HARRY AND THELMA SURRENA MEMORIAL FUND: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HARRY AND THELMA SURRENA MEMORIAL FUND (EIN 23-7435554)
- Tax period
- 2019-11-01 to 2020-10-31
- Filed
- 2021-04-23
- IRS object ID
- 202101139349101020
- 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 Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Assets Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Reasonable Cause Explanation
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-04-23T17:40:54-05:00 | ReturnTs |
| Tax Period End | 2020-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 830232295 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOHATT JOHNSON & GODWIN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 828010603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237435554 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRY & THELMA SURRENA MEMORIAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARR | BusinessNameControlTxt |
| Phone | 3076726494 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT WYATT | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 3076726494 | PhoneNum |
| Signature | 2021-04-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL B JOHNSON | PreparerPersonNm |
| PTIN | P00912386 | PTIN |
| Phone | 3076726494 | PhoneNum |
| Preparation | 2021-04-23 | 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 | $5,824,928 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $3,916 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $3,916 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $149,532 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $149,532 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$29,984 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,405,933 | GrossSalesPriceAmt |
| Total Rev And Expnss | $123,464 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $153,448 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $38,982 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $19,491 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $19,491 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,310 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,733 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $577 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $34,747 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $34,747 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $13,082 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,491 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $1,491 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $89,121 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $57,462 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $21,559 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $224,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $224,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $313,621 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $57,462 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $246,059 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$190,157 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $95,986 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $207,546 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $117,031 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $117,036 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $346,368 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $59,474 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $62,554 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $3,509,033 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,571,644 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $4,162,588 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,341,289 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,465,930 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,459,768 | CorporateBondsEOYFMVAmt |
| Other Assets BOY | $22,982 | OtherAssetsBOYAmt |
| Other Assets EOY | $22,982 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $22,982 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $5,427,218 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,237,061 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,824,928 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $8,481 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $8,481 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $8,481 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,481 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $2,443,594 | CapitalStockBOYAmt |
| Capital Stock EOY | $2,443,594 | CapitalStockEOYAmt |
| Retained Earning BOY | $2,975,143 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,784,986 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,418,737 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,228,580 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,427,218 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,237,061 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,418,737 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$190,157 | ExcessRevenueOverExpensesAmt |
| Subtotal | $5,228,580 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $5,228,580 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (74 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 50,000.-BLACKROCK INC 5% 10 DEC 2019 | P | 2010-02-12 | 2019-12-10 | $50,000 | $50,000 | ||
| 37.-INDUSTRIAL SELECT SECTOR SPDR FU | P | 2019-09-24 | 2020-01-24 | $3,107 | $2,887 | $220 | $220 |
| 109.-EXXON MOBIL CORP | P | 2015-12-10 | 2020-05-13 | $4,580 | $8,302 | -$3,722 | -$3,722 |
| 206.-CONSUMER STAPLES SELECT SECTOR | P | 2018-05-16 | 2020-07-07 | $12,240 | $10,229 | $2,011 | $2,011 |
| 1,537.988-DFA US SMALL CAP PORTFOLIO | P | 2019-01-28 | 2020-04-01 | $33,790 | $50,000 | -$16,210 | -$16,210 |
| 25.-CHEVRON CORP | P | 2003-06-16 | 2020-05-18 | $2,327 | $940 | $1,387 | $1,387 |
| 5,607.206-DFA US SMALL CAP PORTFOLIO | P | 2019-04-08 | 2020-04-01 | $123,190 | $193,000 | -$69,810 | -$69,810 |
| 276.-EXXON MOBIL CORP | P | 2018-04-04 | 2020-05-13 | $11,598 | $20,466 | -$8,868 | -$8,868 |
| 432.-FINANCIAL SELECT SECTOR SPDR FU | P | 2018-10-31 | 2020-01-07 | $13,219 | $11,411 | $1,808 | $1,808 |
| 5,359.781-DFA COMMODITY STRATEGY POR | P | 2017-02-02 | 2019-11-20 | $28,996 | $32,587 | -$3,591 | -$3,591 |
| 50.-CHEVRON CORP | P | 2010-09-13 | 2020-05-18 | $4,654 | $3,953 | $701 | $701 |
| 5,576.534-DFA COMMODITY STRATEGY POR | P | 2019-02-15 | 2019-11-20 | $30,169 | $30,782 | -$613 | -$613 |
| 59.-GILEAD SCIENCES INC | P | 2012-05-04 | 2020-04-03 | $4,543 | $1,497 | $3,046 | $3,046 |
| 370.-INDUSTRIAL SELECT SECTOR SPDR F | P | 2018-02-02 | 2019-11-08 | $30,212 | $29,290 | $922 | $922 |
| 4,145.936-DFA COMMODITY STRATEGY POR | P | 2017-11-03 | 2019-11-20 | $22,430 | $25,000 | -$2,570 | -$2,570 |
| 75.-CHEVRON CORP | P | 2010-09-13 | 2020-05-18 | $6,984 | $5,930 | $1,054 | $1,054 |
| 7,423.582-TEMPLETON GLOBAL BOND FUND | P | 2019-04-08 | 2019-12-16 | $77,948 | $85,000 | -$7,052 | -$7,052 |
| 91.-GILEAD SCIENCES INC | P | 2014-03-28 | 2020-04-03 | $7,006 | $6,285 | $721 | $721 |
| 56.-INDUSTRIAL SELECT SECTOR SPDR FU | P | 2018-02-02 | 2020-01-24 | $4,702 | $4,433 | $269 | $269 |
| 16,000.-DFA COMMODITY STRATEGY PORTF | P | 2018-05-24 | 2019-11-20 | $86,560 | $100,000 | -$13,440 | -$13,440 |
| 187.-EMERSON ELECTRIC CO | P | 2004-02-25 | 2019-11-08 | $13,762 | $5,854 | $7,908 | $7,908 |
| 68.03-VANGUARD INTERMEDIATE-TERM INV | P | 2019-04-08 | 2020-02-28 | $704 | $656 | $48 | $48 |
| 151.-GILEAD SCIENCES INC | P | 2014-03-28 | 2020-04-03 | $11,613 | $10,428 | $1,185 | $1,185 |
| 134.-TECHNOLOGY SELECT SECTOR SPDR F | P | 2018-08-10 | 2020-03-18 | $9,469 | $9,814 | -$345 | -$345 |
| 1,753.104-TEMPLETON GLOBAL BOND FUND | P | 2013-04-11 | 2019-12-16 | $18,408 | $23,459 | -$5,051 | -$5,051 |
| 55.-PEPSICO INC | P | 1997-03-21 | 2020-02-07 | $7,978 | $1,691 | $6,287 | $6,287 |
| 15,476.733-VANGUARD INTERMEDIATE-TER | P | 2019-04-08 | 2020-03-09 | $160,803 | $149,350 | $11,453 | $11,453 |
| 35.-GILEAD SCIENCES INC | P | 2014-03-28 | 2020-04-03 | $2,675 | $2,417 | $258 | $258 |
| 69.-TECHNOLOGY SELECT SECTOR SPDR FU | P | 2018-08-10 | 2020-09-04 | $7,906 | $5,053 | $2,853 | $2,853 |
| 1,954.651-TEMPLETON GLOBAL BOND FUND | P | 2014-03-03 | 2019-12-16 | $20,524 | $24,397 | -$3,873 | -$3,873 |
| 50.-PEPSICO INC | P | 1997-03-21 | 2020-02-07 | $7,255 | $1,537 | $5,718 | $5,718 |
| 8,062.046-VANGUARD INTERMEDIATE-TERM | P | 2019-09-05 | 2020-06-04 | $83,765 | $81,588 | $2,177 | $2,177 |
| 116.-GILEAD SCIENCES INC | P | 2016-11-02 | 2020-04-03 | $8,867 | $8,435 | $432 | $432 |
| 238.-COMMUNICATION SERVICES SELECT S | P | 2018-08-10 | 2020-07-07 | $13,514 | $11,742 | $1,772 | $1,772 |
| 1,892.506-TEMPLETON GLOBAL BOND FUND | P | 2014-05-13 | 2019-12-16 | $19,871 | $24,416 | -$4,545 | -$4,545 |
| 623.664-TEMPLETON GLOBAL BOND FUND/U | P | 2011-04-06 | 2019-12-16 | $6,548 | $8,467 | -$1,919 | -$1,919 |
| 28,218.683-VANGUARD INTERMEDIATE-TER | P | 2019-10-10 | 2020-06-04 | $293,192 | $284,444 | $8,748 | $8,748 |
| 10.-MCKESSON CORP | P | 2016-04-18 | 2020-02-21 | $1,702 | $1,744 | -$42 | -$42 |
| 105.-SKYWORKS SOLUTIONS INC | P | 2013-08-23 | 2020-01-24 | $13,125 | $2,641 | $10,484 | $10,484 |
| 3,750.938-TEMPLETON GLOBAL BOND FUND | P | 2014-09-12 | 2019-12-16 | $39,385 | $48,843 | -$9,458 | -$9,458 |
| 481.541-TEMPLETON GLOBAL BOND FUND/U | P | 2011-11-23 | 2019-12-16 | $5,056 | $5,851 | -$795 | -$795 |
| 5,004.905-VANGUARD INTERMEDIATE-TERM | P | 2020-01-07 | 2020-06-04 | $52,001 | $50,449 | $1,552 | $1,552 |
| 131.-MCKESSON CORP | P | 2016-11-02 | 2020-02-21 | $22,300 | $17,795 | $4,505 | $4,505 |
| 128.-STARBUCKS CORP | P | 2017-06-29 | 2020-09-17 | $11,015 | $7,500 | $3,515 | $3,515 |
| 7,663.795-VANGUARD INTERMEDIATE-TERM | P | 2017-02-02 | 2020-02-28 | $79,320 | $74,032 | $5,288 | $5,288 |
| 33.-BOEING CO | P | 2019-07-10 | 2020-03-20 | $3,231 | $11,636 | -$8,405 | -$8,405 |
| 17,938.562-VANGUARD INTERMEDIATE-TER | P | 2019-09-05 | 2020-03-13 | $212,393 | $206,832 | $5,561 | $5,561 |
| 68.-MICROSOFT CORP | P | 2013-08-15 | 2019-11-01 | $9,722 | $2,160 | $7,562 | $7,562 |
| 72.-STARBUCKS CORP | P | 2017-06-29 | 2020-09-17 | $6,204 | $4,219 | $1,985 | $1,985 |
| 2,593.36-VANGUARD INTERMEDIATE-TERM | P | 2017-03-16 | 2020-02-28 | $26,841 | $25,000 | $1,841 | $1,841 |
| 50.-BOEING CO | P | 2020-01-24 | 2020-03-20 | $4,896 | $16,013 | -$11,117 | -$11,117 |
| 276.846-VANGUARD 500 INDEX FUND | P | 2019-04-05 | 2020-01-07 | $82,730 | $73,923 | $8,807 | $8,807 |
| 21.-MICROSOFT CORP | P | 2013-08-15 | 2020-09-04 | $4,353 | $667 | $3,686 | $3,686 |
| 86.-STARBUCKS CORP | P | 2017-06-29 | 2020-09-17 | $7,370 | $5,039 | $2,331 | $2,331 |
| 12,952.647-VANGUARD INTERMEDIATE-TER | P | 2019-04-08 | 2020-06-04 | $134,578 | $124,993 | $9,585 | $9,585 |
| 168.-MATERIALS SELECT SECTOR SPDR FU | P | 2019-02-08 | 2020-01-07 | $9,988 | $8,811 | $1,177 | $1,177 |
| 174.-AMERICAN EXPRESS CO | P | 2016-03-11 | 2020-03-19 | $12,748 | $10,364 | $2,384 | $2,384 |
| 77.-MICROCHIP TECHNOLOGY INC | P | 2018-10-31 | 2020-01-10 | $8,457 | $5,046 | $3,411 | $3,411 |
| 294.881-INVESCO DEVELOPING MARKETS F | P | 2012-12-03 | 2020-01-07 | $13,550 | $10,018 | $3,532 | $3,532 |
| 7,829.691-VANGUARD INTERMEDIATE-TERM | P | 2017-11-03 | 2020-03-13 | $92,704 | $87,379 | $5,325 | $5,325 |
| 94.-CONSUMER DISCRETIONARY SELECT SE | P | 2019-05-14 | 2020-04-22 | $10,366 | $10,759 | -$393 | -$393 |
| 35.-APPLE INC | P | 2016-04-28 | 2020-07-07 | $13,211 | $3,356 | $9,855 | $9,855 |
| 142.-MICROCHIP TECHNOLOGY INC | P | 2018-10-31 | 2020-01-13 | $15,753 | $9,305 | $6,448 | $6,448 |
| 2,403.846-DFA EMERGING MARKETS SMALL | P | 2015-04-01 | 2020-04-27 | $38,029 | $50,000 | -$11,971 | -$11,971 |
| 134.089-VANGUARD 500 INDEX FUND | P | 2019-04-05 | 2020-09-04 | $42,538 | $35,804 | $6,734 | $6,734 |
| 64.-CONSUMER DISCRETIONARY SELECT SE | P | 2020-01-07 | 2020-04-22 | $7,058 | $8,075 | -$1,017 | -$1,017 |
