M J SURGALA TR: Form 990PF, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- M J SURGALA TR (EIN 11-6556638)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201413189349101271
- 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
- Gain Loss Sale Other Assets Sch
- General Explanation Attachment
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T10:41:28-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID M LASTOWSKI CPA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1137 W 38TH ST | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 165082457 | 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 | 116556638 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | M J SURGALA TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MJSU | BusinessNameControlTxt |
| Phone | 8148384921 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16505 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY LINCOLN | PersonNm |
| Person Title | TRUSTEE / EXEC DIR | PersonTitleTxt |
| Phone | 8148384921 | PhoneNum |
| Signature | 2014-05-12 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID M LASTOWSKI CPA | PreparerPersonNm |
| Phone | 8148684802 | PhoneNum |
| Preparation | 2014-11-12 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| 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 | $16,182,977 | 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 | $1,167 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,167 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $1,167 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $372,805 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $372,805 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $372,805 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$9,372 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $285,578 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $364,600 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $373,972 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $373,972 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $81,854 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $81,854 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $81,854 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $81,854 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,400 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,400 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $2,400 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $2,400 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $0 | TaxesRevAndExpnssAmt |
| Occupancy Rev And Expnss | $6,000 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $6,000 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $6,000 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $6,000 | OccupancyDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $750 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $750 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $750 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $750 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $91,004 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $91,004 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $91,004 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $91,004 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $540,150 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $540,150 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $631,154 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $91,004 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $91,004 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $631,154 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$266,554 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $282,968 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $282,968 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $2,690,400 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $2,310,092 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $2,310,092 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $8,511,032 | CorporateStockBOYAmt |
