D B ANDERSON CHARITABLE FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
D B ANDERSON CHARITABLE FOUNDATION (EIN 27-0784157)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-12
IRS object ID
201721329349100957
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)
Return2017-05-12T09:49:49-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411384792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FROEHLING ANDERSON LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1400 HIGHWAY 169 SOUTH - SUITE 400AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55426ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270784157EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DB ANDERSON CHARITABLE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDBANBusinessNameControlTxt
Phone9524840899PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 MARTICVILLE ROADAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17603ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBETH CARRINGTONPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone9524840899PhoneNum
Signature2017-05-11SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN WAGNER CPAPreparerPersonNm
PTINP00017555PTIN
Phone9529793100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address165.225.34.109IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-11IPDt
IP Tm08:07:01IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE6AC5574DFEF655334514F36A61E7F39E7FE508DAtSubmissionCreationDeviceId
At Submission Filing Device IdEDA15EC76107D3EA0A61E91C030B555B7010B4B6AtSubmissionFilingDeviceId
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$895,803FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$116,470ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$2InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$19,778DividendsRevAndExpnssAmt
Dividends Net Invst Incm$19,778DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$113,973NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$160,895GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$113,973CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$250,223TotalRevAndExpnssAmt
Total Net Invst Incm$133,753TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$621LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$621LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,025AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$500AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$607TaxesRevAndExpnssAmt
Taxes Net Invst Incm$93TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$1,017TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$1,017TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$15OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$15OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$3,285TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$593TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,653TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$63,020ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$63,020ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$66,305TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$593TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$64,673TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$183,918ExcessRevenueOverExpensesAmt
Net Investment Income$133,160NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$19,361CashBOYAmt
Cash EOY$399,237CashEOYAmt
Cash EOYFMV$399,237CashEOYFMVAmt
Corporate Stock BOY$592,479CorporateStockBOYAmt
Corporate Stock EOY$405,249CorporateStockEOYAmt
Corporate Stock EOYFMV$405,249CorporateStockEOYFMVAmt
Corporate Bonds BOY$90,134CorporateBondsBOYAmt
Corporate Bonds EOY$91,317CorporateBondsEOYAmt
Corporate Bonds EOYFMV$91,317CorporateBondsEOYFMVAmt
Total Assets BOY$701,974TotalAssetsBOYAmt
Total Assets EOY$895,803TotalAssetsEOYAmt
Total Assets EOYFMV$895,803TotalAssetsEOYFMVAmt
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$701,974RetainedEarningBOYAmt
Retained Earning EOY$895,803RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$701,974TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$895,803TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$701,974TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$895,803TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$701,974TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$183,918ExcessRevenueOverExpensesAmt
Other Increases$9,911OtherIncreasesAmt
Subtotal$895,803SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$895,803TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
FIDELITYP$50,883$36,922$13,961$13,961
TOWER INSURANCE SERVICES, INCP$110,012$10,000$100,012$100,012
FieldValueIRS element (for citing)
Capital Gain Net Income$113,973CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$39,154AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$665,736NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.058813DistributionYr1Rt
Adjusted Qlfy Distri Yr2$13,584AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$504,522NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.026924DistributionYr2Rt
Adjusted Qlfy Distri Yr3$19,500AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$278,667NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.069976DistributionYr3Rt
Adjusted Qlfy Distri Yr4$37,500AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$216,490NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.173218DistributionYr4Rt
Adjusted Qlfy Distri Yr5$7,500AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$127,980NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.058603DistributionYr5Rt
Total Distribution0.387534TotalDistributionRt
Average Distribution0.077507AverageDistributionRt
Net Vl Noncharitable Assets$786,905NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$60,991AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,332NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$62,323AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$64,673QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,332InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,332SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,332TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$15EsPenaltyAmt
Tax Due$1,347TaxDueAmt

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 StatePAOrgReportOrRegisterStateCd
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 BooksBETH CARRINGTONIndividualWithBooksNm
Phone9524840899PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line18 MARTICVILLE ROADAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17603ZIPCd
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
DAVID B ANDERSON
16570 NE HIGHWAY 27AWILLISTONFL32696DIRECTOR1.00$0$0$0
BRIAN CARRINGTON
1920 CR 6ORONOMN55356DIRECTOR1.00$0$0$0
BETH CARRINGTON
1920 CR 6ORONOMN55356DIRECTOR1.00$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$589,589AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$209,299AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$798,888TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$798,888AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$11,983CashDeemedCharitableAmt
Net Vl Noncharitable Assets$786,905NetVlNoncharitableAssetsAmt
Minimum Investment Return$39,345MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$39,345MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,332TaxBasedOnInvestmentIncomeAmt
Total Tax$1,332TotalTaxAmt
Distributable Before Adj$38,013DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$38,013DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$38,013DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$64,673ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$64,673QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,332PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$63,341AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$38,013DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$2,257ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$29,163ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$7,081ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr1$6,369ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$44,870TotalExcessDistributionCyovAmt
Qualifying Distributions$64,673QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$38,013AppliedToCurrentYearAmt
Remaining Distri From Corpus$26,660RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$71,530TotalCorpusAmt
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$2,257ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$69,273ExcessDistriCyovToNextYrAmt
Excess From Year4$29,163ExcessFromYear4Amt
Excess From Year3$7,081ExcessFromYear3Amt
Excess From Year1$6,369ExcessFromYear1Amt
Excess From Current Year$26,660ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
MILLERSVILLE UNIVERSITY
1 SOUTH GEORGE STREETMILLERSVILLEPA17551NOT RELATEDPUBLIC CHARITY - EDUEDUCATIONAL - GENERAL TAX EXEMPT PURPOSE$520
JERUSALEM EDUCATION FUND INC
45 EAST CITY LINE AVENUE PMP 352BALA CYNWYDPA19004NOT RELATEDPUBLIC CHARITY - EDUEDUCATIONAL - GENERAL TAX EXEMPT PURPOSE$10,000
BUILDING BRIDGES FOUNDATION AT ANDERSON FARM
230 INDIAN HILL ROADCONESTOGAPA17516NOT RELATEDPUBLIC CHARITY - EDUEDUCATIONAL - GENERAL TAX EXEMPT PURPOSE$50,000
HEARTS FOR HEROES
PO BOX 394BEDFORDNY10506NOT RELATEDPUBLIC CHARITY - EDUEDUCATIONAL - GENERAL TAX EXEMPT PURPOSE$500
PENNSYLVANIA STATE UNIVERSITY
OLD MAINSTATE COLLEGEPA16801NOT RELATEDPUBLIC CHARITY - EDUEDUCATIONAL - GENERAL TAX EXEMPT PURPOSE$2,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$63,020TotalGrantOrContriPdDurYrAmt
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$2ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$19,778ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$113,973ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$133,753ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$133,753TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionIndPerson ContributionPersonContributionInd
DAVID B ANDERSON
116570 NE HIGHWAY 27AWILLISTONFL32696$105,470Yes (X)
TOWER ADMINISTRATIVE SERVICES INC
28 MARTICVILLE ROADLANCASTERPA17603$11,000Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property1000 SHARES OF TOWER INSURANCE SERVICES, INC.NoncashPropertyDesc
Fair Market Value$105,470FairMarketValueAmt
Received2016-12-31ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$1,025Amt
Net Investment Income$500NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondFIDELITY BOND FUNDS AT END OF YEAR MARKET VALUEBondNm
EOY Book Value$91,317EOYBookValueAmt
EOYFMV$91,317EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockFIDELITY STOCK FUNDS AT END OF YEAR MARKET VALUEStockNm
EOY Book Value$405,249EOYBookValueAmt
EOYFMV$405,249EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$621LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$621DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescREGISTRATION FEESDesc
Revenue And Expenses Per Books$15RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$15DisbursementsCharitablePrpsAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINSDesc
Amt$9,911Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
990 PF$514$0$0
FOREGIN TAXES$93$93$0

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