THE CATHERINE L & EDWARD A LOZICK: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- THE CATHERINE L & EDWARD A LOZICK (EIN 34-1386776)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201803199349103375
- 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
- Accounting Fees Schedule
- Depreciation 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 | 2018-11-15T13:28:43-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ronald L Garman CPA Inc | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1477 | AddressLine1Txt |
| City | Willoughby | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44096 | 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 | 341386776 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Catherine L & Edward A Lozick Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THOMAS JANOCH | InCareOfNm |
| Business Name Control | CATH | BusinessNameControlTxt |
| Phone | 2168390400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29425 Chagrin Boulevard Suite 201 | AddressLine1Txt |
| City | Pepper Pike | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44122 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS J JANOCH | PersonNm |
| Person Title | Trustee | PersonTitleTxt |
| Phone | 2168390400 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Ronald L Garman | PreparerPersonNm |
| PTIN | P00092827 | PTIN |
| Phone | 4409442327 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.156.241.53 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 34190420183195000002 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 238179922B3A122FA64D2B1DE17E8C1F68F4CA03 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AE682DF0F6168663AB8822CB690B50468F01ADB2 | 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 | $27,227,633 | 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 | $3,425 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $1,598 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,598 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $505,407 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $505,407 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $982,828 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $6,580,192 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $982,828 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $6,000 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $1,499,258 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,489,833 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Legal Fees Rev And Expnss | $7,826 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,785 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $52,902 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $49,910 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $2,992 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $7,196 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $6,996 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $370 | OtherExpensesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $70,079 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $56,906 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $2,992 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $4,024,312 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $4,024,312 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,094,391 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $56,906 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $4,027,304 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$2,595,133 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,432,927 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $716,769 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $287,139 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $287,139 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $23,542,145 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $21,376,642 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $26,940,494 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $24,258,914 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,663,781 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $27,227,633 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $24,258,914 | RetainedEarningBOYAmt |
| Retained Earning EOY | $21,663,781 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $24,258,914 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $21,663,781 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $24,258,914 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $21,663,781 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $24,258,914 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$2,595,133 | ExcessRevenueOverExpensesAmt |
| Subtotal | $21,663,781 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $21,663,781 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)
| PropertyPropertyDesc | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|
| IVA WORLDWIDE FUND | 2017-01-20 | $2,250,000 | $2,101,226 | $148,774 | $148,774 | |
| BLACKROCK GLOBAL ALLOCATION FD | 2017-05-08 | $1,600,000 | $1,621,045 | -$21,045 | -$21,045 | |
| IVA WORLDWIDE FUND | 2017-05-25 | $925,341 | $819,612 | $105,729 | $105,729 | |
| BLACKROCK GLOBAL ALLOCATION FD | 2017-07-20 | $1,067,475 | $1,055,481 | $11,994 | $11,994 | |
| CAPITAL GAIN DIVIDENDS | $737,376 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $982,828 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $3,110,705 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $27,317,196 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.113874 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $2,301,663 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $27,030,425 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.085151 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $2,101,625 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $25,276,083 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.083147 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $2,149,371 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $22,238,025 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.096653 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $1,316,283 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $17,980,571 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.073206 | DistributionYr5Rt |
| Total Distribution | 0.452031 | TotalDistributionRt |
