DR DONALD N & JANE L BERNING: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- DR DONALD N & JANE L BERNING (EIN 45-2457323)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201713199349102841
- Schema version
- 2016v3.1
- 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
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Land Schedule2
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T14:45:44-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Ln Ste 212 | AddressLine1Txt |
| City | Lake Success | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | 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 | 452457323 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dr Donald N & Jane L Berning Private | BusinessNameLine1Txt |
| Business Name Line2 | foundation | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | DRDO | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RONALD JACK BENSON | PersonNm |
| Person Title | president | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.187.244.114 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 06391520173195000030 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6B1EFC400AF5C33D9B3602785388C863E4E2E7C3 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 70AA59F2BE43B178611149847D763A183DD9022D | 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) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $8,910,226 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $120,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $932 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $932 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $3,531 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $3,531 | DividendsNetInvstIncmAmt |
| Gross Rents Rev And Expnss | $13,200 | GrossRentsRevAndExpnssAmt |
| Gross Rents Net Invst Incm | $13,200 | GrossRentsNetInvstIncmAmt |
| Net Rental Income Or Loss | -$50,484 | NetRentalIncomeOrLossAmt |
| Net Gain Sale Ast Rev And Expnss | $67,470 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $458,865 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $68,979 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $132,088 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $118,731 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $337,221 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $205,373 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $12,234 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $12,234 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $11,138 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $9,918 | TaxesNetInvstIncmAmt |
| Deprec And Dpltn Rev And Expnss | $7,863 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $7,863 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $0 | DeprecAndDpltnAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $77,834 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $34,699 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $43,135 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $109,069 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $64,714 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $43,135 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $424,200 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $424,200 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $533,269 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $64,714 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $467,335 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$196,048 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $140,659 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $53,298 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $97,513 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $97,513 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $243,419 | CorporateStockBOYAmt |
| Corporate Stock EOY | $208,258 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $125,228 | CorporateStockEOYFMVAmt |
| Invst Land Cost Or Other Basis | $225,000 | InvstLandCostOrOtherBasisAmt |
| Invst Land Accum Depreciation | $27,636 | InvstLandAccumDepreciationAmt |
| Land Bldg Investments BOY | $560,320 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOY | $197,364 | LandBldgInvestmentsEOYAmt |
| Land Bldg Investments EOYFMV | $225,000 | LandBldgInvestmentsEOYFMVAmt |
| Other Investments BOY | $9,434,314 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $9,592,168 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $8,462,485 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $10,291,351 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,095,303 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $8,910,226 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $10,291,351 | RetainedEarningBOYAmt |
| Retained Earning EOY | $10,095,303 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $10,291,351 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $10,095,303 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $10,291,351 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $10,095,303 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $10,291,351 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$196,048 | ExcessRevenueOverExpensesAmt |
| Subtotal | $10,095,303 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $10,095,303 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt |
|---|---|---|---|---|---|---|---|
| Publicly-traded Securities | $33,865 | $34,593 | -$728 | -$728 | |||
| 1160 BRECKENRIDGE DRIVE, PARK HI - 1160 BRECKENRIDGE DRIVE, PARK HILLS | $425,000 | $355,293 | $69,707 | $69,707 | D | 2011-08-23 | 2016-02-04 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $68,979 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $460,551 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $9,297,635 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.049534 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $163,388 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $9,392,545 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.017395 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $214,660 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $9,390,695 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.022859 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $349,522 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,550,398 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.062972 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $6,609 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $196,973 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.033553 | DistributionYr5Rt |
| Total Distribution | 0.186313 | TotalDistributionRt |
| Average Distribution | 0.037263 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $8,646,376 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $322,190 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,407 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $323,597 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $467,335 | 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 | $1,407 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $1,407 | SubtotalAmt |
| Tax Based On Investment Income | $1,407 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,600 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,600 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $193 | OverpaymentAmt |
