ANN A MERGENS FOUNDATION INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ANN A MERGENS FOUNDATION INC (EIN 27-4113304)
- Tax period
- 2020-09-01 to 2021-08-31
- Filed
- 2021-12-23
- IRS object ID
- 202123579349100302
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-12-23T06:22:58-08:00 | ReturnTs |
| Tax Period End | 2021-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tapia & Huckabay PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 38 | AddressLine1Txt |
| City | Vergennes | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05491 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 274113304 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ann A Mergens Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANNA | BusinessNameControlTxt |
| Phone | 8028635933 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 662 | AddressLine1Txt |
| City | Shelburne | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05482 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul G Mergens | PersonNm |
| Person Title | Vice-President | PersonTitleTxt |
| Phone | 8028635933 | PhoneNum |
| Signature | 2021-12-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Paul | PersonFirstNm |
| Person Last | Mergens | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William S Huckabay CPA | PreparerPersonNm |
| PTIN | P00154308 | PTIN |
| Phone | 8028707086 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $8,759,356 | 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 | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $95 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $95 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $83,263 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $83,263 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $479,763 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,945,412 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $479,763 | CapGainNetIncmNetInvstIncmAmt |
| Gross Profit Rev And Expnss | $0 | GrossProfitRevAndExpnssAmt |
| Other Income Rev And Expnss | $329 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $563,450 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $563,121 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $30,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $30,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $0 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $0 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $0 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $0 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,905 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $952 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $953 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $12,901 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $12,901 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $0 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $0 | InterestNetInvstIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $2,600 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Occupancy Rev And Expnss | $0 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $0 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $0 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $0 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $0 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $67,567 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $20,188 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $47,379 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $114,973 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $34,041 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $78,332 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $340,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $340,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $454,973 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $34,041 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $418,332 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $108,477 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $529,080 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $7,983 | CashBOYAmt |
