GOSTOMSKI FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- GOSTOMSKI FOUNDATION (EIN 46-6976292)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-23
- IRS object ID
- 201832969349100603
- 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
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-10-23T10:03:51-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 320077509 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harrison & Held LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W Wacker Dr STE 1700 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | 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 | 466976292 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOSTOMSKI FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | CO ROBERT T NAPIER HARRISON & HELD | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOST | BusinessNameControlTxt |
| Phone | 3123321111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL M GOSTOMSKI | PersonNm |
| Person Title | Trustee | PersonTitleTxt |
| Signature | 2018-10-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARGARET A NAGELA | PreparerPersonNm |
| PTIN | P00439254 | PTIN |
| Phone | 3123321111 | PhoneNum |
| 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 | $5,920,347 | 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 | $21,132 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $21,132 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $31,236 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $31,236 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $313,504 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,091,405 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $313,504 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | -$47,896 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | -$47,896 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $317,976 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $317,976 | TotalNetInvstIncmAmt |
| Legal Fees Rev And Expnss | $5,930 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $5,930 | LegalFeesNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $7,921 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $7,921 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $40,424 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $424 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $43,970 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $43,970 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $98,245 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $58,245 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $678,185 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $678,185 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $776,430 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $58,245 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $678,185 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$458,454 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $259,731 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $414,078 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $242,251 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $242,251 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $2,962,738 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,013,569 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,071,375 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $2,623,682 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,606,721 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,606,721 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $3,838 | OtherAssetsBOYAmt |
| Total Assets BOY | $6,004,336 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,862,541 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,920,347 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $6,004,336 | RetainedEarningBOYAmt |
| Retained Earning EOY | $5,862,541 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,004,336 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,862,541 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,004,336 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,862,541 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,004,336 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$458,454 | ExcessRevenueOverExpensesAmt |
| Other Increases | $316,659 | OtherIncreasesAmt |
| Subtotal | $5,862,541 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $5,862,541 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (10 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| UBS A/C 4615 - VARIOUS | P | 2017-12-31 | 2017-12-31 | $500,185 | $500,000 | $185 | $185 |
| UBS A/C 4616 - VARIOUS | P | 2017-12-31 | 2017-12-31 | $501,436 | $495,650 | $5,786 | $5,786 |
| UBS A/C 4618 - VARIOUS | P | 2017-12-31 | 2017-12-31 | $1,522,941 | $1,321,258 | $201,683 | $201,683 |
| UBS A/C 6116 - VARIOUS | P | 2017-12-31 | 2017-12-31 | $555,566 | $443,658 | $111,908 | $111,908 |
| SPECIAL CREDIT OPPORTUNITIES, L.P. | P | 2017-12-31 | 2017-12-31 | $4,225 | $4,225 | $4,225 | |
| SPECIAL CREDIT OPPORTUNITIES, L.P. | P | 2017-12-31 | 2017-12-31 | $6,693 | $6,693 | $6,693 | |
| ALPHAKEYS KKR ENERGY INCOME FUND | P | 2017-12-31 | 2017-12-31 | $9,394 | -$9,394 | -$9,394 | |
| GLOBAL PRIVATE INVESTORS I, L.P. | P | 2017-12-31 | 2017-12-31 | $359 | $359 | $359 | |
| CHG-COINVESTMENT LLC | P | 2017-12-31 | 2017-12-31 | $82 | -$82 | -$82 | |
| CHG-COINVESTMENT LLC | P | 2017-12-31 | 2017-12-31 | $7,859 | -$7,859 | -$7,859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $313,504 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $461,488 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $6,654,867 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.06935 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $797,022 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $4,451,217 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.17906 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $598,590 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $3,545,794 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.16882 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $230,000 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $3,601,321 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.06387 | DistributionYr4Rt |
| Total Distribution | 0.481085 | TotalDistributionRt |
| Average Distribution | 0.120271 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,421,003 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $651,989 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,597 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $654,586 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $678,185 | 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 | $2,597 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,597 | SubtotalAmt |
| Tax Based On Investment Income | $2,597 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $24,702 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $24,702 | TotalPaymentsAndCreditsAmt |
| Overpayment | $22,105 | OverpaymentAmt |
| Applied To ES Tax | $22,105 | 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 |
