LEE FAMILY FOUNDATION TR: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LEE FAMILY FOUNDATION TR (EIN 04-6919219)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-15
IRS object ID
201731359349100003
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-15T06:50:08-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN131971216PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSES & SCHREIBER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 MARCUS AVE STE 1W5AddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP110421007ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN046919219EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEE FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEEFBusinessNameControlTxt
Phone9412608826PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11439 SOUTH LAKESHORE DRIVEAddressLine1Txt
CitySARASOTACityNm
State AbbreviationFLStateAbbreviationCd
ZIP34231ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN J LEEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9412608826PhoneNum
Signature2017-05-01SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARY E SCHREIBERPreparerPersonNm
PTINP01317843PTIN
Phone5163527700PhoneNum
Preparation2017-05-01PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id13AB7BD7C30670632F6186538F259AD722F14CD7AtSubmissionCreationDeviceId
At Submission Filing Device IdCA2F3205D5BA0D190661EA60A502988185E2374FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,329,250FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$36InterestOnSavRevAndExpnssAmt
Interest On Savings Adj Net Incm$36InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$25,796DividendsRevAndExpnssAmt
Dividends Net Invst Incm$25,796DividendsNetInvstIncmAmt
Dividends Adj Net Incm$25,796DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$40,738NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$170,856GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$40,738CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$400NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$66,570TotalRevAndExpnssAmt
Total Net Invst Incm$66,534TotalNetInvstIncmAmt
Total Adj Net Incm$26,232TotalAdjNetIncmAmt
Legal Fees Rev And Expnss$2,410LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$2,410LegalFeesNetInvstIncmAmt
Accounting Fees Rev And Expnss$3,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,000AccountingFeesNetInvstIncmAmt
Taxes Rev And Expnss$941TaxesRevAndExpnssAmt
Taxes Net Invst Incm$941TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$3,783OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$3,783OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$10,134TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$10,134TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$60,360ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$60,360ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$70,494TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$10,134TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$60,360TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$3,924ExcessRevenueOverExpensesAmt
Net Investment Income$56,400NetInvestmentIncomeAmt
Adjusted Net Income$26,232AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$79,728CashBOYAmt
Cash EOY$32,849CashEOYAmt
Cash EOYFMV$32,849CashEOYFMVAmt
Sav And Temp Cash Invst BOY$12,883SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$12,583SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$12,583SavAndTempCashInvstEOYFMVAmt
Other Nts And Loans Rcvbl$290,218OtherNtsAndLoansRcvblAmt
Other Nts And Loans Rcvbl BOY$277,650OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$290,218OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$290,218OtherNtsAndLoansRcvblEOYFMVAmt
Prepaid Expenses BOY$1,379PrepaidExpensesBOYAmt
Prepaid Expenses EOY$1,600PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$1,600PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$677,629CorporateStockBOYAmt
Corporate Stock EOY$719,670CorporateStockEOYAmt
Corporate Stock EOYFMV$967,606CorporateStockEOYFMVAmt
Other Investments BOY$40,991OtherInvestmentsBOYAmt
Other Investments EOY$27,902OtherInvestmentsEOYAmt
Other Investments EOYFMV$24,394OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,090,260TotalAssetsBOYAmt
Total Assets EOY$1,084,822TotalAssetsEOYAmt
Total Assets EOYFMV$1,329,250TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$506,602CapitalStockBOYAmt
Capital Stock EOY$506,602CapitalStockEOYAmt
Retained Earning BOY$583,658RetainedEarningBOYAmt
Retained Earning EOY$578,220RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,090,260TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,084,822TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,090,260TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,084,822TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,090,260TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$3,924ExcessRevenueOverExpensesAmt
