HENDERSON FAMILY FOUNDATION INC: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HENDERSON FAMILY FOUNDATION INC (EIN 47-2469963)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-23
- IRS object ID
- 201603289349100405
- 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
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-23T14:07:36-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593670150 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHEN & GRIEB PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 NORTH WESTSHORE BLVD STE 700 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33609 | 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 | 472469963 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDERSON FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEND | BusinessNameControlTxt |
| Phone | 8136621558 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1511 N WESTSHORE BLVD RM/STE 700 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33607 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID M HENDERSON | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 8135461000 | PhoneNum |
| Signature | 2016-09-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT V GRIEB CPA | PreparerPersonNm |
| PTIN | P00056245 | PTIN |
| Phone | 8137397200 | PhoneNum |
| Preparation | 2016-11-23 | PreparationDt |
| 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 | $986,722 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $119 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $119 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $119 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $25,411 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $25,411 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $25,411 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $135,702 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,520,299 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $134,897 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $131,802 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $68 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $68 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $68 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $161,300 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $160,495 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $157,400 | TotalAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $1,400 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $700 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $700 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $5,166 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $5,166 | OtherProfFeesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $19 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $19 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $6,585 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $5,885 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $700 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $8,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $8,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $14,585 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $5,885 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $8,700 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $146,715 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $154,610 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $157,400 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $200,000 | CashBOYAmt |
| Cash EOY | $6,201 | CashEOYAmt |
| Cash EOYFMV | $6,201 | CashEOYFMVAmt |
| Corporate Stock BOY | $837,631 | CorporateStockBOYAmt |
| Corporate Stock EOY | $633,851 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $633,851 | CorporateStockEOYFMVAmt |
| Corporate Bonds EOY | $108,145 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $108,145 | CorporateBondsEOYFMVAmt |
| Other Investments EOY | $238,525 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $238,525 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,037,631 | TotalAssetsBOYAmt |
| Total Assets EOY | $986,722 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $986,722 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $1,037,631 | RetainedEarningBOYAmt |
| Retained Earning EOY | $986,722 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,037,631 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $986,722 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,037,631 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $986,722 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,037,631 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $146,715 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,184,346 | SubtotalAmt |
| Other Decreases | $197,624 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $986,722 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | AcquiredAcquiredDt | SoldSoldDt |
|---|---|---|---|---|---|---|---|
| MERRILL LYNCH ACCOUNT 3171 | P | $1,452,717 | $1,314,694 | $138,023 | $138,023 | ||
| ADVANCE AUTO PARTS | P | $21,505 | $18,410 | $3,095 | $3,095 | 2014-03-10 | 2015-03-12 |
| EMERGE ENERGY SERVICES | P | $23,932 | $32,037 | -$8,105 | -$8,105 | 2015-04-07 | |
| EMERGE ENERGY SERVICES BASIS ADJUSTM | P | $672 | $672 | $672 | 2015-05-06 | 2015-05-06 | |
| BLACKSTONE GROUP LP | P | $20,371 | $19,454 | $917 | $917 | 2015-02-05 | 2015-08-06 |
| BLACKSTONE GROUP LP BASIS ADJUSTMENT | P | $295 | $295 | $295 | 2015-08-06 | 2015-08-06 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $134,897 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $131,802 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Net Vl Noncharitable Assets Yr1 | $1,016,229 | NetVlNoncharitableAssetsYr1Amt |
| Net Vl Noncharitable Assets | $975,675 | NetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,546 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $1,546 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $8,700 | 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 | $1,546 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $1,546 | SubtotalAmt |
| Tax Based On Investment Income | $1,546 | TaxBasedOnInvestmentIncomeAmt |
| Applied To Es Tax | $2,500 | AppliedToEsTaxAmt |
| Total Payments And Credits | $2,500 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $36 | EsPenaltyAmt |
| Overpayment | $918 | OverpaymentAmt |
| Applied To ES Tax | $918 | AppliedToESTaxAmt |
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 | FL | 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 | DAVID HENDERSON | IndividualWithBooksNm |
| Phone | 8136621558 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1511 N WESTSHORE BLVD STE 700 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33607 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|
| GREGORY L HENDERSON | ||||||||
| 403 VONDERBURG DR | BRANDON | FL | 33511 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| DAVID M HENDERSON | ||||||||
| 1511 N WESTSHORE BLVD STE 700 | TAMPA | FL | 33607 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| GREGORY L HENDERSON JR | ||||||||
| 1511 N WESTSHORE BLVD STE 700 | TAMPA | FL | 33607 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| KRISTEN M HENDERSON | ||||||||
| 1511 N WESTSHORE BLVD STE 700 | TAMPA | FL | 33607 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| MATTHEW D HENDERSON | ||||||||
| 1511 N WESTSHORE BLVD STE 700 | TAMPA | FL | 33607 | DIRECTOR | 1.00 | $0 | $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 | $754,757 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $103,101 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $132,675 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $990,533 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $990,533 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $14,858 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $975,675 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $48,784 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $48,784 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,546 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,546 | TotalTaxAmt |
| Distributable Before Adj | $47,238 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $47,238 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $47,238 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $8,700 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $8,700 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,546 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $7,154 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $47,238 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $7,796 | UndistributedIncomePYAmt |
| Qualifying Distributions | $8,700 | QualifyingDistributionsAmt |
| Applied To Year1 | $7,796 | AppliedToYear1Amt |
| Applied To Current Year | $904 | AppliedToCurrentYearAmt |
| Undistributed Income CY | $46,334 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INSTRUMENTS 4 LIFE | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1217 MAGDALENE HILL DR | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33613 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Or Contribution Purpose | CHARITABLE CONTRIBUTION | GrantOrContributionPurposeTxt |
| Amt | $8,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $8,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $119 | RelatedOrExemptFunctionIncmAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $25,411 | RelatedOrExemptFunctionIncmAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $68 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $135,702 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $161,300 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $161,300 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREP FEE | CategoryTxt |
| Amt | $1,400 | Amt |
| Net Investment Income | $700 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $700 | DisbursementsCharitablePrpsAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (2 entries)
| AssetAssetDesc | How AcquiredHowAcquiredTxt | BasisBasisAmt | Total NetTotalNetAmt | Gross Sales PriceGrossSalesPriceAmt |
|---|---|---|---|---|
| BLACKSTONE PASS THROUGH | PURCHASE | $2 | -$2 | |
| BLACKSTONE PASS THROUGH | PURCHASE | $342 | $342 |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | MERRILL LYNCH 9963 | BondNm |
| EOY Book Value | $108,145 | EOYBookValueAmt |
| EOYFMV | $108,145 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ADVANCE AUTO PARTS | ||
| DELTA AIR LINES | ||
| MERRILL LYNCH 9963 | $633,851 | $633,851 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | MERRILL LYNCH 9963 | CategoryOrItemTxt |
| Listed At Cost Or FMV | FMV | ListedAtCostOrFMVCd |
| Book Value | $238,525 | BookValueAmt |
| EOYFMV | $238,525 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DECREASE IN UNREALIZED APPRECIATION | Desc |
| Amt | $197,624 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXPENSES | ||
| INVESTMENT INTEREST EXPENSE F | $4 | $4 |
| DEDUCTIONS-ROYALTY INCOME FRO | $1 | $1 |
| INTANGIBLE DRILLING COSTS FRO | $1 | $1 |
| PORTFOLIO DEDUCTIONS FROM K-1 | $5 | $5 |
| INTEREST EXPENSE ON K-1 | $8 | $8 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (7 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| OTHER INCOME FROM K-1 | $36 | $36 | $36 |
| ORDINARY INCOME BLACKSTONE K- | $1 | $1 | $1 |
| ORDINARY LOSS EMERGE K-1 | -$123 | -$123 | -$123 |
| RENTAL INCOME FROM K-1 | $4 | $4 | $4 |
| ORD INC FROM SALE OF EMERGE | $65 | $65 | $65 |
| SEC 1231 GAIN FROM K-1 | $83 | $83 | $83 |
| ROYALTY INCOME FROM K-1 | $2 | $2 | $2 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $5,166 | Amt |
| Net Investment Income | $5,166 | NetInvestmentIncomeAmt |
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