HENDERSON FAMILY FOUNDATION INC: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HENDERSON FAMILY FOUNDATION INC (EIN 47-2469963)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-09-21
- IRS object ID
- 201832649349100203
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-09-21T09:44:06-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593670150 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHEN & GRIEB PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4890 W KENNEDY BLVD STE 370 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33609 | 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 | 472469963 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDERSON FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEND | BusinessNameControlTxt |
| Phone | 8136621558 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1511 N WESTSHORE BLVD RM/STE 700 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33607 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID M HENDERSON | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 8135461000 | PhoneNum |
| Signature | 2018-06-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT V GRIEB CPA | PreparerPersonNm |
| PTIN | P00056245 | PTIN |
| Phone | 8137397200 | PhoneNum |
| Preparation | 2018-06-13 | PreparationDt |
| 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 | $2,963,810 | 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 | $1,001,627 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $37,289 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $37,289 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $37,289 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $362,214 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,266,420 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $362,214 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $1,401,130 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $399,503 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $37,289 | TotalAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $2,600 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,600 | AccountingFeesNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $8,911 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $8,911 | OtherProfFeesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $11,511 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $11,511 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $64,567 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $64,567 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $76,078 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $11,511 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $64,567 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,325,052 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $387,992 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $37,289 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $18,210 | CashBOYAmt |
| Cash EOY | $3,034 | CashEOYAmt |
| Cash EOYFMV | $3,034 | CashEOYFMVAmt |
| Corporate Stock BOY | $1,295,226 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,576,067 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,576,067 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $103,240 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $106,230 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $106,230 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $236,755 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $278,479 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $278,479 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,653,431 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,963,810 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,963,810 | TotalAssetsEOYFMVAmt |
| Other Liabilities EOY | $40,000 | OtherLiabilitiesEOYAmt |
| Total Liabilities EOY | $40,000 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $1,653,431 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,923,810 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,653,431 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,923,810 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,653,431 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,963,810 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,653,431 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,325,052 | ExcessRevenueOverExpensesAmt |
| Subtotal | $2,978,483 | SubtotalAmt |
| Other Decreases | $54,673 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,923,810 | 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 |
|---|---|---|---|---|---|
| MERRILL LYNCH - SEE ATTACHED | P | $582,019 | $608,185 | -$26,166 | -$26,166 |
| MERRILL LYNCH - SEE ATTACHED | P | $684,105 | $296,021 | $388,084 | $388,084 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $362,214 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $45,887 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,300,275 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.035290 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $7,154 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $975,675 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.007332 | DistributionYr2Rt |
| Net Vl Noncharitable Assets Yr3 | $1,016,229 | NetVlNoncharitableAssetsYr3Amt |
| Total Distribution | 0.042622 | TotalDistributionRt |
| Average Distribution | 0.021311 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,273,992 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $48,461 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,880 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $52,341 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $64,567 | 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 | $3,880 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $3,880 | SubtotalAmt |
| Tax Based On Investment Income | $3,880 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $471 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $7,500 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $7,971 | TotalPaymentsAndCreditsAmt |
| Overpayment | $4,091 | OverpaymentAmt |
| Applied To ES Tax | $4,091 | 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 | FL | 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 |
| Individual With Books | DAVID HENDERSON | IndividualWithBooksNm |
| Phone | 8136621558 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1511 N WESTSHORE BLVD STE 700 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33607 | 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 | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|
| GREGORY L HENDERSON | ||||||||
| 403 VONDERBURG DR | BRANDON | FL | 33511 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| DAVID M HENDERSON | ||||||||
| 1511 N WESTSHORE BLVD STE 700 | TAMPA | FL | 33607 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| GREGORY L HENDERSON JR | ||||||||
| 1511 N WESTSHORE BLVD STE 700 | TAMPA | FL | 33607 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| KRISTEN M HENDERSON | ||||||||
| 1511 N WESTSHORE BLVD STE 700 | TAMPA | FL | 33607 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| MATTHEW D HENDERSON | ||||||||
| 1511 N WESTSHORE BLVD STE 700 | TAMPA | FL | 33607 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,040,382 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $10,622 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $257,617 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,308,621 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $2,308,621 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $34,629 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,273,992 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $113,700 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $113,700 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,880 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $3,880 | TotalTaxAmt |
| Distributable Before Adj | $109,820 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $109,820 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $109,820 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $64,567 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $64,567 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $3,880 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $60,687 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $109,820 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $64,567 | UndistributedIncomePYAmt |
| Qualifying Distributions | $64,567 | QualifyingDistributionsAmt |
| Applied To Year1 | $64,567 | AppliedToYear1Amt |
| Undistributed Income CY | $109,820 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|
| BELL SHOALS BAPTIST CHURCH | |||||
| 2102 BELL SHOALS RD | BRANDON | FL | 33511 | CHARITABLE CONTRIBUTION | $45,197 |
| INSTRUMENTS 4 LIFE | |||||
| 1217 MAGDALENE HILL DR | TAMPA | FL | 33613 | CHARTIABLE CONTRIBUTION | $6,457 |
| PROJECT AKILAH | |||||
| 195 PLYMOUTH ST NO 2/4 | BROOKLYN | NY | 11201 | CHARITABLE CONTRIBUTION | $5,000 |
| A KIDS PLACE | |||||
| 1715 LITHIA PINECREST RD | BRANDON | FL | 33511 | CHARITABLE CONTRIBUTION | $3,228 |
| BILLY GRAHAM EVANGELISTIC ASSOCIATI | |||||
| 1 BILLY GRAHAM PARKWAY | CHARLOTTE | NC | 28201 | CHARITABLE CONTRIBUTION | $4,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $64,567 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $37,289 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $362,214 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $399,503 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $399,503 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H5 CAPITAL INVESTMENTS LTD | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2677 | AddressLine1Txt |
| City | BRANDON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33509 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $1,001,627 | TotalContributionsAmt |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | 511 SHARES OF AMAZON COM INC | $597,599 | 2017-12-29 |
| 1 | 2,088 SHARES OF NVIDIA | $404,028 | 2017-12-29 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | COHEN & GRIEB | CategoryTxt |
| Amt | $2,600 | Amt |
| Net Investment Income | $2,600 | NetInvestmentIncomeAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | MERRILL LYNCH 9963 | BondNm |
| EOY Book Value | $106,230 | EOYBookValueAmt |
| EOYFMV | $106,230 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | MERRILL LYNCH | StockNm |
| EOY Book Value | $2,576,067 | EOYBookValueAmt |
| EOYFMV | $2,576,067 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | MERRILL LYNCH 9963 | CategoryOrItemTxt |
| Listed At Cost Or FMV | FMV | ListedAtCostOrFMVCd |
| Book Value | $278,479 | BookValueAmt |
| EOYFMV | $278,479 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DECREASE TO UNREALIZED APPRECIATION | Desc |
| Amt | $54,673 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO D1 | Desc |
| EOY Book Value | $40,000 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $8,911 | Amt |
| Net Investment Income | $8,911 | NetInvestmentIncomeAmt |
Comments