C R BARD FOUNDATION INC: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
C R BARD FOUNDATION INC (EIN 22-2840708)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-11
IRS object ID
201621329349102472
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-11T15:22:58-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 Madison AvenueAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10017ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222840708EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1C R BARD FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LINDA HREVNACKInCareOfNm
Business Name ControlCRBABusinessNameControlTxt
Phone9082778182PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1730 CENTRAL AVENUEAddressLine1Txt
CityMURRAY HILLCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07974ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT LOWRYPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9082778265PhoneNum
Signature2016-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonYing LiPreparerPersonNm
PTINP01343131PTIN
Phone9082778265PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$15,775,360FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$113InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$118InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$402,349DividendsRevAndExpnssAmt
Dividends Net Invst Incm$246,200DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$309,856NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$9,282,811GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$92,606TotalRevAndExpnssAmt
Total Net Invst Incm$246,318TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$18,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$18,000AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$111,989OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$91,547OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$20,442OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$10,587TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$150OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$150OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$140,726TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$91,547TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$38,592TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,420,787ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,420,787ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$2,561,513TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$91,547TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$2,459,379TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,468,907ExcessRevenueOverExpensesAmt
Net Investment Income$154,771NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$99,415CashBOYAmt
Cash EOY$40,986CashEOYAmt
Cash EOYFMV$40,986CashEOYFMVAmt
Corporate Stock BOY$18,793,000CorporateStockBOYAmt
Corporate Stock EOY$15,734,374CorporateStockEOYAmt
Corporate Stock EOYFMV$15,734,374CorporateStockEOYFMVAmt
Total Assets BOY$18,892,415TotalAssetsBOYAmt
Total Assets EOY$15,775,360TotalAssetsEOYAmt
Total Assets EOYFMV$15,775,360TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$18,892,415CapitalStockBOYAmt
Capital Stock EOY$15,775,360CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$18,892,415TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$15,775,360TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$18,892,415TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$15,775,360TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$18,892,415TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,468,907ExcessRevenueOverExpensesAmt
Other Increases-$428,580OtherIncreasesAmt
Subtotal$15,994,928SubtotalAmt
Other Decreases$219,568OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$15,775,360TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
UBS ACCOUNT 3F 02431$1,537,994$1,606,507-$68,513-$68,513
UBS ACCOUNT 3F 02431$1,852,702$1,980,516-$127,814-$127,814
UBS ACCOUNT 3F 02431$5,037$5,037$5,037
