MUSHETT FAMILY FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MUSHETT FAMILY FOUNDATION INC (EIN 22-3614593)
Tax period
2016-06-01 to 2017-05-31
Filed
2017-06-23
IRS object ID
201731749349100103
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)
Return2017-06-23T07:03:47-07:00ReturnTs
Tax Period End2017-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Caristia Kulsar & Wade LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1336 Sparta AveAddressLine1Txt
CitySpartaCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07871ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223614593EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mushett Family Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMUSHBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Mill Ridge Lane Suite 202AddressLine1Txt
CityChesterCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07930ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHenry J DaalemanPersonNm
Person TitlePresidentPersonTitleTxt
Signature2017-06-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph T Reed CPAPreparerPersonNm
PTINP00010069PTIN
Phone9737298968PhoneNum
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$12,220,325FMVAssetsEOYAmt
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$50,758InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$50,758InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$50,758InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$206,229DividendsRevAndExpnssAmt
Dividends Net Invst Incm$206,229DividendsNetInvstIncmAmt
Dividends Adj Net Incm$206,229DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$38,167NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$652,097GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$38,167CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$295,154TotalRevAndExpnssAmt
Total Net Invst Incm$295,154TotalNetInvstIncmAmt
Total Adj Net Incm$256,987TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$87,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$43,500CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$43,500CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$28,488OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$14,244OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$14,244OthEmplSlrsWgsDsbrsChrtblAmt
Accounting Fees Rev And Expnss$550AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$550AccountingFeesNetInvstIncmAmt
Other Prof Fees Rev And Expnss$100,542OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$99,825OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$717OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$19,144TaxesRevAndExpnssAmt
Taxes Net Invst Incm$5,461TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$4,384TaxesDsbrsChrtblAmt
Occupancy Rev And Expnss$24,457OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$12,228OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$12,229OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$2,198TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$2,198TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$12,408OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$5,083OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$7,326OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$274,787TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$180,891TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$84,598TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$535,687ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$535,687ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$810,474TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$180,891TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$620,285TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$515,320ExcessRevenueOverExpensesAmt
Net Investment Income$114,263NetInvestmentIncomeAmt
Adjusted Net Income$256,987AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$5,553,877SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$3,376,362SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$3,376,362SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$3,323,612CorporateStockBOYAmt
Corporate Stock EOY$2,988,883CorporateStockEOYAmt
Corporate Stock EOYFMV$5,560,196CorporateStockEOYFMVAmt
Corporate Bonds EOY$949,329CorporateBondsEOYAmt
Corporate Bonds EOYFMV$988,490CorporateBondsEOYFMVAmt
Other Investments BOY$1,225,000OtherInvestmentsBOYAmt
Other Investments EOY$2,272,595OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,288,717OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$2,913LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,913LandBldgEquipAccumDeprecAmt
Other Assets BOY$6,560OtherAssetsBOYAmt
Other Assets EOY$6,560OtherAssetsEOYAmt
Other Assets EOYFMV$6,560OtherAssetsEOYFMVAmt
Total Assets BOY$10,109,049TotalAssetsBOYAmt
Total Assets EOY$9,593,729TotalAssetsEOYAmt
Total Assets EOYFMV$12,220,325TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$10,109,049UnrestrictedBOYAmt
Unrestricted EOY$9,593,729UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$10,109,049TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$9,593,729TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$10,109,049TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$9,593,729TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$10,109,049TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$515,320ExcessRevenueOverExpensesAmt
Subtotal$9,593,729SubtotalAmt
Tot Net Ast Or Fund Balances EOY$9,593,729TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
2499 Lilly Eli & CoP2012-01-012016-06-07$186,581$96,240$90,341$90,341
125000 PNC Govt.P2012-01-012016-06-30$125,000$125,000
9250 Ford Motor CompanyP2012-01-012016-09-13$114,201$150,908-$36,707-$36,707
5043.060 PNC Govt.P2012-01-012016-11-30$5,043$5,043
7500 General ElectricP2012-01-012017-03-29$221,272$236,739-$15,467-$15,467
FieldValueIRS element (for citing)
Capital Gain Net Income$38,167CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$603,276AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$11,989,865NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.05032DistributionYr1Rt
Adjusted Qlfy Distri Yr2$572,773AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$12,434,053NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.04607DistributionYr2Rt
Adjusted Qlfy Distri Yr3$548,752AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$11,880,560NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.04619DistributionYr3Rt
Adjusted Qlfy Distri Yr4$521,692AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$10,969,632NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.04756DistributionYr4Rt
Adjusted Qlfy Distri Yr5$505,817AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$10,528,355NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.04804DistributionYr5Rt
Total Distribution0.238170TotalDistributionRt
Average Distribution0.047634AverageDistributionRt
Net Vl Noncharitable Assets$11,968,281NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$570,097AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,143NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$571,240AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$620,285QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,143InvestmentIncomeExciseTaxAmt
Subtotal$1,143SubtotalAmt
Tax Based On Investment Income$1,143TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$10,146EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$10,146TotalPaymentsAndCreditsAmt
Overpayment$9,003OverpaymentAmt
Applied To ES Tax$4,500AppliedToESTaxAmt
Refund$4,503RefundAmt

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
Form990 T FiledfalseForm990TFiledInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
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 Line1OrganizationBusinessNameLine1Txt

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11 Mill Ridge Lane Suite 202AddressLine1Txt
CityChesterCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07930ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsfalseMaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd

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 PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Henry J Daaleman
1 Young CourtChesterNJ07930President/Treas20.00$60,000
Mark Daaleman
836 Kimball AvenueWestfieldNJ07090VP/Secretary5.00$15,000
James Morgan MD
653 Upper Mountain AvenueUpper MontclairNJ07043Trustee2.00$6,000
Elizabeth A Csipkay
6 Samantha LaneCalifonNJ07830Trustee2.00$6,000
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$7,478,201AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$4,665,778AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$6,560FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$12,150,539TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$12,150,539AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$182,258CashDeemedCharitableAmt
Net Vl Noncharitable Assets$11,968,281NetVlNoncharitableAssetsAmt
Minimum Investment Return$598,414MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$598,414MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,143TaxBasedOnInvestmentIncomeAmt
Total Tax$1,143TotalTaxAmt
Distributable Before Adj$597,271DistributableBeforeAdjAmt
Distributable Before Ded$597,271DistributableBeforeDedAmt
Distributable As Adjusted$597,271DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$620,285ExpensesAndContributionsAmt
Qualifying Distributions$620,285QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,143PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$619,142AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$597,271DistributableAsAdjustedAmt
Undistributed Income PY$496,087UndistributedIncomePYAmt
Qualifying Distributions$620,285QualifyingDistributionsAmt
Applied To Year1$496,087AppliedToYear1Amt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$124,198AppliedToCurrentYearAmt
Undistributed Income CY$473,073UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (21 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
Memorial Sloan Kettering Cancer Cen
633 3rd Avenue 28th FloorNew YorkNY10017N/APCGeneral Operating$150,000
Catholic Relief Services
228 West Lexington StreetBaltimoreMD21201N/APCGeneral Operating$20,000
Doctors Without Borders
333 Seventh Avenue 2nd FloorNew YorkNY10001N/APCGeneral Operating$20,000
Partners in Health
888 Commonwealth Avenue 3rd FloorBostonMA02215N/APCGeneral Operating$20,000
Family Promise
71 Summit AvenueSummitNJ07901N/APCGeneral Operating$20,000
St Joseph's Haiti Parish Twinning
376 Maple PlaceKeyportNJ07735N/APCGeneral Operating$20,000
Interfaith Food Pantry Inc
2 Executive DriveMorris PlainsNJ07950N/APCGeneral Operating$20,000
Jewish Family Services
655 Westfield AvenueElizabethNJ07208N/APCGeneral Operating$25,137
Groundwork Elizabeth Inc
205 First StreetElizabethNJ07206N/APCGeneral Operating$15,000
St Luke Foundation for Haiti
58 Lynn RoadIvorytonCT06442N/APCGeneral Operating$20,000
Catholic Medical Mission Board
10 West 17th StreetNew YorkNY10011N/APCGeneral Operating$20,000
NYNJ Baykeeper
52 West Front StreetKeyportNJ07735N/APCGeneral Operating$5,000
Elizabeth Coalition to House the Ho
118 Division StreetElizabethNJ07201N/APCGeneral Operating$20,000
Covenant House NJ Inc
231 Court StreetElizabethNJ07206N/APCGeneral Operating$20,000
The Lamp Foundation
PO Box 39703PhiladelphiaPA19106N/APCGeneral Operating$20,000
Community Food Bank of NJ Inc
31 Evans Terminal RoadHillsideNJ07205N/APCGeneral Operating$20,000
St Joseph Social Service Center
118 Division StreetElizabethNJ07201N/APCGeneral Operating$20,000
The New York Academy of Sciences
250 Greenwich Street 40th FloorNew YorkNY10007N/APCGeneral Operating$12,650
Catholic CharitiesDiocese of Baton
1900 S Acadian Thruway PO Box 1668Baton RougeLA70821N/APCGeneral Operating$10,000
Rutgers Univerity - Newark
1 DeKorte Park PlazaLyndhurstNJ07071N/APCGeneral Operating$55,000
Friends of Great Swamp NWR
241 Pleasant Plains RoadBasking RidgeNJ07920N/APCGeneral Operating$2,900
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$535,687TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$50,758ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$206,229ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$38,167ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$295,154ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$295,154TotalIncomeProducingActyAmt

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)
Amt$550Amt
Net Investment Income$550NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCorporate BondsBondNm
EOY Book Value$949,329EOYBookValueAmt
EOYFMV$988,490EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCommon StockStockNm
EOY Book Value$2,988,883EOYBookValueAmt
EOYFMV$5,560,196EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemMutual FundsCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$2,272,595BookValueAmt
EOYFMV$2,288,717EOYFMVAmt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemMachinery and EquipmentCategoryOrItemTxt
Cost Or Other Basis$2,913CostOrOtherBasisAmt
Accumulated Depreciation$2,913AccumulatedDepreciationAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescSECURITY DEPOSITDesc
BOY Book Value$6,560BOYBookValueAmt
EOY Book Value$6,560EOYBookValueAmt
EOYFMV$6,560EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
bank charges$854$854
INSURANCE$1,447$723$724
MEETING EXPENSES$3,095$3,095
miscellaneous$28$14$14
OFFICE EXPENSES$5,023$2,512$2,512
postage$512$256$256
telephone$1,449$724$725

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
invesment manangement fees$27,490$27,490$0$0
legal fees$71,619$71,619$0$0
payroll processing$1,433$716$0$717

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
excise tax$9,300
foreign taxes withheld$1,077$1,077
payroll taxes$8,767$4,384$4,384

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