CLARKS FORK FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CLARKS FORK FOUNDATION (EIN 36-3674219)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-08
IRS object ID
201702209349100805
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)
Return2017-08-08T12:10:08-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN364049282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PASQUESI SHEPPARD LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1585 BANK LANEAddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363674219EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARKS FORK FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLARBusinessNameControlTxt
Phone8472341123PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1270 E WESTMINSTER SUITE 300AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHRYN LANSINGPersonNm
Person TitleDIRECTOR/SECRETARYPersonTitleTxt
Phone8472341123PhoneNum
Signature2017-08-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonL ROBERT PASQUESIPreparerPersonNm
PTINP00008831PTIN
Phone8472345000PhoneNum
Preparation2017-08-02PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.224.107.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-08-03IPDt
IP Tm15:23:02IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdFF7F4198C6E2FCCD8CBE4188F1A6FF02D53765B2AtSubmissionCreationDeviceId
At Submission Filing Device Id252CC8C03D7BDC4067830422DACE833EC16338F3AtSubmissionFilingDeviceId
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$3,267,826FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$7,538DividendsRevAndExpnssAmt
Dividends Net Invst Incm$7,538DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$313,311NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,240,590GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$313,311CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$320,849TotalRevAndExpnssAmt
Total Net Invst Incm$320,849TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$26,580OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$26,580OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,910TaxesRevAndExpnssAmt
Taxes Net Invst Incm$10TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$993OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$878OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$115OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$29,483TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$27,468TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$115TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$90,870ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$90,870ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$120,353TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$27,468TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$90,985TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$200,496ExcessRevenueOverExpensesAmt
Net Investment Income$293,381NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$249,520SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$2,732,632SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$2,732,632SavAndTempCashInvstEOYFMVAmt
Other Assets BOY$2,692,549OtherAssetsBOYAmt
Other Assets EOY$409,933OtherAssetsEOYAmt
Other Assets EOYFMV$535,194OtherAssetsEOYFMVAmt
