M J SURGALA TR: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- M J SURGALA TR (EIN 11-6556638)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201723179349101242
- 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
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-13T11:07:38-08:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID M LASTOWSKI CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1137 W 38TH ST | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 165082457 | 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 | 116556638 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | M J SURGALA TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MJSU | BusinessNameControlTxt |
| Phone | 8148384921 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16505 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY LINCOLN | PersonNm |
| Person Title | TRUSTEE / EXEC DIR | PersonTitleTxt |
| Phone | 8148384921 | PhoneNum |
| Signature | 2017-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID M LASTOWSKI CPA | PreparerPersonNm |
| Phone | 8148684802 | PhoneNum |
| Preparation | 2017-11-13 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 174.100.7.119 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 11:07:26 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9650F9D5C3086F17AF340F855D9412E7C2732287 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C2E633162AB95D8035B26F1547A9AEF862775A92 | 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 | $14,771,060 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $65 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $65 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $65 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $474,726 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $474,726 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $474,726 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $34,614 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $660,452 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $34,614 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $509,405 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $509,405 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $474,791 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $80,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $80,000 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $80,000 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $80,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Taxes Rev And Expnss | $369 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $369 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $369 | TaxesAdjNetIncmAmt |
| Occupancy Rev And Expnss | $6,000 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $6,000 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $6,000 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $6,000 | OccupancyDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $2,864 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $2,864 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $2,864 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $2,864 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $89,233 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $89,233 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $89,233 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $88,864 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $491,700 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $491,700 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $580,933 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $89,233 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $89,233 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $580,564 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$71,528 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $420,172 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $385,558 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $1,031,963 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $1,380,820 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $1,380,820 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $8,274,200 | CorporateStockBOYAmt |
