SCOTT BIELER FOUNDATION INC: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SCOTT BIELER FOUNDATION INC (EIN 81-2815534)
Tax period
2017-05-01 to 2018-04-30
Filed
2018-11-01
IRS object ID
201833059349100508
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-01T09:26:40-07:00ReturnTs
Tax Period End2018-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1David J Fleischmann CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12425 Sweet Home Road Suite AAddressLine1Txt
CityAmherstCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14228ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN812815534EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTT BIELER FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSCOTBusinessNameControlTxt
Phone7166497711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13552 SOUTHWESTERN BLVDAddressLine1Txt
CityORCHARD PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14127ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT R BIELERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7166497711PhoneNum
Signature2018-10-15SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID J FLEISCHMANN CPAPreparerPersonNm
PTINP00940939PTIN
Phone7163892900PhoneNum
Preparation2018-11-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.186.159.50IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-01IPDt
IP Tm09:26:34IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id59ADC3A46C182ECECC82673EFE64F688BFC2644DAtSubmissionCreationDeviceId
At Submission Filing Device Id142578A700A21D135ACC5F1D4BD5F62122137907AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,442,896FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$2,215,813ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$6,094DividendsRevAndExpnssAmt
Dividends Net Invst Incm$6,094DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$11,045NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$149,685GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$11,045CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$11,045NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$16,885OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$16,885OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$2,249,837TotalRevAndExpnssAmt
Total Net Invst Incm$34,024TotalNetInvstIncmAmt
Total Adj Net Incm$11,045TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$700AccountingFeesRevAndExpnssAmt
Other Expenses Rev And Expnss$6,154OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$5,904OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$6,854TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,904TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$395,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$395,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$401,854TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,904TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$395,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,847,983ExcessRevenueOverExpensesAmt
Net Investment Income$28,120NetInvestmentIncomeAmt
Adjusted Net Income$11,045AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash EOY$2,078,563CashEOYAmt
Cash EOYFMV$2,078,563CashEOYFMVAmt
Sav And Temp Cash Invst BOY$1,430,256SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$2,277SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$2,277SavAndTempCashInvstEOYFMVAmt
Corporate Stock EOY$327,477CorporateStockEOYAmt
Corporate Stock EOYFMV$379,015CorporateStockEOYFMVAmt
Corporate Bonds EOY$781,525CorporateBondsEOYAmt
Corporate Bonds EOYFMV$763,489CorporateBondsEOYFMVAmt
Other Assets BOY$1,131,155OtherAssetsBOYAmt
Other Assets EOY$1,219,552OtherAssetsEOYAmt
Other Assets EOYFMV$1,219,552OtherAssetsEOYFMVAmt
Total Assets BOY$2,561,411TotalAssetsBOYAmt
Total Assets EOY$4,409,394TotalAssetsEOYAmt
Total Assets EOYFMV$4,442,896TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$2,561,411UnrestrictedBOYAmt
Unrestricted EOY$4,409,394UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$2,561,411TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,409,394TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,561,411TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,409,394TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,561,411TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,847,983ExcessRevenueOverExpensesAmt
Subtotal$4,409,394SubtotalAmt
Tot Net Ast Or Fund Balances EOY$4,409,394TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertySEE ATTACHED STATMENTPropertyDesc
How AcquiredPHowAcquiredCd
Acquired2018-04-30AcquiredDt
Sold2018-04-30SoldDt
Gross Sales Price$149,685GrossSalesPriceAmt
Depreciation$0DepreciationAmt
Cost Or Other Basis$138,640CostOrOtherBasisAmt
Gain Or Loss$11,045GainOrLossAmt
FMV As Of123169$0FMVAsOf123169Amt
Adjusted Basis As Of123169$0AdjustedBasisAsOf123169Amt
Excess FMV Over Adjusted Bss$0ExcessFMVOverAdjustedBssAmt
Gains Minus Excess Or Losses$11,045GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$11,045CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$11,045NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$72,000AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,356,131NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.053092DistributionYr1Rt
Total Distribution0.053092TotalDistributionRt
Average Distribution0.053092AverageDistributionRt
Net Vl Noncharitable Assets$3,255,107NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$172,820AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$281NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$173,101AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$395,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$281InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$281SubtotalAmt
Tax Based On Investment Income$281TaxBasedOnInvestmentIncomeAmt
Original Return Tax Paid$0OriginalReturnTaxPaidAmt
Tax Due$281TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsYes (true)NewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksSTAN KICINSKIIndividualWithBooksNm
Phone7169267052PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13552 SOUTHWESTERN BLVDAddressLine1Txt
CityORCHARD PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14127ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SCOTT R BIELER
3552 SOUTHWESTERN BLVDORCHARD PARKNY14127PRESIDENT/DIRECTOR2.00$0$0$0
KATHRYN A LASHER
3552 SOUTHWESTERN BLVDORCHARD PARKNY14127VICE PRESDIENT/DIREC2.00$0$0$0
MATTHEW P LASHER
3552 SOUTHWESTERN BLVDORCHARD PARKNY14127SECRETARY/TREASURER/2.00$0$0$0
STANLEY A KICINSKI
3552 SOUTHWESTERN BLVDORCHARD PARKNY14127DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,833,534AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,471,143AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,304,677TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$3,304,677AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$49,570CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,255,107NetVlNoncharitableAssetsAmt
Minimum Investment Return$162,755MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$162,755MinimumInvestmentReturnAmt
Tax Based On Investment Income$281TaxBasedOnInvestmentIncomeAmt
Total Tax$281TotalTaxAmt
Distributable Before Adj$162,474DistributableBeforeAdjAmt
Distributable Before Ded$162,474DistributableBeforeDedAmt
Distributable As Adjusted$162,474DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$395,000ExpensesAndContributionsAmt
Qualifying Distributions$395,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$281PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$394,719AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$162,474DistributableAsAdjustedAmt
Excess Distribution Cyov Yr1$4,193ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$4,193TotalExcessDistributionCyovAmt
Qualifying Distributions$395,000QualifyingDistributionsAmt
Applied To Current Year$162,464AppliedToCurrentYearAmt
Remaining Distri From Corpus$232,536RemainingDistriFromCorpusAmt
Total Corpus$236,729TotalCorpusAmt
Undistributed Income CY$10UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$236,729ExcessDistriCyovToNextYrAmt
Excess From Year1$4,193ExcessFromYear1Amt
Excess From Current Year$232,536ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerSCOTT BIELERContributingManagerNm
Shareholder ManagerSCOTT BIELERShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BUFFALO ERIE NAVAL AND MILITARY PARK
ONE NAVAL PARK COVEBUFFALONY14202501(C)(3)CHARITY$15,000
GRACE GUEST HOUSE
2315 SENECA STREETBUFFALONY14210501(C)(3)CHARITY$20,000
ALBRIGHT KNOX ART GALLERY
1285 ELMWOOD AVEBUFFALONY14222501(C)(3)CHARITY$125,000
GOSPA VILLAGE INC
PO BOX 448BUFFALONY14215501(C)(3)CHARITY$150,000
WNY LAND CONSERVATORY
PO BOX 471EAST AURORANY14052501(C)(3)CHARITY$10,000
RICHARDSON CENTER
444 FOREST AVEBUFFALONY14213501(C)(3)CHARITY$50,000
ROSWELL PARK ALLIANCE FOUNDATION
ELM CARLTON STREETSBUFFALONY14263501(C)(3)CHARITY$10,000
HAWK CREEK WILDLIFE CENTER
1963 MILL ROADEAST AURORANY14052501(C)(3)CHARITY$5,000
ROYCROFT CAMPUS
5 S GROVE STEAST AURORANY14052501(C)(3)CHARITY$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$395,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$6,094RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$11,045RelatedOrExemptFunctionIncmAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescINCREASE IN CSVDesc
Related Or Exempt Function Incm$16,885RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$34,024RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$34,024TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (3 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
3ALL INCOME BEING GENERATED IS BEING USED TO IMPROVE THE
3HEALTH & WELFARE OF INDIVIDUALS, TO ADVANCE BIOMEDICAL
3RESEARCH, TO FURTHER EDUCATION & PROMOTE LAND CONSERVANCY.

