TENBROEKE FAMILY FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- TENBROEKE FAMILY FOUNDATION INC (EIN 81-4745910)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202003219349104250
- Schema version
- 2019v5.1
- 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
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Legal Fees Schedule
- Other Assets Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T13:08:20-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | 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 | 2019-01-01 | 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 | PO BOX 421595 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30342 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM V TEN BROEKE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2818046501 | PhoneNum |
| Signature | 2020-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CASIMIRA L PITTMAN | PreparerPersonNm |
| PTIN | P01307072 | PTIN |
| Phone | 4048746244 | PhoneNum |
| Preparation | 2020-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.98.130.8 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 67983820203215000017 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-16 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BCA14448910CAC464F8462177DA49F8B956F27C4 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BCA14448910CAC464F8462177DA49F8B956F27C4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $10,849,679 | 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 | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $256,619 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $256,619 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $117,231 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $6,280,936 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $117,231 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | -$8,927 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | -$8,927 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $364,923 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $364,923 | 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 | $39,600 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $39,600 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $50,303 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $50,303 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $21,510 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $21,510 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $14,675 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $14,675 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $74,199 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $74,199 | OtherProfFeesNetInvstIncmAmt |
| Interest Rev And Expnss | $2,576 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $2,576 | InterestNetInvstIncmAmt |
| Taxes Rev And Expnss | $15,746 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $8,436 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $5,810 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $268,609 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $85,211 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $181,898 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $412,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $412,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $681,109 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $85,211 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $594,398 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$316,186 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $279,712 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $240,615 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $324,473 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $324,473 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $934,998 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $1,030,735 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $1,030,735 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $7,860,288 | CorporateStockBOYAmt |
| Corporate Stock EOY | $8,614,083 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $8,614,083 | CorporateStockEOYFMVAmt |
| Other Assets BOY | $729,390 | OtherAssetsBOYAmt |
| Other Assets EOY | $880,388 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $880,388 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $9,765,291 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,849,679 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $10,849,679 | 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 | $9,765,291 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $10,849,679 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $9,765,291 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $10,849,679 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $9,765,291 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$316,186 | ExcessRevenueOverExpensesAmt |
| Other Increases | $1,400,574 | OtherIncreasesAmt |
| Subtotal | $10,849,679 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $10,849,679 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (12 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| MS 092434 ST COVERED | $19,184 | $18,071 | $1,113 | $1,113 | |
| MS 092434 ST NONCOVERED | $48,846 | $49,402 | -$556 | -$556 | |
| MS 092434 LT COVERED | $135,189 | $135,873 | -$673 | -$684 | |
| MS 092434 LT NONCOVERED | $181,482 | $183,243 | -$1,761 | -$1,761 | |
| MS 092435 ST COVERED | $3,856,149 | $4,007,775 | -$148,664 | -$151,626 | |
| MS 092435 LT COVERED | $1,311,221 | $1,062,376 | $249,244 | $248,845 | |
| MS 092435 LT NONCOVERED | $65,205 | $66,867 | -$1,662 | -$1,662 | |
| MS 092437 ST COVERED | $99,670 | $98,162 | $1,508 | $1,508 | |
| MS 092437 LT COVERED | $144,314 | $145,368 | -$1,054 | -$1,054 | |
| MS 092438 ST COVERED | $183,530 | $182,148 | $1,382 | $1,382 | |
| MS 092438 LT COVERED | $217,994 | $217,792 | $202 | $202 | |
| CAPITAL GAIN DIVIDENDS | $18,805 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $117,231 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $508,524 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $10,709,146 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.047485 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $19,997 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $10,249,871 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.001951 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $0 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $9,850,296 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.0 | DistributionYr3Rt |
| Total Distribution | 0.049436 | TotalDistributionRt |
| Average Distribution | 0.016479 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $10,444,253 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $172,111 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,797 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $174,908 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $594,398 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $2,797 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,797 | SubtotalAmt |
| Tax Based On Investment Income | $2,797 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,271 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $1,500 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $3,771 | TotalPaymentsAndCreditsAmt |
| Overpayment | $974 | OverpaymentAmt |
| Applied To ES Tax | $974 | AppliedToESTaxAmt |
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 |
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 | $181,898 | 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 | $10,603,303 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $10,603,303 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $10,603,303 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $159,050 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $10,444,253 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $522,213 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $522,213 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,797 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,797 | TotalTaxAmt |
| Distributable Before Adj | $519,416 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $519,416 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $519,416 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $594,398 | 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 | $594,398 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $2,797 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $591,601 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $519,416 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $533,756 | UndistributedIncomePYAmt |
| Prior Year1 | 2017 | PriorYear1Yr |
| Prior Year2 | 2016 | PriorYear2Yr |
| Prior Year3 | 2015 | PriorYear3Yr |
| Total For Prior Years | $741 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $594,398 | QualifyingDistributionsAmt |
| Applied To Year1 | $533,756 | AppliedToYear1Amt |
| Applied To Current Year | $60,642 | 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 | $458,774 | 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 (5 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| Alzheimer's Association | ||||||
| 225 N Michigan Ave Floor 17 | Chicago | IL | 60601 | PC | Medical Research | $25,000 |
| MS DONOR ADVISED FUND | ||||||
| 3280 PEACHTREE RD NE STE 1900 | ATLANTA | GA | 30305 | PC | Medical Research | $180,000 |
| EMORY UNIVERSITY | ||||||
| 201 DOWMAN DRIVE | ATLANTA | GA | 30322 | PC | MEDICAL RESEARCH | $200,000 |
| HOPE HARBOR | ||||||
| PO BOX 800389 | LAGRANGE | GA | 30240 | PC | DONATION | $5,000 |
| LEUKEMIA & LYMPHOMA SOCIETY | ||||||
| 2859 paces ferry road ste 725 | atlanta | GA | 30339 | PC | medical research | $2,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $412,500 | 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 | $256,619 | 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 | $117,231 | 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 | -$8,927 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $364,923 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $364,923 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $14,675 | Amt |
| Disbursements Charitable Prps | $14,675 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MS 091525 | $0 | $0 |
| MS 092434 | $369,783 | $369,783 |
| MS 092435 | $7,374,947 | $7,374,947 |
| MS 092436 | $336,770 | $336,770 |
| MS 092437 | $135,454 | $135,454 |
| MS 092438 | $397,129 | $397,129 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $1,030,735 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $1,030,735 | USGovtObligationsEOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $21,510 | LegalFeesAmt |
| Disbursements Charitable Prps | $21,510 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (4 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MS 091525 | $112,622 | $307,185 | $307,185 |
| MS 092434 | $150,023 | $129,448 | $129,448 |
| MS 092436 | $384,992 | $402,984 | $402,984 |
| MS 092438 | $81,753 | $40,771 | $40,771 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PTP Loss Carryover | Desc |
| Revenue And Expenses Per Books | -$8,927 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | -$8,927 | NetInvestmentIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAINS | Desc |
| Amt | $1,400,574 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEES | CategoryTxt |
| Amt | $74,199 | Amt |
| Net Investment Income | $74,199 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES PAID - MS 092435 | $8,436 | $8,436 | |
| PAYROLL TAX | $5,810 | $5,810 | |
| IRS TAX PAYMENT | $1,500 |