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SAMPLE FOUNDATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SAMPLE FOUNDATION INC (EIN 59-6138602)
Tax period
2022-11-01 to 2023-10-31
Filed
2024-09-13
IRS object ID
202412579349101106
Schema version
2022v5.0
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)
Return2024-09-13T15:47:09-05:00ReturnTs
Tax Period End2023-10-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 N 31ST ST STE 1120AddressLine1Txt
CityBILLINGSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP591011281ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-11-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN596138602EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMPLE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAMPBusinessNameControlTxt
Phone4062450550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 279AddressLine1Txt
CityBILLINGSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARBARA M SAMPLEPersonNm
Person TitleEXECUTIVE DIRECTOR/PRESIDENTPersonTitleTxt
Phone4062450550PhoneNum
Signature2024-09-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRONALD J YATES JR CPAPreparerPersonNm
PTINP00543293PTIN
Phone4068962400PhoneNum
Preparation2024-09-10PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$9,832,982FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$2,334,168ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$116,924InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$116,924InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$141,605DividendsRevAndExpnssAmt
Dividends Net Invst Incm$141,605DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$786,738NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$5,981,043GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$786,738CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$12,003OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$11,731OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$3,391,438TotalRevAndExpnssAmt
Total Net Invst Incm$1,056,998TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$16,150AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$8,075AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$8,075AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$5,972OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$5,972OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,547TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,547TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$3,803DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Other Expenses Rev And Expnss$776OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$232OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$28,248TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$15,826TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$8,075TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,089,508ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,089,508ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$2,117,756TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$15,826TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$2,097,583TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,273,682ExcessRevenueOverExpensesAmt
Net Investment Income$1,041,172NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$44,216CashBOYAmt
Cash EOY$24,062CashEOYAmt
Cash EOYFMV$24,062CashEOYFMVAmt
Acct Rcvbl$190AcctRcvblAmt
Acct Rcvbl EOY$190AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$190AcctRcvblEOYFMVAmt
Corporate Stock BOY$2,471,638CorporateStockBOYAmt
Corporate Stock EOY$3,083,794CorporateStockEOYAmt
Corporate Stock EOYFMV$6,228,579CorporateStockEOYFMVAmt
Corporate Bonds BOY$0CorporateBondsBOYAmt
Corporate Bonds EOY$3,302,932CorporateBondsEOYAmt
Corporate Bonds EOYFMV$3,135,406CorporateBondsEOYFMVAmt
Other Investments BOY$3,025,255OtherInvestmentsBOYAmt
Other Investments EOY$400,056OtherInvestmentsEOYAmt
Other Investments EOYFMV$437,488OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$44,060LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,803LandBldgEquipAccumDeprecAmt
Land BOY$3,500LandBOYAmt
Land EOY$7,257LandEOYAmt
Land EOYFMV$7,257LandEOYFMVAmt
Total Assets BOY$5,544,609TotalAssetsBOYAmt
Total Assets EOY$6,818,291TotalAssetsEOYAmt
Total Assets EOYFMV$9,832,982TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$5,544,609CapitalStockBOYAmt
Capital Stock EOY$6,818,291CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$5,544,609TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$6,818,291TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$5,544,609TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$6,818,291TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$5,544,609TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,273,682ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$6,818,291SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$6,818,291TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
MELLON - PUBLICLY TRADED SECURITIESP2022-10-072023-10-31$4,726,220$4,766,057-$39,837-$39,837
MELLON - PUBLICLY TRADED SECURITIESP2019-08-162023-10-31$1,244,571$428,248$816,323$816,323
CAPITAL GAINS DIVIDENDSP$10,252$10,252$10,252
FieldValueIRS element (for citing)
Capital Gain Net Income$786,738CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$14,472InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$14,472SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$14,472TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,228EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$20,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$21,228TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$26EsPenaltyAmt
Overpayment$6,730OverpaymentAmt
Applied To ES Tax$6,730AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMTOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressSAMPLEFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksBARBARA SAMPLEIndividualWithBooksNm
Phone4062450550PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 279AddressLine1Txt
CityBILLINGSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59103ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BRIDGET SAMPLE JOYNER
1298 TAMMANY LNHAMILTONMT59840DIRECTOR0.10$0$0$0
BARBARA SAMPLE
2517 IRVING PLACEBILLINGSMT59102EXEC. DIRECTOR/PRESIDENT1.00$0$0$0
DAVID F SAMPLE
34174 CAMDEN LANEPOLSONMT59860DIRECTOR0.10$0$0$0
PATRICK G SAMPLE
PO BOX 410INDEXWA98256DIRECTOR0.10$0$0$0
RONALD J YATES JR CPA
PO BOX 7112BILLINGSMT591037112TREASURER0.10$0$0$0
JAMES SAMPLE
275 WEST 96TH STREET APT 8BNEW YORKNY10025DIRECTOR0.10$0$0$0
JOHN SAMPLE
120 HITCHING POST RDBOZEMANMT59715DIRECTOR0.10$0$0$0
JOSEPH F SAMPLE
833 PARKVIEW WAYMISSOULAMT59803DIRECTOR0.10$0$0$0
KATE SAMPLE
632 KNICKERBOCKER STMADISONWI53711DIRECTOR0.10$0$0$0
RYAN SAMPLE
1394 HARVARD ROAD NEATLANTAGA30306DIRECTOR0.10$0$0$0
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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$6,863,979AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$3,581,253AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$10,445,232TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$10,445,232AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$156,678CashDeemedCharitableAmt
Net Vl Noncharitable Assets$10,288,554NetVlNoncharitableAssetsAmt
Minimum Investment Return$514,428MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$514,428MinimumInvestmentReturnAmt
Tax Based On Investment Income$14,472TaxBasedOnInvestmentIncomeAmt
Total Tax$14,472TotalTaxAmt
Distributable Before Adj$499,956DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$499,956DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$499,956DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,097,583ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,097,583QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$499,956DistributableAsAdjustedAmt
Undistributed Income PY$6,652UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$2,097,583QualifyingDistributionsAmt
Applied To Year1$6,652AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$499,956AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,590,975RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,590,975TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,590,975ExcessDistriCyovToNextYrAmt
Excess From Current Year$1,590,975ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerBARBARA SAMPLEContributingManagerNm
Contributing ManagerDAVID F SAMPLEContributingManagerNm
Contributing ManagerPATRICK G SAMPLEContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonBARBARA SAMPLERecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 279AddressLine1Txt
CityBILLINGSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP591030279ZIPCd
FieldValueIRS element (for citing)
Recipient Phone4062565567RecipientPhoneNum
Form And Info And MaterialsLETTER GIVING ORGANIZATIONAL BACKGROUND AND PURPOSES, SPECIFIC NEED & AMOUNT REQUESTED. ATTACH 501(C)(3) IRS DETERMINATION LETTER.FormAndInfoAndMaterialsTxt
Submission DeadlinesAUGUST 1SubmissionDeadlinesTxt
Restrictions On AwardsGENERALLY LIMITED TO ORGANIZATIONS IN THE STATE OF MONTANA & COLLIER COUNTY FLORIDA (HISTORICALLY). NO GRANTS WILL BE PROVIDED TO RELIGIOUS OR POLITICAL ORGANIZATIONS OR TAX SUPPORTED INSTITUTIONS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (82 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACLU
125 BROAD STREETNEW YORKNY10004PCDESIGNATED$3,000
ADULT RESOURCES ALLIANCE
1505 AVE DBILLINGSMT59102PCBLIZZARD BOXES$5,250
ALBERTA BAIR THEATER
2801 3RS AVE NBILLINGSMT59101PCFIREPROOF CURTAINS$3,000
ALBERTA BAIR THEATER
2801 3RS AVE NBILLINGSMT59101PCDESIGNATED$1,000
AMERICAN JOBS FOR AMERICAN YOUTH
PO BOX 923HELENAMT59624PCWEBSITE RENOVATION$5,000
AMNESTY INTERNATIONAL
311 WEST 43RD ST 7TH FLOORNEW YORKNY10036PCDESIGNATED$3,000
BEAUTY OF BRONZE
201 S CHELAN AVEWENATCHEEWA98801PCDESIGNATED$3,000
BEFRIENDERS
807 NORTH TRACYBOZEMANMT59715PCOFFICE FURNITURE/LAPTOPS$3,355
BIG FORK FOOD BANK
7535 MONTANA HWY 35BIGFORKMT59911PCREFRIGERATED FOOD DELIVERY VAN$10,000
BILLINGS PUBLIC LIBRARY FOUNDATION
510 N BROADWAY 2BILLINGSMT59101PCDESIGNATED$4,000
BILLLINGS PUBLIC SCHOOLS
101 10TH STREET WESTBILLINGSMT59102GOVDESIGNATED$3,250
BILLINGS SYMPHONY SOCIETY
2820 2ND AVE NBILLINGSMT59101PCEQUIPMENT TO ENHANCE SERVICES$3,500
BILLINGS PUBLIC SCHOOLSORCHARD SCHOOL
101 10TH STREET WESTBILLINGSMT59102GOVORCHARD ELEMENTARY SCHOOL PLAYGROUND AND MAINTENANCE PROJECT 2023$15,000
