FURP.ORG / PUBLIC DATA EXPLORER

JOE PLUMERI FOUNDATION INC: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
JOE PLUMERI FOUNDATION INC (EIN 33-1126619)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-01
IRS object ID
202021539349100222
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)
Return2020-06-01T13:33:07-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1The Ayco Company LPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 15201AddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122125201ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN331126619EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joe Plumeri Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% AYCO COMPANY LPInCareOfNm
Business Name ControlJOEPBusinessNameControlTxt
Phone5186405000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o Ayco Company LP PO Box 15201AddressLine1Txt
CityAlbanyCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122125201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH PLUMERIPersonNm
Person TitleOFFICERPersonTitleTxt
Phone5188864000PhoneNum
Signature2020-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDarlene CheskyPreparerPersonNm
PTINP00109599PTIN
Phone5188864000PhoneNum
Preparation2020-05-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.4.182.17IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id14257320201535000000FederalOriginalSubmissionId
Federal Original Submission Id2020-06-01FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD118BCAEF4A0950F429AA6A3BB27B4F2AFBD3BFCAtSubmissionCreationDeviceId
At Submission Filing Device IdDEBE7874FC16E384AC2A40A2BBA5B23B09CCAD6EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,740,003FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$6,288InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$6,288InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$112,643DividendsRevAndExpnssAmt
Dividends Net Invst Incm$112,643DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$481,474NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$4,149,206GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$481,474CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$14,695OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$14,695OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$615,100TotalRevAndExpnssAmt
Total Net Invst Incm$615,100TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Other Expenses Rev And Expnss$29,240OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$28,990OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$29,240TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$28,990TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,922,502ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,922,502ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$2,951,742TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$28,990TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$2,922,502TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,336,642ExcessRevenueOverExpensesAmt
Net Investment Income$586,110NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$216,311SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$41,374SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$41,374SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$646,023USGovernmentObligationsBOYAmt
US Government Obligations EOY$626,849USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$634,805USGovtObligationsEOYFMVAmt
Corporate Stock BOY$3,414,777CorporateStockBOYAmt
Corporate Stock EOY$2,010,269CorporateStockEOYAmt
Corporate Stock EOYFMV$3,006,723CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,354,217CorporateBondsBOYAmt
Corporate Bonds EOY$628,407CorporateBondsEOYAmt
Corporate Bonds EOYFMV$631,500CorporateBondsEOYFMVAmt
Other Investments BOY$453,781OtherInvestmentsBOYAmt
Other Investments EOY$441,643OtherInvestmentsEOYAmt
Other Investments EOYFMV$425,286OtherInvestmentsEOYFMVAmt
Other Assets BOY$390OtherAssetsBOYAmt
Other Assets EOY$315OtherAssetsEOYAmt
Other Assets EOYFMV$315OtherAssetsEOYFMVAmt
Total Assets BOY$6,085,499TotalAssetsBOYAmt
Total Assets EOY$3,748,857TotalAssetsEOYAmt
Total Assets EOYFMV$4,740,003TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$6,085,499CapitalStockBOYAmt
Capital Stock EOY$3,748,857CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$6,085,499TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,748,857TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$6,085,499TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,748,857TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$6,085,499TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,336,642ExcessRevenueOverExpensesAmt
Subtotal$3,748,857SubtotalAmt
Tot Net Ast Or Fund Balances EOY$3,748,857TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
GS #844P$268,253$264,380$3,873$3,873
GS #029P$1,853,590$1,458,375$395,215$395,215
GS #030P$546,973$472,187$74,786$74,786
GS #031P$1,480,390$1,472,790$7,600$7,600
FieldValueIRS element (for citing)
Capital Gain Net Income$481,474CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$2,657,075AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$8,146,525NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.326161DistributionYr1Rt
Adjusted Qlfy Distri Yr2$2,915,111AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$10,562,882NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.275977DistributionYr2Rt
Adjusted Qlfy Distri Yr3$3,351,632AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$12,926,695NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.25928DistributionYr3Rt
Adjusted Qlfy Distri Yr4$2,964,328AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$17,063,415NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.173724DistributionYr4Rt
Adjusted Qlfy Distri Yr5$1,312,531AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$17,924,358NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.073226DistributionYr5Rt
Total Distribution1.108368TotalDistributionRt
Average Distribution0.221674AverageDistributionRt
Net Vl Noncharitable Assets$6,071,700NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$1,345,938AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$5,861NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$1,351,799AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$2,922,502QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$5,861InvestmentIncomeExciseTaxAmt
Subtotal$5,861SubtotalAmt
Tax Based On Investment Income$5,861TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,275EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$10,000ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$12,275TotalPaymentsAndCreditsAmt
Overpayment$6,414OverpaymentAmt
Applied To ES Tax$6,414AppliedToESTaxAmt

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 StateNYOrgReportOrRegisterStateCd
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
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1AYCO COMPANY LPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5188864000PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1100 COLISEUM DRIVEAddressLine1Txt
CityCOHOESCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12047ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOSEPH J PLUMERI
c/o Ayco Company LP PO Box 15201AlbanyNY122125201PRESIDENT1.0$0$0$0
Susan E Plumeri
c/o Ayco Company LP PO Box 15201AlbanyNY122125201VICE PRESIDENT1.0$0$0$0
Lewis Eisenberg
c/o Ayco Company LP PO Box 15201AlbanyNY122125201Director1.0$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1PLEASE NOTE, THE FOUNDATION IS NOT INVOLVED IN ANY DIRECT CHARITABLE ACTIVITIES. ITS PRIMARY PURPOSE IS TO SUPPORT, BY CONTRIBUTIONS, OTHER CHARITABLE ORGANIZATIONS EXEMPTDescription1Txt
Description2UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).Description2Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$5,423,130AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$320,263AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$420,769FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$6,164,162TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$6,164,162AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$92,462CashDeemedCharitableAmt
Net Vl Noncharitable Assets$6,071,700NetVlNoncharitableAssetsAmt
Minimum Investment Return$303,585MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$303,585MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,861TaxBasedOnInvestmentIncomeAmt
Total Tax$5,861TotalTaxAmt
Distributable Before Adj$297,724DistributableBeforeAdjAmt
Distributable Before Ded$297,724DistributableBeforeDedAmt
Distributable As Adjusted$297,724DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,922,502ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$2,922,502QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$5,861PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$2,916,641AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$297,724DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12017PriorYear1Yr
Prior Year22016PriorYear2Yr
Prior Year32015PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$501,944ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,132,532ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,709,113ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$2,393,831ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$2,253,603ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$9,991,023TotalExcessDistributionCyovAmt
Qualifying Distributions$2,922,502QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$297,724AppliedToCurrentYearAmt
Remaining Distri From Corpus$2,624,778RemainingDistriFromCorpusAmt
Total Corpus$12,615,801TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$501,944ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$12,113,857ExcessDistriCyovToNextYrAmt
Excess From Year4$2,132,532ExcessFromYear4Amt
Excess From Year3$2,709,113ExcessFromYear3Amt
Excess From Year2$2,393,831ExcessFromYear2Amt
Excess From Year1$2,253,603ExcessFromYear1Amt
Excess From Current Year$2,624,778ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJOSEPH J PLUMERIContributingManagerNm
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 Line1SEE ATTACHMENTBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1C/O THE AYCO COMPANY PO BOX 15201AddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122125201ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution Purposegeneral charitable purposesGrantOrContributionPurposeTxt
Amt$2,922,502Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,922,502TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$6,288ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$112,643ExclusionAmt
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 VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$14,695ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$481,474ExclusionAmt
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$615,100ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$615,100TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line NumberN/ALineNumberTxt
Relationship StatementNOT APPLICABLERelationshipStatementTxt

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

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Other Program Related Invst AllOtherProgramRelatedInvstGrp

FieldValueIRS element (for citing)
DescNONEDesc

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
GOLDMAN SACHS #031-CORP. BONDS$578,430$580,745
GOLDMAN SACHS #031-FORG. BONDS$49,977$50,755

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
GOLDMAN SACHS #844$0$0
GOLDMAN SACHS #029$1,485,164$2,365,580
GOLDMAN SACHS #030$525,105$641,143

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$626,849USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$634,805USGovtObligationsEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemFIDELIS INVESTORS OFFSHORECategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$441,643BookValueAmt
EOYFMV$425,286EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
DIVIDENDS RECEIVABLE$390$253$253
ACCRUED INTEREST PD CARRYOVER$0$62$62

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
INVESTMENT FEES$28,990$28,990
NYS FILING FEES$250

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescInvestment Income - FidelisDesc
Revenue And Expenses Per Books$14,695RevenueAndExpensesPerBooksAmt
Net Investment Income$14,695NetInvestmentIncomeAmt