MICOLE FOUNDATION IRRV TR: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MICOLE FOUNDATION IRRV TR (EIN 36-7309675)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-23
- IRS object ID
- 201811439349100306
- Schema version
- 2017v2.2
- 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
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-23T11:06:10-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 841595367 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMG NATIONAL TRUST BANK | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6295 GREENWOOD PLAZA BLVD | AddressLine1Txt |
| City | GREENWOOD VILLAGE | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 801114908 | 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 | 367309675 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICOLE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MICO | BusinessNameControlTxt |
| Phone | 6309221532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 124 FERNWOOD DRIVE | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60540 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICOLE LACY | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 6309221532 | PhoneNum |
| Signature | 2018-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHEN A MOTTRAM CPA | PreparerPersonNm |
| PTIN | P00244026 | PTIN |
| Phone | 3036942190 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | 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 | $5,500,411 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $2,383 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2,383 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $74,769 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $63,108 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $199,525 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,054,805 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $199,525 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $276,677 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $265,016 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $7,875 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $6,694 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $1,181 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $54,340 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $54,340 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $764 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $764 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $15 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $7 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $8 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $62,994 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $61,805 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,189 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $301,100 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $301,100 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $364,094 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $61,805 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $302,289 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$87,417 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $203,211 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $244,985 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $263,712 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $263,712 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $6,561 | AcctRcvblAmt |
| Acct Rcvbl BOY | $6,856 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $6,561 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $6,561 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $368,528 | CorporateStockBOYAmt |
| Corporate Stock EOY | $415,237 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $470,323 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $3,753,272 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,600,714 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $4,759,815 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $4,373,641 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,286,224 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,500,411 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $4,373,641 | RetainedEarningBOYAmt |
| Retained Earning EOY | $4,286,224 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,373,641 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,286,224 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,373,641 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,286,224 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,373,641 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$87,417 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $4,286,224 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,286,224 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| GS #12953 - PUBLICLY TRADED SHORT TERM TRANSACTIONS | P | $1,889 | $1,885 | $4 | $4 |
| GS #12953 - PUBLICLY TRADED LONG TERM TRANSACTIONS | P | $960,590 | $791,152 | $169,438 | $169,438 |
| GS #53624 - PUBLICLY TRADED SHORT TERM TRANSACTIONS | P | $16,285 | $11,287 | $4,998 | $4,998 |
| GS #53624 - PUBLICLY TRADED LONG TERM TRANSACTIONS | P | $74,659 | $50,965 | $23,703 | $23,703 |
| CAPITAL GAINS DIVIDENDS | P | $1,382 | $1,382 | $1,382 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $199,525 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $301,133 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $4,996,734 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.060266 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $329,440 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,327,884 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.061833 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $335,811 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,475,056 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.061335 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $472,395 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,354,807 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.088219 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $282,520 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $5,162,484 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.054726 | DistributionYr5Rt |
| Total Distribution | 0.326379 | TotalDistributionRt |
| Average Distribution | 0.065276 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,266,798 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $343,796 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,032 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $345,828 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $302,289 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $4,064 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $4,064 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $4,064 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $3,807 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $5,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $8,807 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $4,743 | OverpaymentAmt |
| Applied To ES Tax | $4,743 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | NICOLE LACY | IndividualWithBooksNm |
| Phone | 6309221532 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 124 FERNWOOD DRIVE | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60540 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|
| MICHELLE HAWVER | ||||||||
| 11 GREENBRIAR LANE | HAWTHORN WOODS | IL | 60047 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| NICOLE LACY | ||||||||
| 124 FERNWOOD DRIVE | NAPERVILLE | IL | 60540 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,056,005 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $290,998 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,347,003 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,347,003 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $80,205 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,266,798 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $263,340 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $263,340 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $4,064 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $4,064 | TotalTaxAmt |
| Distributable Before Adj | $259,276 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $259,276 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $259,276 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $302,289 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $302,289 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $302,289 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $259,276 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr4 | $21,016 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $65,914 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $70,706 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $51,489 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $209,125 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $302,289 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $259,276 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $43,013 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $252,138 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $252,138 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $21,016 | ExcessFromYear4Amt |
| Excess From Year3 | $65,914 | ExcessFromYear3Amt |
| Excess From Year2 | $70,706 | ExcessFromYear2Amt |
| Excess From Year1 | $51,489 | ExcessFromYear1Amt |
| Excess From Current Year | $43,013 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO | |||||||
| 225 E CHICAGO AVE PR DEPT BOX 269 | CHICAG | IL | 60611 | NONE | EXEMPT | MEDICAL | $15,000 |
| BOYS & GIRLS CLUB OF CHICAGO | |||||||
| 550 W VAN BUREN ST 350 | CHICAGO | IL | 60607 | NONE | EXEMPT | CHARITABLE | $10,000 |
| CHICAGO BOTANICAL GARDEN | |||||||
| 1000 LAKE COOK ROAD | GLENCOE | IL | 60022 | NONE | EXEMPT | CHARITABLE | $15,000 |
| CHICAGO CHILDREN'S CHOIR | |||||||
| 78 E WASHING ST 5 | CHICAG | IL | 60602 | NONE | EXEMPT | CHARITABLE | $5,000 |
| HESED HOUSE | |||||||
| 659 SOUTH RIVER STREET | AURORA | IL | 60506 | NONE | EXEMPT | CHARITABLE | $30,000 |
| JDRF IL CHAPTER | |||||||
| 1 N LA SALLE ST STE 1200 | CHICAG | IL | 60603 | NONE | EXEMPT | MEDICAL | $14,000 |
| PEGGY NOTEBAERT NATURE MUSEUM | |||||||
| 2430 NORTH CANNON DRIVE | CHICAGO | IL | 60614 | NONE | EXEMPT | CHARITABLE | $100,000 |
| RANCH HAND RESCUE | |||||||
| 8827 HWY 377 | SOUTH ARGYLE | TX | 76226 | NONE | EXEMPT | CHARITABLE | $10,000 |
| ST FRANCIS HIGH SCHOOL | |||||||
| 2130 WEST ROOSEVELT ROAD | WHEATON | IL | 60187 | NONE | EXEMPT | EDUCATION | $50,000 |
| ST MARY'S PARISH | |||||||
| 50 NORTH BUFFALO GROVE ROAD | BUFFALO GROVE | IL | 60089 | NONE | EXEMPT | CHARITABLE | $15,000 |
| ST RAPHAEL CATHOLIC HOME & SCHOOL | |||||||
| 1215 MODAFF ROAD | NAPERVILLE | IL | 60540 | NONE | EXEMPT | EDUCATION | $22,100 |
| STEVENSON HIGH SCHOOL FOUNDATION | |||||||
| TWO STEVENSON DRIVE | LINCOLNSHIRE | IL | 60069 | NONE | EXEMPT | EDUCATION | $15,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $301,100 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2,383 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $74,769 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $199,525 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $276,677 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $276,677 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL FEES | CategoryTxt |
| Amt | $7,875 | Amt |
| Net Investment Income | $6,694 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,181 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (93 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ACADIA HEALTHCARE COMPANY INC (GOLDMAN #53624) | $4,022 | $3,524 |
| ACCURAY INC (GOLDMAN #53624) | $5,930 | $3,806 |
| ACTUANT CORP CMN CLASS A (GOLDMAN #53624) | $5,000 | $4,908 |
| ACXIOM CORP (GOLDMAN #53624) | $5,470 | $7,855 |
| AEROVIRONMENT, INC (GOLDMAN #53624) | $2,707 | $5,728 |
| ALLSCRIPTS HEALTHCARE SOL INC (GOLDMAN #53624) | $8,535 | $9,458 |
| ANALOGIC CORP CMN (GOLDMAN #53624) | $3,756 | $3,936 |
| ATRICURE INC (GOLDMAN #53624) | $2,795 | $2,718 |
| AVERY DENNISON CORPORATION (GOLDMAN # 53624) | $4,965 | $11,256 |
| AVIS BUDGET GROUP, INC (GOLDMAN #53624) | $5,681 | $8,688 |
| BABCOCK AND WILCOX ENTERPRISES (GOLDMAN #53624) | $2,383 | $3,436 |
| BANKUNITED INC (GOLDMAN #53624) | $4,465 | $5,579 |
| CEVA INC (GOLDMAN #53624) | $1,289 | $3,784 |
| CHARLES RIV LABS INTL INC (GOLDMAN #53624) | $6,183 | $12,477 |
| CIENA CORPORATIONS CMN (GOLDMAN #53624) | $15,563 | $15,677 |
| CLEAN HARBORS INC (GOLDMAN #53624) | $6,171 | $5,637 |
| CLEAVLAND CLIFFS INC CMN (GOLDMAN #53624) | $4,866 | $4,946 |
| COMERICA INCORPORATED (GOLDMAN #53624) | $3,578 | $6,272 |
| CONDUIT INCORPORATED (GOLDMAN #53624) | $2,070 | $2,198 |
| CORELOGIC INC (GOLDMAN #53624) | $6,488 | $10,536 |
| COVANTA HOLDING CORP (GOLDMAN #53624) | $5,838 | $5,282 |
| CROCS INC (GOLDMAN #53624) | $3,000 | $3,350 |
| CROWN HOLDINGS INC (GOLDMAN #53624) | $7,503 | $8,663 |
| CYPRESS SEMICONDUCTOR CORPORATION (GOLDMAN #53624) | $3,925 | $6,462 |
| DECKERS OUTDOOR (GOLDMAN # 53624) | $5,676 | $7,945 |
| DIEBOLD NIXDORF INC CMN (GOLDMAN #53624) | $3,917 | $3,041 |
| DST SYSTEM INC (GOLDMAN #53624) | $4,393 | $5,835 |
| DYNEGY INC (GOLDMAN #53624) | $9,077 | $4,539 |
| ENVISION HEALTHCARE CORPORATIONS (GOLDMAN #53624) | $3,067 | $3,802 |
| EXPRESS INC (GOLDMAN #53624) | $4,590 | $4,598 |
| FIREEEYE, INC CMN (GOLDMAN #53624) | $5,633 | $6,433 |
| FLUIDIGM CORP CMN (GOLDMAN #53624) | $4,730 | $5,171 |
| FORMFACTOR INC (GOLDMAN #53624) | $1,183 | $2,551 |
| HARSCO CORP (GOLDMAN #53624) | $4,259 | $4,644 |
| HAEMONETICS CORP CMN (GOLDMAN #53624) | $3,135 | $4,937 |
| HAIN CELESTIAL GROUP INC CMN (GOLDMAN #53624) | $1,106 | $1,399 |
| HERTZ GLOBAL HOLDINGS INC | $3,307 | $4,442 |
| HUNTINGTON BANCSHARES INCORPOR (GOLDMAN #53624) | $4,256 | $6,733 |
| II-IV INC (GOLDMAN #53624) | $1,355 | $3,427 |
| IMPAX LABORATORIES (GOLDMAN #53624) | $3,440 | $4,512 |
| INFINERA CORPORATION (GOLDMAN #53624) | $6,767 | $4,558 |
| ION GEOPHYSICAL CORPORATION (GOLDMAN #53624) | $3,014 | $948 |
| INTERSECT ENT, INC (GOLDMAN #53624) | $1,648 | $4,342 |
| ITRON INC (GOLDMAN #53624) | $2,814 | $5,456 |
| ITT CORPORATION (GOLDMAN #53624) | $4,446 | $5,550 |
| KBR, INC (GOLDMAN #53624) | $7,633 | $7,087 |
| KEYW HOLDING CORP (GOLDMAN #53624) | $6,828 | $4,303 |
| LUMINEX CORP DEL CMN | $4,169 | $4,209 |
| MACOM TECHNOLOGY SOLUTIONS CMN (GOLDMAN #53624) | $7,762 | $7,061 |
| MANITOWOC CO INC CMN (GOLDMAN #53624) | $2,037 | $3,698 |
| MAXWELL TECHNOLOGIES INC (GOLDMAN #53624) | $2,610 | $2,079 |
| MCDERMOTT INTL (GOLDMAN #53624) | $1,877 | $1,671 |
| MERCURY SYSTEMS INC (GOLDMAN #53624) | $1,289 | $5,957 |
| MERITOR INC (GOLDMAN #53624) | $1,536 | $2,604 |
| MOLINA HEALTHCARE INC CMN (GOLDMAN #53624) | $3,205 | $4,908 |
| MSG NETWORKS INC (GOLDMAN #53624) | $2,777 | $2,633 |
| NANOSTRING TECHNOLOGIES INC (GOLDMAN #53624) | $2,429 | $1,457 |
| NEW YORK & COMPANY INC (GOLDMAN #53624) | $778 | $561 |
| NRG ENERGY INC (GOLDMAN #53624) | $5,172 | $6,579 |
| NUANCE COMMUNICATIONS INC (GOLDMAN #53624) | $8,153 | $8,731 |
| OFFICE DEPOT INC (GOLDMAN #53624) | $3,374 | $2,581 |
| ORMAT TECHNOLOGIES INC (GOLDMAN #53624) | $2,884 | $6,204 |
| OSI SYSTEMS INC (GOLDMAN #53624) | $3,746 | $3,992 |
| QUANTUM CORPORATION STL & STORAGE SYSTEMS GROUP (GOLDMAN #53624) | $1,617 | $815 |
| RAMBUS INC (GOLDMAN #53624) | $7,469 | $8,815 |
| RIBBON COMMUNICATIONS (GOLDMAN #53624) | $3,360 | $3,463 |
| RYDER SYSTEM INC (GOLDMAN #53624) | $6,429 | $6,313 |
| SEACHANGE INTERNATIONAL INC (GOLDMAN #53624) | $4,006 | $1,635 |
| SEAWORLD ENTERTAINMENT INC (GOLDMAN #53624) | $3,843 | $3,705 |
| SPIRIT AEROSYSTEM HOLDINGS INC (GOLDMAN #53624) | $3,408 | $9,171 |
| TCF FINANCIAL CORP MINN (GOLDMAN #53624) | $6,130 | $8,138 |
| TELEDYNE TECHNOLOGIES INC (GOLDMAN #53624) | $3,614 | $6,884 |
| TETRA TECHNOLOGIES INC (GOLDMAN #53624) | $6,225 | $2,357 |
| TEXAS CAPITAL BANCSHARES INC (GOLDMAN #53624) | $3,613 | $5,601 |
| TEXTRON INC (GOLDMAN #53624) | $4,693 | $6,792 |
| TIVO CORP CMN (GOLDMAN #53624) | $10,298 | $6,801 |
| TREEHOUSE FOODS INC. (GOLDMAN #53624) | $4,599 | $2,968 |
| TWIN DISC INCORPORATED (GOLDMAN #53624) | $3,424 | $2,790 |
| UNDER ARMOUR INC (GOLDMAN #53624) | $2,377 | $2,836 |
| UNISYS CORPORATION CMN (GOLDMAN #53624) | $2,711 | $2,038 |
| VALMONT INDUSTRIES INC CMN (GOLDMAN #53624) | $2,812 | $3,824 |
| VASCO DATA SEC INTL (GOLDMAN #53624) | $2,166 | $2,210 |
| VEECO INSTRUMENTS INC (GOLDMAN #53624) | $6,111 | $3,713 |
| VERIFONE SYSTEMS INC (GOLDMAN #53624) | $6,741 | $5,100 |
| VERINT SYSTEMS INC (GOLDMAN #53624) | $13,284 | $12,848 |
| VIAVI SOLUTIONS, INC (GOLDMAN #53624) | $2,702 | $3,470 |
| INFRAREIT INC CMN (GOLDMAN #53624) | $2,885 | $3,013 |
| UNITI GROUP INC CMN (GOLDMAN #53624) | $5,094 | $3,825 |
| ARRIS INTL PLC CMN (GOLDMAN #53624) | $10,689 | $8,682 |
| ATLANTIC POWER CORPORATION (GOLDMAN #53624) | $3,244 | $3,095 |
| DANAOS CORPORATION (GOLDMAN #53624) | $1,930 | $457 |
| MELLANOX TECHNOLOGIES (GOLDMAN #53624) | $5,849 | $9,964 |
| MITEL NETWORKS | $1,659 | $1,646 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (11 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| BLACKROCK CORE ALPHA BOND FUND (GOLDMAN #12953) | AT COST | $454,802 | $447,144 |
| EATON VANCE GROUP EATON VANCE INCOME FUND OF BOSTON CLASS I (GOLDMAN #12953) | AT COST | $276,639 | $272,345 |
| SPDR S&P 500 ETF TRUST (GOLDMAN #12953) | AT COST | $815,635 | $1,342,397 |
| DYNAMIC EQUITY MANAGERS PORTFOLIO 2 OFFSHORE LP (GOLDMAN #12953) | AT COST | $1,000,000 | $1,591,585 |
| ALERIAN MLP EXCHANGE TRADED FUND (GOLDMAN #12953) | AT COST | $113,158 | $107,253 |
| US EQUITY STRUCTURED PRODUCTS-NOVIA SCOTIA (GOLDMAN #12953) | AT COST | $10,000 | $10,398 |
| US EQUITY STRUCTURED PRODUCTS-CANADIAN IMPERIAL BANK (GOLDMAN #12953) | AT COST | $500,000 | $505,600 |
| MSCI EAFE INDEX FUND (GOLDMAN #12953) | AT COST | $199,529 | $239,054 |
| EURO STOXX 50 INDEX FUND (GOLDMAN #12953) | AT COST | $100,471 | $111,953 |
| MORGAN STANLEY FINANCE LLC - LINKED TO EURO STOXX (GOLDMAN #12953) | AT COST | $25,000 | $25,480 |
| ASSET ALLOCATION-GS TACTICAL TILT IMPLEMENTATION FUND (GOLDMAN #12953) | AT COST | $105,480 | $106,606 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | IL CHARITABLE TRUST BUREAU | Desc |
| Revenue And Expenses Per Books | $15 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $7 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $8 | DisbursementsCharitablePrpsAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $54,340 | Amt |
| Net Investment Income | $54,340 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAX | CategoryTxt |
| Amt | $764 | Amt |
| Net Investment Income | $764 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Comments