VITAL CARE CHARITABLE FOUNDATION INC: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- VITAL CARE CHARITABLE FOUNDATION INC (EIN 59-3756797)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201633199349102233
- 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
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T14:47:47-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593198021 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VESTAL & WILER CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 E PINE ST STE 801 | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32801 | 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 | 593756797 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VITAL CARE CHARITABLE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VITA | BusinessNameControlTxt |
| Phone | 4079992225 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3855 ST VALENTINE WAY | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32811 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALEXANDER BORSOI | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4079992225 | PhoneNum |
| Signature | 2016-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUES D BLAIS | PreparerPersonNm |
| PTIN | P00119459 | PTIN |
| Phone | 4078434433 | 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 | $990,103 | 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 |
| Dividends Rev And Expnss | $87,839 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $87,856 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$6,820 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $955,845 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $81,019 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $87,856 | 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 |
| Interest Rev And Expnss | $16,273 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $16,273 | InterestNetInvstIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $577 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $577 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $46,167 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $20,860 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $63,017 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $37,710 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $76,250 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $76,250 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $139,267 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $37,710 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $76,250 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$58,248 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $50,146 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $33,853 | CashBOYAmt |
| Cash EOY | $58,672 | CashEOYAmt |
| Cash EOYFMV | $58,672 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $12,289 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $8,302 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $8,302 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $437,143 | CorporateStockBOYAmt |
| Corporate Stock EOY | $362,195 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $353,554 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $537,802 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $542,703 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $569,575 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,021,087 | TotalAssetsBOYAmt |
| Total Assets EOY | $971,872 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $990,103 | 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 | $1,021,087 | RetainedEarningBOYAmt |
| Retained Earning EOY | $971,872 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,021,087 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $971,872 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,021,087 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $971,872 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,021,087 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$58,248 | ExcessRevenueOverExpensesAmt |
| Other Increases | $9,033 | OtherIncreasesAmt |
| Subtotal | $971,872 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $971,872 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| FOLIO INVESTMENTS - ALPHALCLONE | P | 2015-02-23 | 2015-12-31 | $884,438 | $879,202 | $5,236 | $5,236 |
| FOLIO INVESTMENTS - ALPHALCLONE | P | 2014-03-06 | 2015-12-31 | $66,986 | $60,521 | $6,465 | $6,465 |
| SEMPER FUNDS | P | 2015-02-23 | 2015-12-31 | $4,404 | $4,404 | $4,404 | |
| SEMPER MIDAS FUND LP | P | 2015-02-23 | 2015-12-31 | $4,794 | -$4,794 | -$4,794 | |
| SEMPER MIDAS FUND LP | P | 2014-03-06 | 2015-12-31 | $18,148 | -$18,148 | -$18,148 | |
| CAPITAL GAINS DIVIDENDS | P | $17 | $17 | $17 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$6,820 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $165,710 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,123,631 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.147477 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $173,566 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,220,345 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.142227 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $142,186 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,479,780 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.096086 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $168,627 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,688,082 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.099893 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $232,334 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,647,703 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.141005 | DistributionYr5Rt |
| Total Distribution | 0.626688 | TotalDistributionRt |
| Average Distribution | 0.125338 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,067,811 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $133,837 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $501 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $134,338 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $76,250 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,003 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,003 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,003 | TaxBasedOnInvestmentIncomeAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $12 | EsPenaltyAmt |
| Tax Due | $1,015 | TaxDueAmt |
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 | FL | 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 |
| Individual With Books | ALEXANDER BORSOI | IndividualWithBooksNm |
| Phone | 4079992225 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3855 ST VALENTINE WAY | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32811 | 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 (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 |
|---|---|---|---|---|---|---|---|---|
| WILLIAM P KENNEDY | ||||||||
| 1592 WEST IVANHOE BLVD | ORLANDO | FL | 32804 | PRESIDENT | 0.10 | $0 | $0 | $0 |
| COURTNEY B KENNEDY MCGOWAN | ||||||||
| PO BOX 209 | BLUEMONT | VA | 20135 | VICE PRESIDENT | 0.10 | $0 | $0 | $0 |
| ASHLEY E KENNEDY | ||||||||
| 22156 POT HOUSE RD | MIDDLEBURG | VA | 20117 | SECRETARY | 0.10 | $0 | $0 | $0 |
| ALEXANDER BORSOI | ||||||||
| 3855 ST VALENTINE WAY | ORLANDO | FL | 32811 | TREASURER | 0.10 | $0 | $0 | $0 |
| 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 | $1,002,271 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $81,801 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,084,072 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,084,072 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $16,261 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,067,811 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $53,391 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $53,391 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,003 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,003 | TotalTaxAmt |
| Distributable Before Adj | $52,388 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $52,388 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $52,388 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $76,250 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $76,250 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $76,250 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $52,388 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $55,712 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $153,081 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $85,421 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $63,401 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $112,001 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $48,677 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $462,581 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $76,250 | QualifyingDistributionsAmt |
| Applied To Year1 | $55,712 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $20,538 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $31,850 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $31,850 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $430,731 | 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 | $121,231 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $309,500 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $85,421 | ExcessFromYear4Amt |
| Excess From Year3 | $63,401 | ExcessFromYear3Amt |
| Excess From Year2 | $112,001 | ExcessFromYear2Amt |
| Excess From Year1 | $48,677 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| THE BLACK HISTORY COMMITTEE OF ORANGE COUNTY INC | ||||||
| PO BOX 2129 | ORLANDO | FL | 32802 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $500 |
| BROTHER'S KEEPER | ||||||
| 2 WEST FORT KING STREET | OCALA | FL | 34471 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $5,000 |
| CENTRAL CAROLINA COMMUNITY FOUNDATION | ||||||
| 2711 MIDDLEBURG DRIVE STE 213 | COLUMBIA | SC | 29204 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $10,000 |
| COLUMBIA MUSEUM OF ART | ||||||
| PO BOX 2068 | COLUMBIA | SC | 29202 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $5,000 |
| CORNELL FINE ARTS MUSEUM EDUCATION PROGRAM | ||||||
| 1000 HOLT AVE STE 2754 | WINTER PARK | FL | 32789 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $1,000 |
| CYSTIC FIBROSIS FOUNDATION | ||||||
| 6931 ARLINGTON ROAD STE 200 | BETHESDA | MD | 20814 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $5,000 |
| GRACE MEDICAL HOME | ||||||
| 51 PENNSYLVANIA STREET | ORLANDO | FL | 32806 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $5,000 |
| HEALTH CARE CENTER FOR THE HOMELESS | ||||||
| 232 N ORANGE BLOSSOM TRAIL | ORLANDO | FL | 32805 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $1,000 |
| HOUSE OF HOPE ORLANDO | ||||||
| 2036 36TH STREET | ORLANDO | FL | 32839 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $750 |
| PAWMETTO LIFELINE | ||||||
| 1275 BOWER PARKWAY | COLUMBIA | SC | 29212 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $5,000 |
| YMCA OF CENTRAL FLORIDA | ||||||
| 433 NORTH MILLS AVENUE | ORLANDO | FL | 32803 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $13,000 |
| GLENN SPRINGS PRESBETARIAN CHURCH | ||||||
| 6001 SC-215 | PAULINE | SC | 29374 | PC | FURTHERANCE OF CHARITABLE PURPOSE | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $76,250 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $87,839 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$6,820 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $81,019 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $81,019 | 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 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| INVESTMENT IN ALPHACLONE | $362,195 | $353,554 |
| INVESTMENT IN SEMPER FUNDS | $0 | $0 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | INVESTMENT IN SEMPER MIDAS | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $542,703 | BookValueAmt |
| EOYFMV | $569,575 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| BANK CHARGES | $58 | $58 | $0 |
| INVESTMENT EXPENSES | $15 | $15 | $0 |
| OTHER PORTFOLIO EXPENSE FROM SEMPER MIDAS FUND | $16,888 | $16,888 | $0 |
| UNREALIZED GAIN/ LOSS ON INVESTMENT | $29,206 | $3,899 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCREASES/DECREASES | Desc |
| Amt | $9,033 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| STATE TAX - FL | $470 | $470 | $0 |
| FOREIGN TAXES PAID | $107 | $107 | $0 |
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