FURP.ORG / PUBLIC DATA EXPLORER

LUCILLE AND VIC WERTZ FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
LUCILLE AND VIC WERTZ FOUNDATION (EIN 38-2932817)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-15
IRS object ID
201841359349102579
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)
Return2018-05-15T12:53:02-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN362985770PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SELDEN FOX LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1619 ENTERPRISE DRIVEAddressLine1Txt
CityOAK BROOKCityNm
State AbbreviationILStateAbbreviationCd
ZIP605238835ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382932817EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUCILLE AND VIC WERTZ FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O DR RICHARD CALEELBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLUCIBusinessNameControlTxt
Phone7083019175PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115437 WEATHER VANE LANEAddressLine1Txt
CityHOMER GLENCityNm
State AbbreviationILStateAbbreviationCd
ZIP60491ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGEORGE SARKIS CALEELPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6304600094PhoneNum
Signature2018-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAUL J ROZEKPreparerPersonNm
PTINP00542258PTIN
Phone6309541400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.201.115.82IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-09IPDt
IP Tm11:45:37IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDE88EBB26F1AA656D8C3B164115C4F11AE09418DAtSubmissionCreationDeviceId
At Submission Filing Device IdDE88EBB26F1AA656D8C3B164115C4F11AE09418DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,244,235FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$16,874InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$16,874InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$92,580DividendsRevAndExpnssAmt
Dividends Net Invst Incm$92,580DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$638,291NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,697,081GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$638,291CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$3,176OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$750,921TotalRevAndExpnssAmt
Total Net Invst Incm$747,745TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$110,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$60,500CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$49,500CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$1,300LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$650LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$650LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$22,360AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$11,180AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$11,180AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$465TaxesRevAndExpnssAmt
Taxes Net Invst Incm$465TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$19,207OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$15,953OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$3,254OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$153,332TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$88,748TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$64,584TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$180,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$180,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$333,332TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$88,748TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$244,584TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$417,589ExcessRevenueOverExpensesAmt
Net Investment Income$658,997NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$12,179CashBOYAmt
Cash EOY$25,684CashEOYAmt
Cash EOYFMV$25,684CashEOYFMVAmt
Sav And Temp Cash Invst BOY$263,150SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$253,822SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$253,822SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$2,789,195CorporateStockBOYAmt
Corporate Stock EOY$3,082,096CorporateStockEOYAmt
Corporate Stock EOYFMV$4,276,781CorporateStockEOYFMVAmt
Corporate Bonds BOY$569,478CorporateBondsBOYAmt
Corporate Bonds EOY$689,989CorporateBondsEOYAmt
Corporate Bonds EOYFMV$687,948CorporateBondsEOYFMVAmt
Total Assets BOY$3,634,002TotalAssetsBOYAmt
Total Assets EOY$4,051,591TotalAssetsEOYAmt
Total Assets EOYFMV$5,244,235TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$3,634,002RetainedEarningBOYAmt
Retained Earning EOY$4,051,591RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,634,002TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,051,591TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,634,002TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,051,591TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,634,002TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$417,589ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,051,591SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,051,591TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (12 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtCost Or Other BasisCostOrOtherBasisAmt
HOUSEHOLD INTERNATIONAL - CLASS ACTION SETTLEMENTP2001-01-012017-06-27$4,170$4,170$4,170
JPMORGAN #05220 - VARIOUS SHORT-TERM - SEE ATTACHEDP2017-01-012017-12-31$540,665$4,976$4,976$535,689
JPMORGAN #05220 - VARIOUS LONG-TERM - SEE ATTACHEDP2001-01-012017-12-31$518,957$18,321$18,321$500,636
JPMORGAN #06825 - VARIOUS SHORT-TERM - SEE ATTACHEDP2017-01-012017-12-31$418,673$14,664$14,664$404,009
JPMORGAN #06825 - VARIOUS LONG-TERM - SEE ATTACHEDP2001-01-012017-12-31$1,096,548$56,112$56,112$1,040,436
JPMORGAN #25812 - VARIOUS LONG-TERM - SEE ATTACHEDP2001-01-012017-12-31$738,185$458,759$458,759$279,426
PIMCO FOREIGN BD USP2001-01-012017-12-31$260,179-$7,837-$7,837$268,016
169 SHS APPLE INCP2006-07-312017-05-05$25,114$23,469$23,469$1,645
391 SHS MERCK & CO INCP2009-08-172017-05-05$25,005$12,920$12,920$12,085
1,049 SHS THE FINANCIAL SEL SECT SPDR FDP2012-06-182017-05-05$24,999$13,115$13,115$11,884
272 SHS VISA INC CL AP2011-02-072017-05-05$25,047$20,083$20,083$4,964
CAPITAL GAINS DIVIDENDSP$19,539$19,539$19,539
FieldValueIRS element (for citing)
Capital Gain Net Income$638,291CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$241,815AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$4,667,845NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.051804DistributionYr1Rt
Adjusted Qlfy Distri Yr2$238,001AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$4,904,159NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.048530DistributionYr2Rt
Adjusted Qlfy Distri Yr3$246,574AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,929,845NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.050017DistributionYr3Rt
Adjusted Qlfy Distri Yr4$243,398AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,661,456NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.052215DistributionYr4Rt
Adjusted Qlfy Distri Yr5$216,480AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$4,514,700NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.047950DistributionYr5Rt
Total Distribution0.250516TotalDistributionRt
Average Distribution0.050103AverageDistributionRt
Net Vl Noncharitable Assets$5,037,702NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$252,404AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$6,590NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$258,994AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$244,584QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$13,180InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$13,180SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$13,180TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$920EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$920TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$12,260TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksDR RICHARD T CALEELIndividualWithBooksNm
Phone7083019175PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line115437 WEATHER VANE LANEAddressLine1Txt
CityHOMER GLENCityNm
State AbbreviationILStateAbbreviationCd
ZIP60491ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DR RICHARD CALEEL
15437 WEATHER VANE LANEHOMER GLENIL60491VICE PRESIDENT/SECRETARY8.00$51,500$0$0
DR GEORGE CALEEL
TWO NATOMA DRIVEOAK BROOKIL60521TRUSTEE8.00$12,000$0$0
GEORGE SARKIS CALEEL
TWO NATOMA DRIVEOAK BROOKIL60521PRESIDENT1.00$40,100$0$0
GIOVANNA CALEEL
754 GREENWICH UNIT 1BNEW YORKNY10014TRUSTEE1.00$3,500$0$0
ALTA CALEEL
865 E 22ND ST UNIT B504LOMBARDIL60148TRUSTEE1.00$2,900$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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,789,553AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$324,865AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,114,418TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$5,114,418AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$76,716CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,037,702NetVlNoncharitableAssetsAmt
Minimum Investment Return$251,885MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$251,885MinimumInvestmentReturnAmt
Tax Based On Investment Income$13,180TaxBasedOnInvestmentIncomeAmt
Total Tax$13,180TotalTaxAmt
Distributable Before Adj$238,705DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$238,705DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$238,705DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$244,584ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$244,584QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$244,584AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$238,705DistributableAsAdjustedAmt
Undistributed Income PY$157,302UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$244,584QualifyingDistributionsAmt
Applied To Year1$157,302AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$87,282AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$151,423UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CEDARS OF LEBANON FOUNDATIONBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line115437 WEATHER VANE LANEAddressLine1Txt
CityHOMER GLENCityNm
State AbbreviationILStateAbbreviationCd
ZIP60491ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusEXEMPT - PFRecipientFoundationStatusTxt
Grant Or Contribution PurposeUNRESTRICTEDGrantOrContributionPurposeTxt
Amt$180,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$180,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$16,874ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$92,580ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$3,176ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$638,291ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$750,921ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$750,921TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$22,360Amt
Net Investment Income$11,180NetInvestmentIncomeAmt
Disbursements Charitable Prps$11,180DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondJP MORGAN CHASEBondNm
EOY Book Value$689,989EOYBookValueAmt
EOYFMV$687,948EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockJP MORGAN CHASEStockNm
EOY Book Value$3,082,096EOYBookValueAmt
EOYFMV$4,276,781EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$1,300LegalFeesAmt
Net Investment Income$650NetInvestmentIncomeAmt
Disbursements Charitable Prps$650DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK CHARGES$30$15$15
COMPUTER EXPENSE$3,047$1,524$1,523
INVESTMENT ADVISORY FEES$12,698$12,698$0
OFFICE EXPENSE$1,932$966$966
TRAVEL$1,500$750$750

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescEXCISE TAX REFUNDDesc
Revenue And Expenses Per Books$3,176RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$3,176AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ANNUAL REPORT FEE$25$25$0
INVESTMENT FOREIGN TAXES$440$440$0