BERGSTROM FAMILY FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BERGSTROM FAMILY FOUNDATION (EIN 76-0563582)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-14
IRS object ID
202021359349100602
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-14T07:28:28-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11111 BAGBY STREET SUITE 4500AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77002ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760563582EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE BERGSTROM FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBERGBusinessNameControlTxt
Phone7138650381PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line123 ELOQUENCE WAYAddressLine1Txt
CityTHE WOODLANDSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77382ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN BERGSTROMPersonNm
Person TitlePRESIDENT/CHAIRMANPersonTitleTxt
Phone7138650381PhoneNum
Signature2020-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRINDA CORBINPreparerPersonNm
PTINP00747421PTIN
Phone7139822000PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,015,324FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$499,883ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$159,542DividendsRevAndExpnssAmt
Dividends Net Invst Incm$159,542DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$41,523NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$750,117GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$352,902CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$617,902TotalRevAndExpnssAmt
Total Net Invst Incm$512,444TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$5,550AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,550AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$3,486TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,486TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$9,036TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$9,036TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$260,400ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$260,400ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$269,436TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$9,036TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$260,400TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$348,466ExcessRevenueOverExpensesAmt
Net Investment Income$503,408NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$35,205CashBOYAmt
Cash EOY$34,498CashEOYAmt
Cash EOYFMV$34,498CashEOYFMVAmt
Corporate Stock BOY$3,802,258CorporateStockBOYAmt
Corporate Stock EOY$4,149,326CorporateStockEOYAmt
Corporate Stock EOYFMV$4,980,826CorporateStockEOYFMVAmt
Total Assets BOY$3,837,463TotalAssetsBOYAmt
Total Assets EOY$4,183,824TotalAssetsEOYAmt
Total Assets EOYFMV$5,015,324TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$3,837,463RetainedEarningBOYAmt
Retained Earning EOY$4,183,824RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,837,463TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,183,824TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,837,463TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,183,824TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,837,463TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$348,466ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,185,929SubtotalAmt
Other Decreases$2,105OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,183,824TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (7 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtAcquiredAcquiredDt
9940 SHS BLACKSTONE GROUP INCP2019-09-06$496,437$105,458$390,979$390,979
DOUBLE LINE TOTAL RETURN FUND NP2019-10-30$9,605$9,508$97$972017-01-26
EATON VANCE LTD DURATION INCOME FUNDP2019-11-19$118,938$129,385-$10,447-$10,447
VANGUARD ENERGY ETFP2019-11-19$72,577$100,418-$27,841-$27,8412017-01-25
DOUBLE LINE TOTAL RETURN FUND NP2019-12-05$46,000$45,706$294$2942017-01-26
EATON VANCE LTD DURATION INCOME FUNDP2019-11-19$4,897$4,895$2$2
VANGUARD ENERGY ETFP2019-11-19$1,663$1,845-$182-$182
FieldValueIRS element (for citing)
Capital Gain Net Income$352,902CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$254,400AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$4,078,876NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.062370DistributionYr1Rt
Adjusted Qlfy Distri Yr2$308,979AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,736,971NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.082682DistributionYr2Rt
Adjusted Qlfy Distri Yr3$691,342AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,379,134NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.204591DistributionYr3Rt
Adjusted Qlfy Distri Yr4$612,628AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,359,793NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.182341DistributionYr4Rt
Adjusted Qlfy Distri Yr5$305,024AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,357,379NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.090852DistributionYr5Rt
Total Distribution0.622836TotalDistributionRt
Average Distribution0.124567AverageDistributionRt
Net Vl Noncharitable Assets$4,473,769NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$557,284AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$5,034NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$562,318AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$260,400QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$10,068InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$10,068SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$10,068TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$7,721EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$7,721TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Tax Due$2,347TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateTXOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksSTEPHEN BERGSTROMIndividualWithBooksNm
Phone7138650381PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line123 ELOQUENCE WAYAddressLine1Txt
CityTHE WOODLANDSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77382ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STEPHEN BERGSTROM
23 ELOQUENCE WAYTHE WOODLANDSTX77382PRESIDENT/CHAIRMAN0.00$0$0$0
DEBORA BERGSTROM
23 ELOQUENCE WAYTHE WOODLANDSTX77382VP & TREASURER0.00$0$0$0
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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,493,823AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$48,074AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,541,897TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,541,897AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$68,128CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,473,769NetVlNoncharitableAssetsAmt
Minimum Investment Return$223,688MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$223,688MinimumInvestmentReturnAmt
Tax Based On Investment Income$10,068TaxBasedOnInvestmentIncomeAmt
Total Tax$10,068TotalTaxAmt
Distributable Before Adj$213,620DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$213,620DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$213,620DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$260,400ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$260,400QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$260,400AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$213,620DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$140,341ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$462,782ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$527,357ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$132,947ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$57,767ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,321,194TotalExcessDistributionCyovAmt
Qualifying Distributions$260,400QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$213,620AppliedToCurrentYearAmt
Remaining Distri From Corpus$46,780RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,367,974TotalCorpusAmt
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$140,341ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,227,633ExcessDistriCyovToNextYrAmt
Excess From Year4$462,782ExcessFromYear4Amt
Excess From Year3$527,357ExcessFromYear3Amt
Excess From Year2$132,947ExcessFromYear2Amt
Excess From Year1$57,767ExcessFromYear1Amt
Excess From Current Year$46,780ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
DOLLARS FOR SCHOLARS
406 SW SCHOOL STREETANKENYIA50023N/AOTHER PUBLIC CHARITYGENERAL FUND$1,200
FIRST METHODIST CONROE
4308 W DAVIS STCONROETX77304N/AOTHER PUBLIC CHARITYGENERAL FUND$1,000
IOWA STATE UNIVERSITY FOUNDATION
2229 LINCOLN WAYAMESIA50014N/AOTHER PUBLIC CHARITYISU CYCLONE CLUB / OPERATING FUND$196,700
KINGWOOD FALLEN HEROES
1700 LAKE KINGWOOD TRAILKINGWOODTX77339N/AOTHER PUBLIC CHARITYGENERAL FUND$1,000
MD ANDERSON CANCER CENTER
PO BOX 4486HOUSTONTX77210N/AOTHER PUBLIC CHARITYGENERAL FUND$10,000
MAKE-A-WISH FOUNDATION
3550 N CENTRAL AVE STE 300PHOENIXAZ85012N/AOTHER PUBLIC CHARITYGENERAL FUND$1,000
MEALS ON WHEELS
121 WEST NYACK ROADNANUETNY10954N/AOTHER PUBLIC CHARITYGENERAL FUND$1,000
SALVATION ARMY
615 SLATERS LANEALEXANDRIAVA22313N/AOTHER PUBLIC CHARITYGENERAL FUND$13,500
STRINGS MUSIC FESTIVAL
PO BOX 774627STEAMBOAT SPRINGSCO80477N/AOTHER PUBLIC CHARITYGENERAL FUND$5,000
TEXAS CHILDREN'S HOSPITAL
6621 FANNIN STHOUSTONTX77030N/AOTHER PUBLIC CHARITYGENERAL FUND$10,000
THE WOODLANDS UNITED METHODIST CHURCH
2200 LAKE WOODLANDS DRIVETHE WOODLANDSTX77380N/AOTHER PUBLIC CHARITYGENERAL FUND$10,000
UNITED WAY
50 WAUGH DRHOUSTONTX77007N/AOTHER PUBLIC CHARITYGENERAL FUND$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$260,400TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$159,542ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$41,523ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$118,019ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$118,019TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREP FEESCategoryTxt
Amt$5,550Amt
Net Investment Income$5,550NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockUBS ACCOUNTSStockNm
EOY Book Value$4,149,326EOYBookValueAmt
EOYFMV$4,980,826EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescTIMING DIFFERENCESDesc
Amt$2,105Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXES PAIDCategoryTxt
Amt$3,486Amt
Net Investment Income$3,486NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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