BETA

AMICUS FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
AMICUS FOUNDATION (EIN 47-2605358)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-16
IRS object ID
201631379349102248
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)
Return2016-05-16T14:56:02-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391774588PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VOGEL CONSULTING GROUP SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13415 GATEWAY ROADAddressLine1Txt
CityBROOKFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53045ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472605358EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMICUS FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAMICBusinessNameControlTxt
Phone4066823906PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 286AddressLine1Txt
CityCAMERONCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59720ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN LAKEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4066823906PhoneNum
Signature2016-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHANNON M ZURPreparerPersonNm
PTINP00366024PTIN
Phone2627904960PhoneNum
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$1,536,500FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$224,048ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$8InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$8InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$40,961DividendsRevAndExpnssAmt
Dividends Net Invst Incm$40,961DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$42,920NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$229,548GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$42,920CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$307,937TotalRevAndExpnssAmt
Total Net Invst Incm$83,889TotalNetInvstIncmAmt
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$8,851AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$8,851AccountingFeesChrtblPrpsAmt
Other Expenses Rev And Expnss$1,022OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$172OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$850OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$9,873TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$172TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$9,701TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$121,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$121,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$131,373TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$172TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$131,201TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$176,564ExcessRevenueOverExpensesAmt
Net Investment Income$83,717NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash EOY$100,367CashEOYAmt
Cash EOYFMV$100,367CashEOYFMVAmt
Corporate Stock BOY$745,433CorporateStockBOYAmt
Corporate Stock EOY$676,969CorporateStockEOYAmt
Corporate Stock EOYFMV$1,213,770CorporateStockEOYFMVAmt
Other Investments BOY$130,215OtherInvestmentsBOYAmt
Other Investments EOY$155,364OtherInvestmentsEOYAmt
Other Investments EOYFMV$222,363OtherInvestmentsEOYFMVAmt
Total Assets BOY$875,648TotalAssetsBOYAmt
Total Assets EOY$932,700TotalAssetsEOYAmt
Total Assets EOYFMV$1,536,500TotalAssetsEOYFMVAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$577OtherLiabilitiesEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$577TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$875,648RetainedEarningBOYAmt
Retained Earning EOY$932,123RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$875,648TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$932,123TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$875,648TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$932,700TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$875,648TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$176,564ExcessRevenueOverExpensesAmt
Other Increases$2,737OtherIncreasesAmt
Subtotal$1,054,949SubtotalAmt
Other Decreases$122,826OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$932,123TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
SHORT TERMP2015-01-012015-12-01$9,553$10,178-$625-$625
LONG TERMD2014-01-012015-12-01$219,821$176,450$43,371$43,371
CAPITAL GAINS DIVIDENDSP$174$174$174
FieldValueIRS element (for citing)
Capital Gain Net Income$42,920CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,674InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,674SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,674TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$38EsPenaltyAmt
Tax Due$1,712TaxDueAmt

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 SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMTOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1VOGEL CONSULTING GROUP SCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2627904960PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13415 GATEWAY ROADAddressLine1Txt
CityBROOKFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53045ZIPCd
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 PY0UndistributedIncomePYInd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOHN LAKE
1511 US HIGHWAY 287 NORTHCAMERONMT59720DIRECTOR & PRESIDENT5.00$0$0$0
SHEILA LAKE
1511 US HIGHWAY 287 NORTHCAMERONMT59720DIRECTOR & SECRETARY5.00$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

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$1,411,949AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$48,444AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,460,393TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,460,393AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$21,906CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,438,487NetVlNoncharitableAssetsAmt
Minimum Investment Return$71,924MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$71,924MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,674TaxBasedOnInvestmentIncomeAmt
Total Tax$1,674TotalTaxAmt
Distributable Before Adj$70,250DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$70,250DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$70,250DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$131,201ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$131,201QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$131,201AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$70,250DistributableAsAdjustedAmt
Undistributed Income PY$5UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$131,201QualifyingDistributionsAmt
Applied To Year1$5AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$70,250AppliedToCurrentYearAmt
Remaining Distri From Corpus$60,946RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$60,946TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$60,946ExcessDistriCyovToNextYrAmt
Excess From Current Year$60,946ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (26 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
GRATEFULLY GRAFTED MINISTERIES
PO BOX 10077CEDAR RAPITSIA52410PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$9,500
BIBLE STUDY FELLOWSHIP
19001 HUEBNER RDSAN ANTONIOTX78528PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$500
GARDEN PATHWAYS
1616 29TH STBAKERSFIELDCA93301PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$10,000
SOUTH BAKERSFIELD HIGH SCHOOL
1101 PLANZ RDBAKERSFIELDCA93304PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$400
KERN LITERACY COUNCIL
331 18TH STBAKERSFIELDCA93301PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$3,000
LITERACY & EVAGELISIM
1800 S JACKSON AVETULSAOK74107PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$2,000
UC SANTA BARBARA
UC SANTA BARBARASANTA BARBARACA93106PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$10,000
FOX THEATER FOUNDATION
1700 20TH STBAKERSFIELDCA93301PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$475
ENGLISH LANGUAGE INSTITUTE
210 POST ST SUITE 518SAN FRANCISCOCA94108PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$1,000
CAL POLY FOUNDATION
3801 W TEMPLE AVESAN LUIS OBISPOCA93407PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$20,000
IN GOD WE TRUST
1701 PENNSYLVANIA AVE NW SUITE 300WASHINGTONDC20006PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$5,000
WARRIORS AND QUIET WATERS
1087 STONERIDGE DR STE 1BOZEMANMT59718PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$2,500
RIGHT TO LIFE OF KERN COUNTY
PO BOX 11104BAKERSFIELDCA93389PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$5,000
ENNIS SENIOR CENTER
315 W MAIN STENNISMT59729PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$500
BAKERSFIELD HOMELESS CENTER
1600 E TRUXTUN AVEBAKERSFIELDCA93305PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$100
PACIFIC JUSTICE INSTUTUTE
PO BOX 276600SACRAMENTOCA95827PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$10,000
MADISON VALLEY MEDICAL CENTER FOUNDATION
PO BOX 993ENNISMT59729PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$550
ENNIS BOOSTER CLUB
PO BOX 1073ENNISMT59729PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$100
HOFFMAN HOSPICE
8501 BRIMHALL RD BUILDING 100BAKERSFIELDCA93312PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$10,000
MINTER FIELD AIR MUSEUM
PO BOX 445SCHAFTERCA93263PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$2,375
MOMS IN PRAYER INTERNATIONAL
PO BOX 1120POWAYCA92074PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$10,000
CHP WIDOWS & ORPHANS
PO BOX 161209SACRAMENTOCA95816PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$500
KERN CITIZENS FOR SUSTAINABLE GOVERNMENT
PO BOX 81075BAKERSFIELDCA93380SOCIAL WELFARE ORGANFUNDS USED FOR A FUND RAISER BENEFITING A SCHOOL$5,000
YOUTH FOR CHRIST INTERNATIONAL
PO BOX 4555ENGLEWOODCO80155PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$5,000
CASA OF KERN COUNTY
1717 COLUMBUS STBAKERSFIELDCA93305PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$5,000
GOLDEN EMPIRE GLEANERS
126 30TH STBAKERSFIELDCA93301PUBLIC CHARITYCARRY OUT CHARITABLE PURPOSE OF FOUNDATION$3,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$121,500TotalGrantOrContriPdDurYrAmt
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$8ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$40,961ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$42,920ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$83,889ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$83,889TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonJOHN LAKEContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line11511 US HIGHWAY 287 NORTHAddressLine1Txt
CityCAMERONCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59720ZIPCd
FieldValueIRS element (for citing)
Total Contributions$224,048TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash PropertyMARKETABLE SECURITIESNoncashPropertyDesc
Fair Market Value$224,048FairMarketValueAmt
Received2015-12-30ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$8,851Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$8,851DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockEQUITIESStockNm
EOY Book Value$676,969EOYBookValueAmt
EOYFMV$1,213,770EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MUTUAL FUNDSAT COST$89,027$88,750
OTHER ASSETSAT COST$66,337$133,613

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
UNREALIZED BUILT IN GAIN ON CONTRIBUTED ASSETS$122,751
WASH SALE ADJUSTMENT$75

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX$172$172$0
FORM 1023 FILLING FEE$850$0$850

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
PTP INVESTMENT CHANGE$2,099
NON DIVIDEND DISTRIBUTION$638

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescCHECKS IN TRANSITDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$577EOYBookValueAmt

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