BERGSTROM FAMILY FOUNDATION: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BERGSTROM FAMILY FOUNDATION (EIN 76-0563582)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-05-13
IRS object ID
201901339349102095
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-13T17:10:41-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11111 BAGBY STREET SUITE 4500AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77002ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760563582EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE BERGSTROM FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBERGBusinessNameControlTxt
Phone7138650381PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line123 ELOQUENCE WAYAddressLine1Txt
CityTHE WOODLANDSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77382ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN BERGSTROMPersonNm
Person TitlePRESIDENT/CHAIRMANPersonTitleTxt
Phone7138650381PhoneNum
Signature2019-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRINDA CORBINPreparerPersonNm
PTINP00747421PTIN
Phone7139822000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.219.88.140IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-13IPDt
IP Tm15:45:57IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD2DE9D12EF1747ED2D24B94676A45408D0F917D1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,886,415FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$389,942ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$125,462DividendsRevAndExpnssAmt
Dividends Net Invst Incm$125,462DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$1,416NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$719,586GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$248,807CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$513,988TotalRevAndExpnssAmt
Total Net Invst Incm$374,269TotalNetInvstIncmAmt
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$5,325AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,325AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$3,402TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,402TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$8,727TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$8,727TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$254,400ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$254,400ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$263,127TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$8,727TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$254,400TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$250,861ExcessRevenueOverExpensesAmt
Net Investment Income$365,542NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$31,882CashBOYAmt
Cash EOY$35,205CashEOYAmt
Cash EOYFMV$35,205CashEOYFMVAmt
Corporate Stock BOY$3,579,153CorporateStockBOYAmt
Corporate Stock EOY$3,802,258CorporateStockEOYAmt
Corporate Stock EOYFMV$3,851,210CorporateStockEOYFMVAmt
Total Assets BOY$3,611,035TotalAssetsBOYAmt
Total Assets EOY$3,837,463TotalAssetsEOYAmt
Total Assets EOYFMV$3,886,415TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$3,611,035RetainedEarningBOYAmt
Retained Earning EOY$3,837,463RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,611,035TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,837,463TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,611,035TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,837,463TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,611,035TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$250,861ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,861,896SubtotalAmt
Other Decreases$24,433OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,837,463TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtAcquiredAcquiredDt
CALAMOS CONV OPPORTUNITIES & INCOME FUNDP2018-09-10$116,508$97,343$19,165$19,165
8050 SHS CISCO SYSTEMS INCP2018-12-04$388,829$139,719$249,110$249,1102012-06-19
MFS MULTIMARKET INC TR SBIP$214,249$233,717-$19,468-$19,468
FieldValueIRS element (for citing)
Capital Gain Net Income$248,807CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$308,979AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,736,971NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.082682DistributionYr1Rt
Adjusted Qlfy Distri Yr2$691,342AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,379,134NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.204591DistributionYr2Rt
Adjusted Qlfy Distri Yr3$612,628AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,359,793NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.182341DistributionYr3Rt
Adjusted Qlfy Distri Yr4$305,024AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,357,379NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.090852DistributionYr4Rt
Adjusted Qlfy Distri Yr5$225,772AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,346,243NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.096227DistributionYr5Rt
Total Distribution0.656693TotalDistributionRt
Average Distribution0.131339AverageDistributionRt
Net Vl Noncharitable Assets$4,078,876NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$535,715AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$3,655NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$539,370AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$254,400QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$7,311InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$7,311SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$7,311TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$11,032EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$11,032TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$3,721OverpaymentAmt
Applied To ES Tax$3,721AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateTXOrgReportOrRegisterStateCd
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 BooksSTEPHEN BERGSTROMIndividualWithBooksNm
Phone7138650381PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line123 ELOQUENCE WAYAddressLine1Txt
CityTHE WOODLANDSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77382ZIPCd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STEPHEN BERGSTROM
23 ELOQUENCE WAYTHE WOODLANDSTX77382PRESIDENT/CHAIRMAN0.00$0$0$0
DEBORA BERGSTROM
23 ELOQUENCE WAYTHE WOODLANDSTX77382VP & TREASURER0.00$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt

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$4,078,257AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$62,734AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,140,991TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,140,991AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$62,115CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,078,876NetVlNoncharitableAssetsAmt
Minimum Investment Return$203,944MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$203,944MinimumInvestmentReturnAmt
Tax Based On Investment Income$7,311TaxBasedOnInvestmentIncomeAmt
Total Tax$7,311TotalTaxAmt
Distributable Before Adj$196,633DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$196,633DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$196,633DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$254,400ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$254,400QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$254,400AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$196,633DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$129,486ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$140,341ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$462,782ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$527,357ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$132,947ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,392,913TotalExcessDistributionCyovAmt
Qualifying Distributions$254,400QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$196,633AppliedToCurrentYearAmt
Remaining Distri From Corpus$57,767RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,450,680TotalCorpusAmt
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$129,486ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,321,194ExcessDistriCyovToNextYrAmt
Excess From Year4$140,341ExcessFromYear4Amt
Excess From Year3$462,782ExcessFromYear3Amt
Excess From Year2$527,357ExcessFromYear2Amt
Excess From Year1$132,947ExcessFromYear1Amt
Excess From Current Year$57,767ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
DOLLARS FOR SCHOLARS
406 SW SCHOOL STREETANKENYIA50023N/AOTHER PUBLIC CHARITYGENERAL FUND$1,200
IOWA STATE UNIVERSITY FOUNDATION
2229 LINCOLN WAYAMESIA50014N/AOTHER PUBLIC CHARITYISU CYCLONE CLUB / OPERATING FUND$196,200
MD ANDERSON CANCER CENTER
PO BOX 4486HOUSTONTX77210N/AOTHER PUBLIC CHARITYGENERAL FUND$10,000
MAKE-A-WISH FOUNDATION
3550 N CENTRAL AVE STE 300PHOENIXAZ85012N/AOTHER PUBLIC CHARITYGENERAL FUND$1,000
MEALS ON WHEELS
121 WEST NYACK ROADNANUETNY10954N/AOTHER PUBLIC CHARITYGENERAL FUND$1,000
SALVATION ARMY
615 SLATERS LANEALEXANDRIAVA22313N/AOTHER PUBLIC CHARITYGENERAL FUND$10,000
TEXAS CHILDREN'S HOSPITAL
6621 FANNIN STHOUSTONTX77030N/AOTHER PUBLIC CHARITYGENERAL FUND$10,000
THE WOODLANDS UNITED METHODIST CHURCH
2200 LAKE WOODLANDS DRIVETHE WOODLANDSTX77380N/AOTHER PUBLIC CHARITYGENERAL FUND$15,000
UNITED WAY
50 WAUGH DRHOUSTONTX77007N/AOTHER PUBLIC CHARITYGENERAL FUND$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$254,400TotalGrantOrContriPdDurYrAmt
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$125,462ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$1,416ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$124,046ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$124,046TotalIncomeProducingActyAmt

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)
CategoryTAX PREP FEESCategoryTxt
Amt$5,325Amt
Net Investment Income$5,325NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockUBS ACCOUNTSStockNm
EOY Book Value$3,802,258EOYBookValueAmt
EOYFMV$3,851,210EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescTIMING DIFFERENCESDesc
Amt$24,433Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXES PAIDCategoryTxt
Amt$3,402Amt
Net Investment Income$3,402NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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