WALTER W AND THELMA M BORN FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- WALTER W AND THELMA M BORN FOUNDATION (EIN 55-0869606)
- Tax period
- 2016-05-01 to 2017-04-30
- Filed
- 2017-07-31
- IRS object ID
- 201722129349100517
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-07-31T17:00:18-05:00 | ReturnTs |
| Tax Period End | 2017-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 YARD STREET SUITE 200 | AddressLine1Txt |
| City | GRANDVIEW HEIGHTS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43212 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550869606 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALTER W BORN FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BORN | BusinessNameControlTxt |
| Phone | 3303847302 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1558 DEPT EA4E86 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43216 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HUNTINGTON NATIONAL BANK | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 3303847302 | PhoneNum |
| Signature | 2017-07-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH B HULL | PreparerPersonNm |
| PTIN | P00135850 | PTIN |
| Phone | 6142327290 | PhoneNum |
| Preparation | 2017-07-31 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 23.28.249.80 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | CD934AC4464F59FDC9D1C6B8E7887F0AE854655E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CD934AC4464F59FDC9D1C6B8E7887F0AE854655E | 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 | $5,354,041 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Dividends Rev And Expnss | $123,130 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $123,130 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $27,288 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $371,125 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $27,288 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $8,260 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $158,678 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $150,418 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $58,515 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $29,257 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $29,257 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $7,471 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $286 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $200 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $100 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $100 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $66,186 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $29,643 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $29,357 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $123,145 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $123,145 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $189,331 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $29,643 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $152,502 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$30,653 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $120,775 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $278,476 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $111,763 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $111,763 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| US Government Obligations BOY | $352,397 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $301,260 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $309,179 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $2,568,209 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,752,734 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,553,726 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,404,846 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,406,820 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,379,373 | CorporateBondsEOYFMVAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $4,603,928 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,572,577 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,354,041 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $4,603,928 | CapitalStockBOYAmt |
| Capital Stock EOY | $4,572,577 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,603,928 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,572,577 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,603,928 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,572,577 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,603,928 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$30,653 | ExcessRevenueOverExpensesAmt |
| Other Increases | $2,699 | OtherIncreasesAmt |
| Subtotal | $4,575,974 | SubtotalAmt |
| Other Decreases | $3,397 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,572,577 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (15 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| .4 ADVANSIX INC | 2013-03-15 | 2016-10-17 | $6 | $5 | $1 | $1 | |
| . BAXTER INTERNATIONAL INC | 2017-03-27 | $22 | $22 | $22 | |||
| 710. BRISTOL-MYERS SQUIBB CO | 2016-04-13 | 2017-03-21 | $39,620 | $47,746 | -$8,126 | -$8,126 | |
| 236. CHEVRONTEXACO CORP | 2016-11-08 | $25,362 | $17,884 | $7,478 | $7,478 | ||
| 271. DANAHER CORP | 2011-11-03 | 2017-03-21 | $23,361 | $7,922 | $15,439 | $15,439 | |
| 50000. FHLB 2.000% 9/09/16 | 2010-10-21 | 2016-09-09 | $50,000 | $51,137 | -$1,137 | -$1,137 | |
| .5 FORTIVE CORPORATION | 2011-11-03 | 2016-07-14 | $25 | $10 | $15 | $15 | |
| 310. GENUINE PARTS COMPANY | 2016-04-13 | 2016-11-08 | $27,490 | $30,703 | -$3,213 | -$3,213 | |
| 330. KIMBERLY-CLARK CORPORATION | 2016-04-13 | 2017-03-21 | $44,191 | $45,006 | -$815 | -$815 | |
| 150. MCKESSON HBOC INC | 2015-02-19 | 2017-03-21 | $21,947 | $33,868 | -$11,921 | -$11,921 | |
| 250. PPG INDUSTRIES | 2016-11-08 | $23,684 | $26,040 | -$2,356 | -$2,356 | ||
| 294. TRAVELERS COS INC | 2017-03-21 | $35,868 | $19,986 | $15,882 | $15,882 | ||
| 361. UNION PACIFIC CORP | 2016-11-08 | $32,702 | $15,286 | $17,416 | $17,416 | ||
| 980. WELLS FARGO & CO NEW | 2016-04-13 | 2016-11-08 | $44,540 | $48,244 | -$3,704 | -$3,704 | |
| CAPITAL GAIN DIVIDENDS | $2,307 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $27,288 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $375,944 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $5,126,460 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.073334 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $449,861 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,506,852 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.081691 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $289,689 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,340,451 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.054244 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $87,218 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,125,080 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.017018 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $271,348 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $5,047,954 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.053754 | DistributionYr5Rt |
| Total Distribution | 0.280041 | TotalDistributionRt |
| Average Distribution | 0.056008 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,096,462 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $285,443 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,208 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $286,651 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $152,502 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,416 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,416 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,416 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,840 | EstimatedPlusOvpmtIncmTxAmt |
| Applied To Es Tax | $0 | AppliedToEsTaxAmt |
| Total Payments And Credits | $4,840 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $2,424 | OverpaymentAmt |
| Applied To ES Tax | $2,424 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | OH | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON NATIONAL BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3303847302 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1558 DEPT EA4E86 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON NATIONAL BANK | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1558 DEPT EA4E86 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 3 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $58,515 | CompensationAmt |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $4,913,616 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $260,457 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,174,073 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,174,073 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $77,611 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,096,462 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $254,823 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $254,823 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,416 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,416 | TotalTaxAmt |
| Distributable Before Adj | $252,407 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $252,407 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $252,407 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $152,502 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $152,502 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $152,502 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $252,407 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Prior Year1 | 2014 | PriorYear1Yr |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $26,262 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $24,646 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $186,288 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $124,311 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $361,507 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $152,502 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $152,502 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $99,905 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $99,905 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $261,602 | 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 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $261,602 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $137,291 | ExcessFromYear2Amt |
| Excess From Year1 | $124,311 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | TOBY BLOSSOM | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | FIRSTMERIT BANK NA 106 S MAIN S | AddressLine1Txt |
| City | AKRON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3303847314 | RecipientPhoneNum |
| Form And Info And Materials | HOSPITALS IN CLEVELAND, CANTON, AND AKRON, OHIO MUST DEMONSTRATE A FINANCIAL NEED. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | FUNDS MUST BE USED FOR SPECIFICALLY DESIGNATED PROJECTS OR EQUIPMENT WHICH IS INTENDED TO MAINTAIN OR IMPROVE THE QUALITY OF PATIENT CARE. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (3 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| SUMMA HEALTH SYSTEM | ||||||||
| 444 N MAIN STREET | AKRON | OH | 443103110 | NONE | PC | RENOVATION OF SPACE @ SUMMA | $35,000 | |
| UNIVERSITY HOSPITALS PORTAGE | ||||||||
| 6847 N CHESTNUT ST | RAVENNA | OH | 44266 | NONE | PC | START-UP OF SOAR STUDENT | $25,000 | MEDICAL CENTER |
| AKRON GENERAL FOUNDATION | ||||||||
| 400 WABASH AVENUE | AKRON | OH | 44307 | NONE | PC | CONTRUCTIONS & EQUIPMENT | $63,145 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $123,145 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $123,130 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $27,288 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEDERAL TAX REFUND | Desc |
| Exclusion | 1 | ExclusionCd |
| Exclusion | $8,260 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $158,678 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $158,678 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (7 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| JOHN DEERE CAPITAL CORP MED TE | $151,308 | $150,875 |
| TEMPLETON GLOBAL BD FD | $64,723 | $66,168 |
| FEDERATED SHORT TERM INCOME FD | $258,644 | $255,084 |
| FEDERATED TOTAL RETURN BD FD | $365,077 | $354,859 |
| VANGUARD INFLATION PROTECTED S | $73,445 | $69,641 |
| VANGUARD INTERMED TERM CORP FD | $408,662 | $398,174 |
| FEDERATED INSTITUTIONAL HIGH Y | $84,961 | $84,572 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (69 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ACCENTURE PLC CL A | $38,710 | $47,186 |
| ALPHABET INC CL A | $62,475 | $99,848 |
| AMGEN INC | $36,183 | $46,546 |
| AMPHENOL CORP | $38,392 | $56,980 |
| APPLE INC | $38,056 | $113,340 |
| AUTOMATIC DATA PROCESSING INC | $26,146 | $30,302 |
| BARD CR INC | $30,865 | $52,579 |
| BB&T CORP | $36,560 | $46,203 |
| BLACKROCK INC CL A | $19,978 | $41,918 |
| BRISTOL MYERS SQUIBB CO | ||
| CAPTIAL ONE FINL CORP | $48,450 | $47,022 |
| CHEVRON CORP | $15,156 | $21,340 |
| CISCO SYSTEMS INC | $46,561 | $56,216 |
| COCA COLA CO | $37,743 | $35,383 |
| COSTCO WHOLESALE CORP NEW | $39,940 | $57,964 |
| DANAHER CORP | ||
| DISNEY WALT CO NEW | $35,633 | $35,836 |
| ECOLAB INC | $14,352 | $40,405 |
| EXXON MOBIL CORP | $13,964 | $49,153 |
| GENERAL ELECTRIC CORP | $35,475 | $33,049 |
| GENUINE PARTS CO | ||
| HOME DEPOT INC | $29,624 | $47,611 |
| HONEYWELL INTL INC | $31,050 | $47,210 |
| ILLINOIS TOOL WORKS INC | $37,670 | $49,712 |
| INTUIT | $24,353 | $31,303 |
| JOHNSON & JOHNSON | $34,803 | $49,882 |
| JP MORGAN CHASE & CO | $59,759 | $78,648 |
| KIMBERLY CLARK CORP | ||
| KRAFT HEINZ CO | $46,472 | $55,138 |
| M&T BANK | $37,500 | $45,846 |
| MCDONALDS CORP | $43,145 | $47,576 |
| MCKESSON CORP | ||
| MERCK & CO INC | $48,358 | $58,528 |
| MICROSOFT CORP | $35,788 | $44,499 |
| NIKE INC CL B | $18,562 | $52,861 |
| NORTHROP GRUMMAN CORP | $25,899 | $35,910 |
| OCCIDENTAL PETE CORP | $26,299 | $21,970 |
| PFIZER INC | $45,485 | $47,488 |
| PPG INDUSTRIES INC | ||
| PROCTER & GAMBLE CO | $12,666 | $41,744 |
| SCHLUMBERGER LTD | $53,816 | $53,063 |
| STARBUCKS CORP | $30,605 | $46,126 |
| TEXAS INSTRUMENTS INC | $46,322 | $66,511 |
| THERMO FISHER SCIENTIFIC INC | $15,775 | $41,498 |
| TRAVELERS CO INC | ||
| UNION PAC CORP | ||
| UNITED TECHNOLOGIES CORP | $22,978 | $38,315 |
| US BANCORP NEW | $29,846 | $55,844 |
| VF CORP | $19,097 | $16,662 |
| VISA INC | $19,867 | $34,390 |
| WELLS FARGO & CO | ||
| ISHARES CORE S&P SM CAP ETF | $124,752 | $175,731 |
| ISHARES RUSSELL MIDCAP ETF | $149,631 | $212,043 |
| SPDR DOW JONES REIT ETF | $61,281 | $63,266 |
| SPDR S&P 500 ETF | $286,486 | $328,550 |
| UTITLITIES SELECT SECTOR SPDR | $69,110 | $73,414 |
| VANGUARD FTSE DEVELOPED MKTS | $138,271 | $132,641 |
| VANGUARD TELECOMMUNICATIONS SE | $59,602 | $63,018 |
| ADVANSIX INC | $162 | $382 |
| ANALOG DEVICES INC | $79,672 | $73,914 |
| CELGENE CORP | $23,874 | $27,291 |
| CONSTELLATION BRANDS INC | $66,771 | $69,879 |
| DOW CHEMICAL CO | $30,311 | $35,482 |
| FACEBOOK INC-A | $79,456 | $85,643 |
| FORTIVE CORP | $2,570 | $8,540 |
| PIONEER NATURAL RESOURCES CO | $49,345 | $46,707 |
| PRICELINE GROUP INC | $31,632 | $36,936 |
| ROCKWELL AUTOMATION | $43,181 | $54,286 |
| TJX COS INC | $46,249 | $46,398 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $301,260 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $309,179 | USGovtObligationsEOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ROUNDING | $3 |
| RECLASS OF DIV. AS RET. OF CAPITAL ADJ | $3,394 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | STATE FILING FEES | Desc |
| Revenue And Expenses Per Books | $200 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $100 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $100 | DisbursementsCharitablePrpsAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEDERAL TAX REFUND | Desc |
| Revenue And Expenses Per Books | $8,260 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RETURN OF CAPITAL | Desc |
| Amt | $2,699 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FEDERAL TAX PAYMENT - PRIOR YE | $2,345 | $0 | $0 |
| FEDERAL ESTIMATES - PRINCIPAL | $4,840 | $0 | $0 |
| FOREIGN TAXES ON QUALIFIED FOR | $151 | $151 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $135 | $135 | $0 |
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