TENBROEKE FAMILY FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- TENBROEKE FAMILY FOUNDATION INC (EIN 81-4745910)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202223199349108607
- Schema version
- 2021v4.2
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T16:47:42-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH & HOWARD PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 17TH STREET NW SUITE 1600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814745910 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE TEN BROEKE FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIAM V TEN BROEKE | InCareOfNm |
| Business Name Control | TENB | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 17TH STREET NW SUITE 1600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30363 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | william ten broeke | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2818046501 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | william | PersonFirstNm |
| Person Last | ten broeke | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CASIMIRA L PITTMAN | PreparerPersonNm |
| PTIN | P01307072 | PTIN |
| Phone | 4048746244 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $13,748,162 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $1,016,884 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $192,391 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $192,391 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $2,732,641 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $12,870,501 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $2,732,641 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $10,092 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $10,092 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $3,952,008 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,935,124 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $63,190 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $63,190 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $39,600 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $39,600 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $28,371 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $28,371 | PensionEmplBnftDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $9,100 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $9,100 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $73,930 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $73,930 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $33,587 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $7,827 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $20,360 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $58,113 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $58,113 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $305,891 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $139,870 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $160,621 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $360,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $360,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $665,891 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $139,870 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $520,621 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $3,286,117 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,795,254 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $404,488 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $909,216 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $909,216 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $923,159 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $1,185,789 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $1,185,789 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $9,038,950 | CorporateStockBOYAmt |
| Corporate Stock EOY | $550,917 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $550,917 | CorporateStockEOYFMVAmt |
| Other Assets BOY | $1,153,709 | OtherAssetsBOYAmt |
| Other Assets EOY | $11,102,240 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $11,102,240 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $11,520,306 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,748,162 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $13,748,162 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Tot Net Ast Or Fund Balances BOY | $11,520,306 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $13,748,162 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $11,520,306 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $13,748,162 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $11,520,306 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $3,286,117 | ExcessRevenueOverExpensesAmt |
| Subtotal | $14,806,423 | SubtotalAmt |
| Other Decreases | $1,058,260 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $13,748,163 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (40 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| MS ACCT 092436 LT - COVERED | P | 2017-02-28 | 2021-03-31 | $349,829 | $197,508 | $152,321 | $152,321 |
| MS ACCT 092434 ST - COVERED | P | 2020-05-26 | 2021-03-17 | $181,023 | $180,527 | $496 | $496 |
| MS ACCT 092434 ST - NONCOVERED | P | 2020-11-06 | 2021-02-25 | $738 | $783 | -$45 | -$45 |
| MS ACCT 092434 LT - COVERED | P | 2019-03-05 | 2021-03-16 | $298,015 | $294,934 | $3,081 | $3,081 |
| MS ACCT 092434 LT - NONCOVERED | P | 2017-08-23 | 2021-02-15 | $26,357 | $25,363 | $976 | $994 |
| MS ACCT 092434 ORD ST - NONCOVERED | P | 2020-09-09 | 2021-02-15 | $4,065 | $4,135 | -$70 | -$70 |
| MS ACCT 092434 ORD LT - NONCOVERED | P | 2020-02-07 | 2021-03-25 | $46 | $49 | -$3 | -$3 |
| MS ACCT 092435 ST - COVERED | P | 2020-12-07 | 2021-03-16 | $654,431 | $627,902 | $26,529 | $26,529 |
| MS ACCT 092435 LT - COVERED | P | 2017-03-14 | 2021-03-10 | $425,171 | $291,985 | $133,186 | $133,186 |
| MS ACCT 092437 LT - COVERED | P | 2017-02-10 | 2021-03-17 | $139,612 | $123,463 | $16,149 | $16,149 |
| MS ACCT 092437 ST - COVERED | P | 2020-03-18 | 2021-03-17 | $2,404 | $1,999 | $405 | $405 |
| MS ACCT 092438 ST - COVERED | P | 2020-05-08 | 2021-01-27 | $38,013 | $38,003 | $10 | $10 |
| MS ACCT 092438 LT - COVERED | P | 2017-02-14 | 2021-03-17 | $457,674 | $447,992 | $9,682 | $9,682 |
| TOLLESON ACCT 5438 ST - COVERED | P | 2020-10-09 | 2021-04-23 | $3,353,993 | $2,782,511 | $571,482 | $571,482 |
| TOLLESON ACCT 5438 LT - COVERED | P | 2017-02-09 | 2021-04-23 | $4,861,803 | $3,248,282 | $1,613,521 | $1,613,521 |
| TOLLESON ACCT 3283 ST - COVERED | P | 2021-06-29 | 2021-12-29 | $420,419 | $426,139 | -$5,781 | -$5,720 |
| TOLLESON ACCT 3283 LT - COVERED | P | 2017-02-09 | 2021-07-12 | $386,137 | $384,024 | $2,023 | $2,113 |
| TOLLESON ACCT 3283 ST - NONCOVERED | P | 2021-10-07 | $13,316 | $13,316 | $13,316 | ||
| TOLLESON ACCT 5438 ST - NONCOVERED | $1,139,976 | $1,047,378 | $92,598 | $92,598 | |||
| TOLLESON ACCT 5438 LT - NONCOVERED | $38,249 | $14,714 | $23,535 | $23,535 | |||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 | |||||
| CAPITAL GAIN DIVIDENDS | P | $122 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $2,732,641 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $38,854 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $38,854 | SubtotalAmt |
| Tax Based On Investment Income | $38,854 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $6,800 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $7,200 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $14,000 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $24,854 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | GA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM V TEN BROEKE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2818046501 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 17TH STREET SUITE 1600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| WILLIAM V TEN BROEKE | ||||||||
| 271 17TH STREET SUITE 1600 | ATLANTA | GA | 30363 | PRESIDENT | 0 | $0 | $0 | $0 |
| HEATHER L TEN BROEKE | ||||||||
| 271 17TH STREET SUITE 1600 | ATLANTA | GA | 30363 | VICE PRESIDENT | 0 | $63,190 | $0 | $0 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | THE TEN BROEKE FOUNDATION FOCUSED ITS CHARITABLE ACTIVITIES TO RESEARCHING & SUPPORTING OTHER 501(C)(3)S PURSUING MEDICAL RESEARCH ALIGNED WITH THEIR GOALS BY WAY OF GRANTS & | Description1Txt |
| Expenses1 | $160,621 | Expenses1Amt |
| Description2 | DONATIONS. | Description2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $11,634,963 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $858,744 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $12,493,707 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $12,493,707 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $187,406 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $12,306,301 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $615,315 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $615,315 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $38,854 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $38,854 | TotalTaxAmt |
| Distributable Before Adj | $576,461 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $576,461 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $576,461 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $520,621 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $520,621 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $576,461 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $476,235 | UndistributedIncomePYAmt |
| Prior Year1 | 2019 | PriorYear1Yr |
| Prior Year2 | 2018 | PriorYear2Yr |
| Prior Year3 | 2017 | PriorYear3Yr |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $520,621 | QualifyingDistributionsAmt |
| Applied To Year1 | $476,235 | AppliedToYear1Amt |
| Applied To Current Year | $44,386 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $532,075 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | WILLIAM V HEATHER TEN BROEKE | ContributingManagerNm |
| Shareholder Manager | WILLIAM V HEATHER TEN BROEKE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| Children's Healthcare of Atlanta | ||||||
| 1575 Northeast Expressway | Atlanta | GA | 30329 | PC | Medical Research | $300,000 |
| ALZHEIMER'S ASSOCIATION | ||||||
| 4600 PARK RD SUITE 250 | CHARLOTTE | NC | 28209 | PC | Medical Research | $30,000 |
| ENDURING HEARTS | ||||||
| 1144 ALPHARETTA STREET SUITE 300 | ROSWELL | GA | 30075 | PC | Medical Research | $5,000 |
| NATIONAL PHILANTHROPIC TRUST | ||||||
| 271 17TH STREET NW SUITE 1600 | ATLANTA | GA | 30363 | PC | DONOR ADVISED FUND - TRUST | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $360,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $192,391 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900099 | BusinessCd |
| Unrelated Business Taxbl Incm | $10,426 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $2,722,215 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Unrelated Business Taxbl Incm | -$299 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $10,391 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $10,127 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $2,924,997 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $2,935,124 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | WILLIAM V HEATHER TEN BROEKE | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 17TH STREET SUITE 1600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $1,016,884 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | variety of publicly traded stocks | NoncashPropertyDesc |
| Fair Market Value | $1,016,884 | FairMarketValueAmt |
| Received | 2021-07-22 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $9,100 | Amt |
| Disbursements Charitable Prps | $9,100 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MS 092434 | $0 | $0 |
| MS 092435 | $0 | $0 |
| MS 092436 | $0 | $0 |
| MS 092437 | $0 | $0 |
| MS 092438 | $0 | $0 |
| TS 5354 | $550,917 | $550,917 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $1,185,789 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $1,185,789 | USGovtObligationsEOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (12 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MS 091525 | $486,034 | $562,323 | $562,323 |
| MS 092434 | $182,238 | $0 | $0 |
| MS 092436 | $485,437 | $659,219 | $659,219 |
| MS 092438 | $0 | $0 | $0 |
| TS 3283 | $0 | $208,000 | $208,000 |
| TS K-1 CORE BOND | $0 | $983,301 | $983,301 |
| TS K-1 INT'L | $0 | $3,114,025 | $3,114,025 |
| TS K-1 US EQUITY | $0 | $4,389,188 | $4,389,188 |
| TS GLDENTREE MULTISCTOR CAYMAN | $0 | $565,000 | $565,000 |
| 2022 ALTERNATIVE INCOME, LP | $0 | $68,416 | $68,416 |
| DOUBLELINE FLEXIBLE INCOME | $0 | $274,402 | $274,402 |
| HIGH YEILD CORPORATE FUND | $0 | $278,366 | $278,366 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAINS | Desc |
| Amt | $1,058,260 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER EXPENSES | Desc |
| Revenue And Expenses Per Books | $58,113 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $58,113 | NetInvestmentIncomeAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PTP Other Income | Desc |
| Revenue And Expenses Per Books | $10,092 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $10,092 | NetInvestmentIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEES | CategoryTxt |
| Amt | $73,930 | Amt |
| Net Investment Income | $73,930 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES PAID | $7,827 | $7,827 | |
| PAYROLL TAX | $20,360 | $20,360 | |
| IRS PAYMENTS | $5,400 |