ANN A MERGENS FOUNDATION INC: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ANN A MERGENS FOUNDATION INC (EIN 27-4113304)
- Tax period
- 2017-09-01 to 2018-08-31
- Filed
- 2019-01-02
- IRS object ID
- 201900109349100400
- Schema version
- 2017v2.2
- 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
- Accounting Fees Schedule
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-01-02T10:31:39-08:00 | ReturnTs |
| Tax Period End | 2018-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tapia & Huckabay PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 38 | AddressLine1Txt |
| City | Vergennes | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05491 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 274113304 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ann A Mergens Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANNA | BusinessNameControlTxt |
| Phone | 8028635933 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 662 | AddressLine1Txt |
| City | Shelburne | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05482 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL G MERGENS | PersonNm |
| Person Title | VICE-PRESIDENT | PersonTitleTxt |
| Phone | 8028635933 | PhoneNum |
| Signature | 2018-12-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM S HUCKABAY CPA | PreparerPersonNm |
| PTIN | P00154308 | PTIN |
| Phone | 8028707086 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.252.240.121 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-01-02 | IPDt |
| IP Tm | 10:31:28 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | EA447F3804465B63D31BBF9D60E38D31A15B3A1C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F5EAD35F26E8E7C6943A0EFFCB5EA88474B008A5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $7,225,619 | 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 |
| Interest On Sav Rev And Expnss | $27,574 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $27,574 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $82,791 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $82,791 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $178,112 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $242,385 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $178,112 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $288,477 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $288,477 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $23,384 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $23,384 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,962 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $981 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $981 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $4,704 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $4,704 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $2,875 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $33,796 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $9,644 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $24,152 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $66,721 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $15,329 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $48,517 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $375,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $375,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $441,721 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $15,329 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $423,517 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$153,244 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $273,148 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $43,667 | CashBOYAmt |
| Cash EOY | $16,650 | CashEOYAmt |
| Cash EOYFMV | $16,650 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $2,215,614 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $1,836,968 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $1,836,968 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $112,070 | USGovernmentObligationsBOYAmt |
| Corporate Stock BOY | $3,088,308 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,327,039 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,990,946 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,307,140 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,432,898 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,381,055 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $6,766,799 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,613,555 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $7,225,619 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $6,766,799 | RetainedEarningBOYAmt |
| Retained Earning EOY | $6,613,555 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,766,799 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $6,613,555 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,766,799 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $6,613,555 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,766,799 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$153,244 | ExcessRevenueOverExpensesAmt |
| Subtotal | $6,613,555 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $6,613,555 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly Traded Securities | PropertyDesc |
| Gross Sales Price | $242,385 | GrossSalesPriceAmt |
| Depreciation | $0 | DepreciationAmt |
| Cost Or Other Basis | $64,273 | CostOrOtherBasisAmt |
| Gain Or Loss | $178,112 | GainOrLossAmt |
| FMV As Of123169 | $0 | FMVAsOf123169Amt |
| Adjusted Basis As Of123169 | $0 | AdjustedBasisAsOf123169Amt |
| Excess FMV Over Adjusted Bss | $0 | ExcessFMVOverAdjustedBssAmt |
| Gains Minus Excess Or Losses | $178,112 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $178,112 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $375,904 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $7,228,979 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.052000 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $260,530 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,283,595 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.049309 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $51,435 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,019,990 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.050427 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $49,683 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,046,449 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.047478 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $49,523 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,040,148 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.047611 | DistributionYr5Rt |
| Total Distribution | 0.246825 | TotalDistributionRt |
| Average Distribution | 0.049365 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $7,286,993 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $359,722 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,731 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $362,453 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $423,517 | 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 | $2,731 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,731 | SubtotalAmt |
| Tax Based On Investment Income | $2,731 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,700 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,700 | TotalPaymentsAndCreditsAmt |
| Original Return Tax Paid | $1,700 | OriginalReturnTaxPaidAmt |
| Tax Due | $1,031 | TaxDueAmt |
| Applied To ES Tax | $0 | 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 |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | VT | 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 |
| Individual With Books | PAUL G MERGENS | IndividualWithBooksNm |
| Phone | 8028635933 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 662 | AddressLine1Txt |
| City | Shelburne | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05482 | 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 | Yes (true) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | 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 |
| Business Holdings | false | BusinessHoldingsInd |
| 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| MARY MERGENS-LOUGHRAN | ||||||||
| PO Box 662 | Shelburne | VT | 05482 | PRESIDENT/TREASURER, | 5.00 | $23,384 | $0 | $0 |
| PAUL G MERGENS | ||||||||
| PO Box 662 | Shelburne | VT | 05482 | Vice-President | 2.00 | $0 | $0 | $0 |
| WILLIAM H WILTSHIRE | ||||||||
| PO Box 633 | Milton | VT | 05468 | Secretary | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,129,246 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,268,716 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $7,397,962 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $7,397,962 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $110,969 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $7,286,993 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $364,350 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $364,350 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,731 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,731 | TotalTaxAmt |
| Distributable Before Adj | $361,619 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $361,619 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $361,619 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $423,517 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $423,517 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $2,731 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $420,786 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $361,619 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $35,019 | UndistributedIncomePYAmt |
| Qualifying Distributions | $423,517 | QualifyingDistributionsAmt |
| Applied To Year1 | $35,019 | AppliedToYear1Amt |
| Applied To Current Year | $361,619 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $26,879 | RemainingDistriFromCorpusAmt |
| Total Corpus | $26,879 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $26,879 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $26,879 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | MARY MERGENS-LOUGHRAN | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 662 | AddressLine1Txt |
| City | Shelburne | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 8028635933 | RecipientPhoneNum |
| Form And Info And Materials | ANY FORM OF APPLICATION IS ACCEPTABLE. INCLUDE ORGANIZATIONAL INFORMATION AND INTENDED CHARITABLE USE OF THE FUNDS. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| Live Like Jake Foundation | ||||||
| PO Box 31652 | West Palm Beach | FL | 33420 | PC | OperatingSupport | $55,000 |
| Sara Holbrook Center | ||||||
| 66 North Avenue | Burlington | VT | 05401 | PC | OperatingSupport | $20,000 |
| Burlington City Arts | ||||||
| 135 Church Street | Burlington | VT | 05401 | PC | OperatingSupport | $25,000 |
