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The Mt Sinai Medical Center: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
The Mt Sinai Medical Center (EIN 34-0719181)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-02
IRS object ID
202123069349101212
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)
Return2021-11-02T14:31:23-05:00ReturnTs
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 Line1300 SPRUCE ST STE 100AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340719181EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Mt Sinai Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MELANIE GAVINInCareOfNm
Business Name ControlMTSIBusinessNameControlTxt
Phone2164215500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111000 EUCLID AVENUE 3RD FLOORAddressLine1Txt
CityCLEVELANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP441061714ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personmitchell balkPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2164215500PhoneNum
Signature2021-05-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstmitchellPersonFirstNm
Person LastbalkPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJacob CookPreparerPersonNm
PTINP01240455PTIN
Phone6144883126PhoneNum
Preparation2021-05-31PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
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$2,201,654FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$90,524DividendsRevAndExpnssAmt
Dividends Net Invst Incm$90,524DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$9,262NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$110,000GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$9,262CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$99,786TotalRevAndExpnssAmt
Total Net Invst Incm$99,786TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Pension Empl Bnft Rev And Expnss$9,087PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Dsbrs Chrtbl$23,087PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$10,581AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,290AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$5,291AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$1,750OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$1,250OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$500OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$367TaxesRevAndExpnssAmt
Other Expenses Rev And Expnss$249OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$249OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$22,034TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$6,540TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$29,127TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$48,768ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$48,768ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$70,802TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$6,540TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$77,895TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$28,984ExcessRevenueOverExpensesAmt
Net Investment Income$93,246NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$12,934CashBOYAmt
Cash EOY$28,259CashEOYAmt
Cash EOYFMV$28,259CashEOYFMVAmt
Other Investments BOY$2,142,782OtherInvestmentsBOYAmt
Other Investments EOY$2,173,395OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,173,395OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,155,716TotalAssetsBOYAmt
Total Assets EOY$2,201,654TotalAssetsEOYAmt
Total Assets EOYFMV$2,201,654TotalAssetsEOYFMVAmt
Accounts Payable BOY$56,679AccountsPayableBOYAmt
Accounts Payable EOY$40,070AccountsPayableEOYAmt
Other Liabilities BOY$65,817OtherLiabilitiesBOYAmt
Other Liabilities EOY$58,553OtherLiabilitiesEOYAmt
Total Liabilities BOY$122,496TotalLiabilitiesBOYAmt
Total Liabilities EOY$98,623TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$2,033,220RetainedEarningBOYAmt
Retained Earning EOY$2,103,031RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,033,220TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,103,031TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,155,716TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,201,654TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,033,220TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$28,984ExcessRevenueOverExpensesAmt
Other Increases$40,827OtherIncreasesAmt
Subtotal$2,103,031SubtotalAmt
Tot Net Ast Or Fund Balances EOY$2,103,031TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIESPropertyDesc
Gross Sales Price$110,000GrossSalesPriceAmt
Cost Or Other Basis$100,738CostOrOtherBasisAmt
Gain Or Loss$9,262GainOrLossAmt
Gains Minus Excess Or Losses$9,262GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$9,262CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,296InvestmentIncomeExciseTaxAmt
Subtotal$1,296SubtotalAmt
Tax Based On Investment Income$1,296TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$730EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$2,500ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$3,230TotalPaymentsAndCreditsAmt
Overpayment$1,934OverpaymentAmt
Applied To ES Tax$1,934AppliedToESTaxAmt

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 StateOHOrgReportOrRegisterStateCd
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 Line1MELANIE GAVINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2164215500PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line111000 EUCLID AVENUE 3RD FLOORAddressLine1Txt
CityCLEVELANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP441061714ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ZACHARY PARIS
11000 EUCLID AVENUE 3RD FLOORCLEVELANDOH441061714VICE CHAIR1.0$0$0$0
KEITH LIBMAN
11000 EUCLID AVENUE 3RD FLOORCLEVELANDOH441061714CHAIR1.0$0$0$0
KENNETH G HOCHMAN
11000 EUCLID AVENUE 3RD FLOORCLEVELANDOH441061714SECRETARY / TREASURER1.0$0$0$0
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,179,417AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$15,405AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,194,822TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,194,822AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$32,922CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,161,900NetVlNoncharitableAssetsAmt
Minimum Investment Return$108,095MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$108,095MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,296TaxBasedOnInvestmentIncomeAmt
Total Tax$1,296TotalTaxAmt
Distributable Before Adj$106,799DistributableBeforeAdjAmt
Distributable Before Ded$106,799DistributableBeforeDedAmt
Distributable As Adjusted$106,799DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$77,895ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$77,895QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$77,895AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$106,799DistributableAsAdjustedAmt
Undistributed Income PY$48,768UndistributedIncomePYAmt
Prior Year12018PriorYear1Yr
Prior Year22017PriorYear2Yr
Prior Year32016PriorYear3Yr
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$77,895QualifyingDistributionsAmt
Applied To Year1$48,768AppliedToYear1Amt
Applied To Current Year$29,127AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$77,672UndistributedIncomeCYAmt
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)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Mt Sinai Health Care FoundationBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line111000 EUCLID AVEAddressLine1Txt
Address Line2ALLEN MEM MEDAddressLine2Txt
CityCLEVELANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP441061714ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipN/ARecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL SUPPORTGrantOrContributionPurposeTxt
Amt$48,768Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$48,768TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$90,524ExclusionAmt
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$9,262ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$99,786ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$99,786TotalIncomeProducingActyAmt

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 (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BDO USA, LLP$3,000$1,500$1,500
ACCOUNTING FEES$7,581$3,790$3,791

Depreciation Schedule DepreciationSchedule

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (4 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MORGAN STANLEY CORE PLUS FIXEDFMV$1,515,322$1,515,322
INCOME OPEN-END FUND INSTL CL
VANGUARD SHORT-TERM TREASURYFMV$658,073$658,073
FUND OPEN-END FUND ADMIRAL CL

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK FEES$24$24
REIMBURSEMENT OF EXPENSES$225$225

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON INVESTMENTDesc
Amt$40,827Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescSELF INSURANCE/PENSIONDesc
BOY Book Value$65,817BOYBookValueAmt
EOY Book Value$58,553EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
KEY BANK FEES$750$750
D&O INSURANCE PREMIUMS$1,000$500$500

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAX ON INVESTMENT INCCategoryTxt
Amt$367Amt