TENBROEKE FAMILY FOUNDATION INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- TENBROEKE FAMILY FOUNDATION INC (EIN 81-4745910)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202123199349106817
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T13:57:23-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH & HOWARD PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 17TH STREET NW SUITE 1600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814745910 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE TEN BROEKE FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIAM V TEN BROEKE | InCareOfNm |
| Business Name Control | TENB | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 17TH STREET NW SUITE 1600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30363 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | william ten broeke | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2818046501 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | william | PersonFirstNm |
| Person Last | ten broeke | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CASIMIRA L PITTMAN | PreparerPersonNm |
| PTIN | P01307072 | PTIN |
| Phone | 4048746244 | PhoneNum |
| Preparation | 2021-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 | $11,520,306 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $100,000 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $226,514 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $226,514 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $377,251 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $5,630,578 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $377,251 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | -$32,361 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | -$32,361 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $671,404 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $571,404 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $50,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $50,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $81,600 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $81,600 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $99,618 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $99,618 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $4,360 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $4,360 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $11,400 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $11,400 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $74,302 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $74,302 | OtherProfFeesNetInvstIncmAmt |
| Interest Rev And Expnss | $921 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $921 | InterestNetInvstIncmAmt |
| Taxes Rev And Expnss | $19,238 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $8,761 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $10,477 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $2,760 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $2,760 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $344,199 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $86,744 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $257,455 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $231,599 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $231,599 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $575,798 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $86,744 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $489,054 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $95,606 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $484,660 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $324,473 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $404,488 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $404,488 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $1,030,735 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $923,159 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $923,159 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $8,614,083 | CorporateStockBOYAmt |
| Corporate Stock EOY | $9,038,950 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $9,038,950 | CorporateStockEOYFMVAmt |
| Other Assets BOY | $880,388 | OtherAssetsBOYAmt |
| Other Assets EOY | $1,153,709 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $1,153,709 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $10,849,679 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,520,306 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $11,520,306 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Tot Net Ast Or Fund Balances BOY | $10,849,679 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $11,520,306 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $10,849,679 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $11,520,306 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $10,849,679 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $95,606 | ExcessRevenueOverExpensesAmt |
| Other Increases | $575,021 | OtherIncreasesAmt |
| Subtotal | $11,520,306 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $11,520,306 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (28 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| MS ACCT 092434 ST - COVERED | P | 2020-01-01 | 2020-12-31 | $116,141 | $107,921 | $8,159 | $8,220 |
| MS ACCT 092434 ST - NONCOVERED | P | 2020-01-01 | 2020-12-31 | $153,714 | $154,035 | -$322 | -$321 |
| MS ACCT 092434 LT - COVERED | 2019-01-01 | 2020-12-31 | $190,755 | $181,561 | $10,549 | $9,194 | |
| MS ACCT 092434 LT - NONCOVERED | P | 2019-01-01 | 2020-12-31 | $93,071 | $90,837 | $2,125 | $2,234 |
| MS ACCT 092434 ORD ST - NONCOVERED | P | 2020-01-01 | 2020-12-31 | $34,098 | $34,703 | -$605 | -$605 |
| MS ACCT 092435 ST - COVERED | P | 2020-01-01 | 2020-12-31 | $1,907,281 | $1,996,438 | -$66,904 | -$89,157 |
| MS ACCT 092435 ST - NONCOVERED | P | 2020-01-01 | 2020-12-31 | $7,171 | $6,881 | $290 | $290 |
| MS ACCT 092435 LT - COVERED | P | 2019-01-01 | 2020-12-31 | $2,414,596 | $2,061,553 | $365,115 | $353,043 |
| MS ACCT 092435 LT - NONCOVERED | P | 2019-01-01 | 2020-12-31 | $120,651 | $155,030 | -$34,379 | -$34,379 |
| MS ACCT 092436 LT - COVERED | P | 2019-01-01 | 2020-12-31 | $100,000 | $58,205 | $41,795 | $41,795 |
| MS ACCT 092437 ST - COVERED | P | 2020-01-01 | 2020-12-31 | $6,688 | $6,588 | $141 | $100 |
| MS ACCT 092437 LT - COVERED | P | 2019-01-01 | 2020-12-31 | $16,677 | $15,248 | $1,425 | $1,429 |
| MS ACCT 092438 ST - COVERED | P | 2020-01-01 | 2020-12-31 | $4,079 | $3,996 | $81 | $83 |
| MS ACCT 092438 LT - COVERED | P | 2019-01-01 | 2020-12-31 | $420,615 | $415,456 | $4,740 | $5,159 |
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 | |||||
| CAPITAL GAIN DIVIDENDS | P | $45,230 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $377,251 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $6,737 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $6,737 | SubtotalAmt |
| Tax Based On Investment Income | $6,737 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $974 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $5,400 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $6,374 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $22 | EsPenaltyAmt |
| Tax Due | $385 | 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 | GA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM V TEN BROEKE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2818046501 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 17TH STREET SUITE 1600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| WILLIAM V TEN BROEKE | ||||||||
| 271 17TH STREET SUITE 1600 | ATLANTA | GA | 30363 | PRESIDENT | 0 | $0 | $0 | $0 |
| HEATHER L TEN BROEKE | ||||||||
| 271 17TH STREET SUITE 1600 | ATLANTA | GA | 30363 | VICE PRESIDENT | 0 | $50,000 | $0 | $0 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | THE TEN BROEKE FOUNDATION FOCUSED ITS CHARITABLE ACTIVITIES TO RESEARCHING & SUPPORTING OTHER 501(C)(3)S PURSUING MEDICAL RESEARCH ALIGNED WITH THEIR GOALS BY WAY OF GRANTS & | Description1Txt |
| Expenses1 | $257,455 | Expenses1Amt |
| Description2 | DONATIONS. | Description2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $10,421,361 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $10,421,361 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $10,421,361 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $156,320 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $10,265,041 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $513,252 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $513,252 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $6,737 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $6,737 | TotalTaxAmt |
| Distributable Before Adj | $506,515 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $506,515 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $506,515 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $489,054 | 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 | $489,054 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $489,054 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $506,515 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $458,774 | UndistributedIncomePYAmt |
| Prior Year1 | 2018 | PriorYear1Yr |
| Prior Year2 | 2017 | PriorYear2Yr |
| Prior Year3 | 2016 | PriorYear3Yr |
| Total For Prior Years | $741 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $489,054 | QualifyingDistributionsAmt |
| Applied To Year1 | $458,774 | AppliedToYear1Amt |
| Applied To Current Year | $30,280 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $741 | PriorYearUndistributedIncmAmt |
| Taxable1 | $741 | Taxable1Amt |
| Undistributed Income CY | $476,235 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | WILLIAM V HEATHER TEN BROEKE | ContributingManagerNm |
| Shareholder Manager | WILLIAM V HEATHER TEN BROEKE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (2 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| Children's Healthcare of Atalanta | ||||||
| 1575 northeast expressway | atlanta | GA | 30329 | PC | Medical Research | $20,000 |
| EMORY UNIVERSITY | ||||||
| 201 DOWMAN DRIVE | ATLANTA | GA | 30322 | PC | MEDICAL RESEARCH | $211,599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $231,599 | 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 | $226,514 | 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 | $377,251 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$32,361 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $571,404 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $571,404 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | WILLIAM V HEATHER TEN BROEKE | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 17TH STREET SUITE 1600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $100,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $11,400 | Amt |
| Disbursements Charitable Prps | $11,400 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (5 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MS 092434 | $454,414 | $454,414 |
| MS 092435 | $7,661,273 | $7,661,273 |
| MS 092436 | $380,091 | $380,091 |
| MS 092437 | $145,957 | $145,957 |
| MS 092438 | $397,215 | $397,215 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $923,159 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $923,159 | USGovtObligationsEOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $4,360 | LegalFeesAmt |
| Disbursements Charitable Prps | $4,360 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (4 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MS 091525 | $307,185 | $486,034 | $486,034 |
| MS 092434 | $129,448 | $182,238 | $182,238 |
| MS 092436 | $402,984 | $485,437 | $485,437 |
| MS 092438 | $40,771 | $0 | $0 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| ADMINISTRATION DRAFTS | $2,689 | $2,689 |
| PTP - OTHER EXPENSES | $71 | $71 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| PTP Loss Carryover | -$32,384 | -$32,384 |
| PTP Other Income | $23 | $23 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAINS | Desc |
| Amt | $575,021 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEES | CategoryTxt |
| Amt | $74,302 | Amt |
| Net Investment Income | $74,302 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES PAID - MS 092435 | $8,761 | $8,761 | |
| PAYROLL TAX | $10,477 | $10,477 |