STRATEGY STUDIO / PUBLIC DATA EXPLORER

EMRICK FAMILY FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
EMRICK FAMILY FOUNDATION (EIN 22-3676004)
Tax period
2021-08-01 to 2022-07-31
Filed
2022-12-15
IRS object ID
202203499349100205
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)
Return2022-12-15T08:00:11-06:00ReturnTs
Tax Period End2022-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN134008324PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 GRANT STREET 45TH FLOORAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223676004EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMRICK FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEMRIBusinessNameControlTxt
Phone6092746834PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1532AddressLine1Txt
CityPENNINGTONCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08534ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBANK OF AMERICA N APersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6092746834PhoneNum
Signature2022-11-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAWRENCE MCGUIREPreparerPersonNm
PTINP01233953PTIN
Phone4123556000PhoneNum
Preparation2022-11-30PreparationDt
Self EmployedYes (X)SelfEmployedInd

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$346,057FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$9,064DividendsRevAndExpnssAmt
Dividends Net Invst Incm$9,064DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$20,770NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$72,385GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$20,770CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$29,834TotalRevAndExpnssAmt
Total Net Invst Incm$29,834TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$3,408CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$1,363CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$2,045CompOfcrDirTrstDsbrsChrtblAmt
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
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$1,101TaxesRevAndExpnssAmt
Taxes Net Invst Incm$77TaxesNetInvstIncmAmt
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
Tot Opr Expenses Rev And Expnss$4,509TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,440TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,045TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$15,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$15,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$20,009TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,440TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$17,545TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$9,825ExcessRevenueOverExpensesAmt
Net Investment Income$28,394NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1CashBOYAmt
Cash EOY$1CashEOYAmt
Cash EOYFMV$1CashEOYFMVAmt
Sav And Temp Cash Invst BOY$22,570SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$7,975SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$7,975SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$325,207OtherInvestmentsBOYAmt
Other Investments EOY$349,604OtherInvestmentsEOYAmt
Other Investments EOYFMV$338,081OtherInvestmentsEOYFMVAmt
Total Assets BOY$347,778TotalAssetsBOYAmt
Total Assets EOY$357,580TotalAssetsEOYAmt
Total Assets EOYFMV$346,057TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$347,778CapitalStockBOYAmt
Capital Stock EOY$357,580CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$347,778TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$357,580TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$347,778TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$357,580TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$347,778TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$9,825ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$357,603SubtotalAmt
Other Decreases$23OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$357,580TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (50 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
58. BLACKROCK CAPITAL APPRECIATION FUND INC2015-07-162021-09-24$2,620$1,625$995$995
5. ISHARES RUSSELL 1000 GROWTH ETF2015-01-262021-09-24$1,429$482$947$947
10. ISHARES EDGE MSCI MIN VOL EAFE ETF2021-05-182021-09-24$777$755$22$22
292. ISHARES EDGE MSCI MIN VOL EAFE ETF2020-08-262021-09-24$22,682$20,322$2,360$2,360
15. ISHARES EDGE MSCI MIN VOL EAFE ETF2021-01-272021-09-24$1,165$1,110$55$55
7. ISHARES EDGE MSCI MIN VOL USA ETF2017-02-132021-09-24$530$327$203$203
14. BLACKROCK GLOBAL DIVIDEND PORTFOLIO2015-05-142022-02-01$173$174-$1-$1
27. BLACKROCK FLOATING RATE INCOME PORTFOLIO2017-02-132022-02-01$268$276-$8-$8
8. ISHARES EDGE MSCI MIN VOL USA ETF2017-02-132022-02-01$606$373$233$233
4.81 BLACKROCK EQTY DIVIDEND2012-12-202022-05-17$103$97$6$6
202.19 BLACKROCK EQTY DIVIDEND2015-01-262022-05-17$4,315$4,996-$681-$681
15. BLACKROCK GLOBAL DIVIDEND PORTFOLIO2015-05-142022-05-17$172$186-$14-$14
67. BLACKROCK GNMA PORTFOLIO2014-09-102022-05-17$564$657-$93-$93
26. ISHARES SELECT DIVIDEND ETF2016-08-162022-05-17$3,326$2,248$1,078$1,078
1. ISHARES SELECT DIVIDEND ETF2017-07-272022-05-17$128$93$35$35
4. ISHARES RUSSELL 2000 VALUE ETF2019-03-072022-05-17$594$481$113$113
22. ISHARES RUSSELL 2000 VALUE ETF2018-01-102022-05-17$3,266$2,808$458$458
12. ISHARES RUSSELL 2000 VALUE ETF2017-05-192022-05-17$1,781$1,383$398$398
15. ISHARES RUSSELL 2000 VALUE ETF2020-04-232022-05-17$2,227$1,257$970$970
1. ISHARES RUSSELL 2000 VALUE ETF2021-01-272022-05-17$148$142$6$6
5. ISHARES MBS ETF2018-01-102022-05-17$491$529-$38-$38
37. ISHARES MBS ETF2017-07-272022-05-17$3,631$3,945-$314-$314
13. ISHARES EDGE MSCI MIN VOL USA ETF2017-02-132022-05-17$945$607$338$338
51. ISHARES CORE MSCI EAFE ETF2017-02-132022-05-17$3,275$2,869$406$406
48. ISHARES TRUST ISHARES ESG MSCI EAFE ETF2021-09-242022-05-17$3,283$3,873-$590-$590
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
CAPITAL GAIN DIVIDENDS$13,886P
FieldValueIRS element (for citing)
Capital Gain Net Income$20,770CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$395InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$395SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$395TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$660EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$660TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$265OverpaymentAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$265RefundAmt

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 StateFLOrgReportOrRegisterStateCd
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
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1BANK OF AMERICABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2128523049PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1532AddressLine1Txt
CityPENNINGTONCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08534ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
BANK OF AMERICA N A
PO BOX 1532PENNINGTONNJ08534CO-TRUSTEE2$1,832
DEBORAH SANDERS
PO BOX 1532PENNINGTONNJ08534CO-TRUSTEE2$676
J LINDEN SANDERS
PO BOX 1532PENNINGTONNJ08534CO-TRUSTEE2$900
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$373,778AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$16,356AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$390,134TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$390,134AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$5,852CashDeemedCharitableAmt
Net Vl Noncharitable Assets$384,282NetVlNoncharitableAssetsAmt
Minimum Investment Return$19,214MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$19,214MinimumInvestmentReturnAmt
Tax Based On Investment Income$395TaxBasedOnInvestmentIncomeAmt
Total Tax$395TotalTaxAmt
Distributable Before Adj$18,819DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$18,819DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$18,819DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$17,545ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$17,545QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$18,819DistributableAsAdjustedAmt
Undistributed Income PY$15,473UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$17,545QualifyingDistributionsAmt
Applied To Year1$15,473AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$2,072AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$16,747UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ASPCA
424 EAST 92ND STNEW YORKNY10128NONEPCGENERAL OPERATING$500
PLANNED PARENTHOOD
123 WILLIAM STNEW YORKNY10038NONEPCGENERAL OPERATING$2,500
AMERICAN CANCER SOCIETY
250 WILLIAMS STATLANTAGA30303NONEPCGENERAL OPERATING$5,000
ALZHEIMER'S ASSOCIATION
225 NORTH MICHIGAN AVECHICAGOIL60601NONEPCGENERAL OPERATING$5,000
SEMPER FI & AMERICA'S FUND
715 BROADWAY STQUANTICOVA22134NONEPCGENERAL OPERATING$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$15,500TotalGrantOrContriPdDurYrAmt

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$9,064ExclusionAmt
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$20,770ExclusionAmt
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$29,834ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$29,834TotalIncomeProducingActyAmt
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

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (22 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
464287168 ISHARES SELECT DIVIDAT COST$18,791$24,085
46434G103 ISHARES CORE MSCI EMAT COST$31,843$27,964
464287614 ISHARES RUSSELL 1000AT COST$5,417$11,278
09260B697 BLACKROCK GNMA PORTFAT COST$12,060$10,811
091928101 BLACKROCK SMALL CAPAT COST$12,800$11,455
464287242 ISHARES IBOXX INVESTAT COST$26,971$25,443
09256H328 BLACKROCK GLOBAL DIVAT COST$7,877$6,878
09260B747 BLACKROCK FLOATING RAT COST$14,651$14,062
09251R503 BLACKROCK CAPITAL APAT COST$71,804$64,985
09260B556 BLACKROCK INFLATION
46429B697 ISHARES EDGE MSCI MIAT COST$10,669$14,467
464287630 ISHARES RUSSELL 2000AT COST$10,889$10,895
09252M883 BLACKROCK TOTAL RETUAT COST$11,571$10,737
09260B630 BLACKROCK HIGH YIELDAT COST$4,023$3,630
464288448 SHARES DJ EPAC SEL D
464288588 ISHARES MBS ETFAT COST$7,852$7,230
46432F842 ISHARES CORE MSCI EAAT COST$26,620$27,860
09250J817 BLACKROCK LARGE CAP
09251M504 BLACKROCK EQTY DIVIDAT COST$54,496$48,822
09251P408 BLACKROCK FOCUS
46429B689 ISHARES EDGE MSCI MI
46435G516 ISHARES TRUST ISHAREAT COST$21,270$17,479

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescCOST BASIS ADJUSTMENTDesc
Amt$23Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES$40$40$0
FEDERAL TAX PAYMENT - PRIOR YE$364$0$0
FEDERAL ESTIMATES - PRINCIPAL$660$0$0
FOREIGN TAXES ON NONQUALIFIED$37$37$0