HARRY AND THELMA SURRENA MEMORIAL FUND: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HARRY AND THELMA SURRENA MEMORIAL FUND (EIN 23-7435554)
- Tax period
- 2017-11-01 to 2018-10-31
- Filed
- 2019-03-15
- IRS object ID
- 201910749349100011
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Assets Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-03-15T10:47:03-05:00 | ReturnTs |
| Tax Period End | 2018-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 830232295 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOHATT JOHNSON & GODWIN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 828010603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237435554 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRY & THELMA SURRENA MEMORIAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARR | BusinessNameControlTxt |
| Phone | 3076726494 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT WYATT | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 3076726494 | PhoneNum |
| Signature | 2019-03-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL B JOHNSON | PreparerPersonNm |
| PTIN | P00912386 | PTIN |
| Phone | 3076726494 | PhoneNum |
| Preparation | 2019-03-15 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.36.7.118 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-03-15 | IPDt |
| IP Tm | 10:47:03 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 83AE91A184D8E83EB2FC0941BF99CD0D2E206F98 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9F1B09A6118782A7CB6411D5F59E86C5A11894EC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $5,610,330 | 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 | $11,792 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $11,792 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $137,591 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $137,591 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $549,350 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,478,656 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $549,350 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $698,733 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $698,733 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $38,982 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $19,491 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $19,491 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,200 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,650 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $550 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $32,988 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $32,988 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $16,519 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,180 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $1,491 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $90,689 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $56,309 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $21,532 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $264,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $264,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $354,689 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $56,309 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $285,532 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $344,044 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $642,424 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $77,663 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $92,201 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $92,467 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $150,000 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $400,000 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $382,329 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $3,031,188 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,336,122 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $4,105,035 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,260,109 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,033,499 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,007,517 | CorporateBondsEOYFMVAmt |
| Other Assets BOY | $22,982 | OtherAssetsBOYAmt |
| Other Assets EOY | $22,982 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $22,982 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $4,541,942 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,884,804 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,610,330 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $6,180 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $4,998 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $6,180 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,998 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $2,443,594 | CapitalStockBOYAmt |
| Capital Stock EOY | $2,443,594 | CapitalStockEOYAmt |
| Retained Earning BOY | $2,092,168 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,436,212 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,535,762 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,879,806 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,541,942 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,884,804 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,535,762 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $344,044 | ExcessRevenueOverExpensesAmt |
| Subtotal | $4,879,806 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $4,879,806 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (131 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 15-SHRS-ALPHABET INC CAP STK CL A | P | 2016-11-18 | 2018-05-22 | $16,183 | $11,686 | $4,497 | $4,497 |
| 68-SHRS-BRISTOL-MYERS SQUIBB CO | P | 2013-02-05 | 2018-05-22 | $3,579 | $2,513 | $1,066 | $1,066 |
| 20-SHRS-WALT DISNEY CO/THE | P | 2010-03-12 | 2018-05-22 | $2,085 | $674 | $1,411 | $1,411 |
| 2048-SHRS-FORD MOTOR CO | P | 2014-10-20 | 2018-03-16 | $22,816 | $28,966 | -$6,150 | -$6,150 |
| 6-SHRS-MCKESSON CORP | P | 2012-09-13 | 2018-05-22 | $880 | $528 | $352 | $352 |
| 332-SHRS-QUALCOMM INC | P | 2004-02-25 | 2018-03-27 | $10,083 | $10,083 | ||
| 72-SHRS-INDUSTRIAL SELECT SECTOR SPD | P | 2018-02-02 | 2018-05-22 | $5,466 | $5,700 | -$234 | -$234 |
| 504-SHRS-WELLS FARGO & CO | P | 2016-10-27 | 2018-03-27 | $25,689 | $23,592 | $2,097 | $2,097 |
| 3880.071-SHRS-VANGUARD HIGH-YIELD CO | P | 2011-10-25 | 2018-05-23 | $22,194 | $22,000 | $194 | $194 |
| 201-SHRS-AMERICAN EXPRESS CO | P | 2013-08-29 | 2017-11-02 | $19,235 | $14,567 | $4,668 | $4,668 |
| 281-SHRS-CELGENE CORP | P | 2012-12-11 | 2017-11-02 | $28,094 | $11,631 | $16,463 | $16,463 |
| 13-SHRS-DOWDUPONT INC | P | 2010-10-26 | 2017-11-02 | $934 | $454 | $480 | $480 |
| 648-SHRS-GENERAL ELECTRIC CO | P | 2008-12-02 | 2017-11-02 | $12,805 | $11,156 | $1,649 | $1,649 |
| 274-SHRS-MICROSOFT CORP | P | 2013-08-15 | 2017-11-02 | $22,958 | $8,704 | $14,254 | $14,254 |
| 533-SHRS-QUALCOMM INC | P | 2016-03-11 | 2018-03-27 | $27,504 | $27,504 | ||
| 194-SHRS-SKYWORKS SOLUTIONS INC | P | 2013-08-23 | 2017-11-02 | $21,364 | $4,879 | $16,485 | $16,485 |
| 8250.964-SHRS-OPPENHEIMER INTERNATIO | P | 2014-09-12 | 2018-02-15 | $49,946 | $49,946 | ||
| 4496.403-SHRS-VANGUARD HIGH-YIELD CO | P | 2011-11-23 | 2018-05-23 | $25,719 | $25,000 | $719 | $719 |
| 4-SHRS-AMERICAN EXPRESS CO | P | 2013-08-29 | 2018-05-22 | $411 | $290 | $121 | $121 |
| 19-SHRS-CELGENE CORP | P | 2012-12-11 | 2018-05-22 | $1,457 | $786 | $671 | $671 |
| 159-SHRS-DOWDUPONT INC | P | 2010-10-26 | 2018-05-22 | $10,847 | $5,548 | $5,299 | $5,299 |
| 962-SHRS-GENERAL ELECTRIC CO | P | 2013-08-15 | 2017-11-02 | $19,011 | $19,011 | ||
| 15-SHRS-MICROSOFT CORP | P | 2013-08-15 | 2018-05-22 | $1,468 | $476 | $992 | $992 |
| 533-SHRS-QUALCOMM INC | P | 2016-03-11 | 2018-03-27 | $27,200 | $27,200 | ||
| 48-SHRS-SKYWORKS SOLUTIONS INC | P | 2013-08-23 | 2018-05-22 | $4,821 | $1,207 | $3,614 | $3,614 |
| 36.655-SHRS-OPPENHEIMER INTERNATIONA | P | 2014-03-03 | 2018-02-15 | $222 | $222 | ||
| 4791.868-SHRS-VANGUARD HIGH-YIELD CO | P | 2016-01-27 | 2018-05-23 | $27,409 | $26,019 | $1,390 | $1,390 |
| 56-SHRS-APACHE CORP | P | 2012-08-20 | 2018-04-04 | $2,110 | $5,006 | -$2,896 | -$2,896 |
| 256-SHRS-CELGENE CORP | P | 2012-12-11 | 2018-08-14 | $23,355 | $10,596 | $12,759 | $12,759 |
| 50000-SHRS-EATON CORP 1.5% 02 NOV 20 | P | 2014-03-03 | 2017-11-02 | $50,000 | $50,062 | -$62 | -$62 |
| 142-SHRS-GENERAL ELECTRIC CO | P | 2017-07-26 | 2017-11-02 | $2,806 | $2,806 | ||
| 339-SHRS-MONDELEZ INTERNATIONAL INC | P | 2010-06-02 | 2017-11-02 | $14,011 | $6,252 | $7,759 | $7,759 |
| 592-SHRS-QUALCOMM INC | P | 2017-02-02 | 2018-03-27 | $30,463 | $30,463 | ||
| 1000-SHRS-SOUTHERN CO/THE | P | 1986-01-24 | 2018-10-17 | $44,311 | $6,839 | $37,472 | $37,472 |
