WARREN L DEVRIES CHARITABLE TR: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- WARREN L DEVRIES CHARITABLE TR (EIN 91-6573269)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-07
- IRS object ID
- 202031899349100948
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-07T17:02:54-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 134008324 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANT STREET | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15219 | 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 | 916573269 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARREN L DEVRIES FAMILY CHARITABLE TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEVR | BusinessNameControlTxt |
| Phone | 5152456210 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0634 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532010634 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | U S BANK NA | PersonNm |
| Person Title | TRUSTEE/VICE PR | PersonTitleTxt |
| Phone | 5152456210 | PhoneNum |
| Signature | 2020-04-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH J CASTRIANO | PreparerPersonNm |
| PTIN | P01251603 | PTIN |
| Phone | 4123556000 | PhoneNum |
| Preparation | 2020-04-03 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 155.201.35.69 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C7F2BF06C73CC9F05A000D21EAA94792D2BE3233 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9384C3CFAB773074170CC1A843BA3ACD34B50B77 | 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 | $958,140 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $26,140 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $25,887 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $13,219 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $96,135 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $13,219 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $39,359 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $39,106 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $10,719 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $9,647 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $1,072 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $750 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $750 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $629 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $470 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Tot Opr Expenses Rev And Expnss | $12,098 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $10,117 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,822 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $41,919 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $41,919 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $54,017 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $10,117 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $43,741 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$14,658 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $28,989 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $17,865 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $13,380 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $13,380 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Corporate Stock BOY | $499,797 | CorporateStockBOYAmt |
| Corporate Stock EOY | $447,675 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $614,717 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $283,075 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $324,759 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $329,531 | CorporateBondsEOYFMVAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $551 | OtherAssetsBOYAmt |
| Other Assets EOY | $512 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $512 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $801,288 | TotalAssetsBOYAmt |
| Total Assets EOY | $786,326 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $958,140 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $801,288 | CapitalStockBOYAmt |
| Capital Stock EOY | $786,326 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $801,288 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $786,326 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $801,288 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $786,326 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $801,288 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$14,658 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $786,630 | SubtotalAmt |
| Other Decreases | $304 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $786,326 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|
| 360. ISHARES CORE MSCI EAFE ETF | 2016-08-10 | 2019-09-30 | $21,967 | $21,488 | $479 | $479 |
| 205.086 VANGUARD TOTAL STOCK MKT INDEX FD | 2016-08-10 | 2019-09-30 | $15,074 | $11,341 | $3,733 | $3,733 |
| 20. VANGUARD REIT ETF | 2015-04-15 | 2019-11-26 | $1,852 | $1,628 | $224 | $224 |
| 154.48 VANGUARD TOTAL STOCK MKT INDEX FD | 2018-10-29 | 2019-11-26 | $12,029 | $10,146 | $1,883 | $1,883 |
| 1849.949 FEDERATED INST HI YLD BD FD | 2016-02-19 | 2019-12-04 | $18,037 | $16,317 | $1,720 | $1,720 |
| 115. ISHARES CORE MSCI EAFE ETF | 2018-10-29 | 2019-12-04 | $7,362 | $6,687 | $675 | $675 |
| 65. ISHARES CORE MSCI EMERGING MKTS ETF | 2015-08-26 | 2019-12-04 | $3,330 | $2,587 | $743 | $743 |
| 15. VANGUARD REIT ETF | 2015-04-15 | 2019-12-04 | $1,390 | $1,221 | $169 | $169 |
| 195.516 VANGUARD TOTAL STOCK MKT INDEX FD | 2016-08-10 | 2019-12-04 | $15,094 | $11,501 | $3,593 | $3,593 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $13,219 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $48,601 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $921,809 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.052724 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $43,651 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $915,089 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.047701 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $45,378 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $864,654 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.052481 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $48,326 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $914,668 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.052834 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $49,452 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $950,266 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.05204 | DistributionYr5Rt |
| Total Distribution | 0.25778 | TotalDistributionRt |
