HEALTH FORWARD FOUNDATION INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HEALTH FORWARD FOUNDATION INC (EIN 15-6018016)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-05-17
IRS object ID
202131379349101298
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-17T13:01:00-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161163912PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FITZGERALD DEPIETRO & WOJNAS CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1291 GENESEE STREETAddressLine1Txt
CityUTICACityNm
State AbbreviationNYStateAbbreviationCd
ZIP13501ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN156018016EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SLOCUM-DICKSON FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSLOCBusinessNameControlTxt
Phone3157245147PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11729 BURRSTONE ROADAddressLine1Txt
CityNEW HARTFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13413ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKELLY PARSONSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3157245147PhoneNum
Signature2021-05-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKELLYPersonFirstNm
Person LastPARSONSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNNE STEWARTPreparerPersonNm
PTINP02011641PTIN
Phone3157242145PhoneNum
Preparation2021-05-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,434,503FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$29,816DividendsRevAndExpnssAmt
Dividends Net Invst Incm$29,816DividendsNetInvstIncmAmt
Dividends Adj Net Incm$29,816DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$20,452NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$121,719GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$20,452CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$50,268TotalRevAndExpnssAmt
Total Net Invst Incm$50,268TotalNetInvstIncmAmt
Total Adj Net Incm$29,816TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,485AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,485AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$3,485AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$8,801OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$8,801OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$8,801OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,326TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$6,845OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$6,845OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$6,845OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$20,457TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$19,131TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$19,131TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$51,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$51,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$71,457TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$19,131TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$19,131TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$51,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$21,189ExcessRevenueOverExpensesAmt
Net Investment Income$31,137NetInvestmentIncomeAmt
Adjusted Net Income$10,685AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Other Investments BOY$1,074,241OtherInvestmentsBOYAmt
Other Investments EOY$1,053,052OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,434,503OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,074,241TotalAssetsBOYAmt
Total Assets EOY$1,053,052TotalAssetsEOYAmt
Total Assets EOYFMV$1,434,503TotalAssetsEOYFMVAmt
Accounts Payable BOY$1,500AccountsPayableBOYAmt
Accounts Payable EOY$1,500AccountsPayableEOYAmt
Total Liabilities BOY$1,500TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,500TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$1,072,741CapitalStockBOYAmt
Capital Stock EOY$1,051,552CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,072,741TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,051,552TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,074,241TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,053,052TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,072,741TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$21,189ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,051,552SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,051,552TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PIMCO SHORT TERM2019-06-282020-04-08$141$148-$7-$7
TEMPLETON GLOBAL BOND2019-11-182020-11-03$1,824$2,116-$292-$292
EUROPACIFIC GROWTH FUND2017-11-152020-07-30$5,000$4,841$159$159
METROPOLITAN WEST TOTAL RETURN2014-11-032020-04-08$15,000$14,568$432$432
PIMCO SHORT TERM2018-05-152020-04-08$3,481$3,648-$167-$167
TEMPLETON GLOBAL BOND2015-07-302020-11-03$49,573$57,438-$7,788-$7,788
VANGUARD INFLATION PROTECTED2008-08-112020-04-08$14,968$13,637$1,331$1,331
VANGUARD INT TERM2011-11-082020-07-30$4,968$4,948$20$20
CAPITAL GAINS DIVIDENDS$26,764$26,764$26,764P
FieldValueIRS element (for citing)
Capital Gain Net Income$20,452CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$299NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$433InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$433SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$433TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$433TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.SLOCUMDICKSONFOUNDATION.COMWebsiteAddressTxt
Individual With BooksFITZGERALD DEPIETRO WOJNASIndividualWithBooksNm
Phone3157242145PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1291 GENESEE STAddressLine1Txt
CityUTICACityNm
State AbbreviationNYStateAbbreviationCd
ZIP13501ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Transactions Fail To Qlfy As Exc0TransactionsFailToQlfyAsExcInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KELLY PARSONS
520 SENECA STREETUTICANY13502PRESIDENT1.00$0$0$0
SARAH PAPARELLA MPH LNHA
1070 LUTHER RDEAST GREENBUSHNY12061VICE PRESIDENT0.25$0$0$0
FRANCIS MUTOLO II
1107 ONTARIO STUTICANY13501SEC/TREAS0.25$0$0$0
JOYCE ASTAFAN
1435 HERKIMER RDUTICANY13502ADMINISTRATOR1.00$0$0$0
JAMES CESARE MD
32 MORGAN LANENEW HARTFORDNY13413DIRECTOR0.25$0$0$0
KENNETH S WILLIAMS
10 ABBEY RDWHITESBORONY13492DIRECTOR0.25$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,268,850AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,268,850TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,268,850AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$19,033CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,249,817NetVlNoncharitableAssetsAmt
Minimum Investment Return$62,491MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$62,491MinimumInvestmentReturnAmt
Tax Based On Investment Income$433TaxBasedOnInvestmentIncomeAmt
Total Tax$433TotalTaxAmt
Distributable Before Adj$62,058DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$62,058DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$62,058DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$51,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$51,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$51,000AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$62,058DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$5,998ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,815ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr1$2,423ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$11,236TotalExcessDistributionCyovAmt
Qualifying Distributions$51,000QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$51,000AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$11,058ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$11,058ExcessDistributionCyovAppCYAmt
Total Corpus$178TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$178ExcessDistriCyovToNextYrAmt
Excess From Year1$178ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonSLOCUM DICKSON FOUNDATION INCRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11729 BURRSTONE ROADAddressLine1Txt
CityNEW HARTFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13413ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3157245147RecipientPhoneNum
Form And Info And MaterialsDETAILED LETTER REQUEST WITH SUPPORTING DOCUMENTSFormAndInfoAndMaterialsTxt
Submission DeadlinesMARCH 1 AND SEPTEMBER 1 OF EACH YEARSubmissionDeadlinesTxt
Restrictions On AwardsCENTRAL NEW YORK, MEDICAL EDUCATION RELATEDRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (3 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
SLOCUM DICKSON EDUCATIONAL INSTITUTE
1729 BURRSTONE ROADNEW HARTFORDNY13413NA501(C)(3)GENERAL FUND$17,000
COMMUNITY FOUNDATION OF HERKIMER AND ONEIDA COUNTIES
2608 GENESEE STREETUTICANY13502NA501(C)(3)GENERAL FUND$17,000
MOHAWK VALLEY HEALTH SYSTEM
1656 CHAMPLIN AVEUTICANY13502NA501(C)(3)GENERAL FUND$17,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$51,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$29,816ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$20,452ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$50,268ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$50,268TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING/LEGAL FEESCategoryTxt
Amt$3,485Amt
Net Investment Income$3,485NetInvestmentIncomeAmt
Adjusted Net Income$3,485AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (13 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DODGE & COX STOCK FUNDAT COST$83,521$97,676
EUROPACIFIC GROWTH FUND CLASS F-1AT COST$100,477$126,559
HARBOR CAPITAL APPRECIATION FUNDAT COST$92,367$145,223
METROPOLITAN WEST TOTAL RETURN BONDAT COST$137,503$141,453
PIMCO TOTAL RETURN FUND INSTITUTIONALAT COST$206,072$205,879
T ROWE PRICE SMALL CAP STOCKAT COST$56,915$80,983
VANGUARD INTERMEDIATE TERMAT COST$38,937$39,872
VANGUARD INFLATION PROTECTEDAT COST$41,146$42,992
VANGUARD 500 INDEX FUND INVESTOR SHARESAT COST$109,166$247,855
VANGUARD MID-CAP STOCK INDEX FUNDAT COST$52,876$156,674
MFS INTERNATIONAL DIVERSIFICATION FUND CLASS IAT COST$94,032$108,315
SUNAMERICA MONEY MARKETAT COST$4,349$4,349
DODGE & COX GLOBAL BOND FUNDAT COST$35,691$36,673

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONTRACT LABOR$4,965$4,965$4,965$0
INSURANCE$1,880$1,880$1,880$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$8,801Amt
Net Investment Income$8,801NetInvestmentIncomeAmt
Adjusted Net Income$8,801AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryTAXESCategoryTxt
Amt$1,326Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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