WARREN AND ZOANN LITTLE DUSENBURY: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- WARREN AND ZOANN LITTLE DUSENBURY (EIN 34-6847641)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-06-10
- IRS object ID
- 202001629349100500
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-06-10T06:33:08-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 OAKRIDGE DR | AddressLine1Txt |
| City | FORT COLLINS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80525 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 346847641 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARREN AND ZOANN LITTLE DUSENBURY | BusinessNameLine1Txt |
| Business Name Line2 | CHARITY TRUST | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WARR | BusinessNameControlTxt |
| Phone | 9169895472 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5938 ALMOND AVENUE | AddressLine1Txt |
| City | ORANGEVALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95662 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WYNNE ODELL | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 9169895472 | PhoneNum |
| Signature | 2020-05-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL W GRELL | PreparerPersonNm |
| PTIN | P00237769 | PTIN |
| Phone | 9702825400 | PhoneNum |
| Preparation | 2020-05-19 | PreparationDt |
| 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 | $9,422,149 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $72,767 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $72,767 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $72,767 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $129,258 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $129,258 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $129,258 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $256,875 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,426,014 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $256,875 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $458,900 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $458,900 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $202,025 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,200 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $220 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Interest Rev And Expnss | $4,488 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $4,488 | InterestNetInvstIncmAmt |
| Interest Adj Net Incm | $0 | InterestAdjNetIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $3,394 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $3,394 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $46,633 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $46,633 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $56,715 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $54,735 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $390,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $390,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $446,715 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $54,735 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $390,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $12,185 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $404,165 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $202,025 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $189,589 | CashBOYAmt |
| Cash EOY | $153,191 | CashEOYAmt |
| Cash EOYFMV | $153,191 | CashEOYFMVAmt |
| US Government Obligations BOY | $831,192 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $749,252 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $746,322 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $4,008,681 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,996,456 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $6,443,386 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,516,992 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,777,444 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,824,300 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $376,210 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $245,600 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $254,950 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $6,922,664 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,921,943 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $9,422,149 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $6,922,664 | CapitalStockBOYAmt |
| Capital Stock EOY | $6,921,943 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,922,664 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $6,921,943 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,922,664 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $6,921,943 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,922,664 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $12,185 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $6,934,849 | SubtotalAmt |
| Other Decreases | $12,906 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $6,921,943 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| FIRST NATIONAL BANK | P | 2019-01-01 | 2019-12-31 | $78,941 | $83,948 | -$5,007 | -$5,007 |
| FIRST NATIONAL BANK | P | 2015-01-01 | 2019-12-31 | $1,345,000 | $1,085,191 | $259,809 | $259,809 |
| FIRST NATIONAL BANK | P | 2018-01-01 | 2019-12-31 | $2,073 | $2,073 | $2,073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $256,875 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | -$5,007 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $467,702 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $8,338,709 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.056088 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $354,000 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $8,336,757 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.042463 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $418,997 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $8,329,960 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.050300 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $434,255 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $8,636,252 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.050283 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $422,801 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $8,430,132 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.050154 | DistributionYr5Rt |
| Total Distribution | 0.249288 | TotalDistributionRt |
| Average Distribution | 0.049858 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $8,628,744 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $430,212 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $4,042 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $434,254 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $390,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $8,083 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $8,083 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $8,083 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,390 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $4,390 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $3,693 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CO | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | WARREN DUSENBURY | IndividualWithBooksNm |
| Phone | 9169895472 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5938 ALMOND AVENUE | AddressLine1Txt |
| City | ORANGEVALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95662 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | Yes (1) | UndistributedIncomePYInd |
| Undistributed Income PY1 | 2016 | UndistributedIncomePY1Yr |
| Undistr Incm Sect4942a2 Not App | Yes (1) | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | 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 |
|---|---|---|---|---|---|---|---|---|
| WYNNE ODELL | ||||||||
| 1966 LAKEVIEW DRIVE | FORT COLLINS | CO | 80524 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| WARREN DUSENBURY | ||||||||
| 5938 ALMOND AVENUE | ORANGEVALE | CA | 95662 | TRUSTEE | 0.00 | $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 |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $8,588,755 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $171,391 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,760,146 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,760,146 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $131,402 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,628,744 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $431,437 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $431,437 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $8,083 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $8,083 | TotalTaxAmt |
| Distributable Before Adj | $423,354 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $423,354 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $423,354 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $390,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $390,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $390,000 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $423,354 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Prior Year1 | 2016 | PriorYear1Yr |
| Total For Prior Years | $61,092 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $9,112 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $39,770 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $4,372 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $59,363 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $112,617 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $390,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $390,000 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $33,354 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $33,354 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $79,263 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $61,092 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $61,092 | 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 | $79,263 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $15,528 | ExcessFromYear4Amt |
| Excess From Year3 | $4,372 | ExcessFromYear3Amt |
| Excess From Year1 | $59,363 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | WARREN DUSENBURY | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5938 ALMOND AVENUE | AddressLine1Txt |
| City | ORANGEVALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95662 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 9169895472 | RecipientPhoneNum |
| Form And Info And Materials | ANY FORM OF APPLICATION IS ACCEPTABLE. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| BAS BLEU THEATRE COMPANY | ||||||
| 401 PINE STREET | FORT COLLINS | CO | 80524 | 501(C)(3) | GIFT | $10,000 |
| BOOK TRUST | ||||||
| 789 SHERMAN ST STE 300A | DENVER | CO | 80203 | 501(C)(3) | GIFT | $25,000 |
| CASE WESTERN RESERVE UNIVERSITY | ||||||
| 11000 CEDAR AVENUE ROOM 300 | CLEVELAND | OH | 441067035 | 501(C)(3) | ALZHEIMER'S FUND | $10,000 |
| CLEVELAND KIDS' BOOK BANK | ||||||
| 3635 PERKINS AVE STE 1E | CLEVELAND | OH | 44114 | 501(C)(3) | GENERAL FUND | $5,000 |
| COLORADO OPEN LANDS | ||||||
| 1546 COLE BLVD | LAKEWOOD | CO | 80401 | 501(C)(3) | GIFT | $10,000 |
| CONSERVANCY FOR CUYAHOGA VALLEY NATIONAL PARK | ||||||
| 1403 WEST HINES HILL ROAD | PENINSULA | OH | 44264 | 501(C)(3) | GIFT | $15,000 |
| HAWKEN SCHOOL | ||||||
| PO BOX 8002 | GATES MILLS | OH | 44040 | 501(C)(3) | SCHOLARSHIP FUND | $80,000 |
| LAND TRUST ALLIANCE | ||||||
| 1250 H STREET NW SST 600 | WASHINGTON | DC | 20005 | 501(C)(3) | GIFT | $10,000 |
| LEGAL AID SOCIETY OF CLEVELAND | ||||||
| 1223 WEST 6TH STREET | CLEVELAND | OH | 44113 | 501(C)(3) | GIFT | $20,000 |
| LIVING LANDS AND WATERS | ||||||
| 17624 ROUTE 84 N | EAST MOLINE | IL | 61244 | 501(C)(3) | GIFT | $10,000 |
| NATURE CENTER AT SHAKER LAKES | ||||||
| 2600 S PARK BLVD | CLEVELAND | OH | 44120 | 501(C)(3) | GIFT | $10,000 |
| OHIO ENVIRONMENTAL COUNCIL | ||||||
| 1145 CHESAPEAKE AVE STE I | COLUMBUS | OH | 43212 | 501(C)(3) | GIFT | $20,000 |
| OPEN STAGE THEATER | ||||||
| PO BOX 617 | FORT COLLINS | CO | 80522 | 501(C)(3) | GENERAL FUND | $10,000 |
| OVARIAN CANCER RESEARCH FUND ALLIANCE | ||||||
| PO BOX 32141 | NEW YORK | NY | 100872141 | 501(C)(3) | CANCER RESEARCH | $15,000 |
| PETS FOREVER - CSU | ||||||
| 1601 CAMPUS DELIVERY 101 PHYSIOLOGY | FORT COLLINS | CO | 80523 | 501(C)(3) | GIFT | $10,000 |
| PROJECT SELF SUFFICIENCY | ||||||
| 2001 SOUTH SHIELDS ST D-203 | FORT COLLINS | CO | 80526 | 501(C)(3) | GIFT | $20,000 |
| SMITH COLLEGE | ||||||
| 33 ELM ST | NORTHAMPTON | MA | 01063 | 501(C)(3) | SCHOLARSHIP FUND | $20,000 |
| WESTERN RESERVE LAND CONSERVANCY | ||||||
| 3850 CHAGRIN RIVER RD | MORELAND HILLS | OH | 44022 | 501(C)(3) | GIFT | $84,000 |
| BIRCHWOOD SCHOOL OF HAWKEN | ||||||
| 4400 WEST 140TH ST | CLEVELAND | OH | 44135 | 501(C)(3) | SCHOLARSHIP FUND | $6,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $390,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $72,767 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $129,258 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $256,875 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $458,900 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $458,900 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 3 | NOT APPLICABLE |
| 8 | NOT APPLICABLE |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEES | CategoryTxt |
| Amt | $2,200 | Amt |
| Net Investment Income | $220 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | FIRST NATIONAL BANK | BondNm |
| EOY Book Value | $1,777,444 | EOYBookValueAmt |
| EOYFMV | $1,824,300 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | FIRST NATIONAL BANK | StockNm |
| EOY Book Value | $3,996,456 | EOYBookValueAmt |
| EOYFMV | $6,443,386 | EOYFMVAmt |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $749,252 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $746,322 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | FIRST NATIONAL BANK | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $245,600 | BookValueAmt |
| EOYFMV | $254,950 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADJUSTMENT TO THE BASIS OF ASSETS | Desc |
| Amt | $12,906 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER DEDUCTIONS | Desc |
| Revenue And Expenses Per Books | $46,633 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $46,633 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAXES | CategoryTxt |
| Amt | $3,394 | Amt |
| Net Investment Income | $3,394 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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