UBS ACCOUNT 3F 02432$1,493,818$1,454,689$39,129$39,129
UBS ACCOUNT 3F 02432$365,648$419,955-$54,307-$54,307
UBS ACCOUNT 3F 02433$1,921,122$1,996,315-$75,193-$75,193
UBS ACCOUNT 3F 02433$79,555$90,471-$10,916-$10,916
UBS ACCOUNT 3F 02463$262,459$262,010$449$449
UBS ACCOUNT 3F 02463$1,764,476$1,762,803$1,673$1,673
FieldValueIRS element (for citing)
Capital Gain Net Income-$290,455CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$4,984,732AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$27,801,331NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.179298DistributionYr1Rt
Adjusted Qlfy Distri Yr2$2,442,984AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,944,290NetVlNoncharitableAssetsYr2Amt
Distribution Yr21.256492DistributionYr2Rt
Adjusted Qlfy Distri Yr3$2,558,299AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$404,549NetVlNoncharitableAssetsYr3Amt
Distribution Yr36.32383DistributionYr3Rt
Adjusted Qlfy Distri Yr4$2,391,616AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$901,693NetVlNoncharitableAssetsYr4Amt
Distribution Yr42.652362DistributionYr4Rt
Adjusted Qlfy Distri Yr5$2,217,276AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$884,651NetVlNoncharitableAssetsYr5Amt
Distribution Yr52.506385DistributionYr5Rt
Total Distribution12.918367TotalDistributionRt
Average Distribution2.583673AverageDistributionRt
Net Vl Noncharitable Assets$17,231,475NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$44,520,497AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,548NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$44,522,045AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$2,459,379QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,095InvestmentIncomeExciseTaxAmt
Subtotal$3,095SubtotalAmt
Tax Based On Investment Income$3,095TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$9,006EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$9,006TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Overpayment$5,911OverpaymentAmt
Applied To ES Tax$5,911AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNJOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1LINDA HREVNACKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9082778172PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1CR BARD 730 CENTRAL AVENUEAddressLine1Txt
CityMURRAY HILLCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07974ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TIMOTHY M RING
730 CENTRAL AVENUEMURRAY HILLNJ07974PRESIDENT1.0$0$0$0
JOHN H WEILAND
730 CENTRAL AVENUEMURRAY HILLNJ07974VICE PRESIDENT1.0$0$0$0
SCOTT T LOWRY
730 CENTRAL AVENUEMURRAY HILLNJ07974VP & TREASURER1.0$0$0$0
Betty D Larson
730 CENTRAL AVENUEMURRAY HILLNJ07974SECRETARY1.0$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt
FieldValueIRS element (for citing)
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$15,706,703AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,787,180AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$17,493,883TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$17,493,883AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$262,408CashDeemedCharitableAmt
Net Vl Noncharitable Assets$17,231,475NetVlNoncharitableAssetsAmt
Minimum Investment Return$861,574MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$861,574MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,095TaxBasedOnInvestmentIncomeAmt
Total Tax$3,095TotalTaxAmt
Distributable Before Adj$858,479DistributableBeforeAdjAmt
Distributable Before Ded$858,479DistributableBeforeDedAmt
Distributable As Adjusted$858,479DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,459,379ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$2,459,379QualifyingDistributionsAmt
Adjusted Qualifying Distri$2,459,379AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$858,479DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12013PriorYear1Yr
Prior Year22012PriorYear2Yr
Prior Year32011PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$2,172,793ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,346,531ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,532,365ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$2,345,704ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$3,578,246ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$12,975,639TotalExcessDistributionCyovAmt
Qualifying Distributions$2,459,379QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$858,479AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,600,900RemainingDistriFromCorpusAmt
Total Corpus$14,576,539TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$2,172,793ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$12,403,746ExcessDistriCyovToNextYrAmt
Excess From Year4$2,346,531ExcessFromYear4Amt
Excess From Year3$2,532,365ExcessFromYear3Amt
Excess From Year2$2,345,704ExcessFromYear2Amt
Excess From Year1$3,578,246ExcessFromYear1Amt
Excess From Current Year$1,600,900ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNAContributingManagerNm
Shareholder ManagerNAShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (176 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
A Child's Voice Child Advocacy Center Inc
216 Brookstone PlaceSocial CircleGA30025NONEPCCommunity Development$10,500
A Little Easier Recovery Inc
43 High Street Suite 120North AndoverMA01845NONEPCHealth$5,000
Action Ministries Inc
2160 Church Street P O Box 693CovingtonGA30015NONEPCCommunity Development$5,000
Amanda Hope Rainbow Angels
304 West Orangewood AvenuePhoenixAZ85021NONEPCHealth$5,000
American Cancer Society
2310 Route 34 Suite 1DManasquanNJ08736NONEPCHealth$1,500
American Cancer Society
Calle Cabo Alverio 566 Urb La MeHato ReyPR00918NONEPCHealth$25,000
American Cancer Society
4550 E Bell Road Suite 126PhoenixAZ85032NONEPCHealth$10,000
American Diabetes Association
5333 N 7th Street Suite B212PhoenixAZ85014NONEPCHealth$5,000
American Diabetes Association
5333 N 7th Street Suite B212PhoenixAZ85014NONEPCHealth$10,000
American Heart Association
2929 South 48th StreetTempeAZ85282NONEPCHealth$5,000
American Heart Association
1 Union Street Suite 301RobbinsvilleNJ086914183NONEPCHealth$10,000
American Inst for Medical & Biological ENGINEERING
1701 K Street NW Suite 510WashingtonDC20006NONEPCEducation$10,000
American Red Cross
695 Springfield AvenueSummitNJ07901NONEPCCommunity Development$7,500
American Red Cross
33 Everett RoadAlbanyNY12205NONEPCCommunity Development$2,000
American Red Cross
P O Box 9021067San JuanPR009021067NONEPCCommunity Development$5,000
AmeriCares Foundation
88 Hamilton AvenueStamfordCT06902NONEPCHealth$10,000
AmeriCares Foundation
88 Hamilton AvenueStamfordCT06902NONEPCDisaster Relief$10,000
Angel Flight Soars Inc
2000 Airport Road Suite 227AtlantaGA30341NONEPCHealth$2,650
Arnold Palmer Medical Center Foundation
3160 Southgate Commerce BlvdOrlandoFL32806NONEPCHealth$20,000
Autism Speaks Inc
668 North 44th Street Suite 300PhoenixAZ85008NONEPCHealth$5,000
Autism Speaks Inc
1060 State Road 2nd FloorPrincetonNJ08540NONEPCHealth$5,000
Berkeley COUnty FNDN of VLTR of the SC GUARDIAN
Ad Litem ProgramMoncks CornerSC29461NONEPCCommunity Development$4,000111 Pine Street
Berkeley Seniors Inc
103 Gulledge StreetMoncks CornerSC29461NONEPCCommunity Development$4,000
Big Brothers Big Sisters of Orange County
1801 East Edinger Avenue Suite 101Santa AnaCA92705NONEPCCommunity Development$1,000
Boy Scouts of America Inc
1 Saddle RoadCedar KnollsNJ07927NONEPCCommunity Development$15,000
Brave Will Foundation
371 Schauber RoadBallston LakeNY12019NONEPCCommunity Development$2,500
Callen Lacey Center for Children
5055 Lackawanna BlvdNorth CharlestonSC29405NONEPCCommunity Development$12,000
Camp Ruggles Inc
P O Box 353ChepachetRI02814NONEPCCommunity Development$2,000
Cancer Support Community of Central New Jersey
3 Crossroads DriveBedminsterNJ07921NONEPCHealth$5,000
Canine Companions For Independence
124 Rancho Oro DriveOceansideCA92081NONEPCCommunity Development$1,000
Catalyst Inc
120 Wall Street 15th FloorNew YorkNY10005NONEPCCommunity Development$10,000
Catholic Partnership Schools Camden
808 Market Street 2nd FloorCamdenNJ08102NONEPCEducation$5,000
Centro de Ensenanza Para La Familia Inc
P O Box 8052HumacaoPR00792NONEPCCommunity Development$2,000
Channel One Regional Food Bank
131 35th Street SERochesterMN55904NONEPCCommunity Development$5,000
Children's Healthcare of Atlanta Foundation
1577 Northeast Expressway Suite AAtlantaGA30329NONEPCHealth$3,000
Children's Hospital Colorado Foundation
13123 East 16th Avenue Box 045AuroraCO80045NONEPCHealth$3,500
Circle of Life Children's Center
851 North Broad StreetElizabethNJ07208NONEPCHealth$10,000
Cleveland Clinic Foundation
9500 Euclid AvenueClevelandOH44195NONEPCHealth$10,000
College of New Jersey Foundation
P O Box 7718EwingNJ086280718NONEPCEducation$10,000
Community Arts Association in Newton County
1106 Washington StreetCovingtonGA30014NONEPCCulture, Arts & Humanities$1,500
Community Educational Outreach
PO Box 18874DenverCO80218NONEPCEducation$3,500
Community Health Charities
121 Hennepin Avenue SouthMinneapolisMN55401NONEPCFederated Giving Programs for Employee Campaigns$6,564
Community Health Charities of Arizona
24654 North Lake Pleasant Pkwy 10PeoriaAZ85383NONEPCFederated Giving Programs for Employee Campaigns$11,428
Community Health Charities of Georgia
3301 Buckeye Road Suite 203AtlantaGA30341NONEPCFederated Giving Programs for Employee Campaigns$954
Community Health Charities of Georgia
3301 Buckeye Road Suite 203AtlantaGA30341NONEPCHealth$3,000
Community Health Charities of Illinois
1218 Windsor DriveNormalIL61761NONEPCFederated Giving Programs for Employee Campaigns$1,200
Community Health Charities of New England
35 Cold Spring Road Suite 412Rocky HillCT06067NONEPCFederated Giving Programs for Employee Campaigns$134
Community Health Charities of New Jersey
15 Highland AvenueMatawanNJ07747NONEPCFederated Giving Programs for Employee Campaigns$89,856
Community Health Charities of New York
1159 Lacy RoadSkaneatelesNY13152NONEPCFederated Giving Programs for Employee Campaigns$1,412
Community Health Charities of Utah
480 East 400 South Suite 50Salt Lake CityUT84111NONEPCFederated Giving Programs for Employee Campaigns$33,471
Cookies For Kids Cancer
31 Hoffmans Crossing RoadCorneliusNC28031NONEPCHealth$5,000
Covington Newton County United Way
P O Box 1344CovingtonGA30015NONEPCFederated Giving Programs for Employee Campaigns$8,835
Crisis Nursery Inc
P O Box 4114MesaAZ85211NONEPCCommunity Development$2,500
Crossroads Rhode Island
160 Broad StreetProvidenceRI02903NONEPCCommunity Development$3,000
Cystic Fibrosis Foundation
455 Patroon Creek Boulevard SuiteAlbanyNY12206NONEPCHealth$5,000
Davita Village Trust Inc
2000 16th StreetDenverCO80202NONEPCHealth$1,000
Direct Relief
27 South La Patera LaneGoletaCA93117NONEPCDisaster Relief$10,000
Double H Hole in the Woods Ranch
97 Hidden Valley RoadLake LuzerneNY12846NONEPCHealth$12,600
Eagle Mount - Bozeman
6901 Goldenstein LaneBozemanMT59715NONEPCCommunity Development$1,500
Elizabeth Buffum Chace Center
P O Box 9476WarwickRI02889NONEPCCommunity Development$2,000
Families Forward
8 ThomasIrvineCA92618NONEPCCommunity Development$1,500
Fondos Unidos De Puerto Rico
P O Box 191914San JuanPR009191914NONEPCFederated Giving Programs for Employee Campaigns$31,811
Fondos Unidos De Puerto Rico
P O Box 191914San JuanPR009191914NONEPCFederated Giving Programs for Employee Campaigns$7,872
Foundation for Morristown Medical Center
475 South StreetMorristownNJ07960NONEPCHealth$25,000
Foundation for Service Dog Support
5350 West Bell Road Suite C122 6GlendaleAZ85308NONEPCCommunity Development$5,500
Foundation for Surgical Fellowships
11300 West Olympic Blvd Suite 600Los AngelesCA90064NONEPCEducation$5,000
Freedom House Foundation Inc
2004 Route 31 N Suite 1ClintonNJ08809NONEPCHealth$7,000
Fundacion Hogar Ninito Jesus Inc
P O Box 192503San JuanPR009192503NONEPCCommunity Development$2,500
Georgia Prostate Cancer Coalition
560 Barnesley LaneAlpharettaGA30022NONEPCHealth$1,500
Good Neighbor Center
441 Rice StreetSt PaulMN55103NONEPCEducation$4,000
Goodwill Industries of Rhode Island
100 Houghton StreetProvidenceRI02904NONEPCEducation$5,000
Goodwill of Orange County
410 North Fairview StreetSanta AnaCA92703NONEPCCommunity Development$1,000
Greater Gallatin United Way
945 Technology Blvd 101FBozemanMT59718NONEPCFederated Giving Programs for Employee Campaigns$50
Greater Twin Cities United Way
404 South 8th StreetMinneapolisMN554041027NONEPCFederated Giving Programs for Employee Campaigns$9,369
Habitat For Humanity of Berkeley County
1 Belknap RoadGoose CreekSC29445NONEPCCommunity Development$1,000
HandsOn Greater Phoenix
5151 North 19th Avenue Suite 200PhoenixAZ85015NONEPCEducation$3,500
Hernia Repair for the Underserved
12370 Rose LaneOmahaNE68154NONEPCHealth$10,000
High Peaks Hospice & Palliative Care Inc
79 Glenwood Avenue 2nd FloorQueensburyNY12804NONEPCHealth$5,000
Home and Hospice Care of Rhode Island
1085 North Main StreetProvidenceRI02904NONEPCHealth$4,000
HopeKids Inc
P O Box 672Cave CreekAZ85327NONEPCHealth$2,500
HopeKids Inc
P O Box 672Cave CreekAZ85327NONEPCCommunity Development$2,500
Independent College Fund of New Jersey
797 Springfield AvenueSummitNJ07960NONEPCEducation$25,000
Ironwood Springs Christian Ranch
7291 CR 6 SWStewartvilleMN55976NONEPCCommunity Development$10,000
JDRF International
501 Martindale Street Suite 670PittsburghPA15212NONEPCHealth$4,000
Job Club RI
376 Arnolds Neck RoadWarwickRI02886NONEPCCommunity Development$2,000
John F Kennedy Center for the Performing Arts
2700 F Street NWWashingtonDC20566NONEPCCulture, Arts & Humanities$33,333
John F Kennedy Medical Center Foundation
80 James StreetEdisonNJ08820NONEPCHealth$10,000
Johns Hopkins Medicine
5200 Eastern Avenue MFL Center TowBaltimoreMD21224NONEPCHealth$10,000
Johns Hopkins Medicine
James Buchanan Brady Urological InsBaltimoreMD212872101NONEPCHealth$20,000600 north wolfe street marburg 135
Junior Achievement of New Jersey
4365 Route One SouthPrincetonNJ08540NONEPCEducation$2,500
Junior Achievement of Rhode Island
120 Waterman Street 200ProvidenceRI02906NONEPCEducation$2,000
Juvenile Diabetes Research FNDN INTERNATIONAL
132 South 600 East Suite 100Salt Lake CityUT84102NONEPCHealth$2,000
Kessler Foundation
300 Executive Drive Suite 70West OrangeNJ07052NONEPCHealth$2,500
Liberty Science Center
222 Jersey City Blvd Liberty StatJersey CityNJ07305NONEPCCulture, Arts & Humanities$10,000
Library Sq Foundation for Arts Culture & ScIENCE
209 E 500 SSalt Lake CityUT84101NONEPCCulture, Arts & Humanities$10,000
Make A Wish Foundation of Utah
771 E Winchester StreetMurrayUT84107NONEPCHealth$5,000
Marklund Children's Home
1S450 Wyatt DriveGenevaIL60134NONEPCCommunity Development$4,000
McCarter Theatre Center
91 University PlacePrincetonNJ08540NONEPCCulture, Arts & Humanities$2,000
Meals on Wheels of Rhode Island Inc
70 Bath StreetProvidenceRI02908NONEPCCommunity Development$3,000
Medtech And Biotech Veterans Program Inc
3246 Grey Hawk CourtCarlsbadCA92010NONEPCCommunity Development$20,000
Merrimack Valley Food Bank
735 Broadway StreetLowellMA01854NONEPCCommunity Development$3,000
Monroe Bike Shop
3400 Stock RoadMonroeGA30656NONEPCCommunity Development$2,500
Morristown Neighborhood House Association
12 Flagler StreetMorristownNJ07960NONEPCCommunity Development$5,000
Mutual Ground Inc
418 Oak AvenueAuroraIL60506NONEPCHealth$1,000
New Jersey Performing Arts Center
One Center StreetNewarkNJ07102NONEPCCulture, Arts & Humanities$20,000
New Jersey SEEDS
494 Broad Street Suite 105NewarkNJ07102NONEPCEducation$20,000
New Providence Downtown Improvement District
360 Elkwood AvenueNew ProvidenceNJ07974NONEPCCommunity Development$5,000
New Providence Education Foundation
P O Box 993New ProvidenceNJ07974NONEPCEducation$4,000
New Providence Fire Department
PO Box 671New ProvidenceNJ07974NONEPCCommunity Development$7,959
Northwestern Univ Feinberg School of Medicine
Arthur J Rubloff Building 9th FloChicagoIL60611NONEPCEducation$50,000
NTM Information and Research Inc
1550 Madruga Avenue Suite 230Coral GablesFL33143NONEPCEducation$10,000
NuPath Inc
147 New Boston StreetWoburnMA01801NONEPCCommunity Development$2,500
Orange County United Way
18012 Mitchell Avenue SouthIrvineCA926146008NONEPCFederated Giving Programs for Employee Campaigns$1,200
Our House Foundation Inc
76 Floral AvenueMurray HillNJ07974NONEPCCommunity Development$7,500
Ovations For The Cure of Ovarian Cancer
79 Main Street Suite 202FraminghamMA01702NONEPCHealth$2,500
Overlook Hospital Foundation
36 Upper Overlook RoadSummitNJ07902NONEPCHealth$25,000
Oxford College of Emory University
810 Whatcoat StreetOxfordGA30054NONEPCEducation$2,150
Paper Mill Playhouse
22 Brookside DriveMillburnNJ07041NONEPCCulture, Arts & Humanities$10,000
Project HOPE
255 Carter Hall Lane P O Box 250MillwoodVA22646NONEPCHealth$98,497
Project HOPE
255 Carter Hall Lane P O Box 250MillwoodVA22646NONEPCDisaster Relief$5,000
Project ReNeWal DMSTC Violence Intervntn ProGINc
P O Box 1205ConyersGA30012NONEPCCommunity Development$5,000
Providence Speech and Hearing Center
1301 West Providence AvenueOrangeCA92868NONEPCHealth$1,000
Purdue Foundation Inc
403 West Wood StreetWest LafayetteIN47907NONEPCEducation$5,000
Ronald McDonald House Charities of Phoenix
501 East Roanoke AvenuePhoenixAZ85004NONEPCCommunity Development$5,000
Roper St Francis Foundation
125 Doughty Street Suite 790CharlestonSC29403NONEPCHealth$1,000
Roscoe Reading Program
P O Box 2095Moncks CornerSC29461NONEPCEducation$7,000
Ruff Start Rescue Inc
P O Box 129PrincetonMN55371NONEPCCommunity Development$2,500
Rutgers University Foundation
120 Albany Street Tower 2 Room 28New BrunswickNJ08901NONEPCHealth$10,000
Rutgers University Foundation - Cancer inst of nj
7 College Avenue Winants HallNew BrunswickNJ08901NONEPCResearch Grants$25,000
Rutgers University Foundation - Cancer inst of nj
7 College Avenue Winants HallNew BrunswickNJ08901NONEPCHealth$25,000
SAGE Eldercare Inc
290 Broad StreetSummitNJ07901NONEPCHealth$15,000
Salvation Army
37 Broad StreetGlens FallsNY12801NONEPCCommunity Development$7,000
Samaritans of Rhode Island
PO Box 9086ProvidenceRI02940NONEPCHealth$4,000
Save the Bay Inc
100 Save The Bay DriveProvidenceRI02905NONEPCEducation$2,000
Senior Services Center of the Chathams
58 Meyersville RoadChathamNJ07928NONEPCCommunity Development$1,000
Shakespeare Theatre of New Jersey
3 Vreeland RoadFlorham ParkNJ07932NONEPCCulture, Arts & Humanities$2,500
Society of Interventional Radiology Foundation
3975 Fair Ridge Drive Suite 400 NFairfaxVA22030NONEPCResearch Grants$100,000
Someone Cares Soup Kitchen
720 West 19th StreetCosta MesaCA92627NONEPCCommunity Development$1,500
Somerset Health Care Foundation
110 Rehill AvenueSomervilleNJ08876NONEPCHealth$20,000
South Shore Hospital
55 Fogg RoadSouth WeymouthMA021902455NONEPCHealth$5,000
Southwest Human Development
2850 North 24th StreetPhoenixAZ850081004NONEPCHealth$2,500
Special Olympics Georgia
4000 Dekalb Technology Parkway SuiAtlantaGA30340NONEPCCommunity Development$3,000
Special Olympics Massachusetts Inc
512 Forest StreetMarlboroughMA01752NONEPCCommunity Development$2,000
Special Olympics New Jersey
1 Eunice Kennedy Shriver WayLawrencevilleNJ08648NONEPCCommunity Development$2,500
Special Olympics New York
504 Balltown RoadSchenectadyNY12304NONEPCCommunity Development$5,000
Steffen Thomas Museum & Archives
4200 Bethany RoadBuckheadGA30625NONEPCCulture, Arts & Humanities$3,200
Summit Speech School
705 Central AvenueNew ProvidenceNJ07974NONEPCEducation$15,000
SUNY Adirondack Foundation
640 Bay RoadQueensburyNY12804NONEPCEducation$5,000
Susan G Komen Breast Cancer Foundation
501 New Karner Road Suite 2BAlbanyNY12205NONEPCHealth$2,000
Susan G Komen Breast Cancer Foundation
4900 S Highland Drive Suite BSalt Lake CityUT84117NONEPCHealth$12,000
Susan G Komen Breast Cancer Foundation
44 Middle Avenue 2nd FloorSummitNJ07901NONEPCHealth$10,000
The Children's Hospital of Philadelphia Foundation
100 Penn Square East 8th Floor SuPhiladelphiaPA19107NONEPCHealth$10,000
The Children's Institute
One Sunset AvenueVeronaNJ07044NONEPCCommunity Development$5,000
Thomas Jefferson University
125 South 9th Street Suite 700PhiladelphiaPA19107NONEPCEducation$25,000
Tri-County Scholarship Fund
4 Century DriveParsippanyNJ07054NONEPCEducation$15,000
Tri-County United Way Inc
696 Upper Glen StreetQueensburyNY12804NONEPCFederated Giving Programs for Employee Campaigns$9,052
Tri-County United Way Inc
696 Upper Glen StreetQueensburyNY12804NONEPCCommunity Development$4,000
Trident United Way
6296 Rivers AvenueNorth CharlestonSC29406NONEPCFederated Giving Programs for Employee Campaigns$4,001
Trinitas Health Foundation
P O Box 259ElizabethNJ07207NONEPCHealth$5,000
Union County Performing Arts Center
1601 Irving StreetRahwayNJ07065NONEPCCulture, Arts & Humanities$5,000
United Way of Greater Union County
33 West Grand StreetElizabethNJ07003NONEPCFederated Giving Programs for Employee Campaigns$103,960
United Way of MA Bay and Merrimack Valley inc
51 Sleeper StreetBostonMA022101208NONEPCFederated Giving Programs for Employee Campaigns$980
United Way of Metropolitan Chicago
1000 Jorie Boulevard Suite 360Oak BrookIL60523NONEPCFederated Giving Programs for Employee Campaigns$120
United Way of Rhode Island
50 Valley StreetProvidenceRI029092459NONEPCFederated Giving Programs for Employee Campaigns$26,209
United Way of Salt Lake
257 East 200 South Suite 300Salt Lake CityUT84111NONEPCFederated Giving Programs for Employee Campaigns$7,468
University of Utah
WEB 1885 72 South Central Campus DSalt Lake CityUT84112NONEPCEducation$10,000
University of Utah
WEB 1885 72 South Central Campus DSalt Lake CityUT84112NONEPCEducation$5,000
Val Skinner Foundation
PO Box 213Bay HeadNJ08742NONEPCHealth$33,333
Valley of the Sun United Way
1515 East Osborn RoadPhoenixAZ850145309NONEPCFederated Giving Programs for Employee Campaigns$73,506
Warren Washington Counties Homeless Yth Coalition
P O Box 3252 10-12 Wait StreetGlens FallsNY12801NONEPCCommunity Development$5,000
Willing Helpers Medical Inc
8111 Brown Bridge RoadCovingtonGA30014NONEPCHealth$10,000
WisePlace
1411 North BroadwaySanta AnaCA92706NONEPCCommunity Development$1,000
Woburn Council of Social Concern Inc
2 Merrimac StreetWoburnMA01801NONEPCCommunity Development$2,000
Working Wardrobes for a New Start
3030 Pullman Street Suite ACosta MesaCA92626NONEPCCommunity Development$1,000
World Awareness Children's Museum
89 Warren StreetGlens FallsNY12801nonePCCulture, Arts & Humanities$2,900
Matching Gifts - See Attachment 10
730 CENTRAL AVENUEMURRAY HILLNJ07974NonePCMatching Gifts (See Attached)$675,213
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,420,787TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$113ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$402,349ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$309,856ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$92,606ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$92,606TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$18,000Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$18,000DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockUBS PORTFOLIOStockNm
EOY Book Value$15,734,374EOYBookValueAmt
EOYFMV$15,734,374EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (4 entries)

DescDescAmtAmt
BOND PREMIUN COVERED$136,774
BOND PREMIUM NONCOVERED$35,697
ACCRUED INTEREST PAID$32,482
NON-DIVIDEND DISTRIBUTION$14,615

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescANNUAL FEEDesc
Revenue And Expenses Per Books$150RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$150DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescFee RebateDesc

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
UNREALIZED LOSSES-$448,489
MISC. BOOK/TAX DIFFERENCE$19,909

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MATCHING GIFT ADMIN SERVICES$20,442$0$0$20,442
BANK MANAGEMENT FEE - UBS ACCT$90,646$90,646
BANK MANAGEMENT FEE-CHASE ACCT$901$901

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX PAID$2,987$0$0$0
ESTIMATED TAX PAID$7,600$0$0$0

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