SAMPLE FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SAMPLE FOUNDATION INC (EIN 59-6138602)
- Tax period
- 2019-11-01 to 2020-10-31
- Filed
- 2021-09-14
- IRS object ID
- 202122579349100722
- Schema version
- 2019v5.2
- 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
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-09-14T17:15:49-05:00 | ReturnTs |
| Tax Period End | 2020-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 N 31ST ST STE 1120 | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 591011281 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 596138602 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMPLE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAMP | BusinessNameControlTxt |
| Phone | 4062450550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 279 | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARBARA M SAMPLE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR/PRESIDENT | PersonTitleTxt |
| Phone | 4062450550 | PhoneNum |
| Signature | 2021-09-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RONALD J YATES JR CPA | PreparerPersonNm |
| PTIN | P00543293 | PTIN |
| Phone | 4068962400 | PhoneNum |
| Preparation | 2021-09-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $8,237,972 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $190,478 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $37,588 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $37,588 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $111,979 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $111,979 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $4,357 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $4,967,879 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $4,357 | CapGainNetIncmNetInvstIncmAmt |
| Incm Modifications Adj Net Incm | $11,200 | IncmModificationsAdjNetIncmAmt |
| Other Income Rev And Expnss | $11,635 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $11,635 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $356,037 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $165,559 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $11,200 | TotalAdjNetIncmAmt |
| 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 | $10,560 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $5,280 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $5,280 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $20,716 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $20,716 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $11,377 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,377 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $3,695 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $1,555 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,366 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $47,903 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $28,739 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $5,280 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $395,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $395,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $442,903 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $28,739 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $400,280 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$86,866 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $136,820 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $11,200 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $67,170 | CashBOYAmt |
| Cash EOY | $60,759 | CashEOYAmt |
| Cash EOYFMV | $60,759 | CashEOYFMVAmt |
| Corporate Stock BOY | $2,322,050 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,471,642 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $4,847,186 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $3,570,321 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,352,514 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,326,138 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $29,500 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,611 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $7,584 | LandBOYAmt |