| Average Distribution | 0.090406 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $26,731,264 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $2,416,667 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $14,329 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $2,430,996 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $4,027,304 | 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 | $14,329 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $14,329 | SubtotalAmt |
| Tax Based On Investment Income | $14,329 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $11,311 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $11,311 | TotalPaymentsAndCreditsAmt |
| Tax Due | $3,018 | TaxDueAmt |
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 | OH | 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 | THOMAS JANOCH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2168390400 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29425 CHAGRIN BLVD STE 201 | AddressLine1Txt |
| City | PEPPER PIKE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44122 | 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 | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|
| Catherine L Lozick | ||||||||
| 29425 Chagrin Boulevard | Pepper Pike | OH | 44122 | President/Trustee | 1.0 | $0 | $0 | $0 |
| Thomas Janoch | ||||||||
| 29425 Chagrin Boulevard | Pepper Pike | OH | 44122 | Treasurer/Sec./Trustee | 2.0 | $0 | $0 | $0 |
| James C Boland | ||||||||
| 29425 Chagrin Boulevard | Pepper Pike | OH | 44122 | Trustee | 1.0 | $0 | $0 | $0 |
| William N West | ||||||||
| 29425 Chagrin Boulevard | Pepper Pike | OH | 44122 | Trustee | 1.0 | $0 | $0 | $0 |
| Kelly A Browne | ||||||||
| 29425 Chagrin Boulevard | Pepper Pike | OH | 44122 | Trustee | 1.0 | $0 | $0 | $0 |
| Timothy P Ryan | ||||||||
| 29425 Chagrin Boulevard | Pepper Pike | OH | 44122 | Trustee | 1.0 | $0 | $0 | $0 |
| Thomas F Lozick | ||||||||
| 29425 Chagrin Boulevard | Pepper Pike | OH | 44122 | Trustee | 1.0 | $0 | $0 | $0 |
| Christopher Hitchcock | ||||||||
| 29425 Chagrin Boulevard | Pepper Pike | OH | 44122 | Executive Director | 20.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NOT APPLICABLE | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $26,636,385 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $501,954 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $27,138,339 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $27,138,339 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $407,075 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $26,731,264 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,336,563 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,336,563 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $14,329 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $14,329 | TotalTaxAmt |
| Distributable Before Adj | $1,322,234 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $1,322,234 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $1,322,234 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $4,027,304 | 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 | $4,027,304 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $14,329 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $4,012,975 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,322,234 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Prior Year1 | 2015 | PriorYear1Yr |
| Prior Year2 | 2014 | PriorYear2Yr |
| Prior Year3 | 2013 | PriorYear3Yr |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $430,499 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $1,057,268 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $874,170 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $971,876 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,752,889 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $5,086,702 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $4,027,304 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Current Year | $1,322,234 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,705,070 | RemainingDistriFromCorpusAmt |
| Total Corpus | $7,791,772 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $430,499 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $7,361,273 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $1,057,268 | ExcessFromYear4Amt |
| Excess From Year3 | $874,170 | ExcessFromYear3Amt |
| Excess From Year2 | $971,876 | ExcessFromYear2Amt |
| Excess From Year1 | $1,752,889 | ExcessFromYear1Amt |
| Excess From Current Year | $2,705,070 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NA | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Per Attached Detail | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29425 Chagrin Boulevard | AddressLine1Txt |
| City | Pepper Pike | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | None | RecipientRelationshipTxt |
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | Unrestricted | GrantOrContributionPurposeTxt |
| Amt | $4,024,312 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $4,024,312 | 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 | $1,598 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $505,407 | 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 | $982,828 | 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 | FEDERAL TAX OVERPAYMENTS | Desc |
| Exclusion | $6,000 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $1,495,833 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,495,833 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $1,785 | Amt |
Depreciation Schedule DepreciationSchedule
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AMERICAN FUNDS GROUP | $7,503,092 | $10,995,242 |
| NATIONAL FINANCIAL SERVICES LL | $13,873,550 | $15,945,252 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $7,826 | LegalFeesAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt |
|---|---|
| BANK FEES | $55 |
| OFFICE SUPPLIES | $315 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal Tax Refund | Desc |
| Revenue And Expenses Per Books | $6,000 | RevenueAndExpensesPerBooksAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| ADMINISTRATION EXPENSES | $9,066 | $6,074 | $2,992 |
| ACCOUNT MANAGEMENT FEES | $43,836 | $43,836 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| STATE OF OHIO | $200 | |
| FOREIGN TAXES PAID | $6,996 | $6,996 |
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