MIDDLESWARTH FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MIDDLESWARTH FOUNDATION (EIN 20-2033335)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-05-14
IRS object ID: 201831349349103433
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 Other Schedule2
Other Expenses Schedule
Other Increases Schedule
Other Professional Fees Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-14T14:57:23-05:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	455012510	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WAGNER DREESE ELSASSER & ASSOCIATES PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1372 N SUSQUEHANNA TRL STE 210	AddressLine1Txt
City	SELINSGROVE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17870	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	202033335	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE MIDDLESWARTH FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MIDD	BusinessNameControlTxt
Phone	5708371431	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	DAVID MIDDLESWARTH 250 FURNACE ROAD	AddressLine1Txt
City	MIDDLEBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17842	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID B MIDDLESWARTH	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	5708371431	PhoneNum
Signature	2018-05-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOSELYN Y O'CONNOR	PreparerPersonNm
PTIN	P00293590	PTIN
Phone	5707432030	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	$1,294,373	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	$4,382	InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm	$4,382	InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss	$27,250	DividendsRevAndExpnssAmt
Dividends Net Invst Incm	$27,250	DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss	$166,014	NetGainSaleAstRevAndExpnssAmt
Gross Sales Price	$1,276,181	GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm	$166,014	CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss	$197,646	TotalRevAndExpnssAmt
Total Net Invst Incm	$197,646	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	$7,235	AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm	$3,618	AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps	$3,617	AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss	$16,834	OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm	$16,834	OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl	$0	OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss	$6	InterestRevAndExpnssAmt
Interest Net Invst Incm	$6	InterestNetInvstIncmAmt
Interest Dsbrs Chrtbl	$0	InterestDsbrsChrtblAmt
Taxes Rev And Expnss	$631	TaxesRevAndExpnssAmt
Taxes Net Invst Incm	$631	TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl	$0	TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss	$7,001	OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm	$1	OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl	$0	OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss	$31,707	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$21,090	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$3,617	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$68,100	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$68,100	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$99,807	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$21,090	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$71,717	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	$97,839	ExcessRevenueOverExpensesAmt
Net Investment Income	$176,556	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Sav And Temp Cash Invst BOY	$40,222	SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY	$11,441	SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV	$11,441	SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY	$126,678	USGovernmentObligationsBOYAmt
US Government Obligations EOY	$0	USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV	$0	USGovtObligationsEOYFMVAmt
Corporate Stock BOY	$769,425	CorporateStockBOYAmt
Corporate Stock EOY	$0	CorporateStockEOYAmt
Corporate Stock EOYFMV	$0	CorporateStockEOYFMVAmt
Corporate Bonds BOY	$246,048	CorporateBondsBOYAmt
Corporate Bonds EOY	$0	CorporateBondsEOYAmt
Corporate Bonds EOYFMV	$0	CorporateBondsEOYFMVAmt
Other Investments BOY	$10,483	OtherInvestmentsBOYAmt
Other Investments EOY	$1,282,932	OtherInvestmentsEOYAmt
Other Investments EOYFMV	$1,282,932	OtherInvestmentsEOYFMVAmt
Total Assets BOY	$1,192,856	TotalAssetsBOYAmt
Total Assets EOY	$1,294,373	TotalAssetsEOYAmt
Total Assets EOYFMV	$1,294,373	TotalAssetsEOYFMVAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind
Unrestricted BOY	$1,192,856	UnrestrictedBOYAmt
Unrestricted EOY	$1,294,373	UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY	$1,192,856	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$1,294,373	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$1,192,856	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$1,294,373	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$1,192,856	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	$97,839	ExcessRevenueOverExpensesAmt
Other Increases	$3,678	OtherIncreasesAmt
Subtotal	$1,294,373	SubtotalAmt
Other Decreases	$0	OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY	$1,294,373	TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDesc	How AcquiredHowAcquiredCd	Gross Sales PriceGrossSalesPriceAmt	Cost Or Other BasisCostOrOtherBasisAmt	Gain Or LossGainOrLossAmt	Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIES	P	$1,275,077	$1,110,167	$164,910	$164,910
CAPITAL GAINS DIVIDENDS	P	$1,104		$1,104	$1,104

