HOLTZ CHARITABLE FOUNDATION INC: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HOLTZ CHARITABLE FOUNDATION INC (EIN 35-2042978)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201703179349101605
- Schema version
- 2016v3.0
- 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
- Accounting Fees Schedule
- Gain Loss Sale Other Assets Sch
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-13T12:49:09-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Disaster Relief | HURRICANE IRMA DISASTER RELIEF SECTION 7508A | DisasterReliefTxt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593476071 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEUMAN & COMPANY PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 280 WEKIVA SPRINGS RD STE 3030 | AddressLine1Txt |
| City | LONGWOOD | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32779 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352042978 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLTZ CHARITABLE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOLT | BusinessNameControlTxt |
| Phone | 4078576811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9209 CROMWELL PARK PLACE | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32827 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH B HOLTZ | PersonNm |
| Person Title | PRES/DIR | PersonTitleTxt |
| Phone | 4078576811 | PhoneNum |
| Signature | 2017-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LINDA J NEUMAN CPA CVA | PreparerPersonNm |
| PTIN | P00298330 | PTIN |
| Phone | 4078627557 | PhoneNum |
| Preparation | 2017-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 18ADD0FB57F4F95C04E0EB028B7A805FE48E2767 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Condition | HURRICANE IRMA DISASTER RELIEF SECTION 7508A | SpecialConditionDesc |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $4,446,903 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $278,008 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $19 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $19 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $19 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $72,929 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $72,929 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $72,929 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $46,960 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $175,240 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $31,511 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | -$58,748 | OtherIncomeRevAndExpnssAmt |
| Other Income Adj Net Incm | -$58,748 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $339,168 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $104,459 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $14,200 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $84,500 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $44,500 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $40,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $9,231 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $9,231 | AccountingFeesNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $29,461 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $29,461 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $928 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $928 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $22,255 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $6,453 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $15,802 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $146,375 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $90,573 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $55,802 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $170,750 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $170,750 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $317,125 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $90,573 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $226,552 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $22,043 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $13,886 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $14,200 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $135,741 | CashBOYAmt |
| Cash EOY | $132,485 | CashEOYAmt |
| Cash EOYFMV | $132,485 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $150,854 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $152,643 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $152,643 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $2,586,580 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,676,720 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,726,735 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $404,896 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $404,896 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $435,040 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $86,530 | OtherAssetsBOYAmt |
| Other Assets EOY | $19,900 | OtherAssetsEOYAmt |
| Total Assets BOY | $3,364,601 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,386,644 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $4,446,903 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $3,364,601 | RetainedEarningBOYAmt |
| Retained Earning EOY | $3,386,644 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,364,601 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,386,644 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,364,601 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,386,644 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,364,601 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $22,043 | ExcessRevenueOverExpensesAmt |
