SAM VIERSEN FAMILY FOUNDATION INC: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SAM VIERSEN FAMILY FOUNDATION INC (EIN 73-1295358)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-08
- IRS object ID
- 201713129349101321
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- 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 | 2017-11-08T16:55:31-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | 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 |
| Signature | 2017-11-08 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $23,580,659 | 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 | $219,652 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $219,815 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $356,138 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $356,140 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $462,481 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $16,853,554 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $471,174 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $285 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $289 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $1,038,556 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,047,418 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $56,500 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $16,950 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $39,550 | 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 |
| Legal Fees Rev And Expnss | $313 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $156 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $156 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $7,500 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,750 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $3,750 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $49,488 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $46,463 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $3,026 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $12,561 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $12,561 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $198,953 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $186,449 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $13,039 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $337,315 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $257,368 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $80,482 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,392,362 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,392,362 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,729,677 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $257,368 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,472,844 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$691,121 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $790,050 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $692,439 | CashBOYAmt |
| Cash EOY | $502,656 | CashEOYAmt |
| Cash EOYFMV | $502,656 | CashEOYFMVAmt |
| US Government Obligations BOY | $2,361,000 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $2,709,000 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $2,666,054 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $14,829,359 | CorporateStockBOYAmt |
| Corporate Stock EOY | $11,739,740 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $13,623,422 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $4,338,000 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $4,602,000 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $4,704,995 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $47,492 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $2,098,917 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,065,824 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $7,000 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,000 | LandBldgEquipAccumDeprecAmt |
| Other Assets BOY | $53,382 | OtherAssetsBOYAmt |
| Other Assets EOY | $17,708 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $17,708 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $22,321,672 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,670,021 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $23,580,659 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $88 | AccountsPayableBOYAmt |
| Total Liabilities BOY | $88 | 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 | $22,310,584 | RetainedEarningBOYAmt |
| Retained Earning EOY | $21,659,021 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $22,321,584 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $21,670,021 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $22,321,672 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $21,670,021 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $22,321,584 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$691,121 | ExcessRevenueOverExpensesAmt |
| Other Increases | $39,558 | OtherIncreasesAmt |
| Subtotal | $21,670,021 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $21,670,021 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)
| PropertyPropertyDesc | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Gross Sales PriceGrossSalesPriceAmt |
|---|---|---|---|---|
| LONG-TERM CAPITAL LOSS FROM COMMUNICATIONS K-1 | $1,680 | -$1,680 | -$1,680 | |
| SHORT-TERM CAPITAL LOSS FROM POWERSHARES DB COMMODITY INDEX FD K-1 | $18 | -$18 | -$18 | |
| LONG-TERM CAPITAL LOSS FROM POWERSHARES DB COMMODITY INDEX FD K-1 | $1 | -$1 | -$1 | |
| SHORT-TERM CAPITAL LOSS FROM PROSHARES ULTRASHORT GOLD K-1 | $1,496 | -$1,496 | -$1,496 | |
| PUBLICLY TRADED SECURITIES | $11,346,208 | -$16,769 | -$16,386 | $11,329,822 |
| PUBLICLY TRADED SECURITIES | $5,031,000 | $478,056 | $479,650 | $5,510,650 |
| CAPITAL GAIN DISTRIBUTION | $1,194 | $1,194 | $1,194 | |
| SHORT-TERM CAPITAL GAIN FROM SEC. 1256 CONTRACTS AND STRADDLES | $4,755 | $4,755 | $4,755 | |
| LONG-TERM CAPITAL GAIN FROM SEC. 1256 CONTRACTS AND STRADDLES | $7,133 | $7,133 | $7,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $471,174 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,287,344 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $24,318,872 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.052936 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $1,274,314 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $23,855,999 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.053417 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,218,451 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $22,939,846 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.053115 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $1,119,308 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $21,828,156 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.051278 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $1,145,842 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $22,166,518 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.051692 | DistributionYr5Rt |
| Total Distribution | 0.262438 | TotalDistributionRt |
| Average Distribution | 0.052488 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $23,253,319 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $1,220,520 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $7,901 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $1,228,421 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,472,844 | 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 | $7,901 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $7,901 | SubtotalAmt |
| Tax Based On Investment Income | $7,901 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $16,679 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $16,679 | TotalPaymentsAndCreditsAmt |
| Overpayment | $8,778 | OverpaymentAmt |
| Applied To ES Tax | $8,778 | 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 (13 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 |
|---|---|---|---|---|---|---|---|---|
| MARALYNN V SANT | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 0 | $0 | $0 | $0 |
| LEO M SANT | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 0 | $0 | $0 | $0 |
| BRIAN C 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 |
| ROBERT INGLISH | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | PRESIDENT | 0 | $0 | $0 | $0 |
| SAM MILLER | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 0 | $0 | $0 | $0 |
| ELOISE JOHNSON | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 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 |
| ADAM SCHENK | ||||||||
| 7130 S LEWIS SUITE 200 | TULSA | OK | 74170 | DIRECTOR | 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 | $56,500 | $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 | $22,784,749 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $822,681 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $23,607,430 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $23,607,430 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $354,111 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $23,253,319 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,162,666 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,162,666 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $7,901 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $7,901 | TotalTaxAmt |
| Distributable Before Adj | $1,154,765 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $1,154,765 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $1,154,765 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,472,844 | 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 | $1,472,844 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $7,901 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,464,943 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,154,765 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Prior Year1 | 2014 | PriorYear1Yr |
| Prior Year2 | 2013 | PriorYear2Yr |
| Prior Year3 | 2012 | PriorYear3Yr |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $34,599 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $49,996 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $92,975 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $108,522 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $120,476 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $406,568 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,472,844 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Current Year | $1,154,765 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $318,079 | RemainingDistriFromCorpusAmt |
| Total Corpus | $724,647 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $34,599 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $690,048 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $49,996 | ExcessFromYear4Amt |
| Excess From Year3 | $92,975 | ExcessFromYear3Amt |
| Excess From Year2 | $108,522 | ExcessFromYear2Amt |
| Excess From Year1 | $120,476 | ExcessFromYear1Amt |
| Excess From Current Year | $318,079 | 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 | $1,392,362 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,392,362 | 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 | $219,652 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $356,138 | 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 | $285 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $462,481 | 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 | $1,038,556 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,038,556 | 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 | $7,500 | Amt |
| Net Investment Income | $3,750 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $3,750 | 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 | $814,641 | $799,927 |
| ETF & CEF INCOME | $1,217,545 | $1,198,797 |
| PS - SB COMMUNICATION FUND | $0 | $0 |
| PS - POWERSHARES | $66,731 | $67,100 |
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 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $313 | LegalFeesAmt |
| Net Investment Income | $156 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $156 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| BOND DISCOUNTS | $47,035 | $1,029 | $1,029 |
| PREPAID EXPENSES | $6,347 | $16,679 | $16,679 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| BROKERAGE FEES & COMMISSIONS | $184,087 | $184,087 | |
| BUSINESS EXPENSES | $750 | $225 | $525 |
| MISC. CONTRACT SERVICES | $9,500 | $9,500 | |
| OFFICE SUPPLIES/POSTAGE | $2,179 | $654 | $1,525 |
| INSURANCE | $1,827 | $548 | $1,279 |
| ESTIMATED TAX PENALTIES | $310 | ||
| MISC. EXPENSE | $300 | $90 | $210 |
| K-1 PORTFOLIO DEDUCTIONS | $845 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| SEC 1250 GAIN | $252 | $252 |
| OID | $33 | $33 |
| K-1 PORTFOLIO INCOME | $4 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PRIOR PERIOD ADJUSTMENT | Desc |
| Amt | $39,558 | 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 | $4,322 | $1,297 | $3,026 |
| FOREIGN TAXES | $21,228 | $21,228 | |
| EXCISE TAXES | $23,938 | $23,938 |
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