| Corporate Stock EOY | $7,842,106 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $11,510,310 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,834,640 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,846,349 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,879,930 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $11,140,803 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,069,275 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $14,771,060 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $11,140,803 | UnrestrictedBOYAmt |
| Unrestricted EOY | $11,069,275 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $11,140,803 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $11,069,275 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $11,140,803 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $11,069,275 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $11,140,803 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$71,528 | ExcessRevenueOverExpensesAmt |
| Subtotal | $11,069,275 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $11,069,275 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (8 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | DepreciationDepreciationAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | FMV As Of123169FMVAsOf123169Amt | Adjusted Basis As Of123169AdjustedBasisAsOf123169Amt | Excess FMV Over Adjusted BssExcessFMVOverAdjustedBssAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALCOA CORP | P | 2001-02-18 | 2016-10-31 | $9 | $0 | $31 | -$22 | $0 | $0 | $0 | -$22 |
| ALCOA INC | P | 2001-02-18 | 2016-10-06 | $18 | $0 | $72 | -$54 | $0 | $0 | $0 | -$54 |
| BARCLAYS BK PLC 6.625 SER2 | P | 2006-04-20 | 2016-09-15 | $100,000 | $0 | $100,000 | $0 | $0 | $0 | $0 | $0 |
| COUNTRY WIDE IV 6750 | P | 2003-04-07 | 2016-08-03 | $250,000 | $0 | $250,000 | $0 | $0 | $0 | $0 | $0 |
| MRGN STAN CAP 6450 67AP15 | P | 2007-04-20 | 2016-08-03 | $250,000 | $0 | $250,000 | $0 | $0 | $0 | $0 | $0 |
| BRCL BK IPTH S&P 500 VIXSH | P | 2012-08-24 | 2016-12-22 | $12 | $0 | $586 | -$574 | $0 | $0 | $0 | -$574 |
| BRCL BK IPTH S&P 500 VIXSH | P | 2010-05-20 | 2016-12-22 | $3 | $0 | $1,890 | -$1,887 | $0 | $0 | $0 | -$1,887 |
| BRISTOL MYERS SQUIBB | P | 2009-11-11 | 2016-08-08 | $60,410 | $0 | $23,259 | $37,151 | $0 | $0 | $0 | $37,151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $34,614 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,036,664 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $15,017,678 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.069030 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $959,598 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $16,344,603 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.058710 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $631,154 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $16,506,677 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.038236 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $775,068 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $16,370,924 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.047344 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $659,284 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $15,618,867 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.042211 | DistributionYr5Rt |
| Total Distribution | 0.255531 | TotalDistributionRt |
| Average Distribution | 0.051106 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $14,586,571 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $745,461 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $4,202 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $749,663 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $580,564 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $8,403 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $8,403 | SubtotalAmt |
| Tax Based On Investment Income | $8,403 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $6,866 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $6,866 | TotalPaymentsAndCreditsAmt |
| Original Return Tax Paid | $6,866 | OriginalReturnTaxPaidAmt |
| Tax Due | $1,537 | TaxDueAmt |
| Applied To ES Tax | $0 | 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 | NY | 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 | MARY LINCOLN | IndividualWithBooksNm |
| Phone | 8148384921 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DR | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16505 | 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 |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY LINCOLN TRUSTEE | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | EXEC DIR | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 10.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $80,000 | CompensationAmt |
| Employee Benefit Program | $0 | EmployeeBenefitProgramAmt |
| Expense Account Other Allwnc | $0 | ExpenseAccountOtherAllwncAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $13,387,045 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,421,657 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $14,808,702 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $14,808,702 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $222,131 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $14,586,571 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $729,329 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $729,329 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $8,403 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $8,403 | TotalTaxAmt |
| Distributable Before Adj | $720,926 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $720,926 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $720,926 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $580,564 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $580,564 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $580,564 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $720,926 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $520,500 | UndistributedIncomePYAmt |
| Qualifying Distributions | $580,564 | QualifyingDistributionsAmt |
| Applied To Year1 | $520,500 | AppliedToYear1Amt |
| Applied To Current Year | $60,064 | AppliedToCurrentYearAmt |
| Undistributed Income CY | $660,862 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | MARY LINCOLN TRUSTEE | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 8148684921 | RecipientPhoneNum |
| Form And Info And Materials | CONTACT THE TRUSTEE FOR INFORMATION ON SUBMITTING APPLICATIONS | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | AWARDS ARE MADE IN THE FIELDS OF HEALTHCARE, EDUCATION, SOCIAL SERVICES AND THE ARTS. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (49 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| COMMUNITY SHELTER SERVICES | ||||||
| 655 WEST 16TH STREET | ERIE | PA | 16503 | PC501(c)(3) | FOR THE HOMELESSPROVIDES RESIDENCE | $15,000 |
| HAMOT HEALTH FOUNDATION | ||||||
| 2 EAST 2ND STREET | ERIE | PA | 16507 | PC501(c)(3) | OF THE WOMEN'S ANDFOR THE CONSTRUCTIONCHILDREN'S HOSPITAL | $5,000 |
| UNITARIAN UNIVERSALIST CONGREGATION | ||||||
| 7180 PERRY HIGHWAY | ERIE | PA | 16509 | PC501(c)(3) | RELIGIOUS | $10,000 |
| NEIGHBORHOOD ART HOUSE | ||||||
| 201 EAST 10TH STREET | ERIE | PA | 16503 | PC501(c)(3) | TION AND SUPPORT TOPROVIDES ART EDUCA-INNER CITY YOUTH | $20,000 |
| ERIE PHILHARMONIC ORCHESTRA | ||||||
| 1006 STATE STREET | ERIE | PA | 16501 | PC501(c)(3) | ORCHESTRA TO THE REGIONSUPPORTS A SYMPHONY | $25,000 |
| ERIE ART MUSEUM | ||||||
| 417 STATE STREET | ERIE | PA | 16507 | PC501(c)(3) | ART EXHIBITS ANDPROVIDES A MUSEUM FORART EDUCATION | $10,000 |
| BOCA RATON REGIONAL HOSPITAL | ||||||
| 800 MEADOWS ROAD | BOCA RATON | FL | 33486 | PC501(c)(3) | HEALTH CARE SERVICESPROVIDES COMMUNITY | $6,100 |
| SALVATION ARMY | ||||||
| 1209 SASSAFRAS STREET | ERIE | PA | 16502 | PC501(c)(3) | SERVICES TO THEPROVIDES SOCIALPOOR AND HOMELESS | $10,000 |
| MERCY CENTER FOR WOMEN | ||||||
| 1039 EAST 27TH STREET | ERIE | PA | 16504 | PC501(c)(3) | SERVICES TO WOMEN INPROVIDES SUPPORTIVENEED. | $20,000 |
| ERIE HOMES FOR CHILDREN AND ADULTS | ||||||
| 226 EAST 27TH STREET | ERIE | PA | 16504 | PC501(c)(3) | SUPPORTIVE CARE TOPROVIDES HOUSING ANDINDIVIDUALS WITH DISABILITIES | $20,000 |
| ERIE PLAYHOUSE | ||||||
| 13 WEST 10TH STREET | ERIE | PA | 16501 | PC501(c)(3) | THEATRE AND PROMOTESPROVIDES A COMMUNITYEDUCATION IN THEATRE | $5,000 |
| BOCA RATON MUSEUM OF ART | ||||||
| 501 PLAZA REAL | BOCA RATON | FL | 33432 | PC501(C)(3) | ART EXHIBITS ANDPROVIDES A MUSEUM FORART EDUCATION | $2,500 |
| EMMAUS MINISTRIES | ||||||
| 310 EAST 10TH STREET | ERIE | PA | 16503 | PC501(C)(3) | SHELTER TO THEPROVIDES MEALS ANDHOMELESS | $20,000 |
| ERIE ZOOLOGICAL SOCIETY | ||||||
| 423 WEST 38TH STREET | ERIE | PA | 16508 | PC501(C)(3) | RECREATIONAL ACTIVITIESPROVIDES EDUCATIONAL ANDTHROUGH A COMMUNITY ZOO | $3,500 |
| UNITED WAY OF ERIE | ||||||
| 420 WEST 6TH STREET | ERIE | PA | 16507 | PC501(C)(3) | SOCIAL SERVICE ORGANIZATIONSPROVIDES ASSISTANCE TOIN THE ERIE AREA | $15,000 |
| Flagship Niagara League | ||||||
| 150 East Front Street | ERIE | PA | 16507 | PC501(C)(3) | PRESERVATION OF THEWORKS TO PROMOTEFLAGSHIP NIAGARA | $7,600 |
| SAFE NET | ||||||
| PO BOX 1436 | ERIE | PA | 16512 | PC501(C)(3) | WOMEN SUFFERINGASSISTANCE TOFROM DOMESTIC ABUSE | $10,100 |
| St Paul's Neighborhood Free Clinic | ||||||
| 1608 WALNUT STREET | ERIE | PA | 16502 | PC501(C)(3) | CLINIC FOR LOWFREE MEDICALINCOME INDIVIDUALS | $10,000 |
| Asbury Woods Partnership | ||||||
| 4105 ASBURY ROAD | ERIE | PA | 16506 | PC501(C)(3) | AND NATURECOMMUNITY PARKCENTER | $25,000 |
| BAYFRONT CTR FOR MARITIME STUDIES | ||||||
| 40 HOLLAND STREET | ERIE | PA | 16507 | PC501(C)(3) | MARITIME EDUCATIONALUNIQUE HANDS ON& RECREATIONAL | $11,000 |
| CROHN'S AND COLITIS FOUNDATION | ||||||
| 300 PENN CENTER BLVD | PITTSBURGH | PA | 15235 | PC501(C)(3) | ASSISTANCE TORESEARCH ANDINDIVIDUALS | $3,500 |
| SECOND HARVEST FOOD BANK OF NWPA | ||||||
| 1507 GRIMM DRIVE | ERIE | PA | 16502 | PC501(C)(3) | FOOD TO THE POORPROVIDES LOW COSTIN NW PA | $20,000 |
| YMCA OF ERIE | ||||||
| 3727 CHERRY STREET | ERIE | PA | 16508 | PC501(C)(3) | TEEN PROGRAMSUPPORT OF THE | $20,000 |
| PUBLIC BROADCASTING OF NW PA | ||||||
| 8425 PEACH STREET | ERIE | PA | 16509 | PC501(C)(3) | AND RADIOPUBLIC TELEVISION | $5,000 |
| AMERICAN CANCER SOCIETY | ||||||
| 2115 WEST 38TH STREET | ERIE | PA | 16508 | PC501(C)(3) | AND RESEARCHCANCER TREATMENT | $1,000 |
| AMERICAN RED CROSS - ERIE | ||||||
| 4961 PITTSBURGH AVENUE | ERIE | PA | 16509 | PC501(C)(3) | DISASTER ASSISTANCE | $5,000 |
| YOUNG PEOPLES CHORUS OF ERIE | ||||||
| PENN STATE ERIE - BEHREND COLLEGE | ERIE | PA | 16510 | PC501(C)(3) | CHILDREN REGARDLESS OFOFFERS MUSIC INSTRUCTION TOSOCIOECONOMIC BACKGROUND | $26,000 |
| PENN STATE ERIE - BEHREND COLLEGE | ||||||
| 4701 COLLEGE DRIVE | ERIE | PA | 16563 | PC501(C)(3) | COLLEGEACCREDITED | $50,000 |
| ERIE ARTS AND CULTURE | ||||||
| 3 EAST 4TH STREET | ERIE | PA | 16507 | PC501(C)(3) | AGENCYLOCAL ARTS | $5,000 |
| AMERICAN HEART ASSOCIATION | ||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | PC501(C)(3) | TREATMENT OFRESEARCH ANDHEART DESEASE | $1,000 |
| BETHESDA FOUNDATION FOR CHILDREN | ||||||
| 15667 HIGHWAY 86 | MEADVILLE | PA | 16335 | PC501(C)(3) | AND MENTAL HEALTHPROVIDES BEHAVIORALSERVICES TO CHILDREN | $5,000 |
| DR GERTRUDE BARBER FND | ||||||
| 100 BARBER PLACE | ERIE | PA | 16507 | PC501(c)(3) | CHILDREN WITH DISABILITIESEDUCATIONAL SUPPORT FORAND MENTAL HEALTH NEEDS | $2,400 |
| BENEDICTINE SISTERS OF ERIE | ||||||
| 6101 EAST LAKE ROAD | ERIE | PA | 16511 | PC501(c)(3) | WORKS IN CREATIVE WORKS TOA COMMUNITY OF WOMEN THATMEET THE SOCIAL NEEDS AROUND THEM | $10,000 |
| HELPING HANDS | ||||||
| 541 CAMBRIDGE STREET | ALLSTON | MA | 02134 | PC501(c)(3) | CORD INJURIES LIVE MOREHELPS ADULTS WITH SPINALINDEPENDENT AND ENGAGED LIVES | $3,000 |
| INNOCENCE PROJECT | ||||||
| 40 WORTH STREET | NEW YORK | NY | 10013 | PC501(c)(3) | CONVICTED THROUGHEXONERATING WRONGFULLYDNA TESTING | $2,000 |
| ERIE JUNION PHILHARMONIC | ||||||
| 609 WALNUT STREET | ERIE | PA | 16502 | PC501(c)(3) | SECTIONAL COACHING ANDOFFERS REHEARSALSPERFORMANCE OPPORTUNITIES | $1,000 |
| THE UPPER ROOM | ||||||
| 1024 PEACH STREET | ERIE | PA | 16501 | PC501(c)(3) | PROVIDING MEALS SOCIALIZATIONDAYTIME HOMELESS SHELTERCOUNSELING AND THERAPY | $5,000 |
| AMERICANS FOR COMPETITIVE ENTERPRISE SYSTEM | ||||||
| 1001 STATE STREET | ERIE | PA | 16501 | PC501(c)(3) | ENTERPRISE ECONOMICPROMOTES FREESYSTEM TO STUDENTS | $2,000 |
| ERIE CITY MISSION | ||||||
| 1017 FRENCH STREET | ERIE | PA | 16501 | PC501(c)(3) | AND THOSE SUFFERINGASSISTS HOMELESSFROM ADDICTION | $30,000 |
| ERIE DAWN | ||||||
| 2549 WEST 8TH STREET | ERIE | PA | 16505 | PC501(c)(3) | WOMEN WITH COUNSELINGASSISTS HOMELESSAND SUPPORTIVE HOUSING | $5,000 |
| SARA REED CHILDREN'S CENTER | ||||||
| 2445 WEST 34TH STREET | ERIE | PA | 16506 | PC501(c)(3) | FOR TROUBLED YOUTHEDUCATIONAL CENTER | $20,000 |
| ERIE WOMEN'S FUND | ||||||
| 459 WEST 6 STREET | ERIE | PA | 16507 | PC501(c)(3) | EMPOWER WOMEN ANDESTABLISHED TOFAMILIES | $2,000 |
| JUNIOR ACHIEVEMENT OF WESTERN PA | ||||||
| 5001 CENTRE AVE | PITTSBURGH | PA | 15213 | PC501(c)(3) | YOUNG PEOPLE TO SUCEEDINSPIRE AND PREPAREIN A GLOBAL ECONOMY | $2,000 |
| ERIE REGIONAL LIBRARY FOUNDATION | ||||||
| 16 EAST FRONT STREET | ERIE | PA | 16507 | PC501(c)(3) | TO THE ERIE COUNTYPROVIDES SUPPORTLIBRARY SYSTEM | $5,000 |
| COMMUNITY COUNTRY DAY SCHOOL | ||||||
| 5800 OLD ZUCK ROAD | ERIE | PA | 16506 | PC501(c)(3) | GRADES 1 THROUGH 12EDUCATE STUDENTS INWITH GUIDANCE AND SUPPORT | $1,000 |
| STAIRWAYS BEHAVIORAL HEALTH | ||||||
| 2185 WEST 8TH STREET | ERIE | PA | 16505 | PC501(c)(3) | WITH MENTAL HEALTHASSISTS INDIVIDUALSNEEDS | $1,000 |
| MARCH OF DIMES | ||||||
| 1127 WEST 38TH STREET | ERIE | PA | 16508 | PC501(c)(3) | WORKS TO END BIRTH DEFECTSFUNDS LIFESAVING RESEARCH ANDAND INFANT MORTALITY | $2,000 |
| LAKE ERIE BALLET | ||||||
| 1020 HOLLAND STREET | ERIE | PA | 16503 | PC501(c)(3) | CURRICULUM IN CLASSICALPROVIDES A CONSISTANTBALLET AND DANCE STYLES | $5,000 |
| LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE | ||||||
| 1858 WEST GRANDVIEW BLVD | ERIE | PA | 16509 | PC | SCHOOL OF MEDICINE,NON PROFIT GRADUATEDENTISTRY AND PHARMACY | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $491,700 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900001 | BusinessCd |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $65 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900001 | BusinessCd |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $474,726 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900001 | BusinessCd |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $34,614 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $509,405 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $509,405 | 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 |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (2 entries)
| AssetAssetDesc | How AcquiredHowAcquiredTxt | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Basis MethodBasisMethodTxt | Total NetTotalNetAmt |
|---|---|---|---|---|---|
| VARIOUS | |||||
| CHARLES SCHWAB ACCOUNT | Purchased | $60,425 | $25,735 | Cost | $34,690 |
| VARIOUS | |||||
| MORGAN STANLEY ACCOUNT | Purchased | $600,027 | $600,103 | Cost | -$76 |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MORGAN STANLEY DW INC. 684-032215-020 | $940,567 | $934,148 |
| CHARLES SCHWAB & CO | $905,782 | $945,782 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| CHARLES SCHWAB & CO | $1,731,944 | $2,590,093 |
| IBM CORPORATION (DIVIDEND REINVESTMENT PROGRAM) | $3,944,779 | $5,760,187 |
| MORGAN STANLEY DW INC. 684-032215-020 | $2,165,383 | $3,160,030 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| REGISTRATION FEES | $750 | $750 | $750 | $750 |
| ADMINISTRATIVE EXPENSE | $2,114 | $2,114 | $2,114 | $2,114 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| TAX ON NET INVESTMENT INCOME | |||
| FOREIGN TAXES | $369 | $369 | $369 |
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