Field	Value	IRS element (for citing)
Capital Gain Net Income	$166,014	CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

Field	Value	IRS element (for citing)
Liable Section4942 Tax	0	LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1	$116,024	AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1	$1,222,705	NetVlNoncharitableAssetsYr1Amt
Distribution Yr1	0.094891	DistributionYr1Rt
Adjusted Qlfy Distri Yr2	$46,000	AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2	$1,269,658	NetVlNoncharitableAssetsYr2Amt
Distribution Yr2	0.036230	DistributionYr2Rt
Adjusted Qlfy Distri Yr3	$45,517	AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3	$1,289,210	NetVlNoncharitableAssetsYr3Amt
Distribution Yr3	0.035306	DistributionYr3Rt
Adjusted Qlfy Distri Yr4	$70,438	AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4	$1,244,487	NetVlNoncharitableAssetsYr4Amt
Distribution Yr4	0.056600	DistributionYr4Rt
Adjusted Qlfy Distri Yr5	$82,354	AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5	$1,234,221	NetVlNoncharitableAssetsYr5Amt
Distribution Yr5	0.066725	DistributionYr5Rt
Total Distribution	0.289752	TotalDistributionRt
Average Distribution	0.057950	AverageDistributionRt
Net Vl Noncharitable Assets	$1,247,475	NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets	$72,291	AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct	$1,766	NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct	$74,057	AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions	$71,717	QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Investment Income Excise Tax	$3,531	InvestmentIncomeExciseTaxAmt
Tax Under Section511	$0	TaxUnderSection511Amt
Subtotal	$3,531	SubtotalAmt
Subtitle A Tax	$0	SubtitleATaxAmt
Tax Based On Investment Income	$3,531	TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx	$1,804	EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid	$0	ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld	$0	BackupWithholdingWithheldAmt
Total Payments And Credits	$1,804	TotalPaymentsAndCreditsAmt
Es Penalty	$0	EsPenaltyAmt
Tax Due	$1,727	TaxDueAmt

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	PA	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

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID B MIDDLESWARTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5708371431	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 FURNACE ROAD	AddressLine1Txt
City	MIDDLEBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17842	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 (3 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
DAVID B MIDDLESWARTH
250 FURNACE ROAD	MIDDLEBURG	PA	17842	PRESIDENT	5.00	$0	$0	$0
BRET I MIDDLESWARTH
250 FURNACE ROAD	MIDDLEBURG	PA	17842	VICE PRESIDENT	0.50	$0	$0	$0
ROB D MIDDLESWARTH
250 FURNACE ROAD	MIDDLEBURG	PA	17842	SEC/TREAS	0.50	$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	$1,251,108	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$15,364	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$1,266,472	TotalFMVOfUnusedAssetsAmt
Reduction Claimed	$0	ReductionClaimedAmt
Acquisition Indebtedness	$0	AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast	$1,266,472	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$18,997	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$1,247,475	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$62,374	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$62,374	MinimumInvestmentReturnAmt
Tax Based On Investment Income	$3,531	TaxBasedOnInvestmentIncomeAmt
Total Tax	$3,531	TotalTaxAmt
Distributable Before Adj	$58,843	DistributableBeforeAdjAmt
Recoveries Qualfied Distri	$0	RecoveriesQualfiedDistriAmt
Distributable Before Ded	$58,843	DistributableBeforeDedAmt
Deduction From Distributable	$0	DeductionFromDistributableAmt
Distributable As Adjusted	$58,843	DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$71,717	ExpensesAndContributionsAmt
Program Related Invst Total	$0	ProgramRelatedInvstTotalAmt
Qualifying Distributions	$71,717	QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm	$0	PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri	$71,717	AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$58,843	DistributableAsAdjustedAmt
Undistributed Income PY	$0	UndistributedIncomePYAmt
Total For Prior Years	$0	TotalForPriorYearsAmt
Excess Distribution Cyov Yr1	$27,565	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$27,565	TotalExcessDistributionCyovAmt
Qualifying Distributions	$71,717	QualifyingDistributionsAmt
Applied To Year1	$0	AppliedToYear1Amt
Applied To Prior Years	$0	AppliedToPriorYearsAmt
Treated As Distri From Corpus	$0	TreatedAsDistriFromCorpusAmt
Applied To Current Year	$58,843	AppliedToCurrentYearAmt
Remaining Distri From Corpus	$12,874	RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus	$0	ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY	$0	ExcessDistributionCyovAppCYAmt
Total Corpus	$40,439	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	$40,439	ExcessDistriCyovToNextYrAmt
Excess From Year1	$27,565	ExcessFromYear1Amt
Excess From Current Year	$12,874	ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Only Contri To Preselected	Yes (X)	OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (30 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Recipient RelationshipRecipientRelationshipTxt	Recipient Foundation StatusRecipientFoundationStatusTxt	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt
AMERICAN RED CROSS OF CENTRAL PENNSYLVANIA
1804 N 6TH ST	HARRISBURG	PA	17102	N/A	PC	DISASTER RELIEF	$1,000
BEAVERTOWN UNITED METHODIST CHURCH
128 N ORANGE ST PO BOX 188	BEAVERTOWN	PA	17813	N/A	PC	TO SUPPORT ITS MINISTRY AND GENERAL NEEDS OF ITS FACILITIES	$2,000
BIG BROTHERS & BIG SISTERS
37 W MAIN ST PO BOX 126	BLOOMSBURG	PA	17815	N/A	PC	MENTORING PROGRAM OF THE ORGANIZATION	$500
CAMP MOUNT LUTHER CORP
335 MOUNT LUTHER LANE	MIFFLINBURG	PA	17844	N/A	PC	OUTDOOR MINISTRIES FOR WORSHIP, ENVIRONMENTAL EDUCATION	$1,000
EMMANUEL LUTHERAN CHURCH
100 SOUTH MAIN ST	MIDDLEBURG	PA	17842	N/A	PC	MINISTRY OF THE CHURCH AND MAINTENANCE AND IMPROVEMENT OF ITS FACILITIES	$30,000
FAMILY PLANNING SERVICES OF SUN
4612 WESTBRANCH HIGHWAY	LEWISBURG	PA	17837	N/A	PC	PROVIDE EDUCATION AND RESOURCES RE REPRODUCTION AND FAMILY PLANNING	$500
HAVEN MINISTRY INC
1040 SOUTH FRONT STREET	SUNBURY	PA	17801	N/A	PC	PROVIDE FOOD AND SHELTER TO THOSE IN NEED	$2,000
HEMLOCK COUNCIL OF THE GIRL SCOUTS
350 HALE AVENUE	HARRISBURG	PA	17104	N/A	PC	GENERAL PROGRAMS OF THE GIRL SCOUTS	$1,000
MIDD-WEST SCHOOL DISTRICT
540 EAST MAIN STREET	MIDDLEBURG	PA	178421296	N/A	PC	$500 SCHOLARSHIPS EACH TO ONE MALE & ONE FEMALE GRADUATE OF THE HIGH SCHOOL TO BE DETERMINED BY THE SCHOOL'S SCHOLARSHIP COMMITTEE	$1,000
MIDDLEBURG COMMUNITY PROJECTS
C/O PAULA SNOOK 430 IRON BRIDGE RD	MIDDLEBURG	PA	17842	N/A	PC	PROVIDE FUNDS FOR UPKEEP OF COMMUNITY SWIMMING POOL	$2,000
MIDDLECREEK AREA COMMUNITY CENTER
67 ELM STREET	BEAVER SPRINGS	PA	17812	N/A	PC	COMMUNITY CENTER'S VARIOUS EXERCISE AND ATHLETIC PROGRAMS	$5,000
MOSTLY MUTTS INC
C/O HENRY GROSS PO BOX 498	MILLVILLE	PA	17846	N/A	PC	PROVIDE FOOD, MEDICAL CARE AND SHELTER TO NO-KILL ANIMAL SHELTER	$500
NEEDY FAMILY FUND
SUSQUEHANNA BANK 400 MARKET STREET	SUNBURY	PA	17081	N/A	PC	PROVIDE FOOD, CLOTHING AND OTHER BASIC NECESSITIES TO THOSE IN NEED	$1,000
PAXTONVILLE UNITED METHODIST CHURCH
1281 PAXTON ST PO BOX 275	PAXTONVILLE	PA	17861	N/A	PC	SUPPORT THE GENERAL NEEDS OF THE CHURCH AND ITS MINISTRY	$5,000
SELINSGROVE AREA COMMUNITY FOUNDATION
C/O JOHN FISCHER PO BOX 180	SELINSGROVE	PA	17870	N/A	PC	FOUNDATION'S LOCAL STUDENTS SCHOLARSHIPS AND NON-PROFIT ORGANIZATIONS GRANTS PROGRAM	$1,000
SELINSGROVE AREA SCHOOL DISTRICT
401 NORTH 18TH STREET	SELINSGROVE	PA	17870	N/A	PC	$500 SCHOLARSHIPS EACH TO ONE MALE & ONE FEMALE GRADUATE OF THE HIGH SCHOOL TO BE DETERMINED BY THE SCHOOL'S SCHOLARSHIP COMMITTEE	$1,000
SELINSGROVE PROJECTS INC
PO BOX 377	SELINSGROVE	PA	17870	N/A	PC	COMMUNITY SWIMMING POOL FUND	$500
SHEETZ FAMILY CHARITIES
242 SHEETZ WAY	CLAYSBURG	PA	16625	N/A	PC	PROVIDE FUNDS FOR THE ORGANIZATION'S SCHOLARSHIPS	$3,000
SMILE TRAIN
PO BOX 96208	WASHINGTON	DC	200906208	N/A	PC	PROVIDE FUNDS FOR CLEFT REPAIR SURGERIES TO THOSE IN NEED	$500
SNYDER COUNTY CHILDREN AND YOUTH SERVICES
713 BRIDGE STREET	SELINSGROVE	PA	17870	N/A	PC	PURCHASE ITEMS FOR HOLIDAY DISTRIBUTION TO CHILDREN	$500
ST JOSEPH'S CENTER
2010 ADAMS AVE	SCRANTON	PA	18509	N/A	PC	PROVIDE FUNDS FOR THE MEDICAL NEEDS OF THE CENTER	$1,000
SUMMER SEALS DAY CAMP
PO BOX 395	SELINSGROVE	PA	17870	N/A	PC	SUMMER DAY CAMP FOR STUDENTS OF THE SELINSGROVE AREA	$1,000
SUSQUEHANNA COUNCIL BOY SCOUTS OF AMERICA
815 NORTHWAY ROAD	WILLIAMSPORT	PA	17701	N/A	PC	GENERAL PROGRAMS OF THE BOY SCOUTS	$1,000
SUSQUEHANNA UNIVERSITY
514 UNIVERSITY AVENUE	SELINSGROVE	PA	17870	N/A	PC	BUSINESS AND INDUSTRY CAMPAIGN	$1,000
SUSQUEHANNA VALLEY LAW ENFORCEMENT CAMP CADET INC
50 LAWTON LN	MILTON	PA	17842	N/A	PC	SUMMER YOUTH CAMP FOR DISCUSSIONS OF ALCOHOL AND TOBACCO AVOIDANCE, SELF-ESTEEM, DISCIPLINE, TEAMWORK AND STRUCTURE	$100
SUSQUEHANNA VALLEY WOMEN IN TRANSITION
PO BOX 170	LEWISBURG	PA	17837	N/A	PC	PROVIDE SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE	$1,000
THE PENNSYLVANIA SPCA
2801 BLOOM ROAD	DANVILLE	PA	17812	N/A	PC	NO-KILL SHELTER FOR DOGS, CATS AND OTHER DOMESTIC ANIMALS AND EDUCATION ON CRUELTY TO ANIMALS	$500
THE SALVATION ARMY
40 SOUTH FOURTH STREET	SUNBURY	PA	17081	N/A	PC	PROVIDE FOOD, CLOTHING AND SHELTER TO PERSONS IN NEED	$1,000
UNION-SNYDER HABITAT FOR HUMANITY
PO BOX 64	SELINSGROVE	PA	17870	N/A	PC	PROVIDE AFFORDABLE HOUSING TO LOW-INCOME PERSONS	$500
WEST BEAVER TOWNSHIP VETERANS MEMORIAL POOL
JANET WILL 34 E OHIO ST PO BOX 155	MCCLURE	PA	17841	N/A	PC	PROVIDE FUNDS FOR THE REPAIRS NEEDED TO MAINTAIN THE NO-CHARGE COMMUNITY SWIMMING POOL	$2,000

Field	Value	IRS element (for citing)
Total Grant Or Contri Pd Dur Yr	$68,100	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	$4,382	ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$27,250	ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

Field	Value	IRS element (for citing)
Exclusion	18	ExclusionCd
Exclusion	$166,014	ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Unrelated Business Taxbl Incm	$0	UnrelatedBusinessTaxblIncmAmt
Exclusion	$197,646	ExclusionAmt
Related Or Exempt Function Incm	$0	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$197,646	TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO	Yes (1)	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

Transfer Schedule Detail TransferScheduleDetail

Field	Value	IRS element (for citing)
Line Number	1a(1)	LineNumberTxt
Involved	$7,000	InvolvedAmt

Noncharitable Exempt Org Name NoncharitableExemptOrgName

Field	Value	IRS element (for citing)
Business Name Line1	RELIANCE HOSE COMPANY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transfers Trans And Shr Arrngm	CONTRIBUTION TO LOCAL VOLUNTEER FIRE COMPANY WHICH IS EXEMPT UNDER IRC SECTION 501(C)(4) AND IS DESCRIBED IN IRC SECTION 170(C)	TransfersTransAndShrArrngmDesc

Field	Value	IRS element (for citing)
Relationships Nonchrtbl EO	0	RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	WAGNER DREESE ELSASSER & ASSOCS PC - 990-F PREPARATION AND ACCOUNTING	CategoryTxt
Amt	$7,235	Amt
Net Investment Income	$3,618	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$3,617	DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (16 entries)

Category Or ItemCategoryOrItemTxt	Listed At Cost Or FMVListedAtCostOrFMVCd	Book ValueBookValueAmt	EOYFMVEOYFMVAmt
PIMCO REAL RETURN FUND CL A	FMV	$5,815	$5,815
ISHARES CORE US AGGREGATE BOND	FMV	$135,788	$135,788
SPDR DJ GLOBAL REAL ESTATE ETF	FMV	$24,782	$24,782
VANGUARD FTSE DEV MKTS ETF	FMV	$165,713	$165,713
VANGUARD FTSE EMERGING MKT ETF	FMV	$38,886	$38,886
VANGUARD VALUE ETF	FMV	$91,860	$91,860
VANGUARD LARG CAP ETF	FMV	$169,528	$169,528
VANGUARD SMALL CAP ETF	FMV	$103,312	$103,312
BRIDGE BUILDER CORE PLUS BOND	FMV	$62,391	$62,391
BRIDGE BUILDER INTL EQUITY	FMV	$129,030	$129,030
BRIDGE BUILDER LARGE GROWTH	FMV	$130,234	$130,234
BRIDGE BUILDER LARGE VALUE	FMV	$91,515	$91,515
BRIDGE BUILDER SMALLMID GROWTH	FMV	$26,085	$26,085
BRIDGE BUILDER SMALLMID VALUE	FMV	$64,734	$64,734
GS FINL SQUARE GOVT FD INSTL	FMV	$18,043	$18,043
HOTCHKIS & WILEY HIGH-YIELD	FMV	$25,216	$25,216

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt	Net Investment IncomeNetInvestmentIncomeAmt	Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TRANSACTION CHARGE	$1	$1	$0
NON-PUBLIC CHARITY 501(C)(4) ORGANIZATION - RELIANCE HOSE COMPANY	$7,000	$0	$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

Field	Value	IRS element (for citing)
Desc	ADJUSTMENT FOR INCREASE OF FMV FOR SFAS NO. 124 SECURITIES	Desc
Amt	$3,678	Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

Field	Value	IRS element (for citing)
Category	EDWARD JONES - INVESTMENT MGMT FEES	CategoryTxt
Amt	$16,834	Amt
Net Investment Income	$16,834	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	FOREIGN TAX W/H FROM DIVIDENDS	CategoryTxt
Amt	$631	Amt
Net Investment Income	$631	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt