MAX FUND INC: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MAX FUND INC (EIN 39-1563191)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-09
- IRS object ID
- 201722829349100707
- 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 Stock Schedule
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-09T13:34:06-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 W RESEARCH DRIVE STE 200 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53226 | 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 | 391563191 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAX FUND INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAXF | BusinessNameControlTxt |
| Phone | 4143520339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2603 W LAKE PARK CT | AddressLine1Txt |
| City | MEQUON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53092 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | R MAX SAMSON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4143520339 | PhoneNum |
| Signature | 2017-10-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDREW C KOMISAR | PreparerPersonNm |
| PTIN | P00281897 | PTIN |
| Phone | 4144761880 | PhoneNum |
| Preparation | 2017-10-02 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-05 | IPDt |
| IP Tm | 07:13:06 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 81CD31B431919A6BAB86B87CF81D7AAD5B2A23A8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F443134CF856ADABD88748070CF002D5F9894249 | 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 | $542,595 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $4,692 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $4,692 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $10,440 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $10,440 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $20,655 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $113,609 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $20,655 | CapGainNetIncmNetInvstIncmAmt |
| Incm Modifications Adj Net Incm | $3,000 | IncmModificationsAdjNetIncmAmt |
| Other Income Rev And Expnss | $3,029 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $3,029 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $0 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $38,816 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $38,816 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $3,000 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $420 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $420 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,200 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,600 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $1,600 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $5,048 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $5,048 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $894 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $894 | InterestNetInvstIncmAmt |
| Interest Adj Net Incm | $0 | InterestAdjNetIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $772 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $3,135 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $216 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $2,919 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $13,469 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $8,178 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $4,519 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $50,975 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $50,975 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $64,444 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $8,178 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $55,494 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$25,628 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $30,638 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $3,000 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $32,134 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $48,234 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $48,234 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $512,416 | CorporateStockBOYAmt |
| Corporate Stock EOY | $494,361 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $494,361 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $544,550 | TotalAssetsBOYAmt |
| Total Assets EOY | $542,595 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $542,595 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $3,550 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $0 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $3,550 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $541,000 | RetainedEarningBOYAmt |
| Retained Earning EOY | $542,595 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $541,000 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $542,595 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $544,550 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $542,595 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $541,000 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$25,628 | ExcessRevenueOverExpensesAmt |
| Other Increases | $27,223 | OtherIncreasesAmt |
| Subtotal | $542,595 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $542,595 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (35 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Cost Or Other BasisCostOrOtherBasisAmt | AcquiredAcquiredDt | SoldSoldDt |
|---|---|---|---|---|---|---|---|
| CAPITAL GAIN DISTRIBUTIONS | P | $1,748 | $1,748 | $1,748 | |||
| CAPITAL GAIN/LOSS FROM K-1S | P | $302 | $302 | $302 | |||
| RETURN OF PRINCIPAL | P | $119 | $0 | $0 | $119 | ||
| CDN PACIFIC RY LTD NEW | P | $4,686 | -$304 | -$304 | $4,990 | 2015-06-10 | 2016-12-09 |
| CDN PACIFIC RY LTD NEW | P | $2,343 | -$40 | -$40 | $2,383 | 2015-06-29 | 2016-12-09 |
| THERMO FISHER SCIENTIFIC | P | $11,182 | $1,268 | $1,268 | $9,914 | 2015-06-08 | 2016-12-09 |
| WISDOM TREE TRUST INDIA | P | $4,833 | -$153 | -$153 | $4,986 | 2015-06-10 | 2016-12-09 |
| WISDOM TREE TRUST INDIA | P | $2,375 | -$104 | -$104 | $2,479 | 2015-06-29 | 2016-12-09 |
| AMERICAN WEST AIR | P | $21 | $0 | $0 | $21 | 2010-08-19 | 2016-01-02 |
| CHS/COMUNITY | P | $3,750 | -$526 | -$526 | $4,276 | 2014-10-24 | 2016-01-05 |
| CONTINENTAL RES | P | $2,560 | -$1,285 | -$1,285 | $3,845 | 2014-12-10 | 2016-01-14 |
| DENBURY RESOURCES | P | $655 | -$1,255 | -$1,255 | $1,910 | 2013-06-06 | 2016-01-28 |
| DENBURY RESOURCES | P | $983 | -$1,792 | -$1,792 | $2,775 | 2013-09-26 | 2016-01-28 |
| ML PFD CAP TR V | P | $3,125 | $22 | $22 | $3,103 | 2012-05-11 | 2016-01-29 |
| RANGE RESOURCES | P | $1,515 | -$475 | -$475 | $1,990 | 2012-03-22 | 2016-01-25 |
| RANGE RESOURCES | P | $753 | -$242 | -$242 | $995 | 2012-03-22 | 2016-01-26 |
| RANGE RESOURCES | P | $775 | -$220 | -$220 | $995 | 2012-03-22 | 2016-01-29 |
| RANGE RESOURCES | P | $775 | -$215 | -$215 | $990 | 2012-03-30 | 2016-01-29 |
| TEEKAY CORP | P | $3,169 | -$1,938 | -$1,938 | $5,107 | 2010-03-31 | 2016-01-04 |
| SPRINT CORP | P | $1,235 | -$774 | -$774 | $2,009 | 2015-02-23 | 2016-01-22 |
| WILLIAMS CO INC | P | $2,180 | -$1,193 | -$1,193 | $3,373 | 2015-11-03 | 2016-01-20 |
| BRISTOW GROUP INC | P | $2,270 | -$1,795 | -$1,795 | $4,065 | 2014-12-01 | 2016-03-02 |
| CHESAPEAKE ENERGY | P | $855 | -$2,093 | -$2,093 | $2,948 | 2014-12-05 | 2016-03-09 |
| MIRANT AMERICAS | P | $2,540 | -$2,016 | -$2,016 | $4,556 | 2013-05-17 | 2016-03-10 |
| NRG ENERGY INC | P | $3,720 | -$457 | -$457 | $4,177 | 2013-07-24 | 2016-03-30 |
| PEABODY ENERGY CO | P | $210 | -$3,036 | -$3,036 | $3,246 | 2011-09-27 | 2016-03-18 |
| PEABODY ENERGY CO | P | $70 | -$969 | -$969 | $1,039 | 2014-09-03 | 2016-03-18 |
| TOLL BROS FINANCE | P | $3,045 | $52 | $52 | $2,993 | 2016-03-14 | 2016-05-24 |
| MEDIACOM LLC | P | $4,235 | -$33 | -$33 | $4,268 | 2013-01-30 | 2016-06-09 |
| AMERICAN WEST AIR | P | $98 | $0 | $0 | $98 | 2010-08-19 | 2016-07-02 |
| NETFLIX INC | P | $3,203 | $14 | $14 | $3,189 | 2016-03-23 | 2016-07-21 |
| AMERIGAS FINANCE | P | $3,173 | $225 | $225 | $2,948 | 2016-01-12 | 2013-10-24 |
| CONSTELATION BRA | P | $3,210 | $47 | $47 | $3,163 | 2016-04-14 | 2016-12-01 |
| 925 SH TRANSMONTIAGNE PARTNERS | $37,896 | $37,896 | $37,896 | 2015-05-01 | 2016-09-23 | ||
| CAPITAL GAIN/LOSS FROM K-1S | P | -$4 | -$4 | $4 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $20,655 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $417 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $83,654 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $648,156 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.129065 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $52,562 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $784,118 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.067033 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $89,497 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $806,456 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.110976 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $114,289 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $808,099 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.141429 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $80,227 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $897,456 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.089394 | DistributionYr5Rt |
| Total Distribution | 0.537897 | TotalDistributionRt |
| Average Distribution | 0.107579 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $549,679 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $59,134 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $306 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $59,440 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $55,494 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $613 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $613 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $613 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $298 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $298 | TotalPaymentsAndCreditsAmt |
| Tax Due | $315 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | WI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | R MAX SAMSON | IndividualWithBooksNm |
| Phone | 4143520339 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2603 W LAKE PARK CT | AddressLine1Txt |
| City | MEQUON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53092 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | R MAX SAMSON | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2603 W LAKE PARK CT | AddressLine1Txt |
| City | MEQUON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53092 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | PRESIDENT | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 0.25 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $0 | CompensationAmt |
| Employee Benefit Program | $0 | EmployeeBenefitProgramAmt |
| Expense Account Other Allwnc | $0 | ExpenseAccountOtherAllwncAmt |
| 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 |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $524,376 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $33,674 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $558,050 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $558,050 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $8,371 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $549,679 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $27,484 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $27,484 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $613 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $613 | TotalTaxAmt |
| Distributable Before Adj | $26,871 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $3,000 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $29,871 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $29,871 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $55,494 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $55,494 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $55,494 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $29,871 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $36,706 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $74,421 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $49,602 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $13,929 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $51,518 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $226,176 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $55,494 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $29,871 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $25,623 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $251,799 | 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 | $36,706 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $215,093 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $74,421 | ExcessFromYear4Amt |
| Excess From Year3 | $49,602 | ExcessFromYear3Amt |
| Excess From Year2 | $13,929 | ExcessFromYear2Amt |
| Excess From Year1 | $51,518 | ExcessFromYear1Amt |
| Excess From Current Year | $25,623 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | R MAX SAMSON | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | R MAX SAMSON | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 W DEAN RD | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532172534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 4143520339 | RecipientPhoneNum |
| Form And Info And Materials | NO SPECIFIC FORMAT REQUIRED | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ARSHA VIDYA PITAM | |||||||
| PO BOX 1059 | SAYLORSBURG | PA | 18353 | NONE | PC | CHARITABLE | $12,500 |
| CHABAD-LUBAVITCH | |||||||
| 2233 W MEQUON RD | MEQUON | WI | 53092 | NONE | PC | CHARITABLE | $1,580 |
| CONGREGATION SHIR HADASH | |||||||
| 2717 E HAMPSHIRE ST | MILWAUKEE | WI | 53211 | NONE | PC | CHARITABLE | $1,380 |
| FIRST STAGE CHILDREN'S THEATRE | |||||||
| 325 W WALNUT ST | MILWAUKEE | WI | 53212 | NONE | PC | CHARITABLE | $10,000 |
| LIVE OAK INSTITUTE | |||||||
| 1328 SIXTH STREET 4 | BERKELEY | CA | 94710 | NONE | PC | CHARITABLE | $6,600 |
| MILWAUKEE PUBLIC THEATRE | |||||||
| 2819 W HIGHLAND BLVD | MILWAUKEE | WI | 53208 | NONE | PC | CHARITABLE | $2,000 |
| RECONSTRUCTIONIST RABBINICAL COLLEGE | |||||||
| 1299 CHURCH ROAD | WYNCOTE | PA | 19095 | NONE | PC | CHARITABLE | $2,200 |
| THE SHALOM CENTER | |||||||
| 1713 62ND STREET | KENOSHA | WI | 53143 | NONE | PC | CHARITABLE | $6,000 |
| VOCES DE LA FRONTERA | |||||||
| 1027 S 5TH ST | MILWAUKEE | WI | 53204 | NONE | PC | CHARITABLE | $360 |
| NICE PLAYS INC | |||||||
| 1231 E KANE PL | MILWAUKEE | WI | 53202 | NONE | PC | CHARITABLE | $2,500 |
| OLAR HATORA | |||||||
| 7020 N GREEN BAY AVE | MILWAUKEE | WI | 53209 | NONE | PC | CHARITABLE | $180 |
| THE OPTIMIST THEATRE | |||||||
| 2010 N 1ST ST | MILWAUKEE | WI | 53212 | NONE | PC | CHARITABLE | $2,000 |
| UPAF | |||||||
| 301 W WISCONSIN AVE 600 | MILWAUKEE | WI | 53203 | NONE | PC | CHARITABLE | $180 |
| THREE HOLY WOMEN PARISH | |||||||
| 1716 N HUMBOLDT AVE | MILWAUKEE | WI | 53202 | NONE | PC | CHARITABLE | $2,500 |
| IN TANDEM THEATRE | |||||||
| 628 N 10TH ST | MILWAUKEE | WI | 53233 | NONE | PC | CHARITABLE | $125 |
| MILWAUKEE ALLIANCE JEWISH RECONNECTION INC | |||||||
| 3322 N 51ST BLVD | MILWAUKEE | WI | 53216 | NONE | PC | CHARITABLE | $500 |
| MILWAUKEE PUBLIC TELEVISION | |||||||
| 700 W STATE ST RM S214 | MILWAUKEE | WI | 53233 | NONE | PC | CHARITABLE | $10 |
| AQUARIAN MINYAN | |||||||
| 861 ARLINGTON AVE | BERKELEY | CA | 94707 | NONE | PC | CHARITABLE | $360 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $50,975 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $4,692 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $10,440 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $20,655 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (5 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| PUBLICLY TRADED PRTRSHP K-1S | 14 | $200 |
| PUBLICLY TRADED PRTRSHP K-1S | 16 | $2 |
| OTHER PRINCIPAL RECEIPTS | 14 | $2,801 |
| OTHER INCOME | 14 | $33 |
| PUBLICLY TRADED PRTRSHP K-1S | 14 | -$7 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $38,816 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $38,816 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $3,200 | Amt |
| Net Investment Income | $1,600 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $1,600 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | CORPORATE STOCKS | StockNm |
| EOY Book Value | $494,361 | EOYBookValueAmt |
| EOYFMV | $494,361 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $420 | LegalFeesAmt |
| Net Investment Income | $420 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| BANK FEES | $164 | $164 | $0 | $0 |
| CREDIT CARD FEES | -$134 | -$134 | $0 | $0 |
| INSURANCE | $351 | $0 | $0 | $351 |
| MASK & PUPPET CO OPERATING | $192 | $0 | $0 | $192 |
| OFFICE | $272 | $136 | $0 | $136 |
| MISCELLANEOUS | $100 | $50 | $0 | $50 |
| STORAGE | $2,190 | $0 | $0 | $2,190 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| PUBLICLY TRADED PRTRSHP K-1S | $200 | $200 | $0 |
| PUBLICLY TRADED PRTRSHP K-1S | $2 | $2 | $0 |
| OTHER PRINCIPAL RECEIPTS | $2,801 | $2,801 | $0 |
| OTHER INCOME | $33 | $33 | $0 |
| PUBLICLY TRADED PRTRSHP K-1S | -$7 | -$7 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| UNREALIZED GAIN/LOSS ON VALUATION OF SECURITIES | $24,223 |
| RETURN OF GRANT PAID IN PRIOR YEAR | $3,000 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CREDIT CARD PAYABLE | Desc |
| BOY Book Value | $3,550 | BOYBookValueAmt |
| EOY Book Value | $0 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $5,048 | Amt |
| Net Investment Income | $5,048 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| FOREIGN TAXES | $202 | $0 | $0 | $0 |
| INCOME TAXES | $570 | $0 | $0 | $0 |
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