DAVID G PATTERSON FOUNDATION: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- DAVID G PATTERSON FOUNDATION (EIN 27-6400565)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-06
- IRS object ID
- 202031889349101453
- Schema version
- 2019v5.0
- 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
- Form 990-PF
- Accounting Fees Schedule
- Other Decreases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-06T17:08:54-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010604131 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRUST PROCESSING SOLUTIONS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 894 | AddressLine1Txt |
| City | MILFORD | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 451500894 | 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 | 276400565 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID G PATTERSON FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DAVI | BusinessNameControlTxt |
| Phone | 5706620463 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 SOUTH MAIN STREET | AddressLine1Txt |
| City | MANSFIELD | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16933 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATTHEW DECAMP | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 5706620463 | PhoneNum |
| Signature | 2020-06-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUG HART | PreparerPersonNm |
| PTIN | P00241831 | PTIN |
| Phone | 5137748805 | PhoneNum |
| Preparation | 2020-06-24 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.135.88.146 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 60065C3904846A79A91F684E1D97966D3F252ADB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EAAE2AED7D832FA124C2EFD395B974A0E971CAD4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-01-07 14:23:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $928,691 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Dividends Rev And Expnss | $19,704 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $19,508 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $18,154 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $93,154 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $18,154 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $37,858 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $37,662 | 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 |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $391 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $196 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $196 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $7,064 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $3,532 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $3,532 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $2,160 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,160 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Occupancy Rev And Expnss | $1,755 | OccupancyRevAndExpnssAmt |
| Occupancy Dsbrs Chrtbl | $878 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Rev And Expnss | $25 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $25 | PrintingAndPubDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $11,395 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $5,888 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $4,631 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $45,950 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $45,950 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $57,345 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $5,888 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $50,581 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$19,487 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $31,774 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $9,959 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $65,251 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $65,251 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Corporate Stock BOY | $379,554 | CorporateStockBOYAmt |
| Corporate Stock EOY | $0 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $0 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $149,851 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $0 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $0 | CorporateBondsEOYFMVAmt |
| Mortgage Loans BOY | $64,753 | MortgageLoansBOYAmt |
| Mortgage Loans EOY | $0 | MortgageLoansEOYAmt |
| Other Investments BOY | $268,230 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $786,676 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $863,440 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $872,347 | TotalAssetsBOYAmt |
| Total Assets EOY | $851,927 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $928,691 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $872,347 | CapitalStockBOYAmt |
| Capital Stock EOY | $851,927 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $872,347 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $851,927 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $872,347 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $851,927 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $872,347 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$19,487 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $852,860 | SubtotalAmt |
| Other Decreases | $933 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $851,927 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | How AcquiredHowAcquiredCd | Gain Or LossGainOrLossAmt |
|---|---|---|---|---|---|---|
| 25000. INTERNATIONAL BUS MACHS 1.875% DUE 5/15/ | 2013-08-15 | 2019-05-15 | $25,000 | $25,000 | ||
| 25000. TEXAS INSTRUMENTS 1.65% DUE 08/03/19 | 2013-06-20 | 2019-08-05 | $25,000 | $25,000 | ||
| 25000. COSTCO 1.70% DUE 12/15/19 | 2013-08-13 | 2019-12-16 | $25,000 | $25,000 | ||
| CAPITAL GAIN DIVIDENDS | P | $18,154 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $18,154 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $49,475 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $965,061 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.051266 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $48,215 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $925,579 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.052092 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $51,241 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $975,037 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.052553 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $43,686 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $869,203 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.05026 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $48,262 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,029,758 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.046867 | DistributionYr5Rt |
| Total Distribution | 0.253038 | TotalDistributionRt |
| Average Distribution | 0.050608 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $910,312 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $46,069 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $318 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $46,387 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $50,581 | 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 | $318 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $318 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $318 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $138 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $138 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $180 | TaxDueAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | PA | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRUST & INVESTMENT SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | FIRST CITIZENS COMMU | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5706620463 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 SOUTH MAIN ST | AddressLine1Txt |
| City | MANSFIELD | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16933 | 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 | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| MATTHEW DECAMP | ||||||
| 13 BEWART STREET | WELLSBORO | PA | 16901 | TRUSTEE | 1 | $0 |
| SUSAN ZOBY | ||||||
| 1560 BLAKE STREET 809 | DENVER | CO | 80202 | TRUSTEE | 1 | $0 |
| DIANN DECAMP | ||||||
| 61 WALNUT STREET | WELLSBORO | PA | 16901 | TRUSTEE | 1 | $0 |
| R ROBERT DECAMP | ||||||
| 61 WALNUT STRETT | WELLSBORO | PA | 16901 | TRUSTEE | 1 | $0 |
| KAREN CHAMBERS | ||||||
| 1148 CHARLESTON ROAD | WELLSBORO | PA | 16901 | TRUSTEE | 1 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | THE FOUNDATION'S PURPOSE IS TO PROMOTE HEALTH AND WELLNESS, ARTS, AND FURTHER EDUCATION. THE FOUNDATION BENEFITS MULTIPLE LOCAL ORGANIZATIONS EACH YEAR | Description1Txt |
| Expenses1 | $45,950 | Expenses1Amt |
| 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 | $884,224 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $39,951 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $924,175 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $924,175 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $13,863 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $910,312 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $45,516 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $45,516 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $318 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $318 | TotalTaxAmt |
| Distributable Before Adj | $45,198 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $45,198 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $45,198 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $50,581 | 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 | $50,581 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $318 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $50,263 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $45,198 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $102 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $3,005 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $1,678 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $31,653 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $36,438 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $50,581 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $45,198 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $5,383 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $41,821 | 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 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $41,821 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $102 | ExcessFromYear4Amt |
| Excess From Year3 | $3,005 | ExcessFromYear3Amt |
| Excess From Year2 | $1,678 | ExcessFromYear2Amt |
| Excess From Year1 | $31,653 | ExcessFromYear1Amt |
| Excess From Current Year | $5,383 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|
| WELLSBORO AREA EDUCATION FOUNDATION | |||||||
| 114 MAIN STREET | WELLSBORO | PR | 16901 | 501(C)(3) | SKILLS USA PROGRAM | $2,500 | |
| GALETON FOOD PANTRY | |||||||
| PO BOX 95 | GALETON | PA | 16922 | FOR FOOD PANTRY | $2,500 | ST PAULS LUTHERAN CHURCH | |
| TIOGA COUNTY AGRICULTURAL ASSOC | |||||||
| 33 PEARL STREET | WELLSBORO | PA | 16901 | FOR FLOOR SCRUBBER | $2,500 | ||
| TIOGA COUNTY HOMELESS INITIATIVE | |||||||
| 2580 CHARLESTON RD | MANSFIELD | PA | 16933 | FOR PATTERSON TRAIL HEAD | $3,000 | ||
| SUSQUEHANNA HEALTH FOUNDATION | |||||||
| 1001 GRAMPIAN BLVD | WILLIAMSPORT | PA | 17701 | 501(C)(3) | FRIENDS OF SOLDIERS AND | $3,000 | |
| WELLSBORO FIRE DEPT | |||||||
| 21 PEARL ST | WELLSBORO | PA | 16901 | TURNOUT CLOTHING | $3,000 | ||
| TRI-TOWN VOLUNTEER FIRE COMPANY | |||||||
| 810 STATE RTE 49 | ULYSSES | PA | 16948 | TURNOUT GEAR | $3,000 | ||
| ENDLESS MOUNTAIN MUSIC FESTIVAL | |||||||
| 130 MAIN STREET | WELLSBORO | PA | 16901 | 501(C)(3) | DARK SKY PROGRAM | $2,500 | |
| HAMILTON-GIBSON PRODUCTIONS | |||||||
| 29 WATER ST | WELLSBORO | PA | 16901 | 501(C)(3) | SUPPORT CHILDRENS | $500 | |
| COUDERSPORT VOLUNTEER AMBULANCE ASSOC | |||||||
| 122 E 2ND ST | COUDERSPORT | PA | 16915 | TURNOUT GEAR | $3,000 | ||
| GERMANIA FIRE DEPARTMENT | |||||||
| 28 CONSTITUTION AVE | GALETON | PA | 16922 | TURNOUT GEAR | $3,000 | ||
| GOODYEAR HOSE VOL FIRE CO | |||||||
| 87 SHERMAN ST | GALETON | PA | 16922 | TURNOUT CLOTHING | $3,000 | ||
| TIOGA COUNTY PARTNERSHIP - SEEDS OF HOPE | |||||||
| 33 PEARL STREET | WELLSBORO | PA | 16901 | 501(C)(3) | PROVIDE BEDDING FOR | $1,000 | |
| LAUREL MOUNTAIN K9 SEARCH & RESCUE | |||||||
| 710 IVES RUN LANE | TIOGA | PA | 16946 | 501(C)(3) | EDUCATIONAL OUTREACH | $750 | |
| GRAND CANYON FFA | |||||||
| 225 NICHOLS ST | WELLSBORO | PA | 16901 | 501(C)(3) | EDUCATIONAL PROGRAMMING | $2,500 | |
| WELLSBORO SHARED HOME INC | |||||||
| 27 BACON ST | WELLSBORO | PA | 16901 | 501(C)(3) | HAND RAIL REPAIR | $5,000 | |
| WELLSBORO FOUNDATON INC | |||||||
| 114 MAIN STREET | WELLSBORO | PA | 16901 | 501(C)(3) | LAUREL FESTIVAL BANDS | $2,000 | |
| GALETON AREA SCHOOL YELLOW RIBBON | |||||||
| 27 BRIDGE ST | GALETON | PA | 16922 | 501(C)(3) | TEEN SUICIDE PREVENTION | $200 | SUICIDE PREVENTION |
| LAWRENCEVILLE FIRE DEPT | |||||||
| 9 MECHANIC STREET 11 | LAWRENCEVILLE | PA | 16929 | TURNOUT GEAR | $3,000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $45,950 | 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 | $19,704 | 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 | $18,154 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $37,858 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $37,858 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
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 | TAX PREPARATION FEE (NON-ALLOC | CategoryTxt |
| Amt | $391 | Amt |
| Net Investment Income | $196 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $196 | DisbursementsCharitablePrpsAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET ADJ POSTINGS EFFECT PRIOR PERIODS | Desc |
| Amt | $933 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FCCB FEES | CategoryTxt |
| Amt | $7,064 | Amt |
| Net Investment Income | $3,532 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $3,532 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| REAL ESTATE TAX ON NON-RENTAL | $1,452 | $1,452 | $0 |
| FEDERAL TAX PAYMENT - PRIOR YE | $570 | $570 | $0 |
| FEDERAL ESTIMATES - PRINCIPAL | $138 | $138 | $0 |