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KIOWA COUNTY HEALTH FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
KIOWA COUNTY HEALTH FOUNDATION (EIN 48-1064221)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-12
IRS object ID
201741329349102819
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)
Return2017-05-12T16:27:04-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481210879PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMOLL & BANNING CPA'S LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12410 CENTRAL AVEAddressLine1Txt
CityDODGE CITYCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67801ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481064221EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIOWA COUNTY HEALTH FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O TOM CORNSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlKIOWBusinessNameControlTxt
Phone6207233341PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 77AddressLine1Txt
CityGREENSBURGCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67054ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTOM CORNSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6207233341PhoneNum
Signature2017-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAMELA S NILHAS CPAPreparerPersonNm
PTINP00595521PTIN
Phone6202256100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.191.135.236IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-10IPDt
IP Tm17:12:02IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB4F1A994030448E31F9A6BF77C5CB30586FBA072AtSubmissionCreationDeviceId
At Submission Filing Device Id51305BA403436BC15E08FA31C946B6542D78857FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$490,842FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,426ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$2,021InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2,021InterestOnSavNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$3,447TotalRevAndExpnssAmt
Total Net Invst Incm$2,021TotalNetInvstIncmAmt
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$905AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$91AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$814AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$5,327TaxesRevAndExpnssAmt
Taxes Net Invst Incm$5,287TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$40TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$37OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$37OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$6,269TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,378TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$891TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$11,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$11,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$17,269TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,378TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$11,891TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$13,822ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$504,664SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$490,842SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$490,842SavAndTempCashInvstEOYFMVAmt
Total Assets BOY$504,664TotalAssetsBOYAmt
Total Assets EOY$490,842TotalAssetsEOYAmt
Total Assets EOYFMV$490,842TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$331,991CapitalStockBOYAmt
Capital Stock EOY$331,991CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$172,673RetainedEarningBOYAmt
Retained Earning EOY$158,851RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$504,664TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$490,842TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$504,664TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$490,842TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$504,664TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$13,822ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$490,842SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$490,842TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$7,300AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$494,787NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.014754DistributionYr1Rt
Adjusted Qlfy Distri Yr2$15,881AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$498,838NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.031836DistributionYr2Rt
Adjusted Qlfy Distri Yr3$12,865AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$510,127NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.025219DistributionYr3Rt
Adjusted Qlfy Distri Yr4$26,093AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$517,197NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.050451DistributionYr4Rt
Adjusted Qlfy Distri Yr5$32,010AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$546,336NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.058590DistributionYr5Rt
Total Distribution0.180850TotalDistributionRt
Average Distribution0.036170AverageDistributionRt
Net Vl Noncharitable Assets$490,288NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$17,734AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$0NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$17,734AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$11,891QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$0TaxDueAmt

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 StateKSOrgReportOrRegisterStateCd
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 AddressN/AWebsiteAddressTxt
Individual With BooksTOM CORNSIndividualWithBooksNm
Phone6207232131PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 77AddressLine1Txt
CityGREENSBURGCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67054ZIPCd
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 PYYes (1)UndistributedIncomePYInd
Undistributed Income PY12015UndistributedIncomePY1Yr
Undistributed Income PY22014UndistributedIncomePY2Yr
Undistributed Income PY32013UndistributedIncomePY3Yr
Undistr Incm Sect4942a2 Not AppYes (1)UndistrIncmSect4942a2NotAppInd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TOM CORNS
PO BOX 77GREENSBURGKS67054TREASURER1.00$0$0$0
PAUL KENDALL
318 E KINGMANMULLINVILLEKS67109PRESIDENT1.00$0$0$0
MARY SWEET
603 S SPRUCEGREENSBURGKS67054DIRECTOR2.00$0$0$0
KENNETH UNRUH
RR 2 BOX 32LEWISKS67552DIRECTOR1.00$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1GRANTS TO VARIOUS ORGANIZATIONS IN KIOWA COUNTY THAT PROVIDE HEALTH CARE IN KIOWA COUNTY.Description1Txt
Expenses1$0Expenses1Amt
Description2THE ORGANIZATION HAS PROVIDED SCHOLARSHIPS FOR AREA STUDENTS TAKING MEDICAL RELATED STUDIES.Description2Txt
Expenses2$11,000Expenses2Amt

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$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$346,483AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$151,271FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$497,754TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$497,754AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$7,466CashDeemedCharitableAmt
Net Vl Noncharitable Assets$490,288NetVlNoncharitableAssetsAmt
Minimum Investment Return$24,514MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$24,514MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$24,514DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$24,514DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$24,514DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$11,891ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$11,891QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$11,891AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$24,514DistributableAsAdjustedAmt
Undistributed Income PY$24,739UndistributedIncomePYAmt
Prior Year12014PriorYear1Yr
Prior Year22013PriorYear2Yr
Prior Year32012PriorYear3Yr
Total For Prior Years$30,041TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$11,891QualifyingDistributionsAmt
Applied To Year1$11,891AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$0AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$30,041PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$17,623PriorYearDeficiencyOrTaxAmt
Taxable1$12,418Taxable1Amt
Taxable2$12,848Taxable2Amt
Undistributed Income CY$24,514UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp (2 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient PhoneRecipientPhoneNumForm And Info And MaterialsFormAndInfoAndMaterialsTxtSubmission DeadlinesSubmissionDeadlinesTxtRestrictions On AwardsRestrictionsOnAwardsTxt
TOM CORNS
PO BOX 77GREENSBURGKS670546207232131SCHOLARSHIP APPLICATIONS REQUIRE BASIC PERSONAL INFORMATION AND THE APPLICANT'S GRADE POINT AVERAGE.THE SCHOLARSHIP DEADLINE IS SET ANNUALLY BY THE SCHOLARSHIP ADMINISTRATOR.SCHOLARHIP RECIPIENTS MUST BE IN THE MEDICAL FIELD WITH THE POSSIBILITY OF BEING KIOWA COUNTY MEMORIAL HOSPITAL EMPLOYEES. SCHOLARSHIPS ARE LIMITED TO $1,000 PER RECIPIENT PER YEAR.
TOM CORNS
PO BOX 77GREENSBURGKS670546207232131LETTERS ARE SUBMITTED BY THOSE REQUESTING GRANT AWARDS.GRANT LETTERS ARE DUE PRIOR TO THE ANNUAL MEETING HELD IN JANUARY.GRANT AWARDEES MUST PROVIDE SERVICES TO KIOWA COUNTY RESIDENTS.

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHELSYE RACETTE
412 S OLIVEGREENSBURGKS67054NONESCHOLARSHIP$500
GRACE SIROIS
217 N MILLWOODWICHITAKS67203NONESCHOLARSHIP$500
KRISTEN SPAINHOUR
304 S BAY STGREENSBURGKS67054NONESCHOLARSHIP$1,000
ROSS BINFORD
317402 S AVEHAVILANDKS67059NONESCHOLARSHIP$500
NICHOL KENDALL
422 W GRANTGREENSBURGKS67054NONESCHOLARSHIP$500
MORGAN TYREE
PO BOX 266KINSLEYKS67547NONESCHOLARSHIP$1,000
HALEY ZINK
512 N THOMPSON STPRATTKS67124NONESCHOLARSHIP$500
TIFFANI F GREEN
12429 121 RDBUCKLINKS67834NONESCHOLARSHIP$500
MORGAN ULRICH
4141 S BAY STGREENSBURGKS67054NONESCHOLARSHIP$500
KATHLEN ROSS
PO BOX 84HAVILANDKS67059NONESCHOLARSHIP$500
RIANN HEFT
318 HARVEST LANEMAIZEKS67101NONESCHOLARSHIP$500
JOHN D COLCLAZIER
603 S SPRUCEGREENSBURGKS67054NONESCHOLARSHIP$500
LINDSEY HEFT
318 HARVEST LANEMAIZEKS67101NONESCHOLARSHIP$500
BRYLEE SHAY CONRAD
712 W WISCONSIN AVEGREENSBURGKS67504NONESCHOLARSHIP$500
MELANIE BROWN
14093 11TH AVEMULLINVILLEKS67109NONESCHOLARSHIP$500
HELEN KELSE FRANCIS
1965 MILLER STLEWISKS67552NONESCHOLARSHIP$500
LATOSHA TUTTLE
2415 W TAWANDA AVEEL DORADOKS67042NONESCHOLARSHIP$500
TEIGAN ELLENGOOD
917 S MAINGREENSBURGKS67054NONESCHOLARSHIP$500
DANA CONRAD
712 W WISCONSIN AVEGREENSBURGKS67504NONESCHOLARSHIP$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$11,000TotalGrantOrContriPdDurYrAmt
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$2,021ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$2,021ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$2,021TotalIncomeProducingActyAmt

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)
CategoryACCOUNTINGCategoryTxt
Amt$905Amt
Net Investment Income$91NetInvestmentIncomeAmt
Disbursements Charitable Prps$814DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OFFICE EXPENSE$19$0$19
MISCELLANEOUS EXPENSE$18$0$18

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CORPORATE ANNUAL FEE$40$0$40
EXCISE TAX$5,287$5,287$0

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