| Mater Christi School | ||||||
| 50 Mansfield Avenue | Burlington | VT | 05401 | PC | OperatingSupport | $25,000 |
| Shelburne Farms | ||||||
| 1161 Harbor Road | Shelburne | VT | 05482 | PC | OperatingSupport | $25,000 |
| Stern Center | ||||||
| 183 Talcott Road | Williston | VT | 05495 | PC | OperatingSupport | $25,000 |
| VNA Respite House | ||||||
| 1110 Prim Road | Colchester | VT | 05446 | PC | OperatingSupport | $25,000 |
| Ronald McDonald House | ||||||
| 16 South Winooski Avenue | Burlington | VT | 05401 | PC | OperatingSupport | $25,000 |
| Champlain College | ||||||
| PO Box 670 | Burlington | VT | 05402 | PC | OperatingSupport | $25,000 |
| Center for Creative Education | ||||||
| 425 24th Street | West Palm Beach | FL | 33407 | PC | OperatingSupport | $25,000 |
| Andrew Red Harris Foundation | ||||||
| 18230 River Oaks Drive | Jupiter | FL | 33458 | PC | OperatingSupport | $25,000 |
| Loggerhead Marine Life Center | ||||||
| 14200 US Highway 1 | North Palm Beach | FL | 33408 | PC | OperatingSupport | $25,000 |
| Greater Burlington YMCA | ||||||
| 266 College Street | Burlington | VT | 05401 | PC | OperatingSupport | $25,000 |
| The Howard Center | ||||||
| 208 Flynn Avenue Suite 3J | Burlington | VT | 05401 | PC | OperatingSupport | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $375,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $27,574 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $82,791 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $178,112 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $288,477 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $288,477 | 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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Vermont CPA Firm Accounting & Tax Preparation | CategoryTxt |
| Amt | $1,962 | Amt |
| Net Investment Income | $981 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $981 | DisbursementsCharitablePrpsAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | Publicly Traded Securities | AssetDesc |
| How Acquired | Purchased | HowAcquiredTxt |
Purchaser Name PurchaserNameGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | UNRELATED THIRD PARTIES | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Price | $242,385 | GrossSalesPriceAmt |
| Basis | $64,273 | BasisAmt |
| Basis Method | Cost | BasisMethodTxt |
| Total Net | $178,112 | TotalNetAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (11 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 113,222 Federal Government Obligation Fund | $113,222 | $113,222 |
| 21,880 OW Fixed Income Fund | $249,168 | $238,049 |
| 45,864 OW Fixed Income Fund | $518,232 | $499,002 |
| 8,943 DoubleLine Total Return Bond Fund I | $99,872 | $93,095 |
| 2,792 Guggenheim Macro Opportunities Institutional Fund | $75,025 | $74,159 |
| 4,726 Loomis Sayles Bond Fund | $69,332 | $63,850 |
| 5,956 Osterweis Strategic Income Fund | $68,667 | $67,416 |
| 4,733 T. Rowe Price Institutional Floating Rate Fund | $48,033 | $47,190 |
| 12,830 Vanguard Total Bond Market Index Admiral Fund | $138,749 | $133,943 |
| 2,266 Vanguard Short-Term Bond Index Admiral Fund | $24,069 | $23,249 |
| 2,661 Vanguard Short-Term Investment Grade Admiral Fund | $28,529 | $27,880 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (25 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 49,683sh OW Large Cap Strategies Fund | $556,525 | $752,193 |
| 11,054sh OW Small & MidCap Strategies Fund | $128,215 | $195,101 |
| 26,922sh OW Strategic Opportunities Fund | $176,702 | $214,297 |
| 104,210sh OW Large Cap Strategies Fund | $1,347,288 | $1,577,735 |
| 23,170sh OW Small & MidCap Strategies Fund | $371,064 | $408,945 |
| 56,649sh OW Strategic Opportunities Fund | $404,140 | $450,927 |
| 421sh Vanguard International Equity Index Fund | $24,032 | $23,744 |
| 1,848sh AQR Diversified Arbitrage Fund Class I | $20,308 | $17,467 |
| 1,886sh Arbitrage Event-Driven Fund | $19,317 | $18,016 |
| 1,714sh Baron Emerging Markets Institutional Fund | $19,720 | $23,461 |
| 669sh BBH Core Select N Fund | $11,442 | $14,347 |
| 2,564sh Brandes Emerging Markets Fund I | $24,830 | $21,766 |
| 262sh Cove Street Capital Small Cap Value Inst. Fund | $9,000 | $9,922 |
| 668sh FMI Large Cap Fund | $11,599 | $15,217 |
| 348sh Harbor International Fund - Institutional | $21,970 | $22,537 |
| 1,045sh Oakmark Global Fund | $26,799 | $34,124 |
| 1,950sh Lazard International Strategic Equity Institutional Fund | $22,943 | $30,745 |
| 1,272sh Parametric Emerging Markets Fund | $18,567 | $18,415 |
| 424sh Touchstone Sands Capital Institutional Growth Fund | $7,442 | $11,235 |
| 1,084sh Vanguard Global Minimum Volume Admiral Fund | $29,121 | $31,409 |
| 143sh Vanguard Growth Index Admiral Fund | $5,270 | $11,831 |
| 200sh Vanguard REIT Indew Admiral Fund | $23,525 | $23,846 |
| 830sh Vanguard Total International Stock Index Admiral Fund | $21,147 | $24,148 |
| 262sh Vanguard Value Index Admiral Fund | $6,073 | $11,324 |
| 386sh Vanguard Total Stock Market Index Admiral Fund | $20,000 | $28,194 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Office Expenses | $156 | $156 | |
| Operating Cost Reimbursement to G.M. Mergens Foundation | $33,640 | $23,996 | $9,644 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Providers Investment Management Services | CategoryTxt |
| Amt | $4,704 | Amt |
| Net Investment Income | $4,704 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Federal Excise Taxes | CategoryTxt |
| Amt | $2,875 | Amt |