Subtotal$1,086,336SubtotalAmt
Other Decreases$1,514OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,084,822TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
FIDELITY SEE ATTACHEDP2016-12-31$12,257$11,857$400$400
FIDELITY SEE ATTACHEDP2016-12-31$158,599$118,261$40,338$40,338
FieldValueIRS element (for citing)
Capital Gain Net Income$40,738CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$400NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$66,560AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$996,168NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.066816DistributionYr1Rt
Adjusted Qlfy Distri Yr2$111,935AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,082,355NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.103418DistributionYr2Rt
Adjusted Qlfy Distri Yr3$215,707AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,067,632NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.202042DistributionYr3Rt
Adjusted Qlfy Distri Yr4$45,261AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$956,717NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.047309DistributionYr4Rt
Adjusted Qlfy Distri Yr5$44,632AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$986,337NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.045250DistributionYr5Rt
Total Distribution0.464835TotalDistributionRt
Average Distribution0.092967AverageDistributionRt
Net Vl Noncharitable Assets$1,262,929NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$117,411AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$564NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$117,975AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$60,360QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,128InvestmentIncomeExciseTaxAmt
Subtotal$1,128SubtotalAmt
Tax Based On Investment Income$1,128TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,600EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$1,600TotalPaymentsAndCreditsAmt
Overpayment$472OverpaymentAmt
Applied To ES Tax$472AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateMAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1MOSES AND SCHREIBER LLPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5163527700PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13000 MARCUS AVENUE SUITE 1W5AddressLine1Txt
CityLAKE SUCCESSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STEVEN J LEE
1439 SOUTH LAKESHORE DRIVESARASOTAFL34231PRESIDENT5.00$0$0$0
KAREN A LEE
1439 SOUTH LAKESHORE DRIVESARASOTAFL34231TRUSTEE2.00$0$0$0
JUSTIN S LEE
1207 N LAKESHORE DRIVESARASOTAFL34231TRUSTEE0.50$0$0$0
MEGAN A LEE
8 MUSEUM WAY APT 2202CAMBRIDGEMA02141TRUSTEE0.50$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$918,116AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$78,621AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$285,424FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,282,161TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$1,282,161AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$19,232CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,262,929NetVlNoncharitableAssetsAmt
Minimum Investment Return$63,146MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$63,146MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,128TaxBasedOnInvestmentIncomeAmt
Total Tax$1,128TotalTaxAmt
Distributable Before Adj$62,018DistributableBeforeAdjAmt
Distributable Before Ded$62,018DistributableBeforeDedAmt
Distributable As Adjusted$62,018DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$60,360ExpensesAndContributionsAmt
Qualifying Distributions$60,360QualifyingDistributionsAmt
Adjusted Qualifying Distri$60,360AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$62,018DistributableAsAdjustedAmt
Excess Distribution Cyov Yr4$1,398ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$164,539ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$59,331ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$18,264ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$243,532TotalExcessDistributionCyovAmt
Qualifying Distributions$60,360QualifyingDistributionsAmt
Applied To Current Year$60,360AppliedToCurrentYearAmt
Excess Distri Cyov App CY Corpus$1,658ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$1,658ExcessDistributionCyovAppCYAmt
Total Corpus$241,874TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$241,874ExcessDistriCyovToNextYrAmt
Excess From Year3$164,279ExcessFromYear3Amt
Excess From Year2$59,331ExcessFromYear2Amt
Excess From Year1$18,264ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

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

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonSTEVEN J LEERecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11439 SOUTH LAKESHORE DRIVEAddressLine1Txt
CitySARASOTACityNm
State AbbreviationFLStateAbbreviationCd
ZIP34231ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9412608826RecipientPhoneNum
Form And Info And MaterialsA LETTER WITH FULL DESCRIPTIONFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsSUBJECT TO VOTE BY TRUSTEESRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ALZHEIMERS ASSOCIATION
PO BOX 96011WASHINGTONDC200906011CHARITABLE$500
BONE MARROW MYELOMA CLINI
200 FIRST ST SWROCHESTERMN55905CHARITABLE$150
HONOR ANIMAL RESCUE
8435 COOPER CREEK BLVDBRADENTONFL34201CHARITABLE$1,000
LEHIGH UNIVERSITY
27 MEMORIAL DR WESTBETHLEMHEMPA18015CHARITABLE$50,000
MARINE CORP HERITAGE
3800 FETTLER PARK DRDUMFRIESVA22025CHARITABLE$100
NOKOMIS VOLUNTEER FIRE
111 PAVONIA RDNOKOMISFL34275CHARITABLE$100
RINGLING MUSEUM FOUNDATION
5401 BAY SHORE RDSARASOTAFL34236CHARITABLE$2,500
SALVATION ARMY
1400 10TH STREETSARASOTAFL34236CHARITABLE$150
SPANISH POINT
337 N TAMIAMI TRAILSARASOTAFL34229CHARITABLE$150
SPARK GAREN CHARITY
11 CAMELOT CTKENSINGTONCA94707CHARITABLE$100
VAN WEZEL FOUNDATION
777 N TAMIAMI TRAIL 3RDSARASOTAFL34236CHARITABLE$3,500
VET FOREIGN WARS
PO BOX 1437 ROOM 217ST PETERSBURGFL33731CHARITABLE$100
UNITED SERVICE ORGANIZATION
PO BOX 108JACKSONVILLEFL32212CHARITABLE$500
COMPASSION & CHOICES
PO BOX 485ETNANH03750CHARITABLE$500
INTL FELLOW OF CHRISTIANS & JEWS
PO BOX 96105WASHINGTONDC20090CHARITABLE$150
ST JUDE
262 DANNY THOMAS PLACEMEMPHISTN38105CHARITABLE$150
WUSF
4202 EAST FOWLER AVENUETAMPAFL33620CHARITABLE$60TVB100
FRIENDS OF THE LEGACY TRAILS
PO BOX 792OSPREYFL34229CHARITABLE$150
RINGLING COLLEGE OF ART AND DESIGN
2700 N TAMIAMI TRAILSARASOTAFL34234CHARITABLE$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$60,360TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$36ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$25,796ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$40,738ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$66,570ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$66,570TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,000Amt
Net Investment Income$3,000NetInvestmentIncomeAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (45 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
OMNICOM GROUP
PROCTER & GAMBLE CO
ACCENTURE PLC CLS A$9,544$19,326
NESTLE SA CHFO$21,503$24,437
APPLE INC$31,775$34,283
BB&T$27,625$36,817
BCE INC$24,972$24,214
EVERSOURCE ENERGY COM$17,137$26,510
GENERAL ELECTRIC CO$14,802$17,254
GENUINE PARTS$13,994$21,497
ILLINOIS TOOL WORKS
INTEL CORP$16,742$22,487
JP MORGAN CHASE & CO$25,864$37,536
JOHNSON & JOHNSON$26,766$39,632
LEGGETT & PLATT INC$17,701$28,008
LOCKHEED MARTIN CORP$8,527$19,995
LOWES COS INC COM$8,637$22,047
MICROSOFT CORP$13,413$28,274
NOVARTIS$15,049$19,667
ORACLE CORP$23,412$26,184
PARKER HANNIFIN$18,432$21,980
SIEMENS A G SPONSORED$17,466$22,175
TEXAS INSTRUMENTS INC$34,273$48,087
3M COMPANY
TOTAL S A SPONSORED ADR
UNITED TECHNOLOGIES CORP$27,206$34,750
VERIZON COMMUNICATIONS$17,681$20,018
VISA INC COM CL A
WASTE MANAGEMENT INC
WELLS FARGO & CO$10,519$19,840
AT&T INC$25,882$35,300
ABBOT LABS$21,254$25,351
BECTON DICKSON CO$17,767$37,249
CISCO SYS INC COM$13,973$15,714
COCA COLA$18,001$21,974
DEERE & COMPANY$18,117$21,638
DIAGEO ADR EACH REPR 4 ORD$18,089$20,268
EXXON MOBILE CORP$18,437$19,406
INTL BUSINESS MACHINES$23,175$25,728
OMNICOM GROUP$17,064$35,746
PPG$10,686$10,803
PFIZER INC$13,774$13,317
PROCTER AND GAMBLE CO COM$15,287$25,224
VF CORP$27,309$24,861
CHEVRON CORP NY$17,815$20,009

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
EMERSON ELECTRICAT COST
ALPS EFT TR ALERIAN MLP ETFAT COST$27,902$24,394

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$2,410LegalFeesAmt
Net Investment Income$2,410NetInvestmentIncomeAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescEXCISE TAXDesc
Amt$1,514Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
EXPENSES
ADVISORY FEES$3,783$3,783

Other Notes Loans Rcvbl Short Sch2 OtherNotesLoansRcvblShortSch2

Other Notes Loans Rcvbl Short OtherNotesLoansRcvblShortGrp

Organization501c3 Name Organization501c3Name

FieldValueIRS element (for citing)
Business Name Line1LIFE INSURANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Balance Due$290,218BalanceDueAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
FOREIGN TAX$906$906
MA ANNUAL FILING FEES$35$35

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