SAMPLE FOUNDATION INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SAMPLE FOUNDATION INC (EIN 59-6138602)
- Tax period
- 2020-11-01 to 2021-10-31
- Filed
- 2022-09-13
- IRS object ID
- 202212569349101011
- Schema version
- 2020v4.2
- 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
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-09-13T12:00:09-05:00 | ReturnTs |
| Tax Period End | 2021-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 N 31ST ST STE 1120 | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 591011281 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 596138602 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMPLE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAMP | BusinessNameControlTxt |
| Phone | 4062450550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 279 | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARBARA M SAMPLE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR/PRESIDENT | PersonTitleTxt |
| Phone | 4062450550 | PhoneNum |
| Signature | 2022-09-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BARBARA | PersonFirstNm |
| Person Last | SAMPLE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RONALD J YATES JR CPA | PreparerPersonNm |
| PTIN | P00543293 | PTIN |
| Phone | 4068962400 | PhoneNum |
| Preparation | 2022-09-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $10,070,504 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $167,486 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $3,165 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $3,165 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $117,004 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $117,004 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $7,550 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,205,225 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $7,550 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $10,834 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $10,834 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $306,039 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $138,553 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $11,200 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $5,600 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $5,600 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $22,620 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $22,620 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $1,581 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,581 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $3,500 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $2,356 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $2,106 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $41,257 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $31,907 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $5,600 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $455,006 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $455,006 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $496,263 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $31,907 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $460,606 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$190,224 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $106,646 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $60,759 | CashBOYAmt |
| Cash EOY | $49,357 | CashEOYAmt |
| Cash EOYFMV | $49,357 | CashEOYFMVAmt |
| Corporate Stock BOY | $2,471,642 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,471,638 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $6,824,065 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $3,352,514 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,180,396 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,189,693 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $36,500 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,111 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $3,889 | LandBOYAmt |
| Land EOY | $7,389 | LandEOYAmt |
| Land EOYFMV | $7,389 | LandEOYFMVAmt |
| Total Assets BOY | $5,888,804 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,708,780 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $10,070,504 | TotalAssetsEOYFMVAmt |
| Accounts Payable EOY | $10,200 | AccountsPayableEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,200 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $5,888,804 | CapitalStockBOYAmt |
| Capital Stock EOY | $5,698,580 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,888,804 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,698,580 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,888,804 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,708,780 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,888,804 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$190,224 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $5,698,580 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,698,580 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| BNY MELLON - PUBLICLY TRADED SECURITIES | 2021-05-22 | 2021-10-31 | $3,197,673 | $3,197,675 | -$2 | -$2 | |
| CAPITAL GAINS DIVIDENDS | $7,552 | $7,552 | $7,552 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $7,550 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,482 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,482 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,482 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,619 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $4,619 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $3,137 | OverpaymentAmt |
| Applied To ES Tax | $3,137 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MT | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | SAMPLEFOUNDATION.ORG | WebsiteAddressTxt |
| Individual With Books | JOSEPH S SAMPLE | IndividualWithBooksNm |
| Phone | 4062450550 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 606 HIGHLAND PARK DRIVE | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JOSEPH S SAMPLE | ||||||||
| 606 HIGHLAND PARK DRIVE | BILLINGS | MT | 59102 | CHAIRMAN | 0.10 | $0 | $0 | $0 |
| BRIDGET SAMPLE JOYNER | ||||||||
| 1298 TAMMANY LN | HAMILTON | MT | 59840 | TREASURER | 0.10 | $0 | $0 | $0 |
| BARBARA SAMPLE | ||||||||
| 2517 IRVING PLACE | BILLINGS | MT | 59102 | EXEC. DIRECTOR/PRESIDENT | 1.00 | $0 | $0 | $0 |
| DAVID F SAMPLE | ||||||||
| 34174 CAMDEN LANE | POLSON | MT | 59860 | DIRECTOR | 0.10 | $0 | $0 | $0 |
| PATRICK G SAMPLE | ||||||||
| PO BOX 410 | INDEX | WA | 98256 | DIRECTOR | 0.10 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $6,274,893 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $3,398,147 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $9,673,040 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $9,673,040 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $145,096 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $9,527,944 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $476,397 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $476,397 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,482 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,482 | TotalTaxAmt |
| Distributable Before Adj | $474,915 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $474,915 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $474,915 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $460,606 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $460,606 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $460,606 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $474,915 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr2 | $19,226 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $19,226 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $460,606 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $460,606 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $14,309 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $14,309 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $4,917 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $4,917 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $4,917 | ExcessFromYear2Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | JOSEPH S SAMPLE | ContributingManagerNm |
| Contributing Manager | BARBARA SAMPLE | ContributingManagerNm |
| Contributing Manager | DAVID F SAMPLE | ContributingManagerNm |
| Contributing Manager | PATRICK G SAMPLE | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | BARBARA SAMPLE | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 279 | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 591030279 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 4062565567 | RecipientPhoneNum |
| Form And Info And Materials | LETTER GIVING ORGANIZATIONAL BACKGROUND AND PURPOSES, SPECIFIC NEED & AMOUNT REQUESTED. ATTACH 501(C)(3) IRS DETERMINATION LETTER. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | AUGUST 1 | SubmissionDeadlinesTxt |
| Restrictions On Awards | GENERALLY LIMITED TO ORGANIZATIONS IN THE STATE OF MONTANA & COLLIER COUNTY FLORIDA. NO GRANTS WILL BE PROVIDED TO RELIGIOUS OR POLITICAL ORGANIZATIONS OR TAX SUPPORTED INSTITUTIONS. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (73 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| AJAY MT | ||||||
| PO BOX 923 | HELENA | MT | 59624 | PC | GENERAL SERVICES | $3,000 |
| ANGELA'S PIAZZA | ||||||
| 420 GRAND AVE | BILLINGS | MT | 59101 | PC | AIR CONDITIONER | $3,400 |
| BILLINGS FAMILY SERVICES | ||||||
| PO BOX 1020 | BILLINGS | MT | 59103 | PC | VEHICLE FOR FOOD DISTRIBUTION | $7,500 |
| BILLINGS FAMILY YMCA | ||||||
| 402 NORTH 32ND STREET | BILLINGS | MT | 59101 | PC | SECURITY CAMERAS | $4,728 |
| BILLINGS PUBLIC SCHOOLS | ||||||
| 101 10TH STREET WEST | BILLINGS | MT | 59102 | PC | ORCHARD PLAYGROUND | $15,000 |
| BILLINGS SYMPHONY SOCIETY | ||||||
| 2721 2ND AVE N 350 | BILLINGS | MT | 59101 | PC | SOUND SYSTEM | $3,000 |
| BLUE MOUNTAIN CLINIC | ||||||
| 610 NO CALIFORNIA ST | RONAN | MT | 59802 | PC | GENERAL SERVICES | $1,000 |
| BOYS & GIRLS CLUB OF MISSOULA COUNTY | ||||||
| 1515 FAIRVIEW AVE SUITE 243 | MISSOULA | MT | 59801 | PC | VAN | $7,750 |
| BOYS & GIRLS CLUB OF RICHLAND COUNTY | ||||||
| PO BOX 416 | SIDNEY | MT | 59270 | PC | FACILITY UPDATES | $15,000 |
| BOYS & GIRLS CLUB OF THE FLATHEAD RESERVATION AND LAKE COUNTY | ||||||
| PO BOX 334 | RONAN | MT | 59864 | PC | B&G SPORTS EQUIPMENT | $15,000 |
| BOYS & GIRLS CLUB OF THE NORTHERN CHEYENNE NATION | ||||||
| 101 CHEYENNE AVENUE | LAME DEER | MT | 59043 | PC | GENERAL SERVICES | $6,000 |
| BOYS & GIRLS CLUBS OF YELLOWSTONE COUNTY | ||||||
| 505 ORCHARD LANE | BILLINGS | MT | 59101 | PC | PLAY STRUCTURE | $15,000 |
| BRIDGERCARE | ||||||
| 1288 N 14TH AVE 201 | BOZEMAN | MT | 59715 | PC | EXAM TABLES,DEFIBILLATOR | $8,500 |
| CASA OF LAKE COUNTY | ||||||
| PO BOX 511 | POLSON | MT | 598600511 | PC | BD DESIGNATED | $3,000 |
| CENTER FOR COMMUNITY STEWARDSHIP | ||||||
| 116 NORTH FEW ST SUITE 3 | MADISON | WI | 59703 | PC | BD DESIGNATED | $1,000 |
| CHILD'S PATH INC (FORMERLY COLLIER CHILD CARE RESOURCES INC - CCCR) | ||||||
| 15275 COLLIER BOULEVARD 201-359 | NAPLES | FL | 34119 | PC | ROOF REPAIR | $20,800 |
| CHILDREN'S ONCOLOLOGY CAMP MAKE A DREAM | ||||||
| 2110 S JOHNSON ST | MISSOULA | MT | 59801 | PC | MATTRESSES FOR CABINS | $3,000 |
| EAGLE MOUNT BILLINGS | ||||||
| 1140 16TH STREET 12 | BILLINGS | MT | 59102 | PC | TRANSPORTATION PROJECT | $15,000 |
| EAGLE MOUNT BOZEMAN | ||||||
| 6901 GOLDENSTEIN LANE | BOZEMAN | MT | 59715 | PC | ACCESSIBLE VEHICLES | $7,500 |
| EASTER SEALS | ||||||
| 300 MERCER ST 210E | SEATTLE | WA | 98119 | PC | BD. DESIGNATION | $1,000 |
| FOUNDATION FOR BILLINGS PUBLIC SCHOOLS (NEWMAN SCHOOL) | ||||||
| 101 10TH STREET WEST | BILLINGS | MT | 59101 | PC | VIOLINS | $3,600 |
| EMMA'S HOUSE | ||||||
| 310 N 4TH ST | HAMILTON | MT | 59840 | PC | DESIGNATED | $1,000 |
| FAMILY PROMISE OF GALLATIN VALLEY | ||||||
| 429 E STORY ST | BOZEMAN | MT | 59771 | PC | FURNITURE | $10,000 |
| FINLEY POINT VOLUNTEER FIRE DEPARTMENT | ||||||
| 35408 MT HWY 35 | POLSON | MT | 59860 | PC | DESIGNATED | $2,000 |
| FLORENCE CRITTENTON HOME & SERVICES | ||||||
| 901 N HARRIS ST | HELENA | MT | 59601 | PC | CHILD ENRICHMENT MATERIALS | $10,300 |
| FLORENCE RECREATION FACILITY | ||||||
| PO BOX 98 | FLORENCE | MT | 59833 | PC | PEDESTRIAN FOOT PATH | $10,000 |
| FOCUSFUSION SOCIETY | ||||||
| 128 LINCOLN BLVD | MIDDLESEX | NY | 088461022 | PC | DESIGNATED | $1,000 |
| FRIENDS OF HEYBROOK RIDGE | ||||||
| PO BOX 265 | INDEX | WA | 98256 | PC | DESIGNATED | $4,000 |
| FUN TIME EARLY CHILDHOOD ACADEMY | ||||||
| 102 12TH ST N | NAPLES | FL | 34102 | PC | PARENT EDUCATION MATERIALS | $8,000 |
| GARDEN CITY HARVEST | ||||||
| PO BOX 205 | MISSOULA | MT | 59806 | PC | OUTDOOR KITCHEN EQUIPMENT | $7,000 |
| GARNET PRESERVATION ASSN | ||||||
| PO BOX 18295 | MISSOULA | MT | 59808 | PC | DESIGNATED | $1,000 |
| GIRL SCOUTS OF MONTANA AND WYOMING | ||||||
| 2303 GRAND AVENUE | BILLINGS | MT | 59102 | PC | STEM PROGRAM | $7,500 |
| GREAT FALLS SCOTTISH RITE CHILDHOOD LANGUAGE DISORDERS CLINIC | ||||||
| 1304 13TH STREET SOUTH | GREAT FALLS | MT | 59405 | PC | COMMUNICATION UPGRADE | $9,598 |
| GREATER MONTANA FOUNDATION | ||||||
| 1038 MONROE AVE | HELENA | MT | 59601 | PC | DESIGNATED | $1,000 |
| GUADALUPE CENTER | ||||||
| 509 HOPE CIRCLE | IMMOKALEE | FL | 34142 | PC | SHOE PROGRAM | $5,000 |
| HABITAT FOR HUMANITY OF MISSOULA | ||||||
| 3655 HIGHWAY 200 EAST | MISSOULA | MT | 59807 | PC | HOME BUILDS | $15,000 |
| HAVEN | ||||||
| PO BOX 752 | BOZEMAN | MT | 597710752 | PC | BEDROOM REFRESH | $3,000 |
| INTERMOUNTAIN | ||||||
| 500 S LAMBORN | HELENA | MT | 59601 | PC | BRIDGING BEGINNINGS | $15,000 |
| KALISPELL REGIONAL HEALTHCARE FOUNDATION | ||||||
| 310 SUNNYVIEW LN | KALISPELL | MT | 599019987 | PC | SEXUAL ASSAULT EQUIPMENT | $10,000 |
| LAKE COUNTY COMMUNITY HOUSING ORGANIZATION | ||||||
| PO BOX 146 | RONAN | MT | 59864 | PC | HOME BUILD | $10,000 |
| LIVING INDEPENDELTHLY FOR TODAY (LIFTT) | ||||||
| 1201 GRAND AVE SUITE 1 | BILLINGS | MT | 59102 | PC | ADA WEBSITE | $15,000 |
| MISSION VALLEY AQUATICS | ||||||
| 309 RIDGEWAY DR | POLSON | MT | 59860 | PC | DESIGNATED | $1,500 |
| MISSOULA AGING SERVICES | ||||||
| 337 STEPHENS AVENUE | MISSOULA | MT | 59801 | PC | FURNITURE | $4,000 |
| MISSOULA ART MUSEUM | ||||||
| 335 NORTH PATTEE STREET | MISSOULA | MT | 59802 | PC | ENVIRONMENT CONTROL | $20,000 |
| MISSOULA BUTTERFLY HOUSE AND INSECTARIUM | ||||||
| PO BOX 8885 | MISSOULA | MT | 59807 | PC | MICROSCOPE STATIONS | $7,000 |
| MISSOULA FAMILY YMCA | ||||||
| 3000 SOUTH RUSSELL | MISSOULA | MT | 59801 | PC | CPR EQUIMENT | $5,390 |
| MISSOULA INTERFAITH COLLABORATIVE | ||||||
| 2205 34TH STREET | MISSOULA | MT | 59801 | PC | SNOW PLOW | $8,000 |
| MISSOULA PUBLIC LIBRARY | ||||||
| 455 E MAIN | MISSOULA | MT | 59802 | PC | DESIGNATED | $1,000 |
| MONTANA FREE PRESS | ||||||
| PO BOX 1425 | HELENA | MT | 59624 | PC | OFFICE EQUIPMENT | $4,485 |
| MONTANA NON PROFIT ASSN | ||||||
| 7 WEST 6TH AVENUE STE 504 | HELENA | MT | 59624 | PC | DESIGNATED | $3,000 |
| FRIENDS OF MONTANA PUBLIC BROADCASTING | ||||||
| MONTANA STATE UNIVERSITY | BOZEMAN | MT | 59715 | PC | DESIGNATED | $3,000 |
| MONTANA SCHOOL FOR THE DEAF AND BLIND FOUNDATION | ||||||
| 3911 CENTRAL AVENUE | GREAT FALLS | MT | 594066576 | PC | VISUAL ENHANCEMENT EQUIPMENT | $10,566 |
| MOUNTAIN HOME MONTANA | ||||||
| 2606 SOUTH AVE WEST | MISSOULA | MT | 59804 | PC | WASHER/DRYER | $5,200 |
| NORTH MISSOULA COMMUNITY DEVELOPMENT CORPORATION | ||||||
| 1500 BURNS STREET | MISSOULA | MT | 59802 | PC | SWING SET | $4,130 |
| NORTHERN PLAINS RESOURCE | ||||||
| 220 S 27TH ST A | BILLINGS | MT | 59101 | PC | DESIGNATED | $4,000 |
| PED WILLOW LEARNING CENTER | ||||||
| 700 SOUTH AVE WEST SUITE C | MISSOULA | MT | 59801 | PC | CLASS FOR INCARCERATED | $3,204 |
| REACH INC | ||||||
| 322 GALLATIN PARK DRIVE | BOZEMAN | MT | 59715 | PC | NEW WINDOWS | $4,585 |
| ROCKY MOUNTAIN COLLEGE | ||||||
| 1511 POLY DRIVE | BILLINGS | MT | 59102 | PC | ARTS ENRICHMENT | $3,500 |
| RONALD MCDONALD HOUSE | ||||||
| 3003 FT MISSOULA RD | MISSOULA | MT | 59840 | PC | DESIGNATED | $3,000 |
| SAFE HARBOR | ||||||
| PO BOX 497 | RONAN | MT | 59864 | PC | BRIDGING BEGINNINGS | $12,000 |
| ST JOSEPH HOSPITAL PROVIDENCE | ||||||
| 6 THIRTEENTH AVE EAST | POLSON | MT | 59860 | PC | DESIGNATED | $3,500 |
| STARTUP EVENT CENTER | ||||||
| 14315 366TH AVE SE | SULTAN | WA | 98294 | PC | DESIGNATED | $1,000 |
| STOP AAPI HATE | ||||||
| 17 WALTER LUM PLACE | SAN FRANCISCO | CA | 94108 | PC | DESIGNATED | $1,000 |
| THE BOYCE L ANSLEY SCHOOL | ||||||
| 120 RALPH MCGILL BLVD 3STE B1 | ATLANTA | GA | 30308 | PC | DESIGNATED | $1,000 |
| THRIVE | ||||||
| 400 EAST BABCOCK ST | BOZEMAN | MT | 59715 | PC | DESIGNATED | $1,700 |
| TROY PUBLIC SCHOOL DISTRICT | ||||||
| 501 E KALISPELL AVE | TROY | MT | 59935 | PC | TRACK AND FIELD EQUIPMENT | $10,000 |
| UNIVERSITY OF MONTANA EXCELLENCE FUND | ||||||
| PO BOX 7159 | MISSOULA | MT | 598077159 | PC | DESIGNATED | $1,500 |
| WATSON'S CHILDREN'S CENTER | ||||||
| 4978 BUCKHOUSE LN | MISSOULA | MT | 59804 | PC | DESIGNATED | $2,000 |
| WILD AND SCENIC INSTITUTE | ||||||
| PO BOX 554 | MOUNTLAKE TERRACE | WA | 98043 | PC | DESIGNATED | $2,000 |
| YELLOWSTONE ART MUSEUM | ||||||
| 401 N 27TH ST | BILLINGS | MT | 59101 | PC | DESIGNATED | $3,000 |
| YOUTH DYNAMICS | ||||||
| 2334 LEWIS AVENUE | BILLINGS | MT | 59102 | PC | BUILDING CONSTRUCTION | $6,000 |
| YRPA | ||||||
| PO BOX 1201 | BILLINGS | MT | 59103 | PC | DESIGNATED | $5,000 |
| YWCA MISSOULA | ||||||
| 1800 S 3RD ST W | MISSOULA | MT | 59801 | PC | PLAY STRUCTURE | $4,570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $455,006 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3,165 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $117,004 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $7,550 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| ENTERPRISE PRODS PARTNERS | 18 | $10,770 |
| OTHER INCOME | 18 | $64 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $138,553 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $138,553 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| DAVID F SAMPLE | ||||||
| 1 | 34174 CAMDEN LANE | POLSON | MT | 59860 | $50,652 | Yes (X) |
| JOSEPH S SAMPLE | ||||||
| 2 | 606 HIGHLAND PARK DRIVE | BILLINGS | MT | 59102 | $16,716 | Yes (X) |
| PATRICK G SAMPLE | ||||||
| 3 | PO BOX 410 | INDEX | WA | 98256 | $50,660 | Yes (X) |
| BARBARA MSAMPLE | ||||||
| 4 | 2517 IRVING PLACE | BILLINGS | MT | 59102 | $49,458 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $11,200 | Amt |
| Net Investment Income | $5,600 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $5,600 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (5 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|---|---|---|---|
| SOFTWARE | 2013-06-20 | $8,500 | $8,500 | SL | 3.000000000000 | $0 | $0 |
| SOFTWARE | 2015-05-12 | $7,000 | $7,000 | SL | 3.000000000000 | $0 | $0 |
| SOFTWARE | 2017-05-20 | $7,000 | $7,000 | SL | 3.000000000000 | $0 | $0 |
| SOFTWARE | 2019-07-02 | $7,000 | $3,111 | SL | 3.000000000000 | $2,333 | $0 |
| SOFTWARE | 2021-05-11 | $7,000 | SL | 3.000000000000 | $1,167 | $0 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (22 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBOT LABS | $35,390 | $322,225 |
| BP AMOCO | $57,031 | $76,178 |
| BRISTOL MYERS SQUIBB | $35,931 | $233,600 |
| EMERSON ELECTRIC | $17,062 | $582,060 |
| JOHNSON & JOHNSON | $60,089 | $377,882 |
| CANADIAN NATIONAL RAILWAY | $30,284 | $731,005 |
| PFIZER INC COM | $104,972 | $131,220 |
| CONOCOPHILLIPS | $90,469 | $260,715 |
| HONEYWELL INTERNATIONAL INC. | $113,673 | $437,240 |
| PROCTOR & GAMBLE COMPANY | $126,593 | $285,980 |
| CHEVRON CORPORATION | $153,457 | $171,735 |
| PHILLIPS 66 | $24,387 | $112,170 |
| VERIZON COMMUNICATIONS INC. | $168,020 | $169,568 |
| WEYERHAEUSER COMPANY | $121,800 | $228,608 |
| ALPHABET INC. | $177,094 | $444,138 |
| CVS HEALTH CORP COM | $180,576 | $267,840 |
| INVESCO EXCHANGE TRADED FD TR S&P 500 | $259,845 | $457,320 |
| JP MORGAN CHASE & CO | $161,297 | $254,835 |
| QUANTA SVCS INC | $166,261 | $606,400 |
| SELECT SECTOR SPDR TR CONSUMER | $232,061 | $402,300 |
| QUALCOMM, INC | $149,592 | $266,080 |
| VIATRIS INC COM | $5,754 | $4,966 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DREYFUS/U.S. TREASURY OBLIGATIONS | AT COST | $3,053,331 | $3,053,613 |
| ENTERPRISE PRODUCTS PARTNERS LP | AT COST | $127,065 | $136,080 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| SOFTWARE | $8,500 | $8,500 | $0 |
| SOFTWARE | $7,000 | $7,000 | $0 |
| SOFTWARE | $7,000 | $7,000 | $0 |
| SOFTWARE | $7,000 | $5,444 | $1,556 |
| SOFTWARE | $7,000 | $1,167 | $5,833 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS ADMINISTRATION | Desc |
| Revenue And Expenses Per Books | $2,356 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $2,106 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| ENTERPRISE PRODS PARTNERS | $10,770 | $10,770 | $10,770 |
| OTHER INCOME | $64 | $64 | $64 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT/BANK FEES | CategoryTxt |
| Amt | $22,620 | Amt |
| Net Investment Income | $22,620 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAXES | CategoryTxt |
| Amt | $1,581 | Amt |
| Net Investment Income | $1,581 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |