CLARKS FORK FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CLARKS FORK FOUNDATION (EIN 36-3674219)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-09-09
IRS object ID
202042539349100804
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)
Return2020-09-09T11:17:41-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN364049282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PASQUESI SHEPPARD LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1585 BANK LANEAddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363674219EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARKS FORK FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLARBusinessNameControlTxt
Phone8472341123PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1270 E WESTMINSTER SUITE 300AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHRYN LANSINGPersonNm
Person TitleDIRECTOR/SECRETARYPersonTitleTxt
Phone8472341123PhoneNum
Signature2020-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonL ROBERT PASQUESIPreparerPersonNm
PTINP00008831PTIN
Phone8472345000PhoneNum
Preparation2020-08-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.224.107.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-12IPDt
IP Tm15:28:40IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id061DD3AADF3528614F3F512CBBBD5971C31F729BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,773,806FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$122,153ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$66,109DividendsRevAndExpnssAmt
Dividends Net Invst Incm$66,109DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$58,170NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$601,724GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$67,734CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$25,041OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$25,041OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$271,473TotalRevAndExpnssAmt
Total Net Invst Incm$158,884TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$8,725AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,362AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$4,363AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$20,315OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$20,315OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$15,778TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,778TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$330OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$330OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$45,148TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$27,785TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,363TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$168,167ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$168,167ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$213,315TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$27,785TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$172,530TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$58,158ExcessRevenueOverExpensesAmt
Net Investment Income$131,099NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$369,588SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$141,373SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$141,373SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$347,916CorporateStockBOYAmt
Corporate Stock EOY$351,218CorporateStockEOYAmt
Corporate Stock EOYFMV$426,200CorporateStockEOYFMVAmt
Other Investments BOY$2,737,796OtherInvestmentsBOYAmt
Other Investments EOY$3,020,867OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,206,233OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,455,300TotalAssetsBOYAmt
Total Assets EOY$3,513,458TotalAssetsEOYAmt
