DOROTHY M OVERCASH CHARITABLE TR U A: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- DOROTHY M OVERCASH CHARITABLE TR U A (EIN 54-6498083)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-09
- IRS object ID
- 201311299349101511
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-09T13:29:08-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541149263 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YOUNT HYDE & BARBOUR PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2560 | AddressLine1 |
| City | WINCHESTER | City |
| State | VA | State |
| ZIP Code | 226041760 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 546498083 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOROTHY M OVERCASH CHARITABLE TRUST | BusinessNameLine1 |
| Business Name Line2 | FIRST BANK TRUSTEE | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OVER | NameControl |
| Phone | 5406782712 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1835 VALLEY AVENUE | AddressLine1 |
| City | WINCHESTER | City |
| State | VA | State |
| ZIP Code | 22601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BLAKE CURTIS | Name |
| Title | TRUSTEE | Title |
| Phone | 5406782712 | Phone |
| Date Signed | 2013-05-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ELAINE M CAIN CPA | Name |
| PTIN | P00355359 | PTIN |
| Phone | 5406623417 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 866693 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 0 | ContriReceivedRevAndExpnss |
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Dividends Rev And Expnss | 16182 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 16182 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 12093 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 94029 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 12093 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 28275 | TotalRevenueAndExpenses |
| Total Net Investment Income | 28275 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 8653 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 6922 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 1731 | CompOfcrDirTrstDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 2400 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 1200 | AccountingFeesNetInvstIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 1200 | AccountingFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 409 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 45 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 11462 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 8167 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 2931 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 40000 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 40000 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 51462 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 8167 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 42931 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -23187 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 20108 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 47016 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 21793 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 21793 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 335790 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 337826 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 449048 | InvestmentsCorpStockEOYFMV |
| Investments Corp Bonds BOY | 228677 | InvestmentsCorpBondsBOY |
| Investments Corp Bonds EOY | 228677 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 233214 | InvestmentsCorpBondsEOYFMV |
| Investments Other BOY | 144414 | InvestmentsOtherBOY |
| Investments Other EOY | 144414 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 162638 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 755897 | TotalAssetsBOY |
| Total Assets EOY | 732710 | TotalAssetsEOY |
| Total Assets EOYFMV | 866693 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 0 | CapitalStockBOY |
| Capital Stock EOY | 0 | CapitalStockEOY |
| Paid In Or Capital Surplus BOY | 0 | PaidInOrCapitalSurplusBOY |
| Paid In Or Capital Surplus EOY | 0 | PaidInOrCapitalSurplusEOY |
| Retained Earnings BOY | 755897 | RetainedEarningsBOY |
| Retained Earnings EOY | 732710 | RetainedEarningsEOY |
| Total Net Assets BOY | 755897 | TotalNetAssetsBOY |
| Total Net Assets EOY | 732710 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 755897 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 732710 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 755897 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -23187 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 732710 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 732710 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (14 entries)
| Description Of AssetDescriptionOfAsset | How AcquiredHowAcquired | Date AcquiredDateAcquired | Date SoldDateSold | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|---|---|---|
| 100.000 SHS ABBOTT LABS INC | D | 2005-04-14 | 2012-03-26 | 6079 | 5405 | 674 | 674 |
| 100.000 SHS ABBOTT LABS INC | D | 2005-04-14 | 2012-11-30 | 6497 | 5405 | 1092 | 1092 |
| 200.000 SHS APACHE CORP | D | 2009-04-01 | 2012-11-09 | 15789 | 20499 | -4710 | -4710 |
| 15.000 SHS APPLE INC | D | 2008-12-11 | 2012-03-26 | 8957 | 3032 | 5925 | 5925 |
| 100.000 SHS CELGENE CORP | D | 2009-05-27 | 2012-11-30 | 7858 | 5729 | 2129 | 2129 |
| 100.000 SHS COLGATE-PALMOLIVE | D | 1980-11-05 | 2012-02-15 | 9208 | 8070 | 1138 | 1138 |
| 50.000 SHS FASTENAL CO | D | 2006-06-14 | 2012-01-04 | 2218 | 1043 | 1175 | 1175 |
| 100.000 SHS FASTENAL CO | D | 2006-01-27 | 2012-01-04 | 4437 | 2087 | 2350 | 2350 |
| 100.000 SHS FASTENAL CO | D | 2006-06-14 | 2012-02-15 | 5074 | 2087 | 2987 | 2987 |
| 100.000 SHS FASTENAL CO | D | 2006-06-14 | 2012-03-26 | 5446 | 2087 | 3359 | 3359 |
| 375.000 SHS GENTEX CORP | D | 2012-01-31 | 2012-09-28 | 6341 | 10178 | -3837 | -3837 |
| 50.000 SHS OCCIDENTAL PETE CORP | D | 2009-12-02 | 2012-02-15 | 5206 | 3830 | 1376 | 1376 |
| 250.000 SHS SILICON LABORATORIES INC | D | 2011-02-04 | 2012-08-20 | 9926 | 11435 | -1509 | -1509 |
| 25.000 SHS SILICON LABORATORIES INC | D | 2011-07-08 | 2012-08-20 | 993 | 1049 | -56 | -56 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 12093 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 44686 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 829679 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.053859 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 949 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 454224 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.002089 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 181 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 739 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.244926 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 352 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 1114 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.315978 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 326 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 704 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.463068 | DistributionRatioYear5 |
| Total Distribution Ratio | 1.079920 | TotalDistributionRatio |
| Average Distribution Ratio | 0.215984 | AverageDistributionRatio |
| Net Noncharitable Assets | 854050 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 184461 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 201 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 184662 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 42931 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 402 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 402 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 402 | TaxBasedOnInvestmentIncome |
| Total Credits And Payments | 0 | TotalCreditsAndPayments |
| Tax Due | 402 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | VA | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | FIRST BANK | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 5406782712 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1835 VALLEY AVENUE | AddressLine1 |
| City | WINCHESTER | City |
| State | VA | State |
| ZIP Code | 22601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person Name | FIRST BANK | PersonName |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1835 VALLEY AVENUE | AddressLine1 |
| City | WINCHESTER | City |
| State | VA | State |
| ZIP Code | 22601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | Title |
| Avg Hours Per Wk Devoted To Position | 0.50 | AvgHoursPerWkDevotedToPosition |
| Compensation | 8653 | Compensation |
| Contri To Empl Benefit Plans Etc | 0 | ContriToEmplBenefitPlansEtc |
| Expense Account Other Allowances | 0 | ExpenseAccountOtherAllowances |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A - ALL EXPENSES ATTRIBUTABLE TO GRANTS AND ADMINISTERING GRANT PROGRAMS. | Description1 |
| Expenses1 | 0 | Expenses1 |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 829528 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 37528 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 867056 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 867056 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 13006 | CashDeemedCharitable |
| Net Noncharitable Assets | 854050 | NetNoncharitableAssets |
| Minimum Investment Return | 42703 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 42703 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 402 | TaxBasedOnInvestmentIncome |
| Total Tax | 402 | TotalTax |
| Distributable Amount Before Adj | 42301 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 42301 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 42301 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 42931 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 42931 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 42931 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 42301 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 16379 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Total Excess Distri Carryover | 0 | TotalExcessDistriCarryover |
| Qualifying Distributions | 42931 | QualifyingDistributions |
| Applied To Year1 | 16379 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 26552 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 0 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 0 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 15749 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 0 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 0 | ExcessDistriCyovToNextYear |
Supplementary Information SupplementaryInformation
Appication Submission Info AppicationSubmissionInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Name | FIRST BANK | RecipientName |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1835 VALLEY AVENUE | AddressLine1 |
| City | WINCHESTER | City |
| State | VA | State |
| ZIP Code | 22601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone Number | 5406782712 | RecipientPhoneNumber |
| Form And Info And Materials | NO SPECIAL FORMAT REQUIRED. APPLICANTS MUST DEMONSTRATE THEIR CHARITABLE PURPOSE IS WITHIN THE PARAMETERS OF THE FOUNDATION PURPOSE AND MUST PROVIDE A COPY OF THEIR IRS EXEMPT STATUS DETERMINATION. | FormAndInfoAndMaterials |
| Submission Deadlines | NONE | SubmissionDeadlines |
| Restrictions On Awards | NONE | RestrictionsOnAwards |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (16 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| BIG BROTHERS BIG SISTERS OF WINCFREDCLARK COUNTIES | |||||||
| 121 YOUTH DEVELOPMENT COURT | WINCHESTER | VA | 22602 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $1,000 |
| C-CAP | |||||||
| 112 SOUTH KENT STREET | WINCHESTER | VA | 22601 | NONE | PUBLIC CHARITY | CONGREGATIONAL COMMUNITY ACTION PROJECT | $3,000 |
| HANDLEY HIGH SCHOOL MUSEUM & ARCHIVE | |||||||
| PO BOX 910 | WINCHESTER | VA | 22604 | NONE | PUBLIC CHARITY | MUSEUM/ARCHIVE | $2,000 |
| HENRY & WILLIAM EVANS HOME FOR CHILDREN INC | |||||||
| 300 EAST LEICESTER STREET | WINCHESTER | VA | 22601 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $4,000 |
| KERNSTOWN BATTLEFIELD ASSOCIATION | |||||||
| PO BOX 1327 | WINCHESTER | VA | 22604 | NONE | PUBLIC CHARITY | PROPERTY ACQUISITION OR CAPITAL IMPROVEMENT | $4,000 |
| OLD COURTHOUSE CIVIL WAR MUSEUM | |||||||
| 20 NORTH LOUDOUN STREET | WINCHESTER | VA | 22601 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $1,000 |
| PRESBYTERIAN COLLEGE CHURCH | |||||||
| 418 COLLEGE ROAD | HAMPDEN SYDNEY | VA | 23943 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $4,000 |
| SALVATION ARMY | |||||||
| 300 FORT COLLIER ROAD | WINCHESTER | VA | 22603 | NONE | PUBLIC CHARITY | CAMP HAPPY LAND | $4,000 |
| STONE HOUSE FOUNDATION | |||||||
| PO BOX 143 | STEPHENS CITY | VA | 22655 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $1,000 |
| WINCFRED CTY HISTORICAL SOCIETY | |||||||
| 1340 SOUTH PLEASANT VALLEY ROAD | WINCHESTER | VA | 22601 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $3,000 |
| WINCHESTER AREA TEMPORARY THERMAL SHELTER | |||||||
| 217 OPEQUON CHURCH LANE | WINCHESTER | VA | 22602 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $3,000 |
| WINCHESTER CITY PUBLIC SCHOOLS | |||||||
| 12 NORTH WASHINGTON STREET | WINCHESTER | VA | 22601 | NONE | PUBLIC CHARITY | SCHOLARSHIPS | $6,000 |
| WAYSIDE FOUNDATION FOR THE ARTS | |||||||
| PO BOX 260 | MIDDLETOWN | VA | 22645 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $1,000 |
| SPECIAL LOVE | |||||||
| 117 YOUTH DEVELOPMENT COURT | WINCHESTER | VA | 22602 | NONE | PUBLIC CHARITY | CAMP FANTASTIC | $1,000 |
| SALVATION ARMY OF WINCHESTER | |||||||
| 300 FORT COLLIER ROAD | WINCHESTER | VA | 22603 | NONE | PUBLIC CHARITY | GENERAL PURPOSE | $1,000 |
| BLUE RIDGE HOSPICE | |||||||
| 333 W CORK ST 405 | WINCHESTER | VA | 22601 | NONE | PUBLIC CHARITY | CAMP HOPE | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 40000 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $16,182 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $12,093 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $28,275 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 28275 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount | $2,400 | Amount |
| Net Investment Income | 1200 | NetInvestmentIncome |
| Disbursements Charitable Prps | 1200 | DisbursementsCharitablePrps |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds (9 entries)
| Name Of BondNameOfBond | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| 25,000 SHS COCA-COLA CO .750% BOND | 24862 | 25090 |
| 25,000 SHS CISCO SYSTEMS 2.90% BOND | 26412 | 26092 |
| 25,000 SHS DIAGEO FINANCE BV 3.250% BOND | 26200 | 26258 |
| 25,000 SHS TEVA PHARMA FIN 3.0% BOND | 25943 | 26284 |
| 25,000 SHS AT&T INC 2.50% BOND | 25165 | 26065 |
| 25,000 SHS HEWLETT-PACKARD CO 2.125% BOND | 24969 | 24983 |
| 25,000 SHS FISERV 3.125% BOND | 25240 | 26211 |
| 25,000 SHS PROCTOR & GAMBLE 1.80% BOND | 25017 | 25843 |
| 25,000 SHS E.I. DU PONT DE NEMOURS 2.75% BOND | 24869 | 26388 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (24 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| 400/300 SHS COLGATE-PAMOLIVE | 24210 | 31362 |
| 800/450 SHS FASTENAL CO | 9390 | 20993 |
| 300 SHS MCDONALDS CORP | 18993 | 26463 |
| 0/150 SHS YUM! BRANDS INC | 10112 | 9960 |
| 400/200 SHS ABBOTT LABS | 10809 | 13100 |
| 300/200 SHS CELGENE CORP | 10568 | 15694 |
| 450 SHS ECOLAB INC COM | 19967 | 32355 |
| 300 SHS PRAXAIR INC | 23001 | 32835 |
| 400 SHS DANAHER CORP | 15913 | 22360 |
| 400 SHS UNITED PARCEL SERVICE | 24648 | 29492 |
| 75/60 SHS APPLE INC | 12126 | 31930 |
| 0/350 SHS CITRIX SYSTEMS | 23924 | 22967 |
| 0/400 SHS EBAY INC | 12080 | 20399 |
| 400 SHS QUALCOMM INC | 16424 | 24744 |
| 200/0 SHS APACHE CORP | 0 | 0 |
| 0/150 SHS NATIONAL-OILWELL INC | 10533 | 10253 |
| 300/250 SHS OCCIDENTAL PETE CORP | 19150 | 19153 |
| 0/250 SHS SCHLUMBERGER LTD | 17143 | 17325 |
| 600 SHS SUNCOR ENERGY | 19359 | 19788 |
| 100 SHS MEAD JOHNSON NUTRITION CO | 7049 | 6589 |
| 300 SHS DISCOVERY COMMUNICATIONS CL A | 12101 | 19044 |
| 300 SHS JACOBS ENGR GROUP INC | 12422 | 12771 |
| 50 SHS PRECISION CASTPARTS CORP | 7904 | 9471 |
| 275/0 SHS SILICON LABORATORIES | 0 | 0 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther (2 entries)
| Category Or ItemCategoryOrItem | Listed At Cost Or FMVListedAtCostOrFMV | Book ValueBookValue | EOYFMVEOYFMV |
|---|---|---|---|
| 1,891.17 SHS DODGE & COX MUTUAL FUND | AT COST | 58267 | 65510 |
| 800 SHS ISHARES BARCLAYS MUTUAL FUND | AT COST | 86147 | 97128 |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| FOREIGN TAXES | $45 | 45 | 0 |
| 2011 EXCISE TAX ON 990-PF | $364 | 0 | 0 |
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