LEWIS J AND CLELIA M SERVENTI FAMILY FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- LEWIS J AND CLELIA M SERVENTI FAMILY FOUNDATION (EIN 31-1585491)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-14
- IRS object ID
- 201801349349102870
- 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
- Schedule B
- Distribution From Corpus Election
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T13:21:13-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161468002 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHIAMPOU TRAVIS BESAW & KERSHNER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 BRYANT WOODS NORTH | AddressLine1Txt |
| City | AMHERST | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14228 | 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 | 311585491 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE LEWIS J AND CLELIA M SERVENTI | BusinessNameLine1Txt |
| Business Name Line2 | FAMILY FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEWI | BusinessNameControlTxt |
| Phone | 5852375292 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 30 | AddressLine1Txt |
| City | PERRY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14530 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ED RECHBERGER | PersonNm |
| Person Title | VP/TREASURER | PersonTitleTxt |
| Phone | 5852372213 | PhoneNum |
| Signature | 2018-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LISA LAROUSSI | PreparerPersonNm |
| PTIN | P01257512 | PTIN |
| Phone | 7166302400 | PhoneNum |
| Preparation | 2018-05-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.45.217.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-05-10 | IPDt |
| IP Tm | 13:14:28 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7AA6056FA442C447CFCAFA670F1DC39C3E9F2FE5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3CAB4B20C9077208CE704FCC9099C88110051BC5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $6,093,458 | 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 | $2,590,927 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $965 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $965 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $76,636 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $76,636 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $8,187 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $261,131 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $8,187 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $68 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $68 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $2,676,783 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $85,856 | 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 |
| Taxes Rev And Expnss | $1,980 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $658 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $250 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $35,384 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $35,384 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $37,364 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $36,042 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $250 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $133,400 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $133,400 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $170,764 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $36,042 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $133,650 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $2,506,019 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $49,814 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash EOY | -$3 | CashEOYAmt |
| Cash EOYFMV | -$3 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $92,931 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $124,116 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $124,116 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $2,651,712 | CorporateStockBOYAmt |
| Corporate Stock EOY | $5,969,345 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $5,969,345 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $2,744,643 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,093,458 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $6,093,458 | 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 | $2,744,643 | RetainedEarningBOYAmt |
| Retained Earning EOY | $6,093,458 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,744,643 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $6,093,458 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,744,643 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $6,093,458 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,744,643 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $2,506,019 | ExcessRevenueOverExpensesAmt |
| Other Increases | $842,796 | OtherIncreasesAmt |
| Subtotal | $6,093,458 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $6,093,458 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| MERRILL LYNCH | P | 2017-01-01 | 2017-12-31 | $102,319 | $112,916 | -$10,597 | -$10,597 |
| MERRILL LYNCH | P | 2017-01-01 | 2017-12-31 | $144,971 | $139,994 | $4,977 | $4,977 |
| CASH IN LIEU | P | 2017-01-01 | 2017-12-31 | $38 | $34 | $4 | $4 |
| CAPITAL GAINS DIVIDENDS | P | $13,803 | $13,803 | $13,803 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $8,187 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $97,650 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,609,367 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.037423 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $148,350 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $2,800,397 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.052975 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $90,837 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,730,340 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.033269 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $98,650 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $2,476,655 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.039832 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $125,250 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $2,347,312 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.053359 | DistributionYr5Rt |
| Total Distribution | 0.216858 | TotalDistributionRt |
| Average Distribution | 0.043372 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $4,259,435 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $184,740 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $498 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $185,238 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $133,650 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $996 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $996 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $996 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,600 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $2,600 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $6 | EsPenaltyAmt |
| Overpayment | $1,598 | OverpaymentAmt |
| Applied To ES Tax | $1,598 | 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 | NY | 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 | EDWARD H RECHBERGER IV | IndividualWithBooksNm |