Total Assets BOY$2,942,069TotalAssetsBOYAmt
Total Assets EOY$3,142,565TotalAssetsEOYAmt
Total Assets EOYFMV$3,267,826TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$2,942,069RetainedEarningBOYAmt
Retained Earning EOY$3,142,565RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,942,069TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,142,565TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,942,069TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,142,565TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,942,069TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$200,496ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,142,565SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,142,565TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (36 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmt
JANUS INSTITUTIONAL CONCENTRATED GROWTH PORTFOLIOP2016-01-012016-12-14-$3,479-$3,479
JANUS INSTITUTIONAL CONCENTRATED GROWTH PORTFOLIOP2010-01-012016-12-14$16,345$16,345
JANUS INSTITUTIONAL CONCENTRATED GROWTH PORTFOLIOP2010-01-012016-12-14-$9,321-$9,321
35.372 SHS ARTESIAN INTERNATIONAL FDP2016-11-172016-12-14-$5-$5$906$911
50.677 SHS DEUTSCHE GLOBAL INFRAST-SP2016-01-172016-12-14$8$8$679$671
33.41 SHS DIAMOND HILL LONG/SHORT-AP2015-12-172016-12-14$80$80$862$782
74.148 SHS EAGLE MID CAP GROWTH FUND-AP2015-12-182016-12-14$291$291$3,334$3,043
257.671 SHS EDGEWOOD GROWTH FUND-INSP2016-01-012016-12-14$357$357$5,877$5,520
2,579.259 SHS FMI LARGE CAP FUNDP2015-12-182016-12-14$8,305$8,305$55,325$47,020
56.158 SHS GATEWAY FUND-AP2016-01-012016-12-14$64$64$1,735$1,671
154.463 SHS HARBOR FUND INTERNATIONAL FUNDP2015-12-172016-12-14$63$63$9,175$9,112
11.413 SHS HARDING LOEVNER EMG MKTSP2015-12-182016-12-14$61$61$505$444
137.108 SHS HOMESTEAD SMALL CO STOCK FUNDP2015-12-312016-12-14$885$885$5,746$4,861
90.983 SHS MERGER FUND-INVP2015-12-282016-12-14$38$38$1,430$1,392
81.192 SHS T ROWE PR REAL ASSETS-INCP2015-12-152016-12-14$159$159$886$727
328.945 SHS TEMPLETON INSTITUTIONAL FDS INCP2016-01-012016-12-14$16$16$6,316$6,300
3034.238 SHS ARTESIAN INTERNATIONAL FD INTL FDP2015-01-012016-12-14-$15,607-$15,607$77,737$93,344
3433.206 SHS DEUTSCHE GLOBAL INFRAST-SP2015-01-012016-12-14-$6,925-$6,925$45,971$52,896
4686.328 SHS DIAMOND HILL LONG/SHORT-AP2009-11-162016-12-14$45,223$45,223$120,907$75,684
2315.437 SHS DIAMOND HILL LONG/SHORT-AP2015-01-012016-12-14$9,393$9,393$59,738$50,345
4349.728 SHS EAGLE MID CAP GROWTH FUND-AP2015-01-012016-12-14$75,195$75,195$195,607$120,412
7735.496 SHS EDGEWOOD GROWTH FUND-INSP2015-08-042016-12-14$1,625$1,625$176,447$174,822
22930.638 SHS FMI LARGE CAP FUNDP2012-07-112016-12-14$115,341$115,341$491,862$376,521
4271.1 SHS GATEWAY FUND-AP2015-01-012016-12-14$12,551$12,551$131,934$119,383
3125.733 SHS HARBOR FUND INTERNATIONAL FUNDP2015-01-012016-12-14$7,991$7,991$185,669$177,678
67.373 SHS HARBOR FUND INTERNATIONAL FUNDP2014-12-182016-12-14-$432-$432$4,002$4,434
1726.867 SHS HARDING LOEVNER EMG MKTSP2015-01-012016-12-14-$13,674-$13,674$76,466$90,140
313.932 SHS HARDING LOEVNER EMG MKTSP2015-01-012016-12-14-$887-$887$13,901$14,788
2706.45 SHS HOMESTEAD SMALL CO STOCK FUNDP2015-01-012016-12-14$45,889$45,889$113,427$67,538
1261 SHS ISHARES RUSSELL MIDCAP VALUE ETFP2015-11-202016-12-14$13,379$13,379$103,369$89,990
