THE PETERNELL FAMILY FOUDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- THE PETERNELL FAMILY FOUDATION (EIN 20-3864384)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-04-28
- IRS object ID
- 201731189349100818
- 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
- Depreciation Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Expenses Schedule
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-04-28T14:14:27-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Ln Ste 212 | AddressLine1Txt |
| City | Lake Success | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | 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 | 203864384 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Peternell Family Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | PETE | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BEN PETERNELL | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2017-04-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 5.102.240.171 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 06391520171185000013 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-04-28 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BC971FC33BAF52379132A0473611089A0DAEC697 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6B1EFC400AF5C33D9B3602785388C863E4E2E7C3 | 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 | $2,859,166 | 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 | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $214 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $214 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $50,609 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $50,609 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$532 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $998,741 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $28,257 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $50,291 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $79,080 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $11,495 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $11,495 | OtherProfFeesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $16,334 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $36 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $16,298 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $27,829 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $11,531 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $16,298 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $130,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $130,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $158,329 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $11,531 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $146,798 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$108,038 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $67,549 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $80,698 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $122,442 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $122,442 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations EOY | $357,561 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $348,835 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $2,644,414 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,825,305 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,086,439 | CorporateStockEOYFMVAmt |
| Corporate Bonds EOY | $311,766 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $301,450 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $2,725,112 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,617,074 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,859,166 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $2,725,112 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,617,074 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,725,112 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,617,074 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,725,112 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,617,074 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,725,112 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$108,038 | ExcessRevenueOverExpensesAmt |
| Subtotal | $2,617,074 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $2,617,074 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly-traded Securities | PropertyDesc |
| Gross Sales Price | $998,741 | GrossSalesPriceAmt |
| Cost Or Other Basis | $970,484 | CostOrOtherBasisAmt |
| Gain Or Loss | $28,257 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $28,257 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $28,257 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $141,184 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,954,725 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.047782 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $96,179 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $3,006,918 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.031986 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $90,092 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,989,046 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.045294 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $90,728 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,836,014 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.049416 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $91,436 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,861,247 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.049126 | DistributionYr5Rt |
| Total Distribution | 0.223604 | TotalDistributionRt |
| Average Distribution | 0.044721 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,794,436 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $124,970 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $675 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $125,645 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $146,798 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $675 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $675 | SubtotalAmt |
| Tax Based On Investment Income | $675 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $956 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $956 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $281 | OverpaymentAmt |
| Applied To ES Tax | $281 | AppliedToESTaxAmt |
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 | DE | 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 | Yes (true) | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | 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 |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|
| Andrew Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP | 1.0 | $0 | $0 | $0 |
| Ben C Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres / Dir / Sec | 1.0 | $0 | $0 | $0 |
| Jamie Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP | 1.0 | $0 | $0 | $0 |
| Mark A Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP | 1.0 | $0 | $0 | $0 |
| Pamela Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP / Dir | 1.0 | $0 | $0 | $0 |
| Sara Lynn Peternell | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP | 1.0 | $0 | $0 | $0 |
| 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 | $2,662,481 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $174,510 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,836,991 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,836,991 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $42,555 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,794,436 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $139,722 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $139,722 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $675 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $675 | TotalTaxAmt |
| Distributable Before Adj | $139,047 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $139,047 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $139,047 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $146,798 | 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 | $146,798 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $675 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $146,123 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $139,047 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $144,062 | UndistributedIncomePYAmt |
| Prior Year1 | 2014 | PriorYear1Yr |
| Prior Year2 | 2013 | PriorYear2Yr |
| Prior Year3 | 2012 | PriorYear3Yr |
| Qualifying Distributions | $146,798 | QualifyingDistributionsAmt |
| Applied To Year1 | $144,062 | AppliedToYear1Amt |
| Applied To Current Year | $2,736 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $136,311 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | Ben C Peternell | ContributingManagerNm |
| Contributing Manager | Pamela Peternell | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN NATIONAL RED CROSS | |||||||
| 6921 MIDDLEBROOK PIKE | KNOXVILLE | TN | 37909 | N/A | PC | Financial support to the families affected by the fire in the Smoky Mountains, November 2016 Initiative | $10,000 |
| BOYS AND GIRLS CLUBS OF CHAFFEE COUNTY | |||||||
| PO BOX 1430 | SALIDA | CO | 81201 | N/A | PC | General & Unrestricted | $5,000 |
| COMMUNITY FOUNDATION OF GREATER MEMPHIS INC | |||||||
| 1900 UNION AVE | MEMPHIS | TN | 38104 | N/A | PC | Pam and Ben Peternell donor advised fund | $5,000 |
| EAGLE VALLEY LAND TRUST | |||||||
| PO BOX 3016 | EDWARDS | CO | 81632 | N/A | PC | General & Unrestricted | $10,000 |
| HABITAT FOR HUMANITY OF METRO DENVER INC | |||||||
| 3245 ELIOT ST | DENVER | CO | 80211 | N/A | PC | General & Unrestricted | $20,000 |
| LAND TRUST OF THE UPPER ARKANSAS | |||||||
| PO BOX 942 | SALIDA | CO | 81201 | N/A | PC | General & Unrestricted | $10,000 |
| LEGAL AID FOUNDATION OF COLORADO | |||||||
| 1900 GRANT ST 1112 | DENVER | CO | 80203 | N/A | PC | General & Unrestricted | $5,000 |
| PTA COLORADO CONGRESS | |||||||
| 3350 QUITMAN ST | DENVER | CO | 80212 | N/A | PC | Edison Elementary PTA, purchase of books for the classroom libraries and computers for the classrooms. | $5,500 |
| PTA COLORADO CONGRESS | |||||||
| 3350 QUITMAN ST | DENVER | CO | 80212 | N/A | PC | For Edison Elementary School in Denver, CO. for the music program and for PTA nutrition and wellness committee initiatives. | $7,500 |
| ROUNDUP RIVER RANCH | |||||||
| 10 W BEAVER CREEK BLVD | AVON | CO | 81620 | N/A | PC | General & Unrestricted | $10,000 |
| TENNYSON CENTER FOR CHILDREN AT COLORADO CHRISTIAN | |||||||
| 2950 TENNYSON ST | DENVER | CO | 80212 | N/A | PC | General & Unrestricted | $5,000 |
| THE SALVATION ARMY | |||||||
| PO BOX 470 | MANSURA | LA | 71350 | N/A | PC | 2016 Gulf Coast flood relief Program | $5,000 |
| TROUT UNLIMITED INC | |||||||
| PO BOX 7400 | WOOLLY BUGGER | WV | 25438 | N/A | PC | General & Unrestricted | $10,000 |
| UNIVERSITY OF COLORADO FOUNDATION | |||||||
| 1800 GRANT ST STE 725 | DENVER | CO | 80203 | N/A | PC | athletic scholarship fund | $12,500 |
| WALKING MOUNTAINS | |||||||
| PO BOX 9469 | AVON | CO | 81620 | N/A | PC | General & Unrestricted | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $130,500 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $214 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $50,609 | 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 | -$532 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $50,291 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $50,291 | 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 |
Depreciation Schedule DepreciationSchedule
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (24 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AMERICAN EXPRESS - 2.375% - 03 | $10,079 | $10,025 |
| ANHEUSER BUSCH BOND - 3.300% - | $10,531 | $10,177 |
| APPLE INC - 2.850% - 02/23/202 | $15,791 | $15,008 |
| AT&T INC - 0.041% - 02/17/2026 | $10,889 | $10,126 |
| BANK NEW YORK - 3.550% - 09/23 | $10,796 | $10,426 |
| BANK OF NOVA SCOTIA - 1.450% - | $15,015 | $14,953 |
| BERKSHIRE HATHAWAY NOTE - 3.12 | $15,937 | $14,903 |
| CATERPILLAR FNL SVCS MTNS BE - | $10,023 | $9,976 |
| CITIGROUP - 0.027% - 03/30/202 | $10,235 | $9,977 |
| CVS HEALTH CORP - 2.125% - 06/ | $10,136 | $9,805 |
| DUKE ENERGY CAROLINAS LLC BOND | $16,426 | $15,923 |
| GOLDMAN SACHS GROUP - 2.550% - | $10,238 | $10,061 |
| JOHN DEERE CAP CORP - 1.250% - | $9,813 | $9,822 |
| JPMORGAN CHASE & CO - 0.033% - | $15,634 | $14,718 |
| MEDTRONIC INC - 0.032% - 03/15 | $15,998 | $15,322 |
| MERCK & CO INC NT - 2.400% - 0 | $15,488 | $14,704 |
| MORGAN STANLEY - 2.800% - 06/1 | $10,293 | $10,082 |
| ORACLE CORP NOTE - 0.024% - 09 | $15,164 | $14,532 |
| SHELL INTERNATIONAL - 3.250% - | $15,918 | $14,945 |
| STATOIL ASA - 3.125% - 08/17/2 | $10,182 | $10,114 |
| TORONTO DOMINION BANK - 1.400% | $15,039 | $14,972 |
| TOYOTA MOTOR CRED MTN - 0.012% | $15,027 | $14,933 |
| VERIZON COMMUNICATIONS INC - 5 | $11,722 | $11,057 |
| WELLS FARGO - 0.025% - 03/04/2 | $15,392 | $14,889 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (11 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ARTISAN HIGH INCOME FUND INVES | $83,100 | $83,551 |
| HENDERSON EUROPEAN FOCUS FUND | $105,536 | $89,879 |
| ISHARES RUSSELL 1000 INDEX FD | $693,355 | $873,335 |
| ISHARES RUSSELL 2000 | $50,325 | $103,835 |
| ISHARES TR S & P MIDCAP 400 IN | $406,062 | $451,213 |
| JOHCM INTL SELECT FUND CL I | $90,025 | $79,392 |
| MATTHEWS ASIA SMALL COMPANIES | $72,313 | $72,700 |
| PAYDEN EMERGING MARKETS BOND F | $49,473 | $48,255 |
| SCHRODER INTL MULTI CAP FUND | $123,275 | $120,206 |
| SEAFARER OVERSEAS GROWTH & INC | $60,871 | $67,352 |
| VULCAN VALUE PARTNERS SMALL CA | $90,970 | $96,721 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $160,589 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $157,893 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $196,972 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $190,942 | StateLocalSecEOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $16,273 | $16,273 | |
| Bank Charges | $36 | $36 | |
| State or Local Filing Fees | $25 | $25 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | CategoryTxt |
| Amt | $11,495 | Amt |
| Net Investment Income | $11,495 | NetInvestmentIncomeAmt |
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