| Land EOY | $3,889 | LandEOYAmt |
| Land EOYFMV | $3,889 | LandEOYFMVAmt |
| Total Assets BOY | $5,967,125 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,888,804 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $8,237,972 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $5,967,125 | CapitalStockBOYAmt |
| Capital Stock EOY | $5,888,804 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,967,125 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,888,804 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,967,125 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,888,804 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,967,125 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$86,866 | ExcessRevenueOverExpensesAmt |
| Other Increases | $11,200 | OtherIncreasesAmt |
| Subtotal | $5,891,459 | SubtotalAmt |
| Other Decreases | $2,655 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,888,804 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| BNY MELLON - PUBLICLY TRADED SECURITIES | 2020-05-22 | 2020-10-31 | $4,963,527 | $4,963,522 | $5 | $5 | |
| CAPITAL GAINS DIVIDENDS | $4,352 | $4,352 | $4,352 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $4,357 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $424,332 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $8,292,533 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.051170 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $421,933 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $8,474,715 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.049787 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $406,451 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $8,074,017 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.050341 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $387,278 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $7,833,402 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.049439 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $402,667 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $8,048,067 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.050033 | DistributionYr5Rt |
| Total Distribution | 0.250770 | TotalDistributionRt |
| Average Distribution | 0.050154 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $8,223,621 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $412,447 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,368 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $413,815 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $400,280 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,736 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,736 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,736 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $7,355 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $7,355 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $4,619 | OverpaymentAmt |
| Applied To ES Tax | $4,619 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | MT | 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 | SAMPLEFOUNDATION.ORG | WebsiteAddressTxt |
| Individual With Books | JOSEPH S SAMPLE | IndividualWithBooksNm |
| Phone | 4062450550 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 606 HIGHLAND PARK DRIVE | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59102 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|
| JOSEPH S SAMPLE | ||||||||
| 606 HIGHLAND PARK DRIVE | BILLINGS | MT | 59102 | CHAIRMAN | 0.10 | $0 | $0 | $0 |
| BRIDGET SAMPLE JOYNER | ||||||||
| 1298 TAMMANY LN | HAMILTON | MT | 59840 | TREASURER | 0.10 | $0 | $0 | $0 |
| BARBARA SAMPLE | ||||||||
| 2517 IRVING PLACE | BILLINGS | MT | 59102 | EXEC. DIRECTOR/PRESIDENT | 1.00 | $0 | $0 | $0 |
| DAVID F SAMPLE | ||||||||
| 34174 CAMDEN LANE | POLSON | MT | 59860 | DIRECTOR | 0.10 | $0 | $0 | $0 |
| PATRICK G SAMPLE | ||||||||