| Applied To ES Tax | $193 | 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 | DE | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | 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 | Yes (true) | 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 |
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|
| Faith Benson | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Sec | 1.0 | $0 | $0 | $0 |
| Jack Benson | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres / Dir | 1.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $146,046 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $181,541 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $8,450,460 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,778,047 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,778,047 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $131,671 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,646,376 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $432,319 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $432,319 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,407 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,407 | TotalTaxAmt |
| Distributable Before Adj | $430,912 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $430,912 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $430,912 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $467,335 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $467,335 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,407 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $465,928 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $430,912 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $457,057 | UndistributedIncomePYAmt |
| Prior Year1 | 2014 | PriorYear1Yr |
| Prior Year2 | 2013 | PriorYear2Yr |
| Prior Year3 | 2012 | PriorYear3Yr |
| Qualifying Distributions | $467,335 | QualifyingDistributionsAmt |
| Applied To Year1 | $457,057 | AppliedToYear1Amt |
| Applied To Current Year | $10,278 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $420,634 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ALANO CLUB OF NORTHERN KENTUCKY | |||||||
| 249 MAIN ST | FLORENCE | KY | 41042 | N/A | PC | General & Unrestricted | $10,000 |
| FRIENDS OF THE ROSE GARDEN MISSION INC | |||||||
| PO BOX 122089 | COVINGTON | KY | 41012 | N/A | PC | General & Unrestricted | $110,000 |
| GILDAS CLUB LOUISVILLE INC | |||||||
| 633 BAXTER AVE | LOUISVILLE | KY | 40204 | N/A | PC | General & Unrestricted | $10,000 |
| GO PANTRY CORPORATION | |||||||
| 2137 WYNDHAM WAY | UNION | KY | 41091 | N/A | PC | General & Unrestricted | $10,000 |
| NORTHERN KENTUCKY AREA DEVELOPMENT DISTRICT | |||||||
| 22 SPIRAL DR | FLORENCE | KY | 41042 | N/A | PC | Meals on Wheels Program | $200,000 |
| NORTHERN KENTUCKY SPORTS CLUB | |||||||
| 11029 PELPHRY LN | WALTON | KY | 41094 | N/A | PC | 13U Division | $1,000 |
| NORTHERN KENTUCKY SPORTS CLUB | |||||||
| 11029 PELPHRY LN | WALTON | KY | 41094 | N/A | PC | 14U Division | $20,000 |
| SUNRISE CHILDRENS SERVICES | |||||||
| PO BOX 1429 | MT WASHINGTON | KY | 40047 | N/A | PC | General & Unrestricted | $63,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $424,200 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $932 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3,531 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp |
Net Rental Income Personal Prop NetRentalIncomePersonalPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 16 | ExclusionCd |
| Exclusion | -$50,484 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $67,470 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp (3 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| NET INCOME FROM ANNUITIES | 14 | $118,731 |
| Federal Tax Refund | 01 | $2,416 |
| INCOME FROM LIFE INSURANCE POLICIES | 14 | $10,941 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $153,537 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $153,537 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | Estate of J L Berning | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o j benson 6900 Houston Road | AddressLine1Txt |
| City | Florence | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $120,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (5 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|---|---|---|---|---|
| BUILDING-1 SUNNYME | 2012-12-31 | $190,000 | $20,727 | SL | 27 | $6,909 | $6,909 | $0 |
| LAND-1 SUNNYMEADE | 2012-12-31 | $35,000 | L | |||||
| BUILDING- 1160 BRE | 2012-12-31 | $300,000 | $32,727 | SL | 27 | $909 | $909 | $0 |
| LAND - 1160 BRECKE | 2012-12-31 | $75,000 | L | |||||
| IMPROVEMENTS-1160 | 2013-10-01 | $15,000 | $1,226 | SL | 27 | $45 | $45 | $0 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (14 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 3-D SYSTEMS CORP. DEL | $22,197 | $13,290 |
| BORG WARNER INC | $18,719 | $11,832 |
| CLEAN ENERGY FUELS CORP | $17,609 | $5,720 |
| CONOCOPHILLIPS | $23,859 | $17,549 |
| FOUR CORNERS PROPERTY TRUST IN | $3,714 | $3,550 |
| GENERAL MOTORS | $1,873 | $3,658 |
| GENERAL MOTORS COMPANY WARRANT | $1,050 | $1,630 |
| GILEAD SCIENCES INC | $12,280 | $7,161 |
| KINDER MORGAN INC | $21,458 | $10,355 |
| MOTORS LIQ CO GUC TR UBI | $306 | $210 |
| POLARIS INDUSTRIES | $15,236 | $8,239 |
| TWITTER INC | $25,434 | $8,150 |
| WHOLE FOODS MARKET, INC | $21,146 | $12,304 |
| XPO LOGISTICS INC | $23,377 | $21,580 |
Investments Land Schedule2 InvestmentsLandSchedule2
Investment Land InvestmentLandGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|---|
| BUILDING-1 SUNNYME | $190,000 | $27,636 | $162,364 | |
| LAND-1 SUNNYMEADE | $35,000 | $35,000 | ||
| BUILDING- 1160 BRE | $0 | |||
| LAND - 1160 BRECKE | ||||
| IMPROVEMENTS-1160 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (14 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AMERICO FINANCIAL - #0057535 | $434,783 | $394,431 |
| AMERICO FINANCIAL - #0059225 | $827,971 | $739,592 |
| ASSURITY LIFE INSURANCE CO - P | $301,000 | $238,167 |
| AMERICO FINANCIAL - ANNUITY PO | $826,276 | $755,093 |
| ATHENE #148688 | $890,747 | $770,175 |
| ATHENE #138443 | $792,856 | $715,790 |
| EQUITRUST LIFE #642F | $804,951 | $643,961 |
| EQUITRUST LIFE #581L | $307,566 | $292,188 |
| FIDELITY #1745 | $733,620 | $634,581 |
| FIDELITY #3224 | $855,274 | $746,227 |
| JACKSON NATIONAL #7419 | $383,549 | $383,549 |
| NATIONAL WESTERN LIFE #3591 | $728,869 | $645,624 |
| NATIONAL WESTERN LIFE #9169 | $1,004,706 | $854,000 |
| AMERICAN NATIONAL DEFERRED | $700,000 | $649,107 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $43,110 | $43,110 | |
| Bank Charges | $30 | $30 | |
| PROPERTY MAINTENANCE&EXPENSES | $28,449 | $28,449 | |
| State or Local Filing Fees | $25 | $25 | |
| Storage Fee | $6,220 | $6,220 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Net Income from Annuities | $118,731 | $118,731 |
| Federal Tax Refund | $2,416 | |
| Income from Life Insurance policies | $10,941 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Investment Management Services | $1,000 | $1,000 |
| PROFESSIONAL MAINTENANCE SVCS | $11,234 | $11,234 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 990-PF Estimated Tax for 2016 | $900 | |
| IRS MISCELLANEOUS FEE | $320 | |
| Property Taxes | $9,918 | $9,918 |
Comments