BLUE MOUNTAIN CLINIC
610 N CALIFORNIA STMISSOULAMT59801PCNEW ROOF$19,500
BOYCE L ANSLEY SCHOOL
120 RALPH MCGILL BLVD NE BLDG 3ATLANTAGA30308PCDESIGNATED$1,000SUITE B1
BOYS & GIRLS CLUB OF RICHLAND COUNTY
201 3RD AVE SESIDNEYMT59270PCOUTDOOR ACTIVITIES SPACE$15,000
BOYS & GIRLS OF RONAN
PO BOX 334RONANMT59864PCDESIGNATED$2,000
BRIDGER CARE
1288 N 14TH AVE 201BOZEMANMT59715PCMEDICAL TABLE, ANALYSIS MACHINE AND ULTRASOUND MACHINE$9,391
BULLETIN OF THE ATOMIC SCIENTISTS
77 W WASHINGTON STCHICAGOIL60602PCDESIGNATED$2,000
BUTTE CARES
305 W MERCURYBUTTEMT59701PCEQUIPMENT FOR SUBSTANCE ABUSE$4,120
BUTTERFLY HOUSE
PO BOX 8885MISSOULAMT59807PCDESIGNATED$1,000
CASA OF LAKE CTY
410 1ST STREET EPOLSONMT59860PCDESIGNATED$3,000
CHILD BRIDGE
PO BOX 310BIG FORKMT59911PCPHOTO VIDEO EQUIPMENT$4,610
CHILDCARE CONNECTIONS
2415 W MAIN ST STE 1BOZEMANMT59601PCTECHNOLOGY UPGRADE$9,000
CHILDREN'S ONCOLOGY FDN CAMP MAK-A-DREAM
2110 S JOHNSON STMISSOULAMT59801PCOUTDOOR RECREATION UPGRADES AND RENOVATIONS$10,000
CHILDREN'S ONCOLOGY FDN
2110 S JOHNSON STMISSOULAMT59801PCDESIGNATED$1,500
CODE GIRLS UNITED
PO BOX 8272KALISPELLMT59904PCCHROME BOOKS$7,500
COMMUNITY HARVEST INC
6 COVEVIEW LANETHOMPSON FALLSMT598739511PCDOORS,SHELVING,CUBOARD$7,000
CUSTER COUNTY FOOD BANK
15 N 8TH STREETMILES CITYMT59301PCNEW CARPET$5,000
DISTRICT XI HUMAN RESOURCE COUNCIL
1801 S HIGGINS AVEMISSOULAMT59801PCREPAIR WEATHERIZATION WAREHOUSE$15,000
EASTER SEALS
157 ROY STREETSEATTLEWA98109PCDESIGNATED$3,000
EASTERN MONTANA CASA GAL INC
2200 BOX ELDER STMILES CITYMT59301PCREPLACEMENT VEHICLE$10,000
EMMA'S HOUSE
310 N 4TH STREETHAMILTONMT59840PCDESIGNATED$1,000
FAMILIES FIRST LEANING LAB
455 E MAIN STREETMISSOULAMT59802PCLAPTOP,LIBRARY EXHIBITS, PRINTER$3,400
FAMILIES FIRST LEANING LAB
455 E MAIN STREETMISSOULAMT59802PCDESIGNATED$3,000
FAMILY OUTREACH
1236 HELENA AVEHELENAMT59601PCMANNEQUINS; CPR TRAINING MATERIALS$2,000
FAMILY PROMISE OF GALLATIN VALLEY
1603 TSCHACHE LANEBOZEMANMT59718PCMATTRESSES$10,000
FAMILY PROMISE OF GREAT FALLS
102 12TH ST NORTHGREAT FALLSMT59403PCCOMUTER, MONITOR AND PILLOWS$3,800
FAMILY PROMISE OF YELLOWSTONE
40 10TH STREET QWARBILLINGSMT59102PCPLAY EQUIPMENT$25,000
FARM TO SCHOOL OF PARK CO
215 E LEWIS ST STE 206LIVINGSTONMT59047PCINVESTING IN INSULATION FOR FARM TO SCHOOLS FOOD DELIVERY FLEET$11,500
FINLEYPOINT VOLUNTEER FIRE DEPT
35408 MT HIGHWAY 35POLSONMT59860GOVDESIGNATED$1,000
FLORENCE CRITTENTON HOME & SERVICES
901 N HARRIS STHELENAMT59601PCFURNISHINGS$10,000
FRIENDS OF THE CHILDREN
735 MICHIGAN AVEMISSOULAMT59802PCFURNISHINGS$7,500
FRIENDS OF THE CHILDREN OF EASTERN MT
2613 VIRGINIA LANEBILLINGSMT59102PCPROMOTING POSITIVE CHILDHOOD DEVELOPMENT THROUGH RELATIONSHIP BASED PROGRAMMING$7,000
FRIENDSHIP CENTER
1430 N SANDERSHELENAMT59601PCCOMPUTERS$10,000
FRIENDSHIP CENTER
351 EVERGREEN DRIVESTE ABOZEMANMT59715PCSMALL TRACTOR$15,000
GARNET PRESERVATION ASSN
PO BOX 18295MISSOULAMT59801PCDESIGNATED$1,000
HARVEST FOOD PANTRY
23836 US HWY 2 WCUT BANKMT59427PCBUILDING EXTERIOR$1,675
HAVEN
PO BOX 752BOZEMANMT597710752PCNEW VAN$20,000
HILINE HOME PROGRAMS INC
605 3RD AVE SGLASGOWMT59230PCENTRY DOOR REPLACEMENT$10,000
HOME RESOURCE
1515 WYOMING STMISSOULAMT59801PCPOWER TOOL REPAIR AN SAFETY EQUIPMENT$4,100
LIVINGSTON FOOD PANTRY OF PARK CO
202 S 2ND STLIVINGSTONMT59047PCLIVINGSTON FOOD RESOURCE CENTER BAKERY WALK-IN FREEZER$10,000
LONA'S INC
334 7TH AVE SSHELBYMT59474PCGMC SAFARI$5,000
MISSOULA AGING SERVICES
337 STEPHENS AVEMISSOULAMT59801PCELEVATOR REPAIR$5,000
UNITED WAY OF MISSOULA
412 WEST ALDER STREETMISSOULAMT59802PCMISSOULA CHILD CARE ADVANTAGE FACILITY$21,000
MISSOULA FOOD BANK
1720 WYOMING STREETMISSOULAMT59801PCPOWERED PALLET JACK$4,000
MONTANA LEGAL SERVICES
616 HELENA AVE STE 100HELENAMT59601PCPLEXIGLASS GUARDS, CUBICLE WALLS AND DIVDERS$9,897
MONTANA PUBLIC BROADCASTING
MONTANA STATE UNIVERSITYBOZEMANMT59715PCDESIGNATED$3,000
MONTANA WILDERNESS SCHOOL
26 SHAWNEE WAYBOZEMANMT59715PCTRUCK TOPPER FOR PICKUP FOR RESUPPLIES AND OVERNIGHTS AND A THIRD CANOE TRAILER$10,000
MT NON PROFIT ASSN
7 WEST 6TH AVENUE STE 504HELENAMT59624PCVEHICLE FOR MEETING AGENCIES ACROSS THE STATE$5,000
MUSIC FOR NEWMAN SCHOOL
605 SOUTH BILLINGS BLVEBILLINGSMT59101PCDESIGNATED$5,500
NORTHERN CHEYENNE FOOD PANTRY
PO BOX 159LAME DEERMT59043PCUSED PICK UP TRUCK FOR DELIVERY$10,000
OUTDOORS FOR ALL FDN
6344 NE 74TH ST 102SEATTLEWA98115PCDESIGNATED$3,000
PARTNERSHIP IN HOPE FOUNDATION
700 SOUTH AVE WEST STE CMISSOULAMT59801PCVIDEOS$15,000
POVERELLO CENTER
PO BOX 7644MISSOULAMT59802PCFOOD SERVICE EQUIPMENT$10,016
REACH INC
322 GALLATIN PARK DRIVEBOZEMANMT59715PCREPAIRS TO NORTH TRACY APARTMENT$6,244
RONALD MCDONALD HOUSE OF CHARITIES
3003 FORT MISSOULA RDMISSOULAMT59804PCDESIGNATED$3,000
SAFE HARBOR
PO BOX 497RONANMT59864PCKITCHEN RENOVATION$2,500
SAFE SPACE INC
PO BOX 594THOMPSON FALLSMT59873PCCOMPUTER UPGRADE$3,500
SIMULATION IN MOTION
2021 11TH AVE STE 1HELENAMT59601PCHIGH FIDELITY MANNEQUINS$1,000
SKY VALLEY ARTS COUNCIL
PO BOX 18SULTANWA98294PCDESIGNATED$5,000
SMALL WONDER CHILDCARE
512 BROADWAYLEWISTOWNMT59457PCSECURE ENTRANCE$11,603
ST JOSEPH HOSPITAL PROVIDENCE
6 THIRTEENTH AVE EASTPOLSONMT59860PCDESIGNATED$3,500
ST VINCENT DEPAUL
3005 FIRST AVE SOUTHBILLINGSMT59101PCROOFTOP HVAC SYSTEM$14,899
THOREAU ELEMENTARY PTO
3870 NAKOMA RDMADISONWI53711PCDESIGNATED$1,000
THRIVE
407 FERGUSON AVEBOZEMANMT59718PCDEFILBRILLATOR$1,755
UNITED WAY OF MISSOULA
412 W ALDERMISSOULAMT59802PCREFURBISH FACILITY$8,045
UNIVERSITY OF MONTANA EXCELLENCE FUND
950 ARTHUR AVEMISSOULAMT59807GOVDESIGNATED$1,500
WATSON CHILDREN'S CENTER
4978 BUCKHOUSE LANEMISSOULAMT59804PCER SHELTER ROOM FURNITURE$1,500
YELLOWSTONE PUBLIC RADIO
1500 UNIVERSITY DRBILLINGSMT59101PCSIDE-BY-SIDE AND ADD-ONS FOR SAFER WINTER TRAVEL FOR YPR ENGINEERS$21,698
YELLOWSTONE RIVER PARKS ASSOCIATION (YRPA)
PO BOX 1201BILLINGSMT59103PCDESIGNATED$3,000
YELLOWSTONE ART MUSEUM
401 NORTH 27TH STREETBILLINGSMT59102PCARTWORK FOR STANDARD MUSEUM PURPOSESBOOK VALUE OF PROPERTY - $1,544,400METHOD USED TO DETERMINE BOOK VALUE - APPRAISALMETHOD USED TO DETERMINE FMV - APPRAISAL$1,544,400
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,089,508TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$116,924ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$141,605ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$786,738ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (3 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
ENTERPRISE PRODS PARTNERS18$11,730
OTHER INCOME18$1
NONDIVIDEND DISTRIBUTIONS18$272

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,057,270ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,057,270TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (4 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndNoncash ContributionNoncashContributionInd
DAVID F SAMPLE
134174 CAMDEN LANEPOLSONMT59860$75,325Yes (X)
PATRICK G SAMPLE
2PO BOX 410INDEXWA98256$72,932Yes (X)
BARBARA MSAMPLE