| PO BOX 410 | INDEX | WA | 98256 | DIRECTOR | 0.10 | $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 |
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 | $4,761,414 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $3,587,440 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,348,854 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,348,854 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $125,233 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,223,621 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $411,181 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $411,181 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,736 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,736 | TotalTaxAmt |
| Distributable Before Adj | $408,445 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $11,200 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $419,645 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $419,645 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $400,280 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $400,280 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $400,280 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $419,645 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $2,972 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr3 | $8,607 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $1,671 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $25,341 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $38,591 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $400,280 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $400,280 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $19,365 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $19,365 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $19,226 | 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 | $19,226 | ExcessDistriCyovToNextYrAmt |
| Excess From Year1 | $19,226 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | JOSEPH S SAMPLE | ContributingManagerNm |
| Contributing Manager | BARBARA SAMPLE | ContributingManagerNm |
| Contributing Manager | DAVID F SAMPLE | ContributingManagerNm |
| Contributing Manager | PATRICK G SAMPLE | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | BARBARA SAMPLE | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 279 | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 591030279 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 4062565567 | RecipientPhoneNum |
| Form And Info And Materials | LETTER GIVING ORGANIZATIONAL BACKGROUND AND PURPOSES, SPECIFIC NEED & AMOUNT REQUESTED. ATTACH 501(C)(3) IRS DETERMINATION LETTER. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | AUGUST 1 | SubmissionDeadlinesTxt |
| Restrictions On Awards | GENERALLY LIMITED TO ORGANIZATIONS IN THE STATE OF MONTANA & COLLIER COUNTY FLORIDA. NO GRANTS WILL BE PROVIDED TO RELIGIOUS OR POLITICAL ORGANIZATIONS OR TAX SUPPORTED INSTITUTIONS. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (74 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| ABSAROKEE PUBLIC LIBRARY ABSAROKEE | ||||||
| PO BOX 726 | ABSAROKEE | MT | 59001 | PC | GENERAL SERVICES | $10,000 |
| ALBERTA BAIR THEATER | ||||||
| 2801 3RS AVE N | BILLINGS | MT | 59101 | PC | GENERAL SERVICES | $2,000 |
| ATLANTA COMMUNITY FOOD BANK | ||||||
| 3400 N DESERT DRIVE | ATLANTA | GA | 30344 | PC | GENERAL SERVICES | $500 |
| BEAR | ||||||
| 310 N 4TH ST | HAMILTON | MT | 598403300 | PC | EQUIPMENT SHED | $4,000 |
| BILLINGS FAMILY YMCA | ||||||
| 402 NORTH 32ND STREET | BILLINGS | MT | 59101 | PC | FIRST AID EQUIPMENT | $6,300 |
| BILLINGS PUBLIC SCHOOLS | ||||||
| 101 10TH STREET WEST | BILLINGS | MT | 59102 | PC | ORCHARD ELEMENTARY SCHOOL PLAYGROUND AND MAINTENANCE PROGRAM FOR 2020-2021 | $15,000 |
| BILLINGS SYMPHONY SOCIETY | ||||||
| 2721 2ND AVE N 350 | BILLINGS | MT | 59101 | PC | VIDEO GUITAR LESSONS TO MONTANA STATE WOMEN'S PRISON | $3,000 |
| BLUE MOUNTAIN CLINIC | ||||||
| 610 CALIFORNIA | MISSOULA | MT | 59802 | PC | GENERAL SERVICES | $1,000 |
