GORSKI FAMILY FOUNDATION: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- GORSKI FAMILY FOUNDATION (EIN 34-1783570)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-08
- IRS object ID
- 202021909349101042
- 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
- Schedule B
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-08T14:53:59-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383635706 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHMANN ROBSON LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7124 W CENTRAL AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43617 | 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 | 341783570 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GORSKI FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GORS | BusinessNameControlTxt |
| Phone | 4196669455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6750 WALES ROAD | AddressLine1Txt |
| City | NORTHWOOD | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43619 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANE A KERVIN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4196669455 | PhoneNum |
| Signature | 2020-07-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ADAM P WILLIAMS CPA | PreparerPersonNm |
| PTIN | P00641847 | PTIN |
| Phone | 4198658118 | PhoneNum |
| Preparation | 2020-07-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.241.128.125 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-08 | IPDt |
| IP Tm | 14:53:39 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Federal Original Submission Id | 3491842020190033ae36 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-07-08 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D5AD56651018DD44698BBAC9DDC816A1959D47B9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $9,072,366 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $400,000 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $215,463 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $215,463 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $158,051 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $530,834 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $158,051 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $773,514 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $373,514 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | 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 |
| Taxes Rev And Expnss | $7,123 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $200 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $42,790 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $42,790 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $49,913 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $42,990 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $407,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $407,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $456,913 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $42,990 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $407,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $316,601 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $330,524 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $15,163 | CashBOYAmt |
| Cash EOY | $56,766 | CashEOYAmt |
| Cash EOYFMV | $56,766 | CashEOYFMVAmt |
| Corporate Stock BOY | $4,770,102 | CorporateStockBOYAmt |
| Corporate Stock EOY | $4,663,946 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $6,640,049 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,974,106 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $2,355,260 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $2,375,551 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $6,759,371 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,075,972 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $9,072,366 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $6,759,371 | RetainedEarningBOYAmt |
| Retained Earning EOY | $7,075,972 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,759,371 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $7,075,972 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,759,371 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $7,075,972 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,759,371 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $316,601 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $7,075,972 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $7,075,972 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (13 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| DFA 1 YEAR FIXED INCOME | P | 2019-02-19 | 2019-10-21 | $19,988 | $19,964 | $24 | $24 |
| VANGUARD REIT INDEX FUND | P | 2018-12-31 | 2019-10-21 | $54,988 | $46,106 | $8,882 | $8,882 |
| DFA GLOBAL EQUITY | P | 2011-11-10 | 2019-10-21 | $29,988 | $16,397 | $13,591 | $13,591 |
| DFA GLOBAL EQUITY | P | 2011-11-10 | 2019-12-26 | $5,082 | $3,764 | $1,318 | $1,318 |
| DFA GLOBAL 60/40 PORTFOLIO | P | 2010-03-09 | 2019-10-21 | $69,988 | $47,100 | $22,888 | $22,888 |
| DFA EMERGING MARKETS CORE | P | 2014-02-27 | 2019-10-21 | $9,988 | $9,298 | $690 | $690 |
| DFA INTERNATIONAL CORE PORTFOLIO | P | 2014-12-29 | 2019-10-21 | $50,988 | $45,782 | $5,206 | $5,206 |
| DFA U.S. CORE EQUITY II | P | 2016-12-30 | 2019-02-26 | $14,988 | $13,005 | $1,983 | $1,983 |
| DFA U.S. CORE EQUITY II | P | 2016-12-30 | 2019-10-21 | $96,988 | $80,841 | $16,147 | $16,147 |
| DFA U.S. CORE EQUITY II | P | 2016-12-30 | 2019-12-23 | $39,988 | $31,645 | $8,343 | $8,343 |
| VANGUARD INTERM TERM | P | 2015-10-30 | 2019-10-21 | $39,988 | $39,348 | $640 | $640 |
| DFA TARGETED CREDIT | P | 2015-06-11 | 2019-10-21 | $19,988 | $19,533 | $455 | $455 |
| CAPITAL GAINS DIVIDENDS | P | $77,884 | $77,884 | $77,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $158,051 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $24 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $268,985 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $7,957,016 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.033805 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $427,288 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $7,885,982 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.054183 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $388,820 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,598,976 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.069445 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $108,210 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $3,798,654 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.028486 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $108,500 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $3,588,347 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.030237 | DistributionYr5Rt |
| Total Distribution | 0.216156 | TotalDistributionRt |
| Average Distribution | 0.043231 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $8,207,531 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $354,820 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,305 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $358,125 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $407,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $3,305 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $3,305 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $3,305 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,205 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $5,205 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,900 | OverpaymentAmt |
| Applied To ES Tax | $1,900 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | OH | 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 | JANE A KERVIN | IndividualWithBooksNm |
| Phone | 4196669455 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6750 WALES ROAD | AddressLine1Txt |
| City | NORTHWOOD | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43619 | 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 | 0 | UndistributedIncomePYInd |
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|
| JANE A KERVIN | ||||||||
| 96000 OVERSEAS HWY N7 | KEY LARGO | FL | 33037 | PRESIDENT & TRUSTEE | 1.00 | $0 | $0 | $0 |
| CARTER NEFF | ||||||||
| 6135 TRUST DRIVE STE 115 | HOLLAND | OH | 43528 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| JOEL R GORSKI | ||||||||
| 6750 WALES ROAD | NORTHWOOD | OH | 43619 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| JUDI GORSKI | ||||||||
| 449 BLUMONT ST | LAGUNA BEACH | CA | 92651 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| MAX GORSKI | ||||||||
| 2712 CHELTENHAM | TOLEDO | OH | 43606 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| IVANNY FRANKLIN | ||||||||
| 1022 WESTWOOD AVE | CHATTANOOGA | TN | 374052326 | TRUSTEE | 1.00 | $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 | $8,296,554 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $35,965 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,332,519 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,332,519 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $124,988 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,207,531 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $410,377 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $410,377 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,305 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $3,305 | TotalTaxAmt |
| Distributable Before Adj | $407,072 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $407,072 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $407,072 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $407,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $407,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $3,305 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $403,695 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $407,072 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $54,909 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $407,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $54,909 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $352,091 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $54,981 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (42 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| AURORA PROJECT | ||||||
| 1035 N SUPERIOR ST | TOLEDO | OH | 43604 | N/A | GENERAL OPERATIONS | $2,500 |
| BETHANY HOUSE | ||||||
| PO BOX 5930 | TOLEDO | OH | 43613 | N/A | GENERAL OPERATIONS | $2,500 |
| BYC MARITIME SCIENCES & SEAMANSHIP | ||||||
| 1801 BAYSIDE DR | CORONA DE MAR | CA | 92625 | N/A | GENERAL OPERATIONS | $2,500 |
| CAMP COURAGEOUS (3RD GEN) | ||||||
| 1 STRANAHAN SQUARE | TOLEDO | OH | 43604 | N/A | GENERAL OPERATIONS | $1,000 |
| JOHN CARROLL UNIVERSITY | ||||||
| 20700 N PARK BLVD | UNIVERSITY HEIGHTS | OH | 44118 | N/A | UNIVERSITY | $3,000 |
| LAGUNA PLAYHOUSE | ||||||
| 606 LAGUNA CANYON ROAD | LAGUNA BEACH | CA | 92651 | N/A | GENERAL OPERATIONS | $5,000 |
| LEUKEMIA & LYMPHOMA (NG) | ||||||
| 1318 PEMBRIDGE WAY | KENNESAW | GA | 30152 | N/A | GENERAL OPERATIONS | $2,000 |
| MARYELLEN LOCHER FOUNDATION (3RD GEN) | ||||||
| 745 COLLEGE DR 3 | DALTON | GA | 30720 | N/A | GENERAL OPERATIONS | $2,500 |
| NEWPORT BALBOA SAILING & SEAMANSHIP | ||||||
| 1801 BAYSIDE DR | CORONA DE MAR | CA | 92625 | N/A | GENERAL OPERATIONS | $2,500 |
| NW OHIO CENTER FOR EXCELLENCE STEM EDUC | ||||||
| 304 UNIVERSITY HALL | BOWLING GREEN | OH | 43403 | N/A | GENERAL OPERATIONS | $1,000 |
| OTSEGO BOARD OF EDUCATION | ||||||
| 18505 TONTOGANY CREEK ROAD | TONTOGANY | OH | 43565 | N/A | GENERAL OPERATIONS | $8,000 |
| PROJECT HOPE ALLIANCE | ||||||
| 1954 PLACENTIA AVE STE 202 | COSTA MESA | CA | 92627 | N/A | GENERAL OPERATIONS | $3,500 |
| ST ALOYSIUS CATHOLIC CHURCH | ||||||
| 150 S ENTERPRISE | BOWLING GREEN | OH | 43402 | N/A | GENERAL OPERATIONS | $8,000 |
| ST CATHERINE OF SIENA | ||||||
| TEMPLE TERRACE DR | LAGUNA BEACH | CA | 92651 | N/A | GENERAL OPERATIONS | $3,500 |
| ST JOHN XXIII | ||||||
| 24250 N DIXIE HWY | PERRYSBURG | OH | 43551 | N/A | GENERAL OPERATIONS | $10,000 |
| ST JOSEPH HOSPITAL FOUNDATION | ||||||
| TEMPLE TERRACE DR | LAGUNA BEACH | CA | 92651 | N/A | GENERAL OPERATIONS | $10,000 |
| THE LEARNING CLUB | ||||||
| 1702 UPTON AVE | TOLEDO | OH | 43607 | N/A | GENERAL OPERATIONS | $5,000 |
| TOLEDO COMMUNITY FOUNDATION | ||||||
| 608 MADISON AVE SUITE 1540 | TOLEDO | OH | 43604 | N/A | GENERAL OPERATIONS | $13,500 |
| FRIENDS OF TREES | ||||||
| 3117 NE ML KING BLVD | PORTLAND | OR | 97212 | N/A | GENERAL OPERATIONS | $20,000 |
| CANBY HIGH SCHOOL | ||||||
| 721 SW 4TH AVENUE | CANBY | OR | 97013 | N/A | GENERAL OPERATIONS | $20,000 |
| CANBY HIGH SCHOOL | ||||||
| 1110 S IVY STREET | CANBY | OR | 97013 | N/A | GENERAL OPERATIONS | $20,000 |
| VALENTINE THEATRE | ||||||
| 425 N ST CLAIR STREET | TOLEDO | OH | 43604 | N/A | GENERAL OPERATIONS | $10,000 |
| PERRYSBURG CHRISTIANS UNITED | ||||||
| PO BOX 135 | PERRYSBURG | OH | 43552 | N/A | GENERAL OPERATIONS | $2,500 |
| RE-RIDE | ||||||
| 12401 US HWY 36 | MARYSVILLE | OH | 43040 | N/A | GENERAL OPERATIONS | $8,000 |
| GARDEN CLUB OF AMERICA | ||||||
| 14 EAST 60TH STREET | NEW YORK | NY | 10022 | N/A | GENERAL OPERATIONS | $5,000 |
| ST JOHNS JESUIT HIGH SCHOOL | ||||||
| 5901 AIRPORT HWY | TOLEDO | OH | 43615 | N/A | GENERAL OPERATIONS | $5,000 |
| ST FRANCIS DESALES HIGH SCHOOL | ||||||
| 2323 W BANCROFT ST | TOLEDO | OH | 43606 | N/A | GENERAL OPERATIONS | $4,000 |
| ST ROSE ENDOWMENT | ||||||
| 215 E FRONT STREET | PERRYSBURG | OH | 43551 | N/A | GENERAL OPERATIONS | $4,500 |
| TOLEDO MUSEUM OF ART | ||||||
| PO BOX 1013 | TOLEDO | OH | 43697 | N/A | GENERAL OPERATIONS | $6,500 |
| TOLEDO OPERA ASSOCIATION | ||||||
| 425 JEFFERSON AVE SUITE 415 | TOLEDO | OH | 43604 | N/A | GENERAL OPERATIONS | $178,000 |
| UNICEF | ||||||
| 125 MAIDEN LANE 10TH FLR | NEW YORK | NY | 10038 | N/A | GENERAL OPERATIONS | $6,000 |
| MAKE-A-WISH | ||||||
| 2545 FARMERS DR SUITE 300 | COLUMBUS | OH | 43235 | N/A | GENERAL OPERATIONS | $2,500 |
| MERCY CHEFS | ||||||
| 9 EARLY DR | PORTSMOUTH | VA | 23701 | N/A | GENERAL OPERATIONS | $2,000 |
| US LACROSSE | ||||||
| 113 W UNIVERSITY PKY | BALTIMORE | MD | 20210 | N/A | GENERAL OPERATIONS | $1,000 |
| ASCPA | ||||||
| 424 EAST 2ND STREET | NEW YORK | NY | 10128 | N/A | GENERAL OPERATIONS | $1,000 |
| UNIVERSITY OF MICHIGAN | ||||||
| 4020 ADMINISTRATION BLDG | ANN ARBOR | MI | 48104 | N/A | UNIVERSITY | $1,000 |
| FRIENDS OF OKEEHEELEE NATURE CENTER | ||||||
| 7715 FOREST HILL BLVD | WEST PALM BEACH | FL | 33413 | N/A | GENERAL OPERATIONS | $8,000 |
| ST ANNS CATHOLIC CHURCH | ||||||
| 9995 N MILITARY TRAIL | PALM BEACH GARDENS | FL | 33410 | N/A | GENERAL OPERATIONS | $2,000 |
| DART | ||||||
| 1622 SPIELBUSCH AVE | TOLEDO | OH | 43604 | N/A | GENERAL OPERATIONS | $2,500 |
| NATURE'S NURSERY | ||||||
| PO BOX 2395 | WHITEHOUSE | OH | 43571 | N/A | GENERAL OPERATIONS | $2,500 |
| FRIENDS OF WOOD COUNTY PARK | ||||||
| 18729 MERCER ROAD | BOWLING GREEN | OH | 43402 | N/A | GENERAL OPERATIONS | $8,000 |
| COMMUNITY REFUGEE & IMMIGRATION SERVICES | ||||||
| 3624 BEXVIE AVE | COLUMBUS | OH | 43227 | N/A | GENERAL OPERATIONS | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $407,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $215,463 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $158,051 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $373,514 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $373,514 | TotalIncomeProducingActyAmt |
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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH AMERICAN SCIENCE ASSOCIATES INC | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6750 WALES ROAD | AddressLine1Txt |
| City | NORTHWOOD | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 42619 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $400,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (5 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| DFA 1 YEAR FIXED INCOME | $470,036 | $471,367 |
| VANGUARD INTERM TERM | $462,376 | $479,412 |
| DFA SHORT DURATION REAL | $483,108 | $484,724 |
| DFA TARGETED CREDIT | $477,110 | $483,715 |
| DFA 5 YEAR GLOBAL FIXED | $462,630 | $456,333 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (7 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| DFA U.S. CORE EQUITY 2 | $2,180,450 | $3,332,261 |
| DFA GLOBAL 60/40 | $461,932 | $805,796 |
| DFA INTERNATIONAL REAL ESTATE | $277,550 | $272,232 |
| DFA EMERGING MARKETS | $340,953 | $425,517 |
| DFA INTERNATIONAL CORE PORTFOLIO | $1,033,981 | $1,265,071 |
| DFA GLOBAL EQUITY | $137,386 | $271,298 |
| VANGUARD REIT INDEX FUND | $231,694 | $267,874 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT FEES | $42,605 | $42,605 | $0 | $0 |
| PUBLIC NOTICE | $185 | $185 | $0 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| TAXES PAID TO IRS - 2018 PAYABLE | $1,718 | $0 | $0 | $0 |
| ESTIMATED PAYMENTS FOR 2019 | $5,205 | $0 | $0 | $0 |
| STATE OF OHIO FILING FEE | $200 | $200 | $0 | $0 |
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