MICOLE FOUNDATION IRRV TR: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MICOLE FOUNDATION IRRV TR (EIN 36-7309675)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-05-13
- IRS object ID
- 201911339349103636
- 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
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-13T16:40:57-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 841595367 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMG NATIONAL TRUST BANK | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6295 GREENWOOD PLAZA BLVD | AddressLine1Txt |
| City | GREENWOOD VILLAGE | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 801114908 | 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 | 367309675 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICOLE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MICO | BusinessNameControlTxt |
| Phone | 6309221532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 124 FERNWOOD DRIVE | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60540 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICOLE LACY | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 6309221532 | PhoneNum |
| Signature | 2019-05-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHEN A MOTTRAM CPA | PreparerPersonNm |
| PTIN | P00244026 | PTIN |
| Phone | 3036942190 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 207.109.58.62 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-02 | IPDt |
| IP Tm | 11:19:54 | IPTm |
| IP Timezone | MD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D94EDC356D40B9A58FF259E97FC3B5B897AAC759 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8F4F96674F4AA984DDC21DA91788D6CF4B37AD28 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | 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 | $4,927,619 | 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 | $4,612 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $4,612 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $76,008 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $74,431 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $29,689 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $523,735 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $29,689 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $110,309 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $108,732 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $8,265 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $7,025 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $1,240 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $58,308 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $58,308 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $951 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $951 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $5,015 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $7 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $8 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $72,539 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $66,291 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,248 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $291,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $291,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $363,539 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $66,291 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $292,248 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$253,230 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $42,441 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $263,712 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $355,708 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $355,731 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $11,428 | AcctRcvblAmt |
| Acct Rcvbl BOY | $6,561 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $11,428 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $11,428 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $415,237 | CorporateStockBOYAmt |
| Corporate Stock EOY | $447,263 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $413,198 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $3,600,714 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,218,595 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $4,147,262 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $4,286,224 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,032,994 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $4,927,619 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $4,286,224 | RetainedEarningBOYAmt |
| Retained Earning EOY | $4,032,994 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,286,224 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,032,994 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,286,224 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,032,994 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,286,224 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$253,230 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $4,032,994 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,032,994 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| GS #12953 - PUBLICLY TRADED SHORT TERM TRANSACTIONS | P | $105,550 | $105,480 | $70 | $70 |
| GS #12953 - PUBLICLY TRADED LONG TERM TRANSACTIONS | P | $290,394 | $307,816 | -$17,422 | -$17,422 |
| GS #53624 - PUBLICLY TRADED SHORT TERM TRANSACTIONS | P | $19,542 | $13,289 | $6,282 | $6,282 |
| GS #53624 - PUBLICLY TRADED LONG TERM TRANSACTIONS | P | $108,249 | $67,490 | $40,759 | $40,759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $29,689 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $302,289 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $5,266,798 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.057395 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $301,133 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $4,996,734 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.060266 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $329,440 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,327,884 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.061833 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $335,811 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,475,056 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.061335 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $472,395 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $5,354,807 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.088219 | DistributionYr5Rt |
| Total Distribution | 0.329048 | TotalDistributionRt |
| Average Distribution | 0.065810 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,423,766 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $356,938 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $424 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $357,362 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $292,248 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $849 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $849 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $849 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,743 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $4,743 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $3,894 | OverpaymentAmt |
| Applied To ES Tax | $3,894 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | NICOLE LACY | IndividualWithBooksNm |
| Phone | 6309221532 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 124 FERNWOOD DRIVE | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60540 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|
| MICHELLE HAWVER | ||||||||
| 11 GREENBRIAR LANE | HAWTHORN WOODS | IL | 60047 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| NICOLE LACY | ||||||||
| 124 FERNWOOD DRIVE | NAPERVILLE | IL | 60540 | TRUSTEE | 1.00 | $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 |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,234,090 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $272,271 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,506,361 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,506,361 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $82,595 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,423,766 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $271,188 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $271,188 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $849 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $849 | TotalTaxAmt |
| Distributable Before Adj | $270,339 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $270,339 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $270,339 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $292,248 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $292,248 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $292,248 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $270,339 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $21,016 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $65,914 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $70,706 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $51,489 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $43,013 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $252,138 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $292,248 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $270,339 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $21,909 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $274,047 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $21,016 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $253,031 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $65,914 | ExcessFromYear4Amt |
| Excess From Year3 | $70,706 | ExcessFromYear3Amt |
| Excess From Year2 | $51,489 | ExcessFromYear2Amt |
| Excess From Year1 | $43,013 | ExcessFromYear1Amt |
| Excess From Current Year | $21,909 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BOYS & GIRLS CLUB OF CHICAGO | |||||||
| 550 W VAN BUREN ST 350 | CHICAGO | IL | 60607 | NONE | EXEMPT | CHARITABLE - CHILDREN AND YOUTH SERVICES | $2,000 |
| CHICAGO BOTANICAL GARDEN | |||||||
| 1000 LAKE COOK ROAD | GLENCOE | IL | 60022 | NONE | EXEMPT | CHARITABLE | $15,000 |
| FRIENDS OF RADNOR LAKE | |||||||
| 1160 OTTER CREEK ROAD | NASHVILLE | TN | 37220 | NONE | EXEMPT | CHARITABLE - NATURAL RESOURCE CONSERVATION AND PROTECTION | $3,000 |
| HESED HOUSE | |||||||
| 659 SOUTH RIVER STREET | AURORA | IL | 60506 | NONE | EXEMPT | CHARITABLE | $70,000 |
| JDRF IL CHAPTER | |||||||
| 1 N LA SALLE ST STE 1200 | CHICAG | IL | 60603 | NONE | EXEMPT | MEDICAL | $5,000 |
| LURIES CHILDREN'S FOUNDATION (CHILDREN'S HOSPITAL OF CHICAGO) | |||||||
| 225 E CHICAGO AVE BOX 282 | CHICAG | IL | 60611 | NONE | EXEMPT | MEDICAL | $5,000 |
| NW EDUCATION ENDOWNMENT | |||||||
| 2501 E MEMORIAL ROAD | OKLAHOMA CITY | OK | 73013 | NONE | EXEMPT | EDUCATION | $25,000 |
| OMNI YOUTH SERVICES | |||||||
| 1111 W LAKE COOK | BUFFALO GROVE | IL | 60089 | NONE | EXEMPT | CHARITABLE - CHILDREN AND YOUTH SERVICES | $1,000 |
| ONE MILLION DEGREES | |||||||
| 180 N WABASH SUITE 310 | CHICAG | IL | 60601 | NONE | EXEMPT | EDUCATION | $5,000 |
| PEGGY NOTEBAERT NATURE MUSEUM | |||||||
| 2430 NORTH CANNON DRIVE | CHICAGO | IL | 60614 | NONE | EXEMPT | CHARITABLE | $100,000 |
| QUINCY EXCHANGE CLUB - COMMUNITY CHRISTMAS DINNER | |||||||
| 1706 N 16TH ST | QUINCY | IL | 62301 | NONE | EXEMPT | CHARITABLE | $5,000 |
| RANCH HAND RESCUE | |||||||
| 8827 HWY 377 | SOUTH ARGYLE | TX | 76226 | NONE | EXEMPT | CHARITABLE | $15,000 |
| ST RAPHAEL CATHOLIC HOME & SCHOOL | |||||||
| 1215 MODAFF ROAD | NAPERVILLE | IL | 60540 | NONE | EXEMPT | EDUCATION | $25,000 |
| STEVENSON HIGH SCHOOL FOUNDATION | |||||||
| TWO STEVENSON DRIVE | LINCOLNSHIRE | IL | 60069 | NONE | EXEMPT | EDUCATION | $15,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $291,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $4,612 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $76,008 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $29,689 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $110,309 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $110,309 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL FEES | CategoryTxt |
| Amt | $8,265 | Amt |
| Net Investment Income | $7,025 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,240 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (95 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ACADIA HEALTHCARE COMPANY INC (GOLDMAN #53624) | $7,115 | $5,116 |
| ACCURAY INC (GOLDMAN #53624) | $5,930 | $3,018 |
| ACTUANT CORP CMN CLASS A (GOLDMAN #53624) | $5,000 | $4,072 |
| ALLSCRIPTS HEALTHCARE SOL INC (GOLDMAN #53624) | $8,786 | $6,507 |
| AMNEAL PHARMACEUTICALS, INC (GOLDMAN #53624) | $4,744 | $4,898 |
| ATRICURE INC (GOLDMAN #53624) | $2,795 | $4,559 |
| AVERY DENNISON CORPORATION (GOLDMAN # 53624) | $4,965 | $8,803 |
| AVIS BUDGET GROUP, INC (GOLDMAN #53624) | $3,747 | $2,810 |
| BABCOCK AND WILCOX ENTERPRISES (GOLDMAN #53624) | $2,856 | $557 |
| BANKUNITED INC (GOLDMAN #53624) | $4,465 | $4,101 |
| CEVA INC (GOLDMAN #53624) | $1,724 | $2,165 |
| CHARLES RIV LABS INTL INC (GOLDMAN #53624) | $5,966 | $12,450 |
| CHICO'S FAS INC (GOLDMAN #53624) | $3,328 | $2,338 |
| CIENA CORPORATIONS CMN (GOLDMAN #53624) | $15,563 | $25,399 |
| CLEAN HARBORS INC (GOLDMAN #53624) | $6,171 | $5,132 |
| CLEAVLAND CLIFFS INC CMN (GOLDMAN #53624) | $2,861 | $4,291 |
| CLOUDERA INC (GOLDMAN #53624) | $5,382 | $4,225 |
| COMERICA INCORPORATED (GOLDMAN #53624) | $2,484 | $3,395 |
| CONDUIT INCORPORATED (GOLDMAN #53624) | $6,999 | $4,667 |
| CORELOGIC INC (GOLDMAN #53624) | $5,489 | $6,451 |
| COVANTA HOLDING CORP (GOLDMAN #53624) | $5,838 | $4,210 |
| CROCS INC (GOLDMAN #53624) | $880 | $2,364 |
| CROWN HOLDINGS INC (GOLDMAN #53624) | $12,261 | $10,767 |
| CYPRESS SEMICONDUCTOR CORPORATION (GOLDMAN #53624) | $4,876 | $6,209 |
| DIEBOLD NIXDORF INC CMN (GOLDMAN #53624) | $5,333 | $857 |
| DRIL-QUIP INC (GOLDMAN #53624) | $2,751 | $1,802 |
| ENTEGRIS INC (GOLDMAN #53624) | $2,371 | $2,455 |
| EXPRESS INC (GOLDMAN #53624) | $4,590 | $2,315 |
| FIREEEYE, INC CMN (GOLDMAN #53624) | $5,633 | $7,343 |
| FLUIDIGM CORP CMN (GOLDMAN #53624) | $5,444 | $8,422 |
| FORUM ENERGY TECHNOLIGIES (GOLDMAN #53624) | $2,504 | $855 |
| HARSCO CORP (GOLDMAN #53624) | $2,466 | $2,900 |
| HAIN CELESTIAL GROUP INC CMN (GOLDMAN #53624) | $4,156 | $2,094 |
| HERTZ GLOBAL HOLDINGS INC | $4,574 | $3,617 |
| HUNTINGTON BANCSHARES INCORPOR (GOLDMAN #53624) | $2,810 | $3,654 |
| II-IV INC (GOLDMAN #53624) | $1,355 | $2,370 |
| IMPINJ, INC (GOLDMAN #53624) | $1,178 | $1,324 |
| INFINERA CORPORATION (GOLDMAN #53624) | $6,766 | $2,873 |
| ION GEOPHYSICAL CORPORATION (GOLDMAN #53624) | $3,850 | $518 |
| INTERSECT ENT, INC (GOLDMAN #53624) | $1,171 | $2,029 |
| ITRON INC (GOLDMAN #53624) | $5,219 | $5,722 |
| ITT CORPORATION (GOLDMAN #53624) | $3,796 | $4,296 |
| KBR, INC (GOLDMAN #53624) | $7,633 | $5,432 |
| KEYW HOLDING CORP (GOLDMAN #53624) | $4,820 | $3,686 |
| LIVERAMP HOLDINGS (GOLDMAN #53624) | $2,959 | $5,292 |
| LUMINEX CORP DEL CMN (GOLDMAN #53624) | $3,839 | $4,518 |
| LYDALL INC (GOLDMAN #53624) | $4,061 | $2,234 |
| MACOM TECHNOLOGY SOLUTIONS CMN (GOLDMAN #53624) | $9,948 | $4,803 |
| MANITOWOC CO INC CMN (GOLDMAN #53624) | $2,037 | $1,388 |
| MAXWELL TECHNOLOGIES INC (GOLDMAN #53624) | $3,220 | $1,097 |
| MCDERMOTT INTL (GOLDMAN #53624) | $2,811 | $889 |
| MERCURY SYSTEMS INC (GOLDMAN #53624) | $1,099 | $4,682 |
| MOLINA HEALTHCARE INC CMN (GOLDMAN #53624) | $2,235 | $5,230 |
| MSG NETWORKS INC (GOLDMAN #53624) | $2,777 | $3,063 |
| NANOSTRING TECHNOLOGIES INC (GOLDMAN #53624) | $3,243 | $3,871 |
| NUANCE COMMUNICATIONS INC (GOLDMAN #53624) | $9,769 | $8,480 |
| OFFICE DEPOT INC (GOLDMAN #53624) | $4,318 | $3,088 |
| OIL SYSTEMS INC (GOLDMAN #53624) | $2,482 | $1,399 |
| ONESPAN INC (GOLDMAN #53624) | $2,956 | $2,797 |
| ORMAT TECHNOLOGIES INC (GOLDMAN #53624) | $2,884 | $5,073 |
| OSI SYSTEMS INC (GOLDMAN #53624) | $3,746 | $4,545 |
| PARTY CITY HOLDCO (GOLDMAN #53624) | $5,783 | $4,511 |
| PATTERSON COMPANIES (GOLDMAN #53624) | $3,668 | $3,047 |
| PATTERSON UTI ENERGY INC (GOLDMAN #53624) | $2,486 | $1,335 |
| QUANTUM CORPORATION STL & STORAGE SYSTEMS GROUP (GOLDMAN #53624) | $1,618 | $290 |
| RAMBUS INC (GOLDMAN #53624) | $6,587 | $4,510 |
| RIBBON COMMUNICATIONS (GOLDMAN #53624) | $3,360 | $2,159 |
| RTW RETAILWINDS INC (GOLDMAN #53624) | $778 | $555 |
| RYDER SYSTEM INC (GOLDMAN #53624) | $6,429 | $3,611 |
| SEACHANGE INTERNATIONAL INC (GOLDMAN #53624) | $4,006 | $524 |
| SEAWORLD ENTERTAINMENT INC (GOLDMAN #53624) | $2,449 | $3,865 |
| SPIRIT AEROSYSTEM HOLDINGS INC (GOLDMAN #53624) | $3,408 | $7,582 |
| STERICYCLE, INC (GOLDMAN #53624) | $6,501 | $4,256 |
| SUPERIOR ENERGY (GOLDMAN #53624) | $2,629 | $891 |
| TCF FINANCIAL CORP MINN (GOLDMAN #53624) | $6,130 | $7,738 |
| TELEDYNE TECHNOLOGIES INC (GOLDMAN #53624) | $2,092 | $4,556 |
| TEMPUR SEALY INTERNATIONAL (GOLDMAN #53624) | $4,181 | $3,602 |
| TETRA TECHNOLOGIES INC (GOLDMAN #53624) | $6,225 | $927 |
| TEXAS CAPITAL BANCSHARES INC (GOLDMAN #53624) | $3,613 | $3,219 |
| TIVO CORP CMN (GOLDMAN #53624) | $10,298 | $4,103 |
| TREEHOUSE FOODS INC. (GOLDMAN #53624) | $6,454 | $4,970 |
| TWIN DISC INCORPORATED (GOLDMAN #53624) | $3,424 | $1,549 |
| UNISYS CORPORATION CMN (GOLDMAN #53624) | $2,711 | $2,908 |
| VALMONT INDUSTRIES INC CMN (GOLDMAN #53624) | $2,812 | $2,561 |
| VEECO INSTRUMENTS INC (GOLDMAN #53624) | $7,324 | $2,645 |
| VERINT SYSTEMS INC (GOLDMAN #53624) | $15,841 | $15,401 |
| VIAVI SOLUTIONS, INC (GOLDMAN #53624) | $3,984 | $5,306 |
| VISTRA ENERGY CORP (GOLDMAN #53624) | $9,077 | $5,700 |
| UNITI GROUP INC CMN (GOLDMAN #53624) | $5,094 | $3,364 |
| ARRIS INTL PLC CMN (GOLDMAN #53624) | $18,963 | $20,207 |
| ATLANTIC POWER CORPORATION (GOLDMAN #53624) | $3,244 | $2,858 |
| CRITEO SA SPONSERED (GOLDMAN #53624) | $3,806 | $3,471 |
| DANAOS CORPORATION (GOLDMAN #53624) | $1,930 | $236 |
| MALLINCKRODT PUBLIC LIMITED (GOLDMAN #53624) | $1,702 | $1,643 |
| MELLANOX TECHNOLOGIES (GOLDMAN #53624) | $5,627 | $13,581 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (9 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| BLACKROCK CORE ALPHA BOND FUND (GOLDMAN #12953) | AT COST | $454,802 | $432,888 |
| SPDR S&P 500 ETF TRUST (GOLDMAN #12953) | AT COST | $815,635 | $1,258,034 |
| DYNAMIC EQUITY MANAGERS PORTFOLIO 2 OFFSHORE LP (GOLDMAN #12953) | AT COST | $1,000,000 | $1,538,322 |
| ALERIAN MLP EXCHANGE TRADED FUND (GOLDMAN #12953) | AT COST | $113,158 | $86,776 |
| US EQUITY STRUCTURED PRODUCTS-CANADIAN IMPERIAL BANK (GOLDMAN #12953) | AT COST | $500,000 | $509,160 |
| US EQUITY STRUCTURED PRODUCTS-NATIONAL BANK OF CANADA NEW YO | AT COST | $25,000 | $21,936 |
| MSCI EAFE INDEX FUND (GOLDMAN #12953) | AT COST | $199,529 | $199,852 |
| EURO STOXX 50 INDEX FUND (GOLDMAN #12953) | AT COST | $100,471 | $91,493 |
| MORGAN STANLEY FINANCE LLC - LINKED TO EURO STOXX (GOLDMAN #12953) | AT COST | $10,000 | $8,801 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| IL CHARITABLE TRUST BUREAU | $15 | $7 | $8 |
| 2017 FEDERAL EXTENSION | $5,000 | $0 | $0 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $58,308 | Amt |
| Net Investment Income | $58,308 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAX | CategoryTxt |
| Amt | $951 | Amt |
| Net Investment Income | $951 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Comments