| Cash EOY | $6,255 | CashEOYAmt |
| Cash EOYFMV | $6,255 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $350,721 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $47,855 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $47,855 | SavAndTempCashInvstEOYFMVAmt |
| Rcvbl From Officers EOY | $0 | RcvblFromOfficersEOYAmt |
| Other Nts And Loans Rcvbl EOY | $0 | OtherNtsAndLoansRcvblEOYAmt |
| Corporate Stock BOY | $4,474,625 | CorporateStockBOYAmt |
| Corporate Stock EOY | $4,952,181 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $7,117,730 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,623,911 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,559,426 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,587,516 | CorporateBondsEOYFMVAmt |
| Land Bldg Investments EOY | $0 | LandBldgInvestmentsEOYAmt |
| Other Investments EOY | $0 | OtherInvestmentsEOYAmt |
| Land EOY | $0 | LandEOYAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $0 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $6,457,240 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,565,717 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $8,759,356 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $0 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $0 | AccountsPayableEOYAmt |
| Loans From Officers EOY | $0 | LoansFromOfficersEOYAmt |
| Mortgages And Notes Payable EOY | $0 | MortgagesAndNotesPayableEOYAmt |
| Other Liabilities BOY | $0 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $0 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $6,457,240 | RetainedEarningBOYAmt |
| Retained Earning EOY | $6,565,717 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,457,240 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $6,565,717 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,457,240 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $6,565,717 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,457,240 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $108,477 | ExcessRevenueOverExpensesAmt |
| Subtotal | $6,565,717 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $6,565,717 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly Traded Securities | PropertyDesc |
| Gross Sales Price | $2,945,412 | GrossSalesPriceAmt |
| Depreciation | $0 | DepreciationAmt |
| Cost Or Other Basis | $2,465,649 | CostOrOtherBasisAmt |
| Gain Or Loss | $479,763 | GainOrLossAmt |
| FMV As Of123169 | $0 | FMVAsOf123169Amt |
| Adjusted Basis As Of123169 | $0 | AdjustedBasisAsOf123169Amt |
| Excess FMV Over Adjusted Bss | $0 | ExcessFMVOverAdjustedBssAmt |
| Gains Minus Excess Or Losses | $479,763 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $479,763 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $7,354 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $7,354 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $7,354 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,364 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $4,364 | TotalPaymentsAndCreditsAmt |
| Original Return Tax Paid | $4,364 | OriginalReturnTaxPaidAmt |
| Tax Due | $2,990 | TaxDueAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | VT | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | Paul G Mergens | IndividualWithBooksNm |
| Phone | 8028635933 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 662 | AddressLine1Txt |
| City | Shelburne | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | Yes (true) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|
| Mary Mergens-Loughran | ||||||||
| PO Box 662 | Shelburne | VT | 05482 | President/Treasurer, Exec. Director | 7.50 | $30,000 | $0 | $0 |
| Paul G Mergens | ||||||||
| PO Box 662 | Shelburne | VT | 05482 | Vice-President | 2.00 | $0 | $0 | $0 |
| William H Wiltshire | ||||||||
| PO Box 633 | Milton | VT | 05468 | Secretary | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $7,964,491 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $234,768 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,199,259 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,199,259 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $122,989 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,076,270 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $403,814 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $403,814 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $7,354 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $0 | IncomeTaxAmt |
| Total Tax | $7,354 | TotalTaxAmt |
| Distributable Before Adj | $396,460 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $396,460 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $396,460 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $418,332 | ExpensesAndContributionsAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $418,332 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $418,332 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $396,460 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $463 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $463 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $418,332 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $396,460 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $21,872 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $22,335 | 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 | $22,335 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $463 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $21,872 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | None | ContributingManagerNm |
| Shareholder Manager | None | ShareholderManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | Mary Mergens-Loughran | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 662 | AddressLine1Txt |
| City | Shelburne | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 8028635933 | RecipientPhoneNum |
| Form And Info And Materials | Any form of application is acceptable. Include organizational information and intended charitable use of the funds. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | None | SubmissionDeadlinesTxt |
| Restrictions On Awards | None | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| Live Like Jake Foundation | ||||||
| PO Box 31652 | West Palm Beach | FL | 33420 | PC | General OperatingSupport | $100,000 |
| Sara Holbrook Center | ||||||
| 66 North Avenue | Burlington | VT | 05401 | PC | Summer YouthPrograms | $15,000 |
| Burlington City Arts | ||||||
| 135 Church Street | Burlington | VT | 05401 | PC | Art from theHeart Program | $10,000 |
| Shelburne Farms | ||||||
| 1161 Harbor Road | Shelburne | VT | 05482 | PC | Farm Barn Facilityand Programming | $50,000 |
| Stern Center | ||||||
| 183 Talcott Road | Williston | VT | 05495 | PC | Neil ShapiroScholarship Fund | $30,000 |
| Center for Creative Education | ||||||
| 425 24th Street | West Palm Beach | FL | 33407 | PC | General OperatingSupport | $30,000 |
| Loggerhead Marine Life Center | ||||||
| 14200 US Highway 1 | North Palm Beach | FL | 33408 | PC | CapitalCampaign | $30,000 |
| Greater Burlington YMCA | ||||||
| 266 College Street | Burlington | VT | 05401 | PC | CapitalCampaign | $15,000 |
| The Howard Center | ||||||
| 208 Flynn Avenue Suite 3J | Burlington | VT | 05401 | PC | Family & YouthPrograms | $15,000 |
| Busch Wildlife Sanctuary | ||||||
| 2500 Jupiter Park Drive | Jupiter | FL | 33458 | PC | General OperatingSupport | $10,000 |
| Sea Turtle Adventures | ||||||
| 721 US Route One | North Palm Beach | FL | 33408 | PC | General OperatingSupport | $10,000 |
| Jupiter Hills Community Foundation | ||||||
| PO Box 3582 | Tequesta | FL | 33469 | PC | General OperatingSupport | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $340,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $95 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $83,263 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $479,763 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous income | Desc |
| Exclusion | 1 | ExclusionCd |
| Exclusion | $329 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $563,450 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $563,450 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Vermont CPA Firm Accounting & Tax Preparation | CategoryTxt |
| Amt | $1,905 | Amt |
| Net Investment Income | $952 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $953 | DisbursementsCharitablePrpsAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | Publicly Traded Securities | AssetDesc |
| How Acquired | Purchased | HowAcquiredTxt |
Purchaser Name PurchaserNameGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Unrelated Third Parties | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Price | $2,945,412 | GrossSalesPriceAmt |
| Basis | $2,465,649 | BasisAmt |
| Basis Method | Cost | BasisMethodTxt |
| Sales Expense | $0 | SalesExpenseAmt |
| Total Net | $479,763 | TotalNetAmt |
| Accumulated Depreciation | $0 | AccumulatedDepreciationAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (10 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 12,242 FED Hermes GOV OBL FD 395 | $12,242 | $12,242 |
| 32,784 OW Fixed Income Fund | $370,034 | $374,394 |
| 7,385 OW Credit Income Fund | $73,856 | $75,475 |
| 31,414 FED Hermes GOV OBL FD 395 | $31,414 | $31,414 |
| 69,484 OW Fixed Income Fund | $780,490 | $793,508 |
| 15,821 OW Credit Income Fund | $158,218 | $161,686 |
| 4,315 Vanguard Short-Term Investment Grade Admiral Fund | $44,837 | $47,340 |
| 3,097 Vanguard Total Bond Market Index Admiral Fund | $33,335 | $35,276 |
| 2,793 Vanguard Short Term Investment Grade Bond Fund | $30,000 | $30,643 |
| 2,242 Vanguard Total Bond Market Index Admiral Fund | $25,000 | $25,538 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (124 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 3sh Alphabet, Inc. | $3,766 | $8,727 |
| 5sh Charter Communications, Inc. | $2,368 | $4,083 |
| 35sh Facebook, Inc. | $6,726 | $13,278 |
| 5sh Amazon.com, Inc. | $8,925 | $17,353 |
| 25sh APTIV Plc | $3,603 | $3,804 |
| 35sh Hilton Worldwide Holdings | $3,296 | $4,370 |
| 3sh Home Depot | $710 | $978 |
| 55sh Nike, Inc. | $5,070 | $9,060 |
| 35sh Ross Stores, Inc. | $3,336 | $4,144 |
| 35sh Pepsico, Inc. | $4,748 | $5,473 |
| 85sh ConocoPhillips | $4,241 | $4,720 |
| 15sh Pioneer Natural Resources | $1,703 | $2,245 |
| 15sh AON Plc | $3,244 | $4,302 |
| 230sh Bank of America Corporation | $6,288 | $9,602 |
| 80sh Blackstone Group, Inc. | $4,417 | $10,058 |
| 65sh Citigroup, Inc. | $3,228 | $4,674 |
| 35sh JPMorgan Chase & Company | $5,397 | $5,598 |
| 6sh MSCI, Inc. | $2,525 | $3,807 |
| 5sh S&P Global, Inc. | $1,266 | $2,219 |
| 90sh Schwab Charles Corporation New | $4,752 | $6,556 |
| 25sh Catalent, Inc. | $2,598 | $3,261 |
| 20sh Danaher Corporation | $2,764 | $6,483 |
| 40sh Iqvia Holdings, Inc. | $5,788 | $10,389 |
| 7sh Thermo Fisher Scientific | $1,986 | $3,884 |
| 15sh UnitedHealth Group, Inc. | $3,593 | $6,244 |
| 30sh Zoetis, Inc. | $3,779 | $6,136 |
| 10sh Cintas Corporation | $2,682 | $3,957 |
| 35sh Eaton Corporation Plc | $4,973 | $5,892 |
| 8sh Northrop Grumman Corporation | $2,911 | $2,941 |
| 35sh Union Pacific Corporation | $5,598 | $7,589 |
| 1sh Adobe, Inc. | $476 | $663 |
| 55sh Amphenol Corporation | $2,648 | $4,214 |
| 120sh Apple, Inc. | $7,827 | $18,219 |
| 85sh Microsoft Corporation | $12,536 | $25,659 |
| 18sh Paypal Holdings, Inc. | $4,840 | $5,195 |
| 5sh ServiceNow, Inc. | $1,275 | $3,218 |
| 45sh Texas Instruments, Inc. | $5,600 | $8,590 |
| 60sh Visa, Inc. | $10,890 | $13,746 |
| 11sh Air Products & Chemicals | $2,607 | $2,964 |
| 20sh Vulcan Materials | $3,664 | $3,718 |
| 20sh American Tower Corporation | $4,516 | $5,843 |
| 35sh Ameren Corporation | $2,541 | $3,070 |
| 15sh American Water Works Company | $1,806 | $2,733 |
| 10sh Sea Limited ADR | $445 | $3,383 |
| 5sh LVHM Moet Hennessy Vuitton | $2,048 | $3,708 |
| 30sh Safran SA | $4,250 | $3,772 |
| 7sh ASML Holding | $3,463 | $5,835 |
| 30,833sh OV Large Cap Strategies Fund | $308,273 | $614,195 |
| 10,767sh OV Small & Mid Cap Strategies Fund | $120,942 | $216,097 |
| 10sh Alphabet, Inc. | $12,554 | $29,092 |
| 16sh Charter Communications, Inc. | $8,364 | $13,066 |
| 75sh Facebook, Inc. | $14,399 | $28,453 |
| 10sh Amazon.com, Inc. | $20,771 | $34,707 |
| 55sh APTIV, Plc | $7,931 | $8,370 |
| 75sh Hilton Worldwide Holdings | $7,180 | $9,364 |
| 12sh Home Depot | $2,843 | $3,914 |
| 105sh Nike, Inc. | $9,596 | $17,297 |
| 70sh Ross Stores, Inc. | $6,748 | $8,288 |
