SAM MILLER FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAM MILLER FOUNDATION (EIN 41-6035570)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-07
IRS object ID
201301279349100430
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)
Timestamp2013-05-07T11:31:25-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SIMMA FLOTTEMESCH & ORENSTEIN LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12700 ATT TWR 901 MARQUETTE AVEAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN416035570EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAM MILLER FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BERYL MILLERInCareOfName
Name ControlSAMMNameControl
Phone6123392651Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 581398AddressLine1
Address Line2SuiteAddressLine2
CityMINNEAPOLISCity
StateMNState
ZIP Code554581398ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBERYL MILLERName
TitlePRESIDENTTitle
Phone6123392621Phone
Date Signed2013-04-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID R ORENSTEINName
Phone6123378100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY964038FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss0ContriReceivedRevAndExpnss
Dividends Rev And Expnss41190DividendsRevAndExpnss
Dividends Net Invst Incm41190DividendsNetInvstIncm
Gross Sales Price75000GrossSalesPrice
Total Revenue And Expenses41190TotalRevenueAndExpenses
Total Net Investment Income41190TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Legal Fees Rev And Expnss189LegalFeesRevAndExpnss
Legal Fees Net Invst Incm0LegalFeesNetInvstIncm
Legal Fees Adj Net Incm0LegalFeesAdjNetIncm
Legal Fees Dsbrs Chrtbl Prps0LegalFeesDsbrsChrtblPrps
Accounting Fees Rev And Expnss4060AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps0AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss402TaxesRevAndExpnss
Other Expenses Rev And Expnss2049OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm1124OtherExpensesNetInvstIncm
Tot Opr Expenses Rev And Expnss6700TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm1124TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm0TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss44158ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps44158ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss50858TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm1124TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm0TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps44158TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-9668ExcessOfRevenueOverExpenses
Net Investment Income40066NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY84685SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY120840SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV120840SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY239070InvestmentsGovtObligBOY
Investments Govt Oblig EOY242535InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV260672InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY65572InvestmentsCorpStockBOY
Investments Corp Stock EOY65572InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV74855InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY515189InvestmentsCorpBondsBOY
Investments Corp Bonds EOY466152InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV502600InvestmentsCorpBondsEOYFMV
Other Assets BOY5322OtherAssetsBOY
Other Assets EOY5071OtherAssetsEOY
Other Assets EOYFMV5071OtherAssetsEOYFMV
Total Assets BOY909838TotalAssetsBOY
Total Assets EOY900170TotalAssetsEOY
Total Assets EOYFMV964038TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Retained Earnings BOY909838RetainedEarningsBOY
Retained Earnings EOY900170RetainedEarningsEOY
Total Net Assets BOY909838TotalNetAssetsBOY
Total Net Assets EOY900170TotalNetAssetsEOY
Total Liabilities Net Assets BOY909838TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY900170TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY909838TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-9668ExcessOfRevenueOverExpenses
Subtotal900170Subtotal
Total Net Assets Fund Balances EOY900170TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (2 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredDate AcquiredDateAcquiredDate SoldDateSoldGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasis
BANK OF AMERICA INTERNOTESP2004-11-182012-11-155000050000
ISRAEL STATE 2ND JUBILEE BONDP2007-12-312012-03-262500025000

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year146430QualifyingDistributionsYear1
Noncharitable Assets Year1864782NoncharitableAssetsYear1
Distribution Ratio Year10.05369DistributionRatioYear1
Qualifying Distributions Year241115QualifyingDistributionsYear2
Noncharitable Assets Year2879850NoncharitableAssetsYear2
Distribution Ratio Year20.04673DistributionRatioYear2
Qualifying Distributions Year352894QualifyingDistributionsYear3
Noncharitable Assets Year3847439NoncharitableAssetsYear3
Distribution Ratio Year30.062416DistributionRatioYear3
Qualifying Distributions Year418091QualifyingDistributionsYear4
Noncharitable Assets Year4840894NoncharitableAssetsYear4
Distribution Ratio Year40.021514DistributionRatioYear4
Qualifying Distributions Year521614QualifyingDistributionsYear5
Noncharitable Assets Year5838789NoncharitableAssetsYear5
Distribution Ratio Year50.025768DistributionRatioYear5
Total Distribution Ratio0.210118TotalDistributionRatio
Average Distribution Ratio0.042024AverageDistributionRatio
Net Noncharitable Assets960850NetNoncharitableAssets
Adjusted Noncharitable Assets40379AdjustedNoncharitableAssets
One Percent Net Investment Income401OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One40780AdjNonchrtblAssetsAndOnePct
Qualifying Distributions44158QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax401InvestmentIncomeExciseTax
Subtotal401Subtotal
Tax Based On Investment Income401TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment500EstTaxPaymentsAndOverpayment
Total Credits And Payments500TotalCreditsAndPayments
Overpayment99Overpayment
Amount Credited To Next Year99AmountCreditedToNextYear

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
States Filed WithMNStatesFiledWith
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1BERYL MILLERBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number6123392651BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1111 SOUTH THIRD STREETAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55401ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Business HoldingsfalseBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Relying Curr Notice Disaster Asst2XRelyingCurrNoticeDisasterAsst2
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
BERYL MILLER
111 SOUTH THIRD STREETMINNEAPOLISMN55401PRESIDENT0000
FLORENCE MILLER
111 SOUTH THIRD STREETMINNEAPOLISMN55401VICE PRESIDENT0000
EVE MILLER
111 SOUTH THIRD STREETMINNEAPOLISMN55401VICE PRESIDENT0000
ARNIE FRISHMAN
2506 LYNN AVE SST LOUIS PARKMN55416SECRETARY0000
CRAIG KUPRITZ
111 SOUTH THIRD STREETMINNEAPOLISMN55401TREASURER0000
DEBORAH RICH
3724 WIMBLETON LANEBIRMINGHAMAL35223ASSISTANT TREASURER0000

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1NOT APPLICABLEDescription1

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Description1NOT APPLICABLEDescription1

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities871129AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances104353AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets975482TotalFMVOfUnusedAssets
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets975482AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable14632CashDeemedCharitable
Net Noncharitable Assets960850NetNoncharitableAssets
Minimum Investment Return48043MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return48043MinimumInvestmentReturn
Tax Based On Investment Income401TaxBasedOnInvestmentIncome
Total Tax401TotalTax
Distributable Amount Before Adj47642DistributableAmountBeforeAdj
Distributable Amount Before Ded47642DistributableAmountBeforeDed
Distributable Amount As Adjusted47642DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions44158ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Amounts Paid Acq Charitable Assets0AmountsPaidAcqCharitableAssets
Amounts Set Aside Suitability Test0AmountsSetAsideSuitabilityTest
Amounts Set Aside Cash Distri Test0AmountsSetAsideCashDistriTest
Qualifying Distributions44158QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm401OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions43757AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted47642DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Prior Year12010PriorYear1
Prior Year22009PriorYear2
Prior Year32008PriorYear3
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year39133ExcessDistriCarryoverYear3
Excess Distri Carryover Year14031ExcessDistriCarryoverYear1
Total Excess Distri Carryover13164TotalExcessDistriCarryover
Qualifying Distributions44158QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Current Year44158AppliedToCurrentYear
Remaining Distri From Corpus0RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus3484ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY3484ExcessDistriCyovAppliedCY
Total Corpus9680TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year9680ExcessDistriCyovToNextYear
Excess From Year35649ExcessFromYear3
Excess From Year14031ExcessFromYear1
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundations

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerNAContributingManager
Shareholder ManagerNONEShareholderManager
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (39 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmountAddress Line2RecipientUSAddress/AddressLine2Address Line1RecipientForeignAddress/AddressLine1CityRecipientForeignAddress/CityProvince Or StateRecipientForeignAddress/ProvinceOrStateCountryRecipientForeignAddress/CountryPostal CodeRecipientForeignAddress/PostalCode
ACHIEVE MINNEAPOLIS
111 3RD AVE S SUITE 120MINNEAPOLISMN55401501(C)(3)CHARITABLE GIFT$200
AMERICAN CANCER SOCIETY
PO BOX 23267MINNEAPOLISMN55423501(C)(3)CHARITABLE GIFT$75
AMERICAN FRIENDS OF MAGEN DAVID ADOM
PO BOX 5409CHICAGOIL60680501(C)(3)CHARITABLE GIFT$100
AMERICAN SOCIETY FOR YAD VASHEM
PO BOX 17035MILWAUKEEWI53217501(C)(3)CHARITABLE GIFT$100
AMIT
817 BROADWAYNEW YORKNY10003501(C)(3)CHARITABLE GIFT$100
BETH EL SYNAGOGUE
26TH STREETST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$2,930
CHABAD OF ALABAMA
3050 OVERTON ROADBIRMINGHAMAL35223501(C)(3)CHARITABLE GIFT$3,000
CHILDRENS THEATER COMPANY
2400 3RD AVE SMINNEAPOLISMN55404501(C)(3)CHARITABLE GIFT$750
DARCHAI NOAM SYNAGOGUE
5224 MINNETONKA BLVDST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$8,900
THE FRIENDS OF THE ISRAEL DEFENSE FUND
29 EAST MADISON SUITE 1514CHICAGOIL60602501(C)(3)CHARITABLE GIFT$100
JEWISH FAMILY AND CHILDRENS SERVICES
13100 WAYZATA BLVD STE 400MINNETONKAMN55305501(C)(3)CHARITABLE GIFT$100
KENESSETH ISRAEL SYNAGOGUE
4330 W 28TH STREETST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$258
LUBAVITCH CHEDER DAY SCHOOL
1758 FORD PKWYST PAULMN55116501(C)(3)CHARITABLE GIFT$100
MEMORIAL SLOAN KETTERING
PO BOX 7247-0260PHILADELPHIAPA19170501(C)(3)CHARITABLE GIFT$100
MINNESOTA PUBLIC RADIO
PO BOX 70870ST PAULMN55170501(C)(3)CHARITABLE GIFT$100
MINNEAPOLIS JEWISH FEDERATION
13100 WAYZATA BLVDHOPKINSMN55305501(C)(3)CHARITABLE GIFT$18,000
NATIONAL YIDDISH BOOK CENTER
1021 WEST STREETAMHERSTMA010023375501(C)(3)CHARITABLE GIFT$540
ORTHODOX UNION
11 BROADWAYNEW YORKNY10004501(C)(3)CHARITABLE GIFT$10014TH FLOOR
THE SHUL
9540 COLLINS AVESURFSIDEFL33154501(C)(3)CHARITABLE GIFT$1,000
TWIN CITIES PUBLIC TELEVISION
172 E 4TH STREETST PAULMN551011447501(C)(3)CHARITABLE GIFT$75
YACHAD NATIONAL JEWISH COUNCIL FOR DISABILITIES
11 BROADWAY 13TH FLOORNEW YORKNY10004501(C)(3)CHARITABLE GIFT$250
EMUNAH OF AMERICA
PENN PLAZANEW YORKNY10001501(C)(3)CHARITABLE GIFT$100
HADESSEH
366 MONTCLAIR ROADBIRMINGHAMAL35223501(C)(3)CHARITABLE GIFT$136
MINNESOTA ORCHESTRAL ASSOCIATION
1111 NICOLLET MALLMINNEAPOLISMN55403501(C)(3)CHARITABLE GIFT$100
SHA'ARIM
1433 UTICA AVENUE 265ST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$150
SISTER KENNY INSTITUTE
12925 CHICAGO AVEMINNEAPOLISMN55407501(C)(3)CHARITABLE GIFT$100
TEMPLE BETH-EL
79 HYLAND AVEBIRMINGHAMAL35205501(C)(3)CHARITABLE GIFT$250
TORAH ACADEMY
2800 JOPPA AVE SBIRMINGHAMAL35205501(C)(3)CHARITABLE GIFT$150
STEP
6812 WEST LAKE STREETST LOUIS PARKMN55426501(C)(3)CHARITABLE GIFT$100
THE ALEPH INSTITUTE
9540 COLLINS AVESURFSIDEFL33154501(C)(3)CHARITABLE GIFT$54
AMERICAN TECHNION SOCIETY
55 E 59TH ST 14NEW YORKNY10002501(C)(3)CHARITABLE GIFT$100
THE BIRMINGHAM JEWISH FOUNDATION
PO BOX 130219BIRMINGHAMAL35213501(C)(3)CHARITABLE GIFT$350
COLLAT JEWISH FAMILY SERVICES
3940 MONTCLAIR RDBIRMINGHAMAL35213501(C)(3)CHARITABLE GIFT$50
HASBROUCK FELLOWSHIP
720 SUMMIT AVENUEHACKENSACKNJ076011607501(C)(3)CHARITABLE GIFT$36
HEILLICHER MINNEAPOLIS JEWISH DAY SCHOOL
4330 CEDAR LAKE ROADMINNEAPOLISMN55416501(C)(3)CHARITABLE GIFT$5,250
HILLEL FOUNDATION
1821 UNIVERSITY AVEMINNEAPOLISMN55414501(C)(3)CHARITABLE GIFT$100
NECHAMA
4330 CEDAR LAKE ROADST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$100
ORT AMERICA
75 MAIDEN LANE 10TH FLOORNEW YORKNY10038501(C)(3)CHARITABLE GIFT$54
AMERICAN FRIENDS OF MIDRESHET HAROVA
501(C)(3)CHARITABLE GIFT$10050 CHABAD STREETOLD CITYJERUSALEMIS97500
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year44158TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

FieldValueIRS element (for citing)
Fees Contracts From Govt AgenciesFeesContractsFromGovtAgencies
Membership Dues And AssessmentsMembershipDuesAndAssessments
Int On Savings And Temp Cash InvstIntOnSavingsAndTempCashInvst

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$41,190ExclusionAmount
FieldValueIRS element (for citing)
Net Rental Incm Re Debt Fincd PropNetRentalIncmReDebtFincdProp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Incm Personal PropertyNetRentalIncmPersonalProperty
Other Investment Income Part VIIOtherInvestmentIncomePartVII

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Net Income Loss From Special EventsNetIncomeLossFromSpecialEvents
Gross Profit Loss Sales Of InvntryGrossProfitLossSalesOfInvntry

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$41,190ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA41190TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

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

Line NumberLineNumberRelationship StatementRelationshipStatement
4NOT APPLICABLE
8NOT APPLICABLE

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategory
Amount$4,060Amount

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Oth Prog Rltd Investments AllOthProgRltdInvestments

FieldValueIRS element (for citing)
DescriptionNONEDescription

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (10 entries)

Name Of BondNameOfBondEOY Book ValueEOYBookValueEOYFMVEOYFMV
ISRAEL BONDS140883141711
BANK OF AMERICA BOND00
CATERPILLAR BOND5000051144
BRISTOL MYERS BOND2671130200
CONOCO PHILLIPS BOND2037824598
GECC NOTES5190153585
GE CP NOTES5191859439
ARIZONA PUBLIC SERVICE BOND3060832954
WACHOVIA CORP NEW NOTES5324659219
WACHOVIA CAPITAL BOND4050749750

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (2 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
BRISTOL MYERS SQUIB4057248885
JP MORGAN & CHASE - PREF STOCK2500025970

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value242535USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV260672USGovtSecuritiesEOYFMV

Land Etc Schedule2 LandEtcSchedule2

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategory
Amount$189Amount

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBOY Book ValueBOYBookValueEOY Book ValueEOYBookValueEOYFMVEOYFMV
INTEREST RECEIVABLE524249734973
EXCISE TAX REFUND RECEIVABLE809898

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncome
SECRETARIAL EXPENSES1800900
STATE OF MN FEE25
BROKERAGE FEES224224

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryFEDERAL EXCISE TAXCategory
Amount$402Amount

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