DR DONALD N & JANE L BERNING: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- DR DONALD N & JANE L BERNING (EIN 45-2457323)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201623209349103857
- 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
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Land Schedule2
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T16:16:58-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Ln Ste 212 | AddressLine1Txt |
| City | Lake Success | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | 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 | 452457323 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dr Donald N & Jane L Berning Private | BusinessNameLine1Txt |
| Business Name Line2 | Foundation | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | DRDO | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RONALD JACK BENSON | PersonNm |
| Person Title | president | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | 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 | $9,136,190 | 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 | $50 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $442 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $442 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $12,374 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $12,374 | DividendsNetInvstIncmAmt |
| Gross Rents Rev And Expnss | $13,200 | GrossRentsRevAndExpnssAmt |
| Gross Rents Net Invst Incm | $13,200 | GrossRentsNetInvstIncmAmt |
| Net Rental Income Or Loss | -$106,514 | NetRentalIncomeOrLossAmt |
| Net Gain Sale Ast Rev And Expnss | $85,237 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,428,328 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $85,237 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $109,467 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $93,247 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $220,770 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $204,500 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $25,633 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $25,224 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $409 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $19,008 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $6,051 | TaxesNetInvstIncmAmt |
| Deprec And Dpltn Rev And Expnss | $18,363 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $18,363 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $0 | DeprecAndDpltnAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $130,047 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $86,724 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $43,323 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $193,051 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $136,362 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $43,732 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $417,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $417,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $610,551 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $136,362 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $461,232 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$389,781 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $68,138 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $573,579 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $53,298 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $53,298 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $498,455 | CorporateStockBOYAmt |
| Corporate Stock EOY | $243,419 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $151,289 | CorporateStockEOYFMVAmt |
| Invst Land Cost Or Other Basis | $615,000 | InvstLandCostOrOtherBasisAmt |
| Invst Land Accum Depreciation | $54,680 | InvstLandAccumDepreciationAmt |
| Land Bldg Investments BOY | $578,683 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOY | $560,320 | LandBldgInvestmentsEOYAmt |
| Land Bldg Investments EOYFMV | $650,000 | LandBldgInvestmentsEOYFMVAmt |
| Other Investments BOY | $9,030,415 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $9,434,314 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $8,281,603 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $10,681,132 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,291,351 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $9,136,190 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $10,681,132 | RetainedEarningBOYAmt |
| Retained Earning EOY | $10,291,351 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $10,681,132 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $10,291,351 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $10,681,132 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $10,291,351 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $10,681,132 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$389,781 | ExcessRevenueOverExpensesAmt |
| Subtotal | $10,291,351 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $10,291,351 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly-traded Securities | PropertyDesc |
| Gross Sales Price | $1,428,328 | GrossSalesPriceAmt |
| Cost Or Other Basis | $1,343,091 | CostOrOtherBasisAmt |
| Gain Or Loss | $85,237 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $85,237 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $85,237 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $163,388 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $9,392,545 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.017395 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $214,660 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $9,390,695 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.022859 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $349,522 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,550,398 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.062972 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $6,609 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $196,973 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.033553 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $0 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $0 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.0 | DistributionYr5Rt |
| Total Distribution | 0.136779 | TotalDistributionRt |
| Average Distribution | 0.034195 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $9,297,635 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $317,933 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $681 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $318,614 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $461,232 | 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 | $681 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $681 | SubtotalAmt |
| Tax Based On Investment Income | $681 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $3,800 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $3,800 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $3 | EsPenaltyAmt |
| Overpayment | $3,116 | OverpaymentAmt |
| Applied To ES Tax | $700 | AppliedToESTaxAmt |
| Refund | $2,416 | RefundAmt |
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 | DE | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | 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 | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|
| Faith Benson | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Sec | 1.0 | $0 | $0 | $0 |
| Jack Benson | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres / Dir | 1.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $477,880 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $374,631 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $8,586,712 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $9,439,223 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $9,439,223 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $141,588 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $9,297,635 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $464,882 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $464,882 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $681 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $681 | TotalTaxAmt |
| Distributable Before Adj | $464,201 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $464,201 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $464,201 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $461,232 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $461,232 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $681 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $460,551 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $464,201 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $454,088 | UndistributedIncomePYAmt |
| Prior Year1 | 2013 | PriorYear1Yr |
| Prior Year2 | 2012 | PriorYear2Yr |
| Prior Year3 | 2011 | PriorYear3Yr |
| Qualifying Distributions | $461,232 | QualifyingDistributionsAmt |
| Applied To Year1 | $454,088 | AppliedToYear1Amt |
| Applied To Current Year | $7,144 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $457,057 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| FRIENDS OF THE ROSE GARDEN MISSION INC | |||||||
| PO BOX 122089 | COVINGTON | KY | 41012 | N/A | PC | General & Unrestricted | $50,000 |
| FRIENDS OF THE ROSE GARDEN MISSION INC | |||||||
| PO BOX 122089 | COVINGTON | KY | 41012 | N/A | PC | payment of mortgage | $210,000 |
| NORTHERN KENTUCKY AREA DEVELOPMENT DISTRICT | |||||||
| 22 SPIRAL DR | FLORENCE | KY | 41042 | N/A | PC | MEALS ON WHEELS | $125,000 |
| NORTHERN KENTUCKY SPORTS CLUB | |||||||
| 11029 PELPHRY LN | WALTON | KY | 41094 | N/A | PC | 13U Division | $10,500 |
| SUNRISE CHILDRENS SERVICES | |||||||
| PO BOX 1429 | MT WASHINGTON | KY | 40047 | N/A | PC | General & Unrestricted | $22,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $417,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $442 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $12,374 | ExclusionAmt |
Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $13,200 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $85,237 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp (3 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| INCOME FROM ANNUITIES | 14 | $93,247 |
| Federal Tax Refund | 01 | $5,567 |
| INCOME FROM LIFE INSURANCE | 14 | $10,653 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $220,720 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $220,720 | 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 |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (5 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|---|---|---|---|---|
| BUILDING-1 SUNNYME | 2012-12-31 | $190,000 | $13,818 | SL | 27 | $6,909 | $6,909 | $0 |
| BUILDING- 1160 BRE | 2012-12-31 | $300,000 | $21,818 | SL | 27 | $10,909 | $10,909 | $0 |
| LAND -1 SUNNYMEADE | 2012-12-31 | $35,000 | L | |||||
| LAND - 1160 BRECKE | 2012-12-31 | $75,000 | L | |||||
| IMPROVEMENTS-1160 | 2013-10-01 | $15,000 | $681 | SL | 27 | $545 | $545 | $0 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (18 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 3-D SYSTEMS CORP. DEL | $22,197 | $8,690 |
| BORG WARNER INC | $18,719 | $12,969 |
| CLEAN ENERGY FUELS CORP | $17,609 | $7,200 |
| COGNEX CORPORATION | $12,472 | $8,443 |
| CONOCOPHILLIPS | $23,859 | $16,341 |
| DARDEN RESTAURANTS INC | $22,121 | $22,273 |
| FOUR CORNERS PROPERTY TRUST IN | $2,772 | $2,803 |
| GENERAL MOTORS | $1,873 | $3,571 |
| GENERAL MOTORS COMPANY WARRANT | $1,509 | $2,310 |
| GENERAL MOTORS COMPANY WARRANT | $1,050 | $1,548 |
| GENERAL MOTORS NOTE 7.25% 2/15 | ||
| GILEAD SCIENCES INC | $12,280 | $10,119 |
| KINDER MORGAN INC | $21,458 | $7,460 |
| MOTORS LIQ CO GUC TR UBI | $306 | $364 |
| POLARIS INDUSTRIES | $15,236 | $8,595 |
| TWITTER INC | $25,434 | $11,570 |
| WHOLE FOODS MARKET, INC | $21,146 | $13,400 |
| XPO LOGISTICS INC | $23,378 | $13,633 |
Investments Land Schedule2 InvestmentsLandSchedule2
Investment Land InvestmentLandGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| BUILDING-1 SUNNYME | $190,000 | $20,727 | $169,273 |
| BUILDING- 1160 BRE | $300,000 | $32,727 | $267,273 |
| LAND -1 SUNNYMEADE | $35,000 | $35,000 | |
| LAND - 1160 BRECKE | $75,000 | $75,000 | |
| IMPROVEMENTS-1160 | $15,000 | $1,226 | $13,774 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (13 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AMERICO FINANCIAL - ANNUITY PO | $521,555 | $482,513 |
| AMERICO FINANCIAL - ANNUITY PO | $975,525 | $906,234 |
| ASSURITY LIFE INSURANCE CO - P | $301,000 | $230,091 |
| EQUITRUST LIFE INSURANCE CO - | $296,625 | $278,827 |
| AMERICAN NATIONAL DEFERRRED AN | $700,000 | $642,663 |
| AMERICO FINANCIAL ANNUITY POLI | $923,209 | $828,188 |
| ATHENE #148688 | $989,719 | $837,445 |
| ATHENE #138443 | $879,695 | $759,500 |
| EQUITRUST LIFE #642F | $863,658 | $681,330 |
| FIDELITY LIFE INSURA #L9241745 | $815,133 | $696,940 |
| FIDELITY ANNUITY #R0023224 | $949,140 | $818,633 |
| NATIONAL WESTERN LIF | $810,782 | $710,966 |
| JACKSON NATIONAL ANNUTIY | $408,273 | $408,273 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $43,298 | $43,298 | |
| Bank Charges | $95 | $95 | |
| Property insurance | $5,653 | $5,653 | |
| PROPERTY MAINTENANCE&EXPENSES | $80,976 | $80,976 | |
| State or Local Filing Fees | $25 | $25 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Net Income from annuities | $93,247 | $93,247 |
| Federal Tax Refund | $5,567 | |
| Income from life insurance policies | $10,653 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administration of Foundation | $409 | $409 | |
| PROFESSIONAL MAINTENANCE SVCS | $25,224 | $25,224 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (5 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 990-PF Estimated Tax for 2015 | $3,800 | |
| 990-PF Excise Tax for 2014 | $7,035 | |
| 990-PF Extension for 2014 | $2,122 | |
| Foreign Tax Paid | $87 | $87 |
| Property Taxes | $5,964 | $5,964 |
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