| Phone | 5852375292 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 30 | AddressLine1Txt |
| City | PERRY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14530 | 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 (4 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 |
|---|---|---|---|---|---|---|---|---|
| MARY MICHELE RECHBERGER | ||||||||
| PO BOX 30 | PERRY | NY | 14530 | PRESIDENT AFTER 4/11/2017 DIRECTOR | 0.10 | $0 | $0 | $0 |
| EDWARD H RECHBERGER IV | ||||||||
| PO BOX 30 | PERRY | NY | 14530 | V.P. AFTER 7/5/17 / TREASURER DIRECTOR | 6.00 | $0 | $0 | $0 |
| LEWIS J SERVENTI | ||||||||
| PO BOX 30 | PERRY | NY | 14530 | PRESIDENT UNTIL 4/11/17 | 0.10 | $0 | $0 | $0 |
| CLELIA M SERVENTI | ||||||||
| PO BOX 30 | PERRY | NY | 14530 | V PRESIDENT UNTIL 7/5/17 | 0.10 | $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 | $4,183,530 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $140,769 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,324,299 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $4,324,299 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $64,864 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,259,435 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $212,972 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $212,972 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $996 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $996 | TotalTaxAmt |
| Distributable Before Adj | $211,976 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $211,976 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $211,976 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $133,650 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $133,650 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $133,650 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $211,976 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $125,250 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr2 | $12,617 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $137,867 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $133,650 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $133,650 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $78,326 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $78,326 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $59,541 | 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 | $46,924 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $12,617 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $12,617 | ExcessFromYear2Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | MARY MICHELE RECHBERGER | ContributingManagerNm |
| 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 |
|---|---|---|---|---|---|---|---|
| AMERICAN LEGION MCKELTON POST 350 | |||||||
| 4776 MIDDLE RESERVATION ROAD | PERRY | NY | 14530 | N/A | EXEMPT | GENERAL FUNDS DONATION | $400 |
| GENESEE COMMUNITY COLLEGE | |||||||
| ONE COLLEGE ROAD | BATAVIA | NY | 14020 | N/A | EXEMPT | GENERAL FUNDS DONATION | $30,000 |
| GOLISANO CHILDRENS HOSPITAL | |||||||
| 601 ELMWOOD AVE | ROCHESTER | NY | 14642 | N/A | EXEMPT | GENERAL FUNDS DONATION | $25,000 |
| MERCY FLIGHT | |||||||
| 100 AMHERST VILLA RD | BUFFALO | NY | 14225 | N/A | EXEMPT | GENERAL FUNDS DONATION | $5,000 |
| PERRY ROTARY FUND | |||||||
| 21 N MAIN STREET | PERRY | NY | 14530 | N/A | EXEMPT | GENERAL FUNDS DONATION | $1,000 |
| PERRY VILLAGE FIRE DEPARTMENT | |||||||
| 46 MAIN ST N 3 | PERRY | NY | 14530 | N/A | EXEMPT | GENERAL FUNDS DONATION. | $1,000 |
| ROSWELL PARK CANCER INSTITUTE | |||||||
| ELM CARLTON STREETS | BUFFALO | NY | 14263 | N/A | EXEMPT | PLEDGE TO PEDIATRIC CENTER | $25,000 |
| ST JUDES CHILDREN'S RESEARCH HOSPITAL | |||||||
| 501 ST JUDE PLACE | MEMPHIS | TN | 38105 | N/A | EXEMPT | GENERAL FUNDS DONATION. | $15,000 |
| TERRY FIRE DEPARTMENT | |||||||
| 7802 CHESTNUT RIDGE ROAD | GASPORT | NY | 14067 | N/A | EXEMPT | GENERAL FUNDS DONATION | $1,000 |
| THE HIGHLAND FOUNDATION | |||||||
| 1000 SOUTH AVE | ROCHESTER | NY | 14620 | N/A | EXEMPT | GENERAL FUNDS DONATION | $5,000 |
| THE SALVATION ARMY | |||||||
| 187 GRANT ST 193 | BUFFALO | NY | 14213 | N/A | EXEMPT | GENERAL FUNDS DONATION. | $10,000 |
| WOMEN & CHILDREN'S HOSPITAL OF BUFFALO | |||||||
| 219 BRYANT STREET | BUFFALO | NY | 14222 | N/A | EXEMPT | GENERAL FUNDS DONATION. | $15,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $133,400 | 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 | $965 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $76,636 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $68 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $8,187 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $85,788 | ExclusionAmt |
| Related Or Exempt Function Incm | $68 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $85,856 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 7 | LineNumberTxt |
| Relationship Statement | OTHER INCOME FROM PARTNERSHIP K-1S | RelationshipStatementTxt |
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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Noncash ContributionNoncashContributionInd |
|---|---|---|---|---|---|---|
| ESTATE OF CLELIA SERVENTI | ||||||
| 1 | PO BOX 30 | PERRY | NY | 14530 | $1,334,908 | Yes (X) |
| CLELIA SERVENTI | ||||||
| 2 | PO BOX 30 | PERRY | NY | 14530 | $539,039 | Yes (X) |
| CLELIA SERVENTI | ||||||
| 3 | PO BOX 30 | PERRY | NY | 14530 | $396,400 | Yes (X) |
| CLELIA SERVENTI | ||||||
| 4 | PO BOX 30 | PERRY | NY | 14530 | $320,580 | Yes (X) |
Non Cash Property Contribution NonCashPropertyContributionGrp (4 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | ROTH IRA | $1,334,908 | 2017-07-24 |
| 2 | 4,352 SHARES OF DEERE & CO STOCK | $539,039 | 2017-06-22 |
| 3 | 8,000 SHARES OF BANK OF NEWYORK MELLON STOCK | $396,400 | 2017-06-22 |
| 4 | 3,000 SHARES OF WALT DISNEY COMPANY STOCK | $320,580 | 2017-06-28 |
Distribution From Corpus Election DistributionFromCorpusElection
| Field | Value | IRS element (for citing) |
|---|---|---|
| Election | PURSUANT TO IRC SEC. 4942(H)(2) AND REG. 53.4942(A)-3(D)(2) , THE ABOVE REFERENCED FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF CORPUS. | ElectionDesc |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| COMMON STOCK | $4,346,714 | $4,346,714 |
| COMMON STOCK | $1,622,631 | $1,622,631 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MERRILL LYNCH AGENCY FEES | Desc |
| Revenue And Expenses Per Books | $35,384 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $35,384 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME FROM K-1S | Desc |
| Revenue And Expenses Per Books | $68 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $68 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $68 | AdjustedNetIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CHANGE IN VALUE OF INVESTMENTS | $841,275 |
| NON-DIVIDEND DISTRIBUTIONS | $1,521 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES PAID | $611 | $611 | $0 |
| PLAINS ALL AMERICAN PIPELINE, L.P. FOREIGN TAXES | $47 | $47 | $0 |
| NYS REGISTRATION | $250 | $0 | $250 |
| FEDERAL TAX | $1,072 | $0 | $0 |
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