EMORY T CLARK FAMILY CHARITABLE: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- EMORY T CLARK FAMILY CHARITABLE (EIN 39-1410324)
- Tax period
- 2019-04-01 to 2020-03-31
- Filed
- 2021-02-12
- IRS object ID
- 202100439349100620
- Schema version
- 2019v5.0
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-02-12T13:00:10-06:00 | ReturnTs |
| Tax Period End | 2020-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 134008324 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANT STREET | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391410324 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMORY T CLARK FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EMOR | BusinessNameControlTxt |
| Phone | 4147655118 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O US BANK NA PO BOX 7900 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 537077900 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | US BANK NA | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 4147655118 | PhoneNum |
| Signature | 2021-02-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALLISON J VALENTY | PreparerPersonNm |
| PTIN | P00963824 | PTIN |
| Phone | 4123556000 | PhoneNum |
| Preparation | 2021-02-12 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $7,118,735 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $203,276 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $203,224 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $99,255 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,434,585 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $99,255 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $302,531 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $302,479 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $75,144 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $56,358 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $18,786 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $5,195 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $5,195 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $1,704 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $1,704 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $750 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $750 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $14,247 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,963 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $13,028 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $13,028 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $110,068 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $59,321 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $39,463 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $401,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $401,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $511,068 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $59,321 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $440,463 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$208,537 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $243,158 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $3,349 | CashBOYAmt |
| Cash EOY | $5,241 | CashEOYAmt |
| Cash EOYFMV | $5,241 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $136,691 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $91,963 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $91,963 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Other Investments BOY | $7,603,965 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $7,439,085 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $7,021,531 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $7,744,005 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,536,289 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $7,118,735 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $7,744,005 | CapitalStockBOYAmt |
