OWENS FAMILY CHARITABLE FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- OWENS FAMILY CHARITABLE FOUNDATION (EIN 46-4183686)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-30
- IRS object ID
- 201803039349100620
- 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
- Form 990-PF
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-10-30T13:07:49-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Ln Ste 212 | AddressLine1Txt |
| City | Lake Success | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464183686 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Owens Family Charitable Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | OWEN | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN R RYAN JR | PersonNm |
| Person Title | president | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2018-10-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.187.244.114 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 06391520183035000009 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-10-30 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A03CA8425FE017993163D7917FD3F5FFAC126974 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 259C731B7C7CCB55DA46458F0098BC0D5A2501CB | 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 | $9,345,755 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $2,353 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2,353 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $231,048 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $231,048 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $346,309 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $14,466,764 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $346,309 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $63,901 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $64,325 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $643,611 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $644,035 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $17,500 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $17,500 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $2,581 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $2,581 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $86,315 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $85,714 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $601 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $4,506 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $813 | TaxesNetInvstIncmAmt |
| Trav Conf Meeting Rev And Expnss | $2,909 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $2,909 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $63,373 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $32,528 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $30,837 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $177,184 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $121,636 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $51,847 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $380,567 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $380,567 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $557,751 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $121,636 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $432,414 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $85,860 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $522,399 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $272,127 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $395,054 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $395,054 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $249,615 | USGovernmentObligationsBOYAmt |
| Corporate Stock BOY | $7,821,583 | CorporateStockBOYAmt |
| Corporate Stock EOY | $7,894,242 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $8,120,803 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $136,370 | CorporateBondsBOYAmt |
| Other Investments BOY | $489,719 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $763,668 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $829,898 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $8,969,414 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,052,964 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $9,345,755 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $2,310 | OtherLiabilitiesBOYAmt |
| Total Liabilities BOY | $2,310 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $8,967,104 | RetainedEarningBOYAmt |
| Retained Earning EOY | $9,052,964 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $8,967,104 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $9,052,964 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $8,969,414 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $9,052,964 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $8,967,104 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $85,860 | ExcessRevenueOverExpensesAmt |
| Subtotal | $9,052,964 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $9,052,964 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|
| Publicly-traded Securities | $14,466,764 | $14,118,540 | $348,224 | $348,224 |
| Passthrough K1 Capital Gain/(Loss) | -$1,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $346,309 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $355,117 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $8,676,997 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.040926 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $150,817 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $9,005,504 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.016747 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $179,438 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $4,849,669 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.037 | DistributionYr3Rt |
| Net Vl Noncharitable Assets Yr4 | $2,462 | NetVlNoncharitableAssetsYr4Amt |
| Adjusted Qlfy Distri Yr5 | $0 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $0 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.0 | DistributionYr5Rt |
| Total Distribution | 0.094673 | TotalDistributionRt |
| Average Distribution | 0.023668 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $9,082,193 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $214,957 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $5,224 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $220,181 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $432,414 | 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 | $5,224 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $5,224 | SubtotalAmt |
| Tax Based On Investment Income | $5,224 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,094 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $7,211 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $12,305 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $7,081 | OverpaymentAmt |
| Applied To ES Tax | $5,300 | AppliedToESTaxAmt |
| Refund | $1,781 | RefundAmt |
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 | DE | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 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 (6 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 |
|---|---|---|---|---|---|---|---|---|
| James M Bymark | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 1.0 | $3,000 | $0 | $0 |
| Michael P Heck | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, VP | 1.0 | $3,000 | $0 | $0 |
| Edward J Matonich | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 1.0 | $2,000 | $0 | $0 |
| John R Ryan Jr | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres, Dir | 1.0 | $3,000 | $0 | $0 |
| Todd A Scaia | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Sec, Treas | 1.0 | $3,500 | $0 | $0 |
| John S Shenk MD | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 1.0 | $3,000 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $7,552,587 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,057,673 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $610,241 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $9,220,501 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $9,220,501 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $138,308 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $9,082,193 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $454,110 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $454,110 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $5,224 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $5,224 | TotalTaxAmt |
| Distributable Before Adj | $448,886 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $448,886 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $448,886 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $432,414 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $432,414 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $5,224 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $427,190 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $448,886 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $431,767 | UndistributedIncomePYAmt |
| Prior Year1 | 2015 | PriorYear1Yr |
| Prior Year2 | 2014 | PriorYear2Yr |
| Prior Year3 | 2013 | PriorYear3Yr |
| Qualifying Distributions | $432,414 | QualifyingDistributionsAmt |
