BETA

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

View the entire original 990 at ProPublica ↗

Organization
FELTEL FAMILY FOUNDATION INC (EIN 59-3757056)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-15
IRS object ID
201741359349101309
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)
Return2017-05-15T08:43:18-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Heinz & Jolles LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110375 Centurion Parkway N Ste 115AddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32256ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593757056EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Feltel Family FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARY FELTELInCareOfNm
Business Name ControlFELTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19274 River Shores LaneAddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32257ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY FELTELPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone9047390303PhoneNum
Signature2017-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMIE M JOLLESPreparerPersonNm
PTINP00293744PTIN
Phone9046522230PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.162.168.218IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id59572320171355000002FederalOriginalSubmissionId
Federal Original Submission Id2017-05-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdAB0AC1E83D9C483AB3F765F19C4B1A327C177FB8AtSubmissionCreationDeviceId
At Submission Filing Device IdAB0AC1E83D9C483AB3F765F19C4B1A327C177FB8AtSubmissionFilingDeviceId
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$950,143FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$2InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$14,567DividendsRevAndExpnssAmt
Dividends Net Invst Incm$14,567DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$13,770NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$69,619GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$13,770CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$28,339TotalRevAndExpnssAmt
Total Net Invst Incm$28,339TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$1,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$500AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$873TaxesRevAndExpnssAmt
Taxes Net Invst Incm$88TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$146OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$85OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$2,019TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$673TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$50,790ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$50,790ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$52,809TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$673TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$50,790TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$24,470ExcessRevenueOverExpensesAmt
Net Investment Income$27,666NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$54,182CashBOYAmt
Cash EOY$48,958CashEOYAmt
Cash EOYFMV$48,958CashEOYFMVAmt
Corporate Stock BOY$734,443CorporateStockBOYAmt
Corporate Stock EOY$734,610CorporateStockEOYAmt
Corporate Stock EOYFMV$901,185CorporateStockEOYFMVAmt
Total Assets BOY$788,625TotalAssetsBOYAmt
Total Assets EOY$783,568TotalAssetsEOYAmt
Total Assets EOYFMV$950,143TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$788,625RetainedEarningBOYAmt
Retained Earning EOY$783,568RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$788,625TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$783,568TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$788,625TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$783,568TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$788,625TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$24,470ExcessRevenueOverExpensesAmt
Other Increases$19,413OtherIncreasesAmt
Subtotal$783,568SubtotalAmt
Tot Net Ast Or Fund Balances EOY$783,568TotNetAstOrFundBalancesEOYAmt

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
1680 SHS BLACKROCK BASIC VALUE FUNDP2016-12-21$43,260$58,814-$12,589-$15,554
CAPITAL GAIN DIVIDENDSP$26,359
FieldValueIRS element (for citing)
Capital Gain Net Income$13,770CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$46,673AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$949,357NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049163DistributionYr1Rt
Adjusted Qlfy Distri Yr2$38,131AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$856,328NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.044528DistributionYr2Rt
Adjusted Qlfy Distri Yr3$53,056AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$701,935NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.075585DistributionYr3Rt
Adjusted Qlfy Distri Yr4$20,567AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$608,070NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.033823DistributionYr4Rt
Adjusted Qlfy Distri Yr5$16,000AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$566,928NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.028222DistributionYr5Rt
Total Distribution0.231321TotalDistributionRt
Average Distribution0.046264AverageDistributionRt
Net Vl Noncharitable Assets$890,885NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$41,216AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$277NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$41,493AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$50,790QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$277InvestmentIncomeExciseTaxAmt
Subtotal$277SubtotalAmt
Tax Based On Investment Income$277TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$277TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
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 StateFLOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1MARY FELTELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9047390303PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line19274 RIVER SHORES LANEAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32257ZIPCd
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
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppYes (true)UndistrIncmSect4942a2NotAppInd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARY FELTEL
9274 River Shores LaneJacksonvilleFL32257PRESIDENT, DIRECTOR0$0$0$0
DEBORAH WILLIAMS
808 POINT LA VISTA RD WJACKSONVILLEFL32207DIRECTOR0$0$0$0
KIMBERLY CARLSON
227 23RD STDELMARCA92014DIRECTOR0$0$0$0
JENNIFER VOSS
405 GLENMONT DRSOLONO BEACHCA92075DIRECTOR0$0$0$0
GILBERT FELTEL JR
2848 SYLVAN LANE SJACKSONVILLEFL32257DIRECTOR0$0$0$0
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$888,504AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$15,948AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$904,452TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$904,452AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$13,567CashDeemedCharitableAmt
Net Vl Noncharitable Assets$890,885NetVlNoncharitableAssetsAmt
Minimum Investment Return$44,544MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$44,544MinimumInvestmentReturnAmt
Tax Based On Investment Income$277TaxBasedOnInvestmentIncomeAmt
Total Tax$277TotalTaxAmt
Distributable Before Adj$44,267DistributableBeforeAdjAmt
Distributable Before Ded$44,267DistributableBeforeDedAmt
Distributable As Adjusted$44,267DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$50,790ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$50,790QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$277PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$50,513AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$44,267DistributableAsAdjustedAmt
Undistributed Income PY$1,443UndistributedIncomePYAmt
Prior Year12014PriorYear1Yr
Prior Year22013PriorYear2Yr
Prior Year32012PriorYear3Yr
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$50,790QualifyingDistributionsAmt
Applied To Year1$1,443AppliedToYear1Amt
Applied To Current Year$44,267AppliedToCurrentYearAmt
Remaining Distri From Corpus$5,080RemainingDistriFromCorpusAmt
Total Corpus$5,080TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$5,080ExcessDistriCyovToNextYrAmt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$5,080ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (36 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
AIR FORCE ENLISTED VILLAGE
92 SUNSET LANESHALIMARFL32579N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
THE ANGELES CLINIC FOUNDATION
2001 SANTA MONICA BOULEVARDSANTA MONICACA90404N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000STE 560W
BIBLE STUDY FELLOWSHIP
19001 HUEBNER ROADSAN ANTONIOTX78258N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
CASA DE AMPARA
3355 MISSION AVENUEOCEANSIDECA92058N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000STE 238
CELIAC DISEASE FOUNDATION
13251 VENTURA BOULEVARDSTUDIO CITYCA91604N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000STE 1
CHRISTIAN APPALACHIAN PROJECT DEVELOPMENT OFFICE
PO BOX 55911LEXINGTONKY405559944N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$2,000
CHRISTIAN FAMILY CHAPEL
10365 ST AUGUSTINE ROADJACKSONVILLEFL32257N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$2,500
CITY RESCUE MISSION
PO BOX 60291JACKSONVILLEFL32236N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
DANIEL FOUNDATION INC
4203 SOUTHPOINT BOULEVARDJACKSONVILLEFL32216N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$4,000
DREAMS COME TRUE
6803 SOUTHPOINT PARKWAYJACKSONVILLEFL32216N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
HUBBARD HOUSE INC
PO BOX 4909JACKSONVILLEFL32201N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$5,000
LAKEWOOD UNITED METHODIST
6133 SAN JOSE BOULEVARDJACKSONVILLEFL32217N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
MANDARIN PRESBYTERIAN CHURCH
11844 MANDARIN ROADJACKSONVILLEFL32223N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
MAYO CLINIC - LYMPHOMA MIGRAINES ALZHEIMERS
4500 SAN PABLO ROADJACKSONVILLEFL32224N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$4,000
MENINAK CLUB OF JACKSONVILLE
PO BOX 8626JACKSONVILLEFL32239N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
SAN DIEGO RESCUE MISSION
PO BOX 80427SAN DIEGOCA921380427N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
SBPC FOSTER YOUTH MINISTRY
125 13TH STREETDEL MARCA92014N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
THE SALVATION ARMY
PO BOX 52508JACKSONVILLEFL32201N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$4,090
THE SALVATION ARMY
PO BOX 122688SAN DIEGOCA92112N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$2,000
ST JUDE CHILDREN'S RESEARCH HOSPITAL
501 ST JUDE PLACEMEMPHISTN381019929N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$2,000
UNIVERSITY OF KY ENGINEERING SCHOLARSHIP
500 SOUTH LIMESTONELEXINGTONKY40508N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$4,000
THE SALVATION ARMY WOMEN'S AUXILIARY
PO BOX 52508JACKSONVILLEFL32201N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
XAVIER UNIVERSITY
3800 VICTORY PARKWAYCINCINNATIOH45207N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$2,000
TORREY PINES HIGH SCHOOL FDTN
PO Box 2489Del MarCA920141789N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
UNIVERSITY OF KENTUCY ALUMNI ASSOC
400 ROSE STLEXINGTONKY40506N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
WOLFSON CHILDREN'S HOSPITAL
800 PRUDENTIAL DRIVEJACKSONVILLEFL32207N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
KENTUCKY COLONELS
1717 ALLIANT AVE STE 14LOUISVILLEKY40299N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$100
TLAE PTA
7672 SENTRY OAK CIRCLE WESTJACKSONVILLEFL32256N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$100
DCRCC
5321 FIRST PL NEWASHINGTONDC20011N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
FOOD FOR THE POOR INC
6401 LYONS RDCOCONUT CREEKFL33073N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
CURE INTERNATIONAL
774 LIME KILN RDNEW CUMBERLANDPA17070N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
SMILE TRAIN
PO BOX 96231WASHINGTONDC20090N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
CORNELL FCA
PO BOX 25842LEHIGH VALLEYPA18003N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
SHRINERS HOSPITALS FOR CHILDREN
2900 ROCKY POINT DRTAMPAFL33607N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
WILLIAMS FAMILY YMCA
10415 SAN JOSE BLVDJACKSONVILLEFL32257N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$500
SOLANA BEACH PRESBYTERIAN CHURCH
120 STEVENS AVESOLANA BEACHCA92075N/APCTO CONTRIBUTE TO THE CHARITABLE ENDEAVORS OF THE RECIPIENT ORGANIZATION$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$50,790TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$14,567ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$13,770ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$28,339ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$28,339TotalIncomeProducingActyAmt

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$1,000Amt
Net Investment Income$500NetInvestmentIncomeAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
MERRILL LYNCH$472,850$529,162
VANGUARD$216,310$326,573
REGIONS$45,450$45,450

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
PORTFOLIO MANAGEMENT FEES$85$85
ANNUAL REGISTRATION FEE$61

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescRECONCILIATION OF PREVIOUS ADJUSTMENTSDesc
Amt$19,413Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
EXCISE TAX ON INVESTMENT INCOM$785
FOREIGN TAX ON INVESTMENT INCO$88$88

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