SEIBERLICH FAMILY FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SEIBERLICH FAMILY FOUNDATION (EIN 86-0820737)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-09-14
- IRS object ID
- 201722579349100217
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Assets Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-09-14T13:57:17-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411227298 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUMMINGS KEEGAN & CO PLLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 HIGHWAY 169 SOUTH STE 1625 | AddressLine1Txt |
| City | ST LOUIS PARK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554261209 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860820737 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEIBERLICH FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SEIB | BusinessNameControlTxt |
| Phone | 6512755194 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5610 NORWICH PKWY UNIT 411 | AddressLine1Txt |
| City | OAK PARK HEIGHTS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55082 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES L SEIBERLICH | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 6512755194 | PhoneNum |
| Signature | 2017-09-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY KENYON | PreparerPersonNm |
| PTIN | P01201668 | PTIN |
| Phone | 9523452500 | PhoneNum |
| Preparation | 2017-09-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | F128FBFAE62760740EF14B674CB75946EFB2991C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F128FBFAE62760740EF14B674CB75946EFB2991C | 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 | $1,428,377 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $1,234 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $2,806 | InterestOnSavRevAndExpnssAmt |
| Interest On Savings Adj Net Incm | $2,806 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $18,408 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $18,408 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $18,408 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$2,779 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $110,000 | GrossSalesPriceAmt |
| Total Rev And Expnss | $19,669 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $18,408 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $21,214 | TotalAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $850 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $850 | AccountingFeesNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $1,379 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $1,379 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $384 | TaxesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $2,613 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $2,229 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $65,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $65,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $67,613 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $2,229 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $65,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$47,944 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $16,179 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $21,214 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $56,845 | CashBOYAmt |
| Cash EOY | $43,534 | CashEOYAmt |
| Cash EOYFMV | $43,535 | CashEOYFMVAmt |
| US Government Obligations BOY | $190,301 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $128,972 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $125,899 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $51,494 | CorporateStockBOYAmt |
| Corporate Stock EOY | $51,494 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,232,308 | CorporateStockEOYFMVAmt |
| Corporate Bonds EOY | $26,279 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $26,218 | CorporateBondsEOYFMVAmt |
| Other Assets EOY | $417 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $417 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $298,640 | TotalAssetsBOYAmt |
| Total Assets EOY | $250,696 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,428,377 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $298,640 | UnrestrictedBOYAmt |
| Unrestricted EOY | $250,696 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $298,640 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $250,696 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $298,640 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $250,696 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $298,640 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$47,944 | ExcessRevenueOverExpensesAmt |
| Subtotal | $250,696 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $250,696 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 5,000 SDAKOTA HSG DEV | P | 2016-03-22 | 2016-03-01 | $5,000 | $5,003 | -$3 | -$3 |
| 5,000 SDAKOTA HSG DEV | P | 2013-03-22 | 2016-10-14 | $5,000 | $5,003 | -$3 | -$3 |
| 25,000 SDAKOTA HSG DEV | P | 2013-03-22 | 2016-11-01 | $25,000 | $25,013 | -$13 | -$13 |
| 50,000 THREE RIVERS PARK DST MN | P | 2013-11-27 | 2016-02-01 | $50,000 | $51,616 | -$1,616 | -$1,616 |
| 25,000 WILLISTON ND S/T | P | 2013-09-03 | 2016-05-01 | $25,000 | $26,144 | -$1,144 | -$1,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$2,779 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $60,000 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,137,072 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.052767 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $74,589 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $899,868 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.082889 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $25,000 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $836,608 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.029883 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $64,650 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $748,596 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.086362 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $109,798 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $777,167 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.141280 | DistributionYr5Rt |
| Total Distribution | 0.393181 | TotalDistributionRt |
| Average Distribution | 0.078636 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,265,137 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $99,485 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $162 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $99,647 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $65,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $324 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $324 | SubtotalAmt |
| Tax Based On Investment Income | $324 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $324 | TaxDueAmt |
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 | MN | 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 |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | JAMES L SEIBERLICH | IndividualWithBooksNm |
| Phone | 6512755194 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5610 NORWICH PKWY UNIT 411 | AddressLine1Txt |
| City | OAK PARK HEIGHTS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55082 | 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 | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| 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 (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JAMES L SEIBERLICH | ||||||||
| 5610 NORWICH PKWY UNIT 411 | OAK PARK HEIGHTS | MN | 55082 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| LIZABETH L ERICKSON | ||||||||
| 11900 102ND STREET NORTH | STILLWATER | MN | 55082 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| TOBY SEIBERLICH | ||||||||
| 13503 W MEDLOCK DR | LITCHFIELD | AZ | 85340 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| ANGELA SEIBERLICH | ||||||||
| 160 WEDGEWOOD | MAHTOMEDI | MN | 55115 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,182,469 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $101,934 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,284,403 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,284,403 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $19,266 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,265,137 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $63,257 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $63,257 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $324 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $324 | TotalTaxAmt |
| Distributable Before Adj | $62,933 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $62,933 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $62,933 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $65,000 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $65,000 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $65,000 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $62,933 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $56,349 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $27,920 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr2 | $75,000 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $3,530 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $162,799 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $65,000 | QualifyingDistributionsAmt |
| Applied To Current Year | $62,933 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,067 | RemainingDistriFromCorpusAmt |
| Total Corpus | $164,866 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $56,349 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $108,517 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $27,920 | ExcessFromYear4Amt |
| Excess From Year2 | $75,000 | ExcessFromYear2Amt |
| Excess From Year1 | $3,530 | ExcessFromYear1Amt |
| Excess From Current Year | $2,067 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (2 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| ST MARY OF THE ANGELS PARISH | ||||||
| 1915 PENROD LANE | PINETOP | AZ | 85935 | NONE | CHARITABLE | $55,000 |
| LAKEVIEW FOUNDATION | ||||||
| 927 CHURCHILL STREET W | STILLWATER | MN | 55082 | NONE | CHARITABLE | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $65,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2,806 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $18,408 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 1 | ExclusionCd |
| Exclusion | -$2,779 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $18,435 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $18,435 | TotalIncomeProducingActyAmt |
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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amt | $850 | Amt |
| Net Investment Income | $850 | NetInvestmentIncomeAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | 25000 SHS WAL-MART STORES, INC. | BondNm |
| EOY Book Value | $26,279 | EOYBookValueAmt |
| EOYFMV | $26,218 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | 7700 SHS UNITED HEALTHCARE | StockNm |
| EOY Book Value | $51,494 | EOYBookValueAmt |
| EOYFMV | $1,232,308 | EOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST RECEIVABLE | Desc |
| EOY Book Value | $417 | EOYBookValueAmt |
| EOYFMV | $417 | EOYFMVAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | SCHWAB ADVISOR FEES | CategoryTxt |
| Amt | $1,379 | Amt |
| Net Investment Income | $1,379 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | 2015 EXCISE TAX | CategoryTxt |
| Amt | $384 | Amt |
Comments