LOUIS W BAEHR & DOLPHA BAEHR FOUNDATION: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: LOUIS W BAEHR & DOLPHA BAEHR FOUNDATION (EIN 48-6129741)
Tax period: 2011-05-01 to 2012-04-30
Filed: 2013-03-15
IRS object ID: 201330749349100303
Schema version: 2011v1.2
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
Other Decreases Schedule
Other Increases Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-03-15T08:23:49-07:00	Timestamp
Tax Period End Date	2012-04-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AGLER & GAEDDERT CHARTERED	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1020	AddressLine1
City	OTTAWA	City
State	KS	State
ZIP Code	66067	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2011-05-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	486129741	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LOUIS W BAEHR AND DOLPHA BAEHR CHARITABLE TRUST	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	LOUI	NameControl
Phone	9132943811	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	FIRST OPTION TRUST DEPT PO BOX B	AddressLine1
City	PAOLA	City
State	KS	State
ZIP Code	66071	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	FIRST OPTION BANK TRUST DEPT	Name
Title	TRUSTEE	Title
Phone	9132943811	Phone
Date Signed	2013-03-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LUCILLE L HINDERLITER	Name
Phone	7852423170	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Exempt PF	X	ExemptPF
FMV Assets EOY	4316090	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Not Required To Attach Schedule B	X	NotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss	7	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	7	InterestOnSavingsNetInvstIncm
Interest On Savings Adj Net Incm	7	InterestOnSavingsAdjNetIncm
Dividends Rev And Expnss	132682	DividendsRevAndExpnss
Dividends Net Invst Incm	132682	DividendsNetInvstIncm
Dividends Adj Net Incm	132682	DividendsAdjNetIncm
Capital Gain Net Incm Net Invst Incm	242547	CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses	132689	TotalRevenueAndExpenses
Total Net Investment Income	375236	TotalNetInvestmentIncome
Total Adjusted Net Income	132689	TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss	42799	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	8560	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm	8560	CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	34239	CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss	2050	AccountingFeesRevAndExpnss
Accounting Fees Dsbrs Chrtbl Prps	2050	AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss	1555	TaxesRevAndExpnss
Tot Opr Expenses Rev And Expnss	46404	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	8560	TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm	8560	TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	36289	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	150903	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	150903	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	197307	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	8560	TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm	8560	TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps	187192	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	-64618	ExcessOfRevenueOverExpenses
Net Investment Income	366676	NetInvestmentIncome
Adjusted Net Income	124129	AdjustedNetIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	1	CashBOY
Savings And Temp Cash Invst BOY	5963	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	28968	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	28968	SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY	52450	InvestmentsGovtObligBOY
Investments Govt Oblig EOY	71673	InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV	72219	InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY	1130475	InvestmentsCorpStockBOY
Investments Corp Stock EOY	1251176	InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV	4214903	InvestmentsCorpStockEOYFMV
Total Assets BOY	1188889	TotalAssetsBOY
Total Assets EOY	1351817	TotalAssetsEOY
Total Assets EOYFMV	4316090	TotalAssetsEOYFMV
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	3198977	CapitalStockBOY
Capital Stock EOY	3441524	CapitalStockEOY
Retained Earnings BOY	-2010088	RetainedEarningsBOY
Retained Earnings EOY	-2089707	RetainedEarningsEOY
Total Net Assets BOY	1188889	TotalNetAssetsBOY
Total Net Assets EOY	1351817	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	1188889	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	1351817	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	1188889	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	-64618	ExcessOfRevenueOverExpenses
Other Increases	242547	OtherIncreases
Subtotal	1366818	Subtotal
Other Decreases	15001	OtherDecreases
Total Net Assets Fund Balances EOY	1351817	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (11 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
GNMA/FHLMC PRINCIPAL	P	1987-08-12	2011-05-16	30051	30645	-594	-594
COMMON STOCK, 225 SH EXXON MOBIL	P	1996-05-07	2011-06-16	17727	4709	13018	13018
COMMON STOCK, 250 SH JOHSON & JOHNSON	P	2000-03-07	2011-06-16	16485	8510	7975	7975
COMMON STOCK, 260 SH PROCTOR & GAMBLE	P	1992-05-19	2011-06-16	16617	3354	13263	13263
COMMON STOCK, 1000 SH INTEL CORP	P	2003-01-27	2011-11-18	24040	15860	8180	8180
COMMON STOCK, 3600 SH GENL ELEC	P	1990-09-25	2011-11-18	56608	16797	39811	39811
COMMON STOCK, 150 SH GENL ELEC	P	1993-06-22	2011-11-18	2358	1197	1161	1161
COMMON STOCK, 1450 SH BRISTOL MYERS	P	1989-10-24	2011-11-18	44476	10420	34056	34056
COMMON STOCK, 1000 SH JOHNSON & JOHNSON	P	2000-03-07	2011-11-18	63989	34041	29948	29948
COMMON STOCK, 1465 SH PROCTER & GAMBLE	P	1992-05-19	2011-11-18	92263	18896	73367	73367
COMMON STOCK, 1000 SH ALTRIA GROUP	P	1991-06-17	2011-11-18	27560	5198	22362	22362

Field	Value	IRS element (for citing)
Capital Gain Net Income	242547	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	false	LiableFor4942Tax
Qualifying Distributions Year1	284431	QualifyingDistributionsYear1
Noncharitable Assets Year1	4035505	NoncharitableAssetsYear1
Distribution Ratio Year1	0.070482	DistributionRatioYear1
Qualifying Distributions Year2	172270	QualifyingDistributionsYear2
Noncharitable Assets Year2	3970644	NoncharitableAssetsYear2
Distribution Ratio Year2	0.043386	DistributionRatioYear2
Qualifying Distributions Year3	196856	QualifyingDistributionsYear3
Noncharitable Assets Year3	4070604	NoncharitableAssetsYear3
Distribution Ratio Year3	0.048360	DistributionRatioYear3
Qualifying Distributions Year4	225960	QualifyingDistributionsYear4
Noncharitable Assets Year4	5161193	NoncharitableAssetsYear4
Distribution Ratio Year4	0.043781	DistributionRatioYear4
Qualifying Distributions Year5	236798	QualifyingDistributionsYear5
Noncharitable Assets Year5	4827393	NoncharitableAssetsYear5
Distribution Ratio Year5	0.049053	DistributionRatioYear5
Total Distribution Ratio	0.255062	TotalDistributionRatio
Average Distribution Ratio	0.051012	AverageDistributionRatio
Net Noncharitable Assets	4125449	NetNoncharitableAssets
Adjusted Noncharitable Assets	210447	AdjustedNoncharitableAssets
One Percent Net Investment Income	3667	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	214114	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	187192	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Investment Income Excise Tax	7334	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	7334	Subtotal
Tax Based On Investment Income	7334	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	2200	EstTaxPaymentsAndOverpayment
Tax Paid With Extension	5134	TaxPaidWithExtension
Total Credits And Payments	7334	TotalCreditsAndPayments
Amount Credited To Next Year	0	AmountCreditedToNextYear

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
Termination Etc	false	TerminationEtc
Requirements Of Sect508e	true	RequirementsOfSect508e
At Least5000 In Assets	true	AtLeast5000InAssets
States Filed With	KS	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	FIRST OPTION BANK TRUST DEPT	BusinessNameLine1

Field	Value	IRS element (for citing)
Books In Care Of Phone Number	9132943811	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	702 BAPTISTE	AddressLine1
City	PAOLA	City
State	KS	State
ZIP Code	66071	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
Uncorrected Prior Acts	false	UncorrectedPriorActs
Undistributed Income Prior Years	false	UndistributedIncomePriorYears
Business Holdings	false	BusinessHoldings
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	true	GrantsToOrganizations
Noncharitable Purpose	false	NoncharitablePurpose
Tr Fail To Qualify As Exceptions	true	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

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FIRST OPTION BANK	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX B	AddressLine1
City	PAOLA	City
State	KS	State
ZIP Code	66071	ZIPCode

Field	Value	IRS element (for citing)
Title	TRUSTEE	Title
Avg Hours Per Wk Devoted To Position	4.00	AvgHoursPerWkDevotedToPosition
Compensation	42799	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

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	4146949	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	41324	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	4188273	TotalFMVOfUnusedAssets
Adj Total FMV Of Unused Assets	4188273	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	62824	CashDeemedCharitable
Net Noncharitable Assets	4125449	NetNoncharitableAssets
Minimum Investment Return	206272	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	206272	MinimumInvestmentReturn
Tax Based On Investment Income	7334	TaxBasedOnInvestmentIncome
Total Tax	7334	TotalTax
Distributable Amount Before Adj	198938	DistributableAmountBeforeAdj
Distributable Amount Before Ded	198938	DistributableAmountBeforeDed
Distributable Amount As Adjusted	198938	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	187192	ExpensesAndContributions
Qualifying Distributions	187192	QualifyingDistributions
Adj Qualifying Distributions	187192	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	198938	DistributableAmountAsAdjusted
Excess Distri Carryover Year1	25653	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	25653	TotalExcessDistriCarryover
Qualifying Distributions	187192	QualifyingDistributions
Applied To Current Year	187192	AppliedToCurrentYear
Excess Distri Cyov App CY Corpus	11746	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	11746	ExcessDistriCyovAppliedCY
Total Corpus	13907	TotalCorpus
Undistributed Income CY	0	UndistributedIncomeCY
Excess Distri Cyov To Next Year	13907	ExcessDistriCyovToNextYear
Excess From Year1	13907	ExcessFromYear1

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Contributing Manager	NONE	ContributingManager
Shareholder Manager	NONE	ShareholderManager

Appication Submission Info AppicationSubmissionInfo

Field	Value	IRS element (for citing)
Recipient Name	BOARD OF TRUSTEES BAEHR CHARITABLE	RecipientName

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	FIRST OPTION BANK TRUST DEPARTMENT	AddressLine1
City	PAOLA	City
State	KS	State
ZIP Code	66071	ZIPCode

Field	Value	IRS element (for citing)
Recipient Phone Number	9132943811	RecipientPhoneNumber
Form And Info And Materials	SEE ATTACHED APPLICATION	FormAndInfoAndMaterials
Submission Deadlines	SEE ATTACHED APPLICATION	SubmissionDeadlines
Restrictions On Awards	SEE ATTACHED APPLICATION	RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SEE ATTACHED SCHEDULE	BusinessNameLine1

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	OF CHARITABLE ORGANIZATIONS	AddressLine1
City	PAOLA	City
State	KS	State
ZIP Code	66071	ZIPCode

Field	Value	IRS element (for citing)
Recipient Foundation Status	N/A	RecipientFoundationStatus
Purpose Of Grant Or Contribution	Charitable	PurposeOfGrantOrContribution
Amount	$150,903	Amount

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	150903	TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$7	ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$132,682	ExclusionAmount

Other Revenue Described OtherRevenueDescribed

Field	Value	IRS element (for citing)
Description	EXCISE TAX REFUND	Description
Exclusion Code	1	ExclusionCode

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Exclusion	$132,689	ExclusionAmount

Field	Value	IRS element (for citing)
Total Part XVIA	132689	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

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases OtherDecreases (2 entries)

DescriptionDescription	AmountAmount
ROUNDING	$1
TAXABLE EXPENDITURE W/O EXPENDITURE RESPONSIBILITY	$15,000

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

Field	Value	IRS element (for citing)
Description	NET CAPITAL GAINS	Description
Amount	$242,547	Amount

Taxes Schedule TaxesSchedule

Taxes Taxes

Field	Value	IRS element (for citing)
Category	EXCISE TAX	Category
Amount	$1,555	Amount

LOUIS W BAEHR & DOLPHA BAEHR FOUNDATION: Form 990PF, tax year 2011

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990-PF IRS990PF

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Balance Sheets BalanceSheets

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (11 entries)

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Statements Regarding Activities StatementsRegardingActivities

Books In Care Of Business Name BooksInCareOfBusinessName

Books In Care Of US Address BooksInCareOfUSAddress

Statements Regarding Acty4720 StatementsRegardingActy4720

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee

Business Name BusinessName

US Address USAddress

Minimum Investment Return MinimumInvestmentReturn

Distributable DistributableAmount

Qualifying Distributions QualifyingDistributions

Undistributed Income UndistributedIncome

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

Recipient US Address RecipientUSAddress

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear

Recipient Business Name RecipientBusinessName

Recipient US Address RecipientUSAddress

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Other Revenue Described OtherRevenueDescribed

Subtotals Part XVIA SubtotalsPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases OtherDecreases (2 entries)

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

Taxes Schedule TaxesSchedule

Taxes Taxes

Comments