SHIRLEY AND DAVID TOOMIM FAMILY FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SHIRLEY AND DAVID TOOMIM FAMILY FOUNDATION (EIN 76-0585077)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-09
IRS object ID
201341299349100724
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)
Timestamp2013-05-09T09:53:45-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARGOLIS PHIPPS & WRIGHT PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11400 POST OAK BLVD STE 900AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code770563009ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN760585077EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHIRLEY AND DAVID TOOMIM FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BRUCE M LEVYInCareOfName
Name ControlSHIRNameControl
Phone7136627784Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15333 GULFTONAddressLine1
Address Line2SuiteAddressLine2
CityHOUSTONCity
StateTXState
ZIP Code770812801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE LEVYName
TitleMANAGERTitle
Phone7136627784Phone
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAN I PHIPPSName
Phone7136253500Phone
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 EOY3605893FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss0ContriReceivedRevAndExpnss
Interest On Savings Rev And Expnss2InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm2InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss92655DividendsRevAndExpnss
Dividends Net Invst Incm89158DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss136948NetGainSaleAssetsRevAndExpnss
Gross Sales Price2669216GrossSalesPrice
Capital Gain Net Incm Net Invst Incm136948CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses229605TotalRevenueAndExpenses
Total Net Investment Income226108TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Accounting Fees Rev And Expnss4800AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm2400AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps2400AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss22675OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm22361OtherProfFeesNetInvstIncm
Taxes Rev And Expnss3273TaxesRevAndExpnss
Taxes Net Invst Incm68TaxesNetInvstIncm
Other Expenses Rev And Expnss74OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm37OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps37OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss30822TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm24866TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm0TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps2437TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss165398ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps165398ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss196220TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm24866TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm0TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps167835TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses33385ExcessOfRevenueOverExpenses
Net Investment Income201242NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY17111CashBOY
Cash EOY14276CashEOY
Cash EOYFMV14276CashEOYFMV
Savings And Temp Cash Invst BOY732109SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY80224SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV80224SavingsAndTempCashInvstEOYFMV
Prepaid Expenses BOY3880PrepaidExpensesBOY
Prepaid Expenses EOY3240PrepaidExpensesEOY
Prepaid Expenses EOYFMV3240PrepaidExpensesEOYFMV
Investments Govt Oblig BOY575928InvestmentsGovtObligBOY
Investments Govt Oblig EOY959327InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV978406InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY1704751InvestmentsCorpStockBOY
Investments Corp Stock EOY1876015InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV2082744InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY305494InvestmentsCorpBondsBOY
Investments Corp Bonds EOY439832InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV447003InvestmentsCorpBondsEOYFMV
Total Assets BOY3339273TotalAssetsBOY
Total Assets EOY3372914TotalAssetsEOY
Total Assets EOYFMV3605893TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY150000CapitalStockBOY
Capital Stock EOY150000CapitalStockEOY
Retained Earnings BOY3189273RetainedEarningsBOY
Retained Earnings EOY3222914RetainedEarningsEOY
Total Net Assets BOY3339273TotalNetAssetsBOY
Total Net Assets EOY3372914TotalNetAssetsEOY
Total Liabilities Net Assets BOY3339273TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY3372914TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY3339273TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses33385ExcessOfRevenueOverExpenses
Other Increases256OtherIncreases
Subtotal3372914Subtotal
Total Net Assets Fund Balances EOY3372914TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (7 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredDate SoldDateSoldGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
AVALON STMT D-1P2012-12-31924907925037-130-130
AVALON STMT D-2P2012-12-31278037280295-2258-2258
AVALON STMT D-2P2012-12-31101489102173-684-684
AVALON STMT D-3P2012-12-3169723869043468046804
AVALON STMT D-3P2012-12-31579150450960128190128190
AVALON STMT D-4P2012-12-315495754021936936
AVALON STMT D-4P2012-12-31332172934838693869
FieldValueIRS element (for citing)
Capital Gain Net Income136948CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year1194445QualifyingDistributionsYear1
Noncharitable Assets Year12929340NoncharitableAssetsYear1
Distribution Ratio Year10.066378DistributionRatioYear1
Qualifying Distributions Year2130621QualifyingDistributionsYear2
Noncharitable Assets Year22821453NoncharitableAssetsYear2
Distribution Ratio Year20.046296DistributionRatioYear2
Qualifying Distributions Year395036QualifyingDistributionsYear3
Noncharitable Assets Year32433213NoncharitableAssetsYear3
Distribution Ratio Year30.039058DistributionRatioYear3
Qualifying Distributions Year4293532QualifyingDistributionsYear4
Noncharitable Assets Year42781298NoncharitableAssetsYear4
Distribution Ratio Year40.105538DistributionRatioYear4
Qualifying Distributions Year598116QualifyingDistributionsYear5
Noncharitable Assets Year51938946NoncharitableAssetsYear5
Distribution Ratio Year50.050603DistributionRatioYear5
Total Distribution Ratio0.307873TotalDistributionRatio
Average Distribution Ratio0.061575AverageDistributionRatio
Net Noncharitable Assets3563572NetNoncharitableAssets
Adjusted Noncharitable Assets219427AdjustedNoncharitableAssets
One Percent Net Investment Income2012OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One221439AdjNonchrtblAssetsAndOnePct
Qualifying Distributions167835QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax4025InvestmentIncomeExciseTax
Subtotal4025Subtotal
Tax Based On Investment Income4025TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment3240EstTaxPaymentsAndOverpayment
Total Credits And Payments3240TotalCreditsAndPayments
Tax Due785TaxDue

Statements Regarding Activities StatementsRegardingActivities

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

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRUCE M LEVYBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number7136627784BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line15333 GULFTONAddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77081ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

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

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
BRUCE LEVY
5333 GULFTONHOUSTONTX770812801TRUSTEE1.0000
ELLEN ROBINSON
PO BOX 219169HOUSTONTX772189169TRUSTEE1.0000
SHIRLEY TOOMIM
PO BOX 219169HOUSTONTX77024TRUSTEE1.0000

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1N/ADescription1
FieldValueIRS element (for citing)
Sum Of Program Related InvestmentsSumOfProgramRelatedInvestments

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities3426950AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances190890AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets3617840TotalFMVOfUnusedAssets
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets3617840AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable54268CashDeemedCharitable
Net Noncharitable Assets3563572NetNoncharitableAssets
Minimum Investment Return178179MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return178179MinimumInvestmentReturn
Tax Based On Investment Income4025TaxBasedOnInvestmentIncome
Total Tax4025TotalTax
Distributable Amount Before Adj174154DistributableAmountBeforeAdj
Distributable Amount Before Ded174154DistributableAmountBeforeDed
Distributable Amount As Adjusted174154DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions167835ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Amounts Paid Acq Charitable Assets0AmountsPaidAcqCharitableAssets
Amounts Set Aside Suitability Test0AmountsSetAsideSuitabilityTest
Amounts Set Aside Cash Distri Test0AmountsSetAsideCashDistriTest
Qualifying Distributions167835QualifyingDistributions
Adj Qualifying Distributions167835AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted174154DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Prior Year12010PriorYear1
Prior Year22009PriorYear2
Prior Year32008PriorYear3
Excess Distri Carryover Year50ExcessDistriCarryoverYear5
Excess Distri Carryover Year462632ExcessDistriCarryoverYear4
Excess Distri Carryover Year1197650ExcessDistriCarryoverYear1
Total Excess Distri Carryover260282TotalExcessDistriCarryover
Qualifying Distributions167835QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Current Year167835AppliedToCurrentYear
Remaining Distri From Corpus0RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus6319ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY6319ExcessDistriCyovAppliedCY
Total Corpus253963TotalCorpus
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year253963ExcessDistriCyovToNextYear
Excess From Year456313ExcessFromYear4
Excess From Year1197650ExcessFromYear1
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundations

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerSHIRLEY TOOMIMContributingManager
Shareholder ManagerNONEShareholderManager