| Applied To Year1 | $431,767 | AppliedToYear1Amt |
| Applied To Current Year | $647 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $448,239 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (47 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN ASSOCIATION OF UNIVERSITY WOMEN INC | |||||||
| 1310 L ST NW STE 1000 | WASHINGTON | DC | 20005 | N/A | PC | Annual Book Sale Project | $2,000 |
| ANGEL FUND INC | |||||||
| PO BOX 114 | HIBBING | MN | 55746 | N/A | PC | Rock for an Angel Funspiel Program | $1,000 |
| ARROWHEAD ECONOMIC OPPORTUNITY AGENCY INCORPORATED | |||||||
| 702 S 3RD AVE | VIRGINIA | MN | 55792 | N/A | PC | General & Unrestricted | $5,000 |
| BLESSED SACRAMENT CHURCH | |||||||
| 2310 7TH AVE E | HIBBING | MN | 55746 | N/A | PC | General & Unrestricted | $2,500 |
| BLESSED SACRAMENT CHURCH | |||||||
| 2310 7TH AVE E | HIBBING | MN | 55746 | N/A | PC | Building Fund | $10,000 |
| BLESSED SACRAMENT CHURCH | |||||||
| 2310 7TH AVE E | HIBBING | MN | 55746 | N/A | PC | Building Fund | $10,000 |
| BOREALIS ART GUILD | |||||||
| 214 E HOWARD ST STE G | HIBBING | MN | 55746 | N/A | PC | Sisu-Past and Future Program | $1,900 |
| BOREALIS ART GUILD | |||||||
| 214 E HOWARD ST STE G | HIBBING | MN | 55746 | N/A | PC | Stained Glass Workshop Program | $2,950 |
| CENTRAL MESABI MEDICAL FOUNDATION | |||||||
| 750 E 34TH ST | HIBBING | MN | 55746 | N/A | PC | Palliative Care/Hospice Care Program | $5,000 |
| CENTRAL MESABI MEDICAL FOUNDATION | |||||||
| 750 E 34TH ST | HIBBING | MN | 55746 | N/A | PC | Fairview Range Health Expo Project | $2,500 |
| CENTRAL MESABI MEDICAL FOUNDATION | |||||||
| 750 E 34TH ST | HIBBING | MN | 55746 | N/A | PC | Charitable Event | $1,000 |
| CENTRAL MESABI MEDICAL FOUNDATION | |||||||
| 750 E 34TH ST | HIBBING | MN | 55746 | N/A | PC | Red Ore Run | $1,500 |
| CHISHOLM KIDS PLUS | |||||||
| 301 4TH ST SW | CHISHOLM | MN | 55719 | N/A | PC | General & Unrestricted | $11,000 |
| CHISHOLM SECONDARY SCHOOL | |||||||
| 300 SW 3RD AVE | CHISHOLM | MN | 55719 | N/A | GOV | General & Unrestricted | $5,000 |
| CITY OF HIBBING | |||||||
| 401 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | Bennett Park Handicapped Restrooms Project | $10,000 |
| HABITAT FOR HUMANITY INTERNATIONAL INC | |||||||
| PO BOX 24 | VIRGINIA | MN | 55792 | N/A | PC | General & Unrestricted | $10,000 |
| HIBBING CHOIR PARENT ASSOCIATION | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | PC | Voices of Reason Program | $1,500 |
| HIBBING COLLEGE FOUNDATION | |||||||
| 1515 E 25TH ST | HIBBING | MN | 55746 | N/A | PC | Program for the Arts | $500 |
| HIBBING KINSHIP MENTORING PROGRAM | |||||||
| PO BOX 176 | SIDE LAKE | MN | 55781 | N/A | PC | General & Unrestricted | $5,000 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | General & Unrestricted | $5,000 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | Dr. Benjamin P. Owens MD Scholarship Fund | $10,000 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | Carl Sandness Physics/Chemistry Program Enhancement | $15,000 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | Mary Warner Health Care Curriculum Program | $1,500 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | Sandness Science programs | $3,114 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | Auditorium Renovation Project | $125,000 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | Auditorium Renovation Project | $30,000 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | Leather folders/HHS Band Project | $200 |
| HIBBING PUBLIC SCHOOL DISTRICT | |||||||
| 800 E 21ST ST | HIBBING | MN | 55746 | N/A | GOV | HHS Chemistry Lab/Vernier Equipment fund | $5,850 |
| HIBBING-CHISHOLM YOUTH HOCKEY ASSOCIATION | |||||||
| PO BOX 193 | HIBBING | MN | 55746 | N/A | PC | Safety Exit Doors Project | $2,000 |
| MESABA COUNTRY CLUB YOUTH GOLF ASSOCIATION INC | |||||||
| 415 E 51ST ST | HIBBING | MN | 55746 | N/A | PC | General & Unrestricted | $15,000 |
| MINNESOTA COMMUNITY FOUNDATION | |||||||
| 101 5TH ST E STE 2400 | SAINT PAUL | MN | 55101 | N/A | PC | General & Unrestricted | $1,500 |
| MINNESOTA DISCOVERY CENTER | |||||||
| 1005 DISCOVERY DR | CHISHOLM | MN | 55719 | N/A | PC | Charitable Event | $1,000 |
| NORTHEAST ITASCA RESCUE | |||||||
| PO BOX 34 | SIDE LAKE | MN | 55781 | N/A | PC | General & Unrestricted | $1,500 |
| PREGNANCY LIFECARE CENTER | |||||||
| 802 E HOWARD ST | HIBBING | MN | 55746 | N/A | PC | Options for Women Fund | $2,200 |
| PROJECT CARE FREE CLINIC | |||||||
| 1200 E 25TH ST STE 103 | HIBBING | MN | 55746 | N/A | PC | General & Unrestricted | $993 |
| RANGE ENGINEERING COUNCIL | |||||||
| 3800 5TH AVE W | HIBBING | MN | 55746 | N/A | PC | General & Unrestricted | $5,000 |
| RANGE REGIONAL HEALTH SERVICES | |||||||
| 750 E 34TH ST | HIBBING | MN | 55746 | N/A | PC | Doppler Ultrasound Systems Fund | $2,200 |
| RANGE REGIONAL HEALTH SERVICES | |||||||
| 750 E 34TH ST | HIBBING | MN | 55746 | N/A | PC | Vision screening/Portable Audiometric Testing Program | $2,000 |
| RANGE REGIONAL HEALTH SERVICES | |||||||
| 750 E 34TH ST | HIBBING | MN | 55746 | N/A | PC | Community Wide Clean up Project | $800 |
| THE SALVATION ARMY | |||||||
| 107 W HOWARD ST | HIBBING | MN | 55746 | N/A | PC | Christmas Program and Food Shelf Program | $5,000 |
| THE SALVATION ARMY | |||||||
| 107 W HOWARD ST | HIBBING | MN | 55746 | N/A | PC | transportation vehicle Program | $5,000 |
| THE SALVATION ARMY | |||||||
| 107 W HOWARD ST | HIBBING | MN | 55746 | N/A | PC | Installation of security system Project | $1,700 |
| UNITED WAY OF NORTHEASTERN MINNESOTA INC | |||||||
| 229 W LAKE ST | CHISHOLM | MN | 55719 | N/A | PC | General & Unrestricted | $410 |
| UNITED WAY OF NORTHEASTERN MINNESOTA INC | |||||||
| 229 W LAKE ST | CHISHOLM | MN | 55719 | N/A | PC | space requirement program | $25,000 |
| UNIVERSITY OF MINNESOTA FOUNDATION | |||||||
| 200 OAK ST SE STE 500 | MINNEAPOLIS | MN | 55455 | N/A | PC | Men's Golf Team Golden Gopher Fund | $250 |
| UNIVERSITY OF MINNESOTA FOUNDATION | |||||||
| 200 OAK ST SE STE 500 | MINNEAPOLIS | MN | 55455 | N/A | PC | Benjamin P Owens Scholarship Fund | $15,000 |
| VETERANS COMMUNITY THRIFT STORE | |||||||
| 2003 1ST AVE | HIBBING | MN | 55746 | N/A | PC | General & Unrestricted | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $380,567 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2,353 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $231,048 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $346,309 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | K-1 Inc/Loss | Desc |
| Business | 525990 | BusinessCd |
| Unrelated Business Taxbl Incm | -$424 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $64,325 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | -$424 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $644,035 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $643,611 | 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 |
Depreciation Schedule DepreciationSchedule
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (18 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BAIRD CORE PLUS BD FD INSTI CL | $461,748 | $456,523 |
| BOSTON PARTNERS SM CAP VALUE I | $192,847 | $204,331 |
| BRADDOCK MULTI-STRAT INCOME CL | $1,206,476 | $1,207,844 |
| CS MANAGED FUTURES STRATEGY FD | $313,817 | $312,926 |
| FMI INTERNATIONAL FUND | $400,728 | $414,257 |
| HARBOR INTERNATIONAL SM CAP IN | $261,381 | $282,897 |
| HOOD RIVER SMALL CAP GROWTH FU | $157,136 | $157,355 |
| HOTCHKIS AND WILEY VALUE OPP C | $656,252 | $696,322 |
| IQ MERGER ARBITRAGE ETF | $239,768 | $242,656 |
| JPMORGAN DIVERSIFIED RETURN US | $1,181,695 | $1,242,594 |
| METROPOLITAN WEST UNCONSTRAINE | $482,281 | $479,870 |
| NUANCE CONCENTRATED VAL LG SHT | $312,256 | $299,462 |
| OAKMARK GLOBAL SELECT FUND CLA | $395,994 | $402,961 |
| RBC EMERGING MARKETS EQUITY I | $260,038 | $275,453 |
| ROBO GLOBAL ROBOTICS AND AUTOM | $251,146 | $283,564 |
| SANDS CAPITAL GLOBAL GROWTH IN | $276,489 | $290,902 |
| TORTOISE MLP AND PIPELINE FUND | $511,300 | $518,129 |
| WCM FOCUSED INTL GROWTH FUNDS | $332,890 | $352,757 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| KEYSTONE PRIVATE MARKET - VI | $249,288 | $319,230 |
| KEYSTONE PRIVATE MARKET - VII | $514,380 | $510,668 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | General Consultations | CategoryTxt |
| Legal Fees | $2,581 | LegalFeesAmt |
| Net Investment Income | $2,581 | NetInvestmentIncomeAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $29,594 | $29,594 | |
| Bank Charges | $372 | $372 | |
| Indemnification Insurance | $1,218 | $1,218 | |
| K-1 EXP KEYSTONE PRIVATE VI | $25,467 | $25,459 | |
| K-1 EXP KEYSTONE PRIVATE VII | $6,697 | $6,697 | |
| State or Local Filing Fees | $25 | $25 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| K-1 Inc/Loss KEYSTONE PRIVATE MARKET VI | $37,036 | $37,655 |
| K-1 Inc/Loss KEYSTONE PRIVATE MARKET VII | $26,757 | $26,562 |
| K-1 Inc/Loss LAZARD LTD | $108 | $108 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Investment Management Services | $85,714 | $85,714 | |
| DESIGN SERVICES | $601 | $601 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 990-PF Estimated Tax for 2017 | $3,300 | |
| 990-PF Extension for 2016 | $393 | |
| Foreign Tax Paid | $813 | $813 |
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