COMMUNITY HEALTH FOUNDATION OF WARREN AND HENDERSON COUNTIES: Form 990PF, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH FOUNDATION OF WARREN AND HENDERSON COUNTIES (EIN 20-8070870)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-05-15
- IRS object ID
- 201401359349102065
- Schema version
- 2013v3.1
- 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
- Compensation Explanation
- Gain Loss Sale Other Assets Sch
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-05-15T13:30:39-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAVANAUGH DAVIES BLACKMAN & CRAMBLET | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 N MAIN ST PO BOX 318 | AddressLine1 |
| City | MONMOUTH | City |
| State | IL | State |
| ZIP Code | 614620318 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208070870 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH FOUNDATION OF WARR | BusinessNameLine1 |
| Business Name Line2 | %G MCCLINTOCK | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 3097345214 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 717 NORTH 11TH STREET | AddressLine1 |
| City | MONMOUTH | City |
| State | IL | State |
| ZIP Code | 61462 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG MCCLINTOCK | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3097345214 | PhoneNum |
| Signature | 2014-05-15 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | R CRAIG CAVANAUGH | PreparerPersonNm |
| PTIN | P00057393 | PTIN |
| Phone | 3097342330 | PhoneNum |
| Preparation | 2014-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-12-30 17:16:21Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $15,759,515 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $2,110 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2,110 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $246,276 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $246,276 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,140,178 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,626,030 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $643,286 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $1,388,564 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $891,672 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $1,550 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,550 | AccountingFeesNetInvstIncmAmt |
| Other Prof Fees Rev And Expnss | $62,119 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $62,119 | OtherProfFeesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $1,100 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,100 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $64,769 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $64,769 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $900,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $900,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $964,769 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $64,769 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $900,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $423,795 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $826,903 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $507,460 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $309,197 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $309,197 | SavAndTempCashInvstEOYFMVAmt |
| Other Assets BOY | $12,273,828 | OtherAssetsBOYAmt |
| Other Assets EOY | $13,242,556 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $15,450,318 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $12,781,288 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,551,753 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $15,759,515 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $12,781,288 | UnrestrictedBOYAmt |
| Unrestricted EOY | $13,551,753 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $12,781,288 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $13,551,753 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $12,781,288 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $13,551,753 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $12,781,288 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $423,795 | ExcessRevenueOverExpensesAmt |
| Other Increases | $354,336 | OtherIncreasesAmt |
| Subtotal | $13,559,419 | SubtotalAmt |
| Other Decreases | $7,666 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $13,551,753 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $643,286 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $605,913 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $13,582,427 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.044610 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $527,749 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $13,613,473 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.038767 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $543,301 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $12,663,233 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.042904 | DistributionYr3Rt |
| Net Vl Noncharitable Assets Yr4 | $10,602,306 | NetVlNoncharitableAssetsYr4Amt |
| Adjusted Qlfy Distri Yr5 | $71,815 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $12,102,869 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.005934 | DistributionYr5Rt |
| Total Distribution | 0.132215 | TotalDistributionRt |
| Average Distribution | 0.033054 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $14,954,184 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $494,296 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $8,269 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $502,565 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $900,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $8,269 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $8,269 | SubtotalAmt |
| Tax Based On Investment Income | $8,269 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,800 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $4,800 | TotalPaymentsAndCreditsAmt |
| Tax Due | $3,469 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | R CRAIG CAVANAUGH | IndividualWithBooksNm |
| Phone | 3097342330 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 NORTH MAIN STREET | AddressLine1 |
| City | MONMOUTH | City |
| State | IL | State |
| ZIP Code | 61462 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| GREG MCCLINTOCK | ||||||||
| 707 NORTH 11TH ST | MONMOUTH | IL | 61462 | CHAIRMAN | 2.00 | $0 | $0 | $0 |
| GARY HEATON | ||||||||
| 715 NORTH 9TH ST | MONMOUTH | IL | 61462 | VICE CHAIR | 0.00 | $0 | $0 | $0 |
| DOROTHY RICKETTS | ||||||||
| 202 NORTH G | MONMOUTH | IL | 61462 | SECRETARY | 0.00 | $0 | $0 | $0 |
| DR JAMES BATTENBURG | ||||||||
| 2028 62ND ST | MONMOUTH | IL | 61462 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| DON GLADFELTER | ||||||||
| 861 210TH AVE | MONMOUTH | IL | 61462 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| MIKE CONNELL | ||||||||
| 1150 WARREN SCHOOL RD | MONMOUTH | IL | 61462 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| SPUD RILEY | ||||||||
| 1361 EAST BROADWAY | MONMOUTH | IL | 61462 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| CAROL SHAW | ||||||||
| 1008 HWY 116 | ROSEVILLE | IL | 61473 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| MARY REED | ||||||||
| RR 1 BOX 80 | LITTLE YORK | IL | 61453 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| JON FERGUSON | ||||||||
| 17 FAIRWAY DRIVE | MONMOUTH | IL | 61462 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| PATTY LUKER | ||||||||
| OSF HOLY FAMILY MD CTR 1000 W HARLE | MONMOUTH | IL | 61462 | EX-OFFICIO | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $14,729,682 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $452,231 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $15,181,913 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $15,181,913 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $227,729 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $14,954,184 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $747,709 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $747,709 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $8,269 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $8,269 | TotalTaxAmt |
| Distributable Before Adj | $739,440 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $739,440 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $739,440 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $900,000 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $900,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $8,269 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $891,731 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $739,440 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $169,203 | UndistributedIncomePYAmt |
| Qualifying Distributions | $900,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $169,203 | AppliedToYear1Amt |
| Applied To Current Year | $730,797 | AppliedToCurrentYearAmt |
| Undistributed Income CY | $8,643 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | GREG MCCLINTOCK | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 NORTH 11TH STREET | AddressLine1 |
| City | MONMOUTH | City |
| State | IL | State |
| ZIP Code | 61462 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3097345214 | RecipientPhoneNum |
| Recipient Email Address | NONE | RecipientEmailAddressTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (3 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| HENDERSON COUNTY HEALTH D | |||||||
| COUNTY COURT HOUSE | OQUAWKA | IL | 61469 | NONE | GOVERNMENTAL | GRANT FOR EQUIPMENT | $100,000 |
| OSF HEALTHCARE SYSTEMS FO | |||||||
| 1000 WEST HARLEM AVENUE | MONMOUTH | IL | 61462 | NONE | NOT FOR PROF | GRANT FOR EXPANSION | $650,000 |
| WARREN COUNTY HEALTH DEPT | |||||||
| COUNTY COURT HOUSE | MONMOUTH | IL | 61462 | NONE | GOVERNMENTAL | GRANT FOR BUILDING | $150,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $900,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2,110 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $246,276 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,140,178 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $1,388,564 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,388,564 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PREPARATION OF 990'S | CategoryTxt |
| Amt | $1,550 | Amt |
| Net Investment Income | $1,550 | NetInvestmentIncomeAmt |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp (11 entries)
| GREG MCCLINTOCK |
| GARY HEATON |
| DOROTHY RICKETTS |
| DR JAMES BATTENBURG |
| DON GLADFELTER |
| MIKE CONNELL |
| SPUD RILEY |
| CAROL SHAW |
| MARY REED |
| JON FERGUSON |
| PATTY LUKER |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (8 entries)
| AssetAssetDesc | AcquiredAcquiredDt | How AcquiredHowAcquiredTxt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Total NetTotalNetAmt |
|---|---|---|---|---|---|---|
| 4202.521 SHS LONGLEAF PARTNERS SMALL | 2007-11 | PURCHASE | 2013-10 | $150,000 | $113,334 | $36,666 |
| 2908.104 SHS PERKINS MID CAP FD | 2008-01 | PURCHASE | 2013-10 | $75,000 | $64,926 | $10,074 |
| 1440.830 SHS WM BLAIR INTL GROWTH | 2012-12 | PURCHASE | 2013-11 | $37,648 | $32,966 | $4,682 |
| 44893.473 SHS WM BLAIR INTL GROWTH F | 2011-10 | PURCHASE | 2013-11 | $1,173,037 | $906,203 | $266,834 |
| 1685.772 ASTON MONTAG GROWTH FD | 2009-11 | PURCHASE | 2013-11 | $49,970 | $37,744 | $12,226 |
| 4039.497 SHS HARBOR CAP APP FD | 2009-11 | PURCHASE | 2013-11 | $224,970 | $130,314 | $94,656 |
| 12202.557 SHS BHMS LARGE CAP FD | 2007-08 | PURCHASE | 2013-11 | $250,000 | $182,926 | $67,074 |
| 1163.361 SHS BHMS LARGE CAP FD | 2007-08 | PURCHASE | 2013-06 | $22,119 | $17,439 | $4,680 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (10 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| PIMCO MOD DURATION BOND FD | $2,525,550 | $2,605,102 | $2,714,014 |
| JANUS-PERKINS MID CAP VALUE FD | $986,897 | $1,068,447 | $1,150,286 |
| LONGLEAF PARTNERS SMALL CAP FD | $899,291 | $935,484 | $1,135,736 |
| DODGE & COX INTL STK FD | $1,163,712 | $1,185,910 | $1,397,552 |
| BHMS LARGE VALUE FD | $2,084,162 | $2,530,697 | $3,225,053 |
| HARBOR CAPITAL APPRECIATION FD | $1,063,510 | $984,416 | $1,689,867 |
| ASTON M&C GROWTH FD | $1,277,197 | $1,360,265 | $1,678,855 |
| HARTFORD GLOBAL REAL | $1,334,340 | $1,343,925 | $1,208,139 |
| WM BLAIR INTL GROWTH FD | $939,169 | ||
| HARBOR INTERNATIONAL FD | $1,228,310 | $1,250,816 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FEDERAL INCOME TAXES PAID | Description |
| Amount | $7,666 | Amount |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXPENSES | ||
| INSURANCE | $954 | $954 |
| FEES AND BANK CHARGES | $146 | $146 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | K-1 CAPITAL ADJUSMENT BHMS FUND | Description |
| Amount | $354,336 | Amount |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| INVESTMENT ADVISORY AND FILING | $40,000 | $40,000 |
| BHMS LARGE CAP VALUE K-1 | $22,119 | $22,119 |
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