BETA

MILLER CHARITABLE FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MILLER CHARITABLE FOUNDATION (EIN 41-2056936)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-14
IRS object ID
201831349349101258
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-14T09:02:17-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341310124PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1REA & ASSOCIATES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1545 N MARKET STAddressLine1Txt
CityWOOSTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44691ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412056936EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLER CHARITABLE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMILLBusinessNameControlTxt
Phone3302637890PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1086 - ATTN JACK MILLERAddressLine1Txt
CityWOOSTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44691ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACK MILLERPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone3302637890PhoneNum
Signature2018-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLEY A MAST CPAPreparerPersonNm
PTINP00539961PTIN
Phone3302640791PhoneNum
Preparation2018-05-07PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,403,589FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$2,798DividendsRevAndExpnssAmt
Dividends Net Invst Incm$2,798DividendsNetInvstIncmAmt
Dividends Adj Net Incm$2,798DividendsAdjNetIncmAmt
Gross Rents Rev And Expnss$10GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm$10GrossRentsNetInvstIncmAmt
Gross Rents Adj Net Incm$10GrossRentsAdjNetIncmAmt
Net Rental Income Or Loss$10NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss$5,425NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$19,062GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$5,425CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$8,233TotalRevAndExpnssAmt
Total Net Invst Incm$8,233TotalNetInvstIncmAmt
Total Adj Net Incm$2,808TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$2,975AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$2,975AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$2,088TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$2,088TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$1,420DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$1,428DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$6,254OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$6,254OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$9,551OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,839OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$7,712OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$22,288TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,839TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$1,428TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$19,029TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$22,288TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,839TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$1,428TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$19,029TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$14,055ExcessRevenueOverExpensesAmt
Net Investment Income$6,394NetInvestmentIncomeAmt
Adjusted Net Income$1,380AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$8,402CashBOYAmt
Cash EOY$9,404CashEOYAmt
Cash EOYFMV$9,404CashEOYFMVAmt
Other Investments BOY$818,279OtherInvestmentsBOYAmt
Other Investments EOY$804,642OtherInvestmentsEOYAmt
Other Investments EOYFMV$844,563OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$557,901LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,279LandBldgEquipAccumDeprecAmt
Land BOY$551,042LandBOYAmt
Land EOY$549,622LandEOYAmt
Land EOYFMV$549,622LandEOYFMVAmt
Total Assets BOY$1,377,723TotalAssetsBOYAmt
Total Assets EOY$1,363,668TotalAssetsEOYAmt
Total Assets EOYFMV$1,403,589TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,377,723RetainedEarningBOYAmt
Retained Earning EOY$1,363,668RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,377,723TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,363,668TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,377,723TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,363,668TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,377,723TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$14,055ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,363,668SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,363,668TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
54.230 SH FIRST EAGLE GLOBAL F2009-11-102017-01-23$3,000$2,169$831$831
175.131 SH T ROWE PRICE CAPITAL ION2009-11-102017-06-09$5,000$3,179$1,821$1,821
269.300 SH SEI INSTITUTIONALLY2014-10-152017-01-23$3,000$3,134-$134-$134
442.870 SH RE FIXED INCOME FUND2014-10-152017-06-09$5,000$5,155-$155-$155
CAPITAL GAINS DIVIDENDS$3,062$3,062$3,062P
FieldValueIRS element (for citing)
Capital Gain Net Income$5,425CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$0NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$17,691AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$167,131NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.105851DistributionYr1Rt
Adjusted Qlfy Distri Yr2$22,702AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$201,967NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.112405DistributionYr2Rt
Adjusted Qlfy Distri Yr3$20,591AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$223,729NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.092035DistributionYr3Rt
Adjusted Qlfy Distri Yr4$19,740AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$231,245NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.085364DistributionYr4Rt
Adjusted Qlfy Distri Yr5$18,091AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$233,129NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.077601DistributionYr5Rt
Total Distribution0.473256TotalDistributionRt
Average Distribution0.094651AverageDistributionRt
Net Vl Noncharitable Assets$153,637NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$14,542AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$64NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$14,606AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$19,029QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$64InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$64SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$64TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$64TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateOHOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (1)PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksJACK MILLERIndividualWithBooksNm
Phone3302637890PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1086AddressLine1Txt
CityWOOSTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44691ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JACK K MILLER
2262 HEYL RDWOOSTEROH44691TRUSTEE0.00$0$0$0
JANE K GROSJEAN
2459 COLUMBUS RDWOOSTEROH44691TRUSTEE0.00$0$0$0
MAX A MILLER
462 MCENTEE DRWADSWORTHOH44281TRUSTEE0.00$0$0$0
MARJORIE A ALLEN
1840 BURNETTS CORNER RDWOOSTEROH44691TRUSTEE0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION MANAGES AND OPERATES A PUBLIC MUSEUM. THE PUBLIC OIL, GAS, CAR AND TRUCK MUSEUM MAINTAINS AND DISPLAYS TO THE PUBLIC HISTORIC AGRICULTURAL AND OIL AND GAS INDUSTRY VEHICLES, MACHINERY AND EQUIPMENT.Description1Txt
Expenses1$15,467Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$145,960AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$10,017AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$155,977TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$155,977AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,340CashDeemedCharitableAmt
Net Vl Noncharitable Assets$153,637NetVlNoncharitableAssetsAmt
Minimum Investment Return$7,682MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$19,029ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$19,029QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$64PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$18,965AdjustedQualifyingDistriAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Private Operating Fndtn Ruling2003-01-13PrivateOperatingFndtnRulingDt
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$1,380CurrentYearAmt
Year1$1,677Year1Amt
Year2$2,524Year2Amt
Year3$3,496Year3Amt
Total$9,077TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$1,173CurrentYearAmt
Year1$1,425Year1Amt
Year2$2,145Year2Amt
Year3$2,972Year3Amt
Total$7,715TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$19,029CurrentYearAmt
Year1$17,732Year1Amt
Year2$22,785Year2Amt
Year3$20,743Year3Amt
Total$80,289TotalAmt

Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$19,029CurrentYearAmt
Year1$17,732Year1Amt
Year2$22,785Year2Amt
Year3$20,743Year3Amt
Total$80,289TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support TotalSupportGrp

FieldValueIRS element (for citing)
Current Year$10CurrentYearAmt
Year1$10Year1Amt
Total$20TotalAmt

Public Support Type PublicSupportType

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$100Year2Amt
Year3$0Year3Amt
Total$100TotalAmt

Largest Support From EO LargestSupportFromEOGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Gross Investment Income GrossInvestmentIncomeGrp

FieldValueIRS element (for citing)
Current Year$8,223CurrentYearAmt
Year1$6,222Year1Amt
Year2$10,850Year2Amt
Year3$17,987Year3Amt
Total$43,282TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd
Total Grant Or Contri Pd Dur Yr$0TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,798ExclusionAmt

Net Rental Income Personal Prop NetRentalIncomePersonalPropGrp

FieldValueIRS element (for citing)
Exclusion17ExclusionCd
Exclusion$10ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$5,425ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$8,233ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$8,233TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$2,975Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$2,975DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (5 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtComputation MethodComputationMethodTxtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtPrior Year DepreciationPriorYearDepreciationAmtLifeLifeRt
LAND2006-08-24$512,000L$0$0$0
ROOF2006-08-24$21,063SL$540$0$540$5,60339.000000000000
FIELD DRAINAGE TILE2012-05-23$1,903150DB$119$0$127$71715.000000000000
LIMESTONE GRAVEL FOR DRIVEWAY2016-02-01$4,235SL$282$0$282$25915.000000000000
REPLACED ROOF2016-06-07$18,700SL$479$0$479$28039.000000000000

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DONATED VEHICLESAT COST$412,300$412,300
DONATED MOBILIA ITEMSAT COST$289,935$289,935
VOYA FINANCIAL MUTUAL FUNDSAT COST$102,407$142,328

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (5 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LAND$512,000$0$512,000
ROOF$21,063$6,143$14,920
FIELD DRAINAGE TILE$1,903$836$1,067
LIMESTONE GRAVEL FOR DRIVEWAY$4,235$541$3,694
REPLACED ROOF$18,700$759$17,941

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ANNUAL STATE FEES$200$0$0$200
INVESTMENT EXPENSES$1,839$1,839$0$0
INSURANCE$5,505$0$0$5,505
FEDERAL EXCISE TAX EXPENSE$41$0$0$41
OFFICE EXPENSES$144$0$0$144
MISCELLANEOUS$1,822$0$0$1,822

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryREAL ESTATE TAXESCategoryTxt
Amt$2,088Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$2,088DisbursementsCharitablePrpsAmt

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