| 78.-WALT DISNEY CO | P | 2012-05-09 | 2020-01-10 | $11,299 | $3,523 | $7,776 | $7,776 |
| 50,000.-MORGAN STANLEY 2.8% 16 JUN 2 | P | 2016-05-26 | 2020-06-16 | $50,000 | $50,908 | -$908 | -$908 |
| 3,206.688-DFA EMERGING MARKETS SMALL | P | 2018-05-24 | 2020-04-27 | $50,730 | $75,165 | -$24,435 | -$24,435 |
| LITIGATION PROCEEDS | P | 2018-01-02 | 2020-03-27 | $316 | $316 | $316 | |
| 98.-INDUSTRIAL SELECT SECTOR SPDR FU | P | 2019-07-10 | 2020-01-24 | $8,229 | $7,523 | $706 | $706 |
| 142.-EXELON CORP | P | 2015-03-31 | 2019-11-12 | $6,289 | $4,745 | $1,544 | $1,544 |
| 49.-HEALTH CARE SELECT SECTOR SPDR F | P | 2018-08-10 | 2020-01-07 | $4,961 | $4,400 | $561 | $561 |
| 1,219.206-DFA US SMALL CAP PORTFOLIO | P | 2018-05-24 | 2020-04-01 | $26,786 | $45,659 | -$18,873 | -$18,873 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$29,984 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | -$57,958 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $262,532 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $5,683,452 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.046192 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $285,532 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,920,934 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.048224 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $285,507 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,836,340 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.048919 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $295,282 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,544,325 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.053258 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $308,616 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $5,532,056 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.055787 | DistributionYr5Rt |
| Total Distribution | 0.252380 | TotalDistributionRt |
| Average Distribution | 0.050476 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,704,867 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $287,959 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $960 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $288,919 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $246,059 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,920 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $1,920 | SubtotalAmt |
| Tax Based On Investment Income | $1,920 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,619 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,619 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $4 | EsPenaltyAmt |
| Tax Due | $305 | 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 | 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 | WY | 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 | MOHATT JOHNSON & GODWIN LLP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3076726494 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82801 | 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 |
| 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 | 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN PRADERE | ||||||||
| PO BOX 603 | SHERIDAN | WY | 82801 | TRUSTEE | 6.00 | $19,491 | $0 | $0 |
| ROBERT WYATT | ||||||||
| PO BOX 603 | SHERIDAN | WY | 82081 | TRUSTEE | 6.00 | $19,491 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,429,895 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $338,866 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $22,982 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,791,743 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $5,791,743 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $86,876 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,704,867 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $285,243 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $285,243 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,920 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,920 | TotalTaxAmt |
| Distributable Before Adj | $283,323 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $283,323 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $283,323 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $246,059 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $246,059 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $246,059 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $283,323 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $12,621 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $20,740 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $1,533 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $2,333 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $37,227 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $246,059 | QualifyingDistributionsAmt |
| Applied To Current Year | $246,059 | AppliedToCurrentYearAmt |
| Excess Distri Cyov App CY Corpus | $37,227 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $37,227 | ExcessDistributionCyovAppCYAmt |
| Undistributed Income CY | $37 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | SURRENA MEMORIAL FUND | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3077526855 | RecipientPhoneNum |
| Form And Info And Materials | WRITTEN APPLICATION | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | CHARITABLE, RELIGIOUS, SCIENTIFIC, & EDUCATIONAL PURPOSES IN THE U.S. | 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 | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| BREAD OF LIFE | ||||||||
| PO BOX 909 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| BUFFALO SENIOR CENTER | ||||||||
| PO BOX 941 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| CHILDREN'S CENTER | ||||||||
| 863 HIGHLAND AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $25,000 | |
| CHILDREN'S CENTER - BUFFALO | ||||||||
| 151 KLONDIKE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $45,000 | |
| CLEARMONT COMMUNITY LIBRARY | ||||||||
| PO BOX 26 | CLEARMONT | WY | 82835 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| GENESIS FOUNDATION | ||||||||
| 444 CRESCENT DR | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $20,000 | |
| JOHNSON COUNTY LIBRARY | ||||||||
| 171 N ADAMS | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | FOUNDATION |
| HABITAT FOR HUMANITY | ||||||||
| PO BOX 6196 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $6,000 | OF THE EASTERN BIGHORNS |
| JOHNSON COUNTY YMCA | ||||||||
| 101 SOUTH KLONDIKE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $17,500 | |
| LUNCH TOGETHER SOUP KITCHEN | ||||||||
| 102 S CONNER ST | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| METHODIST CHURCH | ||||||||
| 132 N ADAMS AVE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $2,500 | OF BUFFALO WYOMING |
| METHODIST CHURCH | ||||||||
| 215 W WORKS | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | OF SHERIDAN WYOMING |
| SENIOR CITIZENS COUNCIL | ||||||||
| 211 SMITH STREET | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| SHERIDAN COLLEGE | ||||||||
| 3059 COFFEEN AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | SCHOLARSHIPS | $10,000 | FOUNDATION |
| SHERIDAN COUNTY LIBRARY | ||||||||
| 335 W ALGER | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | FOUNDATION INC |
| SHERIDAN COUNTY YMCA | ||||||||
| 417 NORTH JEFFERSON | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $17,500 | |
| STORY BRANCH LIBRARY | ||||||||
| PO BOX 188 | STORY | WY | 82842 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| STORY COMMUNITY CHURCH | ||||||||
| PO BOX 415 | STORY | WY | 82842 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| THE FOOD GROUP | ||||||||
| 51 COFFEEN AVE-SUITE 101 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| TONGUE RIVER BRANCH | ||||||||
| PO BOX 909 | RANCHESTER | WY | 82839 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | LIBRARY |
| VOLUNTEERS OF AMERICA OF | ||||||||
| 1876 S SHERIDAN AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | HOMELESS SHELTER | $5,000 | WYOMING AND MONTANA |
| COMPASS-CENTER FOR FAMILIES | ||||||||
| PO BOX 6022 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | CASA PROGRAM | $5,000 | |
| MOUNTAIN PLAINS HERITAGE PARK | ||||||||
| PO BOX 1034 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $1,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $224,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3,916 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $149,532 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$29,984 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $123,464 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $123,464 | 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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $2,310 | Amt |
| Net Investment Income | $1,733 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $577 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (9 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BLACKROCK INC | ||
| EATON VANCE FLOATING RATE FUND | $233,654 | $221,470 |
| MORGAN STANLEY 2.8% | ||
| TEMPLETON GLOBAL BOND FUND | ||
| VANGUARD HIGH YIELD CORPORATE FUND | $376,948 | $374,113 |
| VANGUARD INTERMEDIATE-TERM CORPORATE | $565,023 | $574,669 |
| VANGUARD INTERMEDIATE-TERM INVEST | ||
| WELLS FARGO & CO 2.5% | $50,711 | $50,573 |
| ISHARES PREFERRED & INCOME SECURITIE | $239,594 | $238,943 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (65 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBOTT LABORATORIES | $11,437 | $15,293 |
| ALEXION PHARMACEUTICALS INC | $23,933 | $26,943 |
| ALPHABET INC CAP STK CL A | $22,198 | $37,171 |
| AMAZON.COM INC | $33,113 | $60,723 |
| AMERICAN EUROPACIFIC GROWTH FUND | $143,564 | $156,442 |
| AMERICAN EXPRESS | $10,364 | $15,951 |
| APPLE COMPUTER INC | $11,411 | $51,817 |
| BERKSHIRE HATHAWAY INC - CL B | $9,539 | $23,622 |
| BOEING CO | ||
| BRISTOL MYERS SQUIBB | $14,487 | $23,089 |
| CHEVRON CORP | ||
| CISCO SYSTEMS | $11,513 | $23,371 |
| COMCAST CORP | $24,002 | $22,598 |
| COMMUNICATION SERVICES SEL SPDR | $31,489 | $38,184 |
| CONSUMER DISCRETIONARY SEL SPDR | $7,116 | $7,006 |
| CONSUMER STAPLES SEL SECTOR SPDR | $22,411 | $22,351 |
| DFA COMMODITY STRATEGY PORTFOLIO | ||
| DFA EMERGING MARKETS SMALL CAP | $145,835 | $134,883 |
| DFA GLOBAL REAL ESTATE SECURITIES | $431,616 | $386,901 |
| DFA US SMALL CAP PORTFOLIO | ||
| EMERSON ELECTRIC CO | $5,885 | $12,181 |
| ENERGY SELECT SECTOR SPDR | $42,462 | $26,853 |
| EXELON CORPORATION | $5,814 | $6,941 |
| EXXON MOBIL CORP | ||
| FACEBOOK INC | $11,807 | $20,523 |
| FEDEX CORP | $13,504 | $24,650 |
| FIDELITY INTERNATIONAL INDEX FUND | $289,280 | $272,100 |
| FINANCIAL SELECT SECTOR SPDR | $36,119 | $36,840 |
| GILEAD SCIENCES INC. | ||
| GOLDMAN SACHS GROUP INC | $28,311 | $23,630 |
| GOLDMAN SACHS INTERNATIONAL SMALL CA | $161,920 | $160,762 |
| HEALTH CARE SELEC SECTOR SPDR | $100,533 | $111,419 |
| HONEYWELL INTERNATIONAL INC | $13,168 | $15,010 |
| INDUSTRICAL SELECT SECTOR SPDR | $19,426 | $26,706 |
| INTERCONTINENTAL EXCHANGE INC | $12,284 | $12,461 |
| ISHARES CORE S&P 500 ETF | $245,070 | $285,029 |
| J.P. MORGAN CHASE & CO | $8,340 | $24,537 |
| KLS CORP | $11,192 | $17,155 |
| LOWE'S COS INC | $25,618 | $54,275 |
| MATERIALS SELECT SECTOR SPDR | $23,469 | $28,115 |
| MCDONALD'S CORP | $18,248 | $20,874 |
| MCKESSON CORPORATION | ||
| MICROCHIP TECHNOLOGY INC | ||
| MICROSOFT CORPORATION | $15,878 | $58,311 |
| MONDELEZ INTERNATIONAL INC | $22,561 | $27,463 |
| NIKE INC | $19,046 | $43,469 |
| INV OPPENHEIMER DEVELOPING MKTS | ||
| PALO ALTO NETWORKS INC | $13,081 | $12,166 |
| PEPSICO | $3,628 | $15,728 |
| REAL ESTATE SELECT SECTOR SPDR | $31,783 | $29,437 |
| SKYWORKS SOLUTIONS INC | $3,974 | $22,324 |
| STARBUCKS CORP | ||
| TECHNOLOGY SELECT SECTOR SPDR | $94,786 | $143,120 |
| UBER TECHNOLOGIES INC | $27,528 | $26,227 |
| UNION PACIFIC | $14,065 | $31,363 |
