HOLTZ CHARITABLE FOUNDATION INC: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HOLTZ CHARITABLE FOUNDATION INC (EIN 35-2042978)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201843189349101454
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-14T11:18:04-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593476071PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NEUMAN & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1280 WEKIVA SPRINGS RD STE 3030AddressLine1Txt
CityLONGWOODCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32779ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352042978EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLTZ CHARITABLE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOLTBusinessNameControlTxt
Phone4078576811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19209 CROMWELL PARK PLACEAddressLine1Txt
CityORLANDOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32827ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBETH B HOLTZPersonNm
Person TitlePRES/DIRPersonTitleTxt
Phone4078576811PhoneNum
Signature2018-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLINDA J NEUMAN CPA CVAPreparerPersonNm
PTINP00298330PTIN
Phone4078627557PhoneNum
Preparation2018-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.73.156.210IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-14IPDt
IP Tm10:18:04IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionCreationDeviceId
At Submission Filing Device Id61148CD70D75A667AFCD682A8D1BFFFF0909EC43AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,750,495FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$875,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$1,479InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,479InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$1,479InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$98,303DividendsRevAndExpnssAmt
Dividends Net Invst Incm$98,303DividendsNetInvstIncmAmt
Dividends Adj Net Incm$98,303DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$1,400,156NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,762,695GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,400,156CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$125NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss-$972OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$755OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm-$972OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$2,373,966TotalRevAndExpnssAmt
Total Net Invst Incm$1,500,693TotalNetInvstIncmAmt
Total Adj Net Incm$98,935TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$80,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$80,000CompOfcrDirTrstNetInvstIncmAmt
Accounting Fees Rev And Expnss$8,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$8,500AccountingFeesNetInvstIncmAmt
Other Prof Fees Rev And Expnss$33,769OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$33,769OtherProfFeesNetInvstIncmAmt
Other Expenses Rev And Expnss$109OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$109OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$122,378TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$122,378TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$468,850ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$468,850ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$591,228TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$122,378TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$468,850TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,782,738ExcessRevenueOverExpensesAmt
Net Investment Income$1,378,315NetInvestmentIncomeAmt
Adjusted Net Income$98,935AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$132,485CashBOYAmt
Cash EOY$451,950CashEOYAmt
Cash EOYFMV$451,950CashEOYFMVAmt
Sav And Temp Cash Invst BOY$152,643SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$36,728SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$36,728SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$2,676,720CorporateStockBOYAmt
Corporate Stock EOY$3,742,630CorporateStockEOYAmt
Corporate Stock EOYFMV$4,229,510CorporateStockEOYFMVAmt
Other Investments BOY$404,896OtherInvestmentsBOYAmt
Other Investments EOY$1,019,896OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,032,307OtherInvestmentsEOYFMVAmt
Other Assets BOY$19,900OtherAssetsBOYAmt
Other Assets EOY$18,378OtherAssetsEOYAmt
Total Assets BOY$3,386,644TotalAssetsBOYAmt
Total Assets EOY$5,269,582TotalAssetsEOYAmt
Total Assets EOYFMV$5,750,495TotalAssetsEOYFMVAmt
Accounts Payable EOY$100,200AccountsPayableEOYAmt
Total Liabilities EOY$100,200TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$3,386,644RetainedEarningBOYAmt
Retained Earning EOY$5,169,382RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,386,644TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$5,169,382TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,386,644TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$5,269,582TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,386,644TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,782,738ExcessRevenueOverExpensesAmt
Subtotal$5,169,382SubtotalAmt
Tot Net Ast Or Fund Balances EOY$5,169,382TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (51 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
835 SH ABBOTT LABORATORIESP2015-11-162017-12-07$45,637$37,201$8,436$8,436
115 SH FIDELITY SMALL CAP DISCOVERYP2017-06-122017-10-31$3,735$3,610$125$125
24274 SH FEDERATED STRATEGIC VALUEP2010-08-182017-12-07$148,070$100,000$48,070$48,070
367 SH FEDERATED STRATEGIC VALUEP2011-11-012017-12-07$2,241$1,757$484$484
822 SH ALIGN TECHNOLOGYP2015-11-162017-12-07$195,937$53,284$142,653$142,653
55 SH FORTIVE CORPP2009-03-022017-12-07$4,048$657$3,391$3,391
701 SH FEDERATED STRATEGIC VALUEP2010-08-312017-12-07$4,275$2,831$1,444$1,444
342 SH FEDERATED STRATEGIC VALUEP2011-12-012017-12-07$2,084$1,572$512$512
90 SH AMPHENOL CORPP2009-03-022017-12-07$7,907$1,096$6,811$6,811
305 SH FORTIVE CORPP2009-04-132017-12-07$22,450$4,094$18,356$18,356
531 SH FEDERATED STRATEGIC VALUEP2010-09-302017-12-07$3,237$2,271$966$966
115 SH VMWARE INCP2011-11-032017-12-07$13,472$11,342$2,130$2,130
971 SH AMPHENOL CORPP2009-04-132017-12-07$85,310$14,326$70,984$70,984
210 SH FORTIVE CORPP2011-05-132017-12-07$15,458$5,487$9,971$9,971
503 SH FEDERATED STRATEGIC VALUEP2010-10-292017-12-07$3,071$2,205$866$866
647 SH VERISIGN INCP2012-06-272017-12-07$73,011$28,212$44,799$44,799
1586 SH ARAMARKP2016-04-262017-12-07$67,426$53,678$13,748$13,748
1810 SH HARTFORD FINANCIAL SERVICESP2014-06-252017-12-07$99,105$65,060$34,045$34,045
1104 SH FEDERATED STRATEGIC VALUEP2010-12-012017-12-07$6,734$4,681$2,053$2,053
1210 SH ZIONS BANCORPP2015-11-162017-12-07$60,934$35,481$25,453$25,453
1870 SH ACTIVISION BLIZZARDP2014-10-102017-12-07$114,378$36,315$78,063$78,063
1085 SH IHS MARKIT LTDP2016-07-132017-12-07$49,346$35,621$13,725$13,725
758 SH FEDERATED STRATEGIC VALUEP2011-01-032017-12-07$4,622$3,342$1,280$1,280
145 SH EQUINIXP2012-06-272017-12-07$66,082$23,580$42,502$42,502
967 SH ACTIVISION BLIZZARDP2015-08-062017-12-07$59,146$27,717$31,429$31,429
588 SH IHS MARKIT LTDP2016-07-132017-12-07$26,765$19,321$7,444$7,444
411 SH FEDERATED STRATEGIC VALUEP2011-02-012017-12-07$2,507$1,796$711$711
261 SH COSTCOP2010-09-132017-12-07$48,751$15,671$33,080$33,080
2081 SH INTERPUBLIC GROUPP2010-06-172017-12-07$41,869$16,949$24,920$24,920
