TELLIGEN COMMUNITY INITIATIVE: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- TELLIGEN COMMUNITY INITIATIVE (EIN 20-2017785)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-12
- IRS object ID
- 201611339349100006
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-12T07:55:44-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420794029 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENMAN & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 22ND STREET SUITE 400 | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 502661453 | 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 | 202017785 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELLIGEN COMMUNITY INITIATIVE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TELL | BusinessNameControlTxt |
| Phone | 5152232852 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50266 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATT MCGARVEY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5152232852 | PhoneNum |
| Signature | 2016-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID ELLIS | PreparerPersonNm |
| PTIN | P01306431 | PTIN |
| Phone | 5152258400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $37,425,333 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
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 | $241 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $241 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $174,986 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $174,986 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $870,691 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,473,194 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $870,691 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $1,496,831 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $1,496,831 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $2,542,749 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,542,749 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $109,927 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $98,385 | CompOfcrDirTrstDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $16,713 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $14,958 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $3,971 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $3,554 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $5,600 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $5,012 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $50,797 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $45,463 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $65,034 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $8,997 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $4,518 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $4,044 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $120,992 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $34,227 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $77,655 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $377,552 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $34,227 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $258,068 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,596,790 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,596,790 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,974,342 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $34,227 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,854,858 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $568,407 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,508,522 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $9,566,127 | CashBOYAmt |
| Cash EOY | $1,174,867 | CashEOYAmt |
| Cash EOYFMV | $1,174,867 | CashEOYFMVAmt |
| Prepaid Expenses BOY | $56,056 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $42,042 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $42,042 | PrepaidExpensesEOYFMVAmt |
| Other Investments BOY | $0 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $8,607,979 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $8,607,979 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $28,511,065 | OtherAssetsBOYAmt |
| Other Assets EOY | $27,600,445 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $27,600,445 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $38,133,248 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,425,333 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $37,425,333 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $8,038 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $5,333 | AccountsPayableEOYAmt |
| Other Liabilities BOY | $28,730,084 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $27,600,445 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $28,738,122 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,605,778 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $9,395,126 | UnrestrictedBOYAmt |
| Unrestricted EOY | $9,819,555 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $9,395,126 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $9,819,555 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $38,133,248 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $37,425,333 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $9,395,126 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $568,407 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $9,963,533 | SubtotalAmt |
| Other Decreases | $143,978 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $9,819,555 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|---|---|
| INSTALLMENT GAIN ON SALE OF TELLIGEN, INC | D | 2013-12-31 | 2015-12-31 | $910,620 | $910,620 | $910,620 | |
| MORGAN STANLEY #4045 - SHORT-TERM | P | 2015-12-11 | $2,552,529 | -$49,974 | -$49,974 | $2,602,503 | |
| CAPITAL GAINS DIVIDENDS | P | $10,045 | $10,045 | $10,045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $870,691 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,334,544 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $32,859,397 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.040614 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $147,500 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $28,190 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 5.232352 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $0 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $21,057 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.000000 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $146,700 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $4,530 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 32.384106 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $166,310 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $73,928 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 2.249621 | DistributionYr5Rt |
| Total Distribution | 39.906693 | TotalDistributionRt |
| Average Distribution | 7.981339 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $36,297,980 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $289,706,483 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $25,085 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $289,731,568 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,854,858 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $50,170 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $50,170 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $50,170 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $50,030 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $50,030 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $5 | EsPenaltyAmt |
| Tax Due | $145 | 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 | IA | 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 | TELLIGEN COMMUNITY INITIATIVE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5152232852 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50266 | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|
| LANNY WARD | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| DAVID THOMAS MD | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| MICHAEL ZIA MD | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | SECRETARY/TREASURER | 1.00 | $0 | $0 | $0 |
| PEG MASON | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| VICTORIA SHARP MD | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| GERARD CLANCY MD | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| MATT MCGARVEY | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | EXECUTIVE DIRECTOR | 40.00 | $109,927 | $16,713 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | GRANTMAKING TO OTHER CHARITABLE ORGANIZATIONS | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
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 | $8,348,939 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $859,315 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $27,642,487 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $36,850,741 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $36,850,741 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $552,761 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $36,297,980 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,814,899 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,814,899 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $50,170 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $50,170 | TotalTaxAmt |
| Distributable Before Adj | $1,764,729 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,764,729 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $1,764,729 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,854,858 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $1,854,858 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,854,858 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,764,729 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $86,420 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $146,473 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr2 | $146,090 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $378,983 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,854,858 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $1,764,729 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $90,129 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $469,112 | 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 | $86,420 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $382,692 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $146,473 | ExcessFromYear4Amt |
| Excess From Year2 | $146,090 | ExcessFromYear2Amt |
| Excess From Current Year | $90,129 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (44 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| REGIONAL FOOD BANK OF OKLAHOMA | ||||||
| 3355 S PURDUE AVENUE | OKLAHOMA CITY | OK | 73137 | 501(C)(3) | PROVIDE RESOURCES INCLUDING A FRESH FOOD MOBILE MARKET, HEALTH PANTRY BOXES, NUTRITION EDUCATION, AND HEALTH CARE RESOURCES IN A CLINICAL SETTING. | $25,000 |
| HEALTH ALLIANCE FOR THE UNINSURED | ||||||
| 3000 UNITED FOUNDERS BLVD 244 | OKLAHOMA CITY | OK | 73112 | 501(C)(3) | IMPROVE ACCESS TO PRESCRIPTION MEDICATIONS FOR LOW INCOME, UNINSURED PATIENTS. | $25,000 |
| OKLAHOMA STATE UNIVERSITY FOUNDATION | ||||||
| 400 S MONROE STREET | STILLWATER | OK | 74074 | 501(C)(3) | DEVELOP A MORE DIVERSE AND HIGHER QUALITY HEALTHCARE WORKFORCE. | $25,000 |
| UNIVERSITY OF OKLAHOMA SCHOOL OF COMMUNITY MEDICINE | ||||||
| 4502 E 41ST STREET | TULSA | OK | 74135 | 501(C)(3) | PROVIDE RESOURCES TO THE DEPARTMENT OF MEDICAL INFORMATICS AT OUSCM. | $25,000 |
| RURAL HEALTH PROJECTSNORTHWEST AREA HEALTH EDUCATION CENTER | ||||||
| 2929 E RANDOLPH AVENUE 130 | ENID | OK | 73701 | 501(C)(3) | HIRE AND TRAIN A HALF-TIME COMMUNITY HEALTH WORKER FROM AND FOR THE MICRONESIAN POPULATION. | $25,000 |
| UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER | ||||||
| 1100 N LINDSAY AVENUE | OKLAHOMA CITY | OK | 73104 | 501(C)(3) | FUND A ONE YEAR PRE-PREGNANCY WOMEN'S HEALTH PROGRAM. | $24,996 |
| NAMI OKLAHOMA | ||||||
| 3037 NW 63RD SUITE 104W | OKLAHOMA CITY | OK | 73116 | 501(C)(3) | USED TO PURCHASE VIDEO-CONFERENCING AND PRINTING EQUIPMENT. | $25,000 |
| MERCY HEALTH FOUNDATION OF OKLAHOMA CITY | ||||||
| 13321 NORTH MERIDIAN SUITE 206 | OKLAHOMA CITY | OK | 73120 | 501(C)(3) | PROVIDE BREAST HEALTH SERVICES TO WOMEN OF ANY AGE, RACE, OR ETHNICITY WHO ARE MEDICALLY UNDERSERVED. | $25,000 |
| INDIAN HEALTH CARE RESOURCE CENTER OF TULSA | ||||||
| 550 S PEORIA AVENUE | TULSA | OK | 74120 | 501(C)(3) | TO CONNECT PATIENTS TO PROGRAMS THAT MEET BASIC HUMAN NEEDS. | $25,000 |
| SOS SERVING OUR SERVICE MEMBERS INC | ||||||
| 6365 E 41ST STREET | TULSA | OK | 74135 | 501(C)(3) | PROVIDE OPPORTUNITIES AND SUPPORTIVE NETWORKS FOR SERVICE MEMBERS AND VETERANS. | $24,915 |
| BETHESDA INC | ||||||
| 1181 E MAIN STREET | NORMAN | OK | 73071 | 501(C)(3) | SUPPORT AUDIO/VISUAL EQUIPMENT UPGRADES IN ORDER TO IMPROVE HEALTH QUALITY DURING INDIVIDUAL AND GROUP PSYCHOTHERAPEUTIC SESSIONS. | $4,765 |
| COMMUNITY ACTION PROJECT OF TULSA COUNTY | ||||||
| 4606 S GAMETT ROAD | TULSA | OK | 74146 | 501(C)(3) | IMPROVE THE ECONOMIC STABILITY OF LOW-INCOME PARENTS OF YOUNG CHILDREN ENROLLED IN EARLY CHILDHOOD EDUCAITON PROGRAMS. | $25,000 |
| OKLAHOMA HOSPITAL EDUCATION & RESEARCH FOUNDATION TRUST | ||||||
| 4000 N LINCOLN BLVD | OKLAHOMA CITY | OK | 73105 | 501(C)(3) | DECREASE THE MORTALITY RATE BY 15% FOR PATIENTS ADMITTED TO PARTICIPATING OKLAHOMA HOSPITALS WITH SEVERE SEPSIS AND SEPTIC SHOCK. | $25,000 |
| CHILDREN'S MEDICAL RESEARCH INC | ||||||
| 3641 NW 23RD STREET | OKLAHOMA CITY | OK | 73107 | 501(C)(3) | USE INTERACTIVE TRAINING AND SUPPORT TO IMPROVE PRIMARY CARE CLINICIANS' CAPACITY IN EARLY IDENTIFICATION. | $25,000 |
| GREEN COUNTRY BEHAVIORAL HEALTH SERVICES INC | ||||||
| 619 N MAIN STREET | MUSKOGEE | OK | 74401 | 501(C)(3) | ENHANCE AN INTEGRATED HEALTH CARE PROGRAM WITHIN ON OF OKLAHOMA'S POOREST AND MOST UNHEALTHY COUNTIES. | $24,960 |
| IOWA PRESCRIPTION DRUG CORPORATION | ||||||
| 11100 AURORA AVENUE | URBANDALE | IA | 50322 | 501(C)(3) | ESTABLISH A STATEWIDE, NON-PROFIT, SAFETY NET PHARMACY TO SERVE THE UNIQUE HEALTH NEEDS OF SAFETY NET PATIENTS IN IOWA. | $50,000 |
| AREA SUBSTANCE ABUSE COUNCIL | ||||||
| 3601 16TH AVENUE SW | CEDAR RAPIDS | IA | 52404 | 501(C)(3) | PROVIDE A PHYSICAL HEALTH HOME FOR OUR RESIDENTIAL AND OUTPATIENT CLIENTS WHO SUFFER FROM A SUBSTANCE ABUSE DISORDER. | $26,550 |
| FRIENDS OF IOWA CASA AND ICFCRB | ||||||
| 4321 E 12TH STREET | DES MOINES | IA | 50319 | 501(C)(3) | HIRE A FULL TIME EXECUTIVE DIRECTOR. | $50,000 |
| CLARKE UNIVERSITY | ||||||
| 1550 CLARKE DRIVE | DUBUQUE | IA | 52001 | 501(C)(3) | TO CREATE A PRECEPTOR CONSORTIUM USING TECHNOLOGY. | $50,000 |
| COURAGE LEAGUE SPORTS | ||||||
| 4405 121ST STREET | URBANDALE | IA | 50323 | 501(C)(3) | PROVIDE ADAPTIVE SPORTS, RECREATION, AND LEISURE OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES. | $10,000 |
| IOWA PSYCHOLOGICAL FOUNDATION | ||||||
| 48428 290TH AVENUE | MOUNT PLEASANT | IA | 52641 | 501(C)(3) | SUPPORT OF THE PSYCHOLOGIST INTERNSHIP TRAINING PROGRAM. | $49,590 |
| IOWA ACADEMY OF FAMILY PHYSICIANS FOUNDATION | ||||||
| 100 E GRAND AVENUE 170 | DES MOINES | IA | 50309 | 501(C)(3) | SUPPORT LOAN REPAYMENT FOR ONE YEAR FOR ONE PRIMARY CARE PHYSICIAN PRACTICING IN RURAL IOWA. | $50,000 |
| UNITY POINT HEALTH TRINITY REGIONAL MEDICAL CENTER | ||||||
| 802 KENYON ROAD | FORT DODGE | IA | 50501 | 501(C)(3) | BUILD A STATE OF THE ART HEALTH SIMULATION LABORATORY. | $50,000 |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||
| 928 6TH AVENUE | DES MOINES | IA | 50309 | 501(C)(3) | DEVELOP IOWA'S FIRST BACHELOR'S LEVEL HEALTH INFORMATION MANAGEMENT DEGREE. | $50,000 |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY | ||||||
| 235 8TH AVENUE W | CRESCO | IA | 52136 | 501(C)(3) | PROVIDE REMOTE EMERGENCY SUPPORT SERVICES TO OUR RURAL HOSPITAL VIA A TELEHEALTH SYSTEM. | $47,160 |
| ORCHARD PLACE | ||||||
| 925 SW PORTER AVENUE | DES MOINES | IA | 50315 | 501(C)(3) | IMPLEMENTATION OF THE SANCTUARY MODEL AT ORCHARD PLACE. | $38,258 |
| IOWA LEGAL AID | ||||||
| 1111 9TH STREET 230 | DES MOINES | IA | 50314 | 501(C)(3) | IDENTIFY AND ADDRESS THE SOCIAL DETERMINANTS THAT ARE NEGATIVELY IMPACTING THE HEALTH OF LOW-INCOME PATIENTS. | $50,000 |
| DRAKE UNIVERSITY | ||||||
| 2507 UNIVERSITY AVENUE | DES MOINES | IA | 50311 | 501(C)(3) | TO IMPROVE EFFORT INTENDED TO INCREASE THE AMOUNT OF COMMUNITY PHARMACIST-PROVIDED PATIENT CARE SERVICES DELIVERED TO PATIENTS IN IOWA. | $26,500 |
| LUTHER COLLEGE | ||||||
| 700 COLLEGE DRIVE | DECORAH | IA | 52101 | 501(C)(3) | TO DESIGN AND DELIVER A CAPACITY BUILDING PROGRAM FOR COMMUNITY LEADERS. | $50,000 |
| IOWA HEALTHIEST STATE INITIATIVE | ||||||
| 301 GRAND AVENUE | DES MOINES | IA | 50309 | 501(C)(3) | TO ENCOURAGE RURAL TOWNS ACROSS IOWA TO COMMIT TO ADOPTING PRACTICES THAT WILL IMPROVE THE COMMUNITY'S OVERALL HEALTH AND WELL-BEING. | $50,000 |
| JUVENILE PROTECTIVE ASSOCIATION | ||||||
| 1707 N HALSTED STREET | CHICAGO | IL | 60614 | 501(C)(3) | TO HELP VULNERABLE, TRAUMATIZED CHILDREN DEMONSTRABLY IMPROVE THEIR FUNCTIONING IN SCHOOL. | $50,000 |
| NAMI DUPAGE COUNTY | ||||||
| 115 N COUNTY FARM ROAD | WHEATON | IL | 60187 | 501(C)(3) | TO CREATE A CENTRAL SERVICE HUB, TO CONTINUE TO PROVIDE A WELL-ROUNDED CLUSTER OF SERVICES, AND TO EXPAND ITS SERVICES TO ADDRESS EVERY NEED OF THE MENTAL HEALTH COMMUNITY. | $50,000 |
| RURAL HEALTH INC | ||||||
| 513 NORTH MAIN STREET | ANNA | IL | 62906 | 501(C)(3) | TO ADD A FULL TIME LICENSED CLINICAL SOCIAL WORKER CASE MANAGEMENT STAFF MEMBER. | $50,000 |
| ROSALIND FRANKLIN UNIVERSITY OF MEDICINE | ||||||
| 3333 GREEN BAY ROAD | NORTH CHICAGO | IL | 60088 | 501(C)(3) | IMPROVE THE COLLEGE AND CAREER READINESS OF LOCAL LAKE COUNTY STUDENTS FROM DISADVANTAGED HIGH SCHOOLS. | $50,000 |
| NORTH PARK UNIVERSITY | ||||||
| 3225 W FOSTER AVENUE | CHICAGO | IL | 60625 | 501(C)(3) | TO SUPPORT THE LAUNCH OF A DOCTOR OF NURSING PRACTICE PROGRAM INCLUDING ONLINE COURSE CONTENT. | $36,800 |
| THE CORE FOUNDATION | ||||||
| 2020 W HARRISON STREET | CHICAGO | IL | 60612 | 501(C)(3) | SUPPORT HEALTHCARE WORKFORCE DEVELOPMENT. | $37,537 |
| PUBLIC HEALTH INSTITUTE OF METROPOLITAN CHICAGO | ||||||
| 180 N MICHIGAN AVENUE 1200 | CHICAGO | IL | 60601 | 501(C)(3) | TO FOSTER HEALTHY COMMUNITIES BY CONNECTING THOSE WHO NEED IT MOST WITH HELATH AND WELLNESS EDUCATION, BENEFITS, AND SERVICES. | $50,000 |
| ADVANCE ILLINOIS | ||||||
| 50 EAST WASHINGTON STREET | CHICAGO | IL | 60602 | 501(C)(3) | TO BUILD, EXPAND, AND PROMOTE STRONG HEALTHCARE WORKFORCE DEVELOPMENT STRATEGIES ACROSS THE STATE. | $50,000 |
| WAUBONSEE COMMUNITY COLLEGE | ||||||
| ROUTE 47 WAUBONSEE DRIVE | SUGAR GROVE | IL | 60554 | 501(C)(3) | TO OFFER A MOBILE INTEGRATED HEALTHCARE CURRICULUM. | $10,000 |
| HEALTH MEDICINE AND POLICY RESEARCH GROUP | ||||||
| 29 E MADISON STREET 602 | CHICAGO | IL | 60602 | 501(C)(3) | IMPROVE INTEGRATION OF BEHAVIORAL AND PHYSICAL HEALTH SERVICES IN ILLINOIS. | $50,000 |
| ILLINOIS CHAPTER AMERICAN ACADEMY OF PEDIATRICS | ||||||
| 1400 W HUBBARD SUITE 100 | CHICAGO | IL | 60642 | 501(C)(3) | ESTABLISH A MODEL FOR A COORDINATED SYSTEM OF CARE FOR PEDIATRIC OBESITY. | $49,860 |
| FAMILY HEALTH PARTNERSHIP CLINIC | ||||||
| 401 CONGRESS PARKWAY | CRYSTAL LAKE | IL | 60014 | 501(C)(3) | IMPROVE HEALTH OUTCOMES OF UNINSURED PATIENTS WITH CHRONIC CONDITIONS. | $49,900 |
| UNIVERSITY OF CHICAGO | ||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 501(C)(3) | SUPPORT EXPANSION OF OUR PROGRAMMING TO INCLUDE THE TOPIC OF BEHAVIORAL HEALTH INTEGRATION IN PRIMARY CARE. | $49,999 |
| ILLINOIS ACADEMY OF FAMILY PHYSICIANS FOUNDATION | ||||||
| 4756 MAIN STREET | LISLE | IL | 60532 | 501(C)(3) | DELIVER EDUCATION AND TRAINING WITH THE DISTINCT PURPOSE OF EMPOWERING PHYSICIANS. | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,596,790 | 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 | $241 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $174,986 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$39,929 | ExclusionAmt |
| Related Or Exempt Function Incm | $910,620 | RelatedOrExemptFunctionIncmAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST INCOME- NOTE RECEIVABLE | Desc |
| Related Or Exempt Function Incm | $1,496,831 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $135,298 | ExclusionAmt |
| Related Or Exempt Function Incm | $2,407,451 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $2,542,749 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (5 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 8 | GAIN FROM THE INSTALLMENT SALE OF NEW TELLIGEN STOCK TO THE ESOP. |
| 8 | THE INSTALLMENT SALE WAS A NECESSARY COMPONENT OF THE REORGANIZATION |
| 8 | OF A RELATED ENTITY AND IS INCLUDED IN NET INVESTMENT INCOME. |
| 11 | INTEREST IS RELATED TO THE INSTALLMENT SALE AND IS INCLUDED IN NET |
| 11 | INVESTMENT INCOME. |
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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $5,600 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $5,012 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MUTUAL FUNDS | FMV | $3,459,091 | $3,459,091 |
| EXCHANGE TRADED & CLOSED-END FUNDS | FMV | $5,148,888 | $5,148,888 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL | CategoryTxt |
| Legal Fees | $3,971 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $3,554 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RECEIVABLE - INSTALLMENT SALE | Desc |
| BOY Book Value | $28,511,065 | BOYBookValueAmt |
| EOY Book Value | $27,600,445 | EOYBookValueAmt |
| EOYFMV | $27,600,445 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED LOSS ON INVESTMENTS | Desc |
| Amt | $143,978 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| MISCELLANEOUS | $3,600 | $0 | $3,222 |
| ADMINISTRATIVE SERVICES | $56,143 | $0 | $50,248 |
| INSURANCE | $27,022 | $0 | $24,185 |
| INVESTMENT FEES | $34,227 | $34,227 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST INCOME- NOTE RECEIVABLE | Desc |
| Revenue And Expenses Per Books | $1,496,831 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $1,496,831 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $1,496,831 | AdjustedNetIncomeAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| DEFERRED GAIN - INSTALLMENT SALE | $28,511,065 | $27,600,445 |
| INVESTMENT INCOME TAX PAYABLE | $219,019 | $0 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | OTHER PROFESSIONAL SERVICES | CategoryTxt |
| Amt | $50,797 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $45,463 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INVESTMENT INCOME TAX | $50,030 | $0 | $0 |
| PENALTIES | $4,951 | $0 | $0 |
| PAYROLL TAXES | $10,053 | $0 | $8,997 |
Comments