FURP.ORG / PUBLIC DATA EXPLORER

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

View the entire original 990 at ProPublica ↗

Organization
KNOTT FAMILY FOUNDATION INC (EIN 56-2003192)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-11
IRS object ID
201741319349100619
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)
Return2017-05-11T09:03:30-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN562075906PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROBERSON CPA FIRM PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11904 FRONT STREET SUITE 420AddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27705ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562003192EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE KNOTT FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKNOTBusinessNameControlTxt
Phone9199134719PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13210 MEDFORD ROADAddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP277052752ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANET C KNOTTPersonNm
Person TitleFOUNDERPersonTitleTxt
Phone9199134719PhoneNum
Signature2017-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES E ROBERSON CPAPreparerPersonNm
PTINP00231194PTIN
Phone9193830441PhoneNum
Preparation2017-05-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.199.144.54IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-09IPDt
IP Tm09:55:31IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6DF2FA6834208A0C430C4CCEBF91E806A398B863AtSubmissionCreationDeviceId
At Submission Filing Device Id6DF2FA6834208A0C430C4CCEBF91E806A398B863AtSubmissionFilingDeviceId
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$876,213FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$49,903ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$5InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$5InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$22,015DividendsRevAndExpnssAmt
Dividends Net Invst Incm$22,015DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$52,682NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$724,325GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$52,682CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$124,605TotalRevAndExpnssAmt
Total Net Invst Incm$74,702TotalNetInvstIncmAmt
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$1,415AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,274AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$141AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$1,930OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$1,930OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,041TaxesRevAndExpnssAmt
Taxes Net Invst Incm$224TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$35OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$34OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$1OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$4,421TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,462TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$142TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$61,999ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$61,999ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$66,420TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,462TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$62,141TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$58,185ExcessRevenueOverExpensesAmt
Net Investment Income$71,240NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$41,437SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$57,458SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$57,458SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$651,762CorporateStockBOYAmt
Corporate Stock EOY$653,463CorporateStockEOYAmt
Corporate Stock EOYFMV$780,656CorporateStockEOYFMVAmt
Other Investments BOY$0OtherInvestmentsBOYAmt
Other Investments EOY$40,463OtherInvestmentsEOYAmt
Other Investments EOYFMV$38,099OtherInvestmentsEOYFMVAmt
Total Assets BOY$693,199TotalAssetsBOYAmt
Total Assets EOY$751,384TotalAssetsEOYAmt
Total Assets EOYFMV$876,213TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
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$693,199RetainedEarningBOYAmt
Retained Earning EOY$751,384RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$693,199TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$751,384TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$693,199TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$751,384TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$693,199TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$58,185ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$751,384SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$751,384TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
WELLS FARGO #4747D$39,482$47,641-$8,159-$8,159
WELLS FARGO #9723P$363,719$363,165$554$554
WELLS FARGO #9723P$288,549$244,788$43,761$43,761
WELLS FARGO #9723P$31,264$16,049$15,215$15,215
CAPITAL GAINS DIVIDENDSP$1,311$1,311$1,311
FieldValueIRS element (for citing)
Capital Gain Net Income$52,682CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,425InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,425SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,425TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$24EsPenaltyAmt
Tax Due$1,449TaxDueAmt

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 Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNCOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksBRUCE W KNOTTIndividualWithBooksNm
Phone9193839308PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13210 MEDFORD ROADAddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP277052452ZIPCd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BRUCE W KNOTT
3210 MEDFORD RDDURHAMNC27705DIRECTOR0.25$0$0$0
JANET C KNOTT
3210 MEDFORD RDDURHAMNC27705DIRECTOR0.25$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$672,844AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$49,448AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$722,292TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$722,292AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$10,834CashDeemedCharitableAmt
Net Vl Noncharitable Assets$711,458NetVlNoncharitableAssetsAmt
Minimum Investment Return$35,573MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$35,573MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,425TaxBasedOnInvestmentIncomeAmt
Total Tax$1,425TotalTaxAmt
Distributable Before Adj$34,148DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$34,148DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$34,148DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$62,141ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$62,141QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$62,141AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$34,148DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$20,677ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$23,766ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$19,237ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$37,157ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$27,088ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$127,925TotalExcessDistributionCyovAmt
Qualifying Distributions$62,141QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$34,148AppliedToCurrentYearAmt
Remaining Distri From Corpus$27,993RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$155,918TotalCorpusAmt
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$20,677ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$135,241ExcessDistriCyovToNextYrAmt
Excess From Year4$23,766ExcessFromYear4Amt
Excess From Year3$19,237ExcessFromYear3Amt
Excess From Year2$37,157ExcessFromYear2Amt
Excess From Year1$27,088ExcessFromYear1Amt
Excess From Current Year$27,993ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerBRUCE W KNOTTContributingManagerNm
Contributing ManagerJANET C KNOTTContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonMR BRUCE W KNOTT DIRECTORRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line13210 MEDFORD RDAddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27705ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9193839308RecipientPhoneNum
Form And Info And MaterialsAPPLY BY LETTER, INCLUDE: A PROFORMA OF FINANCIAL DATA, AN ORGANIZATIONAL PURPOSE STATEMENT, A COPY OF THE CHARTER, A FEDERAL ID NUMBER AND A COPY OF THE TAX EXEMPT STATUS.FormAndInfoAndMaterialsTxt
Submission DeadlinesJULY 1SubmissionDeadlinesTxt
Restrictions On AwardsLIMITED TO RELIGIOUS, MEDICAL OR EDUCATIONAL PURPOSESRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (29 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALLEGHANY HOSPITAL FOUNDATION
233 DOCTORS STREETSPARTANC28675PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
ALLEGHANY PREGNANCY CENTER
226 S MAIN STSPARTANC28675PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
ALZHEIMERS ASSOC OF EASTERN NC
3739 NATIONAL DRIVE SUITE 110RALEIGHNC27612PUBLICRELIGIOUS, MEDICAL OR EDUCATIONALRELIGIOUS, MEDICAL OR EDUCATIONAL$100
BAPTIST CHILDRENS HOME OF NC
PO BOX 338THOMASVILLENC27361PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
BONNIE ADDARIO LUNG FOUNDATION
1100 INDUSTRIAL ROAD 1SAN CARLOSCA94070PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$50
BOY SCOUTS NC
3231 ATLANTIC AVERALEIGHNC27604PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$250
CARING HOUSE
2625 PICKETT ROADDURHAMNC27705PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$750
CHAPEL HILL BREAST CANCER FOUNDATION
1506 E FRANKLIN STCHAPEL HILLNC27514PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
CHERRY LANE VFD
8378 US-21GLADE VALLEYNC28627PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
DUKE UNIVERSITY MEDICAL CENTER
ERWIN RDDURHAMNC27705PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$25,150
DURHAM CROPWALK
305 E MAIN STDURHAMNC27701PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
DURHAM RESCUE MISSION
PO BOX 11858DURHAMNC27703PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$200
FELLOWSHIP LODGE 687
2510 GLENDALE AVEDURHAMNC27704PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$500
HIGH MEADOWS CHAPEL
PO BOX 440ROARING GAPNC28668PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$800
HIGH MEADOWS PRO AM - ALLEG CO COMM
3737 GLENWOOD AVERALEIGHNC27612PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
HUMANE SOCIETY OF CHITTENDEN
142 KINDNESS CTSOUTH BURLINGTONVT05403PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$1,000
INDEPENDENCE HILL BAPTIST CHURCH
10220 INDEPENDENCE HILL ROADHUNTERSVILLENC28078PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
KOMEN FOUNDATION
600 AIRPORT BLVDMORRISVILLENC27560PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$200
LINEBERGER CANCER CENTER - UNC
CB 7295CHAPEL HILLNC27599PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
MOUNTAIN PARK RURITAN
1223 ZEPHYR MOUNT PARK ROADSTATE ROADNC28676PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
MT CARMEL WMU
1410 CHERRY LANEGLADE VALLEYNC28627PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
OAK GROVE MASONIC LODGE 750
205 HUSKETH DRDURHAMNC27703PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$500
PORCH
10 PARADISE PLDURHAMNC27705PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$100
RONALD MCDONALD HOUSE
506 ALEXANDER AVEDURHAMNC27705PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$200
SAMARITANS PURSE
PO BOX 3000BOONENC28607PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$14
SW VIRGINIA COMMUNITY COLLEGE
PO BOX SVCCRICHLANDSVA24641PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$50
TEMPLE BAPTIST CHURCH
4504 STERLING DRDURHAMNC27705PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$30,960
TROSA
1820 JAMES STDURHAMNC27707PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$25
URBAN MINISTRIES
410 LIBERTY STDURHAMNC27701PUBLICRELIGIOUS, MEDICAL OR EDUCATIONAL$50
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$61,999TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$5ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$22,015ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,311ExclusionAmt
Related Or Exempt Function Incm$51,371RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$23,331ExclusionAmt
Related Or Exempt Function Incm$51,371RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$74,702TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number8LineNumberTxt
Relationship StatementPROCEEDS USED TO MAKE CONTRIBUTIONS TO QUALIFYING CHARITABLE GROUPSRelationshipStatementTxt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionInd
BRUCE W AND JANET C KNOTT
13210 MEDFORD RDDURHAMNC27705$43,837Yes (X)
BRUCE W AND JANET C KNOTT
23210 MEDFORD RDDURHAMNC27705$6,066Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
1728728 SHARES WELLS FARGO CO. STOCK$43,8372016-12-23
2130130 SHARES WELLS FARGO CO. STOCK$6,0662016-09-20

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryROBERSON CPA FIRM, PLLC - PREPARATION OF INCOME TAX RETURNSCategoryTxt
Amt$1,415Amt
Net Investment Income$1,274NetInvestmentIncomeAmt
Disbursements Charitable Prps$141DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (66 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
88SH. JOHNSON & JOHNSON$5,597$10,138
119SH. PROCTOR & GAMBLE$7,668$10,006
106SH. PHILIP MORRIS$6,116$9,698
153SH. ACE LIMITED/CHUBB LTD$15,892$20,214
61SH. BOEING$5,490$9,496
242SH. MICROSOFT CORP$6,298$15,038
25SH. BLACKROCK INC$4,017$9,514
402SH. INTEL CORP$8,003$14,581
57SH. 3M COMPANY$4,939$10,178
87SH. UNITED PARCEL SERVICE$6,392$9,974
130SH. VISA INC$2,994$10,143
72SH. HOME DEPOT INC$4,392$9,654
84SH. KIMBERLY-CLARK CORP$5,417$9,586
0SH. NESTLE S A REG ADR$0$0
152SH. QUALCOMM INC$8,691$9,910
347SH. ROCHE HOLDINGS LTD$6,775$9,900
136SH. WASTE MANAGEMENT INC$4,654$9,644
86SH. ACCENTURE PLC$6,217$10,073
66SH. AMGEN INC$5,489$9,650
175SH. APPLE INC$10,302$20,269
245SH. COCA-COLA CO$8,617$10,158
128SH. CVS CAREMARK CO$9,434$10,100
0SH. DUKE ENERGY CO.$0$0
168SH. EXXON MOBIL CO$12,474$15,164
431SH. FINANCIAL SELECT/SELECT SECTOR$7,813$10,021
71SH. RAYTHEON CO$3,889$10,082
214SH. BANK NEW YORK MELLON$6,862$10,139
170SH. JP MORGAN CHASE$8,362$14,669
0SH. VF CORP$0$0
0SH. DOW CHEM CO$0$0
0SH. NOVARTIS$0$0
0SH. ST JUDE MEDICAL INC$0$0
0SH. TARGET CORP$0$0
0SH WELLS FARGO$0$0
46SH. ANHEUSER BUSCH$4,962$4,850
97SH. DISNEY WALT COMPANY$9,501$10,109
384SH. FIRST TRUST FD IV$7,757$9,692
0SH. FORD MOTOR COMPANY$0$0
319SH. GENERAL ELECTRIC CO$8,140$10,080
0SH. GILEAD SCIENCES INC$0$0
0SH. JUNIPER NETWORK INC$0$0
0SH. MARATHON PETROLEUM CORP$0$0
225SH. MONDELEZ INTL INC$9,385$9,974
119SH SCHLUMBERGER LTD$9,235$9,990
0SH XL GROUP PLC$0$0
233SH AT&T INC$9,026$9,909
319SH CISCO SYSTEMS INC$9,756$9,640
116SH HSBC HOLDINGS PLC$4,239$4,661
140SH KROGER COMPANY$4,395$4,831
21SH MARTIN MARIETTA MATERIALS INC$2,734$4,652
187SH NIKE INC CLASS B$10,055$9,505
108SH PPG INDUSTRIES INC$10,054$10,234
179SH PENTAIR PLC$8,680$10,037
295SH PFIZER INCORPORATED$8,907$9,582
266SH SYNCHRONY FINANCIAL$7,435$9,648
97SH UNION PACIFIC CORP$7,460$10,057
388SH VANGUARD CONSUMER DISCRETONARY$51,091$49,924
138SH VANGUARD CONSUMER STAPL$18,613$18,491
128SH VANGUARD ENERGY VDE$13,661$13,399
926SH VANGUARD FINANCIALS ET$55,415$54,958
456SH VANGUARD HEALTH CARE ET$58,100$57,807
326SH VANGUARD INDUSTRIALS ET$39,695$38,879
600SH VANGUARD INFORMATION ET TECHNOLOGY$73,278$72,900
89SH VANGUARD MATERIALS ET$10,334$10,007
130SH VANGUARD REIT$10,815$10,729
81SH VANGUARD TELECOMMUNICATIONS$7,946$8,112

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or Item972.668 PRUDENTIAL SECTOR FDS MUTUAL FUNDCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$40,463BookValueAmt
EOYFMV$38,099EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescADVERTISINGDesc
Revenue And Expenses Per Books$35RevenueAndExpensesPerBooksAmt
Net Investment Income$34NetInvestmentIncomeAmt
Disbursements Charitable Prps$1DisbursementsCharitablePrpsAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT ADVISORY FEESCategoryTxt
Amt$1,930Amt
Net Investment Income$1,930NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonBRUCE W JANET C KNOTTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13210 MEDFORD ROADAddressLine1Txt
CityDURHAMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27705ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL INCOME TAX$817$0$0
FOREIGN TAXES PAID$224$224$0