GREG AND INDIA KEITH FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GREG AND INDIA KEITH FOUNDATION (EIN 20-2016795)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202033219349101803
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)
Return2020-11-16T08:52:22-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PESTA FINNIE & ASSOCIATES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16826 MORRISON BLVDAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28211ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202016795EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE GREG AND INDIA KEITH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% INDIA KEITHInCareOfNm
Business Name ControlGREGBusinessNameControlTxt
Phone7043646105PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15201 GORHAM DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28226ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonINDIA KEITHPersonNm
Person TitlesecretaryPersonTitleTxt
Phone7043656000PhoneNum
Signature2020-10-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTricia KennellPreparerPersonNm
PTINP01487226PTIN
Phone7043641829PhoneNum
Preparation2020-10-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.107.125.92IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id56590920203215000001FederalOriginalSubmissionId
Federal Original Submission Id2020-11-16FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE0F7B0F335C2D69B213183222D485C6FC1FE040AAtSubmissionCreationDeviceId
At Submission Filing Device Id282BB35EC882B4464F4E48E1517FB27A049D4CB3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$10,655,202FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,713,913ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$34,882InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$34,882InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$91,073DividendsRevAndExpnssAmt
Dividends Net Invst Incm$91,073DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$106,742NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$945,545GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$106,742CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$203,635OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$2,150,245TotalRevAndExpnssAmt
Total Net Invst Incm$232,697TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$5,450AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,450AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$69,598OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$69,598OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$1,655TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,655TaxesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$76,703TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$76,703TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,699,720ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,699,720ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,776,423TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$76,703TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,699,720TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$373,822ExcessRevenueOverExpensesAmt
Net Investment Income$155,994NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$502,612SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$265,532SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$265,532SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$6,400,073CorporateStockBOYAmt
Corporate Stock EOY$6,777,799CorporateStockEOYAmt
Corporate Stock EOYFMV$7,709,502CorporateStockEOYFMVAmt
Other Assets BOY$4,640,012OtherAssetsBOYAmt
Other Assets EOY$4,873,188OtherAssetsEOYAmt
Other Assets EOYFMV$2,680,168OtherAssetsEOYFMVAmt
Total Assets BOY$11,542,697TotalAssetsBOYAmt
Total Assets EOY$11,916,519TotalAssetsEOYAmt
Total Assets EOYFMV$10,655,202TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$11,542,697RetainedEarningBOYAmt
Retained Earning EOY$11,916,519RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$11,542,697TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$11,916,519TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$11,542,697TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$11,916,519TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$11,542,697TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$373,822ExcessRevenueOverExpensesAmt
Subtotal$11,916,519SubtotalAmt
Tot Net Ast Or Fund Balances EOY$11,916,519TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
WELLS FARGO 3700$169,205$165,932$3,273$3,273
WELLS FARGO 3700$335,115$317,473$17,642$17,642
CHARLES SCHWAB 9708$392,677$324,998$67,679$67,679
CHARLES SCHWAB 9708$20,895$30,400-$9,505-$9,505
CAPITAL GAIN DIVIDENDS$27,653P
FieldValueIRS element (for citing)
Capital Gain Net Income$106,742CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$1,572,025AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$8,402,505NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.18709DistributionYr1Rt
Adjusted Qlfy Distri Yr2$1,702,175AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$6,177,073NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.275563DistributionYr2Rt
Adjusted Qlfy Distri Yr3$1,544,450AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$6,571,460NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.235024DistributionYr3Rt
Adjusted Qlfy Distri Yr4$1,035,280AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$5,389,685NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.192085DistributionYr4Rt
Adjusted Qlfy Distri Yr5$737,500AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,654,449NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.201809DistributionYr5Rt
Total Distribution1.091571TotalDistributionRt
Average Distribution0.218314AverageDistributionRt
Net Vl Noncharitable Assets$8,458,145NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$1,846,531AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,560NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$1,848,091AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$1,699,720QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,120InvestmentIncomeExciseTaxAmt
Subtotal$3,120SubtotalAmt
Tax Based On Investment Income$3,120TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,263EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$5,000ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$9,263TotalPaymentsAndCreditsAmt
Overpayment$6,143OverpaymentAmt
Applied To ES Tax$6,143AppliedToESTaxAmt

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 LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNCOrgReportOrRegisterStateCd
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 Line1INDIA KEITHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7043646105PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line15201 GORHAM DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28226ZIPCd
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
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
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
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
GRAEME M KEITH JR
5201 GORHAM DRIVECHARLOTTENC28226PRESIDENT0$0$0$0
INDIA E KEITH
5201 GORHAM DRIVECHARLOTTENC28226SECRETARY0$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt
FieldValueIRS element (for citing)
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$5,562,026AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$347,007AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$2,677,916FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$8,586,949TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$8,586,949AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$128,804CashDeemedCharitableAmt
Net Vl Noncharitable Assets$8,458,145NetVlNoncharitableAssetsAmt
Minimum Investment Return$422,907MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$422,907MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,120TaxBasedOnInvestmentIncomeAmt
Total Tax$3,120TotalTaxAmt
Distributable Before Adj$419,787DistributableBeforeAdjAmt
Distributable Before Ded$419,787DistributableBeforeDedAmt
Distributable As Adjusted$419,787DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,699,720ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$1,699,720QualifyingDistributionsAmt
Adjusted Qualifying Distri$1,699,720AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$419,787DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12017PriorYear1Yr
Prior Year22016PriorYear2Yr
Prior Year32015PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$555,653ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$768,529ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$1,216,546ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,396,421ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,159,012ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$5,096,161TotalExcessDistributionCyovAmt
Qualifying Distributions$1,699,720QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$419,787AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,279,933RemainingDistriFromCorpusAmt
Total Corpus$6,376,094TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$555,653ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$5,820,441ExcessDistriCyovToNextYrAmt
Excess From Year4$768,529ExcessFromYear4Amt
Excess From Year3$1,216,546ExcessFromYear3Amt
Excess From Year2$1,396,421ExcessFromYear2Amt
Excess From Year1$1,159,012ExcessFromYear1Amt
Excess From Current Year$1,279,933ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerGRAEME M KEITH JRContributingManagerNm
Contributing ManagerINDIA E KEITHContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonINDIA E KEITHRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line15201 GORHAM DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28211ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7043646105RecipientPhoneNum
Form And Info And Materialsthe foundation makes grants to tax exempt 501(c)(3) charities as determined by the foundation directors at periodic meetings. while requests from eligible charities will be considered, no form or other materials are required to be submitted.FormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (34 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ADVENTURE RESOURCES
9227 HANOVER SOUTH TRLCHARLOTTENC28210PCCONTRIBUTION$1,500
AFRICAN CHRISTIAN MINISTRIES
6013 PARK CTCOLLEYVILLETX76034PCCONTRIBUTION$15,000
AMERICAN BIBLE SOCIETY
101 N INDEPENDENCE MALL EPHILADELPHIAPA19106PCCONTRIBUTION$6,000
CHESHIRE ACADEMY
10 MAIN STCHESHIRECT06410PCCONTRIBUTION$40,000
CRU
100 LAKE HART DRIVEORLANDOFL32832PCCONTRIBUTION$10,000
FELLOWSHIP OF CHRISITAN ATHLETES
8701 LEEDS RDKANSAS CITYMO64129PCCONTRIBUTION$25,000
HARRIS YMCA
5900 QUAIL HOLLOW RDCHARLOTTENC28210PCCONTRIBUTION$5,000
HARVEST CENTER
1800 BREWTON DRCHARLOTTENC28206PCCONTRIBUTIONS$10,000
HOPE OUT LOUD
1168 LAKE MEADOW LNFORESTVA24551PCCONTRIBUTIONS$50,000
JESUS ONLINE
2529 DISCOVERY PLLANGLEYWA98260PCCONTRIBUTIONS$125,000
KAVOD
6812 POPLAR RIDGE CVMEMPHISTN38120PCCONTRIBUTIONS$20,000
MARANATHA HIGH SCHOOL
169 S SAINT JOHN AVEPASADENACA91105PCCONTRIBUTIONS$150,000
MCCALLIE SCHOOL
500 DODDS AVECHATTANOOGATN37404PCCONTRIBUTIONS$500,000
MYERS PARK PRESBYTERIAN TRINITY LITTLE LEAGUE
2714 TANGLEWOOD LNCHARLOTTENC28211PCCONTRIBUTIONS$60,000
PROVIDENCE HOMES
PO BOX 11042SOUTHPORTNC28461PCCONTRIBUTIONS$3,000
SIM
14830 CHOATE CIRCLECHARLOTTENC28273PCCONTRIBUTIONS$29,000
WITH OPEN EYES
4100 COCA COLA PLAZACHARLOTTENC28211PCCONTRIBUTIONS$142,500
YCI
4108 PARK RD STE 104CHARLOTTENC28209PCCONTRIBUTIONS$100,220
YMCA
500 E MOREHEAD ST 300CHARLOTTENC28202PCCONTRIBUTIONS$125,000
MOMENTS OF HOPEFOREST HILL CHURCH
7224 PARK ROADCHARLOTTENC28210PCCONTRIBUTIONS$175,000
MYERS PARK PRESBYTERIAN CHURCH
2501 Oxford PICharlotteNC28207PCCONTRIBUTIONS$1,000
CHANDLER FIRST ASSEMBLY OF GOD
532 W WAY RDCHANDLERAZ85225PCCONTRIBUTION$10,000
DEERFOOT LODGE
154 LAKEWAY DRMILLS RIVERNC28759PCCONTRIBUTION$10,000
JAMES UNITED METHODIST CHURCH
1011 ORANGE STNEWPORTNC28750PCCONTRIBUTION$1,000
CHARLOTTE RESCUE MISSION
2855 WEST BLVDCHARLOTTENC28208PCCONTRIBUTION$17,500
COLLEGE GOLF FELLOWSHIP
5098 FOOTHILLS BLVD STE 3 UNIT 138ROSEVILLECA95747PCCONTRIBUTION$5,000
HOSPICE PALLIATIVE CARE
7845 LITTLE AVECHARLOTTENC28226PCCONTRIBUTION$1,000
JUVENILE DIABETES FOUNDATION
205 REGENCY EX PK DR STE 102CHARLOTTENC28217PCCONTRIBUTION$10,000
OAKHURST BAPTIST CHURCH
5037 MONROE RDCHARLOTTENC28205PCCONTRIBUTION$1,000
RE-VISION
3800 MORRISON RDDENVERCO80219PCCONTRIBUTION$15,000
ST JUDE HOSPITAL
301 HAWTHORNE LN STE 100CHARLOTTENC28204PCCONTRIBUTION$1,000
SAMARITAN'S FEET
1836 CENTER PARK DRCHARLOTTENC28217PCCONTRIBUTION$10,000
SEEDS OF HOPE
444 WILLIAMSON RD STE EMOORESEVILLENC28117PCCONTRIBUTION$5,000
WEST BLVD MINISTRY
4401 WEST TYVOLA ROADCHARLOTTENC28208PCCONTRIBUTION$20,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,699,720TotalGrantOrContriPdDurYrAmt

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$34,882ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$91,073ExclusionAmt
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$106,742ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
INCREASE IN CASH SURRENDER VALUE OF LIFE
INSURANCE CONTRACT$203,635

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$232,697ExclusionAmt
Related Or Exempt Function Incm$203,635RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$436,332TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonGREG AND INDIA KEITHContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line15201 GORHAM DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28226ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,713,913TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$5,450Amt
Net Investment Income$5,450NetInvestmentIncomeAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockINVESTMENTSStockNm
EOY Book Value$6,777,799EOYBookValueAmt
EOYFMV$7,709,502EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
LIFE INSURANCE CONTRACTS$4,637,498$4,870,936$2,677,916
KERANETICS, LLC$2,514$2,252$2,252

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
INCREASE IN CASH SURRENDER VALUE OF LIFE$203,635
INSURANCE CONTRACTS

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
WELLS FARGO MANAGEMENT FEES$46,638$46,638
CHARLES SCHWAB MANAGEMENT FEES$22,960$22,960

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXESCategoryTxt
Amt$1,655Amt
Net Investment Income$1,655NetInvestmentIncomeAmt

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