| Corporate Stock EOY | $8,436,178 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $12,295,482 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,354,866 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,543,474 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,577,403 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $12,556,298 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,289,744 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $16,182,977 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $12,556,298 | UnrestrictedBOYAmt |
| Unrestricted EOY | $12,289,744 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $12,556,298 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $12,289,744 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $12,556,298 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $12,289,744 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $12,556,298 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$266,554 | ExcessRevenueOverExpensesAmt |
| Subtotal | $12,289,744 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $12,289,744 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (18 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | DepreciationDepreciationAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | FMV As Of123169FMVAsOf123169Amt | Adjusted Basis As Of123169AdjustedBasisAsOf123169Amt | Excess FMV Over Adjusted BssExcessFMVOverAdjustedBssAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ANNALY CAPITAL MANAGEMENT | P | 2013-09-12 | 2013-12-05 | $19,751 | $0 | $23,518 | -$3,767 | $0 | $0 | $0 | -$3,767 |
| ISHARES MORTGAGE REAL ESTATE | P | 2012-09-12 | 2013-03-12 | $3,095 | $0 | $3,065 | $30 | $0 | $0 | $0 | $30 |
| ISHARES TR BOND TREASUR | P | 2012-10-23 | 2013-07-18 | $21,611 | $0 | $24,537 | -$2,926 | $0 | $0 | $0 | -$2,926 |
| ISHARES TR TIPS BONF ETF | P | 2012-09-26 | 2013-07-18 | $11,251 | $0 | $12,196 | -$945 | $0 | $0 | $0 | -$945 |
| EL PASO PIPELINE PARTNERS LP | P | 2013-09-12 | 2013-12-05 | $10,656 | $0 | $12,495 | -$1,839 | $0 | $0 | $0 | -$1,839 |
| REALTY INCOME CORP REIT | P | 2012-04-24 | 2013-10-22 | $19,087 | $0 | $18,822 | $265 | $0 | $0 | $0 | $265 |
| BARCLAYS BANK IPATH NEW | P | 2010-05-20 | 2013-11-13 | $24 | $0 | $1,080 | -$1,056 | $0 | $0 | $0 | -$1,056 |
| CATEPILLAR INC | P | 2008-11-12 | 2013-07-17 | $17,281 | $0 | $7,104 | $10,177 | $0 | $0 | $0 | $10,177 |
| CENTURY LINK INC. | P | 2009-12-08 | 2013-12-05 | $8,447 | $0 | $10,006 | -$1,559 | $0 | $0 | $0 | -$1,559 |
| CLIFFS NATURAL RES INC. | P | 2008-05-23 | 2013-07-18 | $7,349 | $0 | $36,607 | -$29,258 | $0 | $0 | $0 | -$29,258 |
| CRIMSON WINE GROUP | P | 2008-03-25 | 2013-03-01 | $392 | $0 | $645 | -$253 | $0 | $0 | $0 | -$253 |
| HEALTH CARE REIT INC. | P | 2010-05-20 | 2013-12-26 | $26,521 | $0 | $17,757 | $8,764 | $0 | $0 | $0 | $8,764 |
| POWERSHARES EXCH TRAD FD | P | 2013-07-08 | 2013-12-06 | $34,084 | $0 | $36,402 | -$2,318 | $0 | $0 | $0 | -$2,318 |
| REALTY INCOME CORP | P | 2007-06-22 | 2013-12-26 | $38,173 | $0 | $22,338 | $15,835 | $0 | $0 | $0 | $15,835 |
| TELLABS INC. | P | 2009-09-21 | 2013-04-02 | $2,021 | $0 | $7,439 | -$5,418 | $0 | $0 | $0 | -$5,418 |
| VANGUARD VALUE | P | 2006-04-24 | 2013-04-09 | $65,820 | $0 | $60,940 | $4,880 | $0 | $0 | $0 | $4,880 |
| GENERAL MOTORS COMPANY WWTS | P | 2003-06-27 | 2013-12-20 | $12 | $0 | $0 | $12 | $0 | $0 | $0 | $12 |
| GENERAL MOTORS COMPANY | P | 2003-06-27 | 2013-12-20 | $6 | $0 | $0 | $6 | $0 | $0 | $0 | $6 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$9,370 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | -$11,765 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $775,068 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $16,370,924 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.047344 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $659,284 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $15,618,867 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.042211 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $555,279 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $13,314,410 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.041705 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $588,505 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $11,816,064 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.049806 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $587,150 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $12,977,640 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.045243 | DistributionYr5Rt |
| Total Distribution | 0.226309 | TotalDistributionRt |
| Average Distribution | 0.045262 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $16,506,677 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $747,125 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,830 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $749,955 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $631,154 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $5,659 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $5,659 | SubtotalAmt |
| Tax Based On Investment Income | $5,659 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $3,754 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $3,754 | TotalPaymentsAndCreditsAmt |
| Original Return Tax Paid | $3,754 | OriginalReturnTaxPaidAmt |
| Tax Due | $1,905 | TaxDueAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
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 | NY | 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 | MARY LINCOLN | IndividualWithBooksNm |
| Phone | 8148384921 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DR | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16505 | 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 |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY LINCOLN TRUSTEE | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | EXEC DIR | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 10.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $81,854 | CompensationAmt |
| Employee Benefit Program | $0 | EmployeeBenefitProgramAmt |
| Expense Account Other Allwnc | $0 | ExpenseAccountOtherAllwncAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $14,253,957 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,504,091 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $16,758,048 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $16,758,048 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $251,371 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $16,506,677 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $825,334 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $825,334 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $5,659 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $5,659 | TotalTaxAmt |
| Distributable Before Adj | $819,675 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $819,675 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $819,675 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $631,154 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $631,154 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $631,154 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $819,675 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $811,472 | UndistributedIncomePYAmt |
| Excess Distribution Cyov Yr1 | $5,164 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $5,164 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $631,154 | QualifyingDistributionsAmt |
| Applied To Year1 | $631,154 | AppliedToYear1Amt |
| Excess Distri Cyov App CY Corpus | $5,164 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $5,164 | ExcessDistributionCyovAppCYAmt |
| Taxable2 | $180,318 | Taxable2Amt |
| Undistributed Income CY | $814,511 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | MARY LINCOLN TRUSTEE | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 8148684921 | RecipientPhoneNum |
| Form And Info And Materials | CONTACT THE TRUSTEE FOR INFORMATION ON SUBMITTING APPLICATIONS | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | AWARDS ARE MADE IN THE FIELDS OF HEALTHCARE, EDUCATION, SOCIAL SERVICES AND THE ARTS. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (57 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| ST JOSEPH'S MEDICAL CENTER FDN | ||||||
| 703 MAIN STREET | PATERSON | NJ | 07503 | 501(c)(3) | FACILITY SERVING RESI-REGIONAL HEALTH CAREDENTS OF PATERSON NJ | $1,000 |
| CLEVELAND CLINIC | ||||||
| 9500 EUCLID AVENUE | CLEVELAND | OH | 44195 | 501(c)(3) | HEALTH CARE FACILITYACADEMIC AND RESEARCH | $5,000 |
| COMMUNITY SHELTER SERVICES | ||||||
| 655 WEST 16TH STREET | ERIE | PA | 16503 | 501(c)(3) | FOR THE HOMELESSPROVIDES RESIDENCE | $10,000 |
| HAMOT HEALTH FOUNDATION | ||||||
| 2 EAST 2ND STREET | ERIE | PA | 16507 | 501(c)(3) | OF THE WOMEN'S ANDFOR THE CONSTRUCTIONCHILDREN'S HOSPITAL | $10,000 |
| UNITARIAN UNIVERSALIST CONGREGATION | ||||||
| 7180 PERRY HIGHWAY | ERIE | PA | 16509 | 501(c)(3) | RELIGIOUS | $62,000 |
| NEIGHBORHOOD ART HOUSE | ||||||
| 201 EAST 10TH STREET | ERIE | PA | 16503 | 501(c)(3) | TION AND SUPPORT TOPROVIDES ART EDUCA-INNER CITY YOUTH | $10,000 |
| ERIE PHILHARMONIC ORCHESTRA | ||||||
| 1006 STATE STREET | ERIE | PA | 16501 | 501(c)(3) | ORCHESTRA TO THE REGIONSUPPORTS A SYMPHONY | $16,500 |
| ERIE CITY MISSION | ||||||
| 1023 FRENCH STREET | ERIE | PA | 16501 | 501(c)(3) | AND POOR WITH SHELTERASSISTS THE HOMELESSAND HOT MEALS | $80,000 |
| ERIE COUNTY HISTORICAL SOCIETY | ||||||
| 419 STATE STREET | ERIE | PA | 16507 | 501(c)(3) | LOCAL HISTORYPRESERVATION OF | $2,500 |
| ERIE ART MUSEUM | ||||||
| 417 STATE STREET | ERIE | PA | 16507 | 501(c)(3) | ART EXHIBITS ANDPROVIDES A MUSEUM FORART EDUCATION | $2,500 |
| BOCA RATON REGIONAL HOSPITAL | ||||||
| 800 MEADOWS ROAD | BOCA RATON | FL | 33486 | 501(c)(3) | HEALTH CARE SERVICESPROVIDES COMMUNITY | $7,500 |
| SALVATION ARMY | ||||||
| 1209 SASSAFRAS STREET | ERIE | PA | 16502 | 501(c)(3) | SERVICES TO THEPROVIDES SOCIALPOOR AND HOMELESS | $10,000 |
| MERCY CENTER FOR WOMEN | ||||||
| 1039 EAST 27TH STREET | ERIE | PA | 16504 | 501(c)(3) | SERVICES TO WOMEN INPROVIDES SUPPORTIVENEED. | $10,000 |
| ERIE HOMES FOR CHILDREN AND ADULTS | ||||||
| 226 EAST 27TH STREET | ERIE | PA | 16504 | 501(c)(3) | SUPPORTIVE CARE TOPROVIDES HOUSING ANDINDIVIDUALS WITH DISABILITIES | $20,000 |
| ERIE PLAYHOUSE | ||||||
| 13 WEST 10TH STREET | ERIE | PA | 16501 | 501(c)(3) | THEATRE AND PROMOTESPROVIDES A COMMUNITYEDUCATION IN THEATRE | $5,000 |
| BOCA RATON MUSEUM OF ART | ||||||
| 501 PLAZA REAL | BOCA RATON | FL | 33432 | 501(C)(3) | ART EXHIBITS ANDPROVIDES A MUSEUM FORART EDUCATION | $2,500 |
| EMMAUS MINISTRIES | ||||||
| 310 EAST 10TH STREET | ERIE | PA | 16503 | 501(C)(3) | SHELTER TO THEPROVIDES MEALS ANDHOMELESS | $10,000 |
| ERIE ZOOLOGICAL SOCIETY | ||||||
| 423 WEST 38TH STREET | ERIE | PA | 16508 | 501(C)(3) | RECREATIONAL ACTIVITIESPROVIDES EDUCATIONAL ANDTHROUGH A COMMUNITY ZOO | $3,500 |
| UNITED WAY OF ERIE | ||||||
| 420 WEST 6TH STREET | ERIE | PA | 16507 | 501(C)(3) | SOCIAL SERVICE ORGANIZATIONSPROVIDES ASSISTANCE TOIN THE ERIE AREA | $15,000 |
| Visiting Nurse Association | ||||||
| 2253 W Grandview Blvd | ERIE | PA | 16508 | 501(C)(3) | PORTIVE CARE TO TERMIN-PROVIDES HEALTH AND SUP-ALLY ILL INDIVIDUALS | $5,000 |
| MARCH OF DIMES | ||||||
| 1407 PENINSULA DRIVE | ERIE | PA | 16505 | 501(C)(3) | OF PREGNANT WOMENPROMOTES HEALTHAND THEIR BABIES | $5,000 |
| Flagship Niagara League | ||||||
| 150 East Front Street | ERIE | PA | 16507 | 501(C)(3) | PRESERVATION OF THEWORKS TO PROMOTEFLAGSHIP NIAGARA | $6,000 |
| SAFE NET | ||||||
| PO BOX 1436 | ERIE | PA | 16512 | 501(C)(3) | WOMEN SUFFERINGASSISTANCE TOFROM DOMESTIC ABUSE | $10,000 |
| St Paul's Neighborhood Free Clinic | ||||||
| 1608 WALNUT STREET | ERIE | PA | 16502 | 501(C)(3) | CLINIC FOR LOWFREE MEDICALINCOME INDIVIDUALS | $10,000 |
| Asbury Woods Partnership | ||||||
| 4105 ASBURY ROAD | ERIE | PA | 16506 | 501(C)(3) | AND NATURECOMMUNITY PARKCENTER | $11,250 |
| BAYFRONT CTR FOR MARITIME STUDIES | ||||||
| 40 HOLLAND STREET | ERIE | PA | 16507 | 501(C)(3) | MARITIME EDUCATIONALUNIQUE HANDS ON& RECREATIONAL | $5,000 |
| ST MARY'S CHURCH | ||||||
| 1300 NORTHERN BLVD | MANHASSET | NY | 11030 | 501(C)(3) | ORGANIZATIONRELIGIOUS | $1,000 |
| CROHN'S AND COLITIS FOUNDATION | ||||||
| 300 PENN CENTER BLVD | PITTSBURGH | PA | 15235 | 501(C)(3) | ASSISTANCE TORESEARCH ANDINDIVIDUALS | $2,700 |
| JUNIOR ACHIEVEMENT OF WESTERM PA | ||||||
| 5101 JORDAN ROAD BURKE | ERIE | PA | 16563 | 501(C)(3) | PREPARE YOUNG PEOPLE TOPROGRAMS TO INSPIRE ANDSUCCEED IN A GLOBAL ECONOMY | $2,000 |
| SECOND HARVEST FOOD BANK OF NWPA | ||||||
| 1507 GRIMM DRIVE | ERIE | PA | 16502 | 501(C)(3) | FOOD TO THE POORPROVIDES LOW COSTIN NW PA | $20,000 |
| PRESQUE ISLE PARTNERSHIP | ||||||
| 301 PENINSULA DRIVE | ERIE | PA | 16505 | 501(C)(3) | IN THE OPERATION OFSUPPORTS THE PA DNRPRESQUE ISLE STATE PARK | $12,500 |
| EXPERIENCE CHILDREN'S MUSEUM | ||||||
| 420 FRENCH STREET | ERIE | PA | 16507 | 501(C)(3) | MUSEUMOPERATES A CHILDREN'S | $2,000 |
| YMCA OF ERIE | ||||||
| 3727 CHERRY STREET | ERIE | PA | 16508 | 501(C)(3) | TEEN PROGRAMSUPPORT OF THE | $10,000 |
| UNITARIAN UNIVERSALIST CHURCH OF GIRARD | ||||||
| MYRTLE STREET | GIRARD | PA | 16417 | 501(C)(3) | RELIGIOUS | $1,000 |
| PUBLIC BROADCASTING OF NW PA | ||||||
| 8425 PEACH STREET | ERIE | PA | 16509 | 501(C)(3) | AND RADIOPUBLIC TELEVISION | $2,000 |
| AMERICAN CANCER SOCIETY | ||||||
| 2115 WEST 38TH STREET | ERIE | PA | 16508 | 501(C)(3) | AND RESEARCHCANCER TREATMENT | $10,000 |
| AMERICAN RED CROSS - ERIE | ||||||
| 4961 PITTSBURGH AVENUE | ERIE | PA | 16509 | 501(C)(3) | DISASTER ASSISTANCE | $10,000 |
| AMERICAN RED CROSS - PALM BEACH | ||||||
| 825 FERN STREET | PALM BEACH | FL | 33487 | 501(C)(3) | ASSISTANCEDISASTER | $1,200 |
| ERIE WOMEN'S FUND OF ECF | ||||||
| 459 WEST 6TH STREET | ERIE | PA | 16507 | 501(C)(3) | OF INTEREST TOSUPPORTS CAUSESWOMEN | $5,000 |
| ST VINCENT HOSPITAL FOUNDATION | ||||||
| 252 WEST 25TH STREET | ERIE | PA | 16502 | 501(C)(3) | HOSPITAL | $2,000 |
| PENN STATE ERIE - BEHREND COLLEGE | ||||||
| 4701 COLLEGE DRIVE | ERIE | PA | 16563 | 501(C)(3) | COLLEGEACCREDITED | $33,000 |
| ARTS ERIE | ||||||
| 3 EAST 4TH STREET | ERIE | PA | 16507 | 501(C)(3) | AGENCYLOCAL ARTS | $5,000 |
| ACHIEVEMENT CENTER | ||||||
| 2420 WEST 23 STREET | ERIE | PA | 16505 | 501(C)(3) | DISABLED CHILDRENASSISTANCE TO | $10,000 |
| AMERICAN HEART ASSOCIATION | ||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | 501(C)(3) | TREATMENT OFRESEARCH ANDHEART DESEASE | $5,000 |
| BETHESDA FOUNDATION FOR CHILDREN | ||||||
| 15667 HIGHWAY 86 | MEADVILLE | PA | 16335 | 501(C)(3) | AND MENTAL HEALTHPROVIDES BEHAVIORALSERVICES TO CHILDREN | $5,000 |
| PERRY 200 CELEBRATION | ||||||
| 3207 STATE STREET | ERIE | PA | 16501 | 501(C)(3) | HONOR OF THE 200TH ANNI-A YEAR LONG CELEBRATION INVERSARY OF THE BATTLE OF LAKE ERIE | $5,000 |
| ERIE CHAMBER ORCHASTRA | ||||||
| 109 UNIVERSITY SQUARE | ERIE | PA | 16541 | 501(c)(3) | HAS ACCESS TO FREE PERFOR-ENSURES THAT EVERYONEMANCES OF CLASSICAL MUSIC. | $5,000 |
| DR GERTRUDE BARBER FND | ||||||
| 100 BARBER PLACE | ERIE | PA | 16507 | 501(c)(3) | CHILDREN WITH DISABILITIESEDUCATIONAL SUPPORT FORAND MENTAL HEALTH NEEDS | $6,000 |
| BENEDICTINE SISTERS OF ERIE | ||||||
| 6101 EAST LAKE ROAD | ERIE | PA | 16511 | 501(c)(3) | WORKS IN CREATIVE WORKS TOA COMMUNITY OF WOMEN THATMEET THE SOCIAL NEEDS AROUND THEM | $20,000 |
| HELPING HANDS | ||||||
| 541 CAMBRIDGE STREET | ALLSTON | MA | 02134 | 501(c)(3) | CORD INJURIES LIVE MOREHELPS ADULTS WITH SPINALINDEPENDENT AND ENGAGED LIVES | $10,000 |
| LAKE ERIE BALLET | ||||||
| 701 HOLLAND STREET | ERIE | PA | 16503 | 501(c)(3) | EDUCATION, AND EXTRA-PROVIDES QUALITY DANCEORDINARY OPPORTUNITIES TO DANCE ARTISTS | $5,000 |
| US FUND FOR UNICEF | ||||||
| 125 MAIDEN LANE | NEW YORK | NY | 10038 | 501(c)(3) | MENTAL SUPPORT FOR THENON PROFIT, NON GOVERN-UN CHILDREN'S FUND | $5,000 |
| UNITE 2 FIGHT PARALYSIS | ||||||
| 3078 ELIOT DRIVE | HOOD RIVER | OR | 97031 | 501(c)(3) | SUPPORT FOR THOSE WITHADVOCACY, EDUCATION ANDSPINAL CORD INJURIES | $500 |
| MILLCREEK AND ERIE COUNTY ADVOCATES | ||||||
| PO BOX 8245 | ERIE | PA | 16505 | 501(c)(3) | LOPMENTALLY DISABLEDADVOCACY FOR THE DEVE-IN ERIE COUNTY PA | $2,000 |
| INNOCENSE PROJECT | ||||||
| 40 WORTH STREET | NEW YORK | NY | 10013 | 501(c)(3) | CONVICTED THROUGHEXONERATING WRONGFULLYDNA TESTING | $1,000 |
| ST MARTIN'S CENTER | ||||||
| 1701 PARADE STREET | ERIE | PA | 16503 | 501(c)(3) | INDIVIDUALS WORKINGSERVES FAMILIES ANDTOWARD SELF SUFFICIENCY | $3,000 |
| ERIE DAWN | ||||||
| 2549 WEST 8TH STREET | ERIE | PA | 16505 | 501(c)(3) | AND LIVING SUPPORTPROVIDES HOUSINGFOR WOMEN IN NEED | $3,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $540,150 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900001 | BusinessCd |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,167 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900001 | BusinessCd |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $372,805 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900001 | BusinessCd |
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$9,372 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $364,600 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $364,600 | 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 |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | ALL SALES | AssetDesc |
| How Acquired | Purchased | HowAcquiredTxt |
Purchaser Name PurchaserNameGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VARIOUS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Price | $285,578 | GrossSalesPriceAmt |
| Basis | $294,950 | BasisAmt |
| Basis Method | Cost | BasisMethodTxt |
| Total Net | -$9,372 | TotalNetAmt |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART XII LINE 3b | FormAndLineReferenceDesc |
| Medium Explanation | AMOUNTS SET ASIDE FOR SPECIFIC PROJECTS SATISFYING THE CASH DISTRIBUTION TEST: CONTRI8BUTION TO BE PAID TO: ERIE CITY MISSION 1023 STATE STREET ERIE, PA 16501 CONTRIBUTION AMOUNT $110,000 TO BE PAID AS FOLLOWS YEAR 2012 $27,500 YEAR 2013 $27,500 YEAR 2014 $27,500 TEAR 2015 $27,500 | MediumExplanationTxt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MORGAN STANLEY DW INC. 684-032215-020 | $575,634 | $581,560 |
| CHARLES SCHWAB & CO | $967,840 | $995,843 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| CHARLES SCHWAB & CO | $1,579,632 | $2,344,155 |
| IBM CORPORATION (DIVIDEND REINVESTMENT PROGRAM) | $3,944,779 | $6,398,357 |
| MORGAN STANLEY DW INC. 684-032215-020 | $2,911,767 | $3,552,970 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| REGISTRATION FEES | $750 | $750 | $750 | $750 |
| ADMINISTRATIVE EXPENSE |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX ON NET INVESTMENT INCOME | CategoryTxt |
Comments