| UNITEDHEALTH GROUP INC | $4,960 | $26,852 |
| UTILITIES SELECT SECTOR SPDR FUND | $7,930 | $7,174 |
| VANGUARD 500 INDEX FUND | $333,775 | $390,364 |
| VANUGARD EMERGING MARKETS STOCK INDE | $327,126 | $344,585 |
| WAL-MART STORES INC | $19,804 | $36,630 |
| WALT DISNEY | $16,663 | $22,189 |
| XILINX INC | $15,863 | $18,753 |
| ISHARES CORE S&P MID-CAP ETF | $115,250 | $123,345 |
| ISHARES COR S&P SMALL-CAP ETF | $171,684 | $235,866 |
| INVESCO DEVELOPING MARKETS FUND | $285,781 | $320,816 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $59,474 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $62,554 | USGovtObligationsEOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MINERAL RIGHTS | Desc |
| BOY Book Value | $22,982 | BOYBookValueAmt |
| EOY Book Value | $22,982 | EOYBookValueAmt |
| EOYFMV | $22,982 | EOYFMVAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEDERAL TAXES PAYABLE | Desc |
| BOY Book Value | $8,481 | BOYBookValueAmt |
| EOY Book Value | $8,481 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEES | CategoryTxt |
| Amt | $34,747 | Amt |
| Net Investment Income | $34,747 | NetInvestmentIncomeAmt |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE HARRY & THELMA SURRENA MEMORIAL IS REQUESTING PENALTY ABATEMENT OF THE FAILURE TO FILE PENALTIES BECAUSE THE TAXPAYER MEETS THE REASONABLE CAUSE, AS STATED IN IRC 6652(C) (4), REASONABLE CAUSE EXCEPTION, AND REG. 301.6652-1(F), FAILURE TO FILE CERTAIN INFORMATION RETURNS; SHOWING OF REASONABLE CAUSE. THE TAXPAYER HAS USED MOHATT, JOHNSON & GODWIN, LLP (MJG) FOR YEARS TO PREPARE THE TAX RETURN. CONSISTENT WITH PRIOR YEARS THE TAXPAYER BELIEVED THAT MJG HAD PROPERLY FILED THE 2019 EXTENSION AND WOULD PROPERLY FILE THE 2019 FORM 990PF. WITH THE IMPACT OF COVID-19 ON THE STAFFING AND PROCESSING OF TAX RELATED ITEMS THE EXTENSION FOR THE HARRY & THELMA SURRENA MEMORIAL WAS INADVERTENTLY NOT FILED. THE TAX RETURN WILL BE COMPLETED AND E-FILED ON APRIL 23, 2021, WHICH IS BEFORE THE EXTENDED DUE DATE OF SEPTEMBER 15, 2021. THE DISRUPTION FROM COVID-19 THAT CAUSED THE COMPLIANCE ISSUE IS AN ISOLATED EVENT. THE TAXPAYER HAS CONSISTENTLY PREPARED COMPLETE AND ACCURATE TAX RETURNS, FILED RETURNS ON TIME AND PAID TAXES ON TIME. THE FOLLOWING TAX LAW OR AUTHORITY SUPPORTS RELIEF FROM THE FAILURE TO FILE PENALTIES. IRC 6652, FAILURE TO FILE CERTAIN INFORMATION RETURNS, REGISTRATION STATEMENTS, ETC. IRC 6652(C)(4) STATES THAT NO PENALTY SHALL BE IMPOSED UNDER IRC 6652 (C) WITH RESPECT TO ANY FAILURE IF IT IS SHOWN THAT SUCH FAILURE IS DUE TO REASONABLE CAUSE. REG. 301.6652-1(F), FAILURE TO FILE CERTAIN INFORMATION RETURNS; SHOWING OF REASONABLE CAUSE REG. 301.6652-1(F) PROVIDES FURTHER GUIDANCE AND EXPLAINS THAT THE FAILURE TO FILE PENALTY SHALL NOT APPLY IF IT IS ESTABLISHED THAT SUCH FAILURE WAS DUE TO REASONABLE CAUSE. AN AFFIRMATIVE SHOWING OF REASONABLE CAUSE MUST BE MADE IN THE FORM OF A WRITTEN STATEMENT THAT CONTAINS A DECLARATION THAT IS MADE UNDER THE PENALTIES OF PERJURY, AND SETS FORTH ALL OF THE FACTS ALLEGED AS A REASONABLE CAUSE. THE TAXPAYER'S SITUATION DEMONSTRATES THAT THE NONCOMPLIANCE WAS NOT DUE TO WILLFUL NEGLECT AND WAS DUE TO REASONABLE CAUSE. THE TAXPAYER RELIED ON MJG TO FILE THE PROPER FORMS TIMELY. THE NON-FILING OF THE EXTENSION WAS AN INADVERTENT OVERSIGHT BY MJG DUE TO THE IMPACTS OF COVID-19. THE 2019 FORM 990PF WAS FILED ON APRIL 23, 2020, WHICH IS BEFORE THE EXTENDED DUE DATE OF SEPTEMBER 15, 2021. BECAUSE THE INCIDENT THAT CAUSED THE COMPLIANCE ISSUE WAS AN ISOLATED EVENT, AND BECAUSE THE TAXPAYER AND MJG MADE IMMEDIATE EFFORTS TO COMPLY WITH ALL APPLICABLE FILING DEADLINES, THE TAXPAYER HAS PROVEN THAT ORDINARY BUSINESS CARE AND PRUDENCE WAS TAKEN. ON THE BASIS OF THIS REQUEST AND THE FACTS, LAW AND AUTHORITY CONTAINED HEREIN, PLEASE PERMIT PENALTY RELIEF FROM THE FAILURE TO FILE PENALTY. | ExplanationTxt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAXES | $10,100 | ||
| PAYROLL TAXES | $2,982 | $1,491 | $1,491 |
| PENALTY |