SHAVER FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SHAVER FOUNDATION INC (EIN 26-0307376)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-13
- IRS object ID
- 202031959349100503
- 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
- Schedule B
- Accounting Fees Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-13T07:15:14-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 611228184 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROL S MOSES PSC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MALLARD CREEK RD STE 404 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40207 | 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 | 260307376 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHAVER FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHAV | BusinessNameControlTxt |
| Phone | 5028952999 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MALLARD CREEK RD STE 404 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH K SHAVER | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 5028952999 | PhoneNum |
| Signature | 2020-06-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CAROL S MOSES | PreparerPersonNm |
| PTIN | P00289978 | PTIN |
| Phone | 5028952999 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.218.53.54 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-15 | IPDt |
| IP Tm | 10:38:21 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 0D4829588DCAE06C48BF5F721637C543AE15A4FE | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0D4829588DCAE06C48BF5F721637C543AE15A4FE | 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 | $202,034 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $151,112 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $204 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $204 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $1,184 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,184 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$3,799 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $195,096 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $94,149 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $148,701 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $95,537 | 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 | $1,500 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $150 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $1,500 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $150 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $567 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $3,567 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $300 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $119,926 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $119,926 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $123,493 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $300 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $119,926 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $25,208 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $95,237 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1 | CashBOYAmt |
| Sav And Temp Cash Invst BOY | $129,042 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $201,728 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $201,728 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $306 | AcctRcvblAmt |
| Acct Rcvbl EOY | $306 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $306 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $47,783 | CorporateStockBOYAmt |
| Corporate Stock EOY | $0 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $0 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $176,826 | TotalAssetsBOYAmt |
| Total Assets EOY | $202,034 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $202,034 | 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 | $176,826 | RetainedEarningBOYAmt |
| Retained Earning EOY | $202,034 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $176,826 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $202,034 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $176,826 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $202,034 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $176,826 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $25,208 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $202,034 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $202,034 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|
| AMERISOURCEBERGEN CORP | 2019-01-14 | 2019-01-15 | $85,859 | $42,743 | $43,116 | $43,116 |
| CVS HEALTH CORP | 2018-11-13 | 2019-11-21 | $44,182 | $47,783 | -$3,601 | -$3,601 |
| MICROSOFT CORP | 2019-12-06 | 2019-12-06 | $65,055 | $10,421 | $54,634 | $54,634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $94,149 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $81,000 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $117,487 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.689438 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $149,500 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $69,628 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 2.147125 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $149,000 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $95,785 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 1.555567 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $102,500 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $54,077 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 1.895445 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $224,635 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $36,959 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 6.077951 | DistributionYr5Rt |
| Total Distribution | 12.365526 | TotalDistributionRt |
| Average Distribution | 2.473105 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $210,787 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $521,298 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $952 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $522,250 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $119,926 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,905 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,905 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,905 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,280 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,280 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $625 | TaxDueAmt |
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 | KY | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION TREASURER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5028952999 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MALLARD CREEK RD STE 404 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40207 | 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 | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|
| J ROBERT SHAVER | ||||||||
| 100 MALLARD CREEK RD STE 404 | LOUISVILLE | KY | 40207 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| JOSEPH K SHAVER | ||||||||
| 100 MALLARD CREEK RD STE 404 | LOUISVILLE | KY | 40207 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| CHARLES W SHAVER | ||||||||
| 100 MALLARD CREEK RD STE 404 | LOUISVILLE | KY | 40207 | SECRETARY | 1.00 | $0 | $0 | $0 |
| CAROL S MOSES | ||||||||
| 100 MALLARD CREEK RD STE 404 | LOUISVILLE | KY | 40207 | 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 | $36,033 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $177,964 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $213,997 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $213,997 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $3,210 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $210,787 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $10,539 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $10,539 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,905 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,905 | TotalTaxAmt |
| Distributable Before Adj | $8,634 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $8,634 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $8,634 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $119,926 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $119,926 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $119,926 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $8,634 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $225,317 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $101,421 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $145,671 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $147,996 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $76,378 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $696,783 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $119,926 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $8,634 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $111,292 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $808,075 | 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 | $225,317 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $582,758 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $101,421 | ExcessFromYear4Amt |
| Excess From Year3 | $145,671 | ExcessFromYear3Amt |
| Excess From Year2 | $147,996 | ExcessFromYear2Amt |
| Excess From Year1 | $76,378 | ExcessFromYear1Amt |
| Excess From Current Year | $111,292 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | J ROBERT SHAVER | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| 21ST CENTURY PARKS | |||||||
| 471 WEST MAIN STREET STE 202 | LOUISVILLE | KY | 40202 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $2,500 |
| ALZHEIMER'S ASSOCIATION | |||||||
| 225 N MICHIGAN AVE FL 17 | CHICAGO | IL | 60601 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $1,000 |
| AMERICAN CANCER SOCIETY MID-SOUTH DIVISION INC | |||||||
| P O BOX 436327 | LOUISVILLE | KY | 40253 | NONE | PUBLIC CHARITY | SUPPORT FOR CANCER RESEARCH | $2,500 |
| AMPED | |||||||
| 4425 GREENWOOD AVE | LOUISVILLE | KY | 40211 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $2,500 |
| CHURCH OF THE PROMISE | |||||||
| 1800 PORTLAND AVE | LOUISVILLE | KY | 40203 | NONE | RELIGIOUS ORGANIZATI | GENERAL OPERATING FUND | $20,000 |
| CITY SCHOOLHOUSE | |||||||
| 1831 BAIRD STREET | LOUISVILLE | KY | 40203 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $6,000 |
| FIRST UNITED METHODIST CHURCH | |||||||
| 1ST STREET | CENTRAL CITY | KY | 42330 | NONE | PUBLIC CHARITY | BUILDING FUND | $5,000 |
| FOURTH AVENUE UNITED METHODIST CHURCH | |||||||
| 318 WEST ST CATHERINE STREET | LOUISVILLE | KY | 40203 | NONE | PUBLIC CHARITY | OPEN DOOR MINISTRY FOR HOMELESS | $1,000 |
| LOUCON OF THE UNITED METHODIST CHURCH | |||||||
| 8044 ANNETA RD | LEITCHFIELD | KY | 42754 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $10,000 |
| MARCH OF DIMES | |||||||
| P O BOX 673667 | MARIETTA | GA | 30006 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $1,000 |
| OLMSTED PARKS CONSERVANCY | |||||||
| 1299 TREVILIAN WAY | LOUISVILLE | KY | 40213 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $1,000 |
| PORTLAND PROMISE CENTER | |||||||
| PO BOX 11865 | LOUISVILLE | KY | 40251 | NONE | PUBLIC CHARITY | SUPPORT FOR NOT-FOR-PROFIT COMMUNITY CENTER | $30,000 |
| WYCLIFFE BIBLE TRANSLATORS | |||||||
| P O BOX 628211 | ORLANDO | FL | 32862 | NONE | PUBLIC CHARITY | SUPPORT MISSIONARY MINISTRIES | $2,500 |
| ANCOR FOUNDATION | |||||||
| 1101 KING STREET STE 380 | ALEXANDRIA | VA | 22314 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $25,000 |
| HOME OF THE INNOCENTS | |||||||
| 1100 EAST MARKET ST | LOUISVILLE | KY | 40206 | NONE | PUBLIC CHARITY | GENERAL OPERATING FUND | $5,000 |
| WAYSIDE CHRISTIAN MISSION | |||||||
| 432 EAST JEFFERSON ST | LOUISVILLE | KY | 40202 | NONE | PUBLIC CHARITY | SUPPORT FOR NOT-FOR-PROFIT COMMUNITY CENTER | $4,926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $119,926 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $204 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,184 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$3,799 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | -$2,411 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | -$2,411 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Noncash ContributionNoncashContributionInd |
|---|---|---|---|---|---|---|
| ROBERT AND ALINA SHAVER | ||||||
| 1 | 1520 HAWKSHEAD LN | LOUISVILLE | KY | 40220 | $125,317 | Yes (X) |
| PW HOLDINGS LLC | ||||||
| 2 | 100 MALLARD CREEK RD STE 404 | LOUISVILLE | KY | 40207 | $25,795 | Yes (X) |
Non Cash Property Contribution NonCashPropertyContributionGrp (3 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | 781 SHARES AMERISOURCEBERGEN CORP | $60,262 | 2019-01-14 |
| 1 | 430 SHARES MICROSOFT CORP | $65,055 | 2019-12-06 |
| 2 | 335 SHARES AMERISOURCEVERGEN CORP | $25,795 | 2019-01-14 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | S&C PSC - ACCOUNTING/TAX | CategoryTxt |
| Amt | $1,500 | Amt |
| Net Investment Income | $150 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | SFM MANANGMENT LLC - MANAGEMENT FEES | CategoryTxt |
| Amt | $1,500 | Amt |
| Net Investment Income | $150 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX ON INVESTMENTS | $532 | $0 | $0 |
| FILING FEE | $35 | $0 | $0 |