HEALTH FORWARD FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH FORWARD FOUNDATION INC (EIN 15-6018016)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-07
- IRS object ID
- 201321279349100407
- Schema version
- 2012v2.0
- 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
- Form 990-PF
- Accounting Fees Schedule
- General Explanation Attachment
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-07T06:29:17-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FITZGERALD DEPIETRO & WOJNAS CPAs PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 291 GENESEE STREET | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13501 | 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 | 156018016 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SLOCUM-DICKSON FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SLOC | NameControl |
| Phone | 3157242145 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1729 BURRSTONE ROAD | AddressLine1 |
| City | NEW HARTFORD | City |
| State | NY | State |
| ZIP Code | 13413 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD COMPSON | Name |
| Title | President | Title |
| Date Signed | 2013-05-07 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | L Michael Fitzgerald | Name |
| PTIN | P00954037 | PTIN |
| Phone | 3157242145 | 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) |
|---|---|---|
| Initial Return Former Public Chrty | X | InitialReturnFormerPublicChrty |
| Taxable PF | X | TaxablePF |
| FMV Assets EOY | 1151035 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 25 | ContriReceivedRevAndExpnss |
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Dividends Rev And Expnss | 27377 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 27377 | DividendsNetInvstIncm |
| Dividends Adj Net Incm | 27377 | DividendsAdjNetIncm |
| Net Gain Sale Assets Rev And Expnss | 17689 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 130981 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 17689 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 45091 | TotalRevenueAndExpenses |
| Total Net Investment Income | 45066 | TotalNetInvestmentIncome |
| Total Adjusted Net Income | 27377 | TotalAdjustedNetIncome |
| Accounting Fees Rev And Expnss | 1580 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 1580 | AccountingFeesNetInvstIncm |
| Other Prof Fees Rev And Expnss | 8188 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 8188 | OtherProfFeesNetInvstIncm |
| Taxes Rev And Expnss | 667 | TaxesRevAndExpnss |
| Other Expenses Rev And Expnss | 2690 | OtherExpensesRevAndExpnss |
| Tot Opr Expenses Rev And Expnss | 13125 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 9768 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 0 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 41580 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 41580 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 54705 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 9768 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 41580 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -9614 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 35298 | NetInvestmentIncome |
| Adjusted Net Income | 27377 | AdjustedNetIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investments Govt Oblig BOY | 980344 | InvestmentsGovtObligBOY |
| Investments Govt Oblig EOY | 1020812 | InvestmentsGovtObligEOY |
| Investments Govt Oblig EOYFMV | 1123259 | InvestmentsGovtObligEOYFMV |
| Investments Other BOY | 75121 | InvestmentsOtherBOY |
| Investments Other EOY | 25039 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 27776 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 1055465 | TotalAssetsBOY |
| Total Assets EOY | 1045851 | TotalAssetsEOY |
| Total Assets EOYFMV | 1151035 | TotalAssetsEOYFMV |
| Accounts Payable BOY | 1500 | AccountsPayableBOY |
| Accounts Payable EOY | 1500 | AccountsPayableEOY |
| Total Liabilities BOY | 1500 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1500 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 1053965 | CapitalStockBOY |
| Capital Stock EOY | 1044351 | CapitalStockEOY |
| Total Net Assets BOY | 1053965 | TotalNetAssetsBOY |
| Total Net Assets EOY | 1044351 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 1055465 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 1045851 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 1053965 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -9614 | ExcessOfRevenueOverExpenses |
| Subtotal | 1044351 | Subtotal |
| Total Net Assets Fund Balances EOY | 1044351 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 17689 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 71482 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 1126541 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.06345 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 92690 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 1139322 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.08136 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 62252 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 1055924 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.05896 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 78318 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 1181824 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.06627 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 99229 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 1387757 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.07150 | DistributionRatioYear5 |
| Total Distribution Ratio | 0.34154 | TotalDistributionRatio |
