GOSTOMSKI FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GOSTOMSKI FOUNDATION (EIN 46-6976292)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202033219349103623
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)
Return2020-11-16T12:19:33-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FRIEDMAN & HUEY ASSOC LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11313 WEST 175TH STREETAddressLine1Txt
CityHOMEWOODCityNm
State AbbreviationILStateAbbreviationCd
ZIP60430ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN466976292EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE GOSTOMSKI FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ELLIOTT FRIEDMANInCareOfNm
Business Name ControlGOSTBusinessNameControlTxt
Phone7087996800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O FH LLP 1313 WEST 175TH STREETAddressLine1Txt
CityHOMEWOODCityNm
State AbbreviationILStateAbbreviationCd
ZIP60430ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL M GOSTOMSKIPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7087996800PhoneNum
Signature2020-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonELLIOTT FRIEDMANPreparerPersonNm
PTINP00082764PTIN
Phone7087996800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.1.134.130IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id36235120203215000006FederalOriginalSubmissionId
Federal Original Submission Id2020-11-16FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id7ADBCE748FD3220BC22A20A57C61861796C84615AtSubmissionCreationDeviceId
At Submission Filing Device IdF24ADFAE2A545A3E5E5A7E2D2E709D481533DE63AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$17,493,769FMVAssetsEOYAmt
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$163,116InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$163,116InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$1,121,439DividendsRevAndExpnssAmt
Dividends Net Invst Incm$1,121,439DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$9,276,106NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$25,292,455GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$9,276,106CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$10,560,661TotalRevAndExpnssAmt
Total Net Invst Incm$10,560,661TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$11,458AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,729AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$5,729AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$152,665OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$152,665OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$610TaxesRevAndExpnssAmt
Taxes Net Invst Incm$610TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$204,539OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$136,725OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$369,272TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$295,729TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$5,729TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,274,262ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,274,262ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,643,534TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$295,729TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,279,991TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$8,917,127ExcessRevenueOverExpensesAmt
Net Investment Income$10,264,932NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$61,537CashBOYAmt
Cash EOY$125,441CashEOYAmt
Cash EOYFMV$125,441CashEOYFMVAmt
Corporate Stock BOY$1,507,462CorporateStockBOYAmt
Corporate Stock EOY$11,605,997CorporateStockEOYAmt
Corporate Stock EOYFMV$11,759,624CorporateStockEOYFMVAmt
Other Investments BOY$6,777,322OtherInvestmentsBOYAmt
Other Investments EOY$5,608,704OtherInvestmentsEOYAmt
Other Investments EOYFMV$5,608,704OtherInvestmentsEOYFMVAmt
Total Assets BOY$8,346,321TotalAssetsBOYAmt
Total Assets EOY$17,340,142TotalAssetsEOYAmt
Total Assets EOYFMV$17,493,769TotalAssetsEOYFMVAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$76,694OtherLiabilitiesEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$76,694TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$8,346,321RetainedEarningBOYAmt
Retained Earning EOY$17,263,448RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$8,346,321TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$17,263,448TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$8,346,321TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$17,340,142TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$8,346,321TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$8,917,127ExcessRevenueOverExpensesAmt
Subtotal$17,263,448SubtotalAmt
Tot Net Ast Or Fund Balances EOY$17,263,448TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP2019-01-012019-12-31$15,981,420$15,943,811$37,609$37,609
PUBLICLY TRADED SECURITIESP2018-12-312019-12-31$96,968$72,538$24,430$24,430
SHORT-TERM CAPITAL GAIN FROM K-1'SP2019-01-012019-12-31$59$0$59$59
LONG-TERM CAPITAL GAIN FROM K-1'SP2018-12-312019-12-31$9,213,993$0$9,213,993$9,213,993
CAPITAL GAIN DIVIDENDP2018-12-312019-12-31$15$15$15
FieldValueIRS element (for citing)
Capital Gain Net Income$9,276,106CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$867,987AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$18,875,591NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.045985DistributionYr1Rt
Adjusted Qlfy Distri Yr2$675,588AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$5,421,003NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.124624DistributionYr2Rt
Adjusted Qlfy Distri Yr3$461,488AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$6,654,867NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.069346DistributionYr3Rt
Adjusted Qlfy Distri Yr4$797,022AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,451,217NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.179057DistributionYr4Rt
Adjusted Qlfy Distri Yr5$598,590AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,545,794NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.168817DistributionYr5Rt
Total Distribution0.587829TotalDistributionRt
Average Distribution0.117566AverageDistributionRt
Net Vl Noncharitable Assets$14,707,504NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$1,729,102AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$102,649NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$1,831,751AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$1,279,991QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$205,299InvestmentIncomeExciseTaxAmt
Subtotal$205,299SubtotalAmt
Tax Based On Investment Income$205,299TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$13,605EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$13,605TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$5,669EsPenaltyAmt
Tax Due$197,363TaxDueAmt

