STRATEGY STUDIO / PUBLIC DATA EXPLORER

MAXSAN FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MAXSAN FOUNDATION (EIN 20-6299515)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-08-19
IRS object ID
202112329349100606
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-19T16:26:12-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1330 E KILBOURN AVENUE SUITE 750AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN206299515EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAXSAN FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O JEAN-MAX AND SANDRA J DERMONDBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% JEAN-MAX AND SANDRA DERMONDInCareOfNm
Business Name ControlMAXSBusinessNameControlTxt
Phone4149639426PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 NORTH PROSPECT AVENUE Ste 2402AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJean-Max DermondPersonNm
Person TitleTrusteePersonTitleTxt
Phone4149639426PhoneNum
Signature2021-08-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJean-MaxPersonFirstNm
Person LastDermondPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLY RAQUETPreparerPersonNm
PTINP01644256PTIN
Phone4142725900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,059,994FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$2,200ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$94InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$94InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$18,771DividendsRevAndExpnssAmt
Dividends Net Invst Incm$19,001DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$20,873NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$449,154GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$20,953CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$142OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$0OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$42,080TotalRevAndExpnssAmt
Total Net Invst Incm$40,048TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$2,200AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$2,200AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$6,333OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$6,398OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,050TaxesRevAndExpnssAmt
Taxes Net Invst Incm$481TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$9,583TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$6,879TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,200TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$48,564ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$48,564ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$58,147TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$6,879TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$50,764TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$16,067ExcessRevenueOverExpensesAmt
Net Investment Income$33,169NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$30,063CashBOYAmt
Cash EOY$26,520CashEOYAmt
Cash EOYFMV$36,141CashEOYFMVAmt
Sav And Temp Cash Invst BOY$3,453SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$9,620SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$9,620SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$253,937USGovernmentObligationsBOYAmt
US Government Obligations EOY$253,937USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$266,548USGovtObligationsEOYFMVAmt
Corporate Stock BOY$511,335CorporateStockBOYAmt
Corporate Stock EOY$502,478CorporateStockEOYAmt
Corporate Stock EOYFMV$613,957CorporateStockEOYFMVAmt
Other Investments BOY$159,068OtherInvestmentsBOYAmt
Other Investments EOY$128,354OtherInvestmentsEOYAmt
Other Investments EOYFMV$133,728OtherInvestmentsEOYFMVAmt
Total Assets BOY$957,856TotalAssetsBOYAmt
Total Assets EOY$920,909TotalAssetsEOYAmt
Total Assets EOYFMV$1,059,994TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$680,811CapitalStockBOYAmt
Capital Stock EOY$680,811CapitalStockEOYAmt
Retained Earning BOY$256,165RetainedEarningBOYAmt
Retained Earning EOY$240,098RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$936,976TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$920,909TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$936,976TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$920,909TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$936,976TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$16,067ExcessRevenueOverExpensesAmt
Subtotal$920,909SubtotalAmt
Tot Net Ast Or Fund Balances EOY$920,909TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
CAPITAL GAINS - SHORT TERM COVERED$32,165$31,558$607$607
CAPITAL GAINS - LONG TERM COVERED$363,504$356,814$6,690$6,690
CAPITAL GAINS - LONG TERM NON-COVERED$26,671$22,536$4,135$4,135
CAPITAL GAIN DIVIDENDS$9,521P
CAPITAL GAIN DIVIDENDS$9,521P
CAPITAL GAIN DIVIDENDS$9,521P
FieldValueIRS element (for citing)
Capital Gain Net Income$20,953CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$461InvestmentIncomeExciseTaxAmt
Subtotal$461SubtotalAmt
Tax Based On Investment Income$461TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$857EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$857TotalPaymentsAndCreditsAmt
Overpayment$396OverpaymentAmt
Applied To ES Tax$396AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateWIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1JEAN-MAX AND SANDRA DERMONDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4149639426PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1825 NORTH PROSPECT AVENUE NO2402AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JEAN-MAX DERMOND
825 NORTH PROSPECT AVENUESTE 2402MILWAUKEEWI53202TRUSTEE0.0$0$0$0
SANDRA J DERMOND
825 NORTH PROSPECT AVENUESTE 2402MILWAUKEEWI53202TRUSTEE0.0$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE MAXSAN FOUNDATION IS ORGANIZED AND OPERATED FOR THE SOLE PURPOSE OF MAKING CASH CONTRIBUTIONS TO QUALIFYING PUBLIC CHARITIES. THE FOUNDATION DOES NOT ENGAGE IN ANYDescription1Txt
Description2DIRECT CHARITABLE ACTIVITIES.Description2Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1.Description1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$955,743AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$21,916AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$977,659TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$977,659AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$14,665CashDeemedCharitableAmt
Net Vl Noncharitable Assets$962,994NetVlNoncharitableAssetsAmt
Minimum Investment Return$48,150MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$48,150MinimumInvestmentReturnAmt
Tax Based On Investment Income$461TaxBasedOnInvestmentIncomeAmt
Total Tax$461TotalTaxAmt
Distributable Before Adj$47,689DistributableBeforeAdjAmt
Distributable Before Ded$47,689DistributableBeforeDedAmt
Distributable As Adjusted$47,689DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$50,764ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$50,764QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$50,764AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$47,689DistributableAsAdjustedAmt
Undistributed Income PY$47,814UndistributedIncomePYAmt
Prior Year12018PriorYear1Yr
Prior Year22017PriorYear2Yr
Prior Year32016PriorYear3Yr
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$50,764QualifyingDistributionsAmt
Applied To Year1$47,814AppliedToYear1Amt
Applied To Current Year$2,950AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$44,739UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Current Year$0ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJEAN-MAX DERMONDContributingManagerNm
Contributing ManagerSANDRA J DERMONDContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (20 entries)

Address Line1RecipientUSAddress/AddressLine1TxtAddress Line2RecipientUSAddress/AddressLine2TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ABCD
5775 N Glen Park RdSte 201GlendaleWI53209NONEPCGeneral$500
Alliance Francaise de Milwaukee
1800 E Capitol DrMilwaukeeWI53211NONEPCGeneral$500
Benedict Center
1849 N MLK Jr DrMilwaukeeWI53212NONEPCGeneral$6,750
Boys & Girls Clubs of Greater Milwaukee
1558 N 6th StSte 201MilwaukeeWI53212NONEPCGeneral$5,000
Carmen HS of Science & Technology
1712 S 32nd StMilwaukeeWI53215NONEPCGeneral$1,564
Danceworks
1661 N Water StMilwaukeeWI53202NONEPCGeneral$250
Lake Park Friends
2975 N Lake Park RdMilwaukeeWI53211NONEPCGeneral$500
Lupus Foundation of America
2600 N Mayfair RdMilwaukeeWI53226NONEPCGeneral$500
MAM (Milwaukee Art Museum)
700 N Art Museum DrMilwaukeeWI53202NONEPCDevelopment$2,500
Matc Foundation
700 W State StMilwaukeeWI53233NONEPCGeneral$5,000
MPTV Friends
1036 N 8th StMilwaukeeWI53233NONEPCGeneral$1,000
Planned Parenthood of Wisconsin
2207 W Wisconsin AveMilwaukeeWI53233NONEPCGeneral$5,000
Sojourner Truth Peace Center
619 W Walnut StMilwaukeeWI53212NONEPCGeneral$10,000
St Augustine Prep
2607 S 5th StMilwaukeeWI53207NONEPCGeneral$2,000
St Marcus School
2215 N Palmer StMilwaukeeWI53212NONEPCGeneral$5,000
Tall Pines Conservancy
PO Box 65NoshotahWI53058NONEPCGeneral$500
UWM French Scholarship
1440 E North AveW330 N4465 Lakeland Dr Hwy CMilwaukeeWI53202NONEPCGeneral$500
WUWM
111 E Wisconsin AveMilwaukeeWI53202NONEPCGeneral$1,000
Teen Grow Greens
4215 N Green Bay AveMilwaukeeWI53209NONEPCGeneral$250
MIAD
273 E Erie StMilwaukeeWI53202NONEPCGeneral$250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$48,564TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$94ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$18,771ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$20,873ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Exclusion01ExclusionCd
Exclusion$142ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$39,880ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$39,880TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$2,200Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$2,200DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (23 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
FIDELITY 500 INDEX FD-AI$89,284$118,525
HEALTH CARE SELECT SECTOR$30,409$36,187
INVESCO QQQ TR UNITSER1$24,104$35,139
JPMORGAN US L/C CORE PL-R6$10,002$10,561
PARNASSUS CORE EQUITY FD-INS$33,095$41,197
VANGUARD FINANCIALS ETF$25,387$28,047
CAUSEWAY INTERNATL VAL-INST$18,084$18,923
FIDELITY INTERNATIONAL INDEX$41,630$43,312
OAKMARK INTERNATIONAL-INST$9,834$11,322
T ROWE PR OVERSEAS STOCK-I$23,518$30,121
ISHARES INC MSCI JAPAN NEW$18,714$21,417
ISHARES MSCI ALL COUNTRY ASI$16,905$22,134
ISHARES CORE MSCI EMERGING$28,188$33,688
ISHARES MSCI INDIA ETF$6,623$11,141
NEUBERGER BER GR CHINA$7,152$7,695
VANNECK VECTORS GOLD MINERS$13,038$18,154
EDGEWOOD GROWTH FUND$33,206$40,756
ISHARES RUSSELL 1000 VALUE$27,440$29,534
T ROWE PR JAPAN FUND$10,242$13,993
T ROWE PRICE NEW ASIA$10,787$13,895
ISHARES MSCI BRAZIL ETF$9,601$10,862
MATTHEWS CHINA FUND$5,514$7,914
ISHARES GLOBAL INFRASTRUCTUR$9,721$9,440

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$253,937USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$266,548USGovtObligationsEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (5 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
BLACKSTONE ALT MULTI-STRAT- Y$58,527$54,532
NEUBERGER BERMAN LONG SH-INS$19,799$23,175
ISHARES GOLD TRUST$19,232$27,268
COHEN & STEERS REAL ESTATE-F$20,530$18,710
PIMCO COMMODITYPL STRAT-INS$10,266$10,043

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMiscellaneousDesc
Revenue And Expenses Per Books$142RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$6,333Amt
Net Investment Income$6,398NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXESCategoryTxt
Amt$1,050Amt
Net Investment Income$481NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt