1952 W LA PALMA AVEANAHEIMCA92801NONEPCHEALTH, EDUCATION, OR WELFARE$5,000
ME TO WE
300 W ADAMS SUITE 1000CHICAGOIL60606NONEPCHEALTH, EDUCATION, OR WELFARE$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$183,860TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$804ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$35,875ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$16,151RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$36,679ExclusionAmt
Related Or Exempt Function Incm$16,151RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$52,830TotalIncomeProducingActyAmt

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)
CategoryACCOUNTINGCategoryTxt
Amt$1,035Amt
Net Investment Income$1,035NetInvestmentIncomeAmt
Adjusted Net Income$1,035AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
PREFERRED STOCKS$226,499$243,250
EQUITIES$43,370$38,130

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemMUTUAL FUNDSCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$223,881BookValueAmt
EOYFMV$252,408EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescINVESTMENT FEESDesc
Revenue And Expenses Per Books$7,014RevenueAndExpensesPerBooksAmt
Net Investment Income$7,014NetInvestmentIncomeAmt
Adjusted Net Income$7,014AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFEDERAL TAXESCategoryTxt
Amt$86Amt
Net Investment Income$86NetInvestmentIncomeAmt
Adjusted Net Income$86AdjustedNetIncomeAmt

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