| Form990 T Filed | false | Form990TFiledInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT T NAPIER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3123321111 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DRIVE SUITE 1700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | 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 |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| 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 |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | false | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Proceeds Or Net Income | false | ProceedsOrNetIncomeInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL M GOSTOMSKI | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DR STE 1700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | Trustee | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $0 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $3,593,123 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $192,816 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,717,617 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,503,556 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $5,503,556 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $82,553 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,421,003 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $271,050 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $271,050 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,597 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,597 | TotalTaxAmt |
| Distributable Before Adj | $268,453 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $268,453 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $268,453 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $678,185 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $678,185 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $2,597 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $675,588 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $268,453 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr4 | $161,279 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $426,340 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $575,731 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $148,867 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,312,217 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $678,185 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $678,185 | TreatedAsDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $268,453 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $268,453 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,721,949 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $1,721,949 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $319,166 | ExcessFromYear3Amt |
| Excess From Year2 | $575,731 | ExcessFromYear2Amt |
| Excess From Year1 | $148,867 | ExcessFromYear1Amt |
| Excess From Current Year | $678,185 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (20 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF WISCONSIN - RIVER FAL | |||||||
| 410 S 3RD STREET | RIVER FALLS | WI | 54022 | NONE | PC | GENERAL PURPOSES | $135,037 |
| COTTER SCHOOLS | |||||||
| 1115 W BROADWAY STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $65,000 |
| MINNESOTA MARINE ART MUSEUM | |||||||
| 800 RIVERVIEW DRIVE | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $20,000 |
| SAINT JOHN PAUL II NATIONAL SHRINE | |||||||
| 3900 HAREWOOD ROAD NE | WASHINGTON | DC | 20017 | NONE | PC | GENERAL PURPOSES | $5,000 |
| THE FRANCISCAN FRIARS | |||||||
| 1289 LAFOND AVENUE | ST PAUL | MN | 55104 | NONE | PC | GENERAL PURPOSES | $15,000 |
| GOOD SHEPARD LUTHERAN SCHOOL | |||||||
| 3201 COURT STREET | PEKIN | IL | 61554 | NONE | PC | GENERAL PURPOSES | $25,000 |
| ST MARY'S UNIVERSITY OF MINNESOTA | |||||||
| 700 TERRACE HEIGHTS | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $200,000 |
| COULEE REGION RECOVERY CENTER | |||||||
| 933 FERRY STREET | LA CROSSE | WI | 54601 | NONE | PC | GENERAL PURPOSES | $10,000 |
| HOPE HARBOR | |||||||
| PO BOX 353 | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $10,000 |
| MORRIE MILLER ATHLETIC FOUNDATION | |||||||
| 580 E FRONT STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $10,000 |
| GREAT RIVER SHAKESPEARE FESTIVAL | |||||||
| 450 JOHNSON STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $10,000 |
| CATHOLIC CHARITIES OF WINONA | |||||||
| 111 MARKET STREET SUITE 2B | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $25,000 |
| FAMILY AND CHILDREN'S CENTER | |||||||
| 1707 MAIN STREET | LA CROSSE | WI | 54601 | NONE | PC | GENERAL PURPOSES | $15,000 |
| CHRISTIAN BROTHERS OF THE MIDWEST | |||||||
| 7650 COUNTY LINE ROAD | BURR RIDGE | IL | 60527 | NONE | PC | GENERAL PURPOSES | $15,000 |
| ST ELIZABETH'S COMMUNITY DEVELOPMEN | |||||||
| 1200 GRANT BLVD WEST | WABASHA | MN | 55981 | NONE | PC | GENERAL PURPOSES | $20,000 |
| EAGLE BLUFF ENVIRONMENTAL LEARNING | |||||||
| 28097 GOODVIEW DRIVE | LANESBORO | MN | 55949 | NONE | PC | GENERAL PURPOSES | $20,000 |
| ISLANDER FOUNDATION | |||||||
| 25 GROVE STREET | MINNEAPOLIS | MN | 55401 | NONE | PC | GENERAL PURPOSES | $20,000 |
| BASILICA OF ST STANISLAUS KOSTKA | |||||||
| 625 E 4TH STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $10,000 |
| GRACE PLACE | |||||||
| 66 E 2ND STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $40,000 |
| WINONA ATHLETIC CLUB | |||||||
| 773 E 5TH STREET | WINONA | MN | 55987 | NONE | PC | GENERAL PURPOSES | $8,148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $678,185 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $21,132 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $31,236 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $47,896 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $313,504 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $317,976 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $317,976 | 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 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| UBS A/C 14615 - EQUITIES | $1,536,044 | $1,483,226 |
| UBS A/C 14618 - EQUITIES | $289,357 | $357,169 |
| UBS A/C 16116 - EQUITIES | $188,168 | $230,980 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (10 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| UBS A/C 14615 - PRIVATE EQUITY | AT COST | $1,889,104 | $1,889,104 |
| UBS A/C 14616 - FIXED INCOME | AT COST | ||
| LOCUPLETO II - AI, LLC | AT COST | ||
| SPECIAL CREDIT OPPORTUNITIES FUND | AT COST | ||
| BRIGHTWATER HOLDINGS SERIES D | AT COST | $7,698 | $7,698 |
| CHG-IR LLC | AT COST | $400,609 | $400,609 |
| CHG-MF LLC | AT COST | $518,415 | $518,415 |
| CHG-COINVESTMENT LLC | AT COST | $306,859 | $306,859 |
| CHG-BLACKBIRD LLC | AT COST | $471,445 | $471,445 |
| GLOBAL PRIVATE INVESTORS I, L.P. | AT COST | $12,591 | $12,591 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | HARRISON & HELD, LLP | CategoryTxt |
| Legal Fees | $5,930 | LegalFeesAmt |
| Net Investment Income | $5,930 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| ALPHAKEYS KKR ENERGY - OTHER CREDIT | $1,442 | $1,442 |
| ALPHAKEYS KKR ENERGY - OTHER DED | $8,875 | $8,875 |
| BRIGHTWATER HOLDINGS - OTHER DEDUCTIONS | $2,066 | $2,066 |
| CHG-COINVESTMENT LLC - OTHER DED | $13,069 | $13,069 |
| GLOBAL PRIVATE INVESTORS - OTHER DED | $3,679 | $3,679 |
| LOCUPLETO II - OTHER DEDUCTIONS | $2,878 | $2,878 |
| SPECIAL CREDIT OPPORTUNITIES - OTHER DED | $11,961 | $11,961 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Investment Income | Desc |
| Revenue And Expenses Per Books | -$47,896 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | -$47,896 | NetInvestmentIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BASIS ADJUSTMENT | Desc |
| Amt | $316,659 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| UBS FEES | $2,397 | $2,397 | $0 | $0 |
| UBS FEES | $4,876 | $4,876 | $0 | $0 |
| UBS FEES | $648 | $648 | $0 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 2016 EXCISE TAX | $20,000 | |
| 2017 ESTIMATED EXCISE TAX | $20,000 | |
| SPECIAL CREDIT OPP - FOREIGN TAXES PAID | $42 | $42 |
| UBS FOREIGN TAXES PAID | $382 | $382 |
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