BETA

ANOTHER CHANCE FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ANOTHER CHANCE FOUNDATION INC (EIN 46-4295650)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201713199349100331
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T08:25:59-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN571157523PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HAW APRIO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1FIVE CONCOURSE PARKWAY SUITE 1000AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30328ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464295650EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANOTHER CHANCE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANOTBusinessNameControlTxt
Phone6782093971PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13259 DULUTH HWY 120 NO 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30096ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARY ONORATIPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6782093971PhoneNum
Signature2017-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER B DAVIS CPAPreparerPersonNm
PTINP00546438PTIN
Phone4048929651PhoneNum
Preparation2017-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.87.234.180IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-10IPDt
IP Tm17:13:56IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2E8452A6B68A62697A7B6C7332F1871C60F93A9BAtSubmissionCreationDeviceId
At Submission Filing Device Id6D72BBBB120AB140A2F21184ADAB8B46143B2BF6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,008,883FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$6,568ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$24,979DividendsRevAndExpnssAmt
Dividends Net Invst Incm$24,979DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$15,512NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,609,878GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$15,512CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$47,059TotalRevAndExpnssAmt
Total Net Invst Incm$40,491TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$225LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$225LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,850AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,850AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$13,030OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$13,030OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$276TaxesRevAndExpnssAmt
Taxes Net Invst Incm$124TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$15,381TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$15,229TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$552,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$552,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$567,381TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$15,229TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$552,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$520,322ExcessRevenueOverExpensesAmt
Net Investment Income$25,262NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$852CashBOYAmt
Cash EOY$56,213CashEOYAmt
Cash EOYFMV$56,213CashEOYFMVAmt
Sav And Temp Cash Invst BOY$17,570SavAndTempCashInvstBOYAmt
Other Investments BOY$1,510,783OtherInvestmentsBOYAmt
Other Investments EOY$952,670OtherInvestmentsEOYAmt
Other Investments EOYFMV$952,670OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,529,205TotalAssetsBOYAmt
Total Assets EOY$1,008,883TotalAssetsEOYAmt
Total Assets EOYFMV$1,008,883TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$1,529,205CapitalStockBOYAmt
Capital Stock EOY$1,008,883CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,529,205TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,008,883TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,529,205TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,008,883TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,529,205TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$520,322ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,008,883SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,008,883TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
CHARLES SCHWABP$1,609,029$1,594,366$14,663$14,663
CAPITAL GAINS DIVIDENDSP$849$849$849
FieldValueIRS element (for citing)
Capital Gain Net Income$15,512CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$432,720AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,766,646NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.244939DistributionYr1Rt
Adjusted Qlfy Distri Yr2$1,098,450AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,323,078NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.472842DistributionYr2Rt
Adjusted Qlfy Distri Yr3$0AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$122,273NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.000000DistributionYr3Rt
Total Distribution0.717781TotalDistributionRt
Average Distribution0.239260AverageDistributionRt
Net Vl Noncharitable Assets$1,227,161NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$293,611AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$253NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$293,864AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$552,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$253InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$253SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$253TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$253TaxDueAmt

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 StateGAOrgReportOrRegisterStateCd
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 BooksFRANK CIRCELLIIndividualWithBooksNm
Phone7706225501PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13259 DULUTH HWY 120 SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30096ZIPCd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
FRANK M CIRCELLI
3259 DULUTH HIGHWAY 120 SUITE 200DULUTHGA30096TRUSTEE2.00$0$0$0
GARY ONORATI
7101 WEST MCNAB ROAD SUITE 201TAMARACFL33321TRUSTEE2.00$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

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$1,210,582AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$35,267AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,245,849TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,245,849AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$18,688CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,227,161NetVlNoncharitableAssetsAmt
Minimum Investment Return$61,358MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$61,358MinimumInvestmentReturnAmt
Tax Based On Investment Income$253TaxBasedOnInvestmentIncomeAmt
Total Tax$253TotalTaxAmt
Distributable Before Adj$61,105DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$61,105DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$61,105DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$552,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$552,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$253PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$551,747AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$61,105DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$977,807ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$344,732ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,322,539TotalExcessDistributionCyovAmt
Qualifying Distributions$552,000QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$61,105AppliedToCurrentYearAmt
Remaining Distri From Corpus$490,895RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,813,434TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,813,434ExcessDistriCyovToNextYrAmt
Excess From Year2$977,807ExcessFromYear2Amt
Excess From Year1$344,732ExcessFromYear1Amt
Excess From Current Year$490,895ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerFRANK M CIRCELLIContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303PCUNRESTRICTED$30,500
COMMUNITY FOUNDATION OF NORTHEAST GEORGIA
6500 SUGARLOAF PKWYDULUTHGA30097PCUNRESTRICTED$110,000
GWINNETT MEDICAL CENTER FOUNDATION
1755 N BROWN RD 100LAWRENCEVILLEGA30043PCNICU UNITS$125,000
ST JUDES CHILDRENS HOSPITAL
5901 PEACHTREE DUNWOODY RDATLANTAGA30328PCUNRESTRICTED$1,500
AVVBA ATLANTA VIETNAM VET BUS
2568 MERCEDES DRIVEATLANTAGA30345PCUNRESTRICTED$5,000
RAINBOW VILLAGE
3427 DULUTH HIGHWAY 120DULUTHGA30096PCUNRESTRICTED$100,000
PARTNERSHIP AGAINST DOMESTIC VIOLENCE
PO BOX 170225ATLANTAGA30317PCUNRESTRICTED$10,000
NE GEORGIA COUNCIL BSA BOYSCOUTS
203 SWANSON DRIVELAWRENCEVILLEGA30043PCUNRESTRICTED$10,000
PEACHTREE CHRISTIAN HOSPICE
3430 DULUTH PARK LNDULUTHGA30096PCUNRESTRICTED$25,000
GOOD SAMARITAN HEALTH CENTER
1015 DONALD LEE HOLLOWELL PRKWY NWATLANTAGA30318PCUNRESTRICTED$10,000
HOPE CLINIC
121 LANGLEY DRLAWRENCEVILLEGA30046PCUNRESTRICTED$25,000
GEORGIA FOUNDATION FOR PUBLIC EDUCATION
2066 TWIN TOWERS EAST 205 JESSEATLANTAGA30334PCUNRESTRICTED$100,000HILL JR DRIVE
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$552,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$24,979ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$15,512ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$40,491ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$40,491TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1HAZELDEN BETTY FORDBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 11AddressLine1Txt
CityCENTER CITYCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55012ZIPCd
FieldValueIRS element (for citing)
Total Contributions$6,568TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$1,850Amt
Net Investment Income$1,850NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemCHARLES SCHWABCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$952,670BookValueAmt
EOYFMV$952,670EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$225LegalFeesAmt
Net Investment Income$225NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryCHARLES SCHWABCategoryTxt
Amt$13,030Amt
Net Investment Income$13,030NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES PAID$124$124$0
FEDERAL TAXES$152$0$0

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