| Average Distribution Ratio | 0.06831 | AverageDistributionRatio |
| Net Noncharitable Assets | 1108026 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 75686 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 353 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 76039 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 41580 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 706 | InvestmentIncomeExciseTax |
| Subtotal | 706 | Subtotal |
| Tax Based On Investment Income | 706 | TaxBasedOnInvestmentIncome |
| Form2220 Attached | X | Form2220Attached |
| Penalty For Underpayment | 9 | PenaltyForUnderpayment |
| Tax Due | 715 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | false | LegislativePoliticalActivities |
| More Than100 Spent | false | MoreThan100Spent |
| Form1120 POL Filed | false | Form1120POLFiled |
| Activities Not Prev Reported | false | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | false | UnrelatedBusIncomeOver1000 |
| Form990 T Filed | false | Form990TFiled |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| States Filed With | NY | StatesFiledWith |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | false | PrivateOperatingFoundation |
| New Substantial Contributors | false | NewSubstantialContributors |
| Interest In Controlled Entity | false | InterestInControlledEntity |
| Applicable Insurance Contract | false | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | true | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FITZGERALD DEPIETRO & WOJNAS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 3157242145 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 291 GENESEE ST | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | false | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | false | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | false | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | false | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | false | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | false | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | false | PaymentToGovernmentOffical |
| Acts Fail To Qualify As Exceptions | false | ActsFailToQualifyAsExceptions |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| Undistr Income4942a2 Not Applied | false | UndistrIncome4942a2NotApplied |
| Business Holdings | false | BusinessHoldings |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Jeopardy Investments | false | JeopardyInvestments |
| Uncorrected Jeopardy Investments | false | UncorrectedJeopardyInvestments |
| Influence Legislation | false | InfluenceLegislation |
| Influence Election | false | InfluenceElection |
| Grants To Individuals | false | GrantsToIndividuals |
| Grants To Organizations | false | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| Tr Fail To Qualify As Exceptions | false | TrFailToQualifyAsExceptions |
| Maint Expend Responsibility | false | MaintExpendResponsibility |
| Rcv Funds To Pay Prsnl Bnft Contract | false | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
| Proceeds Or Net Income | false | ProceedsOrNetIncome |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| STEPHEN EADLINE MD | ||||||
| 1729 BURRSTONE RD | NEW HARTFORD | NY | 13413 | Director | 0.00 | 0 |
| ELIZABETH DUGAN | ||||||
| 2634 EDGEWOOD RD | UITICA | NY | 13501 | Vice President | 0.00 | 0 |
| JAMES CEASER MD | ||||||
| 32 MORGAN LANE | NEW HARTFORD | NY | 13413 | Director | 0.00 | 0 |
| GAIL JOHNSON MD | ||||||
| 1729 BURRSTONE RD | NEW HARTFORD | NY | 13413 | Director | 0.00 | 0 |
| RICHARD COMPSON | ||||||
| 2621 GENESEE ST | UTICA | NY | 13501 | President | 0.00 | 0 |
| JONAS KELLY | ||||||
| 1729 BURRSTONE RD | NEW HARTFORD | NY | 13413 | Director | 0.00 | 0 |
| DOMINIC PASSALACQUA | ||||||
| 1600 BURRSTONE ROAD | UTICA | NY | 13502 | Director | 0.00 | 0 |
| MEREDITH BONHAM | ||||||
| 198 COLLEGE HILL RD | CLINTON | NY | 13323 | Director | 0.00 | 0 |
| PHYLLIS SPINNER | ||||||
| 53 ELM STREET | DOLGEVILLE | NY | 13329 | Director | 0.00 | 0 |
| PETER OJURO | ||||||
| 1729 BURRSTONE ROAD | NEW HARTFORD | NY | 13413 | Director | 0.00 | 0 |
| TONY SPIRIDIGLOZZI | ||||||
| 310 GENESEE ST | UTICA | NY | 13502 | Treasurer | 0.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 1124900 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 0 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 1124900 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Adj Total FMV Of Unused Assets | 1124900 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 16874 | CashDeemedCharitable |
| Net Noncharitable Assets | 1108026 | NetNoncharitableAssets |
| Minimum Investment Return | 55401 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 55401 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 706 | TaxBasedOnInvestmentIncome |
| Total Tax | 706 | TotalTax |
| Distributable Amount Before Adj | 54695 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 54695 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 54695 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 41580 | ExpensesAndContributions |
| Qualifying Distributions | 41580 | QualifyingDistributions |
| Adj Qualifying Distributions | 41580 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 54695 | DistributableAmountAsAdjusted |
| Excess Distri Carryover Year5 | 32813 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 19835 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 9792 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 35928 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 15572 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 113940 | TotalExcessDistriCarryover |
| Qualifying Distributions | 41580 | QualifyingDistributions |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 41580 | AppliedToCurrentYear |
| Excess Distri Cyov App CY Corpus | 13115 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 13115 | ExcessDistriCyovAppliedCY |
| Total Corpus | 100825 | TotalCorpus |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Excess Distri Cyov From Year5 | 19698 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 81127 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 19835 | ExcessFromYear4 |
| Excess From Year3 | 9792 | ExcessFromYear3 |
| Excess From Year2 | 35928 | ExcessFromYear2 |
| Excess From Year1 | 15572 | ExcessFromYear1 |
Supplementary Information SupplementaryInformation
Appication Submission Info AppicationSubmissionInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Name | Slocum Dickson Foundation INC | RecipientName |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1729 Burrstone Road | AddressLine1 |
| City | New Hartford | City |
| State | NY | State |
| ZIP Code | 13413 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Info And Materials | DETAILED LETTER REQUEST WITH SUPPORTING DOCUMENTS | FormAndInfoAndMaterials |
| Submission Deadlines | MARCH 1 AND SEPTEMBER 1 OF EACH YEAR | SubmissionDeadlines |
| Restrictions On Awards | CENTRAL NEW YORK, MEDICAL EDUCATION RELATED | RestrictionsOnAwards |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (11 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| CORNELL COOPERATIVE EXTENSION | |||||||
| 2nd St | ORISKANY | NY | 13424 | NA | 501C | GENERAL FUND | $4,000 |
| FAMILY NURTURING CENTER | |||||||
| 209 Elizabeth St Utica | UTICA | NY | 13501 | NA | 501C | GENERAL FUND | $3,500 |
| CENTER FOR FAMILY LIFE AND RECOVERY | |||||||
| 502 Court Street | UTICA | NY | 13502 | NA | 501C3 | GENERAL FUND | $1,820 |
| SLOCUM DICKSON EDUCATIONAL INSTITUT | |||||||
| 1729 Burrstone Road | NEW HARTFORD | NY | 13413 | NA | 501C3 | GENERAL FUND | $7,500 |
| ST ELIZABETH SCHOOL OF NURSING | |||||||
| 2215 GENESEE STREET | UTICA | NY | 13501 | NA | 501C3 | general fund | $2,500 |
| FAXTON-ST LUKES HEALTHCARE | |||||||
| 2215 GENESEE STREET | UTICA | NY | 13501 | NA | 501C3 | general fund | $2,500 |
| BOCES NEW VISION HEALTH | |||||||
| 4747 MIDDLESETTLEMENT ROAD | NEW HARTFORD | NY | 13413 | NA | 501C3 | general fund | $6,063 |
| HERKIMER COUNTY COMM COLL | |||||||
| 100 RESERVOIR ROAD | HERKIMER | NY | 13350 | NA | 501C3 | general fund | $2,000 |
| CENTRAL ASSOCIATION FOR BLIND | |||||||
| 507 KENT STREET | UTICA | NY | 13502 | NA | 501C3 | general fund | $3,727 |
| VALLEY HEALTH SERVICES INC | |||||||
| 690 W GERMAN STREET | HERKIMER | NY | 13350 | NA | 501C3 | GENERAl fund | $4,970 |
| UTICA COLLEGE | |||||||
| BURRSTONE ROAD | UTICA | NY | 13502 | NA | 501C3 | GENERAl FUND | $3,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 41580 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $27,377 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $17,689 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $45,066 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 45066 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | false | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | false | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | false | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | false | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | false | ReimbursementArrangements |
| Loans Or Loan Guarantees | false | LoansOrLoanGuarantees |
| Performance Of Services Etc | false | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | false | RelationshipsNoncharitableEOs |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | Category |
| Amount | $1,580 | Amount |
| Net Investment Income | 1580 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanation (2 entries)
| ExplanationExplanation |
|---|
| PART VIII, LINE 1STATEMENT 8 ADDENDUMPRESIDENT AND TREASURER DEVOTE 15 HOURS ANNYALLY TO THEIR POSITIONALL DIRECTORS DEVOTE 5 HOURS ANNUALLY TO THEIR POSITION |
| SCHEDULE 1 - PART II, LINE 10a and 13NAME BOOK MARKET GE CAP CORP MEDIUM TERM NTS 25,039 27,776 ---------- ---------TOTAL 25,039 27,776 Columbia Acorn Fund Class Z 61,124 78,645 Dodge & Cox Stock Fund 50,314 53,270 Europacific Growth Fund Class F-1 69,852 83,401Fundamental Invenstors Class F-1 84,298 93,359Harbor International Fund 97,058 101,178 Harbor Capital Appreciation Fund 75,446 82,468Oppenheimer INTL Bond Class A 65,897 66,474 Pimco Total Return Class A 198,216 202,141 Vanguard Intermediate Term 48,100 46,616 Vanguard Inflation Protected 78,541 86,517Vanguard 500 Index Fund Investor Shares 110,037 120,307Vanguard Mid- Cap Stock Index Fund 68,122 95,076Sunamerica Money Market 13,807 13,807 ---------- ---------TOTAL 1,020,8121,123,259 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Securities EOY Book Value | 1020812 | USGovtSecuritiesEOYBookValue |
| US Govt Securities EOYFMV | 1123259 | USGovtSecuritiesEOYFMV |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | SEE ATTACHED SCHEDULE 1 | CategoryOrItem |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMV |
| Book Value | 25039 | BookValue |
| EOYFMV | 27776 | EOYFMV |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks |
|---|---|
| Miscellaneous | 1168 |
| INSURANCE | 1522 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Fees | Category |
| Amount | $8,188 | Amount |
| Net Investment Income | 8188 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Taxes | Category |
| Amount | $667 | Amount |
Comments