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KIOWA COUNTY HEALTH FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
KIOWA COUNTY HEALTH FOUNDATION (EIN 48-1064221)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-13
IRS object ID
201621349349102942
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)
Return2016-05-13T16:34:52-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481210879PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMOLL & BANNING CPA'S LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12410 CENTRAL AVEAddressLine1Txt
CityDODGE CITYCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67801ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481064221EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIOWA COUNTY HEALTH FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O TOM CORNSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlKIOWBusinessNameControlTxt
Phone6207233341PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1304 S SPRUCEAddressLine1Txt
CityGREENSBURGCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67054ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTOM CORNSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6207233341PhoneNum
Signature2016-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAMELA S NILHAS CPAPreparerPersonNm
PTINP00595521PTIN
Phone6202256100PhoneNum
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$504,664FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$13,175ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$1,788InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,788InterestOnSavNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$14,963TotalRevAndExpnssAmt
Total Net Invst Incm$1,788TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$823AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$82AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$741AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$2,938TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,898TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$40TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$19OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$19OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$3,780TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,980TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$800TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$6,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$6,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$10,280TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,980TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$7,300TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$4,683ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$499,981SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$504,664SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$504,664SavAndTempCashInvstEOYFMVAmt
Total Assets BOY$499,981TotalAssetsBOYAmt
Total Assets EOY$504,664TotalAssetsEOYAmt
Total Assets EOYFMV$504,664TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$331,991CapitalStockBOYAmt
Capital Stock EOY$331,991CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$167,990RetainedEarningBOYAmt
Retained Earning EOY$172,673RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$499,981TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$504,664TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$499,981TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$504,664TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$499,981TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$4,683ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$504,664SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$504,664TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$15,881AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$498,838NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.031836DistributionYr1Rt
Adjusted Qlfy Distri Yr2$12,865AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$510,127NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.025219DistributionYr2Rt
Adjusted Qlfy Distri Yr3$26,093AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$517,197NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.050451DistributionYr3Rt
Adjusted Qlfy Distri Yr4$32,010AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$546,336NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.058590DistributionYr4Rt
Adjusted Qlfy Distri Yr5$9,364AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$557,480NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.016797DistributionYr5Rt
Total Distribution0.182893TotalDistributionRt
Average Distribution0.036579AverageDistributionRt
Net Vl Noncharitable Assets$494,787NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$18,099AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$0NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$18,099AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$7,300QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$0TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateKSOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksTOM CORNSIndividualWithBooksNm
Phone6207232131PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1GREENSBURG STATE BANK 240 S MAINAddressLine1Txt
CityGREENSBURGCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67054ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PYYes (1)UndistributedIncomePYInd
Undistributed Income PY12013UndistributedIncomePY1Yr
Undistr Incm Sect4942a2 Not AppYes (1)UndistrIncmSect4942a2NotAppInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ROGER STAATS
418 S POPLARGREENSBURGKS67054PRESIDENT1.00$0$0$0
TOM CORNS
304 S SPRUCEGREENSBURGKS67054TREASURER1.00$0$0$0
PAUL KENDALL
318 E KINGMANMULLINVILLEKS67109DIRECTOR1.00$0$0$0
MARY SWEET
603 S SPRUCEGREENSBURGKS67054DIRECTOR2.00$0$0$0
KENNETH UNRUH
RR 2 BOX 32LEWISKS67552DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1GRANTS TO VARIOUS ORGANIZATIONS IN KIOWA COUNTY THAT PROVIDE HEALTH CARE IN KIOWA COUNTY.Description1Txt
Expenses1$0Expenses1Amt
Description2THE ORGANIZATION HAS PROVIDED SCHOLARSHIPS FOR AREA STUDENTS TAKING MEDICAL RELATED STUDIES.Description2Txt
Expenses2$6,500Expenses2Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$352,100AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$150,222FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$502,322TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$502,322AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$7,535CashDeemedCharitableAmt
Net Vl Noncharitable Assets$494,787NetVlNoncharitableAssetsAmt
Minimum Investment Return$24,739MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$24,739MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$24,739DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$24,739DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$24,739DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$7,300ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$7,300QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$7,300AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$24,739DistributableAsAdjustedAmt
Undistributed Income PY$24,922UndistributedIncomePYAmt
Prior Year12013PriorYear1Yr
Total For Prior Years$9,594TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$7,300QualifyingDistributionsAmt
Applied To Year1$7,300AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$0AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$9,594PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$9,594PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$17,622Taxable2Amt
Undistributed Income CY$24,739UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp (2 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient PhoneRecipientPhoneNumForm And Info And MaterialsFormAndInfoAndMaterialsTxtSubmission DeadlinesSubmissionDeadlinesTxtRestrictions On AwardsRestrictionsOnAwardsTxt
TOM CORNS
304 S SPRUCEGREENSBURGKS670546207232131SCHOLARSHIP APPLICATIONS REQUIRE BASIC PERSONAL INFORMATION AND THE APPLICANT'S GRADE POINT AVERAGE.THE SCHOLARSHIP DEADLINE IS SET ANNUALLY BY THE SCHOLARSHIP ADMINISTRATOR.SCHOLARHIP RECIPIENTS MUST BE IN THE MEDICAL FIELD WITH THE POSSIBILITY OF BEING KIOWA COUNTY MEMORIAL HOSPITAL EMPLOYEES. SCHOLARSHIPS ARE LIMITED TO $1,000 PER RECIPIENT PER YEAR.
TOM CORNS
304 S SPRUCEGREENSBURGKS670546207232131LETTERS ARE SUBMITTED BY THOSE REQUESTING GRANT AWARDS.GRANT LETTERS ARE DUE PRIOR TO THE ANNUAL MEETING HELD IN JANUARY.GRANT AWARDEES MUST PROVIDE SERVICES TO KIOWA COUNTY RESIDENTS.

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHARITY SCHMIDT
404 S WALNUTGREENSBURGKS67054NONESCHOLARSHIP$500
HEATHER MELTON
8126 37TH AVEHAVILANDKS67059NONESCHOLARSHIP$500
KRISTEN SPAINHOUR
304 S BAY STGREENSBURGKS67054NONESCHOLARSHIP$1,000
MORGAN FULTON
1216 S MAINGREENSBURGKS67054NONESCHOLARSHIP$500
RIANN HEFT
20172 33RD AVEGREENSBURGKS67054NONESCHOLARSHIP$500
ROSS BINFORD
317402 S AVEHAVILANDKS67059NONESCHOLARSHIP$1,000
CHELSYE RACETTE
412 S OLIVEGREENSBURGKS67054NONESCHOLARSHIP$500
MICHAL COLE KENDEL
422 W GRANTGREENSBURGKS67054NONESCHOLARSHIP$1,000
CANYON PACKARD
3073 AVENUE JBROOKVILLEKS67425NONESCHOLARSHIP$500
GRACE SIROIS
217 N MILLWOODWICHITAKS67203NONESCHOLARSHIP$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$6,500TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,788ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,788ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,788TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$823Amt
Net Investment Income$82NetInvestmentIncomeAmt
Disbursements Charitable Prps$741DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS EXPENSEDesc
Revenue And Expenses Per Books$19RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$19DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CORPORATE ANNUAL FEE$40$0$40
EXCISE TAX$2,898$2,898$0

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