1087 SH FEDERATED STRATEGIC VALUEP2011-03-012017-12-07$6,629$4,870$1,759$1,759
722 SH SALESFORCE.COMP2013-10-162017-12-07$74,963$38,088$36,875$36,875
973 SH MARRIOTT INTERNATIONALP2012-12-182017-12-07$123,919$36,371$87,548$87,548
467 SH FEDERATED STRATEGIC VALUEP2011-04-012017-12-07$2,849$2,145$704$704
118 SH CONCHO RESOURCESP2012-06-272017-12-07$16,300$9,731$6,569$6,569
179 SH MOHAWK INDUSTRIESP2014-10-102017-12-07$50,176$23,214$26,962$26,962
390 SH FEDERATED STRATEGIC VALUEP2011-05-022017-12-07$2,376$1,859$517$517
110 SH DANAHER CORPP2009-03-022017-12-07$10,187$2,056$8,131$8,131
480 SH MARATHON PETROLEUMP2012-06-272017-12-07$30,652$10,256$20,396$20,396
1089 SH FEDERATED STRATEGIC VALUEP2011-06-012017-12-07$6,643$5,176$1,467$1,467
610 SH DANAHER CORPP2009-04-132017-12-07$56,491$12,818$43,673$43,673
210 SH PRAXAIRP2009-04-132017-12-07$31,637$14,406$17,231$17,231
1031 SH FEDERATED STRATEGIC VALUEP2011-07-012017-12-07$6,289$4,817$1,472$1,472
97 SH DANAHER CORPP2011-05-132017-12-07$8,983$3,968$5,015$5,015
34 SH PRAXAIRP2011-05-132017-12-07$5,122$3,509$1,613$1,613
333 SH FEDERATED STRATEGIC VALUEP2011-08-012017-12-07$2,034$1,548$486$486
1898 SH FIDELITY SMALL CAP DISCOVERYP2011-01-132017-10-31$61,092$40,000$21,092$21,092
135257 SH FEDERATED STRATEGIC VALUEP2010-07-012017-12-07$825,070$512,368$312,702$312,702
603 SH FEDERATED STRATEGIC VALUEP2011-09-012017-12-07$3,676$2,773$903$903
645 SH FIDELITY SMALL CAP DISCOVERYP2015-10-292017-10-31$20,668$18,049$2,619$2,619
594 SH FEDERATED STRATEGIC VALUEP2010-07-302017-12-07$3,622$2,404$1,218$1,218
651 SH FEDERATED STRATEGIC VALUEP2011-10-032017-12-07$3,970$2,956$1,014$1,014
FieldValueIRS element (for citing)
Capital Gain Net Income$1,400,156CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$125NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$226,552AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$4,197,269NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.053976DistributionYr1Rt
Adjusted Qlfy Distri Yr2$251,450AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$4,018,530NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.062573DistributionYr2Rt
Adjusted Qlfy Distri Yr3$592,876AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,082,790NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.145213DistributionYr3Rt
Adjusted Qlfy Distri Yr4$160,400AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,544,257NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.045256DistributionYr4Rt
Adjusted Qlfy Distri Yr5$201,400AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,115,894NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.064636DistributionYr5Rt
Total Distribution0.371654TotalDistributionRt
Average Distribution0.074331AverageDistributionRt
Net Vl Noncharitable Assets$5,231,213NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$388,841AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$13,783NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$402,624AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$468,850QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$13,783InvestmentIncomeExciseTaxAmt
Subtotal$13,783SubtotalAmt
Tax Based On Investment Income$13,783TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$722EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$722TotalPaymentsAndCreditsAmt
Tax Due$13,061TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateINOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksBETH B HOLTZIndividualWithBooksNm
Phone4078576811PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line19209 CROMWELL PARK PLACEAddressLine1Txt
CityORLANDOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32827ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LOUIS L HOLTZ
9209 CROMWELL PARK PLACEORLANDOFL32827CHAIRMAN/DIR15.00$0$0$0
BETH B HOLTZ
9209 CROMWELL PARK PLACEORLANDOFL32827PRES/DIR10.00$0$0$0
LUANNE E ALTENBAUMER
4923 GLENMEADOW DRIVEHOUSTONTX77096DIRECTOR5.00$20,000$0$0
LOUIS LSKIP HOLTZ
2168 LLANGELER DRRUSTONLA71270DIRECTOR5.00$20,000$0$0
KEVIN R HOLTZ
6223 POPLAR GROVE DRPORT ORANGEFL32127SEC/TR/DIR5.00$20,000$0$0
ELIZABETH H MASSAGLIA
9453 N STATE ROAD 267BROWNSBURGIN46112DIRECTOR5.00$20,000$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,662,644AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$648,232AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,310,876TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$5,310,876AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$79,663CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,231,213NetVlNoncharitableAssetsAmt
Minimum Investment Return$261,561MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$261,561MinimumInvestmentReturnAmt
Tax Based On Investment Income$13,783TaxBasedOnInvestmentIncomeAmt
Total Tax$13,783TotalTaxAmt
Distributable Before Adj$247,778DistributableBeforeAdjAmt
Distributable Before Ded$247,778DistributableBeforeDedAmt
Distributable As Adjusted$247,778DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$468,850ExpensesAndContributionsAmt
Qualifying Distributions$468,850QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$13,783PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$455,067AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$247,778DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$45,962ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr3$390,834ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$51,444ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$16,967ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$505,207TotalExcessDistributionCyovAmt
Qualifying Distributions$468,850QualifyingDistributionsAmt
Applied To Current Year$247,778AppliedToCurrentYearAmt
Remaining Distri From Corpus$221,072RemainingDistriFromCorpusAmt
Total Corpus$726,279TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$45,962ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$680,317ExcessDistriCyovToNextYrAmt
Excess From Year3$390,834ExcessFromYear3Amt
Excess From Year2$51,444ExcessFromYear2Amt
Excess From Year1$16,967ExcessFromYear1Amt
Excess From Current Year$221,072ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (21 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
UPPER VALLEY HALL OF FAME
P O BOX 60EAST LIVERPOOLOH43920PUBLIC CHAR.HIGHER EDUCATION/SCHOLARSHIPS$102,500
UNIVERSITY OF NOTRE DAME
1100 GRACE HALLNOTRE DAMEIN46566PUBLIC CHARCHARITABLE SUPPORT/SCHOLARSHIPS$250,000
CARE NET PREGNANCY CTR OF CENTR TX
800 W WACO DRWACOTX76701PUBLIC CHARCHARITABLE$16,000
BENEDICTINE COLLEGE
1020 N 2ND STATCHISONKS66002COLLEGE/UNIVCOLLEGE EDUCATION/SCHOLARSHIPS$25,100
TRINE UNIVERSITY
ONE UNIVERSITY AVEANGOLAIN46703PUBLIC CHARCOLLEGE EDUCATION/SCHOLARSHIPS$11,000
REDISCOVERING GOD IN AMERICA RENEWA
PO BOX 540774ORLANDOFL32854PUBLIC CHARCHARITABLE/EDUCATIONAL$100
RIGHT TO LIFE SOUTHWEST INDIANA
20 NW 4TH STEVANSVILLEIN47708PUBLIC CHARCHARITABLE SCHOLARSHIP EDUCATION$10,000
PREGNANCY CENTER EAST INC
3944 EDWARDS RDCINCINNATIOH45209PUBLIC CHARCHARITABLE EDUCATION$10,000
FCA OF WEST VIRGINIA
1210 VIRGINIA ST ECHARLESTONWV25301COLLEGE/UNIVCHARITABLE EDUCATION$1,500
THE CARTER CENTER
453 FREEDOM PARKWAYATLANTAGA30307PUBLIC CHARCHARITABLE$100
THE SALVATION ARMY USA
615 SLATERS LANEALEXANDRIAVA22313PUBLIC CHARCHARITABLE$10,000
BIG SHOULDERS FUND
212 WEST VAN BURENCHICAGOIL60607PUBLIC CHARCHARITABLE$100
SOUTH CENTRAL MISSOURI FCA