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 StateILOrgReportOrRegisterStateCd
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 Line1ELLIOTT FRIEDMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7087996800PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1C/O FH ASSOC 1313 W 175TH STAddressLine1Txt
CityHOMEWOODCityNm
State AbbreviationILStateAbbreviationCd
ZIP60430ZIPCd
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

FieldValueIRS element (for citing)
PersonMICHAEL M GOSTOMSKIPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O FH ASSOC LLP 1313 W 175TH STAddressLine1Txt
CityHOMEWOODCityNm
State AbbreviationILStateAbbreviationCd
ZIP60430ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1.0AverageHrsPerWkDevotedToPosRt
Compensation$0CompensationAmt
Employee Benefit Program$0EmployeeBenefitProgramAmt
Expense Account Other Allwnc$0ExpenseAccountOtherAllwncAmt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$8,749,203AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$573,569AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$5,608,704FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$14,931,476TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$14,931,476AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$223,972CashDeemedCharitableAmt
Net Vl Noncharitable Assets$14,707,504NetVlNoncharitableAssetsAmt
Minimum Investment Return$735,375MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$735,375MinimumInvestmentReturnAmt
Tax Based On Investment Income$205,299TaxBasedOnInvestmentIncomeAmt
Total Tax$205,299TotalTaxAmt
Distributable Before Adj$530,076DistributableBeforeAdjAmt
Distributable Before Ded$530,076DistributableBeforeDedAmt
Distributable As Adjusted$530,076DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,279,991ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$1,279,991QualifyingDistributionsAmt
Adjusted Qualifying Distri$1,279,991AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$530,076DistributableAsAdjustedAmt
Undistributed Income PY$75,793UndistributedIncomePYAmt
Prior Year12017PriorYear1Yr
Prior Year22016PriorYear2Yr
Prior Year32015PriorYear3Yr
Excess Distribution Cyov Yr5$319,166ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$575,731ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$148,867ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$678,185ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$1,721,949TotalExcessDistributionCyovAmt
Qualifying Distributions$1,279,991QualifyingDistributionsAmt
Applied To Year1$75,793AppliedToYear1Amt
Applied To Current Year$530,076AppliedToCurrentYearAmt
Remaining Distri From Corpus$674,122RemainingDistriFromCorpusAmt
Total Corpus$2,396,071TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$319,166ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,076,905ExcessDistriCyovToNextYrAmt
Excess From Year4$575,731ExcessFromYear4Amt
Excess From Year3$148,867ExcessFromYear3Amt
Excess From Year2$678,185ExcessFromYear2Amt
Excess From Current Year$674,122ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerMICHAEL M GOSTOMSKIContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
WINONA COMMUNITY FOUNDATION
111 RIVERFRONTWINONAMN55987NONEPCGENERAL$165,000
ST MARY'S UNIVERSITY OF MINNESOTA
700 TERRACE HEIGHTSWINONAMN55987NONEPCGENERAL$610,000
COTTER SCHOOLS
1115 W BROADWAY STREETWINONAMN55987NONEPCGENERAL$30,000
GOOD SHEPHERD CATHOLIC SCHOOL
145 JERSEY AVENUESOUTH GOLDER VALLEYMN55426NONEPCGENERAL$15,000
FAMILY AND CHILDREN CENTER
1707 MAIN STREETLA CROSSEWI54601NONEPCGENERAL$10,000
CATHOLIC CHARITIES SPIRIT CTR - DIOCESE OF WINONA
PO BOX 379WINONAMN559870379NONEPCGENERAL$25,000
FRANCISCAN FRIARS
1289 LAFOND AVENUEST PAULMN55104NONEPCGENERAL$35,000
VITERBO UNIVERSITY
900 VITERBO DRIVELA CROSSEWI54601NONEPCGENERAL$100,000
GRSF (GREAT RIVER SHAKESPEARE FESTIVAL)
450 JOHNSON STREETWINONAMN55987NONEPCGENERAL$10,000
ST ELIZABETH COMMUNITY DEVELOPMENT FOUNDATION
1200 GRANT BLVD WESTWABASHAMN55981NONEPCGENERAL$25,000
WINONA ORE
1053 E MARK STREETWINONAMN55987NONEPCGENERAL$5,000
MINNESOTA MARINE ART MUSEUM
800 RIVERVIEW DRIVEWINONAMN55987NONEPCGENERAL$20,000
MORRIE MILLER ATHLETIC FOUNDATION
580 E FRONT STREETWINONAMN55987NONEPCGENERAL$15,000
CHRISTIAN BROTHERS OF THE MIDWEST
7650 COUNTY LINE ROADBURR RIDGEIL60527NONEPCGENERAL$25,000
WINONA FAMILY YMCA
207 WINONA STREETWINONAMN55987NONEPCGENERAL$100,000
DE LASALLE HIGH SCHOOL
1 DE LASALLE DRIVEMINNEAPOLISMN55401NONEPCGENERAL$68,000
WINONA ATHLETIC CLUB
773 E 5TH STREETWINONAMN55987NONEPCGENERAL$8,278
UNIVERSITY OF WISCONSIN - RIVER FALLS
410 S 3RD STREETRIVER FALLSWI54022NONEPCGENERAL$7,984
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,274,262TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,284,555ExclusionAmt
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 VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$9,276,106ExclusionAmt
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$10,560,661ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$10,560,661TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATIONCategoryTxt
Amt$11,458Amt
Net Investment Income$5,729NetInvestmentIncomeAmt
Disbursements Charitable Prps$5,729DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
UBS A/C 14615 - EQUITIES$11,159,696$11,162,176
UBS A/C 14618 - EQUITIES$278,261$353,591
UBS A/C 16116 - EQUITIES$168,040$243,857

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (18 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
UBS A/C 14615-KKK ENERGY INCAT COST$343,546$343,546
UBS A/C 14615-SPECL CR OPPORTAT COST$201,059$201,059
LOCUPLETO II - AI, LLCAT COST$0$0
BRIGHTWATER HOLDINGS SERIES DAT COST$13,970$13,970
CHG-IR LLCAT COST$202,813$202,813
CHG-MF LLCAT COST$563,883$563,883
CHG-COINVESTMENT LLCAT COST$579,529$579,529
CHG-BLACKBIRD LLCAT COST$411,241$411,241
CHG-GRANARY LLCAT COST$147,600$147,600
CHG-NEWBERRY LLCAT COST$75,288$75,288
CHICAGO-POLAND INVST GROUP LLCAT COST$12,196$12,196
LOCUPLETO III LLCAT COST$0$0
HKI BRIGHTSOURCE LLCAT COST$88,539$88,539
GLOBAL PRIVATE INVESTORS I, LPAT COST$0$0
CHG - COINVESTMENT II LLCAT COST$530,000$530,000
CHG - OET LLCAT COST$501,548$501,548
CHG - SG LLCAT COST$1,024,431$1,024,431
CHG - SN LLCAT COST$913,061$913,061

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
OTHER PSHP INVSTMENT EXPENSES$136,725$136,725
NONDEDUCTIBLE EXPENSES$67,814

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
CAPITAL CONTRIBUTION PAYABLE - CHG-BLACKBIRD LLC$0$45,380
CAPITAL CONTRIBUTION PAYABLE - CHG-OET LLC$0$31,314

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT ADVISORY FEECategoryTxt
Amt$152,665Amt
Net Investment Income$152,665NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategorySTATE INCOME TAXCategoryTxt
Amt$610Amt
Net Investment Income$610NetInvestmentIncomeAmt

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