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameBRUCE M LEVYRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line15333 GULFTONAddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77081ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number7136627784RecipientPhoneNumber
Form And Info And MaterialsNO PRESCRIBED FORMFormAndInfoAndMaterials
Submission DeadlinesNONESubmissionDeadlines
Restrictions On AwardsNONERestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (17 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
CONGREGATION BETH ISRAEL
5600 NORTH BRAESWOOD BLVDHOUSTONTX77096NONEPUBLIC CHARITYBLOCK ART EXHIBIT$1,500
THE EMERYWEINER SCHOOL
9825 STELLA LINKHOUSTONTX77025NONEPUBLIC CHARITYTROPHY CASES, SMARTBOARD, SENIOR LOUNGE FURNITURE$15,405
HOUSTON ACHEIVEMENT PLACE
245 W 17TH STREETHOUSTONTX77008NONEPUBLIC CHARITYTUTORING & SUMMER CAMP FOR FOSTER KIDS$5,000
JEWISH CHILDREN'S REGIONAL SERVICES
PO BOX 7368METAIRIELA70010NONEPUBLIC CHARITYSCHOLARSHIP PROGRAM SUPPORT$2,500
JEWISH COMMUNITY CENTER
5601 SOUTH BRAESWOOD BLVDHOUSTONTX77096NONEPUBLIC CHARITYMEALS ON WHEELS WEEKEND PROGRAM FUNDING; MACCABI GAMES PROGRAM SUPPORT$27,000
JEWISH FEDERATION OF GREATER HOUSTON
5603 SOUTH BRAESWOOD BLVDHOUSTONTX77096NONEPUBLIC CHARITYJEWISH CHAPLAINCY PROGRAM; YOUTH EMPOWERMENT PROGRAM IN SDEROT$20,000
WOMEN ON THE WAY UP
3325 WESTHEIMERHOUSTONTX77098NONEPUBLIC CHARITYJOAN KARFF MENTORING PROGRAM SUPPORT$2,500
JEWISH FAMILY SERVICE
4131 SOUTH BRAESWOOD BLVDHOUSTONTX77025NONEPUBLIC CHARITYSENIOR ADULT FINANCIAL AID$10,000
INITIATIVE FOR JEWISH WOMEN
5925 KIRBY 474HOUSTONTX77005NONEPUBLIC CHARITYPROGRAM SUPPORT$3,000
GREEN FAMILY CAMP
1192 SMITH LANEBRUCEVILLETX76630NONEPUBLIC CHARITYENHANCEMENTS TO LAKE$50,000
HOUSTON HILLEL
1700 BISSONNETHOUSTONTX77005NONEPUBLIC CHARITYCAMPUS LUNCHES - RICE UNIVERSITY & UNIVERSITY OF HOUSTON; FURNITURE$7,093
SEVEN ACRES
6200 NORTH BRAESWOOD BLVDHOUSTONTX77074NONEPUBLIC CHARITYHIGH LOW ELECTRIC HOSPITAL BEDS$5,400
SEARCH HOMELESS SERVICES
2505 FANNINHOUSTONTX77002NONEPUBLIC CHARITYMOBILE OUTREACH PROGRAM$5,000
CITIZEN SCHOOLS
2503 ROBINHOOD ST SUITE 100HOUSTONTX77005NONEPUBLIC CHARITYTEAM SPONSOR$5,000
WORK FAITH CONNECTION
1500 N POST OAK STE 150HOUSTONTX77055NONEPUBLIC CHARITYREADINESS CLASS PROGRAM SUPPORT$2,000
CASA DE ESPERANZA
PO BOX 66581HOUSTONTX77266NONEPUBLIC CHARITYASSISTANCE TO PURCHASE INFANT FORMULA$1,500
MEMORIAL PARK CONSERVANCY
6501 MEMORIAL DRIVEHOUSTONTX77007NONEPUBLIC CHARITYFORESTRY PLAN SUPPORT$2,500
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year165398TotGrantOrContriPaidDuringYear

Grant Or Contri Approved For Future GrantOrContriApprovedForFuture (3 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
GREEN FAMILY CAMP
1192 SMITH LANEBRUCEVILLETX77630NONEPUBLIC CHARITYLAKE ENHANCEMENT$150,000
JEWISH CHILDREN'S REGIONAL SERVICES
3500 N CAUSEWAY BLVD SUITE 1120METAIRIELA70002NONEPUBLIC CHARITYSCHOLARSHIP PROGRAM SUPPORT$2,500
SEARCH HOMELESS SERVICES
2505 FANNINHOUSTONTX77002NONEPUBLIC CHARITYEMPLOYMENT SERVICES PROGRAM SUPPORT$10,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Approved Future162500TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

FieldValueIRS element (for citing)
Fees Contracts From Govt AgenciesFeesContractsFromGovtAgencies
Membership Dues And AssessmentsMembershipDuesAndAssessments

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$2ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$89,158ExclusionAmount
Related Or Exempt Function Income3497RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Net Rental Incm Re Debt Fincd PropNetRentalIncmReDebtFincdProp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Incm Personal PropertyNetRentalIncmPersonalProperty
Other Investment Income Part VIIOtherInvestmentIncomePartVII

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$136,948ExclusionAmount
FieldValueIRS element (for citing)
Net Income Loss From Special EventsNetIncomeLossFromSpecialEvents
Gross Profit Loss Sales Of InvntryGrossProfitLossSalesOfInvntry

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$226,108ExclusionAmount
Related Or Exempt Function Income3497RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA229605TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

FieldValueIRS element (for citing)
Line NumberN/ALineNumber
Relationship StatementNOT APPLICABLERelationshipStatement

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryTAX PREPARATIONCategory
Amount$4,800Amount
Net Investment Income2400NetInvestmentIncome
Disbursements Charitable Prps2400DisbursementsCharitablePrps

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (2 entries)

Name Of BondNameOfBondEOY Book ValueEOYBookValueEOYFMVEOYFMV
FIDELITY MANAGED ACCOUNT
SEE ATTACHMENT 16439832447003

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (3 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
FIDELITY MANAGED ACCOUNTS
SEE ATTACHMENT 1711372881254588
SEE ATTACHMENT 18738727828156

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value61106USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV61900USGovtSecuritiesEOYFMV
State Local Securities EOY Book Val898221StateLocalSecuritiesEOYBookVal
State Local Securities EOYFMV916506StateLocalSecuritiesEOYFMV

Land Etc Schedule2 LandEtcSchedule2

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionBUSINESS MEALSDescription
Revenue And Expenses Per Books74RevenueAndExpensesPerBooks
Net Investment Income37NetInvestmentIncome
Disbursements Charitable Prps37DisbursementsCharitablePrps

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionTIMING DIFFERENCEDescription
Amount$256Amount

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategory
Amount$22,675Amount
Net Investment Income22361NetInvestmentIncome

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncome
FEDERAL EXCISE TAX$3,205
FOREIGN TAXES$6868

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