114 BUSINESS PARK DRBRANSONMO65616PUBLIC CHARCHARITABLE$100
GEORGIA CHRISTIAN SCHOOL
4359 DASHER RDVALDOSTAGA31601COLLEGE/UNIVSCHOLARSHIP/EDUCATION$6,000
COPPERHEAD FOUNDATION
4540 KEITH BRIDGE RDCUMMINGGA30041PUBLIC CHARCHARITABLE/EDUCATIONAL$5,000
CROHNS & COLITIS FOUNDATION
120 BROADWAY STE 1050ANEW YORKNY10271PUBLIC CHARCHARITABLE$100
2ND BAPTIST SCHOOL
6410 WOODWAY DRHOUSTONTX77057PUBLIC CHARCHARITABLE/EDUCATION SCHOLARSHIP$10,000
THE HUNDRED CLUB OF KANKAKEE COUNTY
PO BOX 352KANKAKEEIL60901PUBLIC CHARCHARITABLE$5,000
SHRINERS HOSPITALS FOR CHILDREN
2900 ROCKY POINT DRTAMPAFL33607PUBLIC CHARCHARITABLE$5,000
CAMPUS CRUSADE FOR CHRIST
100 LAKE HART DRORLANDOFL32832PUBLIC CHARCHARITABLE SCHOLARSHIP EDUCATION$1,000
SPORTS WORLD MINISTRIES
1919 SOUTH POST RDINDIANAPOLISIN46239PUBLIC CHARCHARITABLE SPORTS EDUCATIONAL$250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$468,850TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,479ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$98,303ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion15ExclusionCd
Exclusion$755ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$131,739ExclusionAmt
Related Or Exempt Function Incm$1,268,417RelatedOrExemptFunctionIncmAmt

Other Revenue Described OtherRevenueDescribedGrp (6 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
ISAM SEC 1256 GAIN/(LOSS)14-$9,638
ISAM ORDINARY BUSINESS LOSS14-$16,225
ISAM SEC 988 (LOSS)14-$15,621
ISAM OTHER DEDUCTIONS14-$420
ISAM UNREALIZED INCOME14$10,099
ISAM ST CAPITAL GAIN14$30,078

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$230,549ExclusionAmt
Related Or Exempt Function Incm$1,268,417RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,498,966TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (10 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
KELLY CARES FOUNDATION
11251 N EDDY ST SUITE 200SOUTH BENDIN46617$10,000Yes (X)
PROMEDICA
72142 N COVE BLVDTOLEDOOH43606$10,000Yes (X)
LOUIS BETH HOLTZ
29209 CROMWELL PARK PLORLANDOFL32827$100,000Yes (X)
TOM GALLAGHER
89020 SW 137TH AVEMIAMIFL33186$500,000Yes (X)
THOMAS GRIER
357 E 93RD STNEW YORKNY10126$30,000Yes (X)
MARK DEHNERT
940 BOND ST APT 7CNEW YORKNY10012$50,000Yes (X)
ROBERT GRAND
4730 WILLIAMS COVEINDIANAPOLISIN46260$5,000Yes (X)
THE COPPERHEAD FOUNDATION
104540 KEITH BRIDGE RDCUMMINGGA30041$10,000Yes (X)
DAN WHITNEY
515623 E MAJESTIC STWICHITAKS67230$55,000Yes (X)
WILLIAM & MARY ROSS FOUNDATION INC
6ONE NORTH JEFFERSONST LOUISMO63103$100,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING AND TAX PREP SERVICESCategoryTxt
Amt$8,500Amt
Net Investment Income$8,500NetInvestmentIncomeAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockDETAILED SCHEDULES MAINTAINEDStockNm
EOY Book Value$3,742,630EOYBookValueAmt
EOYFMV$4,229,510EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemINVESTMENT IN STEPHENS (276665635)CategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$1,019,896BookValueAmt
EOYFMV$1,032,307EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescPARTNERSHIP K-1 ACTIVITYDesc
BOY Book Value$19,900BOYBookValueAmt
EOY Book Value$18,378EOYBookValueAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
EXPENSES
BANK CHARGES$109$109

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
AVE MARIA PRESS$755$755$755
ISAM SEC 1256 GAIN/(LOSS)-$9,638-$9,638
ISAM ORDINARY BUSINESS LOSS-$16,225-$16,225
ISAM SEC 988 (LOSS)-$15,621-$15,621
ISAM OTHER DEDUCTIONS-$420-$420
ISAM UNREALIZED INCOME$10,099$10,099
ISAM ST CAPITAL GAIN$30,078$30,078

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT ADVISORY FEESCategoryTxt
Amt$33,769Amt
Net Investment Income$33,769NetInvestmentIncomeAmt

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