GOSTOMSKI FOUNDATION: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- GOSTOMSKI FOUNDATION (EIN 46-6976292)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201603199349100900
- 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
- Schedule B
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T08:24:30-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 320077509 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISON & HELD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DR SUITE 1700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 466976292 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOSTOMSKI FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | C/O ROBERT T NAPIER HARRISON & HELD | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOST | BusinessNameControlTxt |
| Phone | 3123321111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DRIVE NO 1700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL M GOSTOMSKI | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 3123321111 | PhoneNum |
| Signature | 2016-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARGARET A NAGELA | PreparerPersonNm |
| PTIN | P00439254 | PTIN |
| Phone | 3123321111 | PhoneNum |
| 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 | $6,210,616 | 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 | $3,086,240 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $46,612 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $46,612 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $40,047 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $40,047 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$74,591 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,415,748 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $87,915 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $87,915 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $3,186,223 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $174,574 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $7,741 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $7,741 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $50 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $50 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $40,883 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $40,883 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $5,259 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $259 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $62,158 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $62,158 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $116,091 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $111,091 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $797,657 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $797,657 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $913,748 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $111,091 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $797,657 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $2,272,475 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $63,483 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $1,036,320 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $320,171 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $320,171 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $1,001,056 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,367,307 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $4,081,944 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $1,367,815 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,813,024 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,808,501 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | -$217,924 | OtherAssetsBOYAmt |
| Other Assets EOY | -$40,760 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $3,187,267 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,459,742 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $6,210,616 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $3,187,267 | RetainedEarningBOYAmt |
| Retained Earning EOY | $5,459,742 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,187,267 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,459,742 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,187,267 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,459,742 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,187,267 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $2,272,475 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $5,459,742 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,459,742 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (11 entries)
| PropertyPropertyDesc | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | AcquiredAcquiredDt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 7,000 VIRTUS GLOBAL (14615) | 2015-04-24 | $118,848 | $124,121 | -$5,273 | -$5,273 | ||
| 22,000 BARCLAYS BANK (14615) | 2015-02-02 | $220,000 | $220,000 | $0 | $0 | 2013-10-29 | |
| UBS A/C 14616 - DETAILS PROVIDED UPON REQUEST | $642,519 | $666,049 | -$23,530 | -$23,530 | |||
| UBS A/C 14616 - DETAILS PROVIDED UPON REQUEST | $424,865 | $452,269 | -$27,404 | -$27,404 | |||
| FNMA - RETURN OF CAPITAL (14616) | $79 | $79 | $79 | ||||
| UBS A/C 14618 - DETAILS PROVIDED UPON REQUEST | $651,360 | $690,038 | -$38,678 | -$38,678 | |||
| UBS A/C 14618 - DETAILS PROVIDED UPON REQUEST | $160,351 | $155,802 | $4,549 | $4,549 | |||
| UBS A/C 16116 - DETAILS PROVIDED UPON REQUEST | $127,973 | $128,542 | -$569 | -$569 | |||
| UBS A/C 16116 - DETAILS PROVIDED UPON REQUEST | $56,365 | $41,893 | $14,472 | $14,472 | |||
| SPECIAL CREDIT OPPORTUNITIES FUND | $11,625 | -$11,625 | -$11,625 | P | |||
| CAPITAL GAINS DIVIDENDS | $13,388 | $13,388 | $13,388 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$74,591 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $598,590 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $3,545,794 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.168817 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $230,000 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $3,601,321 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.063865 | DistributionYr2Rt |
| Total Distribution | 0.232682 | TotalDistributionRt |
| Average Distribution | 0.116341 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $4,451,217 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $517,859 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $635 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $518,494 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $797,657 | 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 | $635 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $635 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $635 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,459 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $5,459 | TotalPaymentsAndCreditsAmt |
| Overpayment | $4,824 | OverpaymentAmt |
| Applied To ES Tax | $4,824 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT T NAPIER HARRISON & HELD LLP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3123321111 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W WACKER DRIVE SUITE 1700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL M GOSTOMSKI | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O HH 333 W WACKER DR STE 1700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $0 | CompensationAmt |
| Employee Benefit Program | $0 | EmployeeBenefitProgramAmt |
| Expense Account Other Allwnc | $0 | ExpenseAccountOtherAllwncAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,126,035 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $584,466 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,808,501 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,519,002 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $4,519,002 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $67,785 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,451,217 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $222,561 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $222,561 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $635 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $635 | TotalTaxAmt |
| Distributable Before Adj | $221,926 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $221,926 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $221,926 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $797,657 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $797,657 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $635 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $797,022 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $221,926 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr2 | $161,279 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $426,340 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $587,619 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $797,657 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $221,926 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $575,731 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,163,350 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,163,350 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $161,279 | ExcessFromYear2Amt |
| Excess From Year1 | $426,340 | ExcessFromYear1Amt |
| Excess From Current Year | $575,731 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | MICHAEL M GOSTOMSKI | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (21 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AQUINAS CATHOLIC SCHOOLS FOUNDATION | |||||||
| 521 13TH STREET S | LA CROSSE | WI | 54601 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $10,000 |
| BLUFF COUNTRY CO-OP | |||||||
| 121 WEST 2ND STREET | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $10,000 |
| CATHOLIC FOUNDATION OF SOUTHERN MINNESOTA | |||||||
| 55 W SANBORN STREET PO BOX 30098 | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $8,880 |
| COTTER SCHOOLS | |||||||
| 1115 W BROADWAY STREET | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $30,000 |
| DIOESE OF WINONA FOUNDATION | |||||||
| 55 W SANBORN STREET PO BOX 588 | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $30,000 |
| EAGLE BLUFF ENVIRONMENTAL LEARNING CENTER | |||||||
| 28097 GOODVIEW DRIVE | LANESBORO | MN | 55949 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $20,000 |
| FAMILY AND CHILDREN'S CENTER | |||||||
| 1707 MAIN STREET | LA CROSSE | WI | 54601 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $15,000 |
| GOOD SHEPHERD LUTHERAN SCHOOL | |||||||
| 3201 COURT STREET | PEKIN | IL | 61554 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $5,000 |
| GREAT RIVER SHAKESPEARE FESTIVAL | |||||||
| 450 JOHNSON STREET | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $10,000 |
| IMMACULATE HEART OF MARY SEMINARY | |||||||
| 750 TERRACE HEIGHTS | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $15,000 |
| JULIA BELLE SWAIN FOUNDATION | |||||||
| DRY DOCK | LA CROSSE | WI | 54601 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $15,000 |
| LANDINGS INTERNATIONAL | |||||||
| 415 MICHIGAN AVENUE NE SUITE 815 | WASHINGTON | DC | 20017 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $10,000 |
| MORRIE MILLER ATHLETIC FOUNDATION | |||||||
| 580 E FRONT STREET | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $10,000 |
| POLISH CULTURAL INSTITUTE | |||||||
| 350 5TH AVENUE SUITE 4621 | NEW YORK | NY | 10118 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $9,000 |
| SAINT ELIZABETH'S COMMUNITY DEVELOPMENT FOUNDATION | |||||||
| 1200 GRANT BOULEVARD WEST | WABASHA | MN | 55981 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $20,000 |
| SAINT MARY'S UNIVERSITY OF MINNESOTA | |||||||
| 700 TERRACE HEIGHTS | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $380,000 |
| THE ISLANDER FOUNDATION | |||||||
| 25 GROVE STREET | MINNEAPOLIS | MN | 55401 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $20,000 |
| UNIVERSITY OF WISCONSIN - LA CROSSE | |||||||
| 1725 STATE STREET | LA CROSSE | WI | 54601 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $9,300 |
| UNIVERSITY OF WISCONSIN - RIVER FALLS | |||||||
| 410 S 3RD STREET | RIVER FALLS | MN | 54022 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $61,487 |
| VITERBO UNIVERSITY | |||||||
| 900 VITERBO DRIVE | LA CROSSE | WI | 54601 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $100,000 |
| WINONA STATE UNIVERSITY | |||||||
| 175 W MARK STREET | WINONA | MN | 55987 | NONE | PUBLIC CHARITY | GENERAL PURPOSES | $8,990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $797,657 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $46,612 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $40,047 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $87,915 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$74,591 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $99,983 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $99,983 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOSTOMSKI 2005 CRUT (EIN 20-6733558) | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1666 VALLEY VIEW DRIVE | AddressLine1Txt |
| City | WINONA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55987 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $3,086,240 | TotalContributionsAmt |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | PRINCIPAL DISTRIBUTION UPON TERMINATION OF CRUT:CASH AND SECURITIES | NoncashPropertyDesc |
| Fair Market Value | $3,086,240 | FairMarketValueAmt |
| Received | 2015-12-31 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FRIEDMAN & HUEY | CategoryTxt |
| Amt | $50 | Amt |
| Net Investment Income | $50 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| UBS A/C Y4 14615 X2 - EQUITIES | $1,899,544 | $2,562,744 |
| UBS A/C Y4 14618 X2 - EQUITIES | $1,005,211 | $1,026,922 |
| UBS A/C Y4 16116 X2 - EQUITIES | $462,552 | $492,278 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (8 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| UBS A/C Y4 14615 X2 - HEDGE FUNDS | AT COST | $0 | $0 |
| UBS A/C Y4 14615 X2 - PRIVATE EQUITY | AT COST | $649,898 | $649,898 |
| UBS A/C Y4 14616 X2 - FIXED INCOME | AT COST | $350,851 | $346,328 |
| UBS A/C Y4 14618 X2 - MUTUAL FUND | AT COST | $0 | $0 |
| UBS A/C Y4 14616 X2 - MUTUAL FUNDS | AT COST | $0 | $0 |
| AXONIC CREDIT OPPORTUNITIES FUND | AT COST | $335,756 | $335,756 |
| LOCUPLETO II - AI, LLC | AT COST | $33,578 | $33,578 |
| SPECIAL CREDIT OPPORTUNITIES FUND | AT COST | $442,941 | $442,941 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | HARRISON & HELD, LLP | CategoryTxt |
| Legal Fees | $7,741 | LegalFeesAmt |
| Net Investment Income | $7,741 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADJUSTMENT TO BASIS FOR THE VARIOUS INVESTMENTS | Desc |
| BOY Book Value | -$217,924 | BOYBookValueAmt |
| EOY Book Value | -$40,760 | EOYBookValueAmt |
| EOYFMV | $0 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| UBS INVESTMENT EXPENSES - A/C Y4 14616 | $1 | $1 | $0 |
| ALPHAKEYS KKR ENERGY EXPENSES | $38,471 | $38,471 | $0 |
| AXIONIC CREDIT OPPORTUNITIES EXPENSES | $798 | $798 | $0 |
| LOCUPLETO II - AI, LLC EXPENSES | $3,881 | $3,881 | $0 |
| SPECIAL CREDIT OPPORTUNITIES FUND EXPENSES | $19,007 | $19,007 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (11 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| ALPHAKEYS KKR ENERGY (OTHER INCOME) | $25,101 | $25,101 | $25,101 |
| UBS A/C Y4 14615 X2 - NONDIVIDEND DISTRIBUTIONS | $702 | $702 | $702 |
| UBS A/C Y4 14616 X2 - NONDIVIDEND DISTRIBUTIONS | $2,062 | $2,062 | $2,062 |
| ALPHAKEYS KKR ENERGY (ROYALTIES) | $1,442 | $1,442 | $1,442 |
| UBS A/C Y4 14615 X2 - OTHER INCOME | $40,562 | $40,562 | $40,562 |
| UBS A/C Y4 14615 X2 - PARTNERSHIP DISTRIBUTIONS | $27,550 | $27,550 | $27,550 |
| UBS A/C Y4 16116 X2 - NONDIVIDEND DISTRIBUTIONS | $89 | $89 | $89 |
| AXIONIC CREDIT OPPORTUNITIES - OTHER | $137 | $137 | $137 |
| LOCUPLETO II - AI, LLC - ORDINARY | -$21,050 | -$21,050 | -$21,050 |
| SPECIAL OPPORTUNITIES FUND - ROYALTIES | $3 | $3 | $3 |
| SPECIAL OPPORTUNITIES FUND - OTHER | $11,317 | $11,317 | $11,317 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| UBS ACCOUNT FEES (14616) | $2,252 | $2,252 | $0 |
| UBS ACCOUNT FEES (14618) | $2,229 | $2,229 | $0 |
| UBS ACCOUNT FEES (16116) | $1,402 | $1,402 | $0 |
| HKS ADVISORS - ADVISORY FEES | $35,000 | $35,000 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAX UBS A/C 14616 | $40 | $40 | $0 |
| FOREIGN TAX UBS 14618 | $165 | $165 | $0 |
| EXCISE TAX | $5,000 | $0 | $0 |
| SPECIAL CREDIT OPPORTUNITIES FUND - FOREIGN TAX | $54 | $54 | $0 |
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