SAM MILLER FOUNDATION: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAM MILLER FOUNDATION (EIN 41-6035570)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-03
IRS object ID
201211249349100306
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-03T10:38:57-04:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SIMMA FLOTTEMESCH & ORENSTEIN LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12700 ATT TWR 901 MARQUETTE AVEAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN416035570EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAM MILLER FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BERYL MILLERInCareOfName
Name ControlSAMMNameControl
Phone6123392651Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 581398AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554581398ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBERYL MILLERName
TitlePRESIDENTTitle
Phone6123392621Phone
Date Signed2012-04-27DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID R ORENSTEINName
Phone6123378100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY951706FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss15000ContriReceivedRevAndExpnss
Dividends Rev And Expnss43064DividendsRevAndExpnss
Dividends Net Invst Incm43064DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss178NetGainSaleAssetsRevAndExpnss
Gross Sales Price110000GrossSalesPrice
Capital Gain Net Incm Net Invst Incm178CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses58242TotalRevenueAndExpenses
Total Net Investment Income43242TotalNetInvestmentIncome
Accounting Fees Rev And Expnss4070AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps0AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss420TaxesRevAndExpnss
Other Expenses Rev And Expnss2176OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm1285OtherExpensesNetInvstIncm
Tot Opr Expenses Rev And Expnss6666TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm1285TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm0TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss46850ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps46850ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss53516TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm1285TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm0TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps46850TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses4726ExcessOfRevenueOverExpenses
Net Investment Income41957NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY91377SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY84685SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV84685SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY217593InvestmentsGovtObligBOY
Investments Govt Oblig EOY239070InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV247080InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY65572InvestmentsCorpStockBOY
Investments Corp Stock EOY65572InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV80460InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY524106InvestmentsCorpBondsBOY
Investments Corp Bonds EOY515189InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV534159InvestmentsCorpBondsEOYFMV
Other Assets BOY6509OtherAssetsBOY
Other Assets EOY5322OtherAssetsEOY
Other Assets EOYFMV5322OtherAssetsEOYFMV
Total Assets BOY905157TotalAssetsBOY
Total Assets EOY909838TotalAssetsEOY
Total Assets EOYFMV951706TotalAssetsEOYFMV
Accounts Payable BOY45AccountsPayableBOY
Total Liabilities BOY45TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Retained Earnings BOY905112RetainedEarningsBOY
Retained Earnings EOY909838RetainedEarningsEOY
Total Net Assets BOY905112TotalNetAssetsBOY
Total Net Assets EOY909838TotalNetAssetsEOY
Total Liabilities Net Assets BOY905157TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY909838TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY905112TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses4726ExcessOfRevenueOverExpenses
Subtotal909838Subtotal
Total Net Assets Fund Balances EOY909838TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredDate AcquiredDateAcquiredDate SoldDateSoldGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
FORTUNE BRANDS INC. BONDP2007-01-032011-01-155000049822178178
ISRAEL STATE BOND - 4TH JUBILEE 5.2%P2006-09-262011-10-215000050000
ISRAEL STATE BOND - 5.75%P2004-05-052011-05-201000010000
FieldValueIRS element (for citing)
Capital Gain Net Income178CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year141115QualifyingDistributionsYear1
Noncharitable Assets Year1879850NoncharitableAssetsYear1
Distribution Ratio Year10.04673DistributionRatioYear1
Qualifying Distributions Year252894QualifyingDistributionsYear2
Noncharitable Assets Year2847439NoncharitableAssetsYear2
Distribution Ratio Year20.062416DistributionRatioYear2
Qualifying Distributions Year318091QualifyingDistributionsYear3
Noncharitable Assets Year3840894NoncharitableAssetsYear3
Distribution Ratio Year30.021514DistributionRatioYear3
Qualifying Distributions Year421614QualifyingDistributionsYear4
Noncharitable Assets Year4838789NoncharitableAssetsYear4
Distribution Ratio Year40.025768DistributionRatioYear4
Qualifying Distributions Year523260QualifyingDistributionsYear5
Noncharitable Assets Year5812355NoncharitableAssetsYear5
Distribution Ratio Year50.028633DistributionRatioYear5
Total Distribution Ratio0.185061TotalDistributionRatio
Average Distribution Ratio0.037012AverageDistributionRatio
Net Noncharitable Assets864782NetNoncharitableAssets
Adjusted Noncharitable Assets32007AdjustedNoncharitableAssets
One Percent Net Investment Income420OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One32427AdjNonchrtblAssetsAndOnePct
Qualifying Distributions46850QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax420InvestmentIncomeExciseTax
Subtotal420Subtotal
Tax Based On Investment Income420TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment500EstTaxPaymentsAndOverpayment
Total Credits And Payments500TotalCreditsAndPayments
Overpayment80Overpayment
Amount Credited To Next Year80AmountCreditedToNextYear

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 WithMNStatesFiledWith
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 Line1BERYL MILLERBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number6123392651BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1111 SOUTH THIRD STREETAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55401ZIPCode
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
Relying Curr Notice Disaster Asst2XRelyingCurrNoticeDisasterAsst2
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 (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
BERYL MILLER
111 SOUTH THIRD STREETMINNEAPOLISMN55401PRESIDENT00
FLORENCE MILLER
111 SOUTH THIRD STREETMINNEAPOLISMN55401VICE PRESIDENT00
EVE MILLER
111 SOUTH THIRD STREETMINNEAPOLISMN55401VICE PRESIDENT00
ARNIE FRISHMAN
2506 LYNN AVE SST LOUIS PARKMN55416SECRETARY00
CRAIG KUPRITZ
111 SOUTH THIRD STREETMINNEAPOLISMN55401TREASURER00
DEBORAH RICH
3724 WIMBLETON LANEBIRMINGHAMAL35223ASSISTANT TREASURER00

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1NOT APPLICABLEDescription1

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Description1NOT APPLICABLEDescription1

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities797252AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances80699AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets877951TotalFMVOfUnusedAssets
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets877951AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable13169CashDeemedCharitable
Net Noncharitable Assets864782NetNoncharitableAssets
Minimum Investment Return43239MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return43239MinimumInvestmentReturn
Tax Based On Investment Income420TaxBasedOnInvestmentIncome
Total Tax420TotalTax
Distributable Amount Before Adj42819DistributableAmountBeforeAdj
Distributable Amount Before Ded42819DistributableAmountBeforeDed
Distributable Amount As Adjusted42819DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions46850ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Amounts Paid Acq Charitable Assets0AmountsPaidAcqCharitableAssets
Amounts Set Aside Suitability Test0AmountsSetAsideSuitabilityTest
Amounts Set Aside Cash Distri Test0AmountsSetAsideCashDistriTest
Qualifying Distributions46850QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm420OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions46430AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted42819DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Prior Year12009PriorYear1
Prior Year22008PriorYear2
Prior Year32007PriorYear3
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year29133ExcessDistriCarryoverYear2
Total Excess Distri Carryover9133TotalExcessDistriCarryover
Qualifying Distributions46850QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Current Year42819AppliedToCurrentYear
Remaining Distri From Corpus4031RemainingDistriFromCorpus
Total Corpus13164TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year13164ExcessDistriCyovToNextYear
Excess From Year29133ExcessFromYear2
Excess From Current Year4031ExcessFromCurrentYear
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundations

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerSEE ATTACHED STATEMENTContributingManager
Shareholder ManagerNONEShareholderManager
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (37 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmountAddress Line2RecipientUSAddress/AddressLine2
ACHIEVE MINNEAPOLIS
111 3RD AVE S SUITE 120MINNEAPOLISMN55401501(C)(3)CHARITABLE GIFT$200
AMERICAN CANCER SOCIETY
PO BOX 23267MINNEAPOLISMN55423501(C)(3)CHARITABLE GIFT$50
AMERICAN FRIENDS OF MAGEN DAVID ADOM
PO BOX 5409CHICAGOIL60680501(C)(3)CHARITABLE GIFT$100
AMERICAN SOCIETY FOR YAD VASHEM
PO BOX 17035MILWAUKEEWI53217501(C)(3)CHARITABLE GIFT$100
AMIT
817 BROADWAYNEW YORKNY10003501(C)(3)CHARITABLE GIFT$75
BETH EL SYNAGOGUE
26TH STREETST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$3,640
CHABAD OF ALABAMA
3050 OVERTON ROADBIRMINGHAMAL35223501(C)(3)CHARITABLE GIFT$2,000
CHILDRENS THEATER COMPANY
2400 3RD AVE SMINNEAPOLISMN55404501(C)(3)CHARITABLE GIFT$1,500
DARCHAI NOAM SYNAGOGUE
5224 MINNETONKA BLVDST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$2,500
THE FRIENDS OF THE ISRAEL DEFENSE FUND
29 EAST MADISON SUITE 1514CHICAGOIL60602501(C)(3)CHARITABLE GIFT$100
THE GUTHRIE THEATRE FOUNDATION
PO BOX 86MINNEAPOLISMN554861075501(C)(3)CHARITABLE GIFT$750
JEWISH FAMILY AND CHILDRENS SERVICES
13100 WAYZATA BLVD STE 400MINNETONKAMN55305501(C)(3)CHARITABLE GIFT$150
KENESSETH ISRAEL SYNAGOGUE
4330 W 28TH STREETST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$460
LUBAVITCH CHEDER DAY SCHOOL
1758 FORD PKWYST PAULMN55116501(C)(3)CHARITABLE GIFT$100
MEMORIAL SLOAN KETTERING
PO BOX 7247-0260PHILADELPHIAPA19170501(C)(3)CHARITABLE GIFT$100
MINNESOTA PUBLIC RADIO
PO BOX 70870ST PAULMN55170501(C)(3)CHARITABLE GIFT$100
MINNEAPOLIS JEWISH DAY SCHOOL
4330 CEDAR LAKE ROADST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$2,000
MINNEAPOLIS JEWISH FEDERATION
13100 WAYZATA BLVDHOPKINSMN55305501(C)(3)CHARITABLE GIFT$27,500
NATIONAL YIDDISH BOOK CENTER
1021 WEST STREETAMHERSTMA010023375501(C)(3)CHARITABLE GIFT$200
ORTHODOX UNION
11 BROADWAYNEW YORKNY10004501(C)(3)CHARITABLE GIFT$10014TH FLOOR
THE SHUL
9540 COLLINS AVESURFSIDEFL33154501(C)(3)CHARITABLE GIFT$2,000
TWIN CITIES PUBLIC TELEVISION
172 E 4TH STREETST PAULMN551011447501(C)(3)CHARITABLE GIFT$75
YACHAD NATIONAL JEWISH COUNCIL FOR DISABILITIES
11 BROADWAY 13TH FLOORNEW YORKNY10004501(C)(3)CHARITABLE GIFT$200
BAIS YISRAEL SYNAGOGUE
4221 SUNSET BLVDST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$500
EMUNAH OF AMERICA
PENN PLAZANEW YORKNY10001501(C)(3)CHARITABLE GIFT$100
HADESEH
366 MONTCLAIR ROADBIRMINGHAMAL35223501(C)(3)CHARITABLE GIFT$100
HEART GALLERY ALABAMA
1801 OXMOOR RDBIRMINGHAMAL35209501(C)(3)CHARITABLE GIFT$50
HEBREW THEOLOGY COLLEGE
7135 N CARPENTER RDSKOKIEIL60077501(C)(3)CHARITABLE GIFT$200
MAKE A WISH FOUNDATION OF MN
615 1ST AVE NEW SUITE 415MINNEAPOLISMN55413501(C)(3)CHARITABLE GIFT$100
MARGOLIN HEBREW ACADEMY
390 S WHITE STATION RDMEMPHISTN38117501(C)(3)CHARITABLE GIFT$200
MINNESOTA ORCHESTRAL ASSOCIATION
1111 NICOLLET MALLMINNEAPOLISMN55403501(C)(3)CHARITABLE GIFT$200
NE MILES JEWISH DAY SCHOOL
4000 MONTCLAIR ROADBIRMINGHAMAL35213501(C)(3)CHARITABLE GIFT$150
SHA'ARIM
1433 UTICA AVENUE 265ST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$150
SISTER KENNY INSTITUTE
12925 CHICAGO AVEMINNEAPOLISMN55407501(C)(3)CHARITABLE GIFT$500
TEMPLE BETH-EL
79 HYLAND AVEBIRMINGHAMAL35205501(C)(3)CHARITABLE GIFT$200
TORAH ACADEMY
2800 JOPPA AVE SBIRMINGHAMAL35205501(C)(3)CHARITABLE GIFT$250
BAIS YAAKOV HIGH SCHOOL
4221 SUNSET BLVDST LOUIS PARKMN55416501(C)(3)CHARITABLE GIFT$150
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year46850TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

FieldValueIRS element (for citing)
Fees Contracts From Govt AgenciesFeesContractsFromGovtAgencies
Membership Dues And AssessmentsMembershipDuesAndAssessments
Int On Savings And Temp Cash InvstIntOnSavingsAndTempCashInvst

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$43,064ExclusionAmount
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$178ExclusionAmount
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$43,242ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA43242TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps (2 entries)

Line NumberLineNumberRelationship StatementRelationshipStatement
4NOT APPLICABLE
8NOT APPLICABLE

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor Number1ContributorNumber
Contributor Name IndividualBERYL MILLERContributorNameIndividual

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line12306 PARKWOODS ROADAddressLine1
CityST LOUIS PARKCity
StateMNState
ZIP Code55416ZIPCode
FieldValueIRS element (for citing)
Aggregate Contributions15000AggregateContributions
Person Contribution TypeXPersonContributionType

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategory
Amount$4,070Amount

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Oth Prog Rltd Investments AllOthProgRltdInvestments

FieldValueIRS element (for citing)
DescriptionNONEDescription

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (11 entries)

Name Of BondNameOfBondEOY Book ValueEOYBookValueEOYFMVEOYFMV
ISRAEL BONDS139920140808
FORTUNE BRANDS00
BANK OF AMERICA BOND5000047213
CATERPILLAR BOND5000051911
BRISTOL MYERS BOND2671129980
CONOCO PHILLIPS BOND2037824100
GECC NOTES5190154757
GE CP NOTES5191855097
ARIZONA PUBLIC SERVICE BOND3060831926
WACHOVIA CORP NEW NOTES5324656492
WACHOVIA CAPITAL BOND4050741875

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (2 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
BRISTOL MYERS SQUIB4057252860
JP MORGAN & CHASE - PREF STOCK2500027600

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value239070USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV247080USGovtSecuritiesEOYFMV

Land Etc Schedule2 LandEtcSchedule2

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBOY Book ValueBOYBookValueEOY Book ValueEOYBookValueEOYFMVEOYFMV
INTEREST RECEIVABLE650952425242
EXCISE TAX REFUND RECEIVABLE08080

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncome
SECRETARIAL EXPENSES1620810
STATE OF MN FEE25
MISCELLANEOUS56
BROKERAGE FEES475475

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryFEDERAL EXCISE TAXCategory
Amount$420Amount

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