GOSTOMSKI FOUNDATION: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- GOSTOMSKI FOUNDATION (EIN 46-6976292)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201913189349101986
- Schema version
- 2018v3.1
- 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
- Form 990-PF
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T10:30:38-08:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 320077509 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harrison & Held LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W Wacker Dr STE 1700 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 466976292 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOSTOMSKI FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | CO ROBERT T NAPIER HARRISON & HELD | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOST | BusinessNameControlTxt |
| Phone | 3123321111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL M GOSTOMSKI | PersonNm |
| Person Title | Trustee | PersonTitleTxt |
| Signature | 2019-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARGARET A NAGELA | PreparerPersonNm |
| PTIN | P00439254 | PTIN |
| Phone | 3123321111 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $3,983,069 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $30,495 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $30,495 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$19,398 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,380,499 | GrossSalesPriceAmt |
| Other Income Rev And Expnss | -$170,464 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | -$170,464 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | -$159,367 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | -$139,969 | TotalNetInvstIncmAmt |
| Legal Fees Rev And Expnss | $5,757 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $5,757 | LegalFeesNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $2,337 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $2,337 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $340 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $340 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $35,088 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $35,088 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $43,522 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $43,522 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $867,987 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $867,987 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $911,509 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $43,522 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $867,987 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$1,070,876 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $242,251 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $406,739 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $406,739 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $2,013,569 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,162,260 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,099,262 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $3,606,721 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,222,666 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,477,068 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $5,862,541 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,791,665 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,983,069 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $5,862,541 | RetainedEarningBOYAmt |
| Retained Earning EOY | $4,791,665 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,862,541 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,791,665 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,862,541 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,791,665 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,862,541 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$1,070,876 | ExcessRevenueOverExpensesAmt |
| Subtotal | $4,791,665 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $4,791,665 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (7 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| UBS A/C 4615 - VARIOUS | P | 2018-12-31 | 2018-12-31 | $707,304 | $786,044 | -$78,740 | -$78,740 |
| UBS A/C 6116 - VARIOUS | P | 2018-12-31 | 2018-12-31 | $111,457 | $93,604 | $17,853 | $17,853 |
| UBS A/C 4618 - VARIOUS | P | 2018-12-31 | 2018-12-31 | $532,317 | $520,249 | $12,068 | $12,068 |
| CHG-COINVESTMENT LLC | P | 2018-12-31 | 2018-12-31 | $4,067 | $4,067 | $4,067 | |
| CHG- BLACKBIRD LLC | P | 2018-12-31 | 2018-12-31 | $10,752 | $10,752 | $10,752 | |
| SPECIAL CREDIT OPPORTUNITIES LP | P | 2018-12-31 | 2018-12-31 | $5,706 | $5,706 | $5,706 | |
| ALPHAKEYS KKR ENERGY INCOME FUND LLC | P | 2018-12-31 | 2018-12-31 | $8,896 | $8,896 | $8,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$19,398 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $675,588 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $5,421,003 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.12462 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $461,488 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $6,654,867 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.06935 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $797,022 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $4,451,217 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.17906 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $598,590 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $3,545,794 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.16882 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $230,000 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $3,601,321 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.06387 | DistributionYr5Rt |
| Total Distribution | 0.605709 | TotalDistributionRt |
| Average Distribution | 0.121142 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $6,075,371 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $735,983 | AdjNetVlNoncharitableAssetsAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $735,983 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $867,987 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
| Estimated Plus Ovpmt Incm Tx | $13,605 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $13,605 | TotalPaymentsAndCreditsAmt |
| Overpayment | $13,605 | OverpaymentAmt |
| Applied To ES Tax | $13,605 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT T NAPIER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3123321111 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DRIVE SUITE 1700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | false | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Proceeds Or Net Income | false | ProceedsOrNetIncomeInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL M GOSTOMSKI | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DR STE 1700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | Trustee | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $0 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $3,954,096 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $378,664 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,835,129 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $6,167,889 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $6,167,889 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $92,518 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $6,075,371 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $303,769 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $303,769 | MinimumInvestmentReturnAmt |
| Distributable Before Adj | $303,769 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $303,769 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $303,769 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $867,987 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $867,987 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $867,987 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $303,769 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr4 | $319,166 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $575,731 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $148,867 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $678,185 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,721,949 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $867,987 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $303,769 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $564,218 | RemainingDistriFromCorpusAmt |
| Total Corpus | $2,286,167 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $2,286,167 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $319,166 | ExcessFromYear4Amt |
| Excess From Year3 | $575,731 | ExcessFromYear3Amt |
| Excess From Year2 | $148,867 | ExcessFromYear2Amt |
| Excess From Year1 | $678,185 | ExcessFromYear1Amt |
| Excess From Current Year | $564,218 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF WISCONSIN - RIVER FAL | |||||||
| 410 S 3RD STREET | RIVER FALLS | WI | 54022 | NONE | PC | GENERAL PURPOSES | $64,463 |
| COTTER SCHOOLS | |||||||
| 1115 W BROADWAY STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $12,000 |
| THE FRANCISCAN FRIARS | |||||||
| 1289 LAFOND AVENUE | ST PAUL | MN | 55104 | NONE | PC | GENERAL PURPOSES | $29,000 |
| ST MARY'S UNIVERSITY OF MINNESOTA | |||||||
| 700 TERRACE HEIGHTS | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $433,724 |
| MORRIE MILLER ATHLETIC FOUNDATION | |||||||
| 580 E FRONT STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $10,000 |
| GREAT RIVER SHAKESPEARE FESTIVAL | |||||||
| 450 JOHNSON STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $10,000 |
| CATHOLIC CHARITIES OF WINONA | |||||||
| 111 MARKET STREET SUITE 2B | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $25,000 |
| FAMILY AND CHILDREN'S CENTER | |||||||
| 1707 MAIN STREET | LA CROSSE | WI | 54601 | NONE | PC | GENERAL PURPOSES | $10,000 |
| CHRISTIAN BROTHERS OF THE MIDWEST | |||||||
| 7650 COUNTY LINE ROAD | BURR RIDGE | IL | 60527 | NONE | PC | GENERAL PURPOSES | $25,000 |
| EAGLE BLUFF ENVIRONMENTAL LEARNING | |||||||
| 28097 GOODVIEW DRIVE | LANESBORO | MN | 55949 | NONE | PC | GENERAL PURPOSES | $15,000 |
| ISLANDER FOUNDATION | |||||||
| 25 GROVE STREET | MINNEAPOLIS | MN | 55401 | NONE | PC | GENERAL PURPOSES | $25,000 |
| BASILICA OF ST STANISLAUS KOSTKA | |||||||
| 625 E 4TH STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $20,800 |
| DE LASALLE HIGH SCHOOL | |||||||
| 1 DE LASALLE DRIVE | MINNEAPOLIS | MN | 55401 | NONE | PC | GENERAL PURPOSES | $5,000 |
| YMCA BUILDING FUND | |||||||
| 207 WINONA STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $50,000 |
| VITERBO UNIVERSITY - ENGINEERING LA | |||||||
| 900 VITERBO DRIVE | LA CROSSE | WI | 54601 | NONE | PC | GENERAL PURPOSES | $50,000 |
| HABITAT FOR HUMANITY OF MN | |||||||
| 2171 UNIVERSITY AVENUE W SUITE 200 | SAINT PAUL | MN | 55114 | NONE | PC | GENERAL PURPOSES | $25,000 |
| POLISH CULTURAL INSTITUTE | |||||||
| 102 LIBERTY STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $40,000 |
| HOPE LUTHERAN HIGH SCHOOL | |||||||
| 253 LIBERTY STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $10,000 |
| WINONA VOLUNTEER SERVICES | |||||||
| 402 E 2ND STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $8,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $867,987 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $30,495 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $170,464 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$19,398 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | -$159,367 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | -$159,367 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| UBS A/C 14615 - EQUITIES | $750,000 | $640,300 |
| UBS A/C 14618 - EQUITIES | $258,640 | $280,273 |
| UBS A/C 16116 - EQUITIES | $153,620 | $178,689 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (10 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| UBS A/C 14615 - PRIVATE EQUITY | AT COST | $1,387,537 | $641,939 |
| LOCUPLETO II - AI, LLC | AT COST | ||
| BRIGHTWATER HOLDINGS SERIES D | AT COST | $14,756 | $14,756 |
| CHG-IR LLC | AT COST | $289,273 | $289,273 |
| CHG-MF LLC | AT COST | $635,264 | $635,264 |
| CHG-COINVESTMENT LLC | AT COST | $380,108 | $380,108 |
| CHG-BLACKBIRD LLC | AT COST | $288,765 | $288,765 |
| CHG-GRANARY LLC | AT COST | $149,634 | $149,634 |
| CHG-NEWBERRY LLC | AT COST | $77,329 | $77,329 |
| GLOBAL PRIVATE INVESTORS I, L.P. | AT COST |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | HARRISON & HELD, LLP - LEGAL/TAX | CategoryTxt |
| Legal Fees | $5,757 | LegalFeesAmt |
| Net Investment Income | $5,757 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| ALPHAKEYS KKR ENERGY - OTHER DED | $7,572 | $7,572 |
| CHG-BLACKBIRD LLC - OTHER DEDUCTIONS | $879 | $879 |
| CHG-COINVESTMENT LLC - OTHER DEDUCTIONS | $13,302 | $13,302 |
| CHG-NEWBERRY LLC - OTHER DEDUCTIONS | $41 | $41 |
| LOCUPLETO II - OTHER DEDUCTIONS | $6,171 | $6,171 |
| SPECIAL CREDIT OPPORTUNITIES - OTHER DED | $7,123 | $7,123 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Investment Income | Desc |
| Revenue And Expenses Per Books | -$170,464 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | -$170,464 | NetInvestmentIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| UBS FEES - A/C 4618 | $1,463 | $1,463 | $0 | $0 |
| UBS FEES - A/C 6116 | $874 | $874 | $0 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| SPECIAL CREDIT OPP - FOREIGN TAX | $21 | $21 |
| UBS FOREIGN TAX - A/C 4618 | $319 | $319 |
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