4891.001 SHS MERGER FUND-INVP2015-01-012016-12-14$1,513$1,513$76,887$75,374
2368.536 SHS MERGER FUND-INVP2015-01-012016-12-14-$306-$306$37,233$37,539
4279.282 SHS T ROWE PR REAL ASSETS-INCP2015-01-012016-12-14-$4,029-$4,029$46,687$50,716
5822.154 SHS TEMPLETON INSTITUTIONAL FDS INC FOREIGN EQUITY SERIESP2015-01-012016-12-14$24,634$24,634$111,785$87,151
3974.115 SHS TEMPLETON INSTITUTIONAL FDS INC FOREIGN EQUITY SERIESP2015-01-012016-12-14-$13,312-$13,312$76,303$89,615
CAPITAL GAINS DIVIDENDSP$1,882$1,882$1,882
FieldValueIRS element (for citing)
Capital Gain Net Income$313,311CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$168,483AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,306,547NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.050954DistributionYr1Rt
Adjusted Qlfy Distri Yr2$201,473AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,492,088NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.057694DistributionYr2Rt
Adjusted Qlfy Distri Yr3$185,209AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,283,174NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.056412DistributionYr3Rt
Adjusted Qlfy Distri Yr4$306,570AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,152,593NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.097244DistributionYr4Rt
Adjusted Qlfy Distri Yr5$296,981AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,360,517NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.088374DistributionYr5Rt
Total Distribution0.350678TotalDistributionRt
Average Distribution0.070136AverageDistributionRt
Net Vl Noncharitable Assets$3,166,525NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$222,087AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,934NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$225,021AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$90,985QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$5,868InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$5,868SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$5,868TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,879EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$10,000AppliedToEsTaxAmt
Total Payments And Credits$12,879TotalPaymentsAndCreditsAmt
Es Penalty$15EsPenaltyAmt
Overpayment$6,996OverpaymentAmt
Applied To ES Tax$6,996AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksKATHRYN LANSINGIndividualWithBooksNm
Phone8472341123PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1270 WESTMINSTER SUITE 300AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARGARET S HART
270 WESTMINSTERLAKE FORESTIL60045DIRECTOR & PRESIDENT2.00$0$0$0
KATHRYN H LANSING
270 WESTMINSTERLAKE FORESTIL60045DIRECTOR & SECRETARY1.00$0$0$0
HEATHER HART GOLDSTEIN
270 WESTMINSTERLAKE FORESTIL60045DIRECTOR & TREASURER1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,935,287AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$437,226AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$842,233FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,214,746TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,214,746AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$48,221CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,166,525NetVlNoncharitableAssetsAmt
