FURP.ORG / PUBLIC DATA EXPLORER

GEORGE T BAKER FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GEORGE T BAKER FOUNDATION INC (EIN 59-6151202)
Tax period
2016-06-01 to 2017-05-31
Filed
2017-09-25
IRS object ID
201702689349100500
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)
Return2017-09-25T08:41:26-05:00ReturnTs
Tax Period End2017-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561146197PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SHARRARD MCGEE & CO PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5869AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN596151202EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE GEORGE T BAKER FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGEORBusinessNameControlTxt
Phone3368840410PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5869AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARBARA BAKERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3368840410PhoneNum
Signature2017-09-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICIA L WALSHPreparerPersonNm
PTINP00012605PTIN
Phone3368840410PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.192.161.162IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-07IPDt
IP Tm09:50:42IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id7941BE120A245257D06D27880AD2C2BDCAFC0E08AtSubmissionCreationDeviceId
At Submission Filing Device Id424557725778AC8000C3D64FECBA00E263AD80D7AtSubmissionFilingDeviceId
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$2,052,150FMVAssetsEOYAmt
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$752InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$752InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$35,888DividendsRevAndExpnssAmt
Dividends Net Invst Incm$35,888DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$1,521NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$327,903GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$1,338OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$1,338OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$36,457TotalRevAndExpnssAmt
Total Net Invst Incm$37,978TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$15,750CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$7,875CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$8,820AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,410AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$682TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$4,573OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$4,188OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$29,825TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$16,473TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$100,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$100,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$129,825TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$16,473TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$100,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$93,368ExcessRevenueOverExpensesAmt
Net Investment Income$21,505NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$243,167CashBOYAmt
Cash EOY$124,700CashEOYAmt
Cash EOYFMV$124,700CashEOYFMVAmt
Corporate Stock BOY$613,480CorporateStockBOYAmt
Corporate Stock EOY$660,397CorporateStockEOYAmt
Corporate Stock EOYFMV$959,625CorporateStockEOYFMVAmt
Other Investments BOY$644,360OtherInvestmentsBOYAmt
Other Investments EOY$625,542OtherInvestmentsEOYAmt
Other Investments EOYFMV$967,825OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,501,007TotalAssetsBOYAmt
Total Assets EOY$1,410,639TotalAssetsEOYAmt
Total Assets EOYFMV$2,052,150TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$158,719CapitalStockBOYAmt
Capital Stock EOY$158,719CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,342,288RetainedEarningBOYAmt
Retained Earning EOY$1,251,920RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,501,007TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,410,639TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,501,007TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,410,639TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,501,007TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$93,368ExcessRevenueOverExpensesAmt
Other Increases$3,000OtherIncreasesAmt
Subtotal$1,410,639SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,410,639TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (61 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
HOME DEPOT, INC.P2015-06-252016-06-10$3,215$2,839$376$376
HOME DEPOT, INC.P2016-06-252016-08-24$4,598$3,861$737$737
HOME DEPOT, INC.P2016-06-282016-08-24$4,733$4,406$327$327
L BRANDS INC.P2015-09-022016-06-10$1,637$1,526$111$111
VERIZON COMMUNICATIONSP2016-02-012016-08-24$7,337$7,116$221$221
BLACKROCK INC.P2014-08-252016-06-10$2,788$2,666$122$122
BLACKROCK INC.P2014-09-022016-06-10$2,788$2,633$155$155
HOME DEPOT, INC.P2015-05-082016-06-10$1,157$1,015$142$142
L BRANDS INC.P2014-12-022016-06-10$4,773$5,643-$870-$870
L BRANDS INC.P2014-08-252016-06-10$3,682$3,456$226$226
NEXTERA ENERGY INC.P2014-12-022016-09-29$3,997$3,350$647$647
LAMB WESTON HOLDINGSP2016-03-242016-11-14$3,210$3,258-$48-$48
CVS HEALTHP2015-12-222016-11-22$9,108$12,004-$2,896-$2,896
ADVANSIX INCP2014-12-022016-12-08$41$27$14$14
AMGEN INCP2014-12-022016-12-06$10,492$12,652-$2,160-$2,160
APPLE INCP2014-08-252016-12-08$7,285$6,617$668$668
BLACKROCK INC.P2014-12-022016-12-22$6,173$5,643$530$530
CROWN CASTLE INTLP2015-02-172016-12-08$6,970$7,207-$237-$237
HONEYWELL INTLP2015-08-122016-12-08$3,118$2,811$307$307
JP MORGAN CHASEP2014-09-022016-12-08$2,711$1,902$809$809
MEDTRONIC PLCP2015-06-252016-12-08$5,309$5,613-$304-$304
MICROSOFT CORPP2015-10-082016-12-08$3,732$2,856$876$876
PEPSICO INCP2015-03-242016-12-08$5,528$5,199$329$329
PHILIP MORRIS INTLP2014-08-252016-12-08$8,133$7,755$378$378
RAYTHEON COP2014-08-252016-12-08$7,402$4,931$2,471$2,471
SEMPRA ENGERYP2015-09-222016-12-08$4,158$3,936$222$222
ADVANSIX INCP2016-02-012016-12-08$41$31$10$10
AMGEN INCP2016-06-282016-12-08$699$729-$30-$30
BLACKROCK INC.P2016-12-082016-12-22$2,701$2,695$6$6
COMCAST CORPP2016-02-012016-12-08$6,917$5,589$1,328$1,328
CONAGRA BRANDSP2016-02-012016-12-08$3,390$2,922$468$468
CONSTELLATION BRANDSP2016-02-012016-12-08$7,081$7,262-$181-$181
ESTEE LAUDERP2016-02-012016-12-08$7,800$8,487-$687-$687
GILEAD SCIENCEP2016-02-012016-12-08$5,981$7,066-$1,085-$1,085
IBMP2016-03-032016-12-08$3,139$2,616$523$523
OCCIDENTAL PETROLEUMP2016-08-242016-12-08$8,174$9,264-$1,090-$1,090
PFIZER INCP2016-08-242016-12-08$6,415$7,328-$913-$913
SCHLUMBERGER LTDP2016-02-012016-12-08$3,779$3,221$558$558
L BRANDS INC.P2016-12-082017-01-12$7,028$8,727-$1,699-$1,699
VERIZON COMMUNICATIONSP2016-12-082017-01-12$10,954$10,634$320$320
CONAGRA BRANDSP2016-03-242017-02-17$9,574$8,141$1,433$1,433
SUMITOMO MITSUI FINLP2016-12-082017-02-10$11,956$12,432-$476-$476
TRANSOCEAN LTDP2016-12-082017-02-17$10,952$12,230-$1,278-$1,278
EOG RESOURCESP2016-12-082017-03-09$9,623$10,628-$1,005-$1,005
ROYAL DUTCH SHELL PLCP2016-12-082017-03-09$11,590$12,163-$573-$573
CAPITAL ONE FINANCIALP2016-12-082017-04-13$10,871$12,138-$1,267-$1,267
NIPPON TELEGRAPH & TELEPHONEP2017-01-172017-04-26$10,467$10,990-$523-$523
NRG YIELD INCP2017-01-252017-04-13$10,808$10,861-$53-$53
ALPHABET INCP2016-02-012017-05-16$2,889$2,312$577$577
CHEVRON CORPP2016-02-012017-05-16$214$171$43$43
NEXTERA ENERGY INC.P2014-12-022017-05-16$4,362$3,350$1,012$1,012
AMGEN INCP2017-02-102017-05-16$639$672-$33-$33
BOEING COP2016-12-222017-05-16$2,189$1,887$302$302
CROWN CASTLE INTLP2017-02-172017-05-16$2,410$2,229$181$181
FIFTH 3RD BANCORPP2016-12-082017-05-16$11,248$12,172-$924-$924
GOLDMAN SACHSP2016-12-082017-05-16$11,261$11,980-$719-$719
INGERSOLL-RAND PLCP2016-12-082017-05-16$4,251$3,753$498$498
JOHNSON & JOHNSONP2017-02-172017-05-16$3,829$3,553$276$276
MEDTRONIC PLCP2017-02-102017-05-16$168$152$16$16
NEXTERA ENERGY INC.P2016-12-082017-05-16$136$117$19$19
SENTINEL LTG DISTRIBUTIONP2016-12-31$292$292$292
FieldValueIRS element (for citing)
Capital Gain Net Income-$1,521CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$103,678AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,916,200NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.054106DistributionYr1Rt
Adjusted Qlfy Distri Yr2$101,410AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,113,283NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.047987DistributionYr2Rt
Adjusted Qlfy Distri Yr3$68,100AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,064,897NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.032980DistributionYr3Rt
Adjusted Qlfy Distri Yr4$72,950AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,962,997NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.037163DistributionYr4Rt
Adjusted Qlfy Distri Yr5$50,800AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,884,670NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.026954DistributionYr5Rt
Total Distribution0.199190TotalDistributionRt
Average Distribution0.039838AverageDistributionRt
Net Vl Noncharitable Assets$1,937,814NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$77,199AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$215NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$77,414AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$100,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$215InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$215SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$215TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$360EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$360TotalPaymentsAndCreditsAmt
Overpayment$145OverpaymentAmt
Applied To ES Tax$145AppliedToESTaxAmt
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 Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
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 BooksPATRICIA L WALSHIndividualWithBooksNm
Phone3368840410PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5869AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd
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 (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BARBARA I BAKER BEAHN
PO BOX 467BLOWING ROCKNC28605CHAIRMAN1.00$3,150$0$0
RAYMOND BEAHN
PO BOX 467BLOWING ROCKNC28605PRESIDENT1.00$3,150$0$0
PATRICIA WALSH
PO BOX 5869HIGH POINTNC27262SECRETARY/TREASURER10.00$0$0$0
PATRICIA A CORBETT
4613 SELKIRK DRIVESNELLVILLEGA30039TRUSTEE1.00$3,150$0$0
RAYMOND BEAHN JR
8705 BUCKSKIN MANORDAVIEFL33328VICE-PRESIDENT1.00$3,150$0$0
HALEY BEAHN
8705 BUCKSKIN MANORDAVIEFL33328TRUSTEE1.00$3,150$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$1,754,147AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$213,177AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,967,324TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,967,324AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$29,510CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,937,814NetVlNoncharitableAssetsAmt
Minimum Investment Return$96,891MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$96,891MinimumInvestmentReturnAmt
Tax Based On Investment Income$215TaxBasedOnInvestmentIncomeAmt
Total Tax$215TotalTaxAmt
Distributable Before Adj$96,676DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$96,676DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$96,676DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$100,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$100,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$215PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$99,785AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$96,676DistributableAsAdjustedAmt
Undistributed Income PY$91,164UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$100,000QualifyingDistributionsAmt
Applied To Year1$91,164AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$8,836AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$87,840UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (60 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALLIANCE THEATRE
1280 PEACHTREE STREET NEATLANTAGA30309NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
APPALACHAIN STATE UNIVERSITY FOUNDATION
ASU BOX 3205BOONENC28608NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$5,000
ATLANTA COMMUNITY FOOD BANK
732 JOSEPH E LOWERY BLVD NWATLANTAGA30318NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
ATLANTA HUMANE SOCIETY
981 HOWELL MILL ROAD NWATLANTAGA30318NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
ATLANTA MISSION
PO BOX 1807ATLANTAGA303049904NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
AVERY COUNTY HABITAT FOR HUMANITY
PO BOX 1016NEWLANDNC28657NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
AVERY COUNTY HUMANE SOCIETY
279 NEW VALE ROADNEWLANDNC28657NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$5,000
AVERY COUNTY RESCUE SQUAD
PO BOX 155ELK PARKNC28622NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,000
BANNER ELK VOLUNTEER FIRE DEPARTMENT
345 SHAWNEEHAW AVE SBANNER ELKNC28604NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
BLOWING ROCK CHARITY HORSE SHOW FOUNDATION
PO BOX 650BLOWING ROCKNC28605NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$5,000
BLOWING ROCK COMMUNITY FOUNDATION
PO BOX 525BANNER ELKNC28605NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$8,000
BLOWING ROCK FIRE AND RESCUE
8001 VALLEY BOULEVARDBLOWING ROCKNC28605NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
CAMILLUS HOUSE
PO BOX 011829MIAMIFL331011829NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
CENTER FOR GREAT APES
PO BOX 488WAUCHULAFL33873NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$5,000
CHARLOTTE HANS FOUNDATION
10130 NORTHLAKE BLVD 212WEST PALM BEACHFL33412NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,000
COMMUNITY CLUB OF BLOWING ROCK
PO BOX 166BLOWING ROCKNC28605NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
CORPUS CHRISTIE CATHOLIC CHURCH
600 MOUNTAIN VIEW DRSTONE MOUNTAINGA30063NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
CROSSNORE SCHOOL
PO BOX 249CROSSNORENC28616NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,000
DOCTORS WITHOUT BORDERS USA
333 7TH AVENUE 2ND FLOORNEW YORKNY100015004NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
EVERGLADES OUTPOST WILDLIFE RESCUE
35601 SW 192 AVENUEHOMESTEADFL33034NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
FIRST CHRISTIAN CHURCH OF ATLANTA
4532 LAVISTA ROADTUCKERGA30084NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
FOOD BANK OF CENTRAL & EASTERN NC
3808 TARHEEL DRIVERALEIGHNC27609NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,500
FRIENDS OF AMERICAN LAKE VETERANS GOLF COURSE
PO BOX 99608LAKEWOODWA98496NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
GEORGIA PUBLIC TV
260 14TH ST NWATLANTAGA30318NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
HIGH POINT ARTS COUNCIL
PO BOX 5526HIGH POINTNC27262NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,000
HOLY CROSS CATHOLIC CHURCH
616 S CHERRY STKERNERSVILLENC27284NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
HORSE HELPERS OF THE HIGH COUNTRY
1199 ODES WILSON ROADZIONVILLENC28698NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,000
HOSPICE OF THE PIEDMONT
1801 WESTCHESTER DRIVEHIGH POINTNC27262NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
LEES-MCRAE COLLEGE
PO BOX 128BANNER ELKNC28604NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,500
LINVILLE CENTRAL RESCUE SQUAD
PO BOX 716NEWLANDNC28657NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
MARINE TOYS FOR TOTS FOUNDATION
PO BOX 227QUANTICOVA221340227NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
MIAMI RESCUE MISSION
2159 NW 1ST COURTMIAMIFL33127NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
OASIS
PO BOX 1591BOONENC28607NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
OCEAN ADVENTURES INC
20810 SW 86TH AVEMARIONFL33189NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
SALVATION ARMY - BOONE
PO BOX 1568BOONENC286011568NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,000
SALVATION ARMY - MIAMI
PO BOX 350370MIAMIFL33142NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
SANDHILLS COMMUNITY COLLEGE FOUNDATION
3395 AIRPORT RDPINEHURSTNC28374NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$10,000
SECOND HARVEST FOOD BANK OF NORTWEST NC
3655 REED STWINSTONSALEMNC27107NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
SMILE TRAIN
PO BOX 96231WASHINGTONDC20090NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
SPECIAL OLYMPICS
2200 GATEWAY GENTRE BLVD STE 201MORRISVILLENC27560NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
ST JOSEPH'S CATHOLIC CHURCH
8670 BYRON AVEMIAMI BEACHNC33141NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
ST JUDE'S CHILDREN'S HOSPITAL
501 ST JUDE PLACEMEMPHISTN381051942NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
TEMPLE OF THE HIGH COUNTRY
PO BOX 2895BOONENC28607NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
THE BICYCLEMAN
624 PLATINUM STREETFAYETTEVILLENC28311NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
THE FRESH AIR FUND
633 THIRD AVE 14TH FLOORNEW YORKNY10017NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,000
UNC TV
10 TW ALEXANDER DRIVERESEARCH TRIANGEL PARKNC277094900NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
UNITED NEGRO COLLEGE FUND
3550 BISCAYNE BLVD STE 603MIAMIFL33137NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
WALTHOUR-MOSS FOUNDATION
91A ALLENS POINTMARIONMA02738NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,500
WATAUGA COUNTY EMERGENCY RESCUE SQUAD
PO BOX 3487BOONENC28607NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
WATAUGA HUMANE SOCIETY
196 PAUL CRITCHER DRBOONENC28607NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$5,500
WPBT2
PO BOX 610002MIAMIFL332610002NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
YELLOW MOUNTAIN ENTERPRISES
PO BOX 548NEWLANDNC28657NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
YMCA OF AVERY COUNTY
PO BOX 707LINVILLENC28646NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
THE VILLAGE FOUNDATION
PO BOX 2716BLOWING ROCKNC28605NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
HANDY CAPABLE NETWORK
415 N EDGEWORTH ST STE 175GREENSBORONC27401NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
BLUE RIDGE PARKWAY FOUNDATION
717 S MARSHALL ST STE 105 BWINSTONSALEMNC27101NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
OPERATION WHEELCHAIR
538 MAYVIEW STFAYETTEVILLENC28306NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,000
NCHJA
4441 SIX FORKS RD STE 106-167RALEIGHNC27609NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$2,500
LADIES EMPOWERMENT AND ACTION PROGRAM
PO BOX 848MIAMIFL33243NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$1,000
RONALD MCDONALD HOUSE OF ATLANTA
795 N GATEWOOD RD NEATLANTAGA30329NONEIRC SECTION 501(C)(3IMPROVE QUALITY OF LIFE FOR INDIVIDUALS AND ANIMALS$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$100,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$752ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$35,888ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion01ExclusionCd
Exclusion$1,338ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$1,521ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$36,457ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$36,457TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategorySHARRARD, MCGEE & CO., PACategoryTxt
Amt$8,820Amt
Net Investment Income$4,410NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
INVESTMENTS-ACCT 800$379,899$649,939
INVESTMENTS-ACCT 778$280,498$309,686

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ONEAK PARTNERSAT COST$25,728$97,820
SENTINAL BALANCED FUNDAT COST$599,814$870,005

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK & BROKER'S FEES$3,802$3,802$0
MEALS$72$36$0
TRAVEL$699$350$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Revenue And Expenses Per Books$1,338RevenueAndExpensesPerBooksAmt
Net Investment Income$1,338NetInvestmentIncomeAmt
Adjusted Net Income$1,338AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescPRIOR PERIOD ADJUSTMENTDesc
Amt$3,000Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
2016 ESTIMATED TAX PAYMENTS$360$0$0
2015 BALANCE DUE$322$0$0