| 75sh Pepsico, Inc. | $10,184 | $11,729 |
| 160sh ConocoPhillips | $7,867 | $8,884 |
| 30sh Pioneer Natural Resources | $3,406 | $4,490 |
| 30sh AON Plc | $6,391 | $8,605 |
| 445sh Bank of America Corporation | $11,983 | $18,578 |
| 155sh Blackstone Group, Inc. | $8,532 | $19,488 |
| 115sh Citigroup, Inc. | $5,376 | $8,269 |
| 70sh JPMorgan Chase & Company | $10,766 | $11,196 |
| 9sh MSCI, Inc. | $3,788 | $5,711 |
| 15sh S&P Global, Inc. | $3,798 | $6,657 |
| 160sh Schwab Charles Corporation New | $8,251 | $11,656 |
| 50sh Catalent, Inc. | $5,213 | $6,522 |
| 40sh Danaher Corporation | $5,637 | $12,966 |
| 75sh Iqvia Holdings, Inc. | $11,016 | $19,479 |
| 20sh Thermo Fisher Scientific | $5,932 | $11,099 |
| 35sh UnitedHealth Group, Inc. | $8,609 | $14,569 |
| 55sh Zoetis, Inc. | $6,940 | $11,250 |
| 15sh Cintas Corporation | $3,362 | $5,936 |
| 70sh Eaton Corporation Plc | $9,939 | $11,785 |
| 12sh Northrop Grumman Corporation | $4,366 | $4,412 |
| 65sh Union Pacific Corporation | $10,432 | $14,094 |
| 6sh Adobe, Inc. | $2,182 | $3,982 |
| 110sh Amphenol Corporation | $5,077 | $8,429 |
| 240sh Apple, Inc. | $15,193 | $36,439 |
| 145sh Microsoft Corporation | $20,500 | $43,772 |
| 33sh Paypal Holdings, Inc. | $8,875 | $9,525 |
| 10sh ServiceNow, Inc. | $2,551 | $6,436 |
| 85sh Texas Instruments, Inc. | $10,460 | $16,227 |
| 100sh Visa, Inc. | $18,210 | $22,910 |
| 22sh Air Products & Chemicals | $5,215 | $5,929 |
| 40sh Vulcan Materials | $7,268 | $7,437 |
| 40sh American Tower Corporation | $9,061 | $11,686 |
| 70sh Ameren Corporation | $5,048 | $6,140 |
| 30sh American Water Works Company | $3,613 | $5,467 |
| 20sh Sea Limited ADR | $890 | $6,766 |
| 10sh LVMH Moet Hennessy Vuitton | $3,878 | $7,417 |
| 60sh Safran SA | $8,216 | $7,544 |
| 11sh ASML Holding | $5,019 | $9,170 |
| 67,996sh OW Large Cap Strategies Fund | $880,168 | $1,354,485 |
| 22,977sh OW Small & Mid Cap Strategies Fund | $345,358 | $461,147 |
| 1,001sh Vanguard Energy ETF | $74,945 | $68,078 |
| 865sh Vanguard Financials ETF | $74,951 | $82,002 |
| 205sh Vanguard Health Care ETF | $35,070 | $53,810 |
| 1,096sh Vanguard S&P 500 Value | $149,905 | $160,301 |
| 1,382sh Baron Emerging Markets Institutional Fund | $15,901 | $26,515 |
| 5,475sh Champlain Mid Cap Growth Fund | $110,000 | $168,915 |
| 661sh Lazard International Strategic Equity Fund | $6,495 | $12,337 |
| 3,092sh Touchstone Instl Funds Tr Sand Cap | $41,598 | $72,179 |
| 507sh Vanguard Emerging Markets Stock Index Fund | $18,822 | $22,007 |
| 527sh Vanguard Growth Index Admiral Fund | $39,324 | $83,253 |
| 434sh Vanguard Small Cap Index Admiral Fund | $31,812 | $47,129 |
| 661sh Vanguard Total International Stock Index | $16,531 | $23,389 |
| 1,273sh Vanguard Total Stock Market Admiral Fund | $84,845 | $144,453 |
| 1,028sh Vanguard Value Index Admiral Fund | $39,856 | $56,831 |
| 129sh Vanguard 500 Index Admiral Fund | $35,000 | $53,928 |
| 2,344sh Vanguard Financials ETF | $199,929 | $222,211 |
| 593sh Vanguard Growth ETF | $149,999 | $181,938 |
| 642sh Vanguard Health Care ETF | $112,285 | $168,519 |
| 971sh Vanguard Information Tech ETF | $347,655 | $414,306 |
| 559sh Vanguard S&P 500 ETF | $199,978 | $232,013 |
| 778sh Vanguard Total Stock Market ETF | $111,757 | $181,406 |
| 3,089sh Vanguard Value ETF | $399,829 | $437,866 |
| 6,707sh Champlain Mid Cap Growth Fund | $130,000 | $206,903 |
| 1,293sh Harbor Capital Appreciation Fund | $110,000 | $157,256 |
| 7,475sh Touchstone Instl Funds Tr Sand Cap | $110,000 | $174,471 |
| 1,130sh Vanguard Total Stock Market Admiral Fund | $89,810 | $128,231 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Office Expenses | $272 | $0 | $272 |
| Operating Cost Reimbursement to G.M. Mergens Foundation | $67,295 | $20,188 | $47,107 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous Income | Desc |
| Revenue And Expenses Per Books | $329 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Providers Investment Management Services | CategoryTxt |
| Amt | $12,901 | Amt |
| Net Investment Income | $12,901 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Federal Excise Taxes | CategoryTxt |
| Amt | $2,600 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |