JUDITH ANN LABIENIEC CHARITABLE FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- JUDITH ANN LABIENIEC CHARITABLE FOUNDATION (EIN 74-6531573)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2018-09-17
- IRS object ID
- 201832609349100508
- 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
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-09-17T11:04:14-04:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 061386717 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALMER LATKO LEDAS PAGE LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 TOWER LANE SUITE 305 | AddressLine1Txt |
| City | AVON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 060014212 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 746531573 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JUDITH ANN LABIENIEC CHARITABLE | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION C/O LISA TROY TRUSTEE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JUDI | BusinessNameControlTxt |
| Phone | 8606749875 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27 TALL TIMBERS DRIVE | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06032 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA B TROY | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Signature | 2018-09-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARY C PALMER CPA | PreparerPersonNm |
| PTIN | P00110551 | PTIN |
| Phone | 8606771000 | PhoneNum |
| Preparation | 2018-09-17 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.78.248.209 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-09-17 | IPDt |
| IP Tm | 10:04:14 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 136417810BE0D2651980A371473FC75739DCA163 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EDD9BC1AC95E1ED1404B75570296685A65D4F069 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,256,367 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
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 | $41 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $41 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $41 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $57,115 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $57,115 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $57,115 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $97,083 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $217,064 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $97,083 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $154,239 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $154,239 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $57,156 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $46,339 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $46,339 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $46,339 | CompOfcrDirTrstAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $2,660 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Adj Net Incm | $2,660 | AccountingFeesAdjNetIncmAmt |
| Taxes Rev And Expnss | $2,158 | TaxesRevAndExpnssAmt |
| Taxes Adj Net Incm | $2,158 | TaxesAdjNetIncmAmt |
| Tot Opr Expenses Rev And Expnss | $51,157 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $46,339 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $51,157 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $103,487 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $103,487 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $154,644 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $46,339 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $51,157 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $103,487 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$405 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $107,900 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $5,999 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $17,094 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $27,180 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $27,180 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $2,335,583 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,209,547 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,209,547 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $18,687 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $18,500 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $18,500 | CorporateBondsEOYFMVAmt |
| Other Assets BOY | $373 | OtherAssetsBOYAmt |
| Other Assets EOY | $1,140 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $1,140 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $2,371,737 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,256,367 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,256,367 | TotalAssetsEOYFMVAmt |
| Accounts Payable EOY | $718 | AccountsPayableEOYAmt |
| Grants Payable BOY | $110,169 | GrantsPayableBOYAmt |
| Grants Payable EOY | $103,487 | GrantsPayableEOYAmt |
| Total Liabilities BOY | $110,169 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $104,205 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Permanently Restricted BOY | $2,261,568 | PermanentlyRestrictedBOYAmt |
| Permanently Restricted EOY | $2,152,162 | PermanentlyRestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,261,568 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,152,162 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,371,737 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,256,367 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,261,568 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$405 | ExcessRevenueOverExpensesAmt |
| Subtotal | $2,261,163 | SubtotalAmt |
| Other Decreases | $109,001 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,152,162 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (7 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| GENERAL ELECTRIC COMPANY | P | 2005-06-30 | 2017-08-21 | $25,094 | $9,555 | $15,539 | $15,539 |
| CIGNA CORP | P | 2005-06-30 | 2017-09-05 | $18,215 | $3,568 | $14,647 | $14,647 |
| QUEST DIAGNOSTIC INC | P | 2005-06-30 | 2017-09-05 | $21,559 | $10,654 | $10,905 | $10,905 |
| VIACOM INC | P | 2015-10-06 | 2017-09-05 | $28,274 | $45,529 | -$17,255 | -$17,255 |
| CIGNA CORP | P | 2005-06-30 | 2018-04-23 | $34,074 | $7,136 | $26,938 | $26,938 |
| JOHNSON & JOHNSON | P | 2005-06-30 | 2018-04-23 | $63,434 | $32,500 | $30,934 | $30,934 |
| DICKS SPORTING GOODS INC | P | 2008-12-01 | 2017-08-21 | $26,414 | $11,039 | $15,375 | $15,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $97,083 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,158 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,158 | SubtotalAmt |
| Tax Based On Investment Income | $2,158 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,440 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,440 | TotalPaymentsAndCreditsAmt |
| Tax Due | $718 | TaxDueAmt |
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 |
| 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 | LISA B TROY | IndividualWithBooksNm |
| Phone | 8606749875 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27 TALL TIMBERS DRIVE | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06032 | 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 |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| 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 (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 |
|---|---|---|---|---|---|---|---|---|
| LISA B TROY | ||||||||
| 27 TALL TIMBERS DRIVE | FARMINGTON | CT | 06032 | TRUSTEE | 10.00 | $35,061 | $0 | $0 |
| MATTHEW TROY | ||||||||
| 27 TALL TIMBERS DRIVE | FARMINGTON | CT | 06031 | TRUSTEE | 2.00 | $3,760 | $0 | $0 |
| MICHAEL TROY | ||||||||
| 27 TALL TIMBERS DRIVE | FARMINGTON | CT | 06032 | TRUSTEE | 2.00 | $3,759 | $0 | $0 |
| SAMANTHA TROY | ||||||||
| 27 TALL TIMBERS DRIVE | FARMINGTON | CT | 06032 | TRUSTEE | 2.00 | $3,759 | $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 | $2,110,050 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $35,023 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,145,073 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $2,145,073 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $32,176 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,112,897 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $105,645 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $105,645 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,158 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,158 | TotalTaxAmt |
| Distributable Before Adj | $103,487 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $103,487 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $103,487 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $103,487 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $103,487 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $103,487 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $103,487 | DistributableAsAdjustedAmt |
| Qualifying Distributions | $103,487 | QualifyingDistributionsAmt |
| Applied To Current Year | $103,487 | AppliedToCurrentYearAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (6 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| VNA | |||||||
| 205 WEST MAIN STREET | NEW BRITAIN | CT | 06052 | NONE | 501 (C)(3) | PROVIDE HOME HEALTH AND COMMUNITY SE | $17,248 |
| PRUDENCE CRANDALL CENTER INC | |||||||
| PO BOX 895 | NEW BRITAIN | CT | 06050 | NONE | 501 (C) (3) | VICTIMS OF DOMESTIC VIOLENCE | $17,248 |
| ST LUCIAN'S RESIDENCE INC | |||||||
| 532 NORTH BURRITT STREET | NEW BRITAIN | CT | 06053 | NONE | 501(C)(3) | CARE FOR ELDERLY INDIVIDUALS | $17,248 |
| DAUGHTERS OF MARY IMMACULATE | |||||||
| 314 OSGOOD AVE | NEW BRITAIN | CT | 06053 | NONE | 501(C)(3) | SUPPORT CONGREGATION RELIGIOUS WOMEN | $17,248 |
| SACRED HEART OF JESUS CHURCH | |||||||
| 158 BROAD ST | NEW BRITAIN | CT | 06053 | NONE | 501(C)(3) | FURTHER ADVANCMENT OF RELIGION | $17,248 |
| SALVATION ARMY | |||||||
| 440 W NYACK ROAD | WEST NYACK | NY | 10994 | NONE | 501(C)(3) | PROVIDE RELIEF OR POOR AND UNDERPRIV | $17,247 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $103,487 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $41 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $57,115 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $97,083 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $154,239 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $154,239 | 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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INDIRECT ACCOUNTING FEES | CategoryTxt |
| Amt | $2,660 | Amt |
| Adjusted Net Income | $2,660 | AdjustedNetIncomeAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | PHOENIX COS 7.45% BOND | BondNm |
| EOY Book Value | $18,500 | EOYBookValueAmt |
| EOYFMV | $18,500 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (31 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ADVANCED MICRO DEVIC | $67,455 | $67,455 |
| AMERN EAGLE OUTFITRS | $34,875 | $34,875 |
| AMGEN INC | $295,344 | $295,344 |
| BARCLAYS PLC | $30,090 | $30,090 |
| BRISTOL MYERS SQUIBB CO | $55,340 | $55,340 |
| CIGNA CORP | $84,975 | $84,975 |
| COCA COLA CO | $43,860 | $43,860 |
| GENERAL ELECTRIC CO | $27,220 | $27,220 |
| GENERAL MOTORS CO | $59,100 | $59,100 |
| GOODYEAR TIRE & RUBBER | $23,290 | $23,290 |
| GREENHILL & CO INC | $28,400 | $28,400 |
| GUESS INC | $21,400 | $21,400 |
| IBM CORP | $55,880 | $55,880 |
| ING GROEP NV ADR F | $57,280 | $57,280 |
| JOHNSON & JOHNSON | $303,350 | $303,350 |
| JP MORGAN CHASE & CO | $83,360 | $83,360 |
| KLA TENCOR CORP | $51,265 | $51,265 |
| MATTEL INCORPORATED | $16,420 | $16,420 |
| MCDONALDS CORP | $62,676 | $62,676 |
| MERCK & CO. INC. | $64,463 | $64,463 |
| MICROSOFT CORP | $98,610 | $98,610 |
| NORDSTROM INC | $51,780 | $51,780 |
| NORTHROP GRUMMAN CO | $153,850 | $153,850 |
| NXP SEMICONDUCTORS XXX | $43,708 | $43,708 |
| PROCTOR & GAMBLE | $78,060 | $78,060 |
| QUALCOM INC | $28,060 | $28,060 |
| QUEST DIAGNOSTIC INC | $65,964 | $65,964 |
| STARBUCKS CORP | $97,700 | $97,700 |
| VIACOM INC | ||
| WALT DISNEY CO | $125,772 | $125,772 |
| DICKS SPORTING GOODS INC |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| PREPAID FEDERAL TAX | $373 | ||
| DIVIDENDS IN TRANSIT | $1,140 | $1,140 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET UNREALIZED GAINS OR LOSSES ON INVESTMENTS | Desc |
| Amt | $109,001 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FEDERAL INVESTMENT INCOME EXCISE | CategoryTxt |
| Amt | $2,158 | Amt |
| Adjusted Net Income | $2,158 | AdjustedNetIncomeAmt |
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