ANN A MERGENS FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ANN A MERGENS FOUNDATION INC (EIN 27-4113304)
- Tax period
- 2019-09-01 to 2020-08-31
- Filed
- 2021-01-05
- IRS object ID
- 202140089349100809
- Schema version
- 2019v5.1
- 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 Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-01-05T06:06:22-08:00 | ReturnTs |
| Tax Period End | 2020-08-31 | 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 | 2019-09-01 | 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 | 2020-12-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William S Huckabay CPA | PreparerPersonNm |
| PTIN | P00154308 | PTIN |
| Phone | 8028707086 | PhoneNum |
| 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 | $7,601,049 | 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 | $1,465 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,465 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $102,893 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $102,893 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $145,572 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,881,089 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $145,572 | CapGainNetIncmNetInvstIncmAmt |
| Gross Profit Rev And Expnss | $0 | GrossProfitRevAndExpnssAmt |
| Other Income Rev And Expnss | $0 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $249,930 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $249,930 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $20,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $20,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $0 | LegalFeesRevAndExpnssAmt |
| Accounting Fees Rev And Expnss | $1,740 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $870 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $870 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $12,526 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $12,526 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $9,320 | 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 |
| Trav Conf Meeting Rev And Expnss | $0 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $65,934 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $19,720 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $46,214 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $109,520 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $33,116 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $67,084 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $255,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $255,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $364,520 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $33,116 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $322,084 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$114,590 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $216,814 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $9,215 | CashBOYAmt |
| Cash EOY | $7,983 | CashEOYAmt |
| Cash EOYFMV | $7,983 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $88,523 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $350,721 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $350,721 | SavAndTempCashInvstEOYFMVAmt |
| Rcvbl From Officers EOY | $0 | RcvblFromOfficersEOYAmt |
| Other Nts And Loans Rcvbl EOY | $0 | OtherNtsAndLoansRcvblEOYAmt |
| Corporate Stock BOY | $4,683,391 | CorporateStockBOYAmt |
| Corporate Stock EOY | $4,474,625 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $5,545,380 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,790,701 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,623,911 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,696,965 | 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 | $6,571,830 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,457,240 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $7,601,049 | 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 | $6,571,830 | RetainedEarningBOYAmt |
| Retained Earning EOY | $6,457,240 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,571,830 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $6,457,240 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,571,830 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $6,457,240 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,571,830 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$114,590 | ExcessRevenueOverExpensesAmt |
| Subtotal | $6,457,240 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $6,457,240 | 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 | $1,881,089 | GrossSalesPriceAmt |
| Depreciation | $0 | DepreciationAmt |
| Cost Or Other Basis | $1,735,517 | CostOrOtherBasisAmt |
| Gain Or Loss | $145,572 | GainOrLossAmt |
| FMV As Of123169 | $0 | FMVAsOf123169Amt |
| Adjusted Basis As Of123169 | $0 | AdjustedBasisAsOf123169Amt |
| Excess FMV Over Adjusted Bss | $0 | ExcessFMVOverAdjustedBssAmt |
| Gains Minus Excess Or Losses | $145,572 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $145,572 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $339,036 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $6,936,884 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.048874 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $420,786 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $7,286,993 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.057745 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $375,904 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $7,228,979 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.052000 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $260,530 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,283,595 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.049309 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $51,435 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,019,990 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.050427 | DistributionYr5Rt |
| Total Distribution | 0.258355 | TotalDistributionRt |
| Average Distribution | 0.051671 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $7,020,966 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $362,780 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,168 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $364,948 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $322,084 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $4,336 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $4,336 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $4,336 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $6,100 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $6,100 | TotalPaymentsAndCreditsAmt |
| Original Return Overpayment | -$6,100 | OriginalReturnOverpaymentAmt |
| Overpayment | $1,764 | OverpaymentAmt |
| Applied To ES Tax | $1,764 | 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 | 5.00 | $20,000 | $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 | $6,944,417 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $183,467 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $7,127,884 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $7,127,884 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $106,918 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $7,020,966 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $351,048 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $351,048 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $4,336 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $0 | IncomeTaxAmt |
| Total Tax | $4,336 | TotalTaxAmt |
| Distributable Before Adj | $346,712 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $346,712 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $346,712 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $322,084 | ExpensesAndContributionsAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $322,084 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $322,084 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $346,712 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $25,091 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $25,091 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $322,084 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $322,084 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $24,628 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $24,628 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $463 | 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 | $463 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $463 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | 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 | GeneralOperatingSupport | $80,000 |
| Sara Holbrook Center | ||||||
| 66 North Avenue | Burlington | VT | 05401 | PC | SummerYouthPrograms | $10,000 |
| Burlington City Arts | ||||||
| 135 Church Street | Burlington | VT | 05401 | PC | Art fromthe HeartProgram | $10,000 |
| Shelburne Farms | ||||||
| 1161 Harbor Road | Shelburne | VT | 05482 | PC | Farm BarnFacility &Programming | $40,000 |
| Stern Center | ||||||
| 183 Talcott Road | Williston | VT | 05495 | PC | Neil ShapiroScholarshipFund | $25,000 |
| Center for Creative Education | ||||||
| 425 24th Street | West Palm Beach | FL | 33407 | PC | GeneralOperatingSupport | $25,000 |
| Loggerhead Marine Life Center | ||||||
| 14200 US Highway 1 | North Palm Beach | FL | 33408 | PC | For theCapitalCampaign | $25,000 |
| Greater Burlington YMCA | ||||||
| 266 College Street | Burlington | VT | 05401 | PC | For theCapitalCampaign | $10,000 |
| The Howard Center | ||||||
| 208 Flynn Avenue Suite 3J | Burlington | VT | 05401 | PC | Family& YouthPrograms | $10,000 |
| Busch Wildlife Sanctuary | ||||||
| 2500 Jupiter Park Drive | Jupiter | FL | 33458 | PC | GeneralOperatingSupport | $5,000 |
| Sea Turtle Adventures | ||||||
| 721 US Route One | North Palm Beach | FL | 33408 | PC | GeneralOperatingSupport | $5,000 |
| Jupiter Hills Community Foundation | ||||||
| PO Box 3582 | Tequesta | FL | 33469 | PC | GeneralOperatingSupport | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $255,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,465 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $102,893 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $145,572 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $249,930 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $249,930 | 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 | $1,740 | Amt |
| Net Investment Income | $870 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $870 | 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 | $1,881,089 | GrossSalesPriceAmt |
| Basis | $1,735,517 | BasisAmt |
| Basis Method | Cost | BasisMethodTxt |
| Sales Expense | $0 | SalesExpenseAmt |
| Total Net | $145,572 | TotalNetAmt |
| Accumulated Depreciation | $0 | AccumulatedDepreciationAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (12 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 33,842 OW Fixed Income Fund | $382,259 | $403,395 |
| 72,505 OW Fixed Income Fund | $815,141 | $864,254 |
| 4,315 DoubleLine Total Return Bond Fund I | $45,682 | $45,667 |
| 2,336 Osterweis Strategic Income Fund | $26,929 | $25,762 |
| 4,315 Vanguard Short-Term Investment Grade Admiral Fund | $44,837 | $47,470 |
| 1,736 Vanguard Short-Term Bond Index Admiral Fund | $18,428 | $18,906 |
| 3,097 Vanguard Total Bond Market Index Admiral Fund | $33,387 | $36,019 |
| 2,315 Doubleline Funds Total Return Bond Fund | $25,000 | $24,838 |
| 8,007 Osterweis Strategic Income Fund | $90,000 | $88,319 |
| 14,621 Vanguard High Yield Corporate Admiral Fund | $87,248 | $85,532 |
| 2,793 Vanguard Short Term Investment Grade Bond Fund | $30,000 | $30,726 |
| 2,242 Vanguard Total Bond Market Index Admiral Fund | $25,000 | $26,077 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (124 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 10sh Alphabet Inc. | $13,175 | $16,341 |
| 10sh Charter Communications Inc. | $4,869 | $6,156 |
| 40sh Facebook Inc. | $7,772 | $11,728 |
| 5sh Amazon.com Inc. | $8,925 | $17,254 |
| 35sh Hilton Worldwide Holdings | $3,296 | $3,162 |
| 15sh Home Depot | $3,554 | $4,275 |
| 55sh Nike, Inc. | $5,070 | $6,153 |
| 30sh Ross Stores, Inc. | $2,792 | $2,732 |
| 40sh Pepsico, Inc. | $5,435 | $5,602 |
| 90sh ConocoPhillips | $4,515 | $3,410 |
| 15sh Pioneer Natural Resources | $1,703 | $1,558 |
| 235sh Bank of America Corporation | $6,450 | $6,048 |
| 5sh Blackrock Inc. | $2,261 | $2,970 |
| 85sh Blackstone Group Inc. | $4,773 | $4,500 |
| 20sh Chubb Limited | $3,087 | $2,500 |
| 115sh Citigroup Inc. | $6,803 | $5,878 |
| 15sh CME Group Inc. | $2,990 | $2,638 |
| 10sh S&P Global Inc. | $2,755 | $3,664 |
| 35sh Danaher Corporation | $4,946 | $7,226 |
| 20sh Health Care Select SPDR | $1,898 | $2,165 |
| 35sh Iqvia Holdings Inc. | $4,896 | $5,731 |
| 15sh Thermo Fisher Scientific | $4,256 | $6,434 |
| 20sh UnitedHealth Group Inc. | $5,016 | $6,251 |
| 35sh Zoetis Inc. | $4,421 | $5,603 |
| 10ah Cintas Corporation | $2,682 | $3,332 |
| 55sh Fortive Company | $3,594 | $3,966 |
| 40sh Union Pacific Corporation | $6,424 | $7,697 |
| 5sh Adobe Inc. | $1,834 | $2,566 |
| 30sh Amphenol Corporation | $2,895 | $3,294 |
| 120sh Apple Inc. | $7,827 | $15,484 |
| 50sh Fidelity National Information Services | $6,501 | $7,542 |
| 95sh Microsoft Corporation | $14,150 | $21,425 |
| 20sh Salesforce Company | $2,921 | $5,453 |
| 5sh ServiceNow Inc. | $1,275 | $2,410 |
| 45sh Texas Instruments Inc. | $5,600 | $6,396 |
| 60sh Visa Inc. | $10,890 | $12,719 |
| 10sh Air Products & Chemicals | $2,332 | $2,922 |
| 15sh American Tower Corporation | $3,366 | $3,737 |
| 45sh Ameren Corporation | $3,298 | $3,559 |
| 20sh American Water Works Company | $2,417 | $2,826 |
| 25sh Sea Limited ADR | $1,113 | $3,820 |
| 75sh Tencent Holdings Limited | $3,462 | $5,132 |
| 20sh Alibaba Group Holdings Limited | $3,748 | $5,740 |
| 5sh LVHM Moet Hennessy Vuitton | $2,048 | $2,345 |
| 25sh Safran SA | $3,552 | $2,896 |
| 30,833sh OV Large Cap Strategies Fund | $304,460 | $488,400 |
| 11,523sh OV Small & Mid Cap Strategies Fund | $130,714 | $184,366 |
| 12,761sh OV Multi-Asset Opportunities Fund | $77,390 | $87,157 |
| 15sh Alphabet Inc. | $18,831 | $24,512 |
| 25sh Charter Communications Inc. | $12,759 | $15,390 |
| 85sh Facebook Inc. | $16,492 | $24,922 |
| 10sh Amazon.com Inc. | $20,771 | $34,509 |
| 75sh Hilton Worldwide Holdings | $7,226 | $6,777 |
| 30sh Home Depot | $7,184 | $8,551 |
| 120sh Nike Inc. | $11,030 | $13,426 |
| 65sh Ross Stores Inc. | $6,116 | $5,920 |
| 90sh Pepsico Inc. | $12,246 | $12,605 |
| 190sh ConocoPhillips | $9,509 | $7,199 |
| 35sh Pioneer Natural Resources | $4,047 | $3,637 |
| 500sh Bank of America Corporation | $13,765 | $12,870 |
| 10sh Blackrock Inc. | $4,523 | $5,941 |
| 180sh Blackstone Group Inc. | $10,159 | $9,531 |
| 40sh Chubb Limited | $5,637 | $5,000 |
| 255sh Citigroup Inc. | $15,124 | $13,035 |
| 30sh CME Group Inc. | $5,981 | $5,276 |
| 15sh S&P Global Inc. | $3,798 | $5,496 |
| 75sh Danaher Corporation | $10,693 | $15,485 |
| 45sh Health Care Select SPDR | $4,272 | $4,871 |
| 80sh Iqvia Holdings Inc. | $11,244 | $13,100 |
| 40sh Thermo Fisher Scientific | $11,864 | $17,159 |
| 40sh UnitedHealth Group Inc. | $10,032 | $12,502 |
| 70sh Zoetis Inc. | $8,866 | $11,207 |
| 20sh Cintas Corporation | $4,703 | $6,664 |
| 115sh Fortive Company | $7,616 | $8,292 |
| 90sh Union Pacific Corporation | $14,562 | $17,319 |
| 15sh Adobe Inc. | $5,409 | $7,700 |
| 65sh Amphenol Corporation | $6,067 | $7,137 |
| 280sh Apple Inc. | $18,318 | $36,131 |
| 105sh Fidelity National Information Services | $13,690 | $15,839 |
| 205sh Microsoft Corporation | $30,615 | $46,233 |
| 40sh Salesforce Company | $5,843 | $10,906 |
| 15sh ServiceNow Inc. | $3,827 | $7,230 |
| 100sh Texas Instruments Inc. | $12,415 | $14,215 |
| 130sh Visa Inc. | $23,566 | $27,558 |
| 25sh Air Products & Chemicals | $5,831 | $7,306 |
| 35sh American Tower Corporation | $7,889 | $8,720 |
| 100sh Ameren Corporation | $7,318 | $7,911 |
| 45sh American Water Works Company | $5,446 | $6,360 |
| 50sh Sea Limited ADR | $2,226 | $7,640 |
| 155sh Tencent Holdings Limited | $7,207 | $10,606 |
| 40sh Alibaba Group Holdings Limited | $7,267 | $11,481 |
| 15sh LVMH Moet Hennessy Vuitton | $6,150 | $7,035 |
| 55sh Safran SA | $7,517 | $6,371 |
| 66,049sh OW Large Cap Strategies Fund | $829,220 | $1,046,213 |
| 22,373sh OW Small & Mid Cap Strategies Fund | $334,166 | $357,967 |
| 27,337sh OW Multi-Asset Opportunities Fund | $191,542 | $186,712 |
| 205sh Vanguard Health Care ETF | $35,070 | $42,531 |
| 165sh Vanguard Information Tech ETF | $35,171 | $54,145 |
| 1,382sh Baron Emerging Markets Institutional Fund | $15,901 | $22,077 |
| 5,475sh Champlain Mid Cap Growth Fund | $110,000 | $127,083 |
| 2,370sh FMI Large Cap Fund | $45,184 | $45,318 |
| 661sh Lazard International Strategic Equity Fund | $6,495 | $9,878 |
| 1,840sh Touchstone Instl Funds Tr Sand Cap | $41,598 | $60,670 |
| 507sh Vanguard Emerging Markets Stock Index Fund | $18,822 | $18,675 |
| 1,881sh Vanguard Global Min Volume Admiral Fund | $51,740 | $50,592 |
| 527sh Vanguard Growth Index Admiral Fund | $39,324 | $64,995 |
| 229sh Vanguard REIT Index Admiral Fund | $26,371 | $26,526 |
| 434sh Vanguard Small Cap Index Admiral Fund | $31,812 | $33,024 |
| 661sh Vanguard Total International Stock Index | $16,531 | $19,014 |
| 1,273sh Vanguard Total Stock Market Admiral Fund | $84,846 | $109,889 |
| 1,028sh Vanguard Value Index Admiral Fund | $39,855 | $43,167 |
| 129sh Vanguard 500 Index Admiral Fund | $35,000 | $41,751 |
| 729sh Vanguard Growth ETF | $111,665 | $174,460 |
| 642sh Vanguard Health Care ETF | $112,286 | $133,196 |
| 581sh Vanguard Information Tech ETF | $111,511 | $190,655 |
| 737sh Vanguard Small Cap ETF | $113,146 | $116,785 |
| 778sh Vanguard Total Stock Market ETF | $111,757 | $137,924 |
| 6,707sh Champlain Mid Cap Growth Fund | $130,000 | $155,664 |
| 4,939sh FMI Large Cap Fund | $110,000 | $94,441 |
| 1,293sh Harbor Capital Appreciation Fund | $100,000 | $142,201 |
| 1,285sh Oakmark Fund | $110,000 | $97,252 |
| 4,448sh Touchstone Instl Funds Tr Sand Cap | $110,000 | $146,651 |
| 3,929sh Vanguard Global Min Vol Admiral Fund | $110,000 | $105,638 |
| 1,130sh Vanguard Total Stock Market Admiral Fund | $89,810 | $97,548 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Office Expenses | $189 | $0 | $189 |
| Operating Cost Reimbursement to G.M. Mergens Foundation | $65,745 | $19,720 | $46,025 |
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 | $12,526 | Amt |
| Net Investment Income | $12,526 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Federal Excise Taxes | CategoryTxt |
| Amt | $9,320 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |