STRATEGY STUDIO / PUBLIC DATA EXPLORER

THOMAS V AND CORRINE R FRANCIS FAMILY FOUNDATION INC: Form 990PF, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
THOMAS V AND CORRINE R FRANCIS FAMILY FOUNDATION INC (EIN 31-1448010)
Tax period
2025-01-01 to 2025-12-31
Filed
2026-04-30
IRS object ID
202641209349100439
Schema version
2025v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-04-30T13:45:04-04:00ReturnTs
Tax Period End2025-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341236295PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MONNIER & CO CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 459AddressLine1Txt
CitySIDNEYCityNm
State AbbreviationOHStateAbbreviationCd
ZIP453650459ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2025-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311448010EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE THOMAS V AND CORRINE R FRANCISBusinessNameLine1Txt
Business Name Line2FAMILY FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTHOMBusinessNameControlTxt
Phone9375264551PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O BRADLEY J FRANCIS PO BOX 277AddressLine1Txt
CityRUSSIACityNm
State AbbreviationOHStateAbbreviationCd
ZIP45363ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRADLEY J FRANCISPersonNm
Person TitlePRES & TRUSTEEPersonTitleTxt
Phone9375264551PhoneNum
Signature2025-04-27SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN G BOECKMANPreparerPersonNm
PTINP00435071PTIN
Phone9374926101PhoneNum
Preparation2026-04-30PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$872,025FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$8,520InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$8,520InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$26,382DividendsRevAndExpnssAmt
Dividends Net Invst Incm$26,382DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$10,940NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$102,217GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$10,940CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$2,182OtherIncomeRevAndExpnssAmt
Other Income Adj Net Incm$2,182OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$48,024TotalRevAndExpnssAmt
Total Net Invst Incm$45,842TotalNetInvstIncmAmt
Total Adj Net Incm$2,182TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$2,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,000AccountingFeesNetInvstIncmAmt
Taxes Rev And Expnss$1,269TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,269TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$108OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$108OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$3,377TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,377TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$107,345ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$107,345ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$110,722TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,377TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$107,345TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$62,698ExcessRevenueOverExpensesAmt
Net Investment Income$42,465NetInvestmentIncomeAmt
Adjusted Net Income$2,182AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$12,222CashBOYAmt
Cash EOY$10,500CashEOYAmt
Cash EOYFMV$10,500CashEOYFMVAmt
Sav And Temp Cash Invst BOY$15,319SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$22,374SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$22,410SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$614,935CorporateStockBOYAmt
Corporate Stock EOY$576,459CorporateStockEOYAmt
Corporate Stock EOYFMV$742,444CorporateStockEOYFMVAmt
Corporate Bonds BOY$111,905CorporateBondsBOYAmt
Corporate Bonds EOY$82,350CorporateBondsEOYAmt
Corporate Bonds EOYFMV$96,671CorporateBondsEOYFMVAmt
Total Assets BOY$754,381TotalAssetsBOYAmt
Total Assets EOY$691,683TotalAssetsEOYAmt
Total Assets EOYFMV$872,025TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$754,381NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$691,683NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$754,381TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$691,683TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$754,381TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$691,683TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$754,381TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$62,698ExcessRevenueOverExpensesAmt
Subtotal$691,683SubtotalAmt
Tot Net Ast Or Fund Balances EOY$691,683TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
WELLS FARGO LTP$20,172$30,316-$10,144-$10,144
WELLS FARGO LT XP$53,555$60,961-$7,406-$7,406
FieldValueIRS element (for citing)
Capital Gain Net Income$10,940CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$590InvestmentIncomeExciseTaxAmt
Subtotal$590SubtotalAmt
Tax Based On Investment Income$590TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$700EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$700TotalPaymentsAndCreditsAmt
Overpayment$110OverpaymentAmt
Applied To ES Tax$110AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateOHOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksBRADLEY FRANCISIndividualWithBooksNm
Phone9376584089PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 277AddressLine1Txt
CityRUSSIACityNm
State AbbreviationOHStateAbbreviationCd
ZIP45363ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmtAddress Line2USAddress/AddressLine2Txt
BRADLEY J FRANCIS
PO BOX 277RUSSIAOH45363PRES & TRUST000.00$0$0$0
DAVID J FRANCIS
9282 KELCH RDRUSSIAOH45363VP & TRUSTEE000.00$0$0$0
KATHLEEN S NICHOLS
PO BOX 273RUSSIAOH45363SEC/TR & TRT000.00$0$0$0323 WESTWOOD DR
A RENEE PURPUS
108 E SECONDMINSTEROH45865TRUSTEE000.00$0$0$0
PATRICK A FRANCIS
585 SWAILES RDTROYOH45373TRUSTEE000.00$0$0$0
SHIRLEY F SHENK
ONE OAK CREEK RDMINSTEROH45865TRUSTEE000.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$829,248AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$33,708AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$862,956TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$862,956AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$12,944CashDeemedCharitableAmt
Net Vl Noncharitable Assets$850,012NetVlNoncharitableAssetsAmt
Minimum Investment Return$42,501MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$42,501MinimumInvestmentReturnAmt
Tax Based On Investment Income$590TaxBasedOnInvestmentIncomeAmt
Total Tax$590TotalTaxAmt
Distributable Before Adj$41,911DistributableBeforeAdjAmt
Distributable Before Ded$41,911DistributableBeforeDedAmt
Distributable As Adjusted$41,911DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$107,345ExpensesAndContributionsAmt
Qualifying Distributions$107,345QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$41,911DistributableAsAdjustedAmt
Excess Distribution Cyov Yr3$18,724ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$86,834ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$72,315ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$177,873TotalExcessDistributionCyovAmt
Qualifying Distributions$107,345QualifyingDistributionsAmt
Applied To Current Year$41,911AppliedToCurrentYearAmt
Remaining Distri From Corpus$65,434RemainingDistriFromCorpusAmt
Total Corpus$243,307TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$243,307ExcessDistriCyovToNextYrAmt
Excess From Year3$18,724ExcessFromYear3Amt
Excess From Year2$86,834ExcessFromYear2Amt
Excess From Year1$72,315ExcessFromYear1Amt
Excess From Current Year$65,434ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CENTER FOR NEUROLOGICAL DEVELOPEMEN
78 W MAIN STREETBURKETTSVILLEOH45310PCBUILDING FUND$4,000
HOSPICE OF SHELBY COUNTY
1083 FAIRINGTON DRSIDNEYOH45365PCSUPPORT OPERATIONS$1,500
RANDOM ACTS OF CHRISTIAN KINDNESS
3240 REDMOND ROADRUSSIAOH45363PCSUPPORT OPERATIONS$3,000
RUSSIA FIRE DEPARTMENT
113 NORTH STREETRUSSIAOH45363PCFIRE DEPARTMENT$2,000
RUSSIA LOCAL SCHOOLS
110 W MAINRUSSIAOH45363PCSCHOOL$29,505
ST REMY CATHOLIC CHURCH
108 EAST MAIN STREETRUSSIAOH45363PCCHURCH$5,340
THE COMMUNITY FOUNDATION OF SHELBY
100 SOUTH MAIN AVESIDNEYOH45365PCSUPPORT OPERATIONS$2,500
MERCY MISSION HOUSE
950 CHILDRENS HOME RDSIDNEYOH45365PCSUPPORT OPERATIONS$2,000
SECOND & SEVEN
7949 NORTH HIGH STREETCOLUMBUSOH43235PCSUPPORT OPERATIONS$7,500
VILLAGE OF RUSSIA
232 W MAIN STREETRUSSIAOH45363PCSUPPORT OPERATIONS$50,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$107,345TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$8,520ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$26,382ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$28,490ExclusionAmt
Related Or Exempt Function Incm-$17,550RelatedOrExemptFunctionIncmAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescNONTAXABLE DISTRIBUTIONSDesc
Exclusion14ExclusionCd
Exclusion$2,182ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$65,574ExclusionAmt
Related Or Exempt Function Incm-$17,550RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$48,024TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$2,000Amt
Net Investment Income$2,000NetInvestmentIncomeAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
WENDY'S INT'L 7.00 % 12/25/25
CINCINNATI BELL 6.3% CALL 12/01/28$20,516$24,813
FORD MOTOR CO 7.45%$61,834$71,858

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (16 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
500 SHS CAMPBELL SOUP$18,989$13,935
2976.832 FIDELITY ADV NEW INSIGHTS$97,461$139,574
1981.051 FIDELITY ADVISOR EQUITY INC$66,743$66,940
400 SHS GENERAL MILLS INC$17,779$18,600
3100 SHS HUNTINGTON BANCSHARES$37,382$53,785
1000 SHS INTEL CORP$29,184$36,900
3000 SHS KEYCORP$51,449$61,920
1800 SHS PFIZER INCORPORATED$30,316$22,410
1000 SHS ABRDN HEALTHCARE$20,388$18,940
625 SHS VERIZON$30,332$25,456
1200 HSBC HOLDINGS PLC SPONSORED$37,790$94,404
2000 SHS EATON VANCE FLOATING RATE
500 SHS FIRST TRUST BUY WRITE INC$12,035$11,810
500 SHS FIRST TRUST NASDAQ ETF$10,688$10,410
3668 TRI CONTINENTAL CORPORATION$69,110$119,797
3758.373 SHS FIDELITY REAL ESTATE$46,813$47,563

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
EXPENSES
BANK FEES$108$108

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescNONTAXABLE DISTRIBUTIONSDesc
Revenue And Expenses Per Books$2,182RevenueAndExpensesPerBooksAmt
Adjusted Net Income$2,182AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
STATE TAX$200$200
FEDERAL INCOME TAX$1,069$1,069