| Average Distribution | 0.051556 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $921,104 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $47,488 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $290 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $47,778 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $43,741 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $580 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $580 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $580 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $252 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $252 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $328 | TaxDueAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | US BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5152456210 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 WALNUT ST | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503094100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | US BANK N A | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0634 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532010634 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $10,719 | CompensationAmt |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $913,408 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $21,723 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $935,131 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $935,131 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $14,027 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $921,104 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $46,055 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $46,055 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $580 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $580 | TotalTaxAmt |
| Distributable Before Adj | $45,475 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $45,475 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $45,475 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $43,741 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $43,741 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $43,741 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $45,475 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $3,131 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $3,627 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $3,454 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $3,013 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $13,225 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $43,741 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $43,741 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $1,734 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $1,734 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $11,491 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $1,397 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $10,094 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $3,627 | ExcessFromYear4Amt |
| Excess From Year3 | $3,454 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $3,013 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (20 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| FIRST UNITED METHODIST CHURCH | ||||||||
| 119 S GEORGIA | MASON CITY | IA | 50401 | NONE | PC | GENERAL SUPPORT | $1,000 | |
| NORTH IOWA AREA COMM COLLEGE FDTN | ||||||||
| 500 COLLEGE DRIVE | MASON CITY | IA | 50401 | NONE | PC | GENERAL SUPPORT | $9,473 | |
| KAPPA KAPPA GAMMA FOUNDATION | ||||||||
| ATTENTION MAGGIE COONS | COLUMBUS | OH | 432166515 | NONE | PC | GENERAL SUPPORT | $1,000 | |
| SIGMA ALPHA EPSILON FOUNDATION & | ||||||||
| IOWA DELTA CHAPTER ED FUND | EVANSTON | IL | 602013837 | NONE | PC | GENERAL SUPPORT | $1,000 | |
| UNIVERSITY OF DUBUQUE | ||||||||
| FINANCE OFFICE | DUBUQUE | IA | 52001 | NONE | PC | GENERAL SUPPORT | $250 | |
| MASON CITY FAMILY YMCA | ||||||||
| 1840 S MONROE | MASON CITY | IA | 51401 | NONE | PC | GENERAL SUPPORT | $500 | |
| HILLCREST FAMILY SERVICES | ||||||||
| 2005 ASBURY ROAD | DUBUQUE | IA | 52001 | NONE | PC | GENERAL SUPPORT | $250 | |
| UNITED WAY OF NORTH CENTRAL IOWA | ||||||||
| ATTN JODEE OBRIEN | MASON CITY | IA | 50401 | NONE | PC | GENERAL SUPPORT | $500 | |
| DRAKE UNIVERSITY | ||||||||
| BUSINESS AND FINANCE OFFICE | DES MOINES | IA | 503114516 | NONE | PC | SUPPORT FOR LAW SCHOOL | $11,973 | |
| AMERICAN REFORMED CHURCH | ||||||||
| ATTN BRAD GABEL-TREASURER | ORANGE CITY | IA | 51041 | NONE | PC | GENERAL SUPPORT | $1,000 | |
| ORANGE CITY CHRISTIAN SCHOOL | ||||||||
| ATTN ARLYN SCHAAP PRINCIPAL | ORANGE CITY | IA | 51041 | NONE | PC | GENERAL SUPPORT | $500 | |
| ORANGE CITY PUBLIC LIBRARY | ||||||||
| ATTN KARLA CHASE DIRECTOR | ORANGE CITY | IA | 51041 | NONE | PC | GENERAL SUPPORT | $1,000 | |
| THE CHRISTMAS CHEER FUND | ||||||||
| C/O MASON CITY GLOBE GAZETTE | MASON CITY | IA | 50401 | NONE | PC | GENERAL SUPPORT | $500 | |
| MAURICE-ORANGE CITY COMM SD & | ||||||||
| FLOYD VALLEY HIGH SCHOOL | ORANGE CITY | IA | 51041 | NONE | PC | SCHOLARSHIP TO GRADUATES OF | $1,000 | |
| MASON CITY COMMUNITY SD | ||||||||
| ATTN ADMINISTRATIVE OFFICES | MASON CITY | IA | 50401 | NONE | PC | PROVIDE FOR SCHOLARSHIP TO | $1,000 | |
| MACNIDER ART MUSEUM | ||||||||
| ATTN EDITH BLANCHARD DIRECTOR | MASON CITY | IA | 50401 | NONE | PC | GENERAL SUPPORT | $250 | |
| CERRO GORDO CO BOARD OF SUPERVISORS | ||||||||
| 220 N WASHINGTON | MASON CITY | IA | 50401 | NONE | PC | SUPPORT FOR LAW LIBRARY | $250 | |
| SIOUX CENTER COMMUNITY SCHOOLS | ||||||||
| 550 9TH STREET NE | SIOUX CENTER | IA | 51250 | NONE | PC | SCHOLARSHIP TO GRADUATE OF | $1,000 | |
| ORANGE CITY MUNICIPAL HOSPITAL | ||||||||
| ATTN MARTIN GUTHMILLER | ORANGE CITY | IA | 51041 | NONE | PC | GENERAL SUPPORT | $1,000 | |
| NORTHWESTERN COLLEGE | ||||||||
| 101 7TH STREET SW | ORANGE CITY | IA | 51041 | NONE | PC | GENERAL SUPPORT | $8,473 | ATTN CORNIE WASSINK DIRECTOR |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $41,919 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $26,140 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $13,219 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $39,359 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $39,359 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE (NON-ALLOC | CategoryTxt |
| Amt | $750 | Amt |
| Disbursements Charitable Prps | $750 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 057071854 BAIRD AGGREGATE BOND | $162,396 | $166,500 |
| 258620103 DOUBLELINE TOTAL RET | $96,883 | $94,369 |
| 31420B300 FEDERATED INST HI YL | $35,480 | $38,481 |
| 72369L107 PIONEER ILS INTERVAL | $30,000 | $30,181 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 46432F842 ISHARES CORE MSCI EA | $101,451 | $122,977 |
| 922908728 VANGUARD TOTAL STOCK | $276,404 | $405,573 |
| 46434G103 ISHARES CORE MSCI EM | $45,237 | $58,330 |
| 922908553 VANGUARD REIT ETF | $24,583 | $27,837 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ACCRUED INCOME | $551 | $0 | $0 |
| 000000000 MISCELLANEOUS ENTRY | $512 | $512 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PY RETURN OF CAPITAL ADJ | $284 |
| ROC ADJ OF CY SALES | $20 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $349 | $349 | $0 |
| FEDERAL ESTIMATES - PRINCIPAL | $159 | $0 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $121 | $121 | $0 |
Comments