PATTERSON-BARCLAY MEMORIAL FOUNDATION INC: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PATTERSON-BARCLAY MEMORIAL FOUNDATION INC (EIN 58-0904580)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-12
- IRS object ID
- 201701329349101135
- 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
- Depreciation Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-12T10:43:39-05:00 | 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 | 580904580 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Patterson Barclay Memorial Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | PATT | 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 | JACK ALLEN | PersonNm |
| Person Title | treasurer | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2017-05-04 | 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 | 06391520171325000021 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-05-12 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BC971FC33BAF52379132A0473611089A0DAEC697 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 70AA59F2BE43B178611149847D763A183DD9022D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $12,386,091 | 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 | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $1,363 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,363 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $286,691 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $286,691 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $119,457 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,156,601 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $119,457 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $5,517 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $413,028 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $407,511 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $46,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $46,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $31,500 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $31,500 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $11,150 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $11,150 | PensionEmplBnftDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $59,609 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $59,609 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $2,846 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,246 | TaxesNetInvstIncmAmt |
| Occupancy Rev And Expnss | $75 | OccupancyRevAndExpnssAmt |
| Occupancy Dsbrs Chrtbl | $75 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $1,914 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $1,914 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $47,400 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $109 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $47,291 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $200,494 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $60,964 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $137,930 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,134,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,134,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,334,994 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $60,964 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,272,430 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$921,966 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $346,547 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $406,715 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $257,235 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $257,235 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $11,358,959 | CorporateStockBOYAmt |
| Corporate Stock EOY | $10,586,473 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $12,128,856 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $11,765,674 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,843,708 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $12,386,091 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $11,765,674 | RetainedEarningBOYAmt |
| Retained Earning EOY | $10,843,708 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $11,765,674 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $10,843,708 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $11,765,674 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $10,843,708 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $11,765,674 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$921,966 | ExcessRevenueOverExpensesAmt |
| Subtotal | $10,843,708 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $10,843,708 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly-traded Securities | PropertyDesc |
| Gross Sales Price | $3,156,601 | GrossSalesPriceAmt |
| Cost Or Other Basis | $3,037,144 | CostOrOtherBasisAmt |
| Gain Or Loss | $119,457 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $119,457 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $119,457 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $613,440 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $12,610,479 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.048645 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $628,597 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $13,159,145 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.047769 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $572,210 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $12,368,513 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.046263 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $521,129 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $11,464,190 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.045457 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $542,482 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $10,905,717 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.049743 | DistributionYr5Rt |
| Total Distribution | 0.237877 | TotalDistributionRt |
| Average Distribution | 0.047575 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $11,853,109 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $563,912 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,465 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $567,377 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,272,430 | 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 | $3,465 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $3,465 | SubtotalAmt |
| Tax Based On Investment Income | $3,465 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $7,000 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $7,000 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $3,535 | OverpaymentAmt |
| Applied To ES Tax | $3,535 | 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 | GA | OrgReportOrRegisterStateCd |
| Org Report Or Register State | TX | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|
| Daniel Patterson Allen | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Vice Chairperson / Dir / TTEE | 10.0 | $0 | $0 | $0 |
| Frederick Jackson Allen | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir / Trustee | 10.0 | $0 | $0 | $0 |
| Hugh Allen | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Chairman / Trustee | 10.0 | $0 | $0 | $0 |
| Jack W Allen | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Sec / Treas / Trustee | 10.0 | $0 | $0 | $0 |
| Laurell L Millirons | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Executive Dir / Trustee | 10.0 | $46,000 | $5,424 | $0 |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fidelity Investment | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 Congress st | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Service Type | Investment MGMT | ServiceTypeTxt |
| Compensation | $59,609 | CompensationAmt |
| 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 | $11,505,976 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $527,637 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $12,033,613 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $12,033,613 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $180,504 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $11,853,109 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $592,655 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $592,655 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,465 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $3,465 | TotalTaxAmt |
| Distributable Before Adj | $589,190 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $589,190 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $589,190 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,272,430 | 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 | $1,272,430 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $3,465 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,268,965 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $589,190 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $556,825 | UndistributedIncomePYAmt |
| Prior Year1 | 2014 | PriorYear1Yr |
| Prior Year2 | 2013 | PriorYear2Yr |
| Prior Year3 | 2012 | PriorYear3Yr |
| Qualifying Distributions | $1,272,430 | QualifyingDistributionsAmt |
| Applied To Year1 | $556,825 | AppliedToYear1Amt |
| Applied To Current Year | $589,190 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $126,415 | RemainingDistriFromCorpusAmt |
| Total Corpus | $126,415 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $126,415 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $126,415 | 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 (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| APPALACHIAN STATE UNIVERSITY | |||||||
| BOX 32007 | BOONE | NC | 28608 | N/A | GOV | Jack & Julie Allen Scholarship Fund | $20,000 |
| CASA OF FORSYTH COUNTY INC | |||||||
| 875 LANIER 400 PKWY STE 201 BOX 7 | CUMMING | GA | 30040 | N/A | PC | General & Unrestricted | $10,000 |
| CHILD EVANGELISM FELLOWSHIP INC | |||||||
| 352 W NORTHFIELD BLVD STE G | MURFREESBORO | TN | 37129 | N/A | PC | Reach The Children in Tennessee Project | $5,000 |
| CHILD EVANGELISM FELLOWSHIP INC | |||||||
| 2882 S OSCEOLA AVE | ORLANDO | FL | 32806 | N/A | PC | CEF of East Central Florida's Children Ministry Grant | $1,000 |
| CROSSBRIDGE FAMILY MINISTRIES INC | |||||||
| 1335 LEONARD STONEY RD | MT PLEASANT | SC | 29464 | N/A | PC | effort to provide tangible support services in the form of housing, meals, transportation, counseling, pastoral care and bereavement services to families with critically ill children | $5,000 |
| CUMMING FIRST UNITED METHODIST CHURCH | |||||||
| 770 CANTON HWY | CUMMING | GA | 30028 | N/A | PC | Arts Program | $5,000 |
| EMERSON ROSE HEART FOUNDATION | |||||||
| 102 STRAWBERRY LN | CLEMSON | SC | 29631 | N/A | PC | Palliative Care Program Support | $2,500 |
| FREEDOM ALLIANCE | |||||||
| 22570 MARKEY CT STE 240 | DULLES | VA | 20166 | N/A | PC | Support Troops / Scholarship Fund | $20,000 |
| LIGHTHOUSE CHURCH | |||||||
| 1177 GREGORIE FERRY RD | MOUNT PLEASANT | SC | 29466 | N/A | PC | to give families to serve at Lighthouse Family Retreat and to provide tuition scholarships to families that cannot afford preschool | $20,000 |
| P Sload | |||||||
| 421 Shannon Drive | Mount Pleasant | SC | 29464 | NONE | I | Hardship Assistance Grant | $5,000 |
| PARKVIEW BAPTIST CHURCH | |||||||
| 5435 BELLE TERRE PKWY | Palm Coast | FL | 32137 | N/A | PC | effort to expand outreach into the public schools | $20,000 |
| PHI MU FOUNDATION | |||||||
| 400 WESTPARK DR | PEACHTREE CITY | GA | 30269 | N/A | PC | Kappa Phi Scholarship Fund | $25,000 |
| PKD FOUNDATION | |||||||
| 8330 WARD PKWY STE 510 | KANSAS CITY | MO | 64114 | N/A | PC | PKD Summit on Total Kidney Volume Project | $25,000 |
| THE MEDICAL UNIVERSITY OF SOUTH CAROLINA FOUNDATIO | |||||||
| 18 BEE ST MSC 450 | CHARLESTON | SC | 29425 | N/A | SO III FI | naming of the research laboratory in memory of Lee Patterson Allen and funding the Preservation Solution and Renal Chip research | $471,000 |
| UNIVERSITY OF CALIFORNIA SAN FRANCISCO FOUNDATION | |||||||
| PO BOX 45339 | San Francisco | CA | 94145 | N/A | PC | Lee Patterson Allen Hemofilter Trials Project | $500,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,134,500 | 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 | $1,363 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $286,691 | 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 | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $119,457 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal Tax Refund | Desc |
| Exclusion | 01 | ExclusionCd |
| Exclusion | $5,517 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $413,028 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $413,028 | 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 |
Depreciation Schedule DepreciationSchedule
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (39 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ACCENTURE PLC | $172,233 | $243,630 |
| AFLAC INC | $296,294 | $327,816 |
| AMERICAN EXPRESS CO | $318,375 | $266,688 |
| AT&T, INC | $162,655 | $265,898 |
| BLACKROCK INC | $261,681 | $331,070 |
| BROADRIDGE FINANCIAL | $212,878 | $261,222 |
| CHEVRON CORP | $324,853 | $356,866 |
| CHUBB LIMITED | $208,437 | $265,561 |
| EOG RESOURCES INC | $331,017 | $351,828 |
| EXXON MOBIL CORP | $233,016 | $367,268 |
| GENTEX CORPORATION | $273,123 | $388,681 |
| GENUINE PARTS COMPANY | $281,364 | $311,460 |
| GRAINGER W W INC | $246,008 | $227,605 |
| HONEYWELL INTL | $292,559 | $323,222 |
| JOHNSON & JOHNSON | $289,927 | $327,196 |
| M&T BANK CORP | $326,847 | $419,233 |
| MEDTRONIC PLC | $300,496 | $289,906 |
| MERCK & CO INC | $333,901 | $339,680 |
| MICROSOFT CORP | $193,458 | $414,163 |
| NORTHERN TRUST CORPORATION | $274,965 | $394,492 |
| OMNICOM GROUP | $254,602 | $325,120 |
| PAYCHEX | $211,369 | $275,178 |
| PEOPLE'S UNITED FINANCIAL, INC | $240,184 | $296,595 |
| PERRIGO CO PLC | $336,918 | $186,435 |
| PROCTER GAMBLE CO | $274,891 | $338,170 |
| QUEST DIAGNOSTICS | $225,829 | $289,485 |
| ROYAL DUTCH SHELL CL A | $245,683 | $255,586 |
| S&P GLOBAL INC COM | $239,541 | $239,814 |
| SAP AKTIENGESELL ADS | $288,524 | $312,877 |
| SOUTHERN CO | $242,479 | $229,717 |
| STRYKER CORPORATION | $269,705 | $349,845 |
| TANGER FACTORY OUTLT CENREIT | $307,203 | $331,323 |
| TEXAS INSTRUMENTS INC | $246,258 | $393,308 |
| TIME WARNER INC | $219,074 | $298,278 |
| TUPPERWARE CORP | $318,842 | $209,954 |
| UNITED PARCEL SERVICE | $313,001 | $345,066 |
| UNITED TECHNOLOGIES CORP | $329,125 | $334,670 |
| WAL-MART STORES INC | $392,666 | $317,952 |
| WILLIS TOWERS WATSON PUBLIC LT | $296,492 | $325,998 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $45,635 | $45,635 | |
| Bank Charges | $109 | $109 | |
| Cell Phone Plan | $442 | $442 | |
| Office Supplies | $53 | $53 | |
| Payroll Processing Fees | $1,131 | $1,131 | |
| State or Local Filing Fees | $30 | $30 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal Tax Refund | Desc |
| Revenue And Expenses Per Books | $5,517 | RevenueAndExpensesPerBooksAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | CategoryTxt |
| Amt | $59,609 | Amt |
| Net Investment Income | $59,609 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 990-PF Estimated Tax for 2016 | $1,600 | |
| Foreign Tax Paid | $1,246 | $1,246 |
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