Minimum Investment Return$158,326MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$158,326MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,868TaxBasedOnInvestmentIncomeAmt
Total Tax$5,868TotalTaxAmt
Distributable Before Adj$152,458DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$152,458DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$152,458DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$90,985ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$90,985QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$90,985AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$152,458DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$131,027ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$149,312ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$24,339ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$31,602ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$6,937ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$343,217TotalExcessDistributionCyovAmt
Qualifying Distributions$90,985QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$90,985AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$61,473ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$61,473ExcessDistributionCyovAppCYAmt
Total Corpus$281,744TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$69,554ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$212,190ExcessDistriCyovToNextYrAmt
Excess From Year4$149,312ExcessFromYear4Amt
Excess From Year3$24,339ExcessFromYear3Amt
Excess From Year2$31,602ExcessFromYear2Amt
Excess From Year1$6,937ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (90 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
A SAFE PLACE
2710 17TH STZIONIL60099PCCOMMUNITY$500
AK TAYLOR FUND
2724 ARVIN ROADBILLINGSMT59102PCENVIRONMENT$250
ALLENDALE ASSOCIATION
PO BOX 1088LAKE VILLAIL60046PCEDUCATION$250
AMERICAN BIRD CONSERVANCY
4149 LOUDOUN AVENUETHE PLAINSVA20198PCCONSERVATION$50
AMERICAN RED CROSS OF GREATER CHICAGO
2200 W HARRISON STCHICAGOIL60612PCCOMMUNITY$1,000
ASPCA
424 E 92ND STNEW YORKNY10128PCOTHER$20
BEARTOOTH BILLINGS CLINIC
2525 NORTH BROADWAYRED LODGEMT59068PCHEALTH$150
BOZEMAN SCHOOLS FOUNDATION
PO BOX 1803BOZEMANMT59771PCEDUCATION$250
BRAVO WAUKEGAN
400 E ILLINOIS RDLAKE FORESTIL60045PCOTHER$150
BUFFALO BILL HISTORICAL CENTER
720 SHERIDAN AVECODYWY82414PCEDUCATION$1,000
CARE
151 ELLIS STREET NEATLANTAGA30303PCCOMMUNITY$500
CHICAGO BOTANIC GARDEN
1000 LAKE COOK ROADGLENCOEIL60022PCENVIRONMENT$500
CHILDREN'S HOME & AID SOCIETY OF IL
125 S WACKER DRCHICAGOIL60606PCCOMMUNITY$250
COMMON GROUND
815 ROSEMARY TERRACEDEERFIELDIL60015PCPUBLIC POLICY$100
COOKE CITY MONTANA MUSEUM
206 W MAINCOOKE CITYMT59020PCOTHER$200
CROYA
400 HASTINGS ROADLAKE FORESTIL60045PCOTHER$500
DEER PATH ART LEAGUE
400 E ILLINOIS RDLAKE FORESTIL60045PCCULTURE$300
ERIE NEIGHBORHOOD HOUSE
1701 W SUPERIOR STREETCHICAGOIL60622PCCOMMUNITY/EDUCATION$150
FIELD MUSEUM
1400 S LAKE SHORE DRCHICAGOIL60605PCEDUCATION$100
FIRST PRESBYTERIAN CHURCH OF WICKENBURG
180 N ADAMS STWICKENBURGIL85390PCRELIGIOUS$500
FOREST PARK PROJECT
PO BOX 868LAKE FORESTIL60045PCOTHER$200
FRIENDS OF CHANNEL 8
PO BOX 870108TEMPEAZ85287PCEDUCATION$200
FRIENDSHIP BRIDGE
3560 HIGHWAY 74EVERGREENCO80439PCCULTURE$100
FRONTIER NURSING SERVICE
132 FNS DRIVEWENDOVERKY41775PCHEALTH$100
GOLDEN APPLE FOUNDATION
8 SOUTH MICHIGAN AVECHICAGOIL60603PCEDUCATION$500
GORTON COMMUNITY CENTER
400 E ILLINOIS RDLAKE FORESTIL60045PCCOMMUNITY$1,000
GREATER CHICAGO FOOD DEPOSITORY
4100 WEST ANN LURIE PLACECHICAGOIL60632PCHEALTH$1,000
GREATER YELLOWSTONE COALITION
PO BOX 1874BOZEMANMT59771PCCONSERVATION$500
HEIFER INTERNATIONAL
PO BOX 6021ALBERT LEAMN56007PCHEALTH$250
INFANT WELFARE SOCIETY OF CHICAGO
3600 WEST FULLERTONECHICAGOIL60647PCHEALTH$200
UNIVERSITY OF CHICAGO - INTERNATIONAL HOUSE
1414 E 59TH STCHICAGOIL60637PCEDUCATION$100
JOHN G SHEDD AQUARIUM
1200 S LAKE DRIVECHICAGOIL60605PCCOMMUNITY$100
LAKE COUNTY CARES
400 E ILLINOIS RDLAKE FORESTIL60045PCHEALTH, COMMUNITY, CULTURE, AND EDUCATION$500
LAKE COUNTY COMMUNITY FOUNDATION
114 SOUTH GENESSE STREET SUITE 505WAUKEGANIL60085PCCOMMUNITY$2,000
LAKE FOREST COLLEGE
555 N SHERIDAN ROADLAKE FORESTIL60045PCEDUCATION$10,000
LAKE FOREST COUNTRY DAY SCHOOL
145 S GREEN BAY RDLAKE FORESTIL60045PCEDUCATION$500
LAKE FOREST FIREMAN'S ASSOCIATION
255 W DEERPATH RDLAKE FORESTIL60045PCCOMMUNITY$100
LAKE FOREST GARDEN CLUB
765 N SHERIDAN ROADLAKE FORESTIL60045PCCONSERVATION$100
LAKE FOREST OPEN LANDS ASSOCIATION
272 E DEERPATH RDLAKE FORESTIL60045PCCONSERVATION$7,500
LAKE FOREST POLICE ASSOCIATION
255 W DEERPATH RDLAKE FORESTIL60045PCCOMMUNITY$100
LAKE FOREST PRESERVATION FOUNDATION
400 E ILLINOIS RDLAKE FORESTIL60045PCCOMMUNITY$250
LAKE FOREST SYMPHONY
50 EAST OLD MILL ROADLAKE FORESTIL60045PCCULTURE$150
MARCH OF DIMES
3400 W EUCLID AVENUEARLINGTON HEIGHTSIL60005PCCOMMUNITY$50
MCCORMICK THEOLOGICAL SEMINARY
5460 S UNIVERSITY AVECHICAGOIL60045PCEDUCATION$10,000
MCKINLOCK POST FOUNDATION
PO BOX 264LAKE FORESTIL60045PCCOMMUNITY$150
MISS HALL'S SCHOOL
PO BOX 1166PITTSFIELDMA01202PCEDUCATION$1,000
MONTANA OUTDOOOR SCIENCE SCHOOL
PO BOX 502BOZEMANMT59770PCEDUCATION$250
MT REPUBLIC CHAPEL OF PEACE
PO BOX 1112COOKE CITYMT59020PCRELIGIOUS$500
NATIONAL PARK CONSERVATION
777 6TH STREET NW SUITE 700WASHINGTON DCDC20001PCOTHER$10,000
NIGHT MINISTRY
4711 N RAVENSWOOD AVECHICAGOIL60640PCRELIGIOUS$500
NORTH CHICAGO COMMUNITY
2000 LEWIS AVENORTH CHICAGOIL60064PCOTHER$1,000
NORTHERN ILLINOIS FOOD BANK
273 DEARBORN COURTGENEVAIL50134PCOTHER$1,000
OPEN LANDS
272 E DEERPATH DRLAKE FORESTIL60045PCOTHER$250
OUTWARD BOUND USA
29-46 NORTHERN BLVDLONG ISLANDNY11101PCEDUCATION$100
PADS CRISIS SERVICES
3001 GREEN BAY ROADNORTH CHICAGOIL60064PCHEALTH$1,000
PAWS
1616 DEERFIELD ROADHIGHLAND PARKIL60035PCCOMMUNITY$150
PLANNED PARENTHOOD
18 S MICHIGAN AVECHICAGOIL60603PCHEALTH$1,000
RAGDALE FOUNDATION
1260 N GREEN BAY ROADLAKE FORESTIL60045PCCOMMUNITY$2,000
RUSH UNIVERSITY MEDICAL CENTER
1653 W CONGRESS PARKWAYCHICAGOIL60612PCHEALTH$250
SALVATION ARMY
431 S GENESEE STREETWAUKEGANIL60085PCCOMMUNITY$250
SMILE TRAIN
41 MADISON AVENUE 28TH FLOORNEW YORKNY10010PCHEALTH$50
SONORAN INSTITUTE
100 N STONE AVENUE SUITE 400TUCSONAZ85701PCENVIRONMENT$100
STUDENT CONSERVATION ASSOCIATION
PO BOX 550CHARLESTOWNNH03603PCCONSERVATION$300
TEACH FOR AMERICA
820 NORLEANS STCHICAGOIL60610PCEDUCATION$1,000
THE AMERICAN HIMALAYAN FOUNDATION
909 MONTGOMERY STREET SUITE 400SAN FRANCISCOCA94133PCENVIRONMENT$250
THE CHICAGO COUNCIL ON GLOBAL AFFAIRS
332 S MICHIGAN AVECHICAGOIL60604PCFOREIGN AFFAIRS$1,000
THE COMMUNITY CHURCH OF LAKE FOREST & LAKE BLUFF
PO BOX 26LAKE BLUFFIL60044PCRELIGIOUS$1,000
THE LAKE COUNTY HAVEN
PO BOX 127LIBERTYVILLEIL60048PCHEALTH$100
THE LORD'S ACRE
PO BOX 271FAIRVIEWNC28730PCRELIGIOUS/COMMUNITY$500
THE WETLANDS INITIATIVE
53 WEST JACKSON BLVDCHICAGOIL60604PCCONSERVATION$150
THE WILDERNESS SOCIETY
1615 M STREET NWWASHINGTONDC20036PCENVIRONMENT$100
UNITED WAY OF LAKE FORESTLAKE BLUFF
540 W FRONTAGE ROADNORTHFIELDIL60093PCCOMMUNITY$500
UNIVERSITY OF CHICAGO
5801 S ELLIS AVECHICAGOIL60637PCEDUCATION$500
VFW
609 EDGEBROOK DRCHAMPAIGNIL61820PCOTHER$100
WICKENBURG HUMANE SOCIETY
4000 INDUSTRIAL ROADWICKENBURGAZ85390PCCOMMUNITY$200
WOUNDED WARRIOR PROJECT
PO BOX 75817TOPEKAKS66675PCOTHER$100
WTTW CHANNEL 11
5400 NORHT ST LOUIS AVECHICAGOIL60625PCEDUCATION$10,000
YELLOWSTONE ASSOCIATION
PO BOX 117YELLOWSTON NATIONAL PAWY82190PCENVIRONMENT$1,000
WICKENBURG HOSPITAL
520 ROSE LANEWICKENBURGAZ85390PCHEALTH$5,000
THE TRUST FOR PUBLIC LAND
120 S LASALLE STREETCHICAGOIL60603PCCONSERVATION$100
LAMBS FARM
14245 W ROCKLAND ROADLIBERTYVILLEIL60048PCEDUCATION$200
LAKE FOREST ACADEMY
1500 WEST KENNEDY ROADLAKE FORESTIL60045PCEDUCATION$100
LAKE FOREST AMERICAN LEGION
801 N MCKINLEY RDLAKE FORESTIL60045PCCOMMUNITY$150
DESERT CABALLEROS WESTERN MUSEUM
21 NORTH FRONTIER STREETWICKENBURGAZ85390PCEDUCATION$5,000
ELAWA FARM FOUNDATION
1401 MIDDLEFORK DRLAKE FORESTIL60045PCCOMMUNITY$500
EVANS SCHOLARS FOUNDATION
ONE BRIAR ROADGOLFIL60029PCEDUCATION$150
PATHFINDER INTERNATIONAL
1250 23RD ST NW STE 475WASHINGTONDC20037PCOTHER$500
CITIZENS AGAINST GOVERNMENT WASTE
1100 CONNECTICUT AVENUE NW SUITEWASHINGTONDC20036PCPUBLIC POLICY$200650
ILLINOIS CAMPAIGN FOR POLITICAL REFORM
500 N DEARBORN ST SUITE 518CHICAGOIL60654PCPUBLIC POLICY$250
COMMON CAUSE ILLINOIS
205 W RANDOLPH ST SUITE 1220CHICAGOIL60606PCOTHER$150
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$90,870TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$7,538ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$313,311ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$320,849ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$320,849TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (17 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
TEMPLETON INTERNATIONAL FOREIGN EQUITY$176,869$0$0
EAGLE MID CAP GROWTH (HAGAX)$123,455$0$0
HARBOR INTERNATIONAL FUND (HAINX)$191,224$0$0
JANUS INSTITUTIONAL AGGRESSIVE GROWTH PORTFOLIO$358,989$0$0
HARDING LOEVNER EMERGING MARKETS (HLEMX)$105,372$0$0
SANDALWOOD OVERSEAS FUND SPC CLASS B$402,099$401,247$525,446
DIAMOND HILL LONG-SHORT$126,811$0$0
MERGER FUND$114,305$0$0
FMI LARGE CAP$423,541$0$0
HOMESTEAD SMALL COMPANY STOCK$72,398$0$0
GATEWAY FUND A$119,664$0$0
WESTMINSTER II$9,469$8,686$9,748
DEUTSCHE GLOBAL$53,233$0$0
T ROWE PRICE REAL ASSETS$51,443$0$0
ARTISAN INTERNATIONAL FUND$93,344$0$0
EDGEWOOD GROWTH FUND CLASS INSTITUTIONAL$180,343$0$0
ISHARES RUSSELL MID VALUE ETF$89,990$0$0

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PORTFOLIO DEDUCTIONS - FROM K-1 JANUS INSTITUTIONAL CONCENTRATED GROWTH$878$878$0
MISCELLENEOUS EXPENSES$115$0$115

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryMANAGEMENT FEESCategoryTxt
Amt$26,580Amt
Net Investment Income$26,580NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES - FROM K-1 - JANUS INSTITUTIONAL CONCENTRATED GROWTH$10$10$0
FEDERAL EXCISE TAXES$1,900$0$0

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