SAM VIERSEN FAMILY FOUNDATION INC: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SAM VIERSEN FAMILY FOUNDATION INC (EIN 73-1295358)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-12
- IRS object ID
- 201843169349100549
- 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
- Land Etc Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Liabilities Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-12T16:52:56-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARINER CONSULTING LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 EAST SKELLY DRIVE SUITE 960 | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74135 | 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 | 731295358 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAM VIERSEN FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % LISA H RHYNES | InCareOfNm |
| Business Name Control | SAMV | BusinessNameControlTxt |
| Phone | 9187421979 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 702708 | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74170 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA H RHYNES | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9187421979 | PhoneNum |
| Signature | 2018-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT SOZA CPA | PreparerPersonNm |
| PTIN | P00496569 | PTIN |
| Phone | 9183881655 | PhoneNum |
| Preparation | 2018-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 205.182.132.35 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 73638420183165000001 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-12 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7C1AC8FFD10D092B5D99F02F69661A6723042693 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 50B0C096458D8EC62F2CF2C6BDEA45D965226614 | 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 | $25,507,444 | 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 |
| Interest On Sav Rev And Expnss | $210,330 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $210,675 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $343,680 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $343,688 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $999,531 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $15,697,498 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $990,570 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $361 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $361 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $1,553,902 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,545,294 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $58,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $17,400 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $40,600 | CompOfcrDirTrstDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $12,000 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $3,600 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $8,400 | PensionEmplBnftDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $7,350 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,675 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $3,675 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $32,562 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $29,456 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $3,106 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $9,940 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $9,940 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $193,989 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $191,700 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $2,715 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $313,841 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $245,831 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $68,436 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,143,084 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,143,084 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,456,925 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $245,831 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,211,520 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $96,977 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,299,463 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $502,656 | CashBOYAmt |
| Cash EOY | $787,349 | CashEOYAmt |
| Cash EOYFMV | $787,349 | CashEOYFMVAmt |
| US Government Obligations BOY | $2,709,000 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $2,437,000 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $2,435,389 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $11,739,740 | CorporateStockBOYAmt |
| Corporate Stock EOY | $11,336,664 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $14,704,803 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $4,602,000 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $4,393,346 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $4,666,670 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $2,098,917 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $2,651,904 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,717,792 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $7,000 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,000 | LandBldgEquipAccumDeprecAmt |
| Other Assets BOY | $17,708 | OtherAssetsBOYAmt |
| Other Assets EOY | $195,441 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $195,441 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $21,670,021 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,801,704 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $25,507,444 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Additional Paid In Capital BOY | $11,000 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $11,000 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $21,659,021 | RetainedEarningBOYAmt |
| Retained Earning EOY | $21,790,704 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $21,670,021 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $21,801,704 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $21,670,021 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $21,801,704 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $21,670,021 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $96,977 | ExcessRevenueOverExpensesAmt |
| Other Increases | $34,706 | OtherIncreasesAmt |
| Subtotal | $21,801,704 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $21,801,704 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|
| CAPITAL GAIN DISTRIBUTIONS | $108 | $108 | $108 | |
| LONG-TERM CAPITAL LOSS FROM SEC. 1256 CONTRACTS AND STRADDLES | -$5,228 | -$5,228 | $5,228 | |
| SHORT-TERM CAPITAL LOSS FROM SEC. 1256 CONTRACTS AND STRADDLES | -$3,486 | -$3,486 | $3,486 | |
| SHORT-TERM CAPITAL LOSS FROM PROSHARES ULTRASHORT GOLD K-1 | -$247 | -$247 | $247 | |
| PUBLICLY TRADED SECURITIES | $8,978,794 | $78,885 | $81,646 | $8,897,148 |
| PUBLICLY TRADED SECURITIES | $6,718,596 | $920,538 | $923,088 | $5,795,508 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $990,570 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,464,943 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $23,253,319 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.062999 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $1,287,344 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $24,318,872 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.052936 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,274,314 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $23,855,999 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.053417 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $1,218,451 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $22,939,846 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.053115 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $1,119,308 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $21,828,156 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.051278 | DistributionYr5Rt |
| Total Distribution | 0.273745 | TotalDistributionRt |
| Average Distribution | 0.054749 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $24,405,551 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $1,336,180 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $12,995 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $1,349,175 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,211,520 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $25,989 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $25,989 | SubtotalAmt |
| Tax Based On Investment Income | $25,989 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $8,778 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $25,000 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $33,778 | TotalPaymentsAndCreditsAmt |
| Overpayment | $7,789 | OverpaymentAmt |
| Applied To ES Tax | $7,789 | AppliedToESTaxAmt |
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 | OK | 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 |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LISA H RHYNES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9187421979 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 702708 | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74170 | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|
| ADAM SCHENK | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | PRESIDENT | 0 | $0 | $0 | $0 |
| SAM MILLER | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | VICE PRESIDENT | 0 | $0 | $0 | $0 |
| BRIAN JOHNSON | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 0 | $0 | $0 | $0 |
| JILL JOHNSON | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 0 | $0 | $0 | $0 |
| JULIE SCHENK | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 0 | $0 | $0 | $0 |
| ELOISE JOHNSON | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | VICE PRESIDENT | 0 | $0 | $0 | $0 |
| LUANA DICKERSON | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 0 | $0 | $0 | $0 |
| KATHY KENNEDY | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | SECRETARY | 0 | $0 | $0 | $0 |
| HUGH ROBINSON | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 0 | $0 | $0 | $0 |
| LISA RHYNES | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | EXECUTIVE DIRECTOR | 30.0 | $58,000 | $12,000 | $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 | $24,536,477 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $240,732 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $24,777,209 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $24,777,209 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $371,658 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $24,405,551 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,220,278 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,220,278 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $25,989 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $25,989 | TotalTaxAmt |
| Distributable Before Adj | $1,194,289 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $1,194,289 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $1,194,289 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,211,520 | 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 | $1,211,520 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $1,211,520 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,194,289 | 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 | $49,996 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $92,975 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $108,522 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $120,476 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $318,079 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $690,048 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,211,520 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Current Year | $1,194,289 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $17,231 | RemainingDistriFromCorpusAmt |
| Total Corpus | $707,279 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $49,996 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $657,283 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $92,975 | ExcessFromYear4Amt |
| Excess From Year3 | $108,522 | ExcessFromYear3Amt |
| Excess From Year2 | $120,476 | ExcessFromYear2Amt |
| Excess From Year1 | $318,079 | ExcessFromYear1Amt |
| Excess From Current Year | $17,231 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NA | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | LISA H RHYNES | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 702708 | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74170 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 9187421979 | RecipientPhoneNum |
| Form And Info And Materials | NONE SPECIFIED | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE, EXCEPT MUST QUALIFY 501(C)(3) ORGANIZATION | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONTRIBUTIONS GIFTS ETC | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SEE ATTACHED STATEMENT | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74170 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Or Contribution Purpose | SEE ATTACHED STATEMENT | GrantOrContributionPurposeTxt |
| Amt | $1,143,084 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,143,084 | 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 | $210,330 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $343,680 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 15 | ExclusionCd |
| Exclusion | $361 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $999,531 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $1,553,902 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,553,902 | 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 | $7,350 | Amt |
| Net Investment Income | $3,675 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $3,675 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | FURNITURE | PropertyDesc |
| Acquired | 2004-06-01 | AcquiredDt |
| Cost Or Other Basis | $7,000 | CostOrOtherBasisAmt |
| Prior Year Depreciation | $7,000 | PriorYearDepreciationAmt |
| Computation Method | SL | ComputationMethodTxt |
| Life | 7 | LifeRt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (4 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| FIXED INCOME | ||
| ETF & CEF INCOME | $2,178,797 | $2,236,928 |
| MUTUAL FUNDS | $473,107 | $480,864 |
| PS - POWERSHARES |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | FURNITURE | CategoryOrItemTxt |
| Cost Or Other Basis | $7,000 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $7,000 | AccumulatedDepreciationAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| BOND DISCOUNTS | $1,029 | $171,041 | $171,041 |
| PREPAID EXPENSES | $16,679 | $24,400 | $24,400 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| BROKERAGE FEES & COMMISSIONS | $190,111 | $190,111 | |
| INSURANCE EXPENSE | $1,827 | $550 | $1,279 |
| K-1 PORTFOLIO DEDUCTIONS | $424 | ||
| MISC. EXPENSE | $217 | $65 | $152 |
| OFFICE SUPPLIES/POSTAGE | $1,834 | $550 | $1,284 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Revenue And Expenses Per Books | $361 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $361 | NetInvestmentIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PRIOR PERIOD ADJUSTMENT | Desc |
| Amt | $34,706 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PAYROLL TAXES PAYABLE | Desc |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PAYROLL TAXES | $4,437 | $1,331 | $3,106 |
| FOREIGN TAXES | $20,224 | $20,224 | |
| EXCISE TAXES | $7,901 | $7,901 |
Comments