FURP.ORG / PUBLIC DATA EXPLORER

MICHAEL P & LORENA K SCHMITT TRUST FOR GOOD SAMARITAN HOME: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MICHAEL P & LORENA K SCHMITT TRUST FOR GOOD SAMARITAN HOME (EIN 35-6396176)
Tax period
2018-10-01 to 2019-09-30
Filed
2019-12-06
IRS object ID
201923409349100102
Schema version
2018v3.0
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)
Return2019-12-06T11:00:22-06:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010604131PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TRUST PROCESSING SOLUTIONSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 894AddressLine1Txt
CityMILFORDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP451500894ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN356396176EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCHMITT FBO GOOD SAMARITAN XXX-XX-XXXXBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSCHMBusinessNameControlTxt
Phone8124641584PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 207AddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP477020207ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonOLD NATIONAL WEALTH MANAGEMENTPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8124641584PhoneNum
Signature2019-11-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUG HARTPreparerPersonNm
PTINP00241831PTIN
Phone5137748805PhoneNum
Preparation2019-11-25PreparationDt
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$155,513FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Dividends Rev And Expnss$2,717DividendsRevAndExpnssAmt
Dividends Net Invst Incm$2,717DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$13,724NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$43,672GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$13,724CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$16,441TotalRevAndExpnssAmt
Total Net Invst Incm$16,441TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$1,931CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$365CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$1,566CompOfcrDirTrstDsbrsChrtblAmt
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
Accounting Fees Rev And Expnss$1,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$1,000AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$181TaxesRevAndExpnssAmt
Taxes Net Invst Incm$38TaxesNetInvstIncmAmt
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
Tot Opr Expenses Rev And Expnss$3,112TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$403TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,566TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$6,200ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$6,200ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$9,312TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$403TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$8,766TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$7,129ExcessRevenueOverExpensesAmt
Net Investment Income$16,038NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$123,361OtherInvestmentsBOYAmt
Other Investments EOY$130,488OtherInvestmentsEOYAmt
Other Investments EOYFMV$155,513OtherInvestmentsEOYFMVAmt
Total Assets BOY$123,361TotalAssetsBOYAmt
Total Assets EOY$130,488TotalAssetsEOYAmt
Total Assets EOYFMV$155,513TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$123,361CapitalStockBOYAmt
Capital Stock EOY$130,488CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$123,361TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$130,488TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$123,361TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$130,488TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$123,361TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$7,129ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$130,490SubtotalAmt
Other Decreases$2OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$130,488TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (58 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
.378 CARILLON EAGLE SMALL CAP GROWTH CL I FD #39332016-08-092018-12-10$23$21$2$2
6.268 DELAWARE VALUE INSTL FD #4592018-09-102018-12-10$134$143-$9-$9
.881 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #232012-01-182018-12-10$29$24$5$5
1.18 FEDERATED CLOVER SMALL VALUE CL IS FD #6592016-08-092018-12-10$22$29-$7-$7
2.09 OAKMARK INTL INSTL FD #28862017-06-062018-12-10$46$55-$9-$9
.307 JANUS HENDERSON ENTERPRISE CL I FD #1022016-04-212018-12-10$37$28$9$9
1.684 JPMORGAN US SMALL COMPANY CL L FD #13842016-12-202018-12-10$30$31-$1-$1
4.719 CLEARBRIDGE LARGE CAP VALUE CL I FD #32012-11-302018-12-10$141$95$46$46
1.305 OPPENHEIMER INTL GROWTH CL I FD #19612017-06-062018-12-10$46$53-$7-$7
9.938 PIMCO MODERATE DURATION INSTL FUND #1202010-05-122018-12-10$99$107-$8-$8
2.116 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #70072014-01-272018-12-10$52$43$9$9
2.045 ROWE T PRICE BLUE CHIP GROWTH2010-08-312018-12-10$210$62$148$148
11.934 VANGUARD SHORT TERM BOND INDEX ADM FD #51322010-05-122018-12-10$122$126-$4-$4
9.982 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #53142017-06-062018-12-10$109$115-$6-$6
.555 VANGUARD VALUE INDEX ADM FD #5062018-01-292018-12-10$22$24-$2-$2
1.943 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #2032016-04-212018-12-10$74$62$12$12
78.343 PIMCO MODERATE DURATION INSTL FUND #1202010-05-122019-01-24$785$845-$60-$60
90.204 VANGUARD SHORT TERM BOND INDEX ADM FD #51322015-02-192019-01-24$930$949-$19-$19
77.687 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #53142017-06-062019-01-24$860$891-$31-$31
1.362 CARILLON EAGLE SMALL CAP GROWTH CL I FD #39332018-01-292019-05-23$70$90-$20-$20
2.734 JANUS HENDERSON ENTERPRISE CL I FD #1022016-04-212019-05-23$360$245$115$115
16.954 CLEARBRIDGE LARGE CAP VALUE CL I FD #32012-11-302019-05-23$540$341$199$199
2.48 OPPENHEIMER INTL GROWTH CL I FD #19612018-01-292019-05-23$95$114-$19-$19
2.641 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #70072014-01-272019-05-23$65$53$12$12
10.756 ROWE T PRICE BLUE CHIP GROWTH2010-08-312019-05-23$1,195$327$868$868
345.933 VANGUARD SHORT TERM BOND INDEX ADM FD #51322017-06-062019-05-23$3,615$3,635-$20-$20
6.143 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #2032018-01-292019-05-23$230$208$22$22
5.73 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #70632018-01-292019-06-12$227$264-$37-$37
2.222 CARILLON EAGLE SMALL CAP GROWTH CL I FD #39332018-01-292019-06-12$116$129-$13-$13
32.782 DELAWARE VALUE INSTL FD #4592018-09-102019-06-12$693$749-$56-$56
4.99 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #232018-01-292019-06-12$177$213-$36-$36
6.023 FEDERATED CLOVER SMALL VALUE CL IS FD #6592018-01-292019-06-12$116$160-$44-$44
10.202 OAKMARK INTL INSTL FD #28862018-01-292019-06-12$227$316-$89-$89
1.413 JANUS HENDERSON ENTERPRISE CL I FD #1022016-04-212019-06-12$193$127$66$66
9.733 JPMORGAN US SMALL COMPANY CL L FD #13842018-01-292019-06-12$154$190-$36-$36
22.528 CLEARBRIDGE LARGE CAP VALUE CL I FD #32012-11-302019-06-12$731$453$278$278
49.849 PIMCO MODERATE DURATION INSTL FUND #1202010-05-122019-06-12$513$537-$24-$24
10.743 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #70072014-01-272019-06-12$269$217$52$52
9.513 ROWE T PRICE BLUE CHIP GROWTH2010-08-312019-06-12$1,076$261$815$815
43.924 VANGUARD SHORT TERM BOND INDEX ADM FD #51322017-06-062019-06-12$462$461$1$1
63.539 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #53142014-09-262019-06-12$736$723$13$13
.239 VANGUARD VALUE INDEX ADM FD #5062018-01-292019-06-12$10$11-$1-$1
2.474 VANGUARD VALUE INDEX ADM FD #5062018-01-292019-06-12$105$109-$4-$4
10.022 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #2032016-04-212019-06-12$386$321$65$65
1.718 CARILLON EAGLE SMALL CAP GROWTH CL I FD #39332016-08-092019-09-18$90$94-$4-$4
53.596 DELAWARE VALUE INSTL FD #4592018-09-102019-09-18$1,185$1,225-$40-$40
12.047 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #232018-01-292019-09-18$435$515-$80-$80
16.641 FEDERATED CLOVER SMALL VALUE CL IS FD #6592018-01-292019-09-18$325$432-$107-$107
.214 OAKMARK INTL INSTL FD #28862018-01-292019-09-18$5$7-$2-$2
68.209 JPMORGAN US SMALL COMPANY CL L FD #13842018-01-292019-09-18$1,135$1,272-$137-$137
59.755 CLEARBRIDGE LARGE CAP VALUE CL I FD #32012-11-302019-09-18$2,000$1,200$800$800
32.32 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #70072018-09-102019-09-18$840$697$143$143
70.642 ROWE T PRICE BLUE CHIP GROWTH2018-09-102019-09-18$8,275$2,286$5,989$5,989
426.695 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #53142018-01-292019-09-18$5,035$4,820$215$215
.736 VANGUARD VALUE INDEX ADM FD #5062019-05-232019-09-18$32$30$2$2
63.459 VANGUARD VALUE INDEX ADM FD #5062018-01-292019-09-18$2,778$2,790-$12-$12
19.786 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #2032016-04-212019-09-18$795$634$161$161
CAPITAL GAIN DIVIDENDS$4,620P
FieldValueIRS element (for citing)
Capital Gain Net Income$13,724CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$14,115AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$117,094NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.120544DistributionYr1Rt
Adjusted Qlfy Distri Yr2$5,356AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$76,735NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.069799DistributionYr2Rt
Adjusted Qlfy Distri Yr3$1,867AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$70,917NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.026327DistributionYr3Rt
Adjusted Qlfy Distri Yr4$4,133AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$76,808NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.053809DistributionYr4Rt
Adjusted Qlfy Distri Yr5$3,933AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$77,542NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.050721DistributionYr5Rt
Total Distribution0.3212TotalDistributionRt
Average Distribution0.06424AverageDistributionRt
Net Vl Noncharitable Assets$151,766NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$9,749AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$160NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$9,909AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$8,766QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$321InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$321SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$321TaxBasedOnInvestmentIncomeAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$321TaxDueAmt
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 StateINOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1OLD NATIONAL WEALTH MANAGEMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8124641584PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 207AddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47702ZIPCd
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 PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
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)
PersonOLD NATIONAL WEALTH MANAGEMENTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 207AddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47702ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos2AverageHrsPerWkDevotedToPosRt
Compensation$1,931CompensationAmt
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$154,077AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$154,077TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$154,077AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,311CashDeemedCharitableAmt
Net Vl Noncharitable Assets$151,766NetVlNoncharitableAssetsAmt
Minimum Investment Return$7,588MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$7,588MinimumInvestmentReturnAmt
Tax Based On Investment Income$321TaxBasedOnInvestmentIncomeAmt
Total Tax$321TotalTaxAmt
Distributable Before Adj$7,267DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$7,267DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$7,267DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$8,766ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$8,766QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$8,766AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$7,267DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$160ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$390ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,577ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$8,552ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$10,679TotalExcessDistributionCyovAmt
Qualifying Distributions$8,766QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$7,267AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,499RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$12,178TotalCorpusAmt
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$160ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$12,018ExcessDistriCyovToNextYrAmt
Excess From Year4$390ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$1,577ExcessFromYear2Amt
Excess From Year1$8,552ExcessFromYear1Amt
Excess From Current Year$1,499ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNAContributingManagerNm
Shareholder ManagerNAShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN HOMEBusinessNameLine1Txt
Business Name Line2ATTN JESSICA WESTBusinessNameLine2Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1601 N BOEKE RDAddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47711ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposePROGRAM SUPPORTGrantOrContributionPurposeTxt
Amt$6,200Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$6,200TotalGrantOrContriPdDurYrAmt

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$2,717ExclusionAmt
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$13,724ExclusionAmt
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$16,441ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$16,441TotalIncomeProducingActyAmt
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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$1,000Amt
Disbursements Charitable Prps$1,000DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescROUNDINGDesc
Amt$2Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL TAX PAYMENT - PRIOR YE$143$0$0
FOREIGN TAXES ON QUALIFIED FOR$38$38$0