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JAMES T & LOUISE R BROYHILL FOUNDATION INC: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
JAMES T & LOUISE R BROYHILL FOUNDATION INC (EIN 56-1853094)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202013179349102171
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-12T14:33:11-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN562004785PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY P ISOM CPA PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1752AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27261ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561853094EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES T & LOUISE RBusinessNameLine1Txt
Business Name Line2BROYHILL FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJAMEBusinessNameControlTxt
Phone3367244275PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12841 REYNOLDS DRAddressLine1Txt
CityWINSTON SALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT T BEACHPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3367244275PhoneNum
Signature2020-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY P ISOM CPAPreparerPersonNm
PTINP01216889PTIN
Phone3368831375PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address184.75.237.237IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-12IPDt
IP Tm14:33:07IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id0A3E9E06A0F7797071337910DC5439519E5027B6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,893,751FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$7,256InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$7,256InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$80,451DividendsRevAndExpnssAmt
Dividends Net Invst Incm$80,451DividendsNetInvstIncmAmt
Net Rental Income Or Loss-$697NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss$195,004NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$214,145GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$195,004CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$219OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$219OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$282,930TotalRevAndExpnssAmt
Total Net Invst Incm$282,930TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,550AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$550TaxesRevAndExpnssAmt
Taxes Net Invst Incm$550TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$8,562OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$8,562OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$10,662TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$9,112TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$174,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$174,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$184,662TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$9,112TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$174,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$98,268ExcessRevenueOverExpensesAmt
Net Investment Income$273,818NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$8,454CashBOYAmt
Cash EOY$18,328CashEOYAmt
Cash EOYFMV$18,328CashEOYFMVAmt
Other Nts And Loans Rcvbl$215,000OtherNtsAndLoansRcvblAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Nts And Loans Rcvbl BOY$215,000OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$215,000OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$215,000OtherNtsAndLoansRcvblEOYFMVAmt
Land Bldg Investments BOY$19,143LandBldgInvestmentsBOYAmt
Other Investments BOY$1,846,306OtherInvestmentsBOYAmt
Other Investments EOY$1,953,843OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,660,423OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,088,903TotalAssetsBOYAmt
Total Assets EOY$2,187,171TotalAssetsEOYAmt
Total Assets EOYFMV$3,893,751TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$2,088,903NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$2,187,171NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$2,088,903TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,187,171TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,088,903TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,187,171TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,088,903TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$98,268ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$2,187,171SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,187,171TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtCost Or Other BasisCostOrOtherBasisAmt
P.B. REALTY, LLC - PASSTHRU K-1P$1,017$1,017$1,017
P.B. REALTY, LLC - PASSTHRU K-1P$2$2$2
LAND (RUTHERFORD COUNTY)D$201,359$182,218$182,218$19,141
BMC FUND - 1099-DIVP$11,767$11,767$11,767
FieldValueIRS element (for citing)
Capital Gain Net Income$195,004CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$173,162AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,494,487NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049553DistributionYr1Rt
Adjusted Qlfy Distri Yr2$161,000AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,507,203NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.045906DistributionYr2Rt
Adjusted Qlfy Distri Yr3$164,153AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,250,328NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.050504DistributionYr3Rt
Adjusted Qlfy Distri Yr4$164,161AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,323,185NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.049399DistributionYr4Rt
Adjusted Qlfy Distri Yr5$146,500AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,294,482NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.044468DistributionYr5Rt
Total Distribution0.239830TotalDistributionRt
Average Distribution0.047966AverageDistributionRt
Net Vl Noncharitable Assets$3,550,965NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$170,326AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,738NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$173,064AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$174,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$2,738InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,738SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,738TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,162EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$1,162TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$1,576TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNCOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksMARILYN BEACHIndividualWithBooksNm
Phone3367244275PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line15 OCEAN COURSE DRIVEAddressLine1Txt
CityKIAWAH ISLANDCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29455ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARILYN BROYHILL BEACH
5 OCEAN COURSE DRIVEKIAWAH ISLANDSC29455PRESIDENT1.00$0$0$0
EDGAR BROYHILL
525 N HAWTHORNE ROADWINSTONSALEMNC27104VICE-PRESIDENT1.00$0$0$0
MARILYN BROYHILL BEACH
5 OCEAN COURSE DRIVEKIAWAH ISLANDSC29455SECRETARY1.00$0$0$0
MARILYN BROYHILL BEACH
5 OCEAN COURSE DRIVEKIAWAH ISLANDSC29455TREASURER1.00$0$0$0
JAMES T BROYHILL
1930 VIRGINIA ROADWINSTONSALEMNC27104CHAIRMAN OF THE BOARD1.00$0$0$0
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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$3,293,999AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$96,042AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$215,000FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,605,041TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,605,041AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$54,076CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,550,965NetVlNoncharitableAssetsAmt
Minimum Investment Return$177,548MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$177,548MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,738TaxBasedOnInvestmentIncomeAmt
Total Tax$2,738TotalTaxAmt
Distributable Before Adj$174,810DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$174,810DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$174,810DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$174,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$174,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$2,738PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$171,262AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$174,810DistributableAsAdjustedAmt
Undistributed Income PY$173,017UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$174,000QualifyingDistributionsAmt
Applied To Year1$173,017AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$983AppliedToCurrentYearAmt
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$173,827UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonMARILYN B BEACHRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line15 OCEAN COURSE DRIVEAddressLine1Txt
CityKIAWAH ISLANDCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29455ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3367244275RecipientPhoneNum
Recipient Email AddressMLBBEACH@GMAIL.COMRecipientEmailAddressTxt
Form And Info And MaterialsNO PRESCRIBED FORMATFormAndInfoAndMaterialsTxt
Submission DeadlinesNONE PRESENTLYSubmissionDeadlinesTxt
Restrictions On AwardsNONE PRESENTLYRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ABC OF NC
905 FRIEDBERG CHURCH RDWINSTONSALEMNC27127NONEPCUNRESTRICTED$20,000
ASU FOUNDATION
ASU BOX 32026BOONENC286082026NONEPCLIBRARY$10,000
CENTENARY UNITED METHODIST CHURCH
646 W 5TH STWINSTONSALEMNC27101NONEPCSHINING LIGHT$5,000
CHILDREN'S LAW CENTER
8 WEST 3RD STREETWINSTONSALEMNC27101NONEPCUNRESTRICTED$6,000
FORSYTH COUNTRY DAY SCHOOL
5501 SHALLOWFORD ROADLEWISVILLENC27023NONEPCUNRESTRICTED$20,000
JAMES SHAW ACE ACADEMY
163 STRAFFORD CTWINSTONSALEMNC27103NONEPCUNRESTRICTED$5,000
PATRIOT FOUNDATION
PO BOX 5069PINEHURSTNC283745069NONEPCUNRESTRICTED$15,000
PIEDMONT LAND CONSERVANCY
1515 W CORNWALLIS DR 205GREENSBORONC27408NONEPCUNRESTRICTED$10,000
REYNOLDA HOUSE MUSEUM OF AMERICAN ART
2250 REYNOLDA ROADWINSTONSALEMNC27106NONEPCUNRESTRICTED$5,000
SENIOR SERVICES
2895 SHOREFAIR DRIVEWINSTONSALEMNC27105NONEPCUNRESTRICTED$20,000
TRELLIS SUPPORTIVE CARE
101 HOSPICE LANEWINSTONSALEMNC27103NONEPCUNRESTRICTED$500
UNIVERSITY OF NORTH CAROLINA SCOOL OF THE ARTS
1533 S MAIN STWINSTONSALEMNC27127NONEPCUNRESTRICTED$5,000
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BOULEVARDWINSTONSALEMNC27157NONEPCBRENNERS NICU$20,000
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BOULEVARDWINSTONSALEMNC27157NONEPCEYE CENTER$20,000
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BOULEVARDWINSTONSALEMNC27157NONEPCPRB FUND$10,000
WINSTON-SALEM FOUNDATION
751 W 4TH ST 200WINSTONSALEMNC27101NONEPCHBCU (HAIRSTON)$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$174,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$7,256ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$80,451ExclusionAmt

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion-$697ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Business900099BusinessCd
Unrelated Business Taxbl Incm$219UnrelatedBusinessTaxblIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$195,004ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$219UnrelatedBusinessTaxblIncmAmt
Exclusion$282,014ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$282,233TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryMYERS, ISOM & ASSOCIATES, CPASCategoryTxt
Amt$1,550Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
BMC FUNDAT COST$549,665$535,968
VANGUARD GROUP FUNDSAT COST$1,302,030$3,043,221
PB REALTY, LLCAT COST$102,148$81,234

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT FEES-BMC FUND$5,072$5,072$0
P.B. REALTY, LLC - ORDINARY LOSS$2,706$2,706$0
INVESTMENT INTEREST EXPENSE$72$72$0
BANK CHARGES$15$15$0
RENTAL LOSS FROM P.B. REALTY, LLC - PASSTHRU K-1$697$697$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Revenue And Expenses Per Books$219RevenueAndExpensesPerBooksAmt
Net Investment Income$219NetInvestmentIncomeAmt
Adjusted Net Income$219AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXESCategoryTxt
Amt$550Amt
Net Investment Income$550NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt