BERTHA RUSS LYTEL FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BERTHA RUSS LYTEL FOUNDATION (EIN 94-2271250)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-02-08
IRS object ID
201900399349100405
Schema version
2017v2.3
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)
Return2019-02-08T11:05:38-06:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN680402428PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AYCOCK AND EDGMON CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 637AddressLine1Txt
CityFERNDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP955360637ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942271250EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BERTHA RUSS LYTEL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBERTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 893AddressLine1Txt
CityFERNDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95536ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBETTY DIEHLPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone7077864657PhoneNum
Signature2018-12-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPHILIP R AYCOCKPreparerPersonNm
PTINP00128268PTIN
Phone7077869798PhoneNum
Preparation2019-01-21PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.16.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-02-08IPDt
IP Tm11:05:38IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8CCC1BFED4F9CBF02EE12B9C8BDBD3C7AB8AFFF9AtSubmissionCreationDeviceId
At Submission Filing Device Id72A9AB7397B853419F7BC1FB2C0C199BD4BCD0FAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$15,705,792FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$120,924InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$120,924InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$120,924InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$323,022DividendsRevAndExpnssAmt
Dividends Net Invst Incm$323,022DividendsNetInvstIncmAmt
Dividends Adj Net Incm$323,022DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$800,469NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$800,469GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$800,469CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$13,352OtherIncomeRevAndExpnssAmt
Other Income Adj Net Incm$13,352OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$1,257,767TotalRevAndExpnssAmt
Total Net Invst Incm$1,244,415TotalNetInvstIncmAmt
Total Adj Net Incm$457,298TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$48,840CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$48,840CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$8,075AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,038AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$4,037AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$134,084OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$134,084OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$30,167TaxesRevAndExpnssAmt
Taxes Net Invst Incm$4,125TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$10TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,939OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,810OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$129OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$223,105TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$144,057TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$53,016TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$677,031ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$677,031ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$900,136TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$144,057TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$730,047TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$357,631ExcessRevenueOverExpensesAmt
Net Investment Income$1,100,358NetInvestmentIncomeAmt
Adjusted Net Income$457,298AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$1,016,110SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$648,244SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$648,244SavAndTempCashInvstEOYFMVAmt
Other Nts And Loans Rcvbl$36,612OtherNtsAndLoansRcvblAmt
Other Nts And Loans Rcvbl BOY$51,300OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$36,612OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$36,612OtherNtsAndLoansRcvblEOYFMVAmt
Corporate Stock BOY$11,274,091CorporateStockBOYAmt
Corporate Stock EOY$12,025,234CorporateStockEOYAmt
Corporate Stock EOYFMV$14,716,058CorporateStockEOYFMVAmt
Other Investments BOY$195,945OtherInvestmentsBOYAmt
Other Investments EOY$195,945OtherInvestmentsEOYAmt
Other Investments EOYFMV$304,878OtherInvestmentsEOYFMVAmt
Total Assets BOY$12,537,446TotalAssetsBOYAmt
Total Assets EOY$12,906,035TotalAssetsEOYAmt
Total Assets EOYFMV$15,705,792TotalAssetsEOYFMVAmt
Other Liabilities BOY$39,100OtherLiabilitiesBOYAmt
Other Liabilities EOY$50,059OtherLiabilitiesEOYAmt
Total Liabilities BOY$39,100TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,059TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$12,498,346UnrestrictedBOYAmt
Unrestricted EOY$12,855,976UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$12,498,346TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$12,855,976TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$12,537,446TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$12,906,035TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$12,498,346TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$357,631ExcessRevenueOverExpensesAmt
Subtotal$12,855,977SubtotalAmt
Other Decreases$1OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$12,855,976TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

