STRATEGY STUDIO / PUBLIC DATA EXPLORER

PRIME HEALTH FOUNDATION: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PRIME HEALTH FOUNDATION (EIN 43-1057862)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-05-10
IRS object ID
202341309349102554
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)
Return2023-05-10T10:30:39-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

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 Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431057862EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRIME HEALTH FOUNDATION 10026400BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRIMBusinessNameControlTxt
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)
PersonKARIN CHANGPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8168601933PhoneNum
Signature2023-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH B HULLPreparerPersonNm
PTINP00135850PTIN
Phone6142327290PhoneNum
Preparation2023-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,927,322FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$74,116DividendsRevAndExpnssAmt
Dividends Net Invst Incm$74,690DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$17,113NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,127,501GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$17,113CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$91,229TotalRevAndExpnssAmt
Total Net Invst Incm$91,803TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$97,803CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$48,902CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$48,902CompOfcrDirTrstDsbrsChrtblAmt
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 Rev And Expnss$9,232LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$2,308LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$6,924LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$800AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$800AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$12,422TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,178TaxesNetInvstIncmAmt
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
Other Expenses Rev And Expnss$3,390OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$3,390OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$123,647TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$55,778TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$56,626TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$221,200ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$221,200ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$344,847TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$55,778TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$277,826TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$253,618ExcessRevenueOverExpensesAmt
Net Investment Income$36,025NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$193,042SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$106,178SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$106,178SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$3,629,866OtherInvestmentsBOYAmt
Other Investments EOY$3,462,350OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,821,144OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,822,908TotalAssetsBOYAmt
Total Assets EOY$3,568,528TotalAssetsEOYAmt
Total Assets EOYFMV$3,927,322TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$3,822,908CapitalStockBOYAmt
Capital Stock EOY$3,568,528CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$3,822,908TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,568,528TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,822,908TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,568,528TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,822,908TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$253,618ExcessRevenueOverExpensesAmt
Other Increases$761OtherIncreasesAmt
Subtotal$3,570,051SubtotalAmt
Other Decreases$1,523OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,568,528TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (160 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
69. CROWDSTRIKE HOLDINGS INC - A2021-06-102022-01-13$12,081$15,771-$3,690-$3,690
76. DOCUSIGN INC2020-03-122022-01-13$10,012$5,029$4,983$4,983
94. FIVE BELOW2020-06-112022-01-13$16,647$11,037$5,610$5,610
28. GOLDMAN SACHS GROUP INC2020-01-092022-01-13$10,949$6,790$4,159$4,159
90. BLOCK INC2021-08-122022-01-13$12,313$24,259-$11,946-$11,946
95. TEXAS INSTRUMENTS INC2019-10-102022-01-13$17,582$12,180$5,402$5,402
56. UNION PACIFIC CORP2019-07-112022-01-13$13,862$9,597$4,265$4,265
166.59 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-01-18$167$167
102.7 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-01-18$103$103
.02 FHR 3609 LA 4% 15 DEC 20242012-09-172022-01-18
827.206 PRINCIPAL MIDCAP FUND-R62012-08-312022-01-28$30,102$12,564$17,538$17,538
34. ADOBE SYSTEMS INC2017-02-092022-02-10$16,780$3,961$12,819$12,819
34. LAUDER ESTEE COMPANIES INC CLASS A2021-02-112022-02-10$10,707$9,821$886$886
58. LAUDER ESTEE COMPANIES INC CLASS A2020-12-102022-02-10$18,264$14,321$3,943$3,943
30. NETFLIX COM INC2021-09-172022-02-10$12,121$17,609-$5,488-$5,488
80. STRYKER CORP2017-08-102022-02-10$20,403$11,521$8,882$8,882
101.49 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-02-15$101$102-$1-$1
100.86 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-02-15$101$101
.01 FHR 3609 LA 4% 15 DEC 20242012-09-172022-02-15
159. NIKE INC CLASS B2018-08-082022-03-10$20,041$12,837$7,204$7,204
463. PENN NATIONAL GAMING INC2021-10-142022-03-10$20,346$34,758-$14,412-$14,412
80. PIONEER NATURAL RESOURCES CO2021-02-112022-03-10$18,981$10,345$8,636$8,636
70. ROCKWELL INTERNATIONAL CORP2020-06-112022-03-10$18,295$14,506$3,789$3,789
259.99 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-03-15$260$260
99.04 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-03-15$99$99
54. GOLDMAN SACHS GROUP INC2020-01-092022-04-14$17,367$13,094$4,273$4,273
42. MASTERCARD INC - A2017-01-122022-04-14$15,082$4,567$10,515$10,515
60. SHERWIN-WILLIAMS CO2021-09-172022-04-14$15,222$17,683-$2,461-$2,461
168.1 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-04-15$168$168
97.25 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-04-15$97$97
.03 FHR 3609 LA 4% 15 DEC 20242012-09-172022-04-15
136.38 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-05-16$136$136
95.5 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-05-16$96$96
35000. QUALCOMM INC 3% 20 MAY 20222018-10-042022-05-20$35,000$35,000
629. DUKE WEEKS REALTY CORP2020-07-092022-06-10$31,459$20,714$10,745$10,745
623. GENERAL MOTORS CO2021-12-092022-06-10$21,893$36,631-$14,738-$14,738
234. KKR & CO INC2021-12-092022-06-10$11,985$17,763-$5,778-$5,778
72. ZSCALER INC2021-08-122022-06-10$11,072$17,463-$6,391-$6,391
8322. BGF INTERNATIONAL ALPHA-INST2020-08-252022-06-13$88,962$126,078-$37,116-$37,116
4993.129 OAKMARK INTERNATIONAL-INST2015-11-252022-06-13$114,942$126,779-$11,837-$11,837
91.38 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-06-15$91$91
93.77 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-06-15$94$94
78. ADVANCED MICRO DEVICES INC2022-02-102022-07-14$6,150$9,802-$3,652-$3,652
123. NUCOR CORP2021-08-122022-07-14$13,353$15,452-$2,099-$2,099
75.58 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-07-15$76$76
92.08 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-07-15$92$92
97. NVIDIA CORP2021-02-112022-08-11$17,390$12,640$4,750$4,750
24. SVB FINANCIAL GROUP2021-10-142022-08-11$10,911$16,384-$5,473-$5,473
28. SVB FINANCIAL GROUP2021-06-102022-08-11$12,730$15,940-$3,210-$3,210
408. SOUTHWEST AIRLINES CO2020-12-102022-08-11$15,880$19,147-$3,267-$3,267
84. FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-08-15$84$84
79.51 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-08-15$80$80
1036.933 AMER CENT MID CAP VAL-I2013-09-272022-08-25$17,265$16,187$1,078$1,078
747.907 PRINCIPAL MIDCAP FUND-R62012-08-312022-08-25$26,012$11,359$14,653$14,653
103.432 VANGUARD INST INDEX-INST2021-08-172022-08-25$36,870$40,253-$3,383-$3,383
77.49 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-09-15$77$78-$1-$1
99.24 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-09-15$99$99
175. ABBOTT LABORATORIES2018-09-132022-09-16$18,208$10,405$7,803$7,803
245. EDWARDS LIFESCIENCES CORP2020-10-152022-09-16$22,839$18,965$3,874$3,874
367. MARVELL TECHNOLOGY INC2022-03-102022-09-16$16,919$27,200-$10,281-$10,281
173. ZOETIS INC2022-02-102022-09-16$27,201$35,054-$7,853-$7,853
88. GENERAC HOLDINGS INC2022-08-112022-10-13$12,866$26,043-$13,177-$13,177
37. GOLDMAN SACHS GROUP INC2022-08-112022-10-13$11,376$13,048-$1,672-$1,672
11. GOLDMAN SACHS GROUP INC2020-01-092022-10-13$3,382$2,667$715$715
58. LINDE PLC/OLD2020-12-102022-10-13$16,352$14,584$1,768$1,768
84.55 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-10-17$85$85
87.57 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-10-17$88$88
272. ALPHABET INC2021-10-142022-11-10$25,598$35,558-$9,960-$9,960
128. AMAZON COM INC2016-05-122022-11-10$12,328$4,605$7,723$7,723
103. META PLATFORMS INC-CLASS A2022-06-102022-11-10$11,535$18,163-$6,628-$6,628
69.9 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-11-15$70$70
83.87 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-11-15$84$84
25000. US TREASURY N/B 2% 15 AUG 20252020-12-162022-12-02$23,684$25,833-$2,149-$2,149
78. ALBEMARLE CORP2022-09-162022-12-15$18,754$22,356-$3,602-$3,602
137. BLACKSTONE INC2022-06-102022-12-15$10,598$14,689-$4,091-$4,091
154. BLACKSTONE INC2021-08-122022-12-15$11,913$17,202-$5,289-$5,289
147.31 FHR 4104 AJ 1.5% 15 SEP 20272012-09-262022-12-15$147$148-$1-$1
59.8 FHR 4142 AT 1.75% 15 DEC 20322013-05-162022-12-15$60$60
65. PIONEER NATURAL RESOURCES CO2021-02-112022-12-15$14,581$8,098$6,483$6,483
112. SALESFORCE INC2018-08-082022-12-15$14,592$13,518$1,074$1,074
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
CAPITAL GAIN DIVIDENDS$53,189P
FieldValueIRS element (for citing)
Capital Gain Net Income$17,113CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$501InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$501SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$501TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$5,804EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$5,804TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$5,303OverpaymentAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$5,303RefundAmt

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 StateMOOrgReportOrRegisterStateCd
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 NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8168601933PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11010 GRANDAddressLine1Txt
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
UMB BANK N A
1010 GRANDKANSAS CITYMO64106CO-TRUSTEE1$37,803
EDNA RINDNER
2915 W 93RD TERRACELEAWOODKS66206CO-TRUSTEE1$60,000
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$4,158,976AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$83,340AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,242,316TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,242,316AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$63,635CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,178,681NetVlNoncharitableAssetsAmt
Minimum Investment Return$208,934MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$208,934MinimumInvestmentReturnAmt
Tax Based On Investment Income$501TaxBasedOnInvestmentIncomeAmt
Total Tax$501TotalTaxAmt
Distributable Before Adj$208,433DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$208,433DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$208,433DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$277,826ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$277,826QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$208,433DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$133,540ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$126,983ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$100,574ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$43,231ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$93,114ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$497,442TotalExcessDistributionCyovAmt
Qualifying Distributions$277,826QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$208,433AppliedToCurrentYearAmt
Remaining Distri From Corpus$69,393RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$566,835TotalCorpusAmt
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$133,540ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$433,295ExcessDistriCyovToNextYrAmt
Excess From Year4$126,983ExcessFromYear4Amt
Excess From Year3$100,574ExcessFromYear3Amt
Excess From Year2$43,231ExcessFromYear2Amt
Excess From Year1$93,114ExcessFromYear1Amt
Excess From Current Year$69,393ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNAContributingManagerNm
Shareholder ManagerNAShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (29 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtBusiness Name Line2RecipientBusinessName/BusinessNameLine2Txt
EL CENTRO INC
650 MINNESOTA AVEKANSAS CITYKS66101NONEPCSUPPORT OF CHARITABLE$8,000
CASS COMMUNITY HEALTH FOUNDATION
2316 E MEYER BLVDKANSAS CITYMO64132NONEPCHEALTH PROGRAM/EVENT$5,000
ADHOC GROUP AGAINST CRIME
3116 PROSPECT AVEKANSAS CITYMO64128NONEPCHEALTH PROGRAM/EVENT$15,000
MATTIE RHODES CENTER
1740 JEFFERSON STKANSAS CITYMO64108NONEPCSUPPORT OF CHARITABLE$15,000
ARTS TECH
1522 HOLMES STKANSAS CITYMO641081536NONEPCHEALTH PROGRAM/EVENT$15,000
RESTART INC
918 2 9TH STKANSAS CITYMO64106NONEPCSUPPORT OF CHARITABLE$5,000
AFTER THE HARVEST
6320 BROOKSIDE PLAZA STE 504KANSAS CITYMO64113NONEPCHEALTH PROGRAM/EVENT$5,000
YMCA OF GREATER KANSAS CITY
3100 BROADWAY STREET SUITE 1020KANSAS CITYMO64111NONEPCHEALTH PROGRAM/EVENT$5,000
UNITED INNER CITY SERVICES
2008 E 12TH STKANSAS CITYMO64127NONEPCHEALTH PROGRAM/EVENT$8,000
AMETHYST PLACE
2735A TROOST AVEKANSAS CITYMO64109NONEPCSUPPORT OF CHARITABLE$8,000
REDISCOVER
6801 E 117TH STKANSAS CITYMO64134NONEPCSUPPORT OF CHARITABLE$5,000
HOPE NETWORK OF RAYTOWN
10500 EAST MO HIGHWAY 350RAYTOWNMO64138NONEPCSUPPORT OF CHARITABLE$10,000
ROSEDALE DEVELOPMENT ASSOCIATION
1403 SOUTHWEST BLVDKANSAS CITYKS66103NONEPCSUPPORT OF CHARITABLE$5,000
GIVING THE BASICS
927 S 7TH STKANSAS CITYKS66105NONEPCSUPPORT OF CHARITABLE$8,000
LEVEL UP KIDS
5416 NE ANTIOCH RDKANSAS CITYMO64119NONEPCSUPPORT OF CHARITABLE$5,000
OPERATION BREAKTHROUGH
3039 TROOST AVEKANSAS CITYMO64109NONEPCSUPPORT OF CHARITABLE$15,000
KC FREE EYE CLINIC
705 VIRGINIA AVEKANSAS CITYMO64106NONEPCSUPPORT OF CHARITABLE$5,000
HARRIS PARK MIDTOWN SPORTS ACTIVITY
PO BOX 32901KANSAS CITYMO64171NONEPCSUPPORT OF CHARITABLE$5,000CENTER
TRUE LIGHT FAMILY RESOURCE CENTER
712 E 31ST STKANSAS CITYMO64109NONEPCSUPPORT OF CHARITABLE$10,000
HEARTLAND OUTREACH PROVIDERS
1215 NW STATE ROUTE 7BLUE SPRINGSMO64014NONEPCSUPPORT OF CHARITABLE$5,000
URBAN SCHOLASTIC CENTER
2900 MINNESOTA AVEKANSAS CITYMO66102NONEPCSUPPORT OF CHARITABLE$5,000
YOUTH GUIDANCE
300 E 39TH STKANSAS CITYMO64111NONEPCSUPPORT OF CHARITABLE$5,000
RIVER OF REFUGE
5155 RAYTOWN RDKANSAS CITYMO64133NONEPCSUPPORT OF CHARITABLE$8,000
BOYS AND GIRLS CLUB OF KC
4001 BLUE PARKWAYKANSAS CITYMO64130NONEPCSUPPORT OF CHARITABLE$5,000
HEALTH OUTREACH FOUNDATION
PO BOX 481021KANSAS CITYMO64148NONEPCSUPPORT OF CHARITABLE$15,000
KC SHEPHERD'S CENTER
1111 W 39TH STREET STE 200KANSAS CITYMO64111NONEPCSUPPORT OF CHARITABLE$8,000
FIRST CALL
9091 STATE LINE RDKANSAS CITYMO64114NONEPCSUPPORT OF CHARITABLE$8,000
URBAN RANGER CORPS
5908 SWOPE PARKWAYKANSAS CITYMO64127NONEPCSUPPORT OF CHARITABLE$5,000
NATIONAL MULTIPLE SCLEROSIS SOCIETY
2020 W 89TH STLEAWOODKS66206NONEPCSUPPORT OF CHARITABLE$200
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$221,200TotalGrantOrContriPdDurYrAmt

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$74,116ExclusionAmt
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$17,113ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$91,229ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$91,229TotalIncomeProducingActyAmt
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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$800Amt
Disbursements Charitable Prps$800DisbursementsCharitablePrpsAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEES - PRINCIPAL (ALLOCACategoryTxt
Legal Fees$9,232LegalFeesAmt
Net Investment Income$2,308NetInvestmentIncomeAmt
Disbursements Charitable Prps$6,924DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
REFUND OF FEES$1,200
ACCRUED INTEREST PAID - C/O$323

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OTHER ALLOCABLE EXPENSE-PRINCI$3,386$3,386$0
OTHER EXPENSE (NON-DEDUCTIBLE$4$4$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
COST BASIS ADJUSTMENT$755
ROUNDING$6

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL TAX PAYMENT - PRIOR YE$5,440$0$0
FEDERAL ESTIMATES - PRINCIPAL$5,804$0$0
FOREIGN TAXES ON QUALIFIED FOR$1,017$1,017$0
FOREIGN TAXES ON NONQUALIFIED$161$161$0