32517 IRVING PLACEBILLINGSMT59102$67,108Yes (X)
ESTATE OF JOSEPH S SAMPLE
42517 IRVING PLACEBILLINGSMT59102$2,118,801Yes (X)Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor4ContributorNum
Noncash PropertyAPPRAISED WESTERN ARTWORKNoncashPropertyDesc
Fair Market Value$1,544,400FairMarketValueAmt
Received2023-07-16ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$16,150Amt
Net Investment Income$8,075NetInvestmentIncomeAmt
Disbursements Charitable Prps$8,075DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (6 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmt
SOFTWARE2013-06-20$8,500$8,500SL3.000000000000$0$0
SOFTWARE2015-05-12$7,000$7,000SL3.000000000000$0$0
SOFTWARE2017-05-20$7,000$7,000SL3.000000000000$0$0
SOFTWARE2019-07-02$7,000$7,000SL3.000000000000$0$0
SOFTWARE2021-05-11$7,000$3,500SL3.000000000000$2,333$0
SOFTWARE2023-04-13$7,560SL3.000000000000$1,470$0

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (13 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AMERICAN EXPRESS CO$296,898$274,128
APPLE INC FXD RT$242,993$239,243
BOEING CO SR NT$249,777$242,210
CVS HEALTH CORP COM$249,355$239,455
HUBBELL INC FXD RD$242,483$236,833
KRAFT HEINZ FOODS CO$283,590$265,551
LOWES COS INC NT$247,500$228,812
MCCORMICK & CO INC$247,273$225,810
NORTHROP GRUMMAN CORP SR NT$249,745$228,215
PHILLIPS 66 CO SR NT$252,500$233,505
THERMO FISHER SCIENTIFIC INC$249,333$247,507
VERIZON COMMUNICATIONS INC. FXD RT$241,573$232,890
MCDONALDS CORP MEDIUM TERM NTS$249,912$241,247

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (24 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBOT LABS$35,390$236,375
BRISTOL MYERS SQUIBB$35,931$206,120
EMERSON ELECTRIC$12,797$400,365
JOHNSON & JOHNSON$38,851$222,510
CANADIAN NATIONAL RAILWAY$22,025$423,120
PFIZER INC COM$104,972$91,680
CONOCOPHILLIPS$90,469$415,800
HONEYWELL INTERNATIONAL INC.$73,887$238,238
PROCTOR & GAMBLE COMPANY$126,593$300,060
CHEVRON CORPORATION$153,457$218,595
PHILLIPS 66$24,387$171,105
VERIZON COMMUNICATIONS INC.$168,020$112,416
WEYERHAEUSER COMPANY$121,800$183,616
ALPHABET INC.$177,094$372,240
CVS HEALTH CORP COM$180,576$207,030
INVESCO EXCHANGE TRADED FD TR S&P 500$259,845$399,900
JP MORGAN CHASE & CO$161,297$208,590
QUANTA SVCS INC$106,407$534,784
QUALCOMM, INC$149,592$217,980
ZOETIS INC COM$164,138$157,000
VISA INC COM CL A$220,466$235,100
BLACKSTONE INC COM$170,169$184,700
T-MOBILE US INC COM$224,950$230,176
SALESFORCE INC COM$260,681$261,079

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
BNY MELLON/U.S. TREASURY OBLIGATIONSAT COST$272,991$281,248
ENTERPRISE PRODUCTS PARTNERS LPAT COST$127,065$156,240

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (6 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
SOFTWARE$8,500$8,500$0
SOFTWARE$7,000$7,000$0
SOFTWARE$7,000$7,000$0
SOFTWARE$7,000$7,000$0
SOFTWARE$7,000$5,833$1,167
SOFTWARE$7,560$1,470$6,090

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS ADMINISTRATIONDesc
Revenue And Expenses Per Books$776RevenueAndExpensesPerBooksAmt
Net Investment Income$232NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
ENTERPRISE PRODS PARTNERS$11,730$11,730$11,730
OTHER INCOME$1$1$1
NONDIVIDEND DISTRIBUTIONS$272$272

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT/BANK FEESCategoryTxt
Amt$5,972Amt
Net Investment Income$5,972NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryTAXESCategoryTxt
Amt$1,547Amt
Net Investment Income$1,547NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt