MCKARNS FAMILY FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MCKARNS FAMILY FOUNDATION (EIN 34-1664641)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-15
IRS object ID
201701359349100700
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)
Return2017-05-15T04:48:31-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Herrens Tax Service LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112837 Cenfield St NEAddressLine1Txt
CityAllianceCityNm
State AbbreviationOHStateAbbreviationCd
ZIP446019414ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341664641EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCKARNS FAMILY FOUNDATIONBusinessNameLine1Txt
Business Name Line2TR DTD 12311990BusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMCKABusinessNameControlTxt
Phone3302232180PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line129950 CAMPBELL RDAddressLine1Txt
CityHANOVERTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44423ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM T MCKARNSPersonNm
Person TitleCO-TRUSTEEPersonTitleTxt
Signature2017-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCarolyn J GabricPreparerPersonNm
PTINP00104093PTIN
Phone3308755701PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$54,291FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$2InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$2InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$1,112DividendsRevAndExpnssAmt
Dividends Net Invst Incm$1,112DividendsNetInvstIncmAmt
Dividends Adj Net Incm$1,112DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$4,004NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$7,317GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$4,004CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$5,118TotalRevAndExpnssAmt
Total Net Invst Incm$5,118TotalNetInvstIncmAmt
Total Adj Net Incm$1,114TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$385AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$154AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$231AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$62TaxesRevAndExpnssAmt
Taxes Net Invst Incm$25TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$37TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$50OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$20OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$30OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$497TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$199TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$298TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$5,150ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$5,150ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$5,647TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$199TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$5,448TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$529ExcessRevenueOverExpensesAmt
Net Investment Income$4,919NetInvestmentIncomeAmt
Adjusted Net Income$1,114AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$3,081SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$5,071SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$5,071SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$19,071CorporateStockBOYAmt
Corporate Stock EOY$16,552CorporateStockEOYAmt
Corporate Stock EOYFMV$49,220CorporateStockEOYFMVAmt
Total Assets BOY$22,152TotalAssetsBOYAmt
Total Assets EOY$21,623TotalAssetsEOYAmt
Total Assets EOYFMV$54,291TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$5,022CapitalStockBOYAmt
Capital Stock EOY$5,022CapitalStockEOYAmt
Additional Paid In Capital BOY$5,014AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$5,014AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$12,116RetainedEarningBOYAmt
Retained Earning EOY$11,587RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$22,152TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$21,623TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$22,152TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$21,623TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$22,152TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$529ExcessRevenueOverExpensesAmt
Subtotal$21,623SubtotalAmt
Tot Net Ast Or Fund Balances EOY$21,623TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
200 TERADATA CORPP1999-12-082016-04-12$4,841$1,802$3,039$3,039
DODGE & COX CGDP2005-01-012016-12-31$476$476$476
19 DODGE & COX BALANCED FUNDP2005-01-012016-11-11$2,000$1,511$489$489
FieldValueIRS element (for citing)
Capital Gain Net Income$4,004CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$5,444AdjustedQlfyDistriYr1Amt
Adjusted Qlfy Distri Yr2$16,524AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$65,798NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.25113DistributionYr2Rt
Adjusted Qlfy Distri Yr3$5,960AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$63,169NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.09435DistributionYr3Rt
Adjusted Qlfy Distri Yr4$5,845AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$65,575NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.08914DistributionYr4Rt
Adjusted Qlfy Distri Yr5$4,764AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$45,212NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.10537DistributionYr5Rt
Total Distribution0.539987TotalDistributionRt
Average Distribution0.107997AverageDistributionRt
Net Investment Income Pct$49NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$49AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$5,448QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$49InvestmentIncomeExciseTaxAmt
Subtotal$49SubtotalAmt
Tax Based On Investment Income$49TaxBasedOnInvestmentIncomeAmt
Tax Due$49TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM T MCKARNSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3302232180PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line129950 CAMPBELL RDAddressLine1Txt
CityHANOVERTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44423ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsfalseMaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd

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 PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
WILLIAM T MCKARNS
29950 CAMPBELL RDHANOVERTONOH44423CO-TRUSTEE0.25$0
PAULINE M MCKARNS
29950 CAMPBELL RDHANOVERTONOH44423CO-TRUSTEE0.25$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$0TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$0AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$0CashDeemedCharitableAmt
Net Vl Noncharitable Assets$0NetVlNoncharitableAssetsAmt
Minimum Investment Return$0MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Tax Based On Investment Income$49TaxBasedOnInvestmentIncomeAmt
Total Tax$49TotalTaxAmt
Distributable Before Adj$49DistributableBeforeAdjAmt
Distributable Before Ded$49DistributableBeforeDedAmt
Distributable As Adjusted$0DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$5,448ExpensesAndContributionsAmt
Qualifying Distributions$5,448QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$49PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$5,399AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$0DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$2,594ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,589ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,855ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$13,354ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$5,506ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$26,898TotalExcessDistributionCyovAmt
Qualifying Distributions$5,448QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Remaining Distri From Corpus$5,448RemainingDistriFromCorpusAmt
Total Corpus$32,346TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$2,594ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$29,752ExcessDistriCyovToNextYrAmt
Excess From Year4$2,589ExcessFromYear4Amt
Excess From Year3$2,855ExcessFromYear3Amt
Excess From Year2$13,354ExcessFromYear2Amt
Excess From Year1$5,506ExcessFromYear1Amt
Excess From Current Year$5,448ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ST JOHN'S CHURCH
PO BOX 309HANOVERTONOH44423N/APCRELIGIOUS ACTIVITIES$3,800
BISHOPS APPEAL DIOCESE OF YOUNGSTOW
PO BOX 1195YOUNGSTOWNOH44501N/APCRELIGIOUS ACTIVITIES$1,000
HANOVERTON PRESBYTERIAN CHURCH
PLYMOUTH STHANOVERTONOH44423N/APCRELIGIOUS ACTIVITIES$50
HANOVERTON HISTORICAL SOCIETY
PO BOX 361HANOVERTONOH44423N/APCEDUCATIONAL ACTIVITIES$50
FIRST CHRISTIAN CHURCH
PO BOX 181KENSINGTONOH44427N/APCRELIGIOUS ACTIVITIES$50
BETHEL PRESBYTERIAN CHURCH
16521 STUBENVILLE PIKE RDSALINEVILLEOH43945N/APCRELIGIOUS ACTIVITIES$50
ALZHEIMER'S ASSOCIATION
70 W STREETSBORO ST STE 201HUDSONOH44236N/APCNON-PROFIT ACTIVITIES$50
HOSPICE OF THE VALLEY
5190 MARKET STBOARDMANOH44512N/APCNON-PROFIT ACTIVITIES$50
ALLIANCE HOSPICE
200 E STATE STALLIANCEOH44601N/APCNON-PROFIT ACTIVITIES$50
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$5,150TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$2RelatedOrExemptFunctionIncmAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$1,112RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$4,004RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$5,118RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$5,118TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTax Preparation Fee Form 990CategoryTxt
Amt$385Amt
Net Investment Income$154NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$231DisbursementsCharitablePrpsAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescMedium ExplanationMediumExplanationTxt
General Explanation Supplemental Information for Form 990-PFPUBLIC NOTICE:Run notice in your local newspaper: PUBLIC NOTICE The Annual Report of TheMcKarns Family Foundation isavailable at its principleoffice for inspection duringregular business hours by anycitizen who requests it within180 days after the date ofthis notice. The address ofThe McKarns Family Foundationis 29950 Campbell Road, Han-overton, OH 44423, and itsmanager to contact is Mr.William McKarns, telephonenumber (330) 223-2180. Datedthis ________ The McKarns Fam-ily Foundation.Published in______________________________Date _________________________.
General Explanation Supplemental Information for Form 990-PFOHIO FILING INSTRUCTIONS:Enclose a check in the amount of $50 payable to: Treasurer, State of Ohio, and send on or before May 15th with the enclosed payment form to: Ohio Attorney General Charitable Law Section 150 E. Gay St., 23rd Floor Columbus, OH 43215-3130

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
DODGE & COX FUND$10,179$12,661
200 SH DISNEY STOCK$3,685$15,633
200 SH PEPSICO INC.$2,688$20,926
200 SH TERADATA CORP

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOhio Filing FeesDesc
Revenue And Expenses Per Books$50RevenueAndExpensesPerBooksAmt
Net Investment Income$20NetInvestmentIncomeAmt
Disbursements Charitable Prps$30DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryU.S. TreasuryCategoryTxt
Amt$62Amt
Net Investment Income$25NetInvestmentIncomeAmt
Disbursements Charitable Prps$37DisbursementsCharitablePrpsAmt

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