STRATEGY STUDIO / PUBLIC DATA EXPLORER

DAVID G PATTERSON FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DAVID G PATTERSON FOUNDATION (EIN 27-6400565)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-10
IRS object ID
202211309349103111
Schema version
2021v4.1
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)
Return2022-05-10T13:00:28-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010604131PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TRUST PROCESSING SOLUTIONSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 894AddressLine1Txt
CityMILFORDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP451500894ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN276400565EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID G PATTERSON FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDAVIBusinessNameControlTxt
Phone5706620463PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 SOUTH MAIN STREETAddressLine1Txt
CityMANSFIELDCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16933ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATTHEW DECAMPPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone5706620463PhoneNum
Signature2022-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUG HARTPreparerPersonNm
PTINP00241831PTIN
Phone5137748805PhoneNum
Preparation2022-05-06PreparationDt

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,041,605FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Dividends Rev And Expnss$17,514DividendsRevAndExpnssAmt
Dividends Net Invst Incm$17,262DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$68,358NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$410,944GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$68,358CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$85,872TotalRevAndExpnssAmt
Total Net Invst Incm$85,620TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$397AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$198AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$198AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$8,205OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$4,102OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$4,102OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$681TaxesRevAndExpnssAmt
Taxes Net Invst Incm$681TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$885OccupancyRevAndExpnssAmt
Occupancy Dsbrs Chrtbl$443OccupancyDsbrsChrtblAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Rev And Expnss$15PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Printing And Pub Dsbrs Chrtbl$15PrintingAndPubDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$10,183TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$4,981TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,758TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$54,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$54,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$64,183TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$4,981TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$58,758TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$21,689ExcessRevenueOverExpensesAmt
Net Investment Income$80,639NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$60,646SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$66,134SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$66,134SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$779,714OtherInvestmentsBOYAmt
Other Investments EOY$794,814OtherInvestmentsEOYAmt
Other Investments EOYFMV$975,471OtherInvestmentsEOYFMVAmt
Total Assets BOY$840,360TotalAssetsBOYAmt
Total Assets EOY$860,948TotalAssetsEOYAmt
Total Assets EOYFMV$1,041,605TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$840,360CapitalStockBOYAmt
Capital Stock EOY$860,948CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$840,360TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$860,948TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$840,360TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$860,948TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$840,360TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$21,689ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$862,049SubtotalAmt
Other Decreases$1,101OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$860,948TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (38 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
160.752 COLUMBIA DIVIDEND INCOME2013-07-032021-03-08$4,390$2,741$1,649$1,649
301.58 COLUMBIA DIVIDEND INCOME2013-04-082021-03-08$8,236$5,000$3,236$3,236
489.7 COLUMBIA DIVIDEND INCOME2013-03-082021-03-08$13,374$8,000$5,374$5,374
83.011 HARBOR CAPITAL APPRECIATION INSTL2013-08-132021-03-08$7,974$4,180$3,794$3,794
84.764 HARBOR CAPITAL APPRECIATION INSTL2013-07-032021-03-08$8,142$4,000$4,142$4,142
110.963 HARBOR CAPITAL APPRECIATION INSTL2013-04-082021-03-08$10,659$5,000$5,659$5,659
106.438 HARBOR CAPITAL APPRECIATION INSTL2013-03-082021-03-08$10,224$4,814$5,410$5,410
185.048 VANGUARD STRATEGIC EQUITY FUND #1142016-06-272021-03-08$7,420$5,000$2,420$2,420
95.208 VANGUARD STRATEGIC EQUITY FUND #1142015-09-092021-03-08$3,818$3,000$818$818
505.952 VANGUARD STRATEGIC EQUITY FUND #1142015-03-172021-03-08$20,289$17,000$3,289$3,289
597.978 VANGUARD STRATEGIC EQUITY FUND #1142015-01-142021-03-08$23,979$18,884$5,095$5,095
682.826 VANGUARD STRATEGIC SMALL-CAP EQUITY2014-11-122021-05-06$29,860$22,417$7,443$7,443
25000. CHEVRON CORP 2.10% DUE 5/16/212016-08-032021-05-17$25,000$25,550-$550-$550
1. PINE CREEK PROPERTY2009-04-202021-08-06$167,625$170,000-$2,375-$2,375
25000. BANK OF AMERICA 2.503% DUE 10/21/222017-12-112021-10-21$25,000$24,730$270$270
523.169 THE ARBITRAGE FUND I2021-09-102021-10-25$6,995$7,000-$5-$5
439.883 THE ARBITRAGE FUND I2020-09-142021-10-25$5,881$6,000-$119-$119
234.558 THE ARBITRAGE FUND I2013-08-292021-10-25$3,136$3,000$136$136
469.116 THE ARBITRAGE FUND I2013-07-032021-10-25$6,272$6,000$272$272
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
CAPITAL GAIN DIVIDENDS$22,670P
FieldValueIRS element (for citing)
Capital Gain Net Income$68,358CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,121InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,121SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,121TaxBasedOnInvestmentIncomeAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Tax Due$1,121TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StatePAOrgReportOrRegisterStateCd
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 Line1TRUST & INVESTMENT SERVICESBusinessNameLine1Txt
Business Name Line2FIRST CITIZENS COMMUBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone5706620463PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line115 SOUTH MAIN STAddressLine1Txt
CityMANSFIELDCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16933ZIPCd
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 PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
MATTHEW DECAMP
13 BEWART STREETWELLSBOROPA16901TRUSTEE1$0
SUSAN ZOBY
1560 BLAKE STREET 809DENVERCO80202TRUSTEE1$0
DIANN DECAMP
61 WALNUT STREETWELLSBOROPA16901TRUSTEE1$0
R ROBERT DECAMP
61 WALNUT STRETTWELLSBOROPA16901TRUSTEE1$0
KAREN CHAMBERS
1148 CHARLESTON ROADWELLSBOROPA16901TRUSTEE1$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
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$992,424AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$83,645AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,076,069TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,076,069AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$16,141CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,059,928NetVlNoncharitableAssetsAmt
Minimum Investment Return$52,996MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$52,996MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,121TaxBasedOnInvestmentIncomeAmt
Total Tax$1,121TotalTaxAmt
Distributable Before Adj$51,875DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$51,875DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$51,875DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$58,758ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$58,758QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$51,875DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$3,005ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$1,678ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$31,653ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$5,383ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$5,497ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$47,216TotalExcessDistributionCyovAmt
Qualifying Distributions$58,758QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$51,875AppliedToCurrentYearAmt
Remaining Distri From Corpus$6,883RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$54,099TotalCorpusAmt
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$3,005ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$51,094ExcessDistriCyovToNextYrAmt
Excess From Year4$1,678ExcessFromYear4Amt
Excess From Year3$31,653ExcessFromYear3Amt
Excess From Year2$5,383ExcessFromYear2Amt
Excess From Year1$5,497ExcessFromYear1Amt
Excess From Current Year$6,883ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
TRINITY LUTHERAN SCHOOL
53 WEST AVENUEWELLSBOROPA16901NONEGENERALCURRICULUM$10,000
WELLSBORO AREA EDUCATION FOUNDATION
114 MAIN STREETWELLSBOROPA16901NONEGENERALSOUND SHIELD$7,000
TIOGA COUNTY AGRICULTURAL ASSOC
33 PEARL STREETWELLSBOROPA16901NONEGENERALPAVING FOR HANDICAP$8,000
TIOGA COUNTY HOMELESS INITIATIVE
2580 CHARLESTON RDMANSFIELDPA16933NONEGENERALBUILDING FUND$2,000
WELLSBORO FIRE DEPT
21 PEARL STWELLSBOROPA16901NONEGENERALDISPATCH BEEPERS$500
ENDLESS MOUNTAIN MUSIC FESTIVAL
130 MAIN STREETWELLSBOROPA16901NONEGENERALSKY FULL OF STARS$2,500
GOODYEAR HOSE VOL FIRE CO
87 SHERMAN STGALETONPA16922NONEGENERALDISPATCH BEEPERS$500
WELLSBORO FOUNDATON INC
114 MAIN STREETWELLSBOROPA16901NONEGENERALLAUREL FESTIVAL BANDS$2,000
FIRST PRESBYTERIAN CHURCH OF WELLSBORO
130 MAIN STREETWELLSBOROPA16901NONEGENERALGENERAL$10,000
GOODIES FOR OUR TROOPS
87 MAIN STREETWELLSBOROPA16901NONEGENERALPROVIDE SUPPORT FOR LOCAL$2,000
FRIENDS OF UPMC WELLSBORO FDN
32 CENTRAL AVEWELLSBOROPA16901NONEGENERALCANCER VAN$5,000
IMPACT - CASA PROGRAM
16 WATER STREETWELLSBOROPA16901NONEGENERALSUPPORTING YOUTH SOCIAL$2,000
GALETON PUBLIC LIBRARY
5 PARK LANEGALETONPA16922NONEGENERALSUPPORT GALETON PUBLIC$2,000
MILL COVE INC
54 SOUTH MAIN STREETMANSFIELDPA16933NONEGENERALEARTH DAY FESTIVITIES$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$54,000TotalGrantOrContriPdDurYrAmt

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$17,514ExclusionAmt
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$68,358ExclusionAmt
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$85,872ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$85,872TotalIncomeProducingActyAmt
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$397Amt
Net Investment Income$198NetInvestmentIncomeAmt
Disbursements Charitable Prps$198DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
MUTUAL FUND PULLBACKS CURRENT/PRIOR YRS$824
ACCRUED INTEREST CARRYOVER$277

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryFCCB FEESCategoryTxt
Amt$8,205Amt
Net Investment Income$4,102NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,102DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
REAL ESTATE TAX ON NON-RENTAL$445$445$0
FEDERAL TAX PAYMENT - PRIOR YE$236$236$0