| Capital Stock EOY | $7,536,289 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $7,744,005 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $7,536,289 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $7,744,005 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $7,536,289 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $7,744,005 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$208,537 | ExcessRevenueOverExpensesAmt |
| Other Increases | $821 | OtherIncreasesAmt |
| Subtotal | $7,536,289 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $7,536,289 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (33 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 12750.689 AQR LONG SHORT EQUITY I | 2016-04-06 | 2019-04-29 | $140,003 | $159,256 | -$19,253 | -$19,253 | |
| 430.287 NEUBERGER BERMAN LONG SH INS | 2018-12-21 | 2019-04-29 | $6,153 | $5,426 | $727 | $727 | |
| 1945.08 AQR MANAGED FUTURES STR I | 2014-04-10 | 2019-07-08 | $17,000 | $19,116 | -$2,116 | -$2,116 | |
| 20843.869 LOOMIS SAYLES STRATEGIC ALPHA FUND Y | 2011-06-23 | 2019-07-08 | $203,019 | $206,793 | -$3,774 | -$3,774 | |
| 879.674 LOOMIS SAYLES STRATEGIC ALPHA FUND Y | 2018-12-19 | 2019-07-08 | $8,568 | $8,507 | $61 | $61 | |
| 9929.931 LOOMIS SAYLES STRATEGIC ALPHA FUND Y | 2011-08-11 | 2019-07-08 | $96,718 | $95,880 | $838 | $838 | |
| 7130.92 NEUBERGER BERMAN LONG SH INS | 2013-05-06 | 2019-07-08 | $102,828 | $85,072 | $17,756 | $17,756 | |
| 12309.985 AQR MANAGED FUTURES STR I | 2014-04-10 | 2019-10-31 | $104,512 | $120,884 | -$16,372 | -$16,372 | |
| 25850.14 BAIRD AGGREGATE BOND FD INSTL | 2015-04-06 | 2019-11-06 | $290,039 | $283,318 | $6,721 | $6,721 | |
| 245.47928 BAIRD AGGREGATE BOND FD INSTL | 2019-08-26 | 2019-11-06 | $2,754 | $2,774 | -$20 | -$20 | |
| 714.03272 BAIRD AGGREGATE BOND FD INSTL | 2019-08-26 | 2019-11-06 | $8,011 | $8,010 | $1 | $1 | |
| 1589.419 DOUBLELINE TOTAL RET BD I | 2019-08-30 | 2019-11-06 | $17,007 | $17,118 | -$111 | -$111 | |
| 26022.75952 DOUBLELINE TOTAL RET BD I | 2015-04-06 | 2019-11-06 | $278,444 | $288,072 | -$9,628 | -$9,628 | |
| 451.43248 DOUBLELINE TOTAL RET BD I | 2015-04-06 | 2019-11-06 | $4,830 | $4,997 | -$167 | -$167 | |
| 740.445 MAINSTAY FLOATING RATE I | 2019-02-28 | 2019-11-06 | $6,686 | $6,769 | -$83 | -$83 | |
| 161.68568 MAINSTAY FLOATING RATE I | 2012-11-13 | 2019-11-06 | $1,460 | $1,542 | -$82 | -$82 | |
| 2420.12832 MAINSTAY FLOATING RATE I | 2012-11-13 | 2019-11-06 | $21,854 | $23,088 | -$1,234 | -$1,234 | |
| 7323.532 BAIRD AGGREGATE BOND FD INSTL | 2015-04-06 | 2020-01-03 | $82,609 | $80,266 | $2,343 | $2,343 | |
| 245.48 BAIRD AGGREGATE BOND FD INSTL | 2019-09-14 | 2020-01-03 | $2,769 | $2,779 | -$10 | -$10 | |
| 7174.81184 DOUBLELINE TOTAL RET BD I | 2015-04-06 | 2020-01-03 | $76,699 | $79,425 | -$2,726 | -$2,726 | |
| 794.97616 DOUBLELINE TOTAL RET BD I | 2015-04-06 | 2020-01-03 | $8,498 | $8,800 | -$302 | -$302 | |
| 472.989 DOUBLELINE TOTAL RET BD I | 2019-06-28 | 2020-01-03 | $5,056 | $5,052 | $4 | $4 | |
| 500. ISHARES MSCI USA MIN VOLATILITY ETF | 2018-09-13 | 2020-01-03 | $32,854 | $28,655 | $4,199 | $4,199 | |
| 67.97281 MAINSTAY FLOATING RATE I | 2012-11-13 | 2020-01-03 | $623 | $648 | -$25 | -$25 | |
| 9310.43519 MAINSTAY FLOATING RATE I | 2012-11-13 | 2020-01-03 | $85,377 | $88,823 | -$3,446 | -$3,446 | |
| 183.022 BAIRD AGGREGATE BOND FD INSTL | 2020-01-27 | 2020-01-30 | $2,086 | $2,083 | $3 | $3 | |
| 17391.67 BAIRD AGGREGATE BOND FD INSTL | 2015-04-06 | 2020-01-30 | $198,265 | $190,613 | $7,652 | $7,652 | |
| 18223.9036 DOUBLELINE TOTAL RET BD I | 2015-04-06 | 2020-01-30 | $196,818 | $201,739 | -$4,921 | -$4,921 | |
| 311.7774 DOUBLELINE TOTAL RET BD I | 2015-04-06 | 2020-01-30 | $3,367 | $3,451 | -$84 | -$84 | |
| 8897.677 JOHN HANCOCK FDS III DISCPLN V I | 2015-11-05 | 2020-01-30 | $180,356 | $167,098 | $13,258 | $13,258 | |
| 2359.418 PRICE T ROWE GROWTH STK FD INC COM | 2005-12-02 | 2020-01-30 | $180,283 | $141,894 | $38,389 | $38,389 | |
| 2358.491 PRINCIPAL GL R E SEC INS | 2017-06-20 | 2020-01-30 | $25,024 | $22,373 | $2,651 | $2,651 | |
| CAPITAL GAIN DIVIDENDS | $68,316 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $99,255 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $438,940 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $8,246,974 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.053224 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $557,309 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $8,591,315 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.064869 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $540,534 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $8,315,865 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.065 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $527,700 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $8,616,030 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.061246 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $617,562 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $9,213,247 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.06703 | DistributionYr5Rt |
| Total Distribution | 0.311369 | TotalDistributionRt |
| Average Distribution | 0.062274 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $8,197,662 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $510,501 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,432 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $512,933 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $440,463 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $4,863 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $4,863 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $4,863 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $8,870 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $8,870 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $4,007 | OverpaymentAmt |
| Applied To ES Tax | $4,007 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | WI | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | US BANK NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4147655118 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2043 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532019116 | 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 |
| 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 | Yes (true) | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| 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 (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| U S BANK N A | ||||||
| PO BOX 2043 | MILWAUKEE | WI | 53201 | TRUSTEE | 2 | $62,144 |
| WENDY GAHN-ACKLEY | ||||||
| N61 W29181 PARKSIDE PLACE | HARTLAND | WI | 53029 | TRUSTEE | 1 | $0 |
| PATRICK GOEBEL | ||||||
| 411 E WISCONSIN AVE | MILWAUKEE | WI | 532024461 | TRUSTEE | 1 | $0 |
| LINDA J HANSEN | ||||||
| 4777 HEWITTS POINT RD | OCONOMOWOC | WI | 530663318 | EXECUTIVE DIRECTOR | 40 | $13,000 |
| MARTHA HANSEN | ||||||
| 411 E WISCONSIN AVE | MILWAUKEE | WI | 532024461 | TRUSTEE | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $8,191,971 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $130,529 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,322,500 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,322,500 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $124,838 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,197,662 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $409,883 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $409,883 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $4,863 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $4,863 | TotalTaxAmt |
| Distributable Before Adj | $405,020 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $405,020 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $405,020 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $440,463 | 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 | $440,463 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $440,463 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $405,020 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $169,330 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $109,118 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $129,697 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $137,097 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $35,461 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $580,703 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $440,463 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $405,020 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $35,443 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $616,146 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $169,330 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $446,816 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $109,118 | ExcessFromYear4Amt |
| Excess From Year3 | $129,697 | ExcessFromYear3Amt |
| Excess From Year2 | $137,097 | ExcessFromYear2Amt |
| Excess From Year1 | $35,461 | ExcessFromYear1Amt |
| Excess From Current Year | $35,443 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | LINDA HANSEN | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 N EXECUTIVE DR STE 363 | AddressLine1Txt |
| City | BROOKFIELD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 530056070 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 4147655118 | RecipientPhoneNum |
| Form And Info And Materials | APPLICATIONS SHOULD INCLUDE A DESCRIPTION OF THE AGENCY AND A BRIEF SUMMARY OF THE PROJECT FOR WHICH FUNDS ARE REQUESTED. INCLUDE EVIDENCE THE ORGANIZATION IS TAX EXEMPT UNDER SEC 501(C)(3) | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | GRANTS TO ORGANIZATIONS DESCRIBED IN SEC 501(C)(3) AND NO PRIVATE NONOPERATING FOUNDATIONS | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (23 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| FLORENTINE OPERA COMPANY | |||||||
| 930 E BURLEIGH ST | MILWAUKEE | WI | 53212 | NONE | PC | GENERAL OPERATING | $15,000 |
| FROEDTERT HOSPITAL FOUNDATION INC | |||||||
| 9200 W WISCONSIN AVE | MILWAIKEE | WI | 53226 | NONE | PC | GENERAL OPERATING | $35,000 |
| MEDICAL COLLEGE OF WISCONSIN | |||||||
| 8701 W WATERTOWN PLANK RD | WAUWATOSA | WI | 53226 | NONE | PC | GENERAL OPERATING | $35,000 |
| PENFIELD CHILDREN'S CENTER | |||||||
| 833 N 26TH ST | MILWAUKEE | WI | 53233 | NONE | PC | GENERAL OPERATING | $25,000 |
| PROHEALTH CARE FOUNDATION | |||||||
| 725 AMERICAN AVE | WAUKESHA | WI | 53188 | NONE | PC | GENERAL OPERATING | $10,000 |
| SCHOOL SISTERS OF ST FRANCIS | |||||||
| 1501 S LAYTON BLVD | MILWAUKEE | WI | 53215 | NONE | PC | GENERAL OPERATING | $25,000 |
| WISCONSIN BADGER CAMP | |||||||
| PO BOX 723 | PLATTEVILLE | WI | 53818 | NONE | PC | GENERAL OPERATING | $3,000 |
| LA CASA DE ESPERANZA INC | |||||||
| 410 ARDCADIAN AVE | WAUKESHA | WI | 53186 | NONE | PC | GENERAL OPERATING | $25,000 |
| UNITED COMMUNITY CENTER | |||||||
| 1028 S 9TH ST | MILWAUKEE | WI | 53203 | NONE | PC | GENERAL OPERATING | $30,000 |
| HUNGER TASK FORCE | |||||||
| 201 S HAWLEY CT | MILWAUKEE | WI | 53214 | NONE | PC | GENERAL OPERATING | $25,000 |
| SHARP LITERACY INC | |||||||
| 750 N LINCOLN MEMORIAL DR STE 311 | MILWAUKEE | WI | 53202 | NONE | PC | GENERAL OPERATING | $10,000 |
| RUNNING REBELES COMMUNITY ORG | |||||||
| 1300A W FOND DU LAC AVE | MILWAUKEE | WI | 532051733 | NONE | PC | GENERAL OPERATING | $10,000 |
| CENTRO LEGAL | |||||||
| 614 W NATIONAL AVE 2ND FL | MILWAUKEE | WI | 53204 | NONE | PC | GENERAL OPERATING | $12,500 |
| ABOVE THE CLOUDS INC | |||||||
| PO BOX 16122 | MILWAUKEE | WI | 53216 | NONE | PC | GENERAL OPERATING | $10,000 |
| ZACHARIAH'S ACRES | |||||||
| 16575 PATRICIA LANE | BROOKFIELD | WI | 53005 | NONE | PC | GENERAL OPERATING | $25,000 |
| FIRST STAGE | |||||||
| 325 W WALNUT STREET | MILWAUKEE | WI | 53212 | NONE | PC | GENERAL OPERATING | $7,500 |
| THE WOMEN'S CENTER INC | |||||||
| 505 N EAST AVE | Waukesha | WI | 53186 | NONE | PC | GENERAL OPERATING | $20,000 |
| HOPE CENTER INC | |||||||
| 502 N EAST AVE | Waukesha | WI | 53186 | NONE | PC | GENERAL OPERATING | $3,000 |
| DISCOVERY WORLD LTD | |||||||
| 500 NORTH HARBOR DRIVE | Milwaukee | WI | 53202 | NONE | PC | GENERAL OPERATING | $25,000 |
| ST ANN CNTR OF INTERGENERATIONAL | |||||||
| 2801 E MORGAN AVE | Milwaukee | WI | 53207 | NONE | PC | GENERAL OPERATING | $15,000 |
| GIFT OF ADOPTION FUND | |||||||
| PO BOX 567 | TECHNY | IL | 60082 | NONE | PC | GENERAL OPERATING | $10,000 |
| ST AUGUSTINE PREPARATORY ACADEMY | |||||||
| 2607 SOUTH 5TH ST | MILWAUKEE | WI | 53207 | NONE | PC | GENERAL OPERATING | $15,000 |
| CHIX 4 A CAUSE LTD | |||||||
| PO BOX 871 | West Bend | WI | 53095 | NONE | PC | GENERAL OPERATING | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $401,000 | 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 |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $203,276 | 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 Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $99,255 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $302,531 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $302,531 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 11 | LineNumberTxt |
| Relationship Statement | 0 | RelationshipStatementTxt |
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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE (NON-ALLOC | CategoryTxt |
| Amt | $750 | Amt |
| Disbursements Charitable Prps | $750 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (42 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| T ROWE PRICE GRWTH STK #40 | |||
| PRINCIPAL GI RE SEC | |||
| NEUBERGER BERMAN LONG SH | |||
| MAINSTAY FLOATING RATE | |||
| DOUBLELINE TOTAL RET BD I | |||
| AQR MANAGED FUTURES STR I | |||
| JOHN HANCOCK FDS III DISPLN V | |||
| VANGUARD MIDCAP VAL IDX AMIRAL | |||
| BARON EMRGNG MKTS INSTL | |||
| BIARD AGGREGATE BD FD | |||
| CONGRESS MID CAP GROWTH INS | |||
| ISHARES EDGE MSCI MIN VOL USA | |||
| VANGUARD 500 INDEX ADMRL | |||
| ISHARES CORE MSCI EAFE ETF | |||
| AQR LONG SHORT EQUITY I | |||
| LOOMIS SAYLES STRGIC ALPHA FD | |||
| TRIBUTARY SMALL COMPANY FUND - | |||
| CAUSEWAY INTERNATL VALUE INS - | |||
| OBERWEIS INTERNATIONAL OPPS IN | |||
| HARDING LOEVNER INTERNATIONAL | |||
| ISHARES CORE MSCI EMERGING MKT | |||
| 89609H704 TRIBUTARY SMALL COMP | AT COST | $206,000 | $146,867 |
| 464287804 I SHARES S P SMALLC | AT COST | $139,244 | $95,387 |
| 56063J344 MAINSTAY FLOATING RA | AT COST | $95,234 | $81,304 |
| 674375704 OBERWIES INTERNATION | AT COST | $183,000 | $129,434 |
| 31420B300 FEDERATED INST HI YL | AT COST | $80,000 | $69,146 |
| 46429B697 ISHARES MSCI USA MIN | AT COST | $316,661 | $321,360 |
| 47803U640 JOHN HANCOCK FDS III | AT COST | $238,959 | $186,281 |
| 14949P208 CAUSEWAY INTERNATL V | AT COST | $319,006 | $228,908 |
| 74254V273 PRINCIPAL GL R E SEC | AT COST | $330,798 | $290,535 |
| 741479109 PRICE T ROWE GROWTH | AT COST | $215,977 | $457,499 |
| 258620103 DOUBLELINE TOTAL RET | AT COST | $1,331,504 | $1,281,280 |
| 412295107 HARDING LOEVNER INTL | AT COST | $232,000 | $201,570 |
| 46432F842 ISHARES CORE MSCI EA | AT COST | $312,574 | $299,340 |
| 06828M876 BARON EMERGING MARKE | AT COST | $179,534 | $162,973 |
| 258620822 DOUBLELINE SHILLER E | AT COST | $430,000 | $304,464 |
| 46434G103 ISHARES CORE MSCI EM | AT COST | $214,364 | $169,974 |
| 72369L107 PIONEER ILS INTERVAL | AT COST | $220,000 | $224,522 |
| 921937694 VANGUARD MIDCAP VALU | AT COST | $342,838 | $287,966 |
| 922908710 VANGUARD 500 INDEX A | AT COST | $709,149 | $676,181 |
| 74316J458 CONGRESS MID CAP GRO | AT COST | $358,884 | $376,360 |
| 057071854 BAIRD AGGREGATE BOND | AT COST | $983,359 | $1,030,180 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PRINTING | $64 | $0 | $64 |
| INSURANCE | $475 | $0 | $475 |
| SECRETARIAL SERVICES | $12,489 | $0 | $12,489 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (3 entries)
| DescDesc | AmtAmt |
|---|---|
| NUVEEN EARN-OUT PAYMENT | $30 |
| PAYROLL TIMING DIFFERENCE | $789 |
| ROUNDING ADJUSTMNET | $2 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $2,589 | $2,589 | $0 |
| FEDERAL TAX PAYMENT - PRIOR YE | $2,414 | $0 | $0 |
| FEDERAL ESTIMATES - PRINCIPAL | $8,870 | $0 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $374 | $374 | $0 |