2022-09-15T14:54:09-05:00 2021-12-31 FOUNDATION SOURCE ONE HOLLOW LN STE 212 LAKE SUCCESS NY 11042 990PF 2021-01-01 453077152 The Tim and Leah Chapman Foundation % KATHY DEVINE TIMA 9045450709 518 Rutile Drive Ponte Vedra Beach FL 32082 LEAH H CHAPMAN PRESIDENT 9047393983 2022-09-09 true LEAH H CHAPMAN 999009999 Jeffrey D Haskell P01345770 8008391754 2021 2023-04-26 12:10:37Z X X 2348339 X 500000 117 117 51376 51376 60936 120694 61909 -834 4 611595 113406 0 8973 8973 500 12839 501 12338 22312 9474 12338 74250 74250 96562 9474 86588 515033 103932 82064 574879 574879 1259605 1307442 1557798 72588 72588 75000 113247 87628 140662 1527504 2042537 2348339 0 0 X 1527504 2042537 1527504 2042537 1527504 2042537 1527504 515033 2042537 2042537 Publicly-traded Securities 86031 35086 50945 50945 Passthrough K1 Capital Gain/(Loss) -293 CAIS MILLENNIUM INTL. LTD. P 2014-04-30 2021-01-01 26773 15160 11613 11613 CION INVESTMENT CORPORATION P 2014-09-08 2021-01-07 6288 6582 -294 -294 CION INVESTMENT CORPORATION P 2014-09-08 2021-03-31 1602 1664 -62 -62 61909 1445 1445 1445 781 0 100 881 X 0 564 false false false false false false false true true DE true false true false false true KATHY DEVINE 9047393983 7842 MONTEREY BAY DRIVE Jacksonville FL 32256 false false false false false false false false false false false false false false false false false false false false false Hannah C Chapman 518 Rutile Drive Ponte Vedra Beach FL 32082 Dir 1.0 0 0 0 Leah H Chapman 518 Rutile Drive Ponte Vedra Beach FL 32082 Pres, Dir, Sec 1.0 0 0 0 Lorianne G Chapman 518 Rutile Drive Ponte Vedra Beach FL 32082 Dir 1.0 0 0 0 Timothy J Chapman 518 Rutile Drive Ponte Vedra Beach FL 32082 Dir 1.0 0 0 0 Amy Navarro 518 Rutile Drive Ponte Vedra Beach FL 32082 Dir 1.0 0 0 0 1552320 95082 141252 1788654 0 1788654 26830 1761824 88091 88091 1445 1445 86646 86646 86646 86588 0 0 0 0 86588 86646 2019 2018 2017 320790 126697 92921 51702 76588 668698 86588 86588 0 58 58 668640 0 320732 347908 126697 92921 51702 76588 Leah H Chapman TIMOTHY J CHAPMAN X ATLAS MINISTRY INC 1560 S MAIN ST GREENSBORO GA 30642 N/A PC General & Unrestricted 25000 KANSAS CITY METROPOLITAN CRIME COMMISSION INC 3100 BROADWAY BLVD STE 1234 KANSAS CITY MO 64111 N/A PC Charitable Event 1500 MERCY HEALTH CENTER INC 700 OLGETHORPE AVE STE C7 ATHENS GA 30606 N/A PC General & Unrestricted 25000 NORTHLAND CHRISTIAN EDUCATION SYSTEM 10500 N ARROWHEAD TRFY KANSAS CITY MO 64155 N/A PC Doing Good Campaign 12500 THE CANCER FOUNDATION INC PO BOX 49309 ATHENS GA 30604 N/A PC General & Unrestricted 250 THOMASVILLE THOMAS COUNTY HUMANE SOCIETY INC 180 BIG STAR DR THOMASVILLE GA 31757 N/A PC General & Unrestricted 5000 WOODSON CENTER 1625 K ST NW STE 410 WASHINGTON DC 20006 N/A PC 1776 Unites Inititative 5000 74250 14 117 14 51376 525990 -972 18 61908 K-1 Inc/Loss 525990 -951 14 4 Federal Tax Refund 01 113 -1923 113518 111595 false false false false false false false false false false X X 1 2012 Leah H Chapman Rev Living Tru 518 Rutile Drive Ponte Vedra Beach FL 32082 500000 X PART I LINE 6A (990-PF) PART I LINE 6A (990-PF) RECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $61,908 TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $(972) TOTAL PART I, LINE 6A: $60,936 DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRAIDED SECURITIES GROSS SALES PRICE: $86,031 BOOK BASIS: $35,086 NET GAIN/(LOSS): $50,945 PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $(293) SALES OF OTHER ITEMIZED ASSETS GROSS SALES PRICE: $34,662 BOOK BASIS: $23,406 NET GAIN/(LOSS): $11,256 GWG HLDGS INC - 5.500% - 09/15 72588 75000 ALLIANCEBERNSTEIN HIGH INCOME 24686 22652 AMERICAN FUNDS NEW WORLD FUND 16847 24959 ARES CAPITAL CORPORATION - CLO 12430 15956 BLACKROCK GLOBAL ALLOC INSTL 59884 67401 BLACKROCK HIGH YIELD BD (A) 23898 24079 BLACKSTONE ALTERNATIVE INV FDS 78598 79382 CARLYLE TACTICAL PRIVATE CREDI 65218 69764 CIM REAL ESTATE FINANCE TRUST 61221 54346 CLEARBRIDGE APPREC CL A 30083 48673 CLEARBRIDGE APPRECIATION FUND 35599 49631 CPG CARLYLE COMMITMENTS FD LLC 64090 93836 FRANKLIN INCOME R6 36512 39556 FS ENERGY & POWER FUND ADVISOR 37238 17866 GOLDMAN SACHS BDC INC 10004 9331 GOLUB CAPITAL BDC, INC 12662 15548 INDEPENDENCE REALTY TR 26267 35775 INFINITY CORE ALTERNATIVE FUND 92115 117638 JANUS TRITON FUND A 31376 39134 JANUS TRITON FUND CLASS C SHAR 37434 42839 MFS DIVERSIFIED INCOME A 39178 42808 MFS GROWTH CLASS A 64094 144378 MFS MID CAP VALUE A 51092 76193 MFS SERIES TRUST X MFS INTL VA 22058 31591 NORTH SQUARE TACTICAL GROWTH C 36857 47520 NORTHSTAR HEALTHCARE INCOME IN 57055 23655 OWL ROCK CAPITAL ORD SHS 12687 14231 PIMCO FLEXIBLE CREDIT INCOME F 86422 80133 PIMCO INCOME CL A 41565 40752 RESOURCE REAL ESTATE REIT INC 73987 90626 STRATEGIC STORAGE TRUST II CL 55577 83722 TPG SPECIALTY LENDING INC 10708 13823 CAIS MILLENNIUM INTL. LTD. 54005 105738 CION INV CORPORATION 8154 6889 CION INVESTMENT CORP TRANCHE B 8154 6889 CION INVESTMENT CORP TRANCHE C 8154 6889 VIRTUS REAL ESTATE CAPITAL LP 9161 14257 Administrative Fees 12313 12313 Bank Charges 500 500 K-1 Exp VIRTUS REAL ESTATE CAP 1 1 State or Local Filing Fees 25 25 K-1 Inc/Loss VIRTUS REAL ESTATE CAPITAL LP -947 4 Federal Tax Refund 113 Investment Management Services 8973 8973 2012 Leah H Chapman Rev Living Tru 518 Rutile Drive Ponte Vedra Beach FL 32082 990-PF Estimated Tax for 2021 500