ROACH FAMILY FOUNDATION: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ROACH FAMILY FOUNDATION (EIN 34-7108252)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-10-24
- IRS object ID
- 201602989349100515
- Schema version
- 2015v2.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-10-24T13:51:11-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341959490 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRUSTAX LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6455 WHEATSTONE CT | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 435379403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 347108252 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROACH FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROAC | BusinessNameControlTxt |
| Phone | 5672469090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1614 RIVER ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY R CLARK | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Signature | 2016-10-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GRANT M KEUNE | PreparerPersonNm |
| PTIN | P00021963 | PTIN |
| Phone | 4198685555 | PhoneNum |
| Preparation | 2016-10-14 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $335,791 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $7 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $294 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $294 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $12,005 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $12,005 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$3,178 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $46,839 | GrossSalesPriceAmt |
| Total Rev And Expnss | $9,128 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $12,299 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $5,181 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $2,591 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $2,590 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $3,050 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $1,525 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $1,525 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $5,290 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,646 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $2,644 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $653 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $653 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $37 | TaxesRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $3,598 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $1,799 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $1,799 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $1,741 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $833 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $908 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $19,550 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $10,047 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $9,466 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $45,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $45,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $64,550 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $10,047 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $54,466 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$55,422 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,252 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $2,753 | CashBOYAmt |
| Cash EOY | $5,933 | CashEOYAmt |
| Cash EOYFMV | $5,933 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $121,852 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $10,295 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $10,295 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $265,135 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $321,165 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $319,563 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $389,740 | TotalAssetsBOYAmt |
| Total Assets EOY | $337,393 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $335,791 | TotalAssetsEOYFMVAmt |
| Accounts Payable EOY | $3,076 | AccountsPayableEOYAmt |
| Total Liabilities EOY | $3,076 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $93,957 | CapitalStockBOYAmt |
| Capital Stock EOY | $93,957 | CapitalStockEOYAmt |
| Retained Earning BOY | $295,783 | RetainedEarningBOYAmt |
| Retained Earning EOY | $240,360 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $389,740 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $334,317 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $389,740 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $337,393 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $389,740 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$55,422 | ExcessRevenueOverExpensesAmt |
| Subtotal | $334,318 | SubtotalAmt |
| Other Decreases | $1 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $334,317 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (12 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| CADENCE BANK N.A. 4.9%16 CD FDIC INS | P | 2014-09-19 | 2016-01-27 | $30,000 | $31,395 | -$1,395 | -$1,395 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-11-02 | 2016-01-25 | $35 | $38 | -$3 | -$3 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-12-01 | 2016-01-25 | $35 | $38 | -$3 | -$3 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-09-01 | 2016-01-25 | $35 | $37 | -$2 | -$2 |
| MFS DIVERSIFIED INCOME FD CL C | P | 2015-12-23 | 2016-01-25 | $385 | $397 | -$12 | -$12 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-08-03 | 2016-01-25 | $134 | $149 | -$15 | -$15 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-08-03 | 2016-01-25 | $28 | $31 | -$3 | -$3 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-10-01 | 2016-01-25 | $36 | $38 | -$2 | -$2 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-06-30 | 2016-01-25 | $15,510 | $17,823 | -$2,313 | -$2,313 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-12-31 | 2016-01-25 | $6 | $7 | -$1 | -$1 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-08-03 | 2016-01-25 | $29 | $33 | -$4 | -$4 |
| MFS DIVERSIFIED INCOME F D CL C | P | 2015-07-01 | 2016-01-25 | $28 | $31 | -$3 | -$3 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$3,178 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | -$2,361 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $96,649 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $380,288 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.254147 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $30,046 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $426,653 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.070423 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $59,740 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $428,470 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.139426 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $67,122 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $433,677 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.154774 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $37,000 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $410,472 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.090140 | DistributionYr5Rt |
| Total Distribution | 0.708910 | TotalDistributionRt |
| Average Distribution | 0.141782 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $319,101 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $45,243 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $23 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $45,266 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $54,466 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $23 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $23 | SubtotalAmt |
| Tax Based On Investment Income | $23 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $23 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | OH | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | AMY R CLARK | IndividualWithBooksNm |
| Phone | 5672469090 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1614 RIVER ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| AMY R CLARK | ||||||||
| 1614 RIVER ROAD | MAUMEE | OH | 43537 | TRUSTEE | 1.00 | $2,681 | $0 | $0 |
| LES DISHER | ||||||||
| 9825 DUTCH ROAD | WHITEHOUSE | OH | 43571 | TRUSTEE | 1.00 | $878 | $0 | $0 |
| JODEE ROBERTSON | ||||||||
| 38 LONGVIEW DR | DALY CITY | CA | 94015 | TRUSTEE | 1.00 | $1,281 | $0 | $0 |
| KERRY CLARK | ||||||||
| 1614 RIVER ROAD | MAUMEE | OH | 43537 | TRUSTEE | 1.00 | $341 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $266,317 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $57,643 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $323,960 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $323,960 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $4,859 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $319,101 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $15,955 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $15,955 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $23 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $23 | TotalTaxAmt |
| Distributable Before Adj | $15,932 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $15,932 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $15,932 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $54,466 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $54,466 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $23 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $54,443 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $15,932 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr4 | $45,941 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $38,316 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $8,713 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $77,709 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $170,679 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $54,466 | QualifyingDistributionsAmt |
| Applied To Current Year | $15,932 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $38,534 | RemainingDistriFromCorpusAmt |
| Total Corpus | $209,213 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $209,213 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $45,941 | ExcessFromYear4Amt |
| Excess From Year3 | $38,316 | ExcessFromYear3Amt |
| Excess From Year2 | $8,713 | ExcessFromYear2Amt |
| Excess From Year1 | $77,709 | ExcessFromYear1Amt |
| Excess From Current Year | $38,534 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | AMY R CLARK | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1614 RIVER ROAD | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5672469090 | RecipientPhoneNum |
| Form And Info And Materials | NO PRESCRIBED FORM | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | 501(C)(3) CHARITABLE ORGANIZATIONS | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)
| Business Name Line2RecipientBusinessName/BusinessNameLine2Txt | Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| CITY HOPE TOLEDO | |||||||||
| THAT NEIGHBORHOOD FDN | 29954 SAINT ANDREWS | PERRYSBURG | OH | 43551 | NONE | N/A | GENERAL | $3,000 | |
| ADVOCATING OPPORTUNITY | |||||||||
| 1119 ADAMS STREET | TOLEDO | OH | 43604 | NONE | GENERAL | $3,000 | |||
| WOMEN'S EDUCATIONAL CENTER | |||||||||
| UNIV OF MICHIGAN FLINT | 303 E KEARSLEY DRIVE | FLINT | MI | 48502 | NONE | GENERAL | $3,000 | ||
| TRANSFORM NETWORK | |||||||||
| PO BOX 16702 | ASHEVILLE | NC | 28816 | NONE | GENERAL | $6,000 | |||
| TOLEDO SCHOOL FOR THE ARTS | |||||||||
| 333 14TH STREET | TOLEDO | OH | 43604 | NONE | GENERAL | $6,000 | |||
| POTOMAC PONY CLUB | |||||||||
| 19301 BUCKLODGE RD | BOYDS | MD | 20841 | NONE | GERERAL | $3,000 | |||
| FINDLAY HOPE HOUSE FOR THE HOMELESS | |||||||||
| 101 W SANDUSKY ST 207 | FINDLAY | OH | 45840 | NONE | GENERAL | $6,000 | |||
| ANIMAL DEFENSE LEAGUE | |||||||||
| 525 EAST COTATI AVENUE | COTATI | CA | 94931 | NONE | GENERAL | $3,000 | |||
| BGSU JR FALCONS LLC | |||||||||
| 231 BOWEN-THOMPSON | BOWLING GREEN | OH | 43403 | NONE | GENERAL | $3,000 | STUDENT UNION | ||
| YMCA | |||||||||
| 1500 N SUPERIOR ST | TOLEDO | OH | 43604 | NONE | GENERAL | $3,000 | 2ND FLOOR | ||
| RELATIONSHIPS UNDER CONSTRUCTION | |||||||||
| 652 W CENTRAL AVE | DELAWARE | OH | 43015 | NONE | GENERAL | $3,000 | |||
| MAUMEE UNITED METHODIST CHURCH | |||||||||
| 405 SACKETT STREET | MAUMEE | OH | 43537 | NONE | GENERAL | $3,000 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $45,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $294 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $12,005 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$3,178 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $9,121 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $9,121 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| TAX PREP FEES | $4,961 | $2,481 | $2,480 |
| ACCOUNTING | $329 | $165 | $164 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (20 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DISCOVER BANK CD | AT COST | $53,974 | $51,996 |
| COUNTRY BANK CD | AT COST | $55,206 | $52,574 |
| GOLDMAN SACHS CD | AT COST | $29,464 | $28,421 |
| CADENCE BANK CD | AT COST | ||
| CAPITAL ONE BANK CD | AT COST | $75,773 | $72,681 |
| MFS DIVERSIFIED INCOME | AT COST | ||
| CAL DIVE INTL INC DEL SR CONV | AT COST | $1,500 | |
| VANGUARD SHORT TERM BOND | AT COST | $23,176 | $23,420 |
| VANGUARD TOTAL BOND | AT COST | $18,796 | $19,384 |
| DFA COMMODITY STRATEGY | AT COST | $3,144 | $3,755 |
| DFA EMERGING MKTS CORE | AT COST | $6,615 | $7,866 |
| DFA INTL CORE EQTY PORT | AT COST | $4,359 | $4,607 |
| DFA INTL REAL ESTATE | AT COST | $1,577 | $1,823 |
| DFA INTL SMALL CAP VALUE | AT COST | $7,504 | $7,828 |
| DFA INTL VALUE PORT | AT COST | $7,287 | $7,597 |
| DFA US CORE EQTY 2 PORT | AT COST | $15,198 | $17,250 |
| DFA US LARGE CAP VALUE | AT COST | $5,092 | $5,831 |
| DFA US MICRO CAP PORT | AT COST | $2,188 | $2,486 |
| DFA US SMALL CAP VALUE | AT COST | $8,700 | $10,188 |
| VANGUARD REIT INDEX | AT COST | $1,612 | $1,856 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $3,050 | LegalFeesAmt |
| Net Investment Income | $1,525 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,525 | DisbursementsCharitablePrpsAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROUNDING | Desc |
| Amt | $1 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| EXPENSES | |||
| AG FILING FEE | $100 | $100 | |
| BANK FEES | $25 | $25 | |
| OFFICE EXPENSES | $88 | $44 | $44 |
| INSURANCE | $1,528 | $764 | $764 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT | CategoryTxt |
| Amt | $653 | Amt |
| Net Investment Income | $653 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAX DEPOSITS | CategoryTxt |
| Amt | $37 | Amt |
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