MCDAVID FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MCDAVID FOUNDATION (EIN 55-0730152)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-11
IRS object ID
201741319349101884
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)
Return2017-05-11T14:37:32-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1747AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253261747ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550730152EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCDAVID FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMCDABusinessNameControlTxt
Phone3043471102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11410 WOODMERE DRIVEAddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25314ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANA LONGPersonNm
Person TitlePRESIDENT/TREASURERPersonTitleTxt
Phone3043471102PhoneNum
Signature2017-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSUSAN S DULLPreparerPersonNm
PTINP00233523PTIN
Phone3043430168PhoneNum
Preparation2017-05-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.15.98.225IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-10IPDt
IP Tm15:20:08IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB835909F78814B4D07D271F137E3A0796EDDD15AAtSubmissionCreationDeviceId
At Submission Filing Device IdB67898B6CC3E49A2C09A42D35EB7EBC02AF9DF2FAtSubmissionFilingDeviceId
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$1,868,304FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$33,234DividendsRevAndExpnssAmt
Dividends Net Invst Incm$33,234DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$41,605NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$63,464GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$41,605CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$200,467OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$275,306TotalRevAndExpnssAmt
Total Net Invst Incm$74,839TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,625AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$875AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$7,914TaxesRevAndExpnssAmt
Taxes Net Invst Incm$431TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$3,222OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$276OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$172OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$14,636TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,332TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,047TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$15,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$15,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$29,636TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,332TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$16,047TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$245,670ExcessRevenueOverExpensesAmt
Net Investment Income$71,507NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$681CashBOYAmt
Cash EOY$2,157CashEOYAmt
Cash EOYFMV$2,157CashEOYFMVAmt
Corporate Stock BOY$1,695,656CorporateStockBOYAmt
Corporate Stock EOY$1,749,064CorporateStockEOYAmt
Corporate Stock EOYFMV$1,643,024CorporateStockEOYFMVAmt
Other Investments BOY$32,931OtherInvestmentsBOYAmt
Other Investments EOY$223,123OtherInvestmentsEOYAmt
Other Investments EOYFMV$223,123OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,729,268TotalAssetsBOYAmt
Total Assets EOY$1,974,344TotalAssetsEOYAmt
Total Assets EOYFMV$1,868,304TotalAssetsEOYFMVAmt
Other Liabilities BOY$594OtherLiabilitiesBOYAmt
Other Liabilities EOY$0OtherLiabilitiesEOYAmt
Total Liabilities BOY$594TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,728,674RetainedEarningBOYAmt
Retained Earning EOY$1,974,344RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,728,674TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,974,344TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,729,268TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,974,344TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,728,674TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$245,670ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,974,344SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,974,344TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
426.076 SHS STAR FUNDP2015-07-152016-05-09$10,000$10,771-$771-$771
122.2 SHS STAR FUNDP2015-07-172016-08-10$3,000$3,088-$88-$88
325.071 SHS STAR FUNDP2015-07-172016-12-14$8,000$8,000$0$0
CAPITAL GAINS DIVIDENDSP$42,464$42,464$42,464
FieldValueIRS element (for citing)
Capital Gain Net Income$41,605CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$116,032AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,702,959NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.068136DistributionYr1Rt
Adjusted Qlfy Distri Yr2$164,888AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,873,157NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.088027DistributionYr2Rt
Adjusted Qlfy Distri Yr3$164,157AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,870,309NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.087770DistributionYr3Rt
Adjusted Qlfy Distri Yr4$165,225AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,817,429NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.090911DistributionYr4Rt
Adjusted Qlfy Distri Yr5$170,034AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,900,331NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.089476DistributionYr5Rt
Total Distribution0.424320TotalDistributionRt
Average Distribution0.084864AverageDistributionRt
Net Vl Noncharitable Assets$1,799,817NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$152,740AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$715NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$153,455AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$16,047QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,430InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,430SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,430TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,040EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$4,040TotalPaymentsAndCreditsAmt
Overpayment$2,610OverpaymentAmt
Applied To ES Tax$2,610AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateWVOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.MCDAVIDFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksDIANA LONGIndividualWithBooksNm
Phone3043469001PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11410 WOODMERE DRIVEAddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25314ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BRADFORD A MCDAVID
4883 EAST US HIGHWAY 36URBANAOH25314PRESIDENT/TREAS/DIRECTOR0.50$0$0$0
DIANA L LONG
1410 WOODMERE DRIVECHARLESTONWV25314SECRETARY/DIRECTOR0.50$0$0$0
SANDRA MCDAVID
4883 EAST US HIGHWAY 36URBANAOH43078DIRECTOR0.50$0$0$0
ANNE R HAAKENSON
317 MCCONNELL DRIVELYONSCO80540DIRECTOR0.50$0$0$0
DEAN HAAKENSON
317 MCCONNELL DRIVELYONSCO80540DIRECTOR0.50$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,607,437AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$4,615AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$215,173FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,827,225TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,827,225AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$27,408CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,799,817NetVlNoncharitableAssetsAmt
Minimum Investment Return$89,991MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$89,991MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,430TaxBasedOnInvestmentIncomeAmt
Income Tax$15,960IncomeTaxAmt
Total Tax$17,390TotalTaxAmt
Distributable Before Adj$72,601DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$72,601DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$72,601DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$16,047ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$16,047QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$16,047AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$72,601DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$19,194ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$76,038ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$74,418ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$73,692ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$34,903ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$278,245TotalExcessDistributionCyovAmt
Qualifying Distributions$16,047QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$16,047AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$56,554ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$56,554ExcessDistributionCyovAppCYAmt
Total Corpus$221,691TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$221,691ExcessDistriCyovToNextYrAmt
Excess From Year4$38,678ExcessFromYear4Amt
Excess From Year3$74,418ExcessFromYear3Amt
Excess From Year2$73,692ExcessFromYear2Amt
Excess From Year1$34,903ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonDIANA LONGRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11410 WOODMERE DRIVEAddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25314ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3043469001RecipientPhoneNum
Form And Info And MaterialsCONTACT ABOVE FOR CURRENT GUIDELINES AND ADDITIONAL INFORMATION AND MATERIALS TO INCLUDE WITH APPLICATION.FormAndInfoAndMaterialsTxt
Submission DeadlinesDECEMBER 1SubmissionDeadlinesTxt
Restrictions On AwardsCONTACT ABOVE FOR INFORMATION ON RESTRICTIONS OR LIMITATIONS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHURCH OF THE EPHIPHANY
230 SCIOTO STURBANAOH43078N/APCHALF OF THE DONATION FOR GENERAL PURPOSES: TO RESTORE ALL PEOPLE TO UNITY WITH GOD AND EACH OTHER IN CHRIST$5,000
COLORADO NONPROFIT DEVELOPMENT CENTER
789 SHERMAN ST SUITE 250DENVERCO80203N/APCGENERAL PURPOSES: TO IMPROVE THE QUALITY OF LIFE, BUILD A CULTURE OF GIVING, AND ENCOURAGE POSITIVE CHANGE FOR THE GREATER LYONS AREA.$5,000
FAIRNESS WEST VIRGINIA INSTITUTE
405 CAPITAL ST SUITE 405CHARLESTONWV25301N/APCENERAL PURPOSES: TO ADVOCATE FOR FAIR TREATMENT AND CIVIL RIGHTS$3,000
RECOVERY POINT WEST VIRGINIA
900 20TH STHUNTINGTONWV25703N/APCGENERAL PURPOSES: TO PROVIDE FOOD, SHELTER, CLOTHING AND AN EVIDENCE-BASED RECOVERY PROGRAM$2,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$15,000TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COLORADO OUTWARD BOUND SCHOOLBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line15161 SHERIDAN BLVDAddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80212ZIPCd
FieldValueIRS element (for citing)
Grant Or Contribution PurposeGENERAL PURPOSES: TO IMPROVE THE QUALITY OF LIFE, BUILD A CULTURE OF GIVING, AND ENCOURAGE POSITIVE CHANGE FOR THE GREATER LYONS AREA AND THE LMC PROGRAMGrantOrContributionPurposeTxt
Amt$24,900Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$24,900TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$33,234ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$41,605ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescBusinessBusinessCdUnrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmtExclusionExclusionAmt
PASSED THROUGH FROM WV MEDIA PARTNERS, LP K-1517000$115,931$61,765
PASSED THROUGH FROM WV MEDIA HOLDINGS, LLC K-1517000$8,954$13,817

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$124,885UnrelatedBusinessTaxblIncmAmt
Exclusion$150,421ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$275,306TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,500Amt
Net Investment Income$2,625NetInvestmentIncomeAmt
Disbursements Charitable Prps$875DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockVANGUARDStockNm
EOY Book Value$1,749,064EOYBookValueAmt
EOYFMV$1,643,024EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
WEST VIRGINIA MEDIA PARTNERS, LPFMV$207,784$207,784
WEST VIRGINIA MEDIA HOLDINGS, LLC CAPITAL ACCOUNTFMV$15,339$15,339

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CHARITABLE DEDUCTION EXPENSE PASSED THROUGH ON K-1$80$0$80
NON-DEDUCTIBLE EXPENSES PASSED THROUGH ON K-1$2,773$0$0
WEBSITE EXPENSE$369$276$92

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
PASSED THROUGH FROM WV MEDIA PARTNERS, LP K-1$177,696$177,696
PASSED THROUGH FROM WV MEDIA HOLDINGS, LLC K-1$22,771$22,771

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescWEST VIRGINIA MEDIA HOLDINGS, LLC CAPITAL ACCOUNTDesc
BOY Book Value$594BOYBookValueAmt
EOY Book Value$0EOYBookValueAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OTHER TAXES AND LICENSES$7,483$0$0
FOREIGN TAXES PAID$431$431$0

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