STRATEGY STUDIO / PUBLIC DATA EXPLORER

ANGELICA BOWLBY CHARITABLE TR 103293: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ANGELICA BOWLBY CHARITABLE TR 103293 (EIN 43-6937607)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-05-02
IRS object ID
202141229349100904
Schema version
2020v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-02T16:00:36-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12100 ONE PPG PLACEAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN436937607EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANGELICA BOWLBY CHARITABLE TRUST 132225BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHARBusinessNameControlTxt
Phone8168601933PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 415044 M/S 1020307AddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641416692ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRANDON JONESPersonNm
Person TitleVice PresidentPersonTitleTxt
Phone8168601933PhoneNum
Signature2021-04-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIC W COURSEYPreparerPersonNm
PTINP00387963PTIN
Phone4126445302PhoneNum
Preparation2021-04-28PreparationDt

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
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$2,034,659FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$30,290DividendsRevAndExpnssAmt
Dividends Net Invst Incm$29,648DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$37,806NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$429,793GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$37,806CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$42,250OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$36,869OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$110,346TotalRevAndExpnssAmt
Total Net Invst Incm$104,323TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$23,326CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$11,663CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$11,663CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Rev And Expnss$910LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$228LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$682LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$800AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$800AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$759TaxesRevAndExpnssAmt
Taxes Net Invst Incm$415TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$7,671OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$7,671OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$33,466TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$19,977TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$13,145TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$54,953ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$54,953ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$88,419TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$19,977TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$68,098TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$21,927ExcessRevenueOverExpensesAmt
Net Investment Income$84,346NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$120,756SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$130,873SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$130,873SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$1,691,082OtherInvestmentsBOYAmt
Other Investments EOY$1,702,545OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,903,786OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,811,838TotalAssetsBOYAmt
Total Assets EOY$1,833,418TotalAssetsEOYAmt
Total Assets EOYFMV$2,034,659TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$1,811,838CapitalStockBOYAmt
Capital Stock EOY$1,833,418CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$1,811,838TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,833,418TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,811,838TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,833,418TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,811,838TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$21,927ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,833,765SubtotalAmt
Other Decreases$347OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,833,418TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (86 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
29. APPLE COMPUTER INC2018-12-132020-01-09$8,955$4,257$4,698$4,698
35. CONSTELLATION BRANDS INC CLASS A2017-08-102020-01-09$6,771$6,849-$78-$78
90. PROGRESSIVE CORP OHIO2019-07-112020-01-09$6,633$6,891-$258-$258
55. SOUTHWEST AIRLINES CO2018-06-142020-01-09$2,990$2,865$125$125
25000. MORGAN STANLEY DTD 1/27/2015 2.650% 1/27/20202016-08-232020-01-27$25,000$25,000
1425. SEAFARER OVERSEAS GROWTH & INCOME FD I2019-02-252020-03-06$16,145$18,798-$2,653-$2,653
1151. OAKMARK INTERNATIONAL FUND INSTITUTIONAL2019-02-252020-03-06$23,239$26,174-$2,935-$2,935
130. ISHARES CORE S&P 500 ETF2016-09-222020-03-06$38,473$28,540$9,933$9,933
210. BANK OF AMERICA CORP2018-03-152020-03-12$4,331$5,543-$1,212-$1,212
70. COMCAST CORP NEW2019-09-132020-03-12$2,472$3,288-$816-$816
30. EOG RESOURCES INC2020-01-092020-03-12$962$2,648-$1,686-$1,686
60. EOG RESOURCES INC2015-08-132020-03-12$1,924$4,898-$2,974-$2,974
43. RAYTHEON CO2020-01-092020-03-12$6,243$8,951-$2,708-$2,708
100. SOUTHWEST AIRLINES CO2018-06-142020-03-25$3,992$5,206-$1,214-$1,214
36. UNITED RENTALS INC2019-04-112020-03-25$3,454$4,494-$1,040-$1,040
48. ABBOTT LABORATORIES2018-09-132020-05-14$4,399$3,285$1,114$1,114
165. COMCAST CORP NEW2019-11-132020-05-14$5,866$7,606-$1,740-$1,740
50. HONEYWELL INTERNATIONAL INC2016-03-102020-05-14$6,290$4,683$1,607$1,607
15. BROADCOM INC2020-01-092020-06-11$4,423$4,581-$158-$158
155. CISCO SYSTEMS INC2020-01-092020-06-11$6,796$7,177-$381-$381
125. KELLOGG CO2019-10-102020-06-11$7,985$7,808$177$177
10. DOCUSIGN INC.2020-03-122020-07-09$2,104$662$1,442$1,442
19. FACEBOOK INC - A SHS2014-12-222020-07-09$4,626$1,549$3,077$3,077
1444. MANNING & NAPIER INTL. DISCOVERY CL Z2019-02-252020-08-10$36,071$29,401$6,670$6,670
256. TRIBUTARY SMALL CO INSTITUTIONAL PLUS2019-01-082020-08-10$6,249$6,518-$269-$269
1314. DEVELOPED MARKETS INDEX FUND ADMIRAL CL2017-08-102020-08-10$17,332$17,790-$458-$458
58. ACTIVISION BLIZZARD INC2019-09-132020-08-13$4,727$3,241$1,486$1,486
1. AMAZON COM INC2016-06-082020-08-13$3,176$727$2,449$2,449
11. APPLE COMPUTER INC2016-02-112020-08-13$5,071$1,027$4,044$4,044
70. FISERV INC2018-09-132020-09-10$6,639$5,676$963$963
683. JPMORGAN ULTRA-SHORT INCOME ETF2020-03-062020-10-02$34,636$34,608$28$28
22. BECTON DICKINSON & CO2018-01-112020-10-15$5,169$4,906$263$263
20. LOCKHEED MARTIN CORP2020-03-122020-10-15$7,709$6,237$1,472$1,472
709. JPMORGAN ULTRA-SHORT INCOME ETF2020-03-062020-11-04$35,953$35,925$28$28
35. CME GROUP INC2018-11-192020-11-13$5,813$6,229-$416-$416
15. SALESFORCE.COM INC2018-08-082020-11-13$3,743$2,180$1,563$1,563
5. VISA INC2016-09-152020-11-13$1,054$410$644$644
355. JPMORGAN ULTRA-SHORT INCOME ETF2020-03-062020-11-25$18,023$17,988$35$35
15000. REPUBLIC SERVICES INC DTD 5/21/2012 3.550% 6/1/20222016-09-272020-12-09$15,688$15,278$410$410
14. DANAHER CORP2009-02-192020-12-10$3,126$283$2,843$2,843
28. MICROSOFT CORP2018-04-122020-12-10$5,915$2,632$3,283$3,283
39. NIKE INC CLASS B2018-08-082020-12-10$5,372$3,149$2,223$2,223
75. WASTE MANAGEMENT INC DEL2018-11-192020-12-10$8,619$6,029$2,590$2,590
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
CAPITAL GAIN DIVIDENDS$5,635P
FieldValueIRS element (for citing)
Capital Gain Net Income$37,806CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,172InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,172SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,172TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$688EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$688TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$484TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

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 StateKSOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1UMB BANK NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8168601933PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11010 GRAND AVEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
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

FieldValueIRS element (for citing)
PersonUMB BANK N APersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11010 GRAND AVEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$23,326CompensationAmt
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt
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$1,640,287AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$103,729AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$101,280FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,845,296TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,845,296AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$27,679CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,817,617NetVlNoncharitableAssetsAmt
Minimum Investment Return$90,881MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$90,881MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,172TaxBasedOnInvestmentIncomeAmt
Total Tax$1,172TotalTaxAmt
Distributable Before Adj$89,709DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$89,709DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$89,709DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$68,098ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$68,098QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$68,098AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$89,709DistributableAsAdjustedAmt
Undistributed Income PY$18,876UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$68,098QualifyingDistributionsAmt
Applied To Year1$18,876AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$49,222AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$40,487UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (2 entries)

Business Name Line2RecipientBusinessName/BusinessNameLine2TxtAddress Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
HAYS MEDICAL CENTER
ATTN GEORGE HARMS CFOPO BOX 8100HAYSKS67601NONEPCCHARITABLE CONTRIBUTION PER$21,981
RUSSELL COUNTY HOSPITAL BOARD
SHARON COLLINS - CEO200 S MAIN STRUSSELLKS676652997NONEPCCHARITABLE CONTRIBUTION PER$32,972
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$54,953TotalGrantOrContriPdDurYrAmt

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$30,290ExclusionAmt
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$37,806ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
ROYALTY INCOME16$36,869
EXCISE TAX REFUND1$5,381

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$110,346ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$110,346TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

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)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$800Amt
Disbursements Charitable Prps$800DisbursementsCharitablePrpsAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp (2 entries)

CategoryCategoryTxtLegal FeesLegalFeesAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
LEGAL FEES - PRINCIPAL (ALLOCA$455$114$341
LEGAL FEES - INCOME (ALLOCABLE$455$114$341

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (3 entries)

DescDescAmtAmt
ACCRUED INTEREST PAID$41
ROUNDING$3
CORPORATE ACTION TRANSFER TO INCOME$303

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescROYALTY EXPENSESDesc
Revenue And Expenses Per Books$7,671RevenueAndExpensesPerBooksAmt
Net Investment Income$7,671NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
ROYALTY INCOME$36,869$36,869
EXCISE TAX REFUND$5,381$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (5 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
STATE INCOME TAXES - PRINCIPAL$21$21$0
STATE INCOME TAXES - INCOME$121$121$0
FEDERAL ESTIMATES - INCOME$344$0$0
FOREIGN TAXES ON QUALIFIED FOR$182$182$0
FOREIGN TAXES ON NONQUALIFIED$91$91$0