LIFT A LIFE FOUNDATION INC: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFT A LIFE FOUNDATION INC (EIN 61-1359337)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-10
IRS object ID
201301309349100030
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)
Timestamp2013-05-10T10:36:22-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341965417EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CORNERSTONE FAMILY OFFICE LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1MONARCH CENTRE 300 5885 LANDERBROOKAddressLine1
Address Line2DRAddressLine2
CityMAYFIELD HEIGHTSCity
StateOHState
ZIP Code44124ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611359337EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFT A LIFE FOUNDATION INCBusinessNameLine1
Business Name Line2C/O CORNERSTONE FAMILY OFFICEBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLIFTNameControl
Phone5022903218Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15885 LANDERBROOK DR NO 300AddressLine1
CityMAYFIELD HEIGHTSCity
StateOHState
ZIP Code44124ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameASHLEY N BUTLERName
TitleTRUSTEETitle
Phone5022903218Phone
Date Signed2013-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCORNERSTONE FAMILY OFFICE LLCName
PTINP00152568PTIN
Phone4404600460Phone
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 EOY34938198FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss9535542ContriReceivedRevAndExpnss
Dividends Rev And Expnss718455DividendsRevAndExpnss
Dividends Net Invst Incm718453DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss153583NetGainSaleAssetsRevAndExpnss
Gross Sales Price5619055GrossSalesPrice
Capital Gain Net Incm Net Invst Incm153583CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses10407580TotalRevenueAndExpenses
Total Net Investment Income872036TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss69167CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Legal Fees Rev And Expnss875LegalFeesRevAndExpnss
Legal Fees Net Invst Incm0LegalFeesNetInvstIncm
Legal Fees Dsbrs Chrtbl Prps0LegalFeesDsbrsChrtblPrps
Accounting Fees Rev And Expnss17230AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps0AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss162165OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm136409OtherProfFeesNetInvstIncm
Other Prof Fees Dsbrs Chrtbl Prps0OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss12933TaxesRevAndExpnss
Taxes Net Invst Incm12933TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss9043OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm122OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps0OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss271413TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm149464TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss4239950ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps4239950ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss4511363TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm149464TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps4239950TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses5896217ExcessOfRevenueOverExpenses
Net Investment Income722572NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY12260979CashBOY
Cash EOY4916488CashEOY
Cash EOYFMV4916488CashEOYFMV
Investments Other BOY14946312InvestmentsOtherBOY
Investments Other EOY28187020InvestmentsOtherEOY
Investments Other EOYFMV30021710InvestmentsOtherEOYFMV
Total Assets BOY27207291TotalAssetsBOY
Total Assets EOY33103508TotalAssetsEOY
Total Assets EOYFMV34938198TotalAssetsEOYFMV
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 BOY27207291RetainedEarningsBOY
Retained Earnings EOY33103508RetainedEarningsEOY
Total Net Assets BOY27207291TotalNetAssetsBOY
Total Net Assets EOY33103508TotalNetAssetsEOY
Total Liabilities Net Assets BOY27207291TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY33103508TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY27207291TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses5896217ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal33103508Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY33103508TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Description Of AssetDescriptionOfAssetGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLossesHow AcquiredHowAcquired
MELLON41686944011269157425157425
MELLON14502391454203-3964-3964
CAPITAL GAINS DIVIDENDS122122122P
FieldValueIRS element (for citing)
Capital Gain Net Income153583CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year14181191QualifyingDistributionsYear1
Noncharitable Assets Year118344738NoncharitableAssetsYear1
Distribution Ratio Year10.227923DistributionRatioYear1
Qualifying Distributions Year21888945QualifyingDistributionsYear2
Noncharitable Assets Year213178560NoncharitableAssetsYear2
Distribution Ratio Year20.143335DistributionRatioYear2
Qualifying Distributions Year31866505QualifyingDistributionsYear3
Noncharitable Assets Year37328194NoncharitableAssetsYear3
Distribution Ratio Year30.254702DistributionRatioYear3
Qualifying Distributions Year41216000QualifyingDistributionsYear4
Noncharitable Assets Year44685590NoncharitableAssetsYear4
Distribution Ratio Year40.259519DistributionRatioYear4
Qualifying Distributions Year51107374QualifyingDistributionsYear5
Noncharitable Assets Year53042755NoncharitableAssetsYear5
Distribution Ratio Year50.363938DistributionRatioYear5
Total Distribution Ratio1.249417TotalDistributionRatio
Average Distribution Ratio0.249883AverageDistributionRatio
Net Noncharitable Assets28194885NetNoncharitableAssets
Adjusted Noncharitable Assets7045422AdjustedNoncharitableAssets
One Percent Net Investment Income7226OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One7052648AdjNonchrtblAssetsAndOnePct
Qualifying Distributions4239950QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax14451InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal14451Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income14451TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment7600EstTaxPaymentsAndOverpayment
Total Credits And Payments7600TotalCreditsAndPayments
Tax Due6851TaxDue

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 WithKYStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressWWW.LIFTALIFEFOUNDATION.ORGWebsiteAddress
Books In Care Of Person NameASHLEY NOVAK BUTLERBooksInCareOfPersonName
Books In Care Of Phone Number5022903218BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1291 N HUBBARDS LANE STE B26 242AddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40207ZIPCode
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 Person1PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Acts Fail To Qualify As Exceptions0ActsFailToQualifyAsExceptions
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
DAVID C NOVAK
13006 OSAGE ROAD NANCHORAGEKY40223DIRECTOR & PRESIDENT0.00000
WENDY L NOVAK
13006 OSAGE ROAD NANCHORAGEKY40223DIRECTOR,VP,SECRET,TREAS0.00000
SUSAN B NOVAK
7601 EAST INDIAN RD UNIT 1026SCOTTSDALEAZ85250DIRECTOR0.00000
ASHLEY NOVAK BUTLER
3920 BROOKFIELD AVELOUISVILLEKY40207DIRECTOR24.006916700
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

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities23427078AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances5197171AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets28624249TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets28624249AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable429364CashDeemedCharitable
Net Noncharitable Assets28194885NetNoncharitableAssets
Minimum Investment Return1409744MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return1409744MinimumInvestmentReturn
Tax Based On Investment Income14451TaxBasedOnInvestmentIncome
Total Tax14451TotalTax
Distributable Amount Before Adj1395293DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded1395293DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted1395293DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions4239950ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions4239950QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions4239950AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted1395293DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year5958288ExcessDistriCarryoverYear5
Excess Distri Carryover Year4983041ExcessDistriCarryoverYear4
Excess Distri Carryover Year31501095ExcessDistriCarryoverYear3
Excess Distri Carryover Year21232095ExcessDistriCarryoverYear2
Excess Distri Carryover Year13271537ExcessDistriCarryoverYear1
Total Excess Distri Carryover7946056TotalExcessDistriCarryover
Qualifying Distributions4239950QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year1395293AppliedToCurrentYear
Remaining Distri From Corpus2844657RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus10790713TotalCorpus
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 Year5958288ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year9832425ExcessDistriCyovToNextYear
Excess From Year4983041ExcessFromYear4
Excess From Year31501095ExcessFromYear3
Excess From Year21232095ExcessFromYear2
Excess From Year13271537ExcessFromYear1
Excess From Current Year2844657ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerDAVID C NOVAKContributingManager
Contributing ManagerWENDY L NOVAKContributingManager
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (27 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
BOB RUSSELL MINISTRIES
PO BOX 43933LOUISVILLEKY40253PUBLICGENERAL$500,000
CENTER POINT CHURCH
152 N LOCUST HILL DRLEXINGTONKY40509PUBLICGENERAL$200,000
ACTORS THEATRE OF LOUISVILLE
316 WEST MAIN STREETLOUISVILLEKY40202PUBLICGENERAL$5,000
FAMILY SCHOLAR HOUSE
403 REG SMITH CIRCLELOUISVILLEKY40202PUBLICGENERAL$50,000
DARE TO CARE FOOD BANK
5803 FERN VALLEY ROADLOUISVILLEKY40228PUBLICGENERAL$250,000
FOLDS OF HONOR FOUNDATION
5800 N PATRIOT DRIVEOWASSOOK74055PUBLICGENERAL$500,000
MS SOCIETY
1201 STORY AVENUELOUISVILLEKY40206PUBLICGENERALGENERAL$10,000
JDRF
1450 CENTREPARK BLVD 210WEST PALM BEACHFL33401PUBLICGENERAL$10,000
JDRF
1450 CENTREPARK BLVD 210WEST PALM BEACHFL33401PUBLICGENERAL$138,000
LOST TREE CHAPEL
11149 TURTLE BEACH ROADNORTH PALM BEACHFL33408PUBLICGENERAL$5,000
PEACE EDUCATION PROGRAM INC
318 W KENTUCKY STREETLOUISVILLEKY40203PUBLICGENERAL$46,950
MARYHURST
1015 DORSEY LANELOUISVILLEKY40223PUBLICGENERAL$100,000
METRO UNITED WAY
PO BOX 4488LOUISVILLEKY40204PUBLICGENERAL$130,000
NEIGHBORHOOD HOUSE
201 NORTH 25TH STLOUISVILLEKY40212PUBLICGENERAL$75,000
NEW MOMS INC
2825 WEST MCLEAN AVECHICAGOIL60647PUBLICGENERAL$100,000
THE CABBAGE PATCH
1413 S 6TH STREETLOUISVILLEKY40208PUBLICGENERAL$75,000
STAGE ONE FAMILY THEATRE
323 W BROADWAY STE 600LOUISVILLEKY40202PUBLICGENERAL$25,000
WORLD FOOD PROGRAM USA
1819 L STREET NW 900WASHINGTONDC20036PUBLICGENERAL$500,000
WORLD FOOD PROGRAM USA
1819 L STREET NW 900WASHINGTONDC20036PUBLICGENERAL$380,000
YMCA SAFE PLACE SERVICES
2400 CRITTENDEN DRIVELOUISVILLEKY40217PUBLICGENERAL$100,000
ROOSEVELT HIGH SCHOOL
PO BOX 9124RIVIERA BEACHFL33419PUBLICGENERAL$10,000
USA TODAY CHARITABLE FOUNDATION
7950 JONES BRANCH DRIVEMCLEANVA22108PUBLICGENERAL$500,000
USA TODAY CHARITABLE FOUNDATION
7950 JONES BRANCH DRIVEMCLEANVA22108PUBLICGENERAL$250,000
VOLUNTEERS OF AMERICA
933 GOSS AVENUELOUISVILLEKY40217PUBLICGENERAL$100,000
PARK-REEVES SYRINGOMYELIA RESEARCH
ONE BROOKINGS DRIVEST LOUISMO63130GENERAL$5,000
THE PARKLANDS OF FLOYDS FORK
471 WEST MAIN STREET STE 202LOUISVILLEKY40202PUBLICGENERAL$125,000
AMERICAN RED CROSS
PO BOX 4002018DES MOINESIA50340PUBLICGENERAL$50,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year4239950TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$718,455ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$153,583ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$872,038ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA872038TotalPartXVIA

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo (12 entries)

Contributor NumberContributorNumberContributor Name IndividualContributorNameIndividualAddress Line1ContributorAddressUS/AddressLine1CityContributorAddressUS/CityStateContributorAddressUS/StateZIP CodeContributorAddressUS/ZIPCodeAggregate ContributionsAggregateContributionsPerson Contribution TypePersonContributionTypeNoncash Contribution TypeNoncashContributionType
1DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY402233100000X
2DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223741518X
3DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223609376X
4DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223524750X
5DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223564859X
6DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223562596X
7DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223763976X
8DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223503762X
9DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223295532X
10DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223344087X
11DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223987486X
12DAVID C WENDY L NOVAK13006 OSAGE ROAD NANCHORAGEKY40223537600X

Noncash Property NoncashProperty (11 entries)

Contributor Number From Part IContributorNumberFromPartINoncash Property DescriptionNoncashPropertyDescriptionFair Market ValueFairMarketValueDate ReceivedDateReceived
220,310 SHARES VIRGIN MEDIA7415182012-12-20
312,080 SHARES WALT DISNEY CO6093762012-12-20
413,710 SHARES DISCOVER FINANCIAL SERVICES5245702012-12-20
511,790 SHARES TIME WARNER5648592012-12-20
622,180 SHARES NEWS CORPORATION5625962012-12-20
772,725 SHARES SOUTHWEST AIRLINES7639762012-12-20
85,490 SHARES MONSANTO CO5037622012-12-20
9410 SHARES GOOGLE2955322012-12-20
105,730 SHARES NESTLE3440872012-12-27
1113,330 SHARES CERNER CORP9874862012-04-19
127,000 SHARES MONSANTO5376002012-04-19

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryPROFESSIONAL FEESCategory
Amount$17,230Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther

FieldValueIRS element (for citing)
Category Or ItemEQUITIES & FIXED INCOMECategoryOrItem
Listed At Cost Or FMVAT COSTListedAtCostOrFMV
Book Value28187020BookValue
EOYFMV30021710EOYFMV

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategory
Amount$875Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
BANK CHARGES1221220
MISCELLANEOUS109000
OFFICE SUPPLIES159900
PAYROLL EXPENSES623200

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
MANAGEMENT FEES TO ADVISER$136,4091364090
OTHER PROFESSIONAL FEES$25,75600

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
FEDERAL TAXES PAID$12,783127830
ANNUAL FILING FEE$1501500

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