Total Assets EOYFMV$3,773,806TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$3,455,300RetainedEarningBOYAmt
Retained Earning EOY$3,513,458RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,455,300TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,513,458TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,455,300TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,513,458TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,455,300TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$58,158ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,513,458SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,513,458TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (32 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
109 SHS ISHARES TR MSCI ACWI ETF2018-09-112019-09-05$8,010$7,935$75$75
2,182 SHS VAN ECK CM COMMODITY INDEX FUND2018-09-122019-09-05$9,795$10,587-$792-$792
24.64 SHS VANGUARD REIT INDEX FUND ADMIRAL SHARES2019-03-282019-09-05$3,255$3,004$251$251
2,095 SHS VANGUARD INTL EQUITY INDEX FDS TOTAL WORLD STK INDEX FD ETF2018-09-132019-09-05$156,970$158,354-$1,384-$1,384
122 SHS UNITED STATES COMMODITY INDEX2018-09-122019-09-05$4,369$4,375-$6-$6
3,003.421 SHS DOUBLELINE CORE FIXED INCOME FUND CLASS I2017-02-092019-09-05$33,578$32,617$961$961
890 SHS ISHARES TR MSCI ACWI ETF2017-02-092019-09-05$65,401$54,785$10,616$10,616
14,259.047 SHS VANECK CM COMMODITY INDEX FUND CLASS I2017-02-102019-09-05$64,006$68,857-$4,851-$4,851
172.168 SHS VANGUARD REIT INDEX FUND ADMIRAL SHARES2017-02-102019-09-05$22,745$19,919$2,826$2,826
84.99 SHS VANGUARD INTL EQUITY INDEX FDS GLOBAL EX2018-02-132019-09-05$4,984$5,013-$29-$29
1,785 SHS UNITED STATES COMMODITY INDEX2017-02-102019-09-05$63,929$64,009-$80-$80
75 SHS ANADARKO PETE CORP2018-09-142019-06-07$5,281$4,358$923$923
55 SHS COMCAST CORP2018-02-142019-02-12$2,052$2,157-$105-$105
25 SHS ORACLE2018-02-142019-02-12$1,285$1,219$66$66
120 SHS UNDER ARMOUR2018-09-142019-03-11$2,339$2,129$210$210
1.342 SHS WABTEC2019-02-282019-12-31$98$105-$7-$7
140 SHS AMERICAN INTL GROUP INC2017-02-142019-08-15$7,525$9,347-$1,822-$1,822
265 SHS ANADARKO PETE CORP2017-02-142019-12-31$19,396$16,916$2,480$2,480
55 SHS CBRE2018-02-142019-03-11$2,778$2,441$337$337
55 SHS COMCAST CORP2017-02-142019-09-15$2,556$2,107$449$449
250 SHS GENERAL ELECTRIC2017-02-142019-04-30$2,533$7,155-$4,622-$4,622
65 SHS HCA HEALTHCARE2017-02-142019-02-12$9,113$5,449$3,664$3,664
45 SHS HILTON WORLDWIDE2018-08-162019-09-05$4,208$3,479$729$729
60 SHS LIBERTY BROADBAND2018-02-142019-09-05$6,476$5,355$1,121$1,121
225 SHS NATIONAL OILWELL VAR CO2018-01-172019-12-31$4,721$8,379-$3,658-$3,658
575 SHS QURATE RETAIL2017-02-142019-08-15$6,538$11,480-$4,942-$4,942
400 SHS UNDER ARMOUR2017-11-172019-12-31$8,183$5,316$2,867$2,867
35 SHS VISA2018-02-142019-03-11$5,242$4,187$1,055$1,055
155 SHS WELLS FARGO2017-02-142019-04-01$7,526$9,025-$1,499-$1,499
SECTION 1256 CONTRACTS - FROM USCI K-12017-01-012019-09-15$3,931-$3,931-$3,931P
FREDDIE MAC FAIR FUND SETTLEMENT2017-01-012019-01-15$111$111$111
CAPITAL GAINS DIVIDENDS$66,721$66,721$66,721P
FieldValueIRS element (for citing)
Capital Gain Net Income$67,734CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$107,143AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,432,310NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.031216DistributionYr1Rt
Adjusted Qlfy Distri Yr2$136,235AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,312,828NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.041123DistributionYr2Rt
Adjusted Qlfy Distri Yr3$90,985AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,166,525NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.028733DistributionYr3Rt
Adjusted Qlfy Distri Yr4$168,483AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,306,547NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.050954DistributionYr4Rt
Adjusted Qlfy Distri Yr5$201,473AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,492,088NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.057694DistributionYr5Rt
Total Distribution0.209720TotalDistributionRt
Average Distribution0.041944AverageDistributionRt
Net Vl Noncharitable Assets$3,534,480NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$148,250AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,311NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$149,561AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$172,530QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,311InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,311SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,311TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$8,742EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$8,742TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$7,431OverpaymentAmt
Applied To ES Tax$7,431AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksKATHRYN LANSINGIndividualWithBooksNm
Phone8472341123PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1270 WESTMINSTER SUITE 300AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
HEATHER HART GOLDSTEIN
270 WESTMINSTERLAKE FORESTIL60045DIRECTOR & PRESIDENT1.00$0$0$0
AUGUSTIN S HART III
270 WESTMINSTERLAKE FORESTIL60045DIRECTOR & TREASURER1.00$0$0$0
KATHRYN H LANSING
270 WESTMINSTERLAKE FORESTIL60045DIRECTOR & SECRETARY1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$3,277,682AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$263,021AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$47,602FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,588,305TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,588,305AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$53,825CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,534,480NetVlNoncharitableAssetsAmt
Minimum Investment Return$176,724MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$176,724MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,311TaxBasedOnInvestmentIncomeAmt
Total Tax$1,311TotalTaxAmt
Distributable Before Adj$175,413DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$175,413DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$175,413DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$172,530ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$172,530QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,311PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$171,219AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$175,413DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$6,837ExcessDistributionCyovYr4Amt
Total Excess Distribution Cyov$6,837TotalExcessDistributionCyovAmt
Qualifying Distributions$172,530QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$172,530AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$2,883ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$2,883ExcessDistributionCyovAppCYAmt
Total Corpus$3,954TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$3,954ExcessDistriCyovToNextYrAmt
Excess From Year4$3,954ExcessFromYear4Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (45 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtCityRecipientForeignAddress/CityNmProvince Or StateRecipientForeignAddress/ProvinceOrStateNmCountryRecipientForeignAddress/CountryCd
BRIDGER CARE
2724 ARVIN ROADBILLINGSMT59102PCGENERAL OPERATIONS$10,000
BRUSHWOOD CENTER AT RYERSON WOODS
21850 RIVERWOODS RDRIVERWOODSIL60015PCGENERAL OPERATIONS$1,000
BUFFALO BILL HISTORICAL CENTER
720 SHERIDAN AVECODYWY82414PCGENERAL OPERATIONS$2,500
CM RUSSELL MUSEUM
400 13TH STGREAT FALLSMT59401PCGENERAL OPERATIONS$1,000
CAPE ELEUTHERA FOUNDATION
PO BOX 842484BOSTONMA02284PCGENERAL OPERATIONS$2,000
CHICAGO COMMUNITY FUND
225 NORTH MICHIGAN AVECHICAGOIL60601PCGENERAL OPERATIONS$500
COLONIAL WILLIAMSBURG
101 VISITOR DRIVEWILLIAMSBURGVA23187PCGENERAL OPERATIONS$1,417
COMMUNITY PARTNERS FOR AFFORDABLE HOUSING
800 S MILWAUKEE AVE STE 201LIBERTYVILLEIL60048PCGENERAL OPERATIONS$1,000
EQUAL JUSTICE INITIATIVE
122 COMMERCE STMONTGOMERYAL36104PCGENERAL OPERATIONS$1,000
ERIE FAMILY HOUSE FOUNDATION
1701 W SUPERIOR STCHICAGOIL60622PCGENERAL OPERATIONS$500
EVANS SCHOLARS FOUNDATION
ONE BRIAR ROADGOLFIL60029PCGENERAL OPERATIONS$500
FIRST PRESBYTERIAN CHURCH OF LAKE FOREST
700 N SHERIDAN ROADLAKE FORESTIL60045PCGENERAL OPERATIONS$5,250
FRIENDS OF IOWA PUBLIC TELEVISION
6450 CORPORATE DRIVE PO BOX 6450JOHNSTONIA50131PCGENERAL OPERATIONS$2,000
FRIENDS OF MONTANA PBS
PO BOX 173340BOZEMANMT59717PCGENERAL OPERATIONS$5,000
GALLATIN VALLEY FOOD BANK
602 BOND STBOZEMANMT59715PCGENERAL OPERATIONS$5,000
HENDERSON COUNTY SOIL & WATER CONSERV DIST
61 TRIPLE SPRINGS ROADHENDERSONVILLENC28792PCGENERAL OPERATIONS$1,000
JOURNEY CARE HOSPICE
2050 CLAIRE CTGLENVIEWIL60025PCGENERAL OPERATIONS$250
KIEVE WAVUS EDUCATION
PO BOX 169NOBLEBOROME04555PCGENERAL OPERATIONS$250
LAKE COUNTY COMMUNITY FOUNDATION
114 SOUTH GENESSE STREET SUITE 505WAUKEGANIL60085PCGENERAL OPERATIONS$5,000
LAKE FOREST COLLEGE
555 N SHERIDAN ROADLAKE FORESTIL60045PCGENERAL OPERATIONS$2,000
LAKE FOREST OPEN LANDS ASSOCIATION
272 E DEERPATH RDLAKE FORESTIL60045PCGENERAL OPERATIONS$250
LAKE FOREST POLICE ASSOCIATION
255 W DEERPATH RDLAKE FORESTIL60045PCGENERAL OPERATIONS$50
LEWA WILDLIFE CONSERVANCY
PCGENERAL OPERATIONS$1006CGR58ISIOLOMERUKE
MCCORMICK THEOLOGICAL SEMINARY
5460 S UNIVERSITY AVECHICAGOIL60045PCGENERAL OPERATIONS$2,000
MONMOUTH COLLEGE
700 E BROADWAYMONMOUTHIL61462PCGENERAL OPERATIONS$38,000
MONTANA RED CROSS
233 EDELWEISS DR 9BOZEMANMT59718PCGENERAL OPERATIONS$5,000
NATIONAL PARKS & CONSERVATION ASSOCIATION
777 6TH ST NW SUITE 700WASHINGTON DCDC20001PCGENERAL OPERATIONS$11,000
NATURE CONSERVANCY OF MONTANA
32 SOUTH EWINGHELENAMT59601PCGENERAL OPERATIONS$3,000
NORTH SHORE COMMUNITY PARTNERS
855 SKOKIE HWYLAKE BLUFFIL60044PCGENERAL OPERATIONS$1,000
NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL
660 N WESTMORELAND ROADLAKE FORESTIL60045PCGENERAL OPERATIONS$7,000
OQUAWKA FIRE PROTECTION DISTRICT
WARREN STOQUAWKAIL61469PCGENERAL OPERATIONS$7,500
PATHFINDER INTERNATIONAL
1250 23RD ST NW STE 475WASHINGTONDC20037PCGENERAL OPERATIONS$6,000
PLANNED PARENTHOOD
18 S MICHIGAN AVECHICAGOIL60603PCGENERAL OPERATIONS$20,000
RAGDALE FOUNDATION
1260 N GREEN BAY ROADLAKE FORESTIL60045PCGENERAL OPERATIONS$500
SALVATION ARMY
431 S GENESEE STREETWAUKEGANIL60085PCGENERAL OPERATIONS$1,000
SOUL DOG COMMUNITY RESCUE
1245 FACTORY CIRCLEFORT LUPTONCO80621PCGENERAL OPERATIONS$1,000
THE COMMUNITY CHURCH OF LAKE FOREST & LAKE BLUFF
PO BOX 26LAKE BLUFFIL60044PCGENERAL OPERATIONS$3,000
THE RIGHT STEP
2219 W EULESSEULESSTX76040PCGENERAL OPERATIONS$1,000
THRIVE
1010 EL CAMINO STE 250MENLO PARKCA94025PCGENERAL OPERATIONS$2,000
WARREN COUNTY UNITED WAY
3989 US-42LEBANONOH45036PCGENERAL OPERATIONS$1,000
WILD AID
333 PINE ST SUITE 300SAN FRANCISCOCA94104PCGENERAL OPERATIONS$1,000
WOUNDED WARRIOR PROJECT
4899 BELFORT ROAD SUITE 300JACKSONVILLEFL32256PCGENERAL OPERATIONS$100
WTTW CHANNEL 11
5400 NORTH ST LOUIS AVECHICAGOIL60625PCGENERAL OPERATIONS$2,000
WYOMING STOCKGROWERS LAND TRUST
113 E 20TH STCHEYENNEWY82001PCGENERAL OPERATIONS$5,000
YELLOWSTONE PUBLIC RADIO
1500 UNIVERSITY DRIVEBILLINGSMT59101PCGENERAL OPERATIONS$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$168,167TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$66,109ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion01ExclusionCd
Exclusion$25,041ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$58,170ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$149,320ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$149,320TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp (4 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndNoncash ContributionNoncashContributionInd
TRUST UNDER AGREEMENT AUGUSTIN S HART JR CHARITABLE REMAINDER TRUST
1270 E WESTMINSTER SUITE 300LAKE FORESTIL60045$5,090Yes (X)
TRUST UNDER AGREEMENT AUGUSTIN S HART JR CHARITABLE REMAINDER TRUST
2270 E WESTMINSTER SUITE 300LAKE FORESTIL60045$33,758Yes (X)
TRUST UNDER AGREEMENT AUGUSTIN S HART JR CHARITABLE REMAINDER TRUST
3270 E WESTMINSTER SUITE 300LAKE FORESTIL60045$12,186Yes (X)
TRUST UNDER AGREEMENT AUGUSTIN S HART JR CHARITABLE REMAINDER TRUST
4270 E WESTMINSTER SUITE 300LAKE FORESTIL60045$71,119Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp (3 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
23003.421 SHS DOUBLELINE CORE FIXED INCOME FUND CLASS I$33,7582019-08-27
3381.164 SHS FPA CRESCENT PORTFOLIO$12,1862019-08-27
4999 SHS ISHARES TR MSCI ACWI ETF$71,1192019-08-27

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$8,725Amt
Net Investment Income$4,362NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,363DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (27 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
19 SHS ALPHABET$18,037$25,448
285 SHS AMERICAN INTL GROUP$14,975$14,629
625 SHS ARCONIC INC$15,470$19,231
295 SHS CBRE GROUP$10,790$18,081
260 SHS CITIGROUP INC$16,433$20,771
350 SHS COMCAST CORP$12,130$15,740
1,280 SHS FIAT CHRYSLER AUTOMOBILES$17,382$18,803
480 SHS GENERAL MTRS$18,004$17,568
65 SHS HCA HEALTHCARE INC$5,848$9,608
155 SHS HOWARD HUGHES CORP$17,606$19,654
790 SHS INTERPUBLIC GROUP$18,043$18,249
220 SHS LIBERTY BROADBAND CORP$18,283$27,665
290 SHS ORACLE CORP$12,199$15,364
180 SHS TE CONNECTIVITY LTD$15,085$17,251
460 SHS UNDER ARMOUR$5,851$8,823
100 SHS VISA INC$8,830$18,790
255 SHS WELLS FARGO & CO$13,956$13,719
170 SHS HILTON WORLDWIDE HLDGS INC$12,842$18,855
325 SHS SOUTHWEST AIRLS CO$16,868$17,544
115 SHS AGILENT TECHNOLOGIES$8,037$9,811
110 SHS CONCHO RES INC$10,416$9,633
45 SHS CONSTELLATION BRANDS$7,876$8,539
85 SHS DIAMONDBACK ENERGY$9,100$7,893
40 SHS FACEBOOK$7,247$8,210
110 SHS LIVANOVA PLC$7,709$8,297
62 SHS REGENRON PHARMACEUTICALS INC$18,295$23,280
310 SHS CHARLES SCHWAB$13,906$14,744

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (12 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
3085.190 SHS VANGUARD INTL EQUITY MUTUAL FUNDFMV$174,650$182,304
5355.084 SHS FPA CRESCENT PORTFOLIOFMV$169,513$181,162
28356.443 SHS ADARA SMALLER COMPANIES FUNDFMV$364,476$382,528
11294.258 SHS BOSTON PARTNERS LONG/SHORT EQUITYFMV$184,750$179,353
19567.036 SHS TOUCHSTONE SANDS CAPITAL INST'L GROWTH FUNDFMV$412,140$436,932
1315.641 SHS VANGUARD REIT INDEX FUND ADMIRAL SHARESFMV$144,008$173,112
225 SHS GAMING & LEISURE PPTYS INCFMV$7,497$9,686
109,841.728 SHS AQUARIUS INTERNATIONAL FUNDFMV$1,042,261$1,106,106
2432.966 SHS VANGUARD INTL EQUITY INDEX FUNDFMV$183,635$197,046
8389.201 SHS FIDELITY EMERGING MARKETS INDEX FUNDFMV$84,719$92,113
15029.376 SHS PRINCIPAL DIVERSIFIED REAL ASSET FUND CLASS IFMV$170,541$174,942
548.98 SHS ISHARES TR RUSSELL 2000 ETFFMV$82,677$90,949

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MISCELLANEOUS EXPENSES$215$215$0
FILING FEES$115$115$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMADOFF VICTIM FUND RECOVERYDesc
Revenue And Expenses Per Books$25,041RevenueAndExpensesPerBooksAmt
Net Investment Income$25,041NetInvestmentIncomeAmt
Adjusted Net Income$25,041AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$20,315Amt
Net Investment Income$20,315NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES - PERSHING QUU-014996$2,778$2,778$0
FEDERAL TAXES PAID WITH 2018 EXTENSION$13,000$0$0

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