STRATEGY STUDIO / PUBLIC DATA EXPLORER

ADA EVERETT TRUST FOR THE CARDIOLOGY DEPARTMENT: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ADA EVERETT TRUST FOR THE CARDIOLOGY DEPARTMENT (EIN 48-6186739)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-05-08
IRS object ID
202431299349100523
Schema version
2023v5.0
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)
Return2024-05-08T22:01:19-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 YARD STREET SUITE 200AddressLine1Txt
CityGRANDVIEW HEIGHTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43212ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN486186739EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADA EVERETT TRUST FOR CARDIOLOGY 10372800BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEVERBusinessNameControlTxt
Phone8168601933PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1UMB BANK NA P O BOX 415044 M/SAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641416692ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKELSEY SHIREMANPersonNm
Person TitleVice PresidentPersonTitleTxt
Phone8168601933PhoneNum
Signature2024-04-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH B HULLPreparerPersonNm
PTINP00135850PTIN
Phone6142327290PhoneNum
Preparation2024-04-25PreparationDt

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$753,404FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$18,405DividendsRevAndExpnssAmt
Dividends Net Invst Incm$18,405DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$10,233NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$319,129GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$617OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$8,789TotalRevAndExpnssAmt
Total Net Invst Incm$18,405TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$10,457CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$5,228CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$5,228CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$255TaxesRevAndExpnssAmt
Taxes Net Invst Incm$255TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$10,712TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,483TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$5,228TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$30,389ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$30,389ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$41,101TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,483TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$35,617TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$32,312ExcessRevenueOverExpensesAmt
Net Investment Income$12,922NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$47,979SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$42,270SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$42,270SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$594,738OtherInvestmentsBOYAmt
Other Investments EOY$568,418OtherInvestmentsEOYAmt
Other Investments EOYFMV$711,134OtherInvestmentsEOYFMVAmt
Total Assets BOY$642,717TotalAssetsBOYAmt
Total Assets EOY$610,688TotalAssetsEOYAmt
Total Assets EOYFMV$753,404TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$642,717CapitalStockBOYAmt
Capital Stock EOY$610,688CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$642,717TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$610,688TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$642,717TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$610,688TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$642,717TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$32,312ExcessRevenueOverExpensesAmt
Other Increases$283OtherIncreasesAmt
Subtotal$610,688SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$610,688TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (42 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
262.199 CHAMPLAIN MID CAP FUND-INST2019-06-042023-01-17$5,750$5,105$645$645
9.185 BLACKROCK EQTY DVDND-K2022-04-082023-01-17$175$206-$31-$31
2.654 MFS INSTL INTL EQUITY FUND2022-06-012023-01-17$80$77$3$3
408.142 NUANCE MID CAP VALUE-INST2016-11-162023-01-17$5,134$4,608$526$526
25.991 PRINCIPAL BLUE CHIP-R62022-04-082023-01-17$778$911-$133-$133
151.136 VANGUARD DEV MKT INDX-ADM2015-06-162023-01-17$2,190$1,978$212$212
26.726 BLACKROCK EQTY DVDND-K2022-06-172023-06-02$500$517-$17-$17
2959.275 BLACKROCK EQTY DVDND-K2022-04-082023-06-02$55,309$62,666-$7,357-$7,357
10387.972 VANGUARD TTL BD MKT IDX-ADM2023-01-172023-07-12$99,101$97,548$1,553$1,553
384.347 CHAMPLAIN MID CAP FUND-INST2022-11-012023-11-07$8,144$7,887$257$257
57.552 SEAFARER OVERSEAS GROWTH & INCOME FD I2023-01-172023-11-07$681$691-$10-$10
31. ISHARES MSCI USA QUALITY FAC2023-06-052023-11-07$4,217$4,027$190$190
86.722 MFS INSTL INTL EQUITY FUND2022-06-012023-11-07$2,639$2,511$128$128
630.12 NUANCE MID CAP VALUE-INST2016-11-162023-11-07$7,038$7,114-$76-$76
334.301 PRINCIPAL BLUE CHIP-R62022-06-172023-11-07$11,884$11,515$369$369
65.858 VANGUARD DEV MKT INDX-ADM2015-06-162023-11-07$925$862$63$63
50.62 VANGUARD INST INDEX-INST2022-06-172023-11-07$18,519$15,620$2,899$2,899
275.468 DODGE & COX INCOME-I2023-01-172023-12-20$3,468$3,460$8$8
3458.161 DODGE & COX INCOME-I2022-04-082023-12-20$43,538$46,020-$2,482-$2,482
511.181 DOUBLELINE TTL RTRN BND-I2023-01-172023-12-20$4,524$4,616-$92-$92
4681.761 DOUBLELINE TTL RTRN BND-I2022-04-082023-12-20$41,434$51,423-$9,989-$9,989
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
CAPITAL GAIN DIVIDENDS$3,101P
FieldValueIRS element (for citing)
Capital Gain Net Income-$10,233CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$180InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$180SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$180TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$124EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$124TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$56TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
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 StateKSOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1UMB BANK N ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8168601933PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11010 GRAND AVEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
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

FieldValueIRS element (for citing)
PersonUMB BANK N APersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11010 GRAND AVEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$10,457CompensationAmt
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$694,955AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$28,959AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$723,914TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$723,914AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$10,859CashDeemedCharitableAmt
Net Vl Noncharitable Assets$713,055NetVlNoncharitableAssetsAmt
Minimum Investment Return$35,653MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$35,653MinimumInvestmentReturnAmt
Tax Based On Investment Income$180TaxBasedOnInvestmentIncomeAmt
Total Tax$180TotalTaxAmt
Distributable Before Adj$35,473DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$35,473DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$35,473DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$35,617ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$35,617QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$35,473DistributableAsAdjustedAmt
Undistributed Income PY$30,389UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$35,617QualifyingDistributionsAmt
Applied To Year1$30,389AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$5,228AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$30,245UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Kansas University Endowment AssnBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1ATTN GIFT PLANNINGAddressLine1Txt
CityLawrenceCityNm
State AbbreviationKSStateAbbreviationCd
ZIP660440928ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL CHARITABLE PURPOSESGrantOrContributionPurposeTxt
Amt$30,389Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$30,389TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$18,405ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$10,233ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Exclusion1ExclusionCd
Exclusion$617ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$8,789ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$8,789TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

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

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
ROUNDING$2
MUTUAL FUND TIMING ADJUSTMENT$281

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES ON QUALIFIED FOR$205$205$0
FOREIGN TAXES ON NONQUALIFIED$50$50$0