THOM FAMILY FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THOM FAMILY FOUNDATION INC (EIN 20-0374684)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-27
- IRS object ID
- 201343019349100404
- Schema version
- 2012v2.2
- 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
- Schedule B
- Gain Loss Sale Other Assets Sch
- General Explanation Attachment
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-27T11:43:34-00:00 | 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 | Foundation Source | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Lane Suite 212 | AddressLine1 |
| City | Lake Success | City |
| State | NY | State |
| ZIP Code | 11042 | 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 | 200374684 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Thom Family Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | THOM | NameControl |
| Phone | 8008391754 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeff A Thom | Name |
| Title | President | Title |
| Date Signed | 2013-10-27 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2013-10-27 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | 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 | 3276930 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 300000 | ContriReceivedRevAndExpnss |
| Dividends Rev And Expnss | 59041 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 59041 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 187763 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 1443420 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 214996 | CapitalGainNetIncmNetInvstIncm |
| Other Income Rev And Expnss | 15049 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | -658 | OtherIncomeNetInvstIncm |
| Total Revenue And Expenses | 561853 | TotalRevenueAndExpenses |
| Total Net Investment Income | 273379 | TotalNetInvestmentIncome |
| Other Prof Fees Rev And Expnss | 26466 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 26466 | OtherProfFeesNetInvstIncm |
| Taxes Rev And Expnss | 3291 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 27 | TaxesNetInvstIncm |
| Other Expenses Rev And Expnss | 18501 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 5 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 18456 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 48258 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 26498 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 18456 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 136200 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 136200 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 184458 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 26498 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 154656 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 377395 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 246881 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 176932 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 37973 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 37973 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 2152131 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 2689993 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 2936313 | InvestmentsCorpStockEOYFMV |
| Investments Other BOY | 324406 | InvestmentsOtherBOY |
| Investments Other EOY | 302898 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 302644 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 2653469 | TotalAssetsBOY |