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
SCOTT BIELER
13552 SOUTHWESTERN BLVDORCHARD PARKNY14127$215,813Yes (X)
SCOTT BIELER
23552 SOUTHWESTERN BLVDORCHARD PARKNY14127$2,000,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategorySMOLEN BONGHI FLEISCHMANN LLP ACCOUNTINGCategoryTxt
Amt$700Amt

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp

FieldValueIRS element (for citing)
AssetSEE ATTACHED LISTINGAssetDesc
How AcquiredPurchasedHowAcquiredTxt
Gross Sales Price$149,685GrossSalesPriceAmt
Basis$138,640BasisAmt
Total Net$11,045TotalNetAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
MASS MUTUAL WHOLE LIFE INS #9766740$1,112,309$1,219,552$1,219,552
MASS MUTUAL TERM LIFE INS #11139262$16,788
MASS MUTUAL TERM LIFE INS #11133160$2,058

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
MASS MUTUAL WHOLE LIFE INS #9766740$1,112,309$1,219,552$1,219,552
MASS MUTUAL TERM LIFE INS #11139262$16,788
MASS MUTUAL TERM LIFE INS #11133160$2,058

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
MASS MUTUAL WHOLE LIFE INS #9766740$1,112,309$1,219,552$1,219,552
MASS MUTUAL TERM LIFE INS #11139262$16,788
MASS MUTUAL TERM LIFE INS #11133160$2,058

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
FILING FEES$250
INVESTMENT FEES$5,904$5,904

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescCSV INCREASEDesc
Revenue And Expenses Per Books$16,885RevenueAndExpensesPerBooksAmt
Net Investment Income$16,885NetInvestmentIncomeAmt

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