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DON JACOBS SR CHARITABLE FOUNDATION INC: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DON JACOBS SR CHARITABLE FOUNDATION INC (EIN 35-2373932)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-14
IRS object ID
201441349349102129
Schema version
2013v3.0
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)
Return2014-05-14T14:04:02-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN273858252PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DEAN DORTON ALLEN FORD PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1106 W VINE STREET SUITE 600AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40507ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352373932EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DON JACOBS CHARITABLE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlDONJBusinessNameControlTxt
Phone8599773209PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 PROSPEROUS PLACE NO 300AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40509ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDON L JACOBS SRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8599773209PhoneNum
Signature2014-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS DEANPreparerPersonNm
PTINP00167070PTIN
Phone8592552341PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,794,965FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$170,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$2InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$34,785DividendsRevAndExpnssAmt
Dividends Net Invst Incm$34,785DividendsNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$204,787TotalRevAndExpnssAmt
Total Net Invst Incm$34,787TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,250AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$625AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$625AccountingFeesChrtblPrpsAmt
Other Expenses Rev And Expnss$15OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$15OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,265TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$625TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$640TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$235,519ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$235,519ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$236,784TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$625TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$236,159TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$31,997ExcessRevenueOverExpensesAmt
Net Investment Income$34,162NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$29,730SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$198,753SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$198,753SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$1,134,208CorporateStockBOYAmt
Corporate Stock EOY$974,209CorporateStockEOYAmt
Corporate Stock EOYFMV$1,594,212CorporateStockEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$2,000OtherAssetsEOYAmt
Other Assets EOYFMV$2,000OtherAssetsEOYFMVAmt
Total Assets BOY$1,163,938TotalAssetsBOYAmt
Total Assets EOY$1,174,962TotalAssetsEOYAmt
Total Assets EOYFMV$1,794,965TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,163,938RetainedEarningBOYAmt
Retained Earning EOY$1,174,962RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,163,938TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,174,962TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,163,938TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,174,962TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,163,938TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$31,997ExcessRevenueOverExpensesAmt
Other Increases$43,021OtherIncreasesAmt
Subtotal$1,174,962SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,174,962TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$264,742AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,607,189NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.164724DistributionYr1Rt
Adjusted Qlfy Distri Yr2$891,535AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,117,367NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.421058DistributionYr2Rt
Adjusted Qlfy Distri Yr3$1,767,316AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,803,534NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.630389DistributionYr3Rt
Adjusted Qlfy Distri Yr4$0AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$143,646NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.000000DistributionYr4Rt
Total Distribution1.216171TotalDistributionRt
Average Distribution0.304043AverageDistributionRt
Net Vl Noncharitable Assets$1,475,549NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$448,630AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$342NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$448,972AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$236,159QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$683InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$683SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$683TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,088EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$2,088TotalPaymentsAndCreditsAmt
Overpayment$1,405OverpaymentAmt
Applied To ES Tax$1,405AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateKYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Phone8599773209PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1120 PROSPEROUS PLACE NO 300AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40509ZIPCode
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DON L JACOBS SR
120 PROSPEROUS PLACELEXINGTONKY40509PRESIDENT, DIRECTOR1.00$0$0$0
CATHY JACOBS
120 PROSPEROUS PLACELEXINGTONKY40509DIRECTOR0.50$0$0$0
KAREN L WEST
120 PROSPEROUS PLACELEXINGTONKY40509TREASURER, DIRECTOR1.00$0$0$0
DOUG DEAN
120 PROSPEROUS PLACELEXINGTONKY40509DIRECTOR0.50$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,470,029AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$27,990AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,498,019TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,498,019AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$22,470CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,475,549NetVlNoncharitableAssetsAmt
Minimum Investment Return$73,777MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$73,777MinimumInvestmentReturnAmt
Tax Based On Investment Income$683TaxBasedOnInvestmentIncomeAmt
Total Tax$683TotalTaxAmt
Distributable Before Adj$73,094DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$73,094DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$73,094DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$236,159ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$236,159QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$236,159AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$73,094DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr3$1,630,441ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$791,611ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$185,295ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,607,347TotalExcessDistributionCyovAmt
Qualifying Distributions$236,159QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$6,935TreatedAsDistriFromCorpusAmt
Applied To Current Year$73,094AppliedToCurrentYearAmt
Remaining Distri From Corpus$156,130RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$2,770,412TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$6,935CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,763,477ExcessDistriCyovToNextYrAmt
Excess From Year3$1,623,506ExcessFromYear3Amt
Excess From Year2$791,611ExcessFromYear2Amt
Excess From Year1$185,295ExcessFromYear1Amt
Excess From Current Year$163,065ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDON L JACOBS SRContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
WORLD VENTURES FOUNDATION
5100 TENNYSON PARKWAYPLANOTX75024NONEPUBLICSUBSIDY$16,000
AMERICAN RED CROSS
1450 NEWTOWN PIKELEXINGTONKY40511NONEPUBLICSUBSIDY$15,000
THE LEXINGTON DREAM FACTORY
PO BOX 707LEXINGTONKY40588NONEPUBLICSUBSIDY$1,500
UNIVERSITY OF KENTUCKY
WILLIAM B STURGILL DEV BLDGLEXINGTONKY40506NONEPUBLICSUBSIDY$203,019
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$235,519TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$34,785ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$34,787ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$34,787TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonDON L JACOBSContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line12603 WINDWARD WAYAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34103ZIPCode
FieldValueIRS element (for citing)
Total Contributions$170,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$1,250Amt
Net Investment Income$625NetInvestmentIncomeAmt
Disbursements Charitable Prps$625DisbursementsCharitablePrpsAmt

Distribution From Corpus Election DistributionFromCorpusElection

FieldValueIRS element (for citing)
ElectionPURSUANT TO REG. 53.4942(A)-3(C)(2)(IV), THE ABOVE REFERENCED FOUNDATION HEREBY ELECTS TO TREAT, AS A CURRENT CORPUS DISTRIBUTION, THE FOLLOWING UNUSED PRIOR TAX YEAR'S DISTRIBUTIONS THAT WERE TREATED AS CORPUS DISTRIBUTIONS UNDER REG. 53.4942(A)-3(D)(1)(II) IN SUCH PRIOR TAX YEARS:TAX YEAR: AMOUNT:2010 $6,935ElectionDesc

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
5,400 SHS ACE LTD$256,224$559,062
3,200 SHS EXXON MOBIL CORP$223,411$323,840
1,000 SHS INTERNATIONAL BUSINESS MACHINES$131,480$187,570
14,000 SHS MICROSOFT CORP$363,094$523,740

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescREIMBURSEMENT RECEIVABLEDesc
EOY Book Value$2,000EOYBookValueAmt
EOYFMV$2,000EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescSTATE REGISTRATION FEEDesc
Revenue And Expenses Per Books$15RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$15DisbursementsCharitablePrpsAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAIN ON STOCK GIFTDescription
Amount$43,021Amount

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