FISCHER-OWEN ORTHOPEDIC FUND: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FISCHER-OWEN ORTHOPEDIC FUND (EIN 61-6168361)
Tax period
2020-09-01 to 2021-08-31
Filed
2021-12-03
IRS object ID
202133379349100908
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)
Return2021-12-03T15:00:13-06:00ReturnTs
Tax Period End2021-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N WACKER DRAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN616168361EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FISCHER OWEN ORTHOPEDIC FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFISCBusinessNameControlTxt
Phone4124423927PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALL P8YB3502LAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPNC BANK N A BYPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone4124423927PhoneNum
Signature2021-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACOB J ZEHNDERPreparerPersonNm
PTINP01564049PTIN
Phone8445222059PhoneNum
Preparation2021-11-01PreparationDt

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
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$7,923,995FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$129,609DividendsRevAndExpnssAmt
Dividends Net Invst Incm$128,378DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$161,398NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$248,715GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$161,398CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$291,007TotalRevAndExpnssAmt
Total Net Invst Incm$289,776TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$73,098CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$69,443CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$3,655CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$3,620TaxesRevAndExpnssAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$1,044OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$458OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$586OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$77,762TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$69,901TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,241TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$316,444ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$316,444ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$394,206TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$69,901TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$320,685TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$103,199ExcessRevenueOverExpensesAmt
Net Investment Income$219,875NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$77,286SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$25,802SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$25,802SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Stock BOY$137,922CorporateStockBOYAmt
Corporate Stock EOY$158,291CorporateStockEOYAmt
Corporate Stock EOYFMV$289,653CorporateStockEOYFMVAmt
Other Investments BOY$4,678,382OtherInvestmentsBOYAmt
Other Investments EOY$4,602,893OtherInvestmentsEOYAmt
Other Investments EOYFMV$7,608,540OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,893,590TotalAssetsBOYAmt
Total Assets EOY$4,786,986TotalAssetsEOYAmt
Total Assets EOYFMV$7,923,995TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$4,893,590CapitalStockBOYAmt
Capital Stock EOY$4,786,986CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$4,893,590TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,786,986TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,893,590TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,786,986TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,893,590TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$103,199ExcessRevenueOverExpensesAmt
Other Increases$700OtherIncreasesAmt
Subtotal$4,791,091SubtotalAmt
Other Decreases$4,105OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,786,986TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (108 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
99.174 INVESCO OPPENHEIMER INTERNATIONAL GROWTH FUND CL R62013-08-232020-09-24$4,565$3,500$1,065$1,065
845.731 BAIRD INTERMEDIATE BD FD INSTL FD 702013-06-142020-09-24$10,005$9,481$524$524
718.013 BAIRD AGGREGATE BOND FUND FD 722017-09-192020-09-24$8,530$7,855$675$675
75.431 ISHARES S&P 500 INDEX FUND CLASS K2013-07-102020-09-24$29,080$14,976$14,104$14,104
131.244 BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO2014-06-202020-09-24$1,319$1,362-$43-$43
111.724 DELAWARE VALUE FUND-R62016-12-272020-09-24$2,087$2,216-$129-$129
102.149 DODGE & COX INTERNATIONAL STOCK FUND2014-02-132020-09-24$3,613$4,350-$737-$737
565.739 DODGE & COX INCOME FUND2016-06-172020-09-24$8,339$7,762$577$577
128. ISHARES CORE DIVIDEND GROWTH ETF2016-09-232020-09-24$4,985$3,562$1,423$1,423
102.329 MFS EMERGING MKTS DEBT FD-R62018-09-202020-09-24$1,494$1,421$73$73
71.742 T ROWE PRICE GROWTH STOCK FUND2011-06-302020-09-24$6,154$2,428$3,726$3,726
262.106 PRINCIPAL MIDCAP FUND-R62013-02-202020-09-24$8,065$4,418$3,647$3,647
256.926 PGIM HIGH YIELD FUND CLASS R62016-06-172020-09-24$1,354$1,346$8$8
21.052 ROWE T PRICE MID-CAP GROWTH FD INC2020-09-24$2,053$1,275$778$778
55.154 ROWE PRICE NEW HORIZONS FUND INC CAP2014-12-162020-09-24$4,259$2,319$1,940$1,940
69.752 ROWE T PRICE VALUE FD INC COM2013-02-202020-09-24$2,389$1,986$403$403
143.309 T ROWE PRICE INSTITUTIONAL FLOATING RATE FUND2015-09-212020-09-24$1,360$1,435-$75-$75
26. VANGUARD REAL ESTATE ETF2020-05-182020-09-24$2,018$1,893$125$125
6. CABOT CORP2019-06-032020-10-02$228$247-$19-$19
10. CORPORATE OFFICE PPTYS TR REIT2019-06-062020-10-02$248$285-$37-$37
9. FIRST MERCHANTS CORP2020-10-02$220$316-$96-$96
6. FRANKLIN ELECTRIC INC2011-05-042020-10-02$357$131$226$226
2. MERITAGE HOMES CORPORATION2004-10-012020-10-02$231$79$152$152
5. RYDER SYSTEM INC2020-05-082020-10-02$220$176$44$44
20. STEELCASE INC CL A2018-09-042020-10-02$227$294-$67-$67
4. STIFEL FINL CORP2013-09-272020-10-02$214$167$47$47
6. TIMKEN CO2006-04-112020-10-02$334$134$200$200
4. ALBANY INTERNATIONAL CORP CL A2014-05-072020-11-16$266$140$126$126
4. CASELLA WASTE SYS INC2018-05-222020-11-16$243$96$147$147
10. FORM FACTOR INC2018-06-042020-11-16$394$140$254$254
3. GATX CORP2013-04-102020-11-16$248$158$90$90
96. AMERICAN EQUITY INVT LIFE HLDG2020-11-17$2,641$1,316$1,325$1,325
9. CATALENT INC2016-09-302020-11-17$939$232$707$707
13. DARLING INGREDIENTS INC2017-09-082020-11-17$635$232$403$403
20. EATON VANCE CORP MERGED 03/01/21 @ $28.25 P/S2004-10-012020-11-17$1,321$405$916$916
75. WOLVERINE WORLD WIDE INC COM2020-12-17$2,359$2,050$309$309
3. WOLVERINE WORLD WIDE INC COM2018-02-012020-12-17$94$100-$6-$6
41. ENTEGRIS, INC2020-12-24$3,919$386$3,533$3,533
1. PFIZER INC XXX-XX-XXXX2001-01-012021-01-07$29$29$29
10. MONOLITHIC POWER SYSTEMS INC2013-10-082021-01-13$3,900$302$3,598$3,598
21. COHERENT INC2021-02-09$4,615$1,199$3,416$3,416
75. FLIR SYSTEM INC2004-10-012021-02-19$4,208$1,109$3,099$3,099
18. EATON VANCE CORP MERGED 03/01/21 @ $28.25 P/S2004-10-012021-03-02$509$509$509
.499 MORGAN STANLEY2004-10-012021-03-10$41$17$24$24
15.313 TEMPLETON GLOBAL BOND FUND R62014-12-172021-03-26$144$179-$35-$35
10. MORGAN STANLEY2004-10-012021-03-31$781$348$433$433
12. MYRIAD GENETICS INC2019-08-272021-04-08$340$271$69$69
24. MERIDIAN BIOSCIENCE INC2021-03-122021-04-16$549$569-$20-$20
9. MYRIAD GENETICS INC2019-08-272021-04-26$270$203$67$67
7. STEELCASE INC CL A2018-09-042021-04-26$98$103-$5-$5
21. MYRIAD GENETICS INC2019-08-272021-05-13$532$474$58$58
40. SANMINA CORP2013-10-082021-06-04$1,687$667$1,020$1,020
60. DARLING INGREDIENTS INC2017-09-082021-07-01$4,045$1,070$2,975$2,975
3. TELEDYNE TECHNOLOGIES INC2007-04-262021-08-30$1,380$137$1,243$1,243
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
CAPITAL GAIN DIVIDENDS$108,580P
FieldValueIRS element (for citing)
Capital Gain Net Income$161,398CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,056InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,056SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,056TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,924EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$2,924TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$132TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1PNC BANK NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4124423927PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALLAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonPNC BANK NAPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALLAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos15AverageHrsPerWkDevotedToPosRt
Compensation$73,098CompensationAmt
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$7,214,904AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$7,214,904TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$7,214,904AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$108,224CashDeemedCharitableAmt
Net Vl Noncharitable Assets$7,106,680NetVlNoncharitableAssetsAmt
Minimum Investment Return$355,334MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$355,334MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,056TaxBasedOnInvestmentIncomeAmt
Total Tax$3,056TotalTaxAmt
Distributable Before Adj$352,278DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$352,278DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$352,278DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$320,685ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$320,685QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$320,685AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$352,278DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$3,951ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$5,216ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$9,167TotalExcessDistributionCyovAmt
Qualifying Distributions$320,685QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$320,685AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$9,167ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$9,167ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$22,426UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTON HEALTHCARE SYSTEMBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1224 EAST BROADWAYAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP402325070ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL SUPPORTGrantOrContributionPurposeTxt
Amt$316,444Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$316,444TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$129,609ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$161,398ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$291,007ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$291,007TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (56 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
COMMON STOCK
207410101 CONMED CORP$4,814$6,961
353514102 FRANKLIN ELECTRIC IN$2,217$7,393
840441109 SOUTH STATE CORP$3,610$3,429
860630102 STIFEL FINL CORP$1,838$4,561
909907107 UNITED BANKSHARES IN$3,726$4,105
29275Y102 ENERSYS$1,419$5,075
70509V100 PEBBLEBROOK HOTEL TR$5,358$4,406
85254J102 STAG INDUSTRIES INC$4,307$5,873
754730109 RAYMOND JAMES FINANC$912$5,876
879360105 TELEDYNE TECHNOLOGIE$867$8,804
007973100 ADVANCED ENERGY INDS$1,941$4,238
012348108 ALBANY INTERNATIONAL$2,588$4,700
127055101 CABOT CORP$3,505$4,005
147448104 CASELLA WASTE SYS IN$3,529$8,657
148806102 CATALENT INC$2,427$12,261
237266101 DARLING INGREDIENTS$2,388$9,685
293712105 ENTERPRISE FINANCIAL$4,153$4,132
320817109 FIRST MERCHANTS CORP$3,655$4,280
346375108 FORM FACTOR INC$2,761$7,659
361448103 GATX CORP$2,585$4,492
428291108 HEXCEL CORP$3,186$6,125
440327104 HORACE MANN EDUCATOR$2,261$2,952
441593100 HOULIHAN LOKEY INC$4,365$8,479
537008104 LITTELFUSE INC$1,296$6,850
564563104 MANTECH INTL CORP CL$1,858$4,988
589584101 MERIDIAN BIOSCIENCE$3,273$2,793
609839105 MONOLITHIC POWER SYS$423$6,929
615394202 MOOG INC CLASS A$1,050$2,780
729132100 PLEXUS CORP$3,679$4,867
759351604 REINSURANCE GROUP OF$1,283$3,706
783549108 RYDER SYSTEM INC$2,043$4,610
801056102 SANMINA CORP$3,321$4,856
810186106 THE SCOTTS MIRACLE-G$1,917$6,273
858155203 STEELCASE INC CL A$4,313$3,832
887389104 TIMKEN CO$2,521$5,589
898402102 TRUSTMARK CORP$1,856$2,719
910340108 UNITED FIRE GROUP IN$2,009$1,661
978097103 WOLVERINE WORLD WIDE$3,891$4,196
02208R106 ALTRA INDUSTRIAL MOT$2,664$5,036
03957W106 ARCHROCK INC$2,663$2,104
12571T100 CMC MATERIALS INC$2,117$6,233
22002T108 CORPORATE OFFICE PPT$4,222$4,171
22410J106 CRACKER BARREL OLD C$4,370$5,312
23291C103 DMC GLOBAL INC$3,105$2,049
29089Q105 EMERGENT BIOSOLUTION$4,206$4,542
29362U104 ENTEGRIS, INC$874$7,809
33767D105 FIRST CASH INC$2,636$6,341
42234Q102 HEARTLAND FINL USA I$4,724$4,186
58502B106 MEDNAX INC$5,524$8,156
59001A102 MERITAGE HOMES CORPO$2,079$5,354
60855R100 MOLINA HEALTHCARE IN$1,099$7,257
62855J104 MYRIAD GENETICS INC$3,561$5,439
70202L102 PARSONS CORP$4,465$3,933
78573M104 SABRE CORP$4,473$5,694
N22717107 CORE LABORATORIES N$2,364$1,240

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (20 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MUTUAL FUNDS - FIXED
MUTUAL FUNDS - EQUITY
066922204 ISHARES S&P 500 INDEAT COST$904,443$2,436,079
779578301 T ROWE PRICE VALUE FAT COST$146,607$228,359
74256W584 PRINCIPAL MIDCAP FUNAT COST$323,450$668,365
552746364 MFS EMERGING MKTS DEAT COST$85,107$92,283
74440Y884 PGIM HIGH YIELD FUNDAT COST$80,328$85,837
77958B402 T ROWE PRICE INSTITUAT COST$85,562$83,254
256206103 DODGE & COX INTERNATAT COST$261,907$298,489
256210105 DODGE & COX INCOME FAT COST$467,045$487,550
741479406 T ROWE PR GROWTH STOAT COST$228,516$516,747
779556406 T ROWE PR MID CAP GRAT COST$82,506$167,612
057071854 BAIRD AGGREGATE BONDAT COST$469,698$496,746
24610C840 DELAWARE VALUE FUND-AT COST$132,297$165,781
057071805 BAIRD INTERMEDIATE BAT COST$572,253$585,054
922908553 VANGUARD REAL ESTATEAT COST$109,607$166,019
09260B382 BLACKROCK STRATEGICAT COST$87,766$87,840
779562206 T ROWE PR NEW HORIZOAT COST$141,895$321,619
46434V621 ISHARES CORE DIVIDENAT COST$213,150$404,702
00900W621 INVESCO OPPENHEIMERAT COST$210,756$316,204

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (4 entries)

DescDescAmtAmt
COST BASIS ADJUSTMENT - SALES$2
RETURN OF CAPITAL ADJUSTMENT$1,728
2020 TRANSACTION POSTED IN 2021$1,132
2020 SALES POSTED IN 2021$1,243

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OTHER EXPENSE (NON-DEDUCTIBLE$586$0$586
MAP MANAGEMENT FEES$458$458$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (3 entries)

DescDescAmtAmt
2019 TRANSACTION POSTED IN 2020$689
ADJUSTMENT TO INCOME$9
ROUNDING ADJUSTMENT$2

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtAmtAmt
FOREIGN TAXES$0$0
FEDERAL TAX PAYMENT - PRIOR YE$0$0$696
FEDERAL ESTIMATES - PRINCIPAL$0$0$2,924

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