| BOYS & GIRLS CLUB OF FLATHEAD RESERVATION AND LAKE COUNTY | ||||||
| PO BOX 334 63055 HWY 93 | RONAN | MT | 59864 | PC | POLSON CLUB TEEN CENTER KITCHENETTE AND COMMONS | $15,000 |
| BOYS & GIRLS CLUB OF LEWISTOWN | ||||||
| 134 PARK | LEWISTOWN | MT | 59457 | PC | KITCHEN REMODEL | $11,400 |
| BOYS & GIRLS CLUB OF MISSOULA COUNTY | ||||||
| 1515 FAIRVIEW AVE SUITE 243 | MISSOULA | MT | 59801 | PC | CLUB VAN TRANSPORTATION | $7,061 |
| BOYS & GIRLS CLUB OF RICHLAND COUNTY | ||||||
| 201 THIRD AVENUE SE | SIDNEY | MT | 59270 | PC | TECHNOLOGY FOR STUDENT CENTER | $10,432 |
| BOYS & GIRLS CLUBS OF YELLOWSTONE COUNTY | ||||||
| 505 ORCHARD LANE | BILLINGS | MT | 59101 | PC | MOBILE TECHNOLOGY LAB | $15,000 |
| BOYS AND GIRLS OF THE HILINE | ||||||
| 500 1ST AVENUE | HAVRE | MT | 59501 | PC | CLEAN AND GREEN | $3,345 |
| BRIDGERCARE | ||||||
| 1288 N 14TH AVE 201 | BOZEMAN | MT | 59715 | PC | EXAM ROOM LIGHTING | $6,277 |
| CASA OF LAKE COUNTY | ||||||
| PO BOX 511 | POLSON | MT | 59860 | PC | GENERAL SERVICES | $3,000 |
| CASA OF YELLOWSTONE COUNTY | ||||||
| PO BOX 688 | BILLINGS | MT | 59103 | PC | LAPTOPS | $2,101 |
| CENTER FOR MUSIC BY PEOPLE WITH DISABILITES | ||||||
| 415 WEST CENTRAL AVENUE | MISSOULA | MT | 59801 | PC | GENERAL SERVICES | $2,000 |
| CHILDREN'S ONCOLOGY CAMP FOUNDATION DBA CAMP MAK-A-DREAM | ||||||
| PO BOX 1450 | MISSOULA | MT | 59806 | PC | REPLACE/UPDATE SERVER | $2,775 |
| CHILD'S PATH INC (FORMERLY COLLIER CHILD CARE RESOURCES INC - CCCR) | ||||||
| 2335 TAMIAMI TRL N SUITE 504 | ELDER GROVE | FL | 341034435 | PC | PLAYGROUND | $18,000 |
| COMMUNITY COUNSELING AND CORRECTIONAL SERVICES INC | ||||||
| 471 E MERCURY STREET | BUTTE | MT | 59701 | PC | FURNITURE FOR SERVICES | $5,000 |
| EAGLE MOUNT | ||||||
| 6901 GOLDENSTEIN LN | BOZEMAN | MT | 59715 | PC | GENERAL SERVICES | $1,000 |
| EASTER SEALS CAMP STAND BY ME | ||||||
| 17809 S VAUGHN RD NW | VAUGHN | WA | 98394 | PC | GENERAL SERVICES | $5,000 |
| EASTERN MONTANA CASA GAL INC | ||||||
| 2705 E MAIN STREET | MILES CITY | MT | 59301 | PC | TECH EQUIPMENT FOR SATELITE OFFICES | $8,143 |
| ELDER GROVE PARENT TEACHER ORGANIZATION BILLINGS | ||||||
| 1532 S 64TH ST W | BILLINGS | MT | 59106 | PC | GENERAL SERVICES | $10,000 |
| EMMA'S HOUSE | ||||||
| 310 N 4TH ST | HAMILTON | MT | 59840 | PC | GENERAL SERVICES | $1,000 |
| FAMILY PROMISE OF GALLATIN VALLEY | ||||||
| PO BOX 475 | BOZEMAN | MT | 59771 | PC | INCREASE SHELTER CAPACITY | $10,000 |
| FAMILY SERVICES INC | ||||||
| 3927 1ST AVE SOUTH | BILLINGS | MT | 59101 | PC | GENERAL SERVICES | $2,500 |
| FLORENCE CRITTENTON HOME & SERVICES | ||||||
| 901 N HARRIS | HELENA | MT | 59601 | PC | PLAYGROUND EQUIPMENT | $9,000 |
| FOUNTAIN VALLEY SCHOOL | ||||||
| 6155 FOUNTAIN VALLEY ROAD | COLORADO SPRINGS | CO | 80911 | PC | GENERAL SERVICES | $2,500 |
| FRIENDS OF HEYBROOK RIDGE | ||||||
| PO BOX 265 | INDEX | WA | 98256 | PC | GENERAL SERVICES | $3,000 |
| FUN TIME EARLY CHILDHOOD ACADEMY | ||||||
| 102 12TH STREET NORTH | NAPLES | FL | 34102 | PC | FOOD SERVICE FUNDING | $10,000 |
| GARNET PRESERVATION ASSOCIATION | ||||||
| PO BOX 18295 | MISSOULA | MT | 59808 | PC | GENERAL SERVICES | $1,000 |
| GOLDBAR FIREFIGHTERS ASSOCIATION | ||||||
| 601 LEWIS/ PO BOX 376 | GOLD BAR | WA | 98251 | PC | GENERAL SERVICES | $3,000 |
| GREAT FALLS SCOTTISH RITE CHILDHOOD LANGUAGE DISORDERS CLINIC | ||||||
| 1304 13TH STREET SOUTH | GREAT FALLS | MT | 59405 | PC | GREAT FALLS SCOTTISH RITE CHILDHOOD LANGUAGE DISORDERS CLINIC TELETHERAPY EQUIPMENT UPGRADE | $1,425 |
| GUADALUPE CENTER NAPLES FL | ||||||
| 509 HOPE CIRCLE | IMMOKALEE | FL | 34142 | PC | EXPANDING EARLY CHILDHOOD EDUCATION IN A COMMUNITY IN NEED | $3,345 |
| HAVEN | ||||||
| PO BOX 752 | BOZEMAN | MT | 597710752 | PC | SHELTER ENTRANCE | $3,000 |
| HEISEY COMMUNITY CENTER AT ST ANN'S | ||||||
| 313 7TH ST N | GREAT FALLS | MT | 59401 | PC | ROOF REPAIR | $7,500 |
| HIGHLAND RESEARCH AND EDUCATION CENTER | ||||||
| 1959 HIGHLANDER WAY | NEW MARKET | TN | 37820 | PC | GENERAL SERVICES | $500 |
| HOFSTRA UNIVERSITY | ||||||