| Subtotal | $3,386,644 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $3,386,644 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $31,511 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $251,450 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $4,018,530 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.062573 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $592,876 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $4,082,790 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.145213 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $160,400 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $3,544,257 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.045256 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $201,400 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $3,115,894 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.064636 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $389,910 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $2,971,441 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.131219 | DistributionYr5Rt |
| Total Distribution | 0.448897 | TotalDistributionRt |
| Average Distribution | 0.089779 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $4,197,269 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $376,827 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $139 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $376,966 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $226,552 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $278 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $278 | SubtotalAmt |
| Tax Based On Investment Income | $278 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,000 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,000 | TotalPaymentsAndCreditsAmt |
| Overpayment | $722 | OverpaymentAmt |
| Applied To ES Tax | $722 | 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 |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IN | 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 |
| Individual With Books | BETH B HOLTZ | IndividualWithBooksNm |
| Phone | 4078576811 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9209 CROMWELL PARK PLACE | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32827 | 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 |
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|
| LOUIS L HOLTZ | ||||||||
| 9209 CROMWELL PARK PLACE | ORLANDO | FL | 32827 | CHAIRMAN/DIR | 10.00 | $0 | $0 | $0 |
| BETH B HOLTZ | ||||||||
| 9209 CROMWELL PARK PLACE | ORLANDO | FL | 32827 | PRES/DIR | 15.00 | $0 | $0 | $0 |
| LUANNE E ALTENBAUMER | ||||||||
| 4923 GLENMEADOW DRIVE | HOUSTON | TX | 77096 | DIRECTOR | 5.00 | $21,000 | $0 | $0 |
| LOUIS LSKIP HOLTZ | ||||||||
| 2168 LLANGELER DR | RUSTON | LA | 71270 | DIRECTOR | 5.00 | $21,000 | $0 | $0 |
| KEVIN R HOLTZ | ||||||||
| 6223 POPLAR GROVE DR | PORT ORANGE | FL | 32127 | SEC/TR/DIR | 5.00 | $21,000 | $0 | $0 |
| ELIZABETH H MASSAGLIA | ||||||||
| 9453 N STATE ROAD 267 | BROWNSBURG | IN | 46112 | DIRECTOR | 5.00 | $21,500 | $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 | $4,072,343 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $188,844 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,261,187 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $4,261,187 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $63,918 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,197,269 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $209,863 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $209,863 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $278 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $278 | TotalTaxAmt |
| Distributable Before Adj | $209,585 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $209,585 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $209,585 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $226,552 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $226,552 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $226,552 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $209,585 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $241,348 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $45,962 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr2 | $390,834 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $51,444 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $729,588 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $226,552 | QualifyingDistributionsAmt |
| Applied To Current Year | $209,585 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $16,967 | RemainingDistriFromCorpusAmt |
| Total Corpus | $746,555 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $241,348 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $505,207 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $45,962 | ExcessFromYear4Amt |
| Excess From Year2 | $390,834 | ExcessFromYear2Amt |
| Excess From Year1 | $51,444 | ExcessFromYear1Amt |
| Excess From Current Year | $16,967 | 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 Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| UPPER VALLEY HALL OF FAME | ||||||
| P O BOX 60 | EAST LIVERPOOL | OH | 43920 | PUBLIC CHAR. | HIGHER EDUCATION/SCHOLARSHIPS | $117,000 |
| TRUE LIFE CHOICE | ||||||
| 2992 EDGEWATER DR | ORLANDO | FL | 32804 | PUBLIC CHAR | CHARITABLE SUPPORT | $7,500 |
| CATHOLIC CHARITIES | ||||||
| 1771 N SEMORAN BLVD | ORLANDO | FL | 32807 | PUBLIC CHAR | CHARITABLE | $2,500 |
| INDIANA INSTITUTE OF TECHNOLOGY | ||||||
| 1600 E WASHINGTON BLVD | FT WAYNE | IN | 46803 | COLLEGE/UNIV | COLLEGE EDUCATION/SCHOLARSHIPS | $1,000 |
| THE CHOSEN & DEARLY LOVED FOUNDATIO | ||||||
| 1400 WEWATTA STREET 900 | DENVER | CO | 80202 | PUBLIC CHAR | CHARITABLE | $14,000 |
| FELLOWSHIP OF CHRISTIAN ATHLETES | ||||||
| 8701 LEEDS ROAD | KANSAS CITY | MO | 64129 | PUBLIC CHAR | CHARITABLE | $2,500 |
| WOMANS CARE CENTER FOUNDATION | ||||||
| 360 N NOTRE DAME AVE | SOUTH BEND | IN | 46617 | PUBLIC CHAR | CHARITABLE SCHOLARSHIP EDUCATION | $2,500 |
| NOTRE DAME HOLTZ LIBRARY ENDOWMENT | ||||||
| 100 ECK CENTER | NOTRE DAME | IN | 46556 | PUBLIC CHAR | CHARITABLE EDUCATION | $1,000 |
| OKLAHOMA BAPTIST UNIVERSITY | ||||||
| 500 W UNIVERSITY ST | SHAWNEE | OK | 74804 | COLLEGE/UNIV | CHARITABLE EDUCATION | $2,500 |
| ST LOUIS MENS GROUP AGAINST CANCER | ||||||
| 2155 WOODSON RD | ST LOUIS | MO | 63114 | PUBLIC CHAR | CHARITABLE | $1,000 |
| THE SALVATION ARMY USA | ||||||
| 615 SLATERS LANE | ALEXANDRIA | VA | 22313 | PUBLIC CHAR | CHARITABLE | $10,000 |
| FLORIDA BAPTIST CHILDRENS HOMES | ||||||
| 1015 SIKES BLVD | LAKELAND | FL | 33815 | PUBLIC CHAR | CHARITABLE | $1,000 |
| VITAE FOUNDATION | ||||||
| 1731 SOUTHRIDGE DR | JEFFERSON CITY | MO | 65109 | PUBLIC CHAR | CHARITABLE | $1,000 |
| SCHOLARSHIP FOUNDATION INDIAN RIVER | ||||||
| 1555 INDIAN RIVER BLVD | VERO BEACH | FL | 32960 | COLLEGE/UNIV | SCHOLARSHIP/EDUCATION | $2,500 |
| GIVE KIDS THE WORLD VILLAGE | ||||||
| 210 S BASS RD | KISSIMMEE | FL | 34746 | PUBLIC CHAR | CHARITABLE | $1,000 |
| AMERICAN BIBLE SOCIETY | ||||||
| 101 N INDEPENDENCE MALL E | PHILADELPHIA | PA | 19106 | PUBLIC CHAR | CHARITABLE | $500 |
| ST JUDE CHILDRENS RESEARCH | ||||||
| 1501 W CLEVELAND ST 230 | TAMPA | FL | 33606 | PUBLIC CHAR | CHARITABLE | $1,000 |
| BOYS & GIRLS CLUB WEST CHESTER | ||||||
| 4845 SMITH ROAD | WEST CHESTER | OH | 45069 | PUBLIC CHAR | CHARITABLE | $250 |
| DIOCESE OF PEORIA | ||||||
| 419 NE MADISON AVE | PEORIA | IL | 61603 | PUBLIC CHAR | CHARITABLE | $1,000 |
| CAMPUS CRUSADE FOR CHRIST | ||||||
| 100 LAKE HART DR | ORLANDO | FL | 32832 | PUBLIC CHAR | CHARITABLE SCHOLARSHIP EDUCATION | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $170,750 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $19 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $72,929 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $46,960 | RelatedOrExemptFunctionIncmAmt |
Other Revenue Described OtherRevenueDescribedGrp (4 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| ISAM SEC 1256 GAIN | 14 | -$40,635 |
| ISAM ORDINARY BUSINESS LOSS | 14 | -$19,019 |
| ISAM OTHER DEDUCTIONS | 14 | -$576 |
| BLACKSTONE DISTRIBUTIONS | 14 | $1,482 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $14,200 | ExclusionAmt |
| Related Or Exempt Function Incm | $46,960 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $61,160 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (10 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd | Address Line2ContributorUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| KELLY CARES FOUNDATION | |||||||
| 1 | 1251 N EDDY ST SUITE 200 | SOUTH BEND | IN | 46617 | $10,000 | Yes (X) | |
| ICAP SERVICES NORTH AMERICA | |||||||
| 7 | HARBORSIDE FINANCIAL CTR | JERSEY CITY | NJ | 07311 | $15,000 | Yes (X) | 1100 PLAZA 5 |
| LOUIS BETH HOLTZ | |||||||
| 2 | 9209 CROMWELL PARK PL | ORLANDO | FL | 32827 | $100,000 | Yes (X) | |
| JONATHAN WERTS | |||||||
| 8 | 1153 OAKLEY AVE | WINNETKA | IL | 60090 | $15,000 | Yes (X) | |
| ADVANCED DRAINAGE SYSTEMS | |||||||
| 3 | 4640 TRUEMAN BLVD | HILLIARD | OH | 43026 | $5,000 | Yes (X) | |
| ERIC EINFALT | |||||||
| 9 | 1564 WHITE EAGLE DRIVE | NAPERVILLE | IL | 60564 | $15,000 | Yes (X) | |
| DANIEL JOANN MURPHY | |||||||
| 4 | 35 CASTLETON CT | NORTH BARRINGTON | IL | 60010 | $50,000 | Yes (X) | |
| 3 BC PROPERTIES | |||||||
| 10 | 184 SHUMAN BLVD 200 | NAPERVILLE | IL | 60563 | $50,000 | Yes (X) | |
| FIESTA EVENTS | |||||||
| 5 | 7135 E CAMELBACK RD 190 | SCOTTSDALE | AZ | 85251 | $5,000 | Yes (X) | |
| J SCOTT CANDRIAN | |||||||
| 6 | PO BOX 703 | TOHOMA | CA | 96142 | $5,000 | Yes (X) | |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING AND TAX PREP SERVICES | CategoryTxt |
| Amt | $9,231 | Amt |
| Net Investment Income | $9,231 | NetInvestmentIncomeAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (3 entries)
| AssetAssetDesc | AcquiredAcquiredDt | How AcquiredHowAcquiredTxt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Total NetTotalNetAmt |
|---|---|---|---|---|---|---|
| 2430 SHARES BLACKSTONE GROUP | 2013-05 | PURCHASE | 2016-04 | $71,313 | $56,595 | $14,718 |
| 305 SHARES IHS | 2012-06 | PURCHASE | 2016-07 | $35,624 | $32,332 | $3,292 |
| 315 SHARES IHS | 2015-08 | PURCHASE | 2016-07 | $36,792 | $39,353 | -$2,561 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | DETAILED SCHEDULES MAINTAINED | StockNm |
| EOY Book Value | $2,676,720 | EOYBookValueAmt |
| EOYFMV | $3,726,735 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | INVESTMENT IN STEPHENS (276665635) | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $404,896 | BookValueAmt |
| EOYFMV | $435,040 | EOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PARTNERSHIP K-1 ACTIVITY | Desc |
| BOY Book Value | $86,530 | BOYBookValueAmt |
| EOY Book Value | $19,900 | EOYBookValueAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXPENSES | |||
| UNREALIZED PARTNERSHIP K-1 LO | $6,400 | $6,400 | |
| BANK CHARGES | $53 | $53 | |
| SPECIAL EVENT EXPENSES | $15,802 | $15,802 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| ISAM SEC 1256 GAIN | -$40,635 | -$40,635 |
| ISAM ORDINARY BUSINESS LOSS | -$19,019 | -$19,019 |
| ISAM OTHER DEDUCTIONS | -$576 | -$576 |
| BLACKSTONE DISTRIBUTIONS | $1,482 | $1,482 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT ADVISORY FEES | CategoryTxt |
| Amt | $29,461 | Amt |
| Net Investment Income | $29,461 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INCOME TAXES | CategoryTxt |
| Amt | $928 | Amt |
| Net Investment Income | $928 | NetInvestmentIncomeAmt |
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