BERGSTROM FAMILY FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BERGSTROM FAMILY FOUNDATION (EIN 76-0563582)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-15
- IRS object ID
- 201701359349103175
- 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
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Other Decreases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T13:28:13-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 BAGBY STREET SUITE 4500 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77002 | 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 | 760563582 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BERGSTROM FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERG | BusinessNameControlTxt |
| Phone | 7138650381 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23 ELOQUENCE WAY | AddressLine1Txt |
| City | THE WOODLANDS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77382 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN BERGSTROM | PersonNm |
| Person Title | PRESIDENT/CHAIRMAN | PersonTitleTxt |
| Phone | 7138650381 | PhoneNum |
| Signature | 2017-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RINDA CORBIN | PreparerPersonNm |
| PTIN | P00747421 | PTIN |
| Phone | 7139822000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.219.0.140 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-05-10 | IPDt |
| IP Tm | 10:13:34 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4CBC57F0050198131D66DB749944813C1D7B12CC | 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 | $3,456,632 | 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 | $192,844 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $102,890 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $102,890 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $9,971 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,225,071 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $152,732 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $305,705 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $255,622 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $4,995 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $4,995 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $12,018 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,018 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $17,013 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $7,013 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $693,828 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $693,828 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $710,841 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $7,013 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $693,828 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$405,136 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $248,609 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $46,248 | CashBOYAmt |
| Cash EOY | $18,905 | CashEOYAmt |
| Cash EOYFMV | $18,905 | CashEOYFMVAmt |
| Corporate Stock BOY | $3,672,876 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,247,026 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,437,727 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $3,719,124 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,265,931 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,456,632 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $3,719,124 | RetainedEarningBOYAmt |
| Retained Earning EOY | $3,265,931 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,719,124 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,265,931 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,719,124 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,265,931 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,719,124 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$405,136 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $3,313,988 | SubtotalAmt |
| Other Decreases | $48,057 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $3,265,931 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (14 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | AcquiredAcquiredDt | SoldSoldDt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|---|---|
| CAPITAL GAINS DISTRIBUTION - STIFEL NICOLAUS #0766 | P | $41,973 | $41,973 | $41,973 | |||
| 3025 SHS MICROSOFT CORP | P | $190,759 | $140,676 | $140,676 | 2009-03-11 | 2016-12-22 | $50,083 |
| 2045 SHS FINANCIAL SECTOR SPDR TRUST EFT | P | $48,706 | -$1,839 | -$1,839 | 2015-12-07 | 2016-08-23 | $50,545 |
| 1380 SHS ISHARES MSCI EUROZONE ETF | P | $47,147 | -$3,326 | -$3,326 | 2015-12-07 | 2016-08-23 | $50,473 |
| 4578 SHS ISHARES MSCI EUROZONE ETF | P | $156,404 | -$28,695 | -$28,695 | 2016-08-23 | $185,099 | |
| 3015 SHS ISHARES MSCI PAC EX JAPAN ETF | P | $124,941 | -$4,246 | -$4,246 | 2009-10-16 | 2016-08-23 | $129,187 |
| 1711.918 SHS AMER FUNDS CAPITAL WORLD GROW & INCOME FUND CL A | P | $75,182 | $2,646 | $2,646 | 2016-12-27 | $72,536 | |
| 1762.315 SHS AMERICAN FUNDS GROWTH FUND OF AMERICA CLASS A | P | $75,193 | $12,852 | $12,852 | 2016-12-27 | $62,341 | |
| 237 SHS ISHARES MSCI EUROZONE ETF | P | $8,038 | -$1,441 | -$1,441 | 2013-12-19 | 2016-05-11 | $9,479 |
| 1090 SHS WISDOMTREE TRUST JAPAN HEDGED EQUITY FD | P | $49,739 | -$9,702 | -$9,702 | 2016-04-25 | $59,441 | |
| 670 SHS ISHARES MSCI SOUTH KOREA CAPPED ETF | P | $35,131 | -$6,389 | -$6,389 | 2013-12-19 | 2016-04-25 | $41,520 |
| 1163 SHS ISHARES RUSSELL 1000 VALUE ETF | P | $117,355 | $8,420 | $8,420 | 2016-04-25 | $108,935 | |
| 1174 SHS ISHARES RUSSELL 1000 GROWTH ETF | P | $117,607 | $16,495 | $16,495 | 2016-04-25 | $101,112 | |
| 3000 SHS WISDOMTREE TRUST JAPAN HEDGED EQUITY FD | P | $136,896 | -$14,692 | -$14,692 | 2016-04-25 | $151,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $152,732 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $612,628 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $3,359,793 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.182341 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $305,024 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $3,357,379 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.090852 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $225,772 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,346,243 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.096227 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $234,342 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,824,954 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.128410 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $123,613 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,838,563 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.067233 | DistributionYr5Rt |
| Total Distribution | 0.565063 | TotalDistributionRt |
| Average Distribution | 0.113013 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $3,379,134 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $381,886 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,486 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $384,372 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $693,828 | 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 | $2,486 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,486 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,486 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $10,335 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $10,335 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $7,849 | OverpaymentAmt |
| Applied To ES Tax | $7,849 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | TX | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | STEPHEN BERGSTROM | IndividualWithBooksNm |
| Phone | 7138650381 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23 ELOQUENCE WAY | AddressLine1Txt |
| City | THE WOODLANDS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77382 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | 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 |
|---|---|---|---|---|---|---|---|---|
| STEPHEN BERGSTROM | ||||||||
| 23 ELOQUENCE WAY | THE WOODLANDS | TX | 77382 | PRESIDENT/CHAIRMAN | 0.00 | $0 | $0 | $0 |
| DEBORA BERGSTROM | ||||||||
| 23 ELOQUENCE WAY | THE WOODLANDS | TX | 77382 | VP & TREASURER | 0.00 | $0 | $0 | $0 |
| 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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $3,398,837 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $31,756 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,430,593 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,430,593 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $51,459 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,379,134 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $168,957 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $168,957 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,486 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,486 | TotalTaxAmt |
| Distributable Before Adj | $166,471 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $166,471 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $166,471 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $693,828 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $693,828 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $2,486 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $691,342 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $166,471 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $32,777 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $144,318 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $129,486 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $140,341 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $462,782 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $909,704 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $693,828 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $166,471 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $527,357 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,437,061 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $32,777 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,404,284 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $144,318 | ExcessFromYear4Amt |
| Excess From Year3 | $129,486 | ExcessFromYear3Amt |
| Excess From Year2 | $140,341 | ExcessFromYear2Amt |
| Excess From Year1 | $462,782 | ExcessFromYear1Amt |
| Excess From Current Year | $527,357 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| DOLLARS FOR SCHOLARS | |||||||
| 406 SW SCHOOL STREET | ANKENY | IA | 50023 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $1,200 |
| IOWA STATE UNIVERSITY FOUNDATION | |||||||
| 2229 LINCOLN WAY | AMES | IA | 50014 | N/A | OTHER PUBLIC CHARITY | ISU CYCLONE CLUB / OPERATING FUND | $128,500 |
| KINGWOOD FALLEN HEROES | |||||||
| 3235 S WOODSTREAM WAY | KINGWOOD | TX | 77345 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $2,500 |
| MD ANDERSON CANCER CENTER | |||||||
| PO BOX 4486 | HOUSTON | TX | 77210 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $6,000 |
| MAKE-A-WISH FOUNDATION | |||||||
| 3550 N CENTRAL AVE STE 300 | PHOENIX | AZ | 85012 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $1,000 |
| SALVATION ARMY | |||||||
| 615 SLATERS LANE | ALEXANDRIA | VA | 22313 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $510,000 |
| STRINGS MUSIC FESTIVAL | |||||||
| PO BOX 774627 | STEAMBOAT SPRINGS | CO | 80477 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $5,000 |
| TEXAS CHILDREN'S HOSPITAL | |||||||
| 6621 FANNIN ST | HOUSTON | TX | 77030 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $10,000 |
| THE WOODLANDS UNITED METHODIST CHURCH | |||||||
| 2200 LAKE WOODLANDS DRIVE | THE WOODLANDS | TX | 77380 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $10,500 |
| UNITED METHODIST CHURCH STEAMBOAT | |||||||
| 736 OAK ST | STEAMBOAT SPRINGS | CO | 80477 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $10,000 |
| UNITED WAY | |||||||
| 50 WAUGH DR | HOUSTON | TX | 77007 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $5,000 |
| WARTBURG COLLEGE | |||||||
| 100 WARTBURG BLVD | WAVERLY | IA | 50677 | N/A | OTHER PUBLIC CHARITY | GENERAL FUND | $4,128 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $693,828 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $102,890 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $9,971 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $112,861 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $112,861 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREP FEES | CategoryTxt |
| Amt | $4,995 | Amt |
| Net Investment Income | $4,995 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | STIFEL NICOLAUS AND UBS ACCOUNTS | StockNm |
| EOY Book Value | $3,247,026 | EOYBookValueAmt |
| EOYFMV | $3,437,727 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TIMING DIFFERENCES | Desc |
| Amt | $48,057 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES PAID | $2,018 | $2,018 | $0 |
| IRS TAX PAYMENTS | $10,000 | $0 | $0 |
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