KATE OBSTGARTEN PRIVATE FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KATE OBSTGARTEN PRIVATE FOUNDATION (EIN 20-1567943)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-25
IRS object ID
201432069349100508
Schema version
2012v2.1
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)
Timestamp2014-07-25T15:24:53-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341939938EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TATE & ASSOCIATES INC CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14615 WEST STREETSBORO ROAD SUITEAddressLine1
Address Line2203AddressLine2
CityRICHFIELDCity
StateOHState
ZIP Code44286ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201567943EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KATE OBSTGARTEN PRIVATE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKATENameControl
Phone5613676085Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1550 SE MIZNER BLVD NO B107AddressLine1
CityBOCA RATONCity
StateFLState
ZIP Code33432ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLOTTE RUBINName
TitleTRUSTEETitle
Phone5613676085Phone
Date Signed2014-07-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK F TATECPAMBAPFSName
PTINP00196842PTIN
Phone3306590330Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY2156783FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Dividends Rev And Expnss102655DividendsRevAndExpnss
Dividends Net Invst Incm102655DividendsNetInvstIncm
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Other Income Rev And Expnss3065OtherIncomeRevAndExpnss
Other Income Net Invst Incm3065OtherIncomeNetInvstIncm
Total Revenue And Expenses105720TotalRevenueAndExpenses
Total Net Investment Income105720TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss18750CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss4400AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps0AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss2696TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss163OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps0OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss26009TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss125150ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps125150ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss151159TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps125150TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-45439ExcessOfRevenueOverExpenses
Net Investment Income105720NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY286698SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY54114SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV54114SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY100273InvestmentsGovtObligBOY
Investments Govt Oblig EOY100217InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV107281InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY1354149InvestmentsCorpStockBOY
Investments Corp Stock EOY1491350InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV1524141InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY428408InvestmentsCorpBondsBOY
Investments Corp Bonds EOY478408InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV471247InvestmentsCorpBondsEOYFMV
Total Assets BOY2169528TotalAssetsBOY
Total Assets EOY2124089TotalAssetsEOY
Total Assets EOYFMV2156783TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY0CapitalStockBOY
Capital Stock EOY0CapitalStockEOY
Paid In Or Capital Surplus BOY0PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY0PaidInOrCapitalSurplusEOY
Retained Earnings BOY2169528RetainedEarningsBOY
Retained Earnings EOY2124089RetainedEarningsEOY
Total Net Assets BOY2169528TotalNetAssetsBOY
Total Net Assets EOY2124089TotalNetAssetsEOY
Total Liabilities Net Assets BOY2169528TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY2124089TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY2169528TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-45439ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal2124089Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY2124089TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1119600QualifyingDistributionsYear1
Noncharitable Assets Year12180927NoncharitableAssetsYear1
Distribution Ratio Year10.054839DistributionRatioYear1
Qualifying Distributions Year2121500QualifyingDistributionsYear2
Noncharitable Assets Year22240997NoncharitableAssetsYear2
Distribution Ratio Year20.054217DistributionRatioYear2
Qualifying Distributions Year3109000QualifyingDistributionsYear3
Noncharitable Assets Year31969527NoncharitableAssetsYear3
Distribution Ratio Year30.055343DistributionRatioYear3
Qualifying Distributions Year4100000QualifyingDistributionsYear4
Noncharitable Assets Year41805807NoncharitableAssetsYear4
Distribution Ratio Year40.055377DistributionRatioYear4
Qualifying Distributions Year5128106QualifyingDistributionsYear5
Noncharitable Assets Year52143299NoncharitableAssetsYear5
Distribution Ratio Year50.059770DistributionRatioYear5
Total Distribution Ratio0.279546TotalDistributionRatio
Average Distribution Ratio0.055909AverageDistributionRatio
Net Noncharitable Assets2255016NetNoncharitableAssets
Adjusted Noncharitable Assets126076AdjustedNoncharitableAssets
One Percent Net Investment Income1057OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One127133AdjNonchrtblAssetsAndOnePct
Qualifying Distributions125150QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax2114InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal2114Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income2114TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment2400EstTaxPaymentsAndOverpayment
Total Credits And Payments2400TotalCreditsAndPayments
Penalty For Underpayment2PenaltyForUnderpayment
Overpayment284Overpayment
Amount Credited To Next Year284AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithFLStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressNONEWebsiteAddress
Books In Care Of Person NameCARRIE RUBINBooksInCareOfPersonName
Books In Care Of Phone Number5613676085BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1550 SE MIZNER BLVD B107AddressLine1
CityBOCA RATONCity
StateFLState
ZIP Code33432ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
MARVIN RUBIN
16323 VINTAGE OAKSDELRAY BEACHFL33484TRUSTEE1.00000
SANDRA RUBIN
16323 VINTAGE OAKSDELRAY BEACHFL33484TRUSTEE1.00000
CHARLOTTE ROSE RUBIN
550 SE MIZNER BLVDBOCA RATONFL33432DIRECTOR2.001875000
AMY ANN COHN
6019 E MARIPOSA STPHOENIXAZ85018TRUSTEE1.00000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1PHILANTHROPIC ENDEAVORSDescription1
Expenses10Expenses1

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities2105407AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances183949AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets2289356TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets2289356AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable34340CashDeemedCharitable
Net Noncharitable Assets2255016NetNoncharitableAssets
Minimum Investment Return112751MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return112751MinimumInvestmentReturn
Tax Based On Investment Income2114TaxBasedOnInvestmentIncome
Total Tax2114TotalTax
Distributable Amount Before Adj110637DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded110637DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted110637DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions125150ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions125150QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions125150AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted110637DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year523329ExcessDistriCarryoverYear5
Excess Distri Carryover Year411503ExcessDistriCarryoverYear4
Excess Distri Carryover Year311948ExcessDistriCarryoverYear3
Excess Distri Carryover Year211539ExcessDistriCarryoverYear2
Excess Distri Carryover Year112937ExcessDistriCarryoverYear1
Total Excess Distri Carryover71256TotalExcessDistriCarryover
Qualifying Distributions125150QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year110637AppliedToCurrentYear
Remaining Distri From Corpus14513RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus85769TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year523329ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year62440ExcessDistriCyovToNextYear
Excess From Year411503ExcessFromYear4
Excess From Year311948ExcessFromYear3
Excess From Year211539ExcessFromYear2
Excess From Year112937ExcessFromYear1
Excess From Current Year14513ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (30 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
AJC CHILDREN'S FOUNDATION
PO BOX 16266PLANTATIONFL33318NONECORP.GENERAL CHARITABLE PURPOSE$2,500
ALTERNATIVE EDUCATION FOUNDATION
7744 PETERS ROADPLANTATIONFL33324NONECORP.GENERAL CHARITABLE PURPOSE$1,500
AMYOTHROPIC LATERAL SCLEROSIS
3242 PARKSIDE CENTER CIRCLETAMPAFL33619NONECORP.GENERAL CHARITABLE PURPOSE$500
ANN STORCK CENTER
1790 SW 43RD WAYFT LAUDERDALEFL33317NONECORP.GENERAL CHARITABLE PURPOSE$1,500
BARTON G KIDS HERE NOW
5061 BISCAYNE BLVDMIAMIFL33137NONECORP.GENERAL CHARITABLE PURPOSE$5,000
BECCA'S CLOSET
151 NOB HILL ROAD SUITE 280PLANTATIONFL33324NONECORP.GENERAL CHARITABLE PURPOSE$5,000
BOCA RATON CHILDREN'S MUSEUM
498 CRAWFORD BLVDBOCA RATONFL33432NONECORP.GENERAL CHARITABLE PURPOSE$2,000
BOCA RATON COMMUNITY HOSPITAL FOUNDATION
745 MEADOWS ROADBOCA RATONFL33486NONECORP.GENERAL CHARITABLE PURPOSE$10,000
CHILDREN'S HEART FOUNDATION
3006 SOUTH MARYLAND PARKWAY 690LAS VEGASNV89109NONECORP.GENERAL CHARITABLE PURPOSE$2,500
(no name)
NONECORP.GENERAL CHARITABLE PURPOSE$5,000
FLORENCE FULLER CHILD DEVELOPMENT CENTERS INC
200 NE 14 STREETBOCA RATONFL33432NONECORP.GENERAL CHARITABLE PURPOSE$10,000
FOCOS FOUNDATION
226 EAST 54TH STREET 306NEW YORKNY10022NONECORP.GENERAL CHARITABLE PURPOSE$5,000
GEORGE SNOW SCHOLARSHIP FUND
1860 N DIXIE HIGHWAYBOCA RATONFL33432NONECORP.GENERAL CHARITABLE PURPOSE$2,500
GLAUCOMA RESEARCH FOUNDATION
251 POST STREET SUITE 600SAN FRANCISOCA94108NONECORP.GENERAL CHARITABLE PURPOSE$15,000
GORDON ADVISORS CHARITIES
1301 W LONG LAKE ROAD SUITE 200TROYMI48098NONECORP.GENERAL CHARITABLE PURPOSE$1,500
HERE'S HELP INC
15100 NW 27 AVENUEOPA LOCKAFL33021NONECORP.GENERAL CHARITABLE PURPOSE$2,500
HILLEL DAY SCHOOL
21011 95TH AVENUE SOUTHBOCA RATONFL33428NONECORP.GENERAL CHARITABLE PURPOSE$1,800
IN THE PINES INC
16101 HALF MILE ROAD BLDG GDELRAY BEACHFL33446NONECORP.GENERAL CHARITABLE PURPOSE$2,000
JCC ASSOCIATION LENNY RUBIN ISRAEL FOUNDATION
520 EIGHT AVENUENEW YORKNY10018NONECORP.GENERAL CHARITABLE PURPOSE$2,500
JUNIOR LEAGUE OF BOCA RATON
261 NORTHWEST 13TH STREETBOCA RATONFL33432NONECORP.GENERAL CHARITABLE PURPOSE$5,000
MARGAUX'S MIRACLE FOUNDATION
2601 NW 29TH STREETBOCA RATONFL33434NONECORP.GENERAL CHARITABLE PURPOSE$5,000
NATIONAL MULTIPLE SCLEROSIS SOCIETY OHIO BUCKEYE CHAPTER
6155 ROCKSIDE ROAD 202INDEPENDENCEOH44131NONECORP.GENERAL CHARITABLE PURPOSE$10,000
NICK R CHIERA FOUNDATION
4171 W HILLSBORO BLVD 11COCONUT CREEKFL33073NONECORP.GENERAL CHARITABLE PURPOSE$5,000
SOS CHILDREN'S VILLAGE
3681 NW 59TH PLACEPOMPANO BEACHFL33073NONECORP.GENERAL CHARITABLE PURPOSE$2,500
TORAH ACADEMY OF BOCA RATON
447 NW SPANISH RIVER RDBOCA RATONFL33428NONECORP.GENERAL CHARITABLE PURPOSE$1,800
UNIVERSITY OF MIAMI SYLVESTER
1320 S DIXIE HIGHWAY 921CORAL GABLESFL33146NONECORP.GENERAL CHARITABLE PURPOSE$7,500
US HOLOCAUST MUSEUM
100 RAOUL WALLENBERG PLACE SWWASHINGTONDC200242126NONECORP.GENERAL CHARITABLE PURPOSE$5,000
VICTORY LIVING PROGRAMS
1001 WEST CYPRESS ROAD SUITE 400FT LAUDERDALEFL33309NONECORP.GENERAL CHARITABLE PURPOSE$2,500
MAYO CLINIC
200 FIRST ST SWROCHESTERMN55905NONECORP.GENERAL CHARITABLE PURPOSE$1,500
IMPACT 100
PO BOX 4266FORT WALTON BEACHFL32549NONECORP.GENERAL CHARITABLE PURPOSE$1,050
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year125150TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Related Or Exempt Function Income102655RelatedOrExemptFunctionIncome

Other Investment Income Part VII OtherInvestmentIncomePartVII

FieldValueIRS element (for citing)
Related Or Exempt Function Income3065RelatedOrExemptFunctionIncome

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$0ExclusionAmount
Related Or Exempt Function Income105720RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA105720TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps (2 entries)

Line NumberLineNumberRelationship StatementRelationshipStatement
4DIVIDENDS AND INTEREST ARE FROM SECURITIES INVESTED FOR THE ORGANIZATION'S EXEMPT PURPOSE AND PROVIDE ADDITIONAL INCOME FOR THE ORGANIZATION TO ATTAIN ITS EXEMPT PURPOSE.
7OTHER INCOME IS MISCELLANEOUS INCOME GENERATED FOR THE ORGANIZATION'S EXEMPT PURPOSE AND PROVIDES ADDITIONAL INCOME FOR THE ORGANIZATION TO ATTAIN ITS EXEMPT PURPOSE.

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryPROFESSIONAL FEESCategory
Amount$4,400Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds

FieldValueIRS element (for citing)
Name Of BondCORPORATE BOND INVESTMENTSNameOfBond
EOY Book Value478408EOYBookValue
EOYFMV471247EOYFMV

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

FieldValueIRS element (for citing)
Name Of StockCORPORATE STOCK INVESTMENTSNameOfStock
EOY Book Value1491350EOYBookValue
EOYFMV1524141EOYFMV

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value0USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV0USGovtSecuritiesEOYFMV
State Local Securities EOY Book Val100217StateLocalSecuritiesEOYBookVal
State Local Securities EOYFMV107281StateLocalSecuritiesEOYFMV

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
MISCELLANEOUS INVESTMENT FEE15000
POSTAGE AND DELIVERY1300

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Revenue And Expenses Per Books3065RevenueAndExpensesPerBooks
Net Investment Income3065NetInvestmentIncome
Adjusted Net Income3065AdjustedNetIncome

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryTAXESCategory
Amount$2,696Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

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