KLEIN FAMILY FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- KLEIN FAMILY FOUNDATION INC (EIN 26-3134339)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-08
- IRS object ID
- 202021909349101237
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-08T17:37:03-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 061533315 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIRONEFRIEDBERG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 RESEARCH DRIVE 450 | AddressLine1Txt |
| City | SHELTON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06484 | 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 | 263134339 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLEIN FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KLEI | BusinessNameControlTxt |
| Phone | 2037672046 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28 REDCOAT LANE | AddressLine1Txt |
| City | TRUMBULL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06611 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARLA S KLEIN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2037672046 | PhoneNum |
| Signature | 2020-06-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID ZIEFF | PreparerPersonNm |
| PTIN | P01236646 | PTIN |
| Phone | 2033665876 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.22.184.106 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-17 | IPDt |
| IP Tm | 10:41:11 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2286121E96A400B524AC1D66BFB8C238C74FFC09 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D99CD81543CE0FFFCDD8B00A634D44400D9F4997 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $6,268,102 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $139,182 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $139,182 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $201,564 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,295,365 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $201,564 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $340,746 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $340,746 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $4,000 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $4,000 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $14,730 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,165 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $34,794 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $34,794 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $53,524 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $36,959 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $4,000 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $262,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $262,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $316,024 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $36,959 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $266,500 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $24,722 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $303,787 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $439,484 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $375,262 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $375,262 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $399,561 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $432,580 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $436,934 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $2,077,547 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,006,296 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,173,487 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $2,023,578 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $2,040,799 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $2,075,087 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $61,184 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $170,870 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $203,502 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $3,561 | OtherAssetsBOYAmt |
| Other Assets EOY | $3,830 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $3,830 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $5,004,915 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,029,637 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $6,268,102 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $5,004,915 | RetainedEarningBOYAmt |
| Retained Earning EOY | $5,029,637 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,004,915 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,029,637 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,004,915 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,029,637 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,004,915 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $24,722 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $5,029,637 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,029,637 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| WELLS FARGO #8946 - SEE STATEMENT | P | $210,697 | $214,665 | -$3,968 | -$3,968 |
| WELLS FARGO #8946 - SEE STATEMENT | P | $716,936 | $517,288 | $199,648 | $199,648 |
| WELLS FARGO #8245 - SEE STATEMENT | P | $98,592 | $100,113 | -$1,521 | -$1,521 |
| WELLS FARGO #8245 - SEE STATEMENT | P | $261,192 | $261,735 | -$543 | -$543 |
| CAPITAL GAINS DIVIDENDS | P | $7,948 | $7,948 | $7,948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $201,564 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $321,375 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $6,020,288 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.053382 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $345,342 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,959,677 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.057946 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $303,303 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,629,921 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.053873 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $250,500 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,938,068 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.042185 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $341,779 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $6,109,855 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.055939 | DistributionYr5Rt |
| Total Distribution | 0.263325 | TotalDistributionRt |
| Average Distribution | 0.052665 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,963,026 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $314,043 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,038 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $317,081 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $266,500 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $6,076 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $6,076 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $6,076 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $8,040 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $8,040 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,964 | OverpaymentAmt |
| Applied To ES Tax | $1,964 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CT | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | MRS CARLA KLEIN | IndividualWithBooksNm |
| Phone | 2037672046 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28 REDCOAT LANE | AddressLine1Txt |
| City | TRUMBULL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06611 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|
| CARLA S KLEIN | ||||||||
| 28 REDCOAT LANE | TRUMBULL | CT | 06611 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| KRISTEN CHIODO | ||||||||
| 4 COOK CIRCLE | TRUMBULL | CT | 06611 | SECRETARY | 1.00 | $0 | $0 | $0 |
| ERIC KLEIN | ||||||||
| 734 RIVENOAK STREET | BIRMINGHAM | MI | 48009 | TREASURER | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,694,726 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $355,278 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $3,830 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $6,053,834 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $6,053,834 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $90,808 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,963,026 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $298,151 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $298,151 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $6,076 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $6,076 | TotalTaxAmt |
| Distributable Before Adj | $292,075 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $292,075 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $292,075 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $266,500 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $266,500 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $266,500 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $292,075 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $42,828 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr3 | $24,601 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $54,274 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $28,386 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $150,089 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $266,500 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $266,500 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $25,575 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $25,575 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $124,514 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $17,253 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $107,261 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $24,601 | ExcessFromYear3Amt |
| Excess From Year2 | $54,274 | ExcessFromYear2Amt |
| Excess From Year1 | $28,386 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | CARLA S KLEIN | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN LUNG ASSOCIATION | |||||||
| 45 ASH STREET | EAST HARTFORD | CT | 06108 | N/A | 501(C)(3) | TREK ACROSS MAINE | $500 |
| ANIRIDA FOUNDATION INTERNATIONAL | |||||||
| PO BOX 800715 | CHARLOTTESVILLE | VA | 22908 | N/A | 501(C)(3) | VISION RESEARCH | $5,000 |
| BRIDGEPORT HOSPITAL FOUNDATION | |||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | N/A | 501(C)(3) | INTEGRATIVE MEDICINE & SUPPORT SERVICES FOR CANCER PATIENTS AT PARK AVENUE MEDICAL CENTER | $50,000 |
| BRIDGEPORT HOSPITAL FOUNDATION | |||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | N/A | 501(C)(3) | OUTPATIENT PALLIATIVE CARE | $75,000 |
| CARDINAL SHEHAN CENTER | |||||||
| 1494 MAIN STREET | BRIDGEPORT | CT | 06604 | N/A | 501(C)(3) | ANNUAL APPEAL AND EDUCATIONAL PROGRAMS | $10,000 |
| HAITIAN HEALTH FOUNDATION (HHF) | |||||||
| 97 SHERMAN STREET | NORWICH | CT | 06360 | N/A | 501(C)(3) | UNRESTRICTED | $20,000 |
| MERCY LEARNING CENTER | |||||||
| 637 PARK AVENUE | BRIDGEPORT | CT | 06604 | N/A | 501(C)(3) | UNRESTRICTED | $5,000 |
| SCHOOL VOLUNTEER ASSOCIATION OF BRIDGEPORT (SVA) | |||||||
| 900 BOSTON AVENUE | BRIDGEPORT | CT | 06610 | N/A | 501(C)(3) | UNRESTRICTED | $5,000 |
| UNITED WAY OF COASTAL FAIRFIELD COUNTY | |||||||
| 855 MAIN STREET | BRIDGEPORT | CT | 06604 | N/A | 501(C)(3) | UNRESTRICTED | $20,000 |
| UNIVERSITY OF CONNECTICUT FOUNDATION INC | |||||||
| 2390 ALUMNI DRIVE UNIT 3206 | STORRS | CT | 06269 | N/A | 501(C)(3) | KLEIN FAMILY SCHOLARSHIP FUND | $50,000 |
| UNIVERSITY OF CONNECTICUT FOUNDATION INC | |||||||
| 2390 ALUMNI DRIVE UNIT 3206 | STORRS | CT | 06269 | N/A | 501(C)(3) | WOMEN TRANSFORMING WOMEN SCHOLARSHIP FUND | $1,000 |
| YALE CHILDREN'S DIABETES PROGRAM | |||||||
| 330 CEDAR STREET ROOM 3103 | NEW HAVEN | CT | 06510 | N/A | 501(C)(3) | UNRESTRICTED | $1,000 |
| YALE NEW HAVEN HOSPITAL | |||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | N/A | 501(C)(3) | PALLIATIVE CARE | $20,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $262,500 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $139,182 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $201,564 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $340,746 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $340,746 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $4,000 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $4,000 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | CORPORATE FIXED INCOME | BondNm |
| EOY Book Value | $2,040,799 | EOYBookValueAmt |
| EOYFMV | $2,075,087 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | STOCKS AND ETFS | StockNm |
| EOY Book Value | $2,006,296 | EOYBookValueAmt |
| EOYFMV | $3,173,487 | EOYFMVAmt |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $432,580 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $436,934 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | MUTUAL FUNDS | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $170,870 | BookValueAmt |
| EOYFMV | $203,502 | EOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ACCRUED INCOME RECEIVABLE | $3,561 | $3,707 | $3,707 |
| PREPAID INTEREST | $123 | $123 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT ADVISORY FEES | Desc |
| Revenue And Expenses Per Books | $34,794 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $34,794 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAX WITHHELD | $2,165 | $2,165 | $0 |
| FEDERAL EXCISE TAX | $12,565 | $0 | $0 |