SILVERLEAF FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SILVERLEAF FOUNDATION INC (EIN 13-4097906)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-27
- IRS object ID
- 202033019349100103
- 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 Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-27T08:11:06-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 455396068 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MJSM ASSOCIATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 331 | AddressLine1Txt |
| City | PLAINVIEW | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11803 | 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 | 134097906 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVERLEAF FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SILV | BusinessNameControlTxt |
| Phone | 2122012552 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1177 | AddressLine1Txt |
| City | NEW CANAAN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06840 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAYREE CLARK | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2122012552 | PhoneNum |
| Signature | 2020-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL GANDOLFO | PreparerPersonNm |
| PTIN | P00114598 | PTIN |
| Phone | 6314231208 | PhoneNum |
| Preparation | 2020-10-17 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 68.132.43.12 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-20 | IPDt |
| IP Tm | 11:17:39 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F6497FE644D6EF4FE9D7483F2A432DDD482E22C0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F6497FE644D6EF4FE9D7483F2A432DDD482E22C0 | 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 | $5,676,900 | 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 |
| Interest On Sav Rev And Expnss | $14,544 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $14,544 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $94,801 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $94,801 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $113,767 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $121,671 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $113,767 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $4,127 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $4,127 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $227,239 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $227,239 | 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 | $11,775 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $284 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $284 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $29,285 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $28,139 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $41,344 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $28,423 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $175,270 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $175,270 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $216,614 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $28,423 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $175,270 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $10,625 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $198,816 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $223,433 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $365,629 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $365,629 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $1,811,177 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,811,177 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,898,498 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $876,238 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $744,667 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,412,773 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $2,910,848 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,921,473 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,676,900 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $4,012,999 | CapitalStockBOYAmt |
| Capital Stock EOY | $4,012,999 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | -$1,102,151 | RetainedEarningBOYAmt |
| Retained Earning EOY | -$1,091,526 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,910,848 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,921,473 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,910,848 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,921,473 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,910,848 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $10,625 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $2,921,473 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,921,473 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (8 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | SoldSoldDt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Gross Sales PriceGrossSalesPriceAmt |
|---|---|---|---|---|---|---|
| AEA MEZZANINE PARTNERS LP | P | 2019-12-17 | $6,055 | -$6,055 | -$6,055 | |
| ATREVIDA MULTI STRATEGY OFFSHORE CHARTER FUND LP | P | 2019-03-31 | $16,487 | $16,487 | $16,487 | |
| FROM K-1 - AEA MEZZANINE PARTNERS LP | P | 2019-12-31 | $755 | -$755 | -$755 | |
| FROM K-1 - LEGACY VENTURE IV LLC | P | 2019-12-31 | $1,094 | -$1,094 | -$1,094 | |
| FROM K-1 - LEGACY VENTURE IV LLC | P | 2019-12-31 | $67,591 | $67,591 | $67,591 | |
| FROM K-1 - LEGACY VENTURE VII LLC | P | 2019-12-31 | $1,691 | $1,691 | $1,691 | |
| FROM K-1 - LEGACY VENTURE VII LLC | P | 2019-12-31 | $34,043 | $34,043 | $34,043 | |
| FROM K-1 - MORGAN STANLEY REAL ESTATE INVESTORS V | P | 2019-12-31 | $1,859 | $1,859 | $1,859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $113,767 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $140,500 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $4,716,551 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.029789 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $125,050 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $4,461,186 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.028031 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $197,198 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $3,930,194 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.050175 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $198,752 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $4,197,860 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.047346 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $199,065 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $4,407,818 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.045162 | DistributionYr5Rt |
| Total Distribution | 0.200503 | TotalDistributionRt |
| Average Distribution | 0.040101 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,222,640 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $209,433 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,988 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $211,421 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $175,270 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $3,976 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $3,976 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $3,976 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,707 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $4,707 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $731 | OverpaymentAmt |
| Applied To ES Tax | $731 | 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 | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NY | 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 | MAYREE CLARK | IndividualWithBooksNm |
| Phone | 2122012552 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1177 | AddressLine1Txt |
| City | NEW CANAAN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06840 | 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 (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 |
|---|---|---|---|---|---|---|---|---|
| MAYREE CLARK | ||||||||
| PO BOX 1177 | NEW CANAAN | CT | 06840 | PRESIDENT | 10.00 | $0 | $0 | $0 |
| JEFFREY WILLIAMS | ||||||||
| PO BOX 1177 | NEW CANAAN | CT | 06840 | VP, SECRETARY | 5.00 | $0 | $0 | $0 |
| KIT DEVEREAUX | ||||||||
| 83 GERRISH LANE | NEW CANAAN | CT | 06840 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| LAURA SAVERIN | ||||||||
| 24 OENOKE RIDGE | NEW CANAAN | CT | 06840 | DIRECTOR | 0.00 | $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 | $3,856,921 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $190,222 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,255,030 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,302,173 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,302,173 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $79,533 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,222,640 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $261,132 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $261,132 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,976 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $881 | IncomeTaxAmt |
| Total Tax | $4,857 | TotalTaxAmt |
| Distributable Before Adj | $256,275 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $256,275 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $256,275 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $175,270 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $175,270 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $175,270 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $256,275 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr3 | $8,276 | ExcessDistributionCyovYr3Amt |
| Total Excess Distribution Cyov | $8,276 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $175,270 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $175,270 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $8,276 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $8,276 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $72,729 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | MAYREE CLARK | ContributingManagerNm |
| Contributing Manager | JEFFREY WILLIAMS | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|
| ADA ONLINE LEARNING | |||||
| 180 PORTLAND STREET | BOSTON | MA | 02114 | GENERAL | $500 |
| BEND THE ARC | |||||
| 330 SEVENTH AVE | NEW YORK | NY | 10001 | GENERAL | $5,000 |
| CHILD GUIDANCE CENTER | |||||
| 525 N CABRILLO PARK DRIVE | SANTA ANA | CA | 92701 | GENERAL | $500 |
| COMMUNITY MINDFULNESS PROJECT | |||||
| PO BOX 1713 | NEW CANAAN | CT | 06840 | GENERAL | $1,500 |
| GIRL SCOUTS OF GREATER NY | |||||
| 40 WALL STREET | NEW YORK | NY | 10005 | GENERAL | $1,000 |
| HORIZONS NATIONAL | |||||
| 120 POST ROAD | WESTPORT | CT | 06880 | GENERAL | $2,000 |
| KID SPIRIT | |||||
| 77 STATE STREET | BROOKLYN | NY | 11201 | GENERAL | $1,500 |
| MIND LIFE INSTITUTE | |||||
| 210 RIDGE MCINTIRE ROAD | CHARLOTTESVILE | VA | 22903 | GENERAL | $10,000 |
| MEMORIAL SLOAN KETTERING | |||||
| 1275 YORK AVE | NEW YORK | NY | 10065 | GENERAL | $200 |
| NEW CANAAN CARES | |||||
| 91 ELM STREET | NEW CANAAN | CT | 06840 | GENERAL | $7,500 |
| NEW CANAAN LIBRARY | |||||
| 151 MAIN STREET | NEW CANAAN | CT | 06840 | GENERAL | $50,000 |
| PARTNERSHIP FOR AFTER SCHOOL | |||||
| 120 BROADWAY | NEW YORK | NY | 10271 | GENERAL | $10,000 |
| SILVER HILL HOSPITAL | |||||
| 208 VALLEY ROAD | NEW CANAAN | NY | 06840 | GENERAL | $5,000 |
| STANFORD UNIVERSITY | |||||
| 450 SERRA MALL | STANFORD | CA | 94305 | GENERAL | $35,000 |
| SUMMER SEARCH NYC | |||||
| 90 BROAD STREET | NEW YORK | NY | 10004 | GENERAL | $1,000 |
| THE MARSHALL PROJECT | |||||
| 156 WEST 56TH STREET | NEW YORK | NY | 10019 | GENERAL | $11,000 |
| THE OPEN DOOR SHELTER | |||||
| 4 MERRITT STREET | NORWALK | CT | 06854 | GENERAL | $7,500 |
| THE STANFORD FUND | |||||
| 450 SERRA MALL | STANFORD | CA | 94305 | GENERAL | $10,000 |
| TRICYCLE FOUNDATION | |||||
| 89 5TH AVENUE | NEW YORK | NY | 10003 | GENERAL | $10,000 |
| VIETNAM FOUNDATION | |||||
| 500 FIFTH STREET NW | WASHINGTON | DC | 20001 | GENERAL | $70 |
| WIKIPEDIA FOUNDATION | |||||
| 1 MONTGOMERY STREET | SAN FRANCISCO | CA | 94104 | GENERAL | $5,000 |
| WOMENS REFUGE | |||||
| 15 WEST 37TH STREET | NEW YORK | NY | 10018 | GENERAL | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $175,270 | 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 | $14,544 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $94,801 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 01 | ExclusionCd |
| Exclusion | $4,127 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $113,767 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $227,239 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $227,239 | 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 | TAX PREPARATION & BOOKKEEPING | CategoryTxt |
| Amt | $11,775 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ISHARES MSCI EAFE ETF | $846,235 | $1,208,325 |
| SPDR S&P 500 ETF TRUST | $536,165 | $1,724,526 |
| ISHARES MSCI EMERGING MKTS ETF | $428,777 | $965,647 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| AEA MEZZANINE FUND IV LP | AT COST | $93,357 | $92,908 |
| LEGACY VENTURE IV, LLC | AT COST | $155,006 | $387,367 |
| LEGACY VENTURE VII, LLC | AT COST | $415,846 | $847,891 |
| MS REAL ESTATE INVESTORS V INTERNATIONAL, LP | AT COST | $16,353 | $17,750 |
| ACCOLADE PARTNERS GROWTH I LP | AT COST | $64,105 | $66,857 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (9 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| WEBSITE | $40 | $0 | $0 |
| POSTAGE | $366 | $0 | $0 |
| FILING FEES | $660 | $0 | $0 |
| FROM K-1 - AEA MEZZANINE FUND IV LP | $4,127 | $4,127 | $0 |
| FROM K-1 - AEA MEZZANINE PARTNERS LP | $48 | $48 | $0 |
| FROM K-1 - LEGACY VENTURE IV, LLC | $4,085 | $4,018 | $0 |
| FROM K-1 - LEGACY VENTURE VII, LLC | $15,007 | $15,007 | $0 |
| FROM K-1 - MS REAL ESTATE INVESTORS V INTERNATIONAL LP | $7 | $7 | $0 |
| FROM K-1 - ACCOLADE PARTNERS GROWTH I LP | $4,945 | $4,932 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| FROM K-1 - AEA MEZZANINE PARTNERS LP | $2,747 | $2,747 | $2,747 |
| FROM K-1 - LEGACY VENTURE IV,LLC | -$13 | -$13 | -$13 |
| FROM K-1 - LEGACY VENTURE VII, LLC | $4 | $4 | $4 |
| FROM K-1 - MS REAL ESTATE INVESTORS V INTERNATIONAL LP | $2,397 | $2,397 | $2,397 |
| FROM K-1 - ACCOLADE PARTNERS GROWTH I LP | -$1,008 | -$1,008 | -$1,008 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAXES | CategoryTxt |
| Amt | $284 | Amt |
| Net Investment Income | $284 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |