STRATEGY STUDIO / PUBLIC DATA EXPLORER

MINERAL AREA HEALTH GROUP INC: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MINERAL AREA HEALTH GROUP INC (EIN 43-1535177)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-04-30
IRS object ID
201901209349101160
Schema version
2018v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-04-30T15:00:16-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line140 WESTMINSTER ST 8TH FLAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431535177EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IA MINERAL AREA OSTEOPATHIC FOUNDATION 134243BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAREABusinessNameControlTxt
Phone8168607711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1UMB BANK NA P O BOX 415044 M/SAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641416692ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRANDON JONESPersonNm
Person TitleVice PresidentPersonTitleTxt
Phone8168607711PhoneNum
Signature2019-04-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD RALEIGHPreparerPersonNm
PTINP00382844PTIN
Phone3128795176PhoneNum
Preparation2019-04-24PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.111.183.177IPv4AddressTxt
FieldValueIRS element (for citing)
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4CF5AFC82CCF381F3E1741D79A775B5E1BA7BEEFAtSubmissionCreationDeviceId
At Submission Filing Device IdD6F43BCC65E791FD6F9831F9B49F5B2153310792AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$6,612,425FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$167,516DividendsRevAndExpnssAmt
Dividends Net Invst Incm$167,577DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$270,350NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,239,359GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$270,350CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$437,866TotalRevAndExpnssAmt
Total Net Invst Incm$437,927TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$51,885CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$25,943CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$25,943CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$800AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$800AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$3,356TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,765TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$1,136OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$57,177TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$27,708TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$26,743TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$342,166ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$342,166ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$399,343TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$27,708TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$368,909TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$38,523ExcessRevenueOverExpensesAmt
Net Investment Income$410,219NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$84,182SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$92,504SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$92,504SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$4,989,549OtherInvestmentsBOYAmt
Other Investments EOY$5,022,194OtherInvestmentsEOYAmt
Other Investments EOYFMV$6,519,921OtherInvestmentsEOYFMVAmt
Total Assets BOY$5,073,731TotalAssetsBOYAmt
Total Assets EOY$5,114,698TotalAssetsEOYAmt
Total Assets EOYFMV$6,612,425TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$5,073,731CapitalStockBOYAmt
Capital Stock EOY$5,114,698CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$5,073,731TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$5,114,698TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$5,073,731TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$5,114,698TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$5,073,731TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$38,523ExcessRevenueOverExpensesAmt
Other Increases$3,366OtherIncreasesAmt
Subtotal$5,115,620SubtotalAmt
Other Decreases$922OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$5,114,698TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (31 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
13329.2057 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-01-16$404$413-$9-$9
13849.463 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-01-22$251$256-$5-$5
13118.5259 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-02-15$211$216-$5-$5
13421.921 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-02-20$428$436-$8-$8
12776.0497 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-03-15$342$351-$9-$9
13166.774 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-03-20$255$260-$5-$5
12546.1126 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-04-16$230$235-$5-$5
100000. MONSANTO CO DTD 4/15/2008 5.125% 4/15/20182011-04-132018-04-16$100,000$103,254-$3,254-$3,254
12794.409 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-04-20$372$380-$8-$8
100000. BP CAPITAL MARKETS PLC DTD 5/10/2013 1.375% 5/10/20182015-09-292018-05-10$100,000$99,554$446$446
9000. ISHARES MSCI EAFE2016-10-182018-05-10$642,983$487,807$155,176$155,176
2500. ISHARES MSCI EAFE SMALL CAP INDEX FUND2015-05-212018-05-10$166,049$129,568$36,481$36,481
12120.3904 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-05-15$426$436-$10-$10
12611.222 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-05-21$183$187-$4-$4
11773.5135 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-06-15$347$355-$8-$8
12399.061 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-06-20$212$216-$4-$4
11578.4858 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-07-16$195$200-$5-$5
11719.521 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-07-20$680$693-$13-$13
2158. INVESCO S&P 500 LOW VOLATILITY ETF2014-05-212018-07-23$103,367$71,282$32,085$32,085
850. ISHARES RUSSELL MIDCAP VALUE INDEX FUND2014-01-302018-07-23$75,981$55,103$20,878$20,878
200. ISHARES RUSSELL MIDCAP INDEX FUND2009-09-212018-07-23$43,353$14,649$28,704$28,704
11221.5297 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-08-15$357$366-$9-$9
11438.936 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-08-20$281$286-$5-$5
10791.4932 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-09-17$430$440-$10-$10
11244.314 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-09-20$195$199-$4-$4
10492.9789 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-10-15$299$306-$7-$7
10774.126 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-10-22$470$480-$10-$10
10186.1594 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/152009-09-152018-11-15$307$314-$7-$7
10581.938 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-11-20$192$196-$4-$4
9978.2078 GOVERNMENT NATIONAL MORTGAGE POOL DTD 8/1/2009 4.0000% 8/15/2009-09-152018-12-17$208$213-$5-$5
10231.179 GOVERNMENT NATIONAL MORTGAGE POOL II DTD 9/1/2009 4.0000% 9/2009-09-142018-12-20$351$358-$7-$7
FieldValueIRS element (for citing)
Capital Gain Net Income$270,350CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$419,287AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$7,259,445NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.057757DistributionYr1Rt
Adjusted Qlfy Distri Yr2$374,391AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$6,894,357NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.054304DistributionYr2Rt
Adjusted Qlfy Distri Yr3$367,125AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$7,188,685NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.05107DistributionYr3Rt
Adjusted Qlfy Distri Yr4$382,395AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$7,403,765NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.051649DistributionYr4Rt
Adjusted Qlfy Distri Yr5$381,016AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$7,274,131NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.05238DistributionYr5Rt
Total Distribution0.26716TotalDistributionRt
Average Distribution0.053432AverageDistributionRt
Net Vl Noncharitable Assets$7,269,858NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$388,443AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$4,102NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$392,545AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$368,909QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$8,204InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$8,204SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$8,204TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,420EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$1,420TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$6,784TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateMOOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1UMB BANK NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8168607711PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11010 GRANDAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
DR DWAYNE DAMBA
16 MAHOGANY RUNFARMINGTONMO63640PRESIDENT1$0
DR VICTORIA DAMBA
16 MAHOGANY RUNFARMINGTONMO63640BOARD MEMBER1$0
DR MARIANNE KLEMM
530 N MIDDLE STFARMINGTONMO63640BOARD MEMBER1$0
DR JAMES MOORE
608 MAPLE VALLEY DRIVEFARMINGTONMO63640BOARD MEMBER1$0
DR RICHARD SECOR
322 N STATE STREETDESLOGEMO63601BOARD MEMBER1$0
DR SCOTT VANNESS
606 MAPLE VALLEY DRIVEFARMINGTONMO63640BOARD MEMBER1$0
DR MICHAEL ZARICOR
1212 WEBER ROADFARMINGTONMO63640BOARD MEMBER1$0
MR JAMES EATON
800 BONHOMME CREEK CTBONNE TERREMO63628BOARD MEMBER1$0
MS LANA L JINKERSON
9678 MAGNOLIA DRHILLSBOROMO63050BOARD MEMBER1$0
UMB BANK NA
1010 GRAND AVEKANSAS CITYMO64106TRUSTEE2$51,885
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$7,114,743AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$265,823AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$7,380,566TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$7,380,566AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$110,708CashDeemedCharitableAmt
Net Vl Noncharitable Assets$7,269,858NetVlNoncharitableAssetsAmt
Minimum Investment Return$363,493MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$363,493MinimumInvestmentReturnAmt
Tax Based On Investment Income$8,204TaxBasedOnInvestmentIncomeAmt
Total Tax$8,204TotalTaxAmt
Distributable Before Adj$355,289DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$355,289DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$355,289DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$368,909ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$368,909QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$368,909AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$355,289DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$21,788ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$15,631ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$11,218ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$32,167ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$59,153ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$139,957TotalExcessDistributionCyovAmt
Qualifying Distributions$368,909QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$355,289AppliedToCurrentYearAmt
Remaining Distri From Corpus$13,620RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$153,577TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$21,788ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$131,789ExcessDistriCyovToNextYrAmt
Excess From Year4$15,631ExcessFromYear4Amt
Excess From Year3$11,218ExcessFromYear3Amt
Excess From Year2$32,167ExcessFromYear2Amt
Excess From Year1$59,153ExcessFromYear1Amt
Excess From Current Year$13,620ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtBusiness Name Line2RecipientBusinessName/BusinessNameLine2Txt
MINERAL AREA COLLEGE
5270 FLAT RIVER ROADPARK HILLSMO63601NONEPCSCHOLARSHIPS FOR VARIOUS$36,000
ST VINCENT DEPAUL
1010 W WEBSTER AVENUECHICAGOIL60614NONEPCSCHOLARSHIPS FOR VARIOUS$2,000
FARMINGTON MINISTERIAL ALLIANCE
1101 GENEVIEVE AVENUEFARMINGTONMO63640NONEPCSUPPORT OF CHARITABLE$1,000
KANSAS CITY UNIVERSITY OF
1750 INDEPENDENCE AVEKANSAS CITYMO64106NONEPCSCHOLARSHIPS FOR VARIOUS$100,000MEDICINE AND BIOSCIENCES
UNIVERSITY OF MISSOURI-ST LOUIS
1 UNIVERSITY BLVDST LOUISMO63121NONEPCSCHOLARSHIPS FOR VARIOUS$20,000
SEMO FAMILY VIOLENCE COUNCIL INC
PO BOX 465BONNE TERREMO636280465NONEPCSUPPORT OF CHARITABLE$1,000
WILLIAM L WETZEL OSTEOPATHIC EDUCATION
1423 RANDY LANEJEFFERSON CITYMO65101NONEPCSUPPORT OF CHARITBALE$30,000
PARKLAND PREGNANCY RESOURCE
815 E MAIN STPARK HILLSMO63601NONEPCSUPPORT OF CHARITABLE$5,000
MINERAL ARREA MINISTERIAL ALLIANCE
PO BOX 362PARK HILLSMO63601NONEPCSUPPORT OF CHARITBALE$1,000
HANDS OF CHRIST MINISTRIES
PO BOX 30703CHARLESTONSC29407NONEPCSUPPORT OF CHARITBALE$1,000
IMMACULATE CONCEPTION
102 ASHMAN STDANVILLEKS67036NONEPCSUPPORT OF CHARITBALE$1,000
ELVINS FOOD PANTRY
17 W MAIN STPARK HILLSMO63601NONEPCSUPPORT OF CHARITBALE$1,000
AT STILL UNIVERSITY OF HEALTH SCIENCES
800 W JEFFERSON STKIRKSVILLEMO63501NONEPCSUPPORT OF CHARITABLE$126,568
THE CHURCH OF GOD -FOOD PANTRY
454 HICKORY PLELGINIL60120NONEPCSUPPORT OF CHARITABLE$1,000
CENTRAL METHODIST UNIVERSITY
411 CENTRAL METHODIST SQUAREFAYETTEMO65248NONEPCSUPPORT OF CHARITABLE$4,890
UMKC SCHOOL OF MEDICINE
2411 HOLMESKANSAS CITYMO64108NONEPCSUPPORT OF CHARITABLE$10,708
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$342,166TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$167,516ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$270,350ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$437,866ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$437,866TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$800Amt
Disbursements Charitable Prps$800DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
ROUNDING$2
ADJUST TAX LOT COST BASIS$920

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOTHER ALLOCABLE EXPENSE-PRINCIDesc
Revenue And Expenses Per Books$1,136RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescRETURN OF SCHOLARSHIP DISTRIBUTIONDesc
Amt$3,366Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL TAX PAYMENT - PRIOR YE$171$0$0
FEDERAL ESTIMATES - PRINCIPAL$1,420$0$0
FOREIGN TAXES ON QUALIFIED FOR$1,314$1,314$0
FOREIGN TAXES ON NONQUALIFIED$451$451$0