GEORGE D BATES FAMILY FOUNDATION INC: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GEORGE D BATES FAMILY FOUNDATION INC (EIN 59-3458518)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202043219349104044
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)
Return2020-11-16T14:02:17-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593186310PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1THOMAS HOWELL FERGUSON PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12615 CENTENNIAL BLVD SUITE 200AddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32308ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593458518EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEORGE D BATES JR FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGEORBusinessNameControlTxt
Phone8506272810PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 205AddressLine1Txt
CityQUINCYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP323530205ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK W BATESPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8506272810PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBORAH LEONARDPreparerPersonNm
PTINP00218358PTIN
Phone8506688100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.77.128.118IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-11IPDt
IP Tm17:29:57IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB225748AF06B3F9959FF189E76B9BABDE46CAEC6AtSubmissionCreationDeviceId
At Submission Filing Device IdB65AF4DFEA8DC634413E628C25004E381038E77DAtSubmissionFilingDeviceId
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$190,786FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$4,119DividendsRevAndExpnssAmt
Dividends Net Invst Incm$4,119DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$57,404NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$366,388GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$57,404CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$61,523TotalRevAndExpnssAmt
Total Net Invst Incm$61,523TotalNetInvstIncmAmt
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$2,200AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,200AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$42TaxesRevAndExpnssAmt
Taxes Net Invst Incm$42TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$3,065OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$3,065OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$5,307TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,307TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$161,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$161,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$166,807TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,307TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$161,500TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$105,284ExcessRevenueOverExpensesAmt
Net Investment Income$56,216NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$6,676CashBOYAmt
Cash EOY$13,703CashEOYAmt
Cash EOYFMV$13,703CashEOYFMVAmt
Corporate Stock BOY$265,459CorporateStockBOYAmt
Corporate Stock EOY$144,610CorporateStockEOYAmt
Corporate Stock EOYFMV$177,083CorporateStockEOYFMVAmt
Total Assets BOY$272,135TotalAssetsBOYAmt
Total Assets EOY$158,313TotalAssetsEOYAmt
Total Assets EOYFMV$190,786TotalAssetsEOYFMVAmt
Other Liabilities BOY$5,408OtherLiabilitiesBOYAmt
Other Liabilities EOY$0OtherLiabilitiesEOYAmt
Total Liabilities BOY$5,408TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$266,727CapitalStockBOYAmt
Capital Stock EOY$158,313CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$266,727TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$158,313TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$272,135TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$158,313TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$266,727TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$105,284ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$161,443SubtotalAmt
Other Decreases$3,130OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$158,313TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (76 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
15 SH ACADIA PHARMACEUTICALS INCP2019-01-162019-03-15$353$325$28$28
85 SH ACADIA PHARMACEUTICALS INCP2019-01-162019-03-15$2,000$1,851$149$149
41 SH ACADIA PHARMACEUTICALS INCP2019-01-162019-09-20$1,197$893$304$304
259 SH ACADIA PHARMACEUTICALS INCP2019-04-162019-09-20$7,563$6,652$911$911
17 SH ACADIA PHARMACEUTICALS INCP2019-04-162019-09-24$697$437$260$260
10 SH AMGEN INCP2018-06-252019-04-22$1,764$1,850-$86-$86
12 SH ARCH CAPITAL GROUP LTDP2017-06-202019-01-16$332$379-$47-$47
83 SH AVEDRO INC COMMON STOCKP2019-03-122019-11-22$1,006$1,006$0$0
159 SH AVEDRO INC COMMON STOCKP2019-03-112019-11-22$1,888$1,888$0$0
13 SH BANK OZK COMMON STOCKP2017-09-252019-06-25$363$595-$232-$232
15 SH BANK OZK COMMON STOCKP2018-08-082019-06-25$419$615-$196-$196
1 SH BANK OZK COMMON STOCKP2017-11-152019-06-25$28$44-$16-$16
255 SH BANK OZK COMMON STOCKP2018-02-062019-06-25$7,128$12,543-$5,415-$5,415
447 SH BLOOM ENERGY CORPORATION CLASS A COMMON STOCKP2019-02-052019-08-29$1,858$4,621-$2,763-$2,763
335 SH BLOOM ENERGY CORPORATION CLASS A COMMON STOCKP2019-04-172019-08-29$1,392$4,323-$2,931-$2,931
9 SH BOEING COP2019-03-182019-08-08$3,001$3,324-$323-$323
4 SH CADENCE BANCORPORATION CLASS A COMMON STOCKP2017-09-272019-12-12$67$91-$24-$24
2 SH CADENCE BANCORPORATION CLASS A COMMON STOCKP2017-09-282019-12-12$34$46-$12-$12
7 SH CADENCE BANCORPORATION CLASS A COMMON STOCKP2017-09-292019-12-12$117$160-$43-$43
22 SH CADENCE BANCORPORATION CLASS A COMMON STOCKP2017-11-152019-12-12$369$494-$125-$125
48 SH CELGENE CORPP2018-05-242019-04-24$4,469$3,807$662$662
79 SH CELGENE CORPP2018-08-172019-04-24$7,356$7,062$294$294
16 SH CF INDUSTRIES HOLDINGS INCP2017-05-192019-10-10$786$459$327$327
2 SH CHIPOTLE MEXICAN GRILL INC COMMON STOCKP2016-08-222019-08-09$1,617$791$826$826
27 SH CLOVIS ONCOLOGY INC COMP2019-02-052019-08-29$151$689-$538-$538
232 SH CLOVIS ONCOLOGY INC COMP2019-04-042019-08-29$1,302$5,840-$4,538-$4,538
100 SH CLOVIS ONCOLOGY INC COMP2019-02-052019-03-15$2,878$2,553$325$325
1035 SH COCA COLA COMPANY (THE)P2007-11-192019-09-19$56,386$1,294$55,092$55,092
10 SH COMCAST CORP CL AP2017-11-292019-03-28$402$375$27$27
9 SH COMCAST CORP CL AP2017-12-012019-03-28$362$346$16$16
199 SH COMCAST CORP CL AP2018-12-212019-03-28$8,004$7,009$995$995
33 SH CORTEVA INC COMMON STOCKP2018-12-212019-10-09$856$898-$42-$42
550 SH DOUBLELINE INCOME SOLUTIONS FD COMP2018-03-012019-05-09$11,055$10,921$134$134
33 SH DOW INC COMMON STOCKP2018-12-212019-10-09$1,455$1,754-$299-$299
101 SH DOWDUPONT INC COMMON STOCKP2018-12-212019-06-05$3,473$3,473$0$0
33 SH DUPONT DE NEMOURS INC COMMON STOCKP2018-12-212019-10-09$2,152$2,574-$422-$422
9 SH FIRST HAWAIIAN INC COMP2017-12-012019-01-17$224$264-$40-$40
3 SH GOLDMAN SACHS GROUP INCP2017-08-022019-10-09$595$681-$86-$86
1 SH GOLDMAN SACHS GROUP INCP2017-11-212019-10-09$198$238-$40-$40
125 SH HAIN CELESTIAL GROUP INCP2018-12-212019-01-16$2,275$2,033$242$242
9 SH HCA HEALTHCARE INC COMMON STOCKP2019-06-192019-06-20$1,182$1,172$10$10
55 SH HCA HEALTHCARE INC COMMON STOCKP2019-04-232019-06-20$7,225$6,650$575$575
466 SH INVESCO EXCHANGE TRADED FD TR II INVESCO KBW BANK ETFP2018-04-102019-04-22$23,807$25,711-$1,904-$1,904
500 SH INVESCO EXCHANGE TRADED FD TR II INVESCO KBW BANK ETFP2018-04-102019-06-18$24,564$27,587-$3,023-$3,023
142 SH ISHARES CORE S&P SMALL CAP ETFP2018-11-142019-09-26$11,110$11,093$17$17
101 SH ISHARES NASDAQ BIOTECHNOLOGY INDEX FDP2018-03-082019-02-06$11,110$11,333-$223-$223
30 SH ISHARES NASDAQ BIOTECHNOLOGY INDEX FDP2018-08-232019-02-06$3,300$3,517-$217-$217
40 SH ISHARES S&P SMALL CAP 600 VALUE ETFP2019-09-042019-10-08$5,789$5,685$104$104
286 SH MGM RESORTS INTERNATIONALP2018-09-112019-02-19$8,129$7,663$466$466
235 SH MOSAIC COMPANYP2019-06-192019-12-12$4,408$5,577-$1,169-$1,169
123 SH MOSAIC COMPANYP2019-08-132019-12-12$2,307$2,616-$309-$309
49 SH MOSAIC COMPANYP2019-08-282019-12-12$919$877$42$42
67 SH NEVRO CORP COMP2019-02-192019-08-29$5,487$3,281$2,206$2,206
34 SH NEVRO CORP COMP2019-04-232019-08-29$2,784$2,212$572$572
59 SH NEVRO CORP COMP2019-04-242019-08-29$4,831$3,679$1,152$1,152
66 SH NOVOCURE LIMITED ORD SHSP2019-02-062019-08-13$5,686$3,290$2,396$2,396
86 SH NOVOCURE LIMITED ORD SHSP2019-04-222019-08-13$7,409$3,680$3,729$3,729
50 SH ONEMAIN HOLDINGS INC COMP2019-10-092019-11-05$2,073$1,725$348$348
49 SH ONEMAIN HOLDINGS INC COMP2019-10-152019-11-05$2,032$1,784$248$248
6 SH PAYPAL HOLDINGS INC COMP2018-12-212019-05-06$657$493$164$164
1 SH PAYPAL HOLDINGS INC COMP2017-06-272019-05-06$109$53$56$56
44 SH PAYPAL HOLDINGS INC COMP2018-06-212019-05-06$4,815$3,826$989$989
5 SH PREFERRED BANKP2017-09-272019-07-31$272$290-$18-$18
62 SH PREFERRED BANKP2019-04-302019-07-31$3,373$3,058$315$315
195 SH PUMA BIOTECHNOLOGY INCP2019-04-222019-06-25$2,572$6,574-$4,002-$4,002
12 SH REGENERON PHARMACEUTICALS INCP2018-06-062019-11-22$4,287$3,755$532$532
13 SH REGENERON PHARMACEUTICALS INCP2018-06-062019-11-22$4,644$4,082$562$562
67 SH SPDR GOLD TR GOLD SHSP2018-11-132019-04-22$8,071$7,617$454$454
27 SH SPDR S&P 500 ETF TRUSTP2019-06-252019-11-22$8,387$7,907$480$480
45 SH SPDR S&P 500 ETF TRUSTP2018-04-102019-02-05$12,261$11,870$391$391
30 SH SPDR SER TR S&P BIOTECH ETFP2019-06-252019-10-09$2,257$2,560-$303-$303
100 SH SPDR SER TR S&P HOMEBUILDERS ETFP2018-11-122019-08-09$4,112$3,454$658$658
57 SH TRIMBLE INC COMP2018-06-082019-02-25$2,305$1,967$338$338
17 SH UNITEDHEALTH GROUP INCP2018-03-222019-07-23$4,313$3,744$569$569
116 SH WALT DISNEY COP2018-06-062019-05-09$15,659$11,697$3,962$3,962
361 SH YUM CHINA HOLDINGS INC COMP2018-09-122019-06-20$16,570$11,707$4,863$4,863
FieldValueIRS element (for citing)
Capital Gain Net Income$57,404CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$160,764AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$373,745NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.430144DistributionYr1Rt
Adjusted Qlfy Distri Yr2$30,220AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$83,484NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.361986DistributionYr2Rt
Adjusted Qlfy Distri Yr3$60,675AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$72,352NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.838608DistributionYr3Rt
Adjusted Qlfy Distri Yr4$111,000AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$177,744NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.624494DistributionYr4Rt
Adjusted Qlfy Distri Yr5$67,500AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$83,789NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.805595DistributionYr5Rt
Total Distribution3.060827TotalDistributionRt
Average Distribution0.612165AverageDistributionRt
Net Vl Noncharitable Assets$257,765NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$157,795AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$562NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$158,357AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$161,500QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$562InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$562SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$562TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$21EsPenaltyAmt
Tax Due$583TaxDueAmt

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 StateFLOrgReportOrRegisterStateCd
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 BooksMARK W BATESIndividualWithBooksNm
Phone8506272810PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 205AddressLine1Txt
CityQUINCYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP323530205ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARK W BATES
505 HIGHLAND AVEQUINCYFL32351PRESIDENT0.00$0$0$0
PATRICIA C BATES
505 HIGHLAND AVEQUINCYFL32351SECRETARY0.00$0$0$0
JOHN C BATES
722 PRICE RDHENDERSONVILLENC28739DIRECTOR0.00$0$0$0
JULIA C BATES
879 UNION ST APT 2FBROOKLYNNY11215DIRECTOR0.00$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$246,579AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$15,111AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$261,690TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$261,690AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$3,925CashDeemedCharitableAmt
Net Vl Noncharitable Assets$257,765NetVlNoncharitableAssetsAmt
Minimum Investment Return$12,888MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$12,888MinimumInvestmentReturnAmt
Tax Based On Investment Income$562TaxBasedOnInvestmentIncomeAmt
Total Tax$562TotalTaxAmt
Distributable Before Adj$12,326DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$12,326DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$12,326DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$161,500ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$161,500QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$562PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$160,938AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$12,326DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$64,288ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$102,113ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$57,147ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$30,029ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$142,077ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$395,654TotalExcessDistributionCyovAmt
Qualifying Distributions$161,500QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$12,326AppliedToCurrentYearAmt
Remaining Distri From Corpus$149,174RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$544,828TotalCorpusAmt
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$64,288ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$480,540ExcessDistriCyovToNextYrAmt
Excess From Year4$102,113ExcessFromYear4Amt
Excess From Year3$57,147ExcessFromYear3Amt
Excess From Year2$30,029ExcessFromYear2Amt
Excess From Year1$142,077ExcessFromYear1Amt
Excess From Current Year$149,174ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CENTENARY UM CHURCH
646 W FIFTH STREETWINSTONSALEMNC27101PCMUSIC PROGRAM & DISASTER RELIEF$40,000
GADSDEN ARTS CENTER & MUSEUM
13 N MADISON STREETQUINCYFL32351EOFART PROGRAM$27,500
ROBERT F MUNROE DAY SCHOOL
91 OLD MT PLEASANT ROADQUINCYFL32351EDUCATIONAL ORG.SCHOLARSHIPS$5,000
TCC FOUNDATION
444 APPLEYARD DRIVETALLAHASSEEFL32304EDUCATIONAL ORG.SCHOLARSHIPS$21,000
THE UNIVERSITY OF THE SOUTH
735 UNIVERSITY AVESEWANEETN37383EDUCATIONAL ORG.SCHOLARSHIPS$11,000
SEMINOLE BOOSTER
UNIVERSITY CENTER C5100TALLAHASSEEFL32306CHARITABLE ORG.SCHOLARSHIPS$25,000
FLORIDA UNITED METHODIST CHILDREN'S HOME
51 MAIN STREETENTERPRISEFL32725PCCHILDREN'S PROGRAMS$30,000
TWELVE CHURCHES
2800 SHAMROCK ST STALLAHASSEEFL32309PCMISSION PROGRAMS$2,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$161,500TotalGrantOrContriPdDurYrAmt
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$4,119ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$57,404ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$61,523ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$61,523TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTHOMAS HOWELL FERGUSON, P.A.CategoryTxt
Amt$2,200Amt
Net Investment Income$2,200NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCOMMON STOCKStockNm
EOY Book Value$144,610EOYBookValueAmt
EOYFMV$177,083EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescNET ASSET ADJUSTMENTDesc
Amt$3,130Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PORTFOLIO MANAGEMENT FEES$3,004$3,004$0
CORPORATE FILING FEES$61$61$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
CHARITABLE CONTRIBUTION PAYABLE$2,500$0
MEETING EXPENSES PAYABLE$2,908$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXES WITHHELDCategoryTxt
Amt$42Amt
Net Investment Income$42NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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