| 1000 HEMSTEAD TURNPIKE | HEMPSTEAD | NY | 11549 | PC | GENERAL SERVICES | $250 |
| IMAGINEIF LIBRARY FOUNDATION | ||||||
| 44 2ND AVE | KALISPELL | MT | 59901 | PC | TECH LENDING PROGRAM | $5,000 |
| INTERMOUNTAIN | ||||||
| 3240 DREDGE DRIVE | HELENA | MT | 59602 | PC | FURNITURE | $3,345 |
| LAKE COUNTY COMMUNITY HOUSING ORGANIZATION | ||||||
| 111 2ND AVENUE SW | RONAN | MT | 59864 | PC | BUILDING SPACE | $12,500 |
| MAYNARD INSTITUTE | ||||||
| 1400 65TH STREET STE 200 | EMERYVILLE | CA | 94608 | PC | GENERAL SERVICES | $100 |
| MISSION VALLEY AQUATIC | ||||||
| 309 RIDGEWATER DR | POLSON | MT | 59860 | PC | GENERAL SERVICES | $1,000 |
| MISSOULA AGING SERVICES | ||||||
| 337 STEPHENS AVE | MISSOULA | MT | 59801 | PC | MAS OFFICE RADON MITIGATION | $3,500 |
| MISSOULA FOOD BANK | ||||||
| 1720 WYOMING STREET | MISSOULA | MT | 59801 | PC | SAFETY ADDTIONS | $2,980 |
| MISSOULA INTERFAITH COLLABORATIVE | ||||||
| 2205 34TH STREET | MISSOULA | MT | 59801 | PC | FOOD SUPPLIES | $5,000 |
| MISSOULA PUBLIC LIBRARY | ||||||
| 1515 EAST BROADWAY STREET | MISSOULA | MT | 59802 | PC | GENERAL SERVICES | $1,000 |
| MONTANA SCHOOL FOR THE DEAF AND BLIND FOUNDATION | ||||||
| PO BOX 6576 | GREAT FALLS | MT | 594066576 | PC | VISUAL ENHANCEMENT EQUIPMENT | $10,566 |
| MONTANA WILDERNESS SCHOOL | ||||||
| PO BOX 1183 | BOZEMAN | MT | 59771 | PC | YOUTH PROGRAM EQUIPMENT | $8,000 |
| MOUNTAIN HOME MONTANA | ||||||
| 2606 SOUTH AVE WEST | MISSOULA | MT | 59804 | PC | COVID ADAPTIONS | $3,500 |
| NAPLES COMMUNITY HOSPITAL | ||||||
| 350 7TH ST NORTH | NAPLES | FL | 34102 | PC | GENERAL SERVICES | $1,000 |
| NORTHERN PLAINS RESOURCE COUNCIL | ||||||
| 3220 S 27TH ST A | BILLINGS | MT | 59101 | PC | GENERAL SERVICES | $2,000 |
| OUTDOORS FOR ALL | ||||||
| 6344 NE 74TH ST 102 | SEATTLE | WA | 98115 | PC | GENERAL SERVICES | $3,000 |
| PATHWAYS EARLY EDUCATION CENTER OF IMMOKALEE | ||||||
| 4060 TAMIAMI TRAIL NORTH | NAPLES | FL | 34103 | PC | EARLY LEARNING ASSESSMENT TOOLS | $7,100 |
| PROJECT ASCENT | ||||||
| PO BOX 1954 | THOMPSON FALLS | MT | 59873 | PC | PILGRM CREEK PLAYGROUND | $10,000 |
| RECYCLING WORKS | ||||||
| 202 BROOKS ST UNIT 3 | MISSOULA | MT | 59801 | PC | TRUCK | $10,000 |
| ROCKY MOUNTAIN COLLEGE | ||||||
| 1511 POLY DRIVE | BILLINGS | MT | 59102 | PC | SERVICES FOR ACADEMIC SUCCESS CULTURAL ENRICHMENT PROGRAM | $3,500 |
| RONALD MCDONALD HOUSE OF CHARITIES | ||||||
| 3003 FORT MISSOULA RD | MISSOULA | MT | 59804 | PC | GENERAL SERVICES | $3,000 |
| SAFE HARBOR | ||||||
| PO BOX 497 | RONAN | MT | 59864 | PC | GENERAL SERVICES | $2,000 |
| SKY VALLEY ARTS COUNCIL STARTUP EVENTS CENTER | ||||||
| PO BOX 18 | SULTAN | WA | 98294 | PC | GENERAL SERVICES | $3,000 |
| ST LABRE INDIAN SCHOOL EDUCATIONAL ASSOCIATION | ||||||
| POST OFFICE BOX 77 | ASHLAND | MT | 59003 | PC | FOOD PROGRAM | $14,750 |
| ST PATRICK HOSPITAL (PROVIDENCE) | ||||||
| 500 WEST BROADWAY | MISSOULA | MT | 59802 | PC | GENERAL SERVICES | $3,000 |
| THE GREATER MISSOULA FAMILY YMCA | ||||||
| 3000 SOUTH RUSSELL STREET | MISSOULA | MT | 59801 | PC | TECH EQUIPMENT FOR AFTER SCHOOL PROGRAM | $4,050 |
| THE PHOENIX | ||||||
| 2239 CHAMPA STREET | DENVER | CO | 80205 | PC | EQUIPMENT FOR MONTANA PROGRAM | $13,100 |
| THOREAU ELEMENTARY PTA CHILDCARE SCHOLARSHIP FUND | ||||||
| 822 MIAMI PASS | MADISON | WI | 53711 | PC | GENERAL SERVICES | $1,000 |
| TREVOR DAY SCHOOL | ||||||
| 1 WEST 88TH STREET | NEW YORK | NY | 10128 | PC | GENERAL SERVICES | $300 |
| UNIVERSITY OF MT EXCELLENCE FUND | ||||||
| 950 ARTHUR AVE | MISSOULA | MT | 59812 | PC | GENERAL SERVICES | $1,500 |
| WATSON CHILDREN'S CENTER | ||||||
| 4978 BUCKHOUSE LANE | MISSOULA | MT | 59804 | PC | MINIVAN | $10,000 |
| YELLOWSTONE RIVER PARK ASSOCIATION | ||||||
| PO BOX 1201 | BILLINGS | MT | 59103 | PC | GENERAL SERVICES | $2,500 |
| YOUTH HOMES INC | ||||||
| PO BOX 7616 | MISSOULA | MT | 59807 | PC | BUILDING RENOVATIONS | $5,900 |
| YWCA MISSOULA | ||||||
| 1130 W BROADWAY | MISSOULA | MT | 59802 | PC | PLAYGROUND | $2,455 |
| MONTANA NO KID HUNGRY | ||||||
| 1625 11TH AVENUE | HELENA | MT | 596204210 | PC | MEAL SERVICE EQUIPMENT | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $395,000 | 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 | $37,588 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $111,979 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $4,357 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| ENTERPRISE PRODS PARTNERS | 18 | $10,665 |
| OTHER INCOME | 18 | $970 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $165,559 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $165,559 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| DAVID F SAMPLE | ||||||
| 1 | 34174 CAMDEN LANE | POLSON | MT | 59860 | $59,002 | Yes (X) |
| JOSEPH S SAMPLE | ||||||
| 2 | 606 HIGHLAND PARK DRIVE | BILLINGS | MT | 59102 | $14,809 | Yes (X) |
| PATRICK G SAMPLE | ||||||
| 3 | PO BOX 410 | INDEX | WA | 98256 | $58,980 | Yes (X) |
| BARBARA MSAMPLE | ||||||
| 4 | 2517 IRVING PLACE | BILLINGS | MT | 59102 | $57,687 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $10,560 | Amt |
| Net Investment Income | $5,280 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $5,280 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (4 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|---|---|---|---|
| SOFTWARE | 2013-06-20 | $8,500 | $8,500 | SL | 3.000000000000 | $0 | $0 |
| SOFTWARE | 2015-05-12 | $7,000 | $7,000 | SL | 3.000000000000 | $0 | $0 |
| SOFTWARE | 2017-05-20 | $7,000 | $5,638 | SL | 3.000000000000 | $1,362 | $0 |
| SOFTWARE | 2019-07-02 | $7,000 | $778 | SL | 3.000000000000 | $2,333 | $0 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (21 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBOT LABS | $35,390 | $262,775 |
| BP AMOCO | $57,031 | $40,960 |
| BRISTOL MYERS SQUIBB | $35,931 | $233,800 |
| EMERSON ELECTRIC | $17,062 | $388,740 |
| JOHNSON & JOHNSON | $60,089 | $318,095 |
| CANADIAN NATIONAL RAILWAY | $30,284 | $546,975 |
| PFIZER INC COM | $110,730 | $106,440 |
| CONOCOPHILLIPS | $90,469 | $100,170 |
| HONEYWELL INTERNATIONAL INC. | $113,673 | $329,900 |
| PROCTOR & GAMBLE COMPANY | $126,593 | $274,200 |
| CHEVRON CORPORATION | $153,457 | $104,250 |
| PHILLIPS 66 | $24,387 | $69,990 |
| VERIZON COMMUNICATIONS INC. | $168,020 | $182,368 |
| WEYERHAEUSER COMPANY | $121,800 | $174,656 |
| ALPHABET INC. | $177,094 | $242,417 |
| CVS HEALTH CORP COM | $180,576 | $168,270 |
| INVESCO EXCHANGE TRADED FD TR S&P 500 | $259,845 | $311,310 |
| JP MORGAN CHASE & CO | $161,297 | $147,060 |
| QUANTA SVCS INC | $166,261 | $312,150 |
| SELECT SECTOR SPDR TR CONSUMER | $232,061 | $285,940 |
| QUALCOMM, INC | $149,592 | $246,720 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DREYFUS/U.S. TREASURY OBLIGATIONS | AT COST | $3,225,449 | $3,226,718 |
| ENTERPRISE PRODUCTS PARTNERS LP | AT COST | $127,065 | $99,420 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (4 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| SOFTWARE | $8,500 | $8,500 | $0 |
| SOFTWARE | $7,000 | $7,000 | $0 |
| SOFTWARE | $7,000 | $7,000 | $0 |
| SOFTWARE | $7,000 | $3,111 | $3,889 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ENTERPRISE PRODUCTS PARTNERS LP BASIS ADJUSTMENT | Desc |
| Amt | $2,655 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS ADMINISTRATION | Desc |
| Revenue And Expenses Per Books | $1,555 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $1,366 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| ENTERPRISE PRODS PARTNERS | $10,665 | $10,665 | $10,665 |
| OTHER INCOME | $970 | $970 | $970 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RECOVERY OF AMOUNT TREATED AS QUALIFYING DISTRIBUTION | Desc |
| Amt | $11,200 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT/BANK FEES | CategoryTxt |
| Amt | $20,716 | Amt |
| Net Investment Income | $20,716 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAXES | CategoryTxt |
| Amt | $11,377 | Amt |
| Net Investment Income | $1,377 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |