OVERSTREET FAMILY FOUNDATION: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- OVERSTREET FAMILY FOUNDATION (EIN 20-8762405)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-14
- IRS object ID
- 202143189349100139
- 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
- Depreciation Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Notes Loans Rcvbl Long Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-14T20:03:32-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION SOURCE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOLLOW LN STE 212 | AddressLine1Txt |
| City | LAKE SUCCESS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208762405 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overstreet Family Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | OVER | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN OVERSTREET | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2021-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRIAN | PersonFirstNm |
| Person Last | OVERSTREET | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| 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 | $794,383 | 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 | $9 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $9 | InterestOnSavNetInvstIncmAmt |
| Gross Sales Price | $23,000 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $33,483 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $33,483 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $33,492 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $33,492 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Taxes Rev And Expnss | $1,367 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $9,235 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $196 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $9,039 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $10,602 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $196 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $9,039 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $27,700 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $27,700 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $38,302 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $196 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $36,739 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$4,810 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $33,296 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $21,378 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $2,568 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $2,568 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl BOY | $4,000 | AcctRcvblBOYAmt |
| Other Nts And Loans Rcvbl | $656,000 | OtherNtsAndLoansRcvblAmt |
| Other Nts And Loans Rcvbl BOY | $638,000 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $656,000 | OtherNtsAndLoansRcvblEOYAmt |
| Other Nts And Loans Rcvbl EOYFMV | $656,000 | OtherNtsAndLoansRcvblEOYFMVAmt |
| Other Investments BOY | $130,577 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $130,577 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $135,815 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $793,955 | TotalAssetsBOYAmt |
| Total Assets EOY | $789,145 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $794,383 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $793,955 | RetainedEarningBOYAmt |
| Retained Earning EOY | $789,145 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $793,955 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $789,145 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $793,955 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $789,145 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $793,955 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$4,810 | ExcessRevenueOverExpensesAmt |
| Subtotal | $789,145 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $789,145 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|
| ADVERA HEALTH-AQR 3/30/20-28 | P | 2020-03-30 | 2020-09-30 | $10,000 | $10,000 |
| ADVERA HEALTH-AQR 7/20/20-29 | P | 2020-07-20 | 2020-09-30 | $8,000 | $8,000 |
| ADVERA HEALTH-AQR 9/22/20-30 | P | 2020-09-22 | 2020-09-30 | $1,000 | $1,000 |
| RECEIVABLE - BRULIAM NOTES | P | 2019-02-01 | 2020-06-05 | $4,000 | $4,000 |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $463 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $463 | SubtotalAmt |
| Tax Based On Investment Income | $463 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,000 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Total Payments And Credits | $1,000 | TotalPaymentsAndCreditsAmt |
| Overpayment | $537 | OverpaymentAmt |
| Applied To ES Tax | $537 | 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 |
| 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 | DE | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | 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 | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|
| Brian Overstreet | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres, Dir, Sec | 1.0 | $0 | $0 | $0 |
| Kerith L Overstreet | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, VP | 1.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $11,197 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $783,266 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $794,463 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $794,463 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $11,917 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $782,546 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $39,127 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $39,127 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $463 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $463 | TotalTaxAmt |
| Distributable Before Adj | $38,664 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $38,664 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $38,664 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $36,739 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $36,739 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $36,739 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $38,664 | DistributableAsAdjustedAmt |
| Prior Year1 | 2018 | PriorYear1Yr |
| Prior Year2 | 2017 | PriorYear2Yr |
| Prior Year3 | 2016 | PriorYear3Yr |
| Excess Distribution Cyov Yr2 | $5,637 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $5,637 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $36,739 | QualifyingDistributionsAmt |
| Applied To Current Year | $36,739 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $1,925 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $1,925 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $3,712 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $3,712 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $3,712 | ExcessFromYear2Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICA GIVES INC | |||||||
| 1732 FIRST AVE NO 27091 | NEW YORK | NY | 10128 | N/A | PC | Latet Panim/Giving a Face to the Fallen | $500 |
| CHC CREATING HEALTHIER COMMUNITIES | |||||||
| 1199 N FAIRFAX ST STE 600 | ALEXANDRIA | VA | 22314 | N/A | PC | United Sommeliers Foundation | $1,000 |
| CHILDRENS MUSEUM OF SONOMA COUNTY | |||||||
| PO BOX 6141 | SANTA ROSA | CA | 95406 | N/A | PC | General & Unrestricted | $2,500 |
| DALLAS THEATER CENTER | |||||||
| 2400 FLORA ST | DALLAS | TX | 75201 | N/A | PC | General & Unrestricted | $500 |
| FOOD LITERACY CENTER | |||||||
| 2973 3RD AVE | SACRAMENTO | CA | 95817 | N/A | PC | General & Unrestricted | $500 |
| HUMANE SOCIETY OF SONOMA COUNTY | |||||||
| PO BOX 1296 | SANTA ROSA | CA | 95402 | N/A | PC | General & Unrestricted | $500 |
| MINNESOTA FREEDOM FUND INC | |||||||
| PO BOX 6398 | MINNEAPOLIS | MN | 55406 | N/A | PC | General & Unrestricted | $1,000 |
| PTA CALIFORNIA CONGRESS OF PARENTS TEACHERS & STUD | |||||||
| 471 KNIGHT WAY | LA CANADA FLT | CA | 91011 | N/A | PC | General & Unrestricted | $200 |
| SAINT JOHNS PROGRAM FOR REAL CHANGE | |||||||
| 2443 FAIR OAKS BLVD 369 | SACRAMENTO | CA | 95825 | N/A | PC | General & Unrestricted | $500 |
| SONOMA ACADEMY | |||||||
| 2500 FARMERS LN | SANTA ROSA | CA | 95404 | N/A | PC | General & Unrestricted | $12,500 |
| SONOMA COUNTRY DAY SCHOOL | |||||||
| 4400 DAY SCHOOL PL | SANTA ROSA | CA | 95403 | N/A | PC | General & Unrestricted | $5,000 |
| SPCA INTERNATIONAL INC | |||||||
| 242 W 30TH ST | NEW YORK | NY | 10001 | N/A | PC | General & Unrestricted | $500 |
| THE GIVING KITCHEN INITIATIVE INC | |||||||
| 513 EDGEWOOD AVE SE STE 100 | ATLANTA | GA | 30312 | N/A | PC | General & Unrestricted | $500 |
| UNIVERSITY OF ROCHESTER | |||||||
| 300 E RIVER RD PO BOX 270032 | ROCHESTER | NY | 14627 | N/A | PC | UR Medical Center - Academic Programs | $1,000 |
| YOUNG WOMENS CHRISTIAN ASSOCIATION OF SONOMA COUNT | |||||||
| PO BOX 3506 | SANTA ROSA | CA | 95402 | N/A | PC | General & Unrestricted | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $27,700 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $9 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Div And Int From Sec Part VII | DivAndIntFromSecPartVIIGrp | |
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $33,483 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gain Sales Ast Oth Than Invntry | GainSalesAstOthThanInvntryGrp | |
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $33,492 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $33,492 | 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 |
Depreciation Schedule DepreciationSchedule
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ADVERA HEALTH ANALYTICS, INC | $105,000 | $110,815 |
| AL-YOURMECHANIC-FUND, LLC | $25,577 | $25,000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $9,014 | $9,014 | |
| Bank Charges | $196 | $196 | |
| State or Local Filing Fees | $25 | $25 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Interest Income from Notes | Desc |
| Revenue And Expenses Per Books | $33,483 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $33,483 | NetInvestmentIncomeAmt |
Other Notes Loans Rcvbl Long Sch OtherNotesLoansRcvblLongSch
Other Notes Loans Rcvbl Long OtherNotesLoansRcvblLongGrp (29 entries)
| Balance DueBalanceDueAmt | InterestInterestRt |
|---|---|
| ADVERA HEALTH-AQR 11013-1 | |
| $80,000 | 0 |
| ADVERA HEALTH-AQR 12913-2 | |
| $90,000 | 0 |
| ADVERA HEALTH-AQR 101113-22 | |
| $7,500 | 0 |
| ADVERA HEALTH-AQR 101513-23 | |
| $2,500 | 0 |
| ADVERA HEALTH-AQR 10316-27 | |
| $37,000 | 0 |
| ADVERA HEALTH-AQR 103013-24 | |
| $15,000 | 0 |
| ADVERA HEALTH-AQR 10913-21 | |
| $11,000 | 0 |
| ADVERA HEALTH-AQR 121113-25 | |
| $13,000 | 0 |
| ADVERA HEALTH-AQR 121120-31 | |
| $15,000 | 0 |
| ADVERA HEALTH-AQR 121420-32 | |
| $3,000 | 0 |
| ADVERA HEALTH-AQR 32713-4 | |
| $42,000 | 0 |
| ADVERA HEALTH-AQR 3813-3 | |
| $25,000 | 0 |
| ADVERA HEALTH-AQR 41013-5 | |
| $22,000 | 0 |
| ADVERA HEALTH-AQR 41213-6 | |
| $25,000 | 0 |
| ADVERA HEALTH-AQR 42613-7 | |
| $15,000 | 0 |
| ADVERA HEALTH-AQR 42913-8 | |
| $23,000 | 0 |
| ADVERA HEALTH-AQR 51413-9 | |
| $20,000 | 0 |
| ADVERA HEALTH-AQR 52313-10 | |
| $11,000 | 0 |
| ADVERA HEALTH-AQR 53113-11 | |
| $40,000 | 0 |
| ADVERA HEALTH-AQR 62413-12 | |
| $25,000 | 0 |
| ADVERA HEALTH-AQR 71213-14 | |
| $15,000 | 0 |
| ADVERA HEALTH-AQR 72913-15 | |
| $20,000 | 0 |
| ADVERA HEALTH-AQR 7513-13 | |
| $10,000 | 0 |
| ADVERA HEALTH-AQR 81313-17 | |
| $25,000 | 0 |
| ADVERA HEALTH-AQR 82813-18 | |
| $24,000 | 0 |
| ADVERA HEALTH-AQR 8513-16 | |
| $7,000 | 0 |
| ADVERA HEALTH-AQR 91013-19 | |
| $15,000 | 0 |
| ADVERA HEALTH-AQR 91616-26 | |
| $500 | 0 |
| ADVERA HEALTH-AQR 92713-20 | |
| $17,500 | 0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt |
|---|---|
| 990-PF Estimated Tax for 2020 | $1,000 |
| 990-PF Excise Tax for 2019 | $253 |
| 990-PF Extension for 2019 | $114 |
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