HUDSON VALLEY FOUNDATION FOR YOUTH HEALTH INC: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HUDSON VALLEY FOUNDATION FOR YOUTH HEALTH INC (EIN 22-2484912)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-14
IRS object ID
201431349349100348
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-05-14T11:01:01-07:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Marianne Wood-Jensen Tax & Accounting IncBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1703 Ulster AvenueAddressLine1
CityKingstonCity
StateNYState
ZIP Code12401ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222484912EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hudson Valley Foundation For Youth Health IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHUDSBusinessNameControlTxt
Phone8453390007PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 3148AddressLine1
CityKingstonCity
StateNYState
ZIP Code12402ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGEORGE SISCOPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8453390007PhoneNum
Signature2014-05-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARIANNE E WOOD-JENSENPreparerPersonNm
Phone8458020371PhoneNum
Preparation2014-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,105,723FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$6,551ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$299InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$299InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$299InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$4,503DividendsRevAndExpnssAmt
Dividends Net Invst Incm$4,503DividendsNetInvstIncmAmt
Dividends Adj Net Incm$4,503DividendsAdjNetIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$11,353TotalRevAndExpnssAmt
Total Net Invst Incm$4,802TotalNetInvstIncmAmt
Total Adj Net Incm$4,802TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$28,450CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$1,750AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,313AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$1,313AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$437AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$250TaxesRevAndExpnssAmt
Taxes Dsbrs Chrtbl$250TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Occupancy Rev And Expnss$250OccupancyRevAndExpnssAmt
Occupancy Dsbrs Chrtbl$250OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$2,206TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$2,206TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$7,661OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$3,769OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$3,769OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$3,893OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$40,567TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,082TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$5,082TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$7,036TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$21,950ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$21,950ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$62,517TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,082TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$5,082TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$28,986TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$51,164ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$3,670CashBOYAmt
Cash EOY$17,203CashEOYAmt
Cash EOYFMV$17,203CashEOYFMVAmt
Sav And Temp Cash Invst BOY$205,064SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$134,604SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$134,604SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses EOY$500PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$500PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$100,560CorporateStockBOYAmt
Corporate Stock EOY$106,378CorporateStockEOYAmt
Corporate Stock EOYFMV$139,854CorporateStockEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$15,894LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,894LandBldgEquipAccumDeprecAmt
Land EOY$0LandEOYAmt
Other Assets BOY$1,577,188OtherAssetsBOYAmt
Other Assets EOY$1,577,188OtherAssetsEOYAmt
Other Assets EOYFMV$1,813,562OtherAssetsEOYFMVAmt
Total Assets BOY$1,886,482TotalAssetsBOYAmt
Total Assets EOY$1,835,873TotalAssetsEOYAmt
Total Assets EOYFMV$2,105,723TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$1,886,482UnrestrictedBOYAmt
Unrestricted EOY$1,835,873UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$1,886,482TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,835,873TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,886,482TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,835,873TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,886,482TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$51,164ExcessRevenueOverExpensesAmt
Other Increases$556OtherIncreasesAmt
Subtotal$1,835,874SubtotalAmt
Other Decreases$1OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,835,873TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$25,040AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,028,915NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.012342DistributionYr1Rt
Adjusted Qlfy Distri Yr2$15,923AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,015,745NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.007899DistributionYr2Rt
Adjusted Qlfy Distri Yr3$63,909AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,990,830NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.032102DistributionYr3Rt
Adjusted Qlfy Distri Yr4$77,682AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,983,664NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.039161DistributionYr4Rt
Adjusted Qlfy Distri Yr5$151,685AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,008,743NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.075512DistributionYr5Rt
Total Distribution0.167016TotalDistributionRt
Average Distribution0.033403AverageDistributionRt
Net Vl Noncharitable Assets$2,065,500NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$68,994AdjNetVlNoncharitableAssetsAmt
Adj Nonchrtbl Net Invst Incm Pct$68,994AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$28,986QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$212EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$212TotalPaymentsAndCreditsAmt
Original Return Overpayment-$212OriginalReturnOverpaymentAmt
Overpayment$212OverpaymentAmt
Applied To ES Tax$212AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website Addresshttp://www.hvfyh.orgWebsiteAddressTxt
Individual With BooksHV FOUNDATION FOR YOUTHIndividualWithBooksNm
Phone8453390007PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1355 Van Wagenen LaneAddressLine1
CityKingstonCity
StateNYState
ZIP Code124010903ZIPCode
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

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

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
GEORGE A SISCO
355 Van Wagenen LaneKingstonNY12401Treasurer35.00$15,600$0$0
DEBORAH TOBIASSEN
40 Red Maple RoadSaugertiesNY12447Secretary5.00$1,450$0$0
ALICE LIVELY
10 Mountain View RoadRhinebeckNY12572Director3.00$4,300$0$0
PETER KAUFMAN
86 Schildknecht RoadHurleyNY12443Vice Chairperson2.00$900$0$0
WENDY BRISLEY
214 Whalesback RoadRed HookNY12571Director5.00$700$0$0
PETER RYAN
12 Lynette BlvdKingstonNY12401Director2.00$1,400$0$0
BRIGITTE DUPRE
PO Box 1163SaugertiesNY12477Chairperson5.00$3,200$0$0
SARAH MELVIN
PO Box 63West ShokanNY12491Director2.00$900$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)
Description1Zion Community Food Pantry - mini grant for swing set and installationDescription1Txt
Expenses1$1,500Expenses1Amt
Description2Breast Cancer Options Inc.- mini grant for Camp Lightheart for child of parents with CancerDescription2Txt
Expenses2$1,500Expenses2Amt
Description3Mental Health in Ulster County- Transitions Program- Social group for youth of 18 years oldDescription3Txt
Expenses3$1,500Expenses3Amt
Description4Shandaken Theater Society- mini grant for expendable Equipment, Postage, copying/printingand guest instructors for classes for youthDescription4Txt
Expenses4$1,500Expenses4Amt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,911,150AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$185,804AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,096,954TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$2,096,954AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$31,454CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,065,500NetVlNoncharitableAssetsAmt
Minimum Investment Return$103,275MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$103,275MinimumInvestmentReturnAmt
Distributable Before Adj$103,275DistributableBeforeAdjAmt
Distributable Before Ded$103,275DistributableBeforeDedAmt
Distributable As Adjusted$103,275DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$28,986ExpensesAndContributionsAmt
Qualifying Distributions$28,986QualifyingDistributionsAmt
Adjusted Qualifying Distri$28,986AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$103,275DistributableAsAdjustedAmt
Qualifying Distributions$28,986QualifyingDistributionsAmt
Applied To Current Year$28,986AppliedToCurrentYearAmt
Undistributed Income CY$74,289UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

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

Application Submission Info ApplicationSubmissionInfoGrp (3 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient PhoneRecipientPhoneNumForm And Info And MaterialsFormAndInfoAndMaterialsTxtSubmission DeadlinesSubmissionDeadlinesTxtRestrictions On AwardsRestrictionsOnAwardsTxt
GEORGE SISCO
C/O Hudson Valley Fdn for Youth HeaKingstonNY1240109038453390007N/AN/AN/A
GEORGE SISCO
C/O Hudson Valley FDN for Youth HeaKingstonNY124018453390007N/AN/AN/A
GEORGE SISCO
C/O Hudson Valley FDN for Youth HeaKingstonNY124018453390007N/AN/AN/A

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
Hudson Mohawk Resource Conservation & Developement
1024 State Route 66GhentNY12075Pub CharityEd to Encourage Conservation in Youth$700
Pregnancy Support Center of Ulster County
484 BroadwayKingstonNY12401Pub CharityBaby clothes, Diapers, Wipes, Misc Baby items$900
Green County Federation of Sportsman
185 Agnes DriveCairoNY12413Pub Charitycreate Safe Hunting & Sportsmans$700
Olive Free Library Assn
PO Box 59West ShokanNY12494Pub CharitySummer Camp & Transport to Library Summer Reading$1,500
SADD
103 West Market StreetRed HookNY12571Pub CharityAlcohol/Drug Free post prom Party$1,500
Woodstock Youth Theater
323 Wall StreetKingstonNY12401Pub CharityPartial Scholarship for Low Income Youth$800
Rhinebeck Performing Arts
661 Route 308RhinebeckNY12572pub charityChildren's Scholarship, Summer Arts Camp$750
Shandaken Theater Society
10 Church StPhoeniciaNY12464pub charityComedy improvistion class for teens$1,500
YMCA of Ulster County
507 BroadwayKingstonNY12401pub charityYouth Summer camp scholarships$1,000
YMACA of Kingston & Ulster County
507 BroadwayKingstonNY12401pub charityStudent Training Center Scholarships$500
Saugerties Booster Club
Call Box ASaugertiesNY12477pub charitypromote youth athletics$450
Catskill Animal Sanctuary
316 Old Stage RDSaugertiesNY12477pub charityCamp Kindness for children 8-12$1,500
MHA in Ulster CountyTransition Progran
300 Aaron CTKingstonNY12401pub charityTansition Program for youth$1,500
Breast cancer Options Inc
101 Hurley Ave Suite 10KingstonNY12401pub charityCamp Lightheart for children of cancer patients$1,500
Family Services Inc
29 North Hamilton StPoughkeepsieNY12601pub charityeducation of youth to prevent domestic violence$1,500
AYSO Soccer Organization-Saugeties
PO Box 800SaugertiesNY12477Pub Charityuniforms of youth$400
MAC Fit Kids
743 East Chester StKingstonNY12401pub charitytable, chairs, books, games, and rug for child Homework room$750
Zion Community Food Pantry
7 Ceder PKWyHudsonNY12534pub charityswing set and installation$1,500
Kingston Komets
61 Lounsbury PlKingstonNY12401Pub charitylife lessons to young people thru athletics$1,500
Family of Woodstock
PO Box 3516KingstonNY12401pub charityTuition for needy youth$1,500
Foundation for the Open Eye Inc
PO Box 959MargaretvilleNY12455pub charityTheater Workshop and Camp for$1,500
Rhinebeck Exchange
146 Rhinecliff RDRhinebeckNY12572PUB CHARITYrefund of 2012 grant for exchange student-$1,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$21,950TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$299ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$4,503ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$4,802ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$4,802TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

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

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (5 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRt
TV Monitor1997-02-28$329$329200DB5.00
Copier1998-02-19$9,705$9,705200DB5.00
Desk1999-07-13$323$323200DB7.00
Computer1996-08-24$3,437$3,437200DB5.00
Computer2008-10-28$2,100$2,100200DB5.00

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (7 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
1000 shrs Altria Group$26,035$38,390
1000 shrs Bank Amer Corp$6,386$15,570
1000 shrs Ford Mtr Co$14,816$15,430
1000 shrs General Electric Co$20,025$28,030
500 shrs Intel Corproation$11,551$12,980
1000 shrs Manitowoc Co Inc$21,747$23,320
200 shrs Vince HLDG Corp$5,818$6,134

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemLand Buildings & EquipCategoryOrItemTxt
Cost Or Other Basis$15,894CostOrOtherBasisAmt
Accumulated Depreciation$15,894AccumulatedDepreciationAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (6 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
Annuity Sun Life$254,140$254,140$299,655
Annuity American General Life$500,000$500,000$593,581
Annuity American General Life$500,000$500,000$593,581
Annuity Nationwide$123,048$123,048$129,295
HSBC Bank Index CD$100,000$100,000$100,690
HSBC Bank Index CD$100,000$100,000$96,760

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (6 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
Annuity Sun Life$254,140$254,140$299,655
Annuity American General Life$500,000$500,000$593,581
Annuity American General Life$500,000$500,000$593,581
Annuity Nationwide$123,048$123,048$129,295
HSBC Bank Index CD$100,000$100,000$100,690
HSBC Bank Index CD$100,000$100,000$96,760

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (6 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
Annuity Sun Life$254,140$254,140$299,655
Annuity American General Life$500,000$500,000$593,581
Annuity American General Life$500,000$500,000$593,581
Annuity Nationwide$123,048$123,048$129,295
HSBC Bank Index CD$100,000$100,000$100,690
HSBC Bank Index CD$100,000$100,000$96,760

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescriptionRoundingDescription
Amount$1Amount

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
Advertising$68$68
Insurance$450$111$339$339
Postage & Shipping$492$369$123$123
Supplies$4,329$2,165$2,165$2,165
Telephone$1,522$380$1,142$1,142
Dues & Membership$800$800

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescriptionAcct Cash Inv. Marketplace not inclueded in last yrs BalanceDescription
Amount$556Amount

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryNYS Filing FeeCategoryTxt
Amt$250Amt
Disbursements Charitable Prps$250DisbursementsCharitablePrpsAmt

Comments

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