| Total Assets EOY | 3030864 | TotalAssetsEOY |
| Total Assets EOYFMV | 3276930 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 2653469 | RetainedEarningsBOY |
| Retained Earnings EOY | 3030864 | RetainedEarningsEOY |
| Total Net Assets BOY | 2653469 | TotalNetAssetsBOY |
| Total Net Assets EOY | 3030864 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 2653469 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 3030864 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 2653469 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 377395 | ExcessOfRevenueOverExpenses |
| Subtotal | 3030864 | Subtotal |
| Total Net Assets Fund Balances EOY | 3030864 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (4 entries)
| Description Of AssetDescriptionOfAsset | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses | How AcquiredHowAcquired | Date AcquiredDateAcquired | Date SoldDateSold |
|---|---|---|---|---|---|---|---|
| Publicly-traded Securities | 1411455 | 1220574 | 218114 | 218114 | |||
| Passthrough K1 Capital Loss | -3235 | -3235 | |||||
| Section 751 Gain on Sale of Partnership - Reclass | -71 | -71 | |||||
| SUPERFUND GREEN, LP | 31964 | 31776 | 188 | 188 | P | 2009-04-24 | 2012-10-24 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 214996 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 118351 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 2821248 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.041950 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 106749 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 2395443 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.044563 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 97599 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 1837716 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 000.053109 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 71794 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 1590023 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 000.045153 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 60137 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 1410565 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 000.042633 | DistributionRatioYear5 |
| Total Distribution Ratio | 000.227408 | TotalDistributionRatio |
| Average Distribution Ratio | 000.045482 | AverageDistributionRatio |
| Net Noncharitable Assets | 2979785 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 135527 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 2469 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 137996 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 154656 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 2469 | InvestmentIncomeExciseTax |
| Subtotal | 2469 | Subtotal |
| Tax Based On Investment Income | 2469 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 2336 | EstTaxPaymentsAndOverpayment |
| Tax Paid With Extension | 195 | TaxPaidWithExtension |
| Total Credits And Payments | 2531 | TotalCreditsAndPayments |
| Tax Paid Original Return | 2531 | TaxPaidOriginalReturn |
| Form2220 Attached | X | Form2220Attached |
| Overpayment | 62 | Overpayment |
| Amount Credited To Next Year | 62 | 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 |
| 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 |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | co Foundation Source | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 8008391754 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | 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 | false | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| 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 (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| Kevin J Olson | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Dir | 001.00 | 0 |
| Paul Tanis | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Dir | 001.00 | 0 |
| Andrew J Thom | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Dir | 001.00 | 0 |
| Cynthia L Thom | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Dir | 001.00 | 0 |
| Jeff A Thom | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Pres / Dir | 001.00 | 0 |
| Joseph A Thom | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Dir | 001.00 | 0 |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 2603747 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 93969 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 327446 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 3025162 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 3025162 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 45377 | CashDeemedCharitable |
| Net Noncharitable Assets | 2979785 | NetNoncharitableAssets |
| Minimum Investment Return | 148989 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 148989 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 2469 | TaxBasedOnInvestmentIncome |
| Total Tax | 2469 | TotalTax |
| Distributable Amount Before Adj | 146520 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 146520 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 146520 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 154656 | ExpensesAndContributions |
| Qualifying Distributions | 154656 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 2469 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 152187 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 146520 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 20211 | UndistributedIncomePriorYear |
| Qualifying Distributions | 154656 | QualifyingDistributions |
| Applied To Year1 | 20211 | AppliedToYear1 |
| Applied To Current Year | 134445 | AppliedToCurrentYear |
| Undistributed Income CY | 12075 | UndistributedIncomeCY |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | Cynthia L Thom | ContributingManager |
| Contributing Manager | Jeff A Thom | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (23 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| ALZHEIMERS DISEASE&RLTD DISORDERS ASSOC | |||||||
| 7900 W 78TH ST | MINNEAPOLIS | MN | 55439 | N/A | 509a1 | General Unrestricted | $6,000 |
| AMERICAN HEART ASSOCIATION INC | |||||||
| 4701 W 77TH ST | MINNEAPOLIS | MN | 55435 | N/A | 509a1 | General Unrestricted | $6,000 |
| AMERICAN LUNG ASSOC OF UPPER MIDWEST | |||||||
| 3000 KELLY LN | SPRINGFIELD | IL | 62711 | N/A | 509a1 | General Unrestricted | $6,000 |
| AMERICAN NATIONAL RED CROSS | |||||||
| PO BOX 97089 | WASHINGTON | DC | 20090 | N/A | 509a1 | Hurricane Sandy Relief | $10,000 |
| AMERICAN RED CROSS - S CENTRAL MN | |||||||
| 105 HOMESTEAD DR | MANKATO | MN | 56001 | N/A | 509a1 | General Unrestricted | $4,000 |
| ARTHRITIS FOUNDATION INC | |||||||
| 1330 W PTREE ST NW STE 100 | ATLANTA | GA | 30309 | N/A | 509a1 | General Unrestricted | $6,000 |
| COVENANT HOUSE ALASKA | |||||||
| 609 F ST | ANCHORAGE | AK | 99501 | N/A | 509a1 | Youth Meals Project | $1,000 |
| CROSS INTERNATIONAL CATHOLIC OUTREACH | |||||||
| PO BOX 273908 | BOCA RATON | FL | 33427 | N/A | 509a1 | Food and Medicine for HIV/AIDS Affected Families | $5,000 |
| EMERGENCY COMM HELP ORGANIZATION ECHO | |||||||
| PO BOX 3212 | MANKATO | MN | 56002 | N/A | 509a1 | General Unrestricted | $5,000 |
| FEED MY STARVING CHILDREN | |||||||
| 401 93RD AVE NW | COON RAPIDS | MN | 55433 | N/A | 509a1 | General Unrestricted | $5,000 |
| FISHER HOUSE FOUNDATION INC | |||||||
| 111 ROCKVILLE PIKE STE 420 | ROCKVILLE | MD | 20850 | N/A | 509a1 | General Unrestricted | $5,000 |
| GOODWILL INDUSTRIES INC | |||||||
| 553 FAIRVIEW AVE N | SAINT PAUL | MN | 55104 | N/A | 509a1 | General Unrestricted | $4,000 |
| HABITAT FOR HUMANITY INTERNATIONAL INC | |||||||
| 1751 BASSETT DR | MANKATO | MN | 56001 | N/A | 509a1 | General Unrestricted | $5,000 |
| HELPING A HEROORG | |||||||
| 5910 ROSE ST | HOUSTON | TX | 77007 | N/A | 509a1 | General Unrestricted | $5,000 |
| HOUSE OF HOPE INC | |||||||
| 1429 3RD AVE | MANKATO | MN | 56001 | N/A | 509a1 | Expanding Hope Capital Campaign | $5,000 |
| JUNIOR ACHIEVEMENT OF THE UPPER MIDWEST | |||||||
| 1800 WHT BEAR AVE N | MAPLEWOOD | MN | 55109 | N/A | 509a1 | Finance Park Online Program | $24,700 |
| KIDS AGAINST HUNGER INC | |||||||
| 5401 BOONE AVE N | NEW HOPE | MN | 55428 | N/A | 509a1 | General Unrestricted | $5,000 |
| MAKE-A-WISH FOUNDATION OF MINNESOTA | |||||||
| 615 1ST AVE NE | MINNEAPOLIS | MN | 55413 | N/A | 509a1 | General Unrestricted | $4,000 |
| MARCH OF DIMES - SOUTHWEST DIVISION | |||||||
| 107 N 2ND ST | MANKATO | MN | 56001 | N/A | 509a1 | General Unrestricted | $6,000 |
| MINNESOTA HISTORICAL SOCIETY | |||||||
| 345 KELLOGG BLVD W | SAINT PAUL | MN | 55102 | N/A | 509a1 | General Unrestricted | $2,500 |
| SALVATION ARMY | |||||||
| 700 S RIVERFRONT DR | MANKATO | MN | 56001 | N/A | 509a1 | General Unrestricted | $5,000 |
| SHARING AND CARING HANDS INC | |||||||
| 525 N 7TH ST | MINNEAPOLIS | MN | 55405 | N/A | 509a1 | General Unrestricted | $5,000 |
| SUSAN G KOMEN BREAST CANCER FOUNDATION INC | |||||||
| 5005 LBJ FWY STE 250 | DALLAS | TX | 75244 | N/A | 509a1 | General Unrestricted | $6,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 136200 | 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 | $59,041 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $187,763 | ExclusionAmount |
Other Revenue Described OtherRevenueDescribed (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Unrelated Business IncomeUnrelatedBusinessIncomeAmount | Exclusion CodeExclusionCode | ExclusionExclusionAmount |
|---|---|---|---|---|
| Pass-Through K-1 Inc/Loss | 525990 | -$46 | 14 | -$621 |
| Sec 751 gain on sale of partnerships | 525990 | $71 | ||
| Life Insurance Policy Income | $15,682 |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $25 | UnrelatedBusinessIncomeAmount |
| Exclusion | $261,865 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 261890 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 1 | ContributorNumber |
| Contributor Name Individual | Thom Jeff A | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43023 520th Street | AddressLine1 |
| City | North Mankato | City |
| State | MN | State |
| ZIP Code | 560034018 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 300000 | AggregateContributions |
| Person Contribution Type | X | PersonContributionType |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAsset (4 entries)
| NameName | Gross Sales PriceGrossSalesPrice | BasisBasis | Total NetTotalNet | Date AcquiredDateAcquired | How AcquiredHowAcquired | Date SoldDateSold |
|---|---|---|---|---|---|---|
| Publicly-traded Securities | 1411455 | 1220574 | 190881 | |||
| Passthrough K1 Capital Loss | -3235 | |||||
| Section 751 Gain on Sale of Partnership - Reclass | -71 | |||||
| SUPERFUND GREEN, LP | 31964 | 31776 | 188 | 2009-04 | P | 2012-10 |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (158 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| 35 shares of ACE LTD | 2714 | 2793 |
| 25 shares of AGILENT TECHNOLOGIES INC | 986 | 1024 |
| 30 shares of ALBEMARLE CP | 1602 | 1864 |
| 23 shares of AMC NETWORKS INC CLASS A | 856 | 1139 |
| 7188 shares of AMERICAN BALANCED FUND CL A | 126175 | 146643 |
| 1458 shares of AMERICAN FDS NEW WORLD FUND A | 72690 | 79429 |
| 2778 shares of AMERICAN FUNDS CAP INCOME BUILDER A | 138355 | 146610 |
| 8140 shares of AMERICAN FUNDS INCOME FD OF AMERICA A | 132823 | 147008 |
| 4816 shares of AMERICAN FUNDS NEW PERSPECTIVE | 127748 | 150538 |
| 42 shares of AMGEN INC | 3650 | 3620 |
| 111 shares of ARRIS GROUP INC | 1447 | 1658 |
| 399 shares of ATMEL CORPORATION | 1606 | 2613 |
| 74 shares of AVNET INC. | 2396 | 2265 |
| 304 shares of BELO CORP | 1989 | 2332 |
| 7479 shares of BLACKROCK GLOBAL ALLOC A | 145643 | 147627 |
| 6117 shares of BLACKROCK INTERNTL VALUE FD CL A | 67849 | 66247 |
| 4108 shares of BMO LLOYD GEORGE EMERG MARKETS EQ CL I | 57484 | 57138 |
| 37 shares of BRINKS CO | 738 | 1056 |
| 143 shares of CABLEVISION SYSTEMS CORP CL A | 2428 | 2136 |
| 164 shares of CAE INC | 1015 | 1665 |
| 154 shares of CAMECO CORPORATION | 2856 | 3037 |
| 4036 shares of CAPITAL WORLD GROWTH INCOME | 135623 | 150155 |
| 91 shares of CAREFUSION CORP | 2622 | 2601 |
| 85 shares of CARTERS INC | 4632 | 4730 |
| 89 shares of CBS CORP CL B | 3065 | 3386 |
| 44 shares of CHART INDUSTRIES, INC. | 3149 | 2934 |
| 585 shares of CINCINNATI BELL INC | 1687 | 3206 |
| 107 shares of CIT GROUP INC | 4238 | 4134 |
| 37 shares of COGNEX CORPORATION | 502 | 1361 |
| 188 shares of CONAGRA FOODS INC | 5255 | 5546 |
| 198 shares of COVANTA HOLDING CORP | 3383 | 3647 |
| 44 shares of CUMMINS INC | 1248 | 4767 |
| 323 shares of DEAN FOODS CO | 5499 | 5333 |
| 133 shares of DENBURY RESOURCES INC | 2142 | 2155 |
| 42 shares of DIEBOLD INC. | 1103 | 1286 |
| 141 shares of DISCOVER FINL SVCS COM | 5587 | 5436 |
| 127 shares of DISCOVERY COMMUNICATIONS, INC | 3246 | 7430 |
| 20 shares of EOG RESOURCES INC | 2313 | 2416 |
| 78 shares of EURONET WORLDWIDE INC | 1494 | 1841 |
| 96 shares of F M C CP | 5266 | 5618 |
| 1693 shares of FIDELITY ADVISOR STRATEGIC INC I | 21609 | 21742 |
| 3069 shares of FIRST EAGLE SOGEN GLOBAL FUND CLASS A | 143181 | 149116 |
| 76 shares of FIRST REPUBLIC BANK | 2598 | 2491 |
| 168 shares of FOSTER WHEELER AG | 3424 | 4086 |
| 195 shares of GANNETT CO INC | 2923 | 3512 |
| 79 shares of GEN CABLE CP | 2381 | 2402 |
| 962 shares of GOLDMAN SACHS SM CAP VALUE FUND INSTITUTIONAL SH | 40699 | 42822 |
| 1588 shares of HARBOR CAPITAL APPRECIATION FD 1012 | 60741 | 67521 |
| 551 shares of HARBOR FDS INTL FD | 30233 | 34201 |
| 239 shares of HARMONIC INC. | 1386 | 1212 |
| 126 shares of HCC INS HLDGS INC. | 4356 | 4688 |
| 54 shares of HELMERICH PAYNE | 1256 | 3025 |
| 40 shares of HERSHEY FOODS CORP | 2872 | 2889 |
| 229 shares of HEXCEL CP DELAWARE | 4348 | 6174 |
| 46 shares of HONEYWELL INTERNATIONAL INC. | 2828 | 2920 |
| 221 shares of HOST HOTELS RESORTS INC | 3454 | 3463 |
| 34 shares of IAC/INTERACTIVE CORP | 549 | 1606 |
| 63 shares of IDEX CP | 2621 | 2931 |
| 69 shares of IMMUNOGEN, INC | 582 | 880 |
| 61 shares of INGERSOL-RAND PLC | 2738 | 2926 |
| 128 shares of INPUT/OUTPUT INC. | 381 | 833 |
| 84 shares of INTEGRYS ENERGY GROUP | 4434 | 4386 |
| 91 shares of INTERXION HOLDING N.V. | 1656 | 2162 |
| 117 shares of ISIS PHARMACEUTICALS, INC. | 1643 | 1221 |
| 68 shares of JACOBS ENGINEERNG GP | 2769 | 2895 |
| 132 shares of JANUS CAPITAL GROUP INC. | 982 | 1125 |
| 149 shares of JDS UNIPHASE CORP | 1995 | 2012 |
| 41 shares of KANSAS CITY SOUTHERN | 588 | 3423 |
| 572 shares of KEYCORP | 4953 | 4816 |
| 37 shares of KINDER MORGAN MNGMNT | 2856 | 2792 |
| 382 shares of KROGER CO | 9218 | 9940 |
| 125 shares of LAM RESEARCH CORP | 1886 | 4516 |
| 118 shares of LAS VEGAS SANDS CORP | 1751 | 5447 |
| 106 shares of LEVEL 3 COMMUNICATIONS, INC | 2284 | 2450 |
| 23 shares of LIBERTY MEDIA HLDG CAP SER A | 234 | 2668 |
| 38 shares of LINKEDIN CORPORATION CLASS A | 3928 | 4363 |
| 30 shares of LOCKHEED MARTIN CORP | 2794 | 2769 |
| 226 shares of LSI CORPORATION | 827 | 1598 |
| 40 shares of MT BANK CORP | 3881 | 3939 |
| 98 shares of MACYS INC | 3951 | 3824 |
| 26 shares of MADISON SQUARE GARDEN CO. | 293 | 1153 |
| 2240 shares of MARSHALL MID-CAP GROWTH FD CL I | 36260 | 45601 |
| 2526 shares of MARSHALL MID-CAP VALUE FD CL I | 36235 | 33649 |
| 2535 shares of MARSHALL SMALL-CAP GROWTH FD CL I | 42128 | 45985 |
| 48 shares of MEADWESTVACO CORP | 478 | 1530 |
| 341 shares of METROPCS COMM INC | 4155 | 3390 |
| 10104 shares of MFS GLOBAL TOTAL RETURN FUND CLASS A | 136306 | 145602 |
| 53 shares of MOTOROLA SOLUTIONS INC | 2851 | 2951 |
| 76 shares of MYRIAD GENETICS, INC | 2297 | 2071 |
| 110 shares of NEUSTAR, INC. CL A | 4482 | 4612 |
| 92 shares of NII HOLDINGS INC | 1326 | 656 |
| 159 shares of NORTH AMERICAN ENERGY PARTNERS | 1192 | 541 |
| 4014 shares of NUVEEN EQUITY INCOMECLASS I | 58192 | 58238 |
| 1698 shares of OAKMARK INTERNATIONAL FUND CL I | 38046 | 35541 |
| 46 shares of ONYX PHARMACEUTICALS, INC. | 1159 | 3474 |
| 268 shares of ORIENT-EXPRESS HOTEL | 2743 | 3133 |
| 61 shares of PALL CP | 1612 | 3676 |
| 49 shares of PARTNERRE LTD. | 3734 | 3944 |
| 60 shares of PHILLIPS 66 | 2995 | 3186 |
| 3582 shares of PIMCO LOW DURATION INSTL | 37692 | 37650 |
| 9586 shares of PIMCO TOTAL RETURN FUND | 101242 | 107742 |
| 28 shares of PIONEER NAT RES CO | 2895 | 2985 |
| 29 shares of PRECISION CASTPARTS | 2469 | 5493 |
| 35 shares of PVH CORP | 3320 | 3885 |
| 386 shares of R F MICRO DEVICES INC | 1412 | 1729 |
| 49 shares of RAYMOND JAMES FINANCIAL INC | 910 | 1888 |
| 43 shares of REGENERON PHARMACEUTICALS, INC | 6070 | 7356 |
| 68 shares of RELIANCE STL ALMN | 3486 | 4223 |
| 48 shares of ROBERT HALF INTL INC. | 959 | 1527 |
| 21 shares of ROPER INDUSTRIES | 2298 | 2341 |
| 68 shares of ROSS STORES, INC. | 4540 | 3678 |
| 70 shares of ROWAN CO PLC | 2063 | 2189 |
| 104 shares of ROYAL CARRIBEAN CRUISE | 2819 | 3536 |
| 61 shares of RTI INTL METALS INC | 1478 | 1681 |
| 81 shares of RYDER SYSTEM | 3737 | 4044 |
| 121 shares of SAKS INC | 479 | 1272 |
| 88 shares of SANDISK CORP | 3847 | 3828 |
| 176 shares of SEACHANGE INTERNATIONAL, INC | 1273 | 1702 |
| 87 shares of SEATTLE GENETICS, INC. | 1796 | 2016 |
| 132 shares of SEI INVESTMENTS | 2813 | 3081 |
| 43 shares of SHAW GROUP INC | 1647 | 2004 |
| 163 shares of SINCLARI BROADCAST GROUP INC | 1103 | 2057 |
| 54 shares of SOTHEBYS | 1897 | 1815 |
| 110 shares of SOUTHWESTERN ENERGY | 3838 | 3675 |
| 156 shares of STILLWATER MINING CO | 721 | 1994 |
| 2365 shares of T. ROWE PRICE GROWTH STOCK FD | 72420 | 89355 |
| 50 shares of TELEPHONE DATA SYS INC. | 1149 | 1107 |
| 64 shares of THE MOSAIC CO | 3892 | 3624 |
| 63 shares of THERMO FISHER SCIENTIFIC INC | 3831 | 4018 |
| 112 shares of TIME WARNER TELECOM INC. | 908 | 2853 |
| 64 shares of TJX COMPANIES INC | 2899 | 2717 |
| 95 shares of TRANSOCEAN LTD. | 4450 | 4243 |
| 57 shares of TRAVELERS COMPANIES INC | 3908 | 4094 |
| 83 shares of TRIMBLE NAV LTD | 3271 | 4962 |
| 238 shares of TRIQUINT SEMICONDUCTOR, INC. | 654 | 1150 |
| 1741 shares of UMB SCOUT INTERNATIONAL | 45463 | 58055 |
| 71 shares of UNIFI INC. | 1189 | 924 |
| 32 shares of UNITED STATES CELLULAR CORP | 1193 | 1128 |
| 81 shares of UNITED STATES STEEL CORP | 3956 | 1932 |
| 53 shares of UNITEDHEALTH GROUP INC. | 3015 | 2875 |
| 73 shares of VALEANT PHARMACEUTICALS INTL | 4122 | 4363 |
| 62 shares of VALSPAR CORP | 1483 | 3869 |
| 1747 shares of VANGUARD EQUITY INCOME - ADMIRAL | 90177 | 88451 |
| 2367 shares of VANGUARD EQUITY INCOME PT | 56725 | 57164 |
| 1728 shares of VANGUARD INDEX TR MID-CAP INDEX FD INSTL SHS | 32081 | 38903 |
| 1356 shares of VANGUARD INSTITUTIONAL INDEX | 168565 | 176967 |
| 883 shares of VANGUARD MID CAP INDEX FUND SIGNAL SHARES | 17185 | 28408 |
| 3374 shares of VANGUARD TOTAL BOND MARKET INDEX FUND SIGNAL SHARE | 35289 | 37415 |
| 137 shares of VISHAY INTERTECH | 460 | 1456 |
| 40 shares of WABTEC | 3363 | 3502 |
| 149 shares of WADDELLREED FIN INC | 3695 | 5188 |
| 182 shares of WEATHERFORD INTL | 2198 | 2037 |
| 195 shares of WESTERN UNION CO | 3572 | 2654 |
| 164 shares of WEYERHAEUSER CO | 4489 | 4562 |
| 112 shares of WYNDHAM WORLDWIDE | 6031 | 5960 |
| 2798 shares of YACKTMAN FOCUSED FUND | 56356 | 57415 |
| 179 shares of YAHOO INC | 2914 | 3562 |
| 43 shares of ZIMMER HOLDINGS INC | 2908 | 2866 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther (2 entries)
| Category Or ItemCategoryOrItem | Book ValueBookValue | EOYFMVEOYFMV |
|---|---|---|
| LAZARD LTD | 1477 | 1223 |
| NW MUTUAL LIFE INS POL12-368-451 4 MIL | 301421 | 301421 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|
| Administrative Fees | 18431 | 18431 | |
| K-1 Exp ATLAS ENERGY LP | 40 | ||
| K-1 Exp ENERGY TRANSFER PARTNERS LP | 1 | 1 | |
| K-1 Exp SUPERFUND GREEN, LP | 4 | 4 | |
| State or Local Filing Fees | 25 | 25 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome (7 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome |
|---|---|---|
| K-1 Inc/Loss ATLAS ENERGY LP | -39 | 2 |
| K-1 Inc/Loss LAZARD LTD | 90 | 90 |
| K-1 Inc/Loss SUPERFUND GREEN, LP | -752 | -752 |
| Sec751 Gain on Sale ATLAS ENERGY LP | 56 | |
| Sec751 Gain on Sale ENERGY TRANSFER PARTNERS LP | 15 | |
| K-1 Inc/Loss ENERGY TRANSFER PARTNERS LP | -3 | 2 |
| Life Insurance Policy Income | 15682 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | Category |
| Amount | $26,466 | Amount |
| Net Investment Income | 26466 | NetInvestmentIncome |
Taxes Schedule TaxesSchedule
Taxes Taxes (5 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome |
|---|---|---|
| Estimated Tax for 2012 | $1,900 | |
| Foreign Tax Paid | $27 | 27 |
| IRS Excise Tax Payment with 1st ext 990-PF | $1,174 | |
| IRS Tax Payment with 1st ext 990-T | $84 | |
| State UBTI - Tax Payment | $106 |
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