FieldValueIRS element (for citing)
Capital Gain Net Income$800,469CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$690,028AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$14,395,942NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.047932DistributionYr1Rt
Adjusted Qlfy Distri Yr2$746,654AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$13,928,361NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.053607DistributionYr2Rt
Adjusted Qlfy Distri Yr3$980,708AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$13,746,416NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.071343DistributionYr3Rt
Adjusted Qlfy Distri Yr4$817,341AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$14,183,683NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.057625DistributionYr4Rt
Adjusted Qlfy Distri Yr5$845,526AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$12,100,153NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.069877DistributionYr5Rt
Total Distribution0.300384TotalDistributionRt
Average Distribution0.060077AverageDistributionRt
Net Vl Noncharitable Assets$13,927,660NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$836,732AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$11,004NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$847,736AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$730,047QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$22,007InvestmentIncomeExciseTaxAmt
Subtotal$22,007SubtotalAmt
Tax Based On Investment Income$22,007TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$13,944EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$13,944TotalPaymentsAndCreditsAmt
Tax Due$8,063TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressNAWebsiteAddressTxt
Individual With BooksDONALD HINDLEYIndividualWithBooksNm
Phone7077864657PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1452 SHAW AVENUEAddressLine1Txt
CityFERNDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95536ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BETTY DIEHL
719 MAIN STREETFERNDALECA95536SECRETARY000.00$3,600$0$0
ALAN JORGENSEN
2161PILLAR DRIVEMCKINLEYVILLECA95536DIRECTOR000.00$0$0$0
JACK SMITH
1085 GRANTFERNDALECA95536DIRECTOR000.00$0$0$0
DONALD HINDLEY
452 SHAWFERNDALECA95536MANAGER000.00$45,240$0$0
TOM RENNER
PO BOX 577FERNDALECA95536VICE PRESIDE000.00$0$0$0
JACK RUSS
3592 CENTERVILLE ROADFERNDALECA95536DIRECTOR000.00$0$0$0
DENNIS REGLI
PO BOX 893FERNDALECA95536DIRECTOR000.00$0$0$0
JAMES MORRISON
233 K STREETFERNDALECA95536DIRECTOR000.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

FieldValueIRS element (for citing)
PersonWELLS FARGO ADVISORSPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1318 FIFTH STREETAddressLine1Txt
CityEUREKACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95501ZIPCd
FieldValueIRS element (for citing)
Service TypeFUND MANAGEMENTServiceTypeTxt
Compensation$134,084CompensationAmt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$13,264,010AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$875,746AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$14,139,756TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$14,139,756AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$212,096CashDeemedCharitableAmt
Net Vl Noncharitable Assets$13,927,660NetVlNoncharitableAssetsAmt
Minimum Investment Return$696,383MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$696,383MinimumInvestmentReturnAmt
Tax Based On Investment Income$22,007TaxBasedOnInvestmentIncomeAmt
Total Tax$22,007TotalTaxAmt
Distributable Before Adj$674,376DistributableBeforeAdjAmt
Distributable Before Ded$674,376DistributableBeforeDedAmt
Distributable As Adjusted$674,376DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$730,047ExpensesAndContributionsAmt
Qualifying Distributions$730,047QualifyingDistributionsAmt
Adjusted Qualifying Distri$730,047AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$674,376DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$260,939ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$129,547ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$316,302ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$63,046ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$769,834TotalExcessDistributionCyovAmt
Qualifying Distributions$730,047QualifyingDistributionsAmt
Applied To Current Year$674,376AppliedToCurrentYearAmt
Remaining Distri From Corpus$55,671RemainingDistriFromCorpusAmt
Total Corpus$825,505TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$260,939ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$564,566ExcessDistriCyovToNextYrAmt
Excess From Year4$129,547ExcessFromYear4Amt
Excess From Year3$316,302ExcessFromYear3Amt
Excess From Year2$63,046ExcessFromYear2Amt
Excess From Current Year$55,671ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonBERTHA RUSS LYTEL FOUNDATIONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 893AddressLine1Txt
CityFERNDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95536ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7077869236RecipientPhoneNum
Form And Info And MaterialsNONEFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsWILLIAM RUSS SCHOLARSHIP SALVATION ARMY CLARKE MEMORIAL MUSEUM NEEDY INDIVIDUALS OVER THE AGE OF SIXTY YEARS, WITH PARTICULARREFERENCE TO THE FERNDALE AREA CHARITABLE AND EDUCATIONAL PURPOSES BENEFICIAL TO THE RESIDENTS OF HUMBOLDT COUNTYRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
FERNDALE CHILDRENS CENTER
100 BERDINGFERNDALECA95536NONE501C3INSURANCE$7,270
CAL-POLY UNIVERSITY
1 GRAND AVENUESAN LUIS OBISBOCA93407NONEEDUCATION INSCHOLARSHIPS$10,000
CAL STATE UNIVERSITY FRESNO
5150 N MAPLE AVE JA64FRESNOCA93740NONEEDSCHOLARSHIP$15,000
MCCLEAN FOUNDATION
1336 MAIN STREETFORTUNACA95540NONE501C3CLINIC$50,000
SALVATION ARMY
2123 TYDDEUREKACA95501NONE501(C )3OPERATING EXPENSES$1,000
CAL STATE UNIVERSITY-DAVSI
227 VOORHIES HALLDAVISCA95616NONESCHOOLSCHOLARSHIP$10,000
CLARKE HISTORICAL MUSEUM
240 E STREETEUREKACA95501NONE501(C )3BLDG REPAIRS$1,000
CAL STATE UNIVERSITY
400 W 1ST STREETCHICOCA95928NONEEDUCATION INSCHOLARSHIP$15,000
HUMBOLDT COUNTY FAIR
1250 FIFTH STREETFERNDALECA95536NONE501(C)3OPERATIONS$7,500
FERNDALE REPERTORY THEATE
MAIN STREETFERNDALECA95536NONE501(C)3BUILDING REP$13,000
FERNDALE COMMUNITY CHEST
PO BOX 934FERNDALECA95536NONE501(C)3OPERATIONS$10,000
FERNDALE COM CHURCHSENI
PO BOX 1273FERNDALECA95536NONECHURCHFOOD/SENIOR PROGRAM$110,000
FERNDALE MUSEUM
PO BOX 421FERNDALECA95536NONE501(C )3OPERATING EXPENSES$27,000
FERNDALE CEMETARY ASSOCIATION
PO BOX 72FERNDALECA95536NON3501(C)3OPERATIONS$15,000
FERNDALE SENIOR RESOURCE
PO BOX 726FERNDALECA95536NONE501(C )3OPERATING EXPENSES$248,245
LOST COAST CAMP
1199 LIGH THOUSE ROADPETROLIACA95558NONE501C3OPERATIONS$13,000
LIGHTHOUSE FOR THE BLIND
2501 S PLUM STREETSEATTLEWA98144NONE501C3OPERATIONS$10,000
FERNDALE HIGH SCHOOL
11231 MAIN STREETFERNDALECA95536NONEEDOPERATIONS$5,362
CHURCH OF THE ASSUMPTION
546 BERDING STFERNDALECA95536NONECHURCHELDERLY PROGAMS$50,000
OUR SAVIOR LUTHERAN CHURCH
425 SHAW AVEFERNDALECA95536NONECHURCHELDERLY PROGRAMS$18,000
ST MARKS LUTHERAN CHURCH
795 BERDING STFERNDALECA95536NONECHURCHELDERLY PROGRAMS$15,654
CITY OF FERNDALE
MAIN STREETFERNDALECA95536NONELOCAL GOVELDERLY PROGRAMS$25,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$677,031TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$120,924ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$323,022ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$800,469ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescExclusionExclusionCdExclusionExclusionAmtRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
MISCELLANEOUS INCOME:CLASS3$55
PARTNERSHIP DISTRIBUTIONS$13,297

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$1,244,470ExclusionAmt
Related Or Exempt Function Incm$13,297RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,257,767TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$8,075Amt
Net Investment Income$4,038NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,037DisbursementsCharitablePrpsAmt

Contractor Compensation Expln ContractorCompensationExpln

Contractor Comp Expln ContractorCompExplnGrp

FieldValueIRS element (for citing)
Contractor PersonWELLS FARGO ADVISORSContractorPersonNm
ExplanationINVESTMENT MANAGEMENTExplanationTxt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
WF INV 3046 COMMON STOCK$24,204$30,827
WF INV 3046 PERFERRED STOCK$4,323,427$4,078,116
WF INV 9433$2,020,341$2,252,978
WF INV 0064$1,993,336$2,723,091
WF INV 8640$1,829,503$3,509,749
WF INV 4711$1,834,423$2,121,297

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdEOYFMVEOYFMVAmtBook ValueBookValueAmt
WF INV 3046 ANNUITYAT COST$159,561
WF INV 3046 MUTUAL FDSAT COST$145,317$195,945

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescROUNDINGDesc
Amt$1Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
EXPENSES
DUES AND SUBSCRIPTIONS$75$75
POSTAGE AND DELIVERY$54$54
LIABILITY INSURANCE$1,810$1,810

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
MISCELLANEOUS INCOME:CLASS AC$55$55
PARTNERSHIP DISTRIBUTIONS$13,297$13,297

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
EXCISE TAXES PAYABLE$1,130$8,063
DEFERRED EXCISE TAXES$37,970$41,996

Other Notes Loans Rcvbl Long Sch OtherNotesLoansRcvblLongSch

Other Notes Loans Rcvbl Long OtherNotesLoansRcvblLongGrp (2 entries)

Loan OriginalLoanOriginalAmtBalance DueBalanceDueAmtNoteNoteDtLoan MaturityLoanMaturityDtRepayment TermsRepaymentTermsTxtInterestInterestRtLoan PurposeLoanPurposeTxt
FERNDALE SENIOR RESOURCE AGENCY
$35,000$14,0002016-012016-124000.MONTHLY0.0000CAPITAL IMPROVEMENTS
HUMBOLDT COUNTY RESOURCE CONSERVATI
$35,000$22,6122015-102016-10REVOLVING LOAN0.0000ADVANCE ON RECEIVABLES

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryCONSULTING - OTHERCategoryTxt
Amt$134,084Amt
Net Investment Income$134,084NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
TAXES$4,125$4,125
FRANCHISE TAX BOARD$10$10
EXCISE TAXES$22,006
DEFERRED EXCISE TAXES$4,026

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