| 4065.206-SHRS-OPPENHEIMER INTERNATIO | P | 2014-05-13 | 2018-02-15 | $24,973 | $24,973 | ||
| 2688.172-SHRS-VANGUARD INTERMEDIATE- | P | 2017-02-02 | 2018-10-18 | $25,000 | $25,968 | -$968 | -$968 |
| 495-SHRS-APACHE CORP | P | 2015-09-14 | 2018-04-04 | $18,647 | $19,840 | -$1,193 | -$1,193 |
| 222-SHRS-CELGENE CORP | P | 2014-04-15 | 2018-08-14 | $20,253 | $15,386 | $4,867 | $4,867 |
| 3-SHRS-EMERSON ELECTRIC CO | P | 2001-02-05 | 2018-05-22 | $221 | $111 | $110 | $110 |
| 962-SHRS-GENERAL ELECTRIC CO | P | 2013-07-30 | 2018-02-01 | $15,354 | $26,499 | -$11,145 | -$11,145 |
| 96-SHRS-MONDELEZ INTERNATIONAL INC | P | 2010-08-06 | 2017-11-02 | $3,968 | $1,849 | $2,119 | $2,119 |
| 332-SHRS-QUALCOMM INC | P | 2004-02-25 | 2018-03-27 | $9,894 | $9,894 | ||
| 239-SHRS-STARBUCKS CORP | P | 2016-04-18 | 2018-05-22 | $13,637 | $14,586 | -$949 | -$949 |
| 36.655-SHRS-OPPENHEIMER INTERNATIONA | P | 2014-03-03 | 2018-02-15 | $221 | $221 | ||
| 4681.647-SHRS-VANGUARD SHORT-TERM IN | P | 2017-11-03 | 2018-10-18 | $48,736 | $50,000 | -$1,264 | -$1,264 |
| 33-SHRS-APPLE INC | P | 2011-01-06 | 2017-11-02 | $5,499 | $1,573 | $3,926 | $3,926 |
| 283-SHRS-CELGENE CORP | P | 2016-04-18 | 2018-08-14 | $25,818 | $30,483 | -$4,665 | -$4,665 |
| 39-SHRS-EMERSON ELECTRIC CO | P | 2004-02-25 | 2018-05-22 | $2,876 | $1,221 | $1,655 | $1,655 |
| 142-SHRS-GENERAL ELECTRIC CO | P | 2017-07-10 | 2018-02-01 | $2,266 | $4,142 | -$1,876 | -$1,876 |
| 171-SHRS-NIKE INC | P | 2016-10-12 | 2018-05-22 | $12,228 | $8,997 | $3,231 | $3,231 |
| 79-SHRS-QUALCOMM INC | P | 2004-02-25 | 2018-05-22 | $4,554 | $2,309 | $2,245 | $2,245 |
| 191-SHRS-UNION PACIFIC CORP | P | 2013-11-20 | 2017-11-02 | $22,311 | $15,177 | $7,134 | $7,134 |
| 8250.964-SHRS-OPPENHEIMER INTERNATIO | P | 2014-09-12 | 2018-02-15 | $49,819 | $49,819 | ||
| 121.427-SHRS-VANGUARD SHORT-TERM INV | P | 2014-11-19 | 2018-10-18 | $1,264 | $1,300 | -$36 | -$36 |
| 157-SHRS-APPLE INC | P | 2013-01-22 | 2017-11-02 | $26,161 | $11,166 | $14,995 | $14,995 |
| 112-SHRS-CHEVRON CORP | P | 2003-06-16 | 2018-05-22 | $14,468 | $4,209 | $10,259 | $10,259 |
| 466-SHRS-EXELON CORP | P | 2015-03-31 | 2017-11-02 | $18,627 | $15,571 | $3,056 | $3,056 |
| 1726-SHRS-GENERAL ELECTRIC CO | P | 2017-07-26 | 2018-02-01 | $27,547 | $44,357 | -$16,810 | -$16,810 |
| 47-SHRS-PEPSICO INC | P | 1996-05-29 | 2017-11-02 | $5,160 | $1,448 | $3,712 | $3,712 |
| 253-SHRS-QUALCOMM INC | P | 2004-02-25 | 2018-08-14 | $16,399 | $7,395 | $9,004 | $9,004 |
| 19-SHRS-UNION PACIFIC CORP | P | 2013-11-20 | 2018-05-22 | $2,736 | $1,510 | $1,226 | $1,226 |
| 4065.206-SHRS-OPPENHEIMER INTERNATIO | P | 2014-05-13 | 2018-02-15 | $24,911 | $24,911 | ||
| 216.654-SHRS-VANGUARD 500 INDEX FUND | P | 2017-12-21 | 2018-05-23 | $54,829 | $53,931 | $898 | $898 |
| 34-SHRS-APPLE INC | P | 2013-01-22 | 2018-05-22 | $6,380 | $2,418 | $3,962 | $3,962 |
| 453-SHRS-CISCO SYSTEMS INC | P | 2004-02-25 | 2018-05-16 | $20,470 | $10,614 | $9,856 | $9,856 |
| 32-SHRS-EXELON CORP | P | 2015-03-31 | 2018-05-22 | $1,274 | $1,069 | $205 | $205 |
| 1748-SHRS-GENERAL ELECTRIC CO | P | 2017-10-17 | 2018-02-01 | $27,898 | $40,603 | -$12,705 | -$12,705 |
| 112-SHRS-PEPSICO INC | P | 1997-03-21 | 2017-11-02 | $12,297 | $3,444 | $8,853 | $8,853 |
| 436-SHRS-QUALCOMM INC | P | 2016-03-11 | 2018-08-14 | $28,261 | $22,001 | $6,260 | $6,260 |
| 133-SHRS-UNION PACIFIC CORP | P | 2013-11-20 | 2018-06-19 | $19,550 | $10,569 | $8,981 | $8,981 |
| 795.99-SHRS-HARBOR INTERNATIONAL FUN | P | 2004-11-12 | 2018-01-17 | $56,420 | $33,089 | $23,331 | $23,331 |
| 123-SHRS-APPLE INC | P | 2013-01-22 | 2018-10-31 | $26,865 | $8,747 | $18,118 | $18,118 |
| 36-SHRS-APPLE INC | P | 2013-01-22 | 2018-10-31 | $7,866 | $2,560 | $5,306 | $5,306 |
| 86-SHRS-CISCO SYSTEMS INC | P | 2004-02-25 | 2018-05-22 | $3,768 | $2,015 | $1,753 | $1,753 |
| 255-SHRS-EXXON MOBIL CORP | P | 1983-06-24 | 2017-11-02 | $21,252 | $1,102 | $20,150 | $20,150 |
| 114-SHRS-GILEAD SCIENCES INC | P | 2012-05-04 | 2018-05-22 | $7,771 | $2,892 | $4,879 | $4,879 |
| 21-SHRS-PEPSICO INC | P | 1997-03-21 | 2018-05-22 | $2,095 | $646 | $1,449 | $1,449 |
| 471-SHRS-ROCHE HOLDINGS AG SPN ADR E | P | 2012-12-11 | 2017-11-02 | $13,673 | $11,955 | $1,718 | $1,718 |
| 98-SHRS-UNITEDHEALTH GROUP INC | P | 2012-09-27 | 2017-11-02 | $20,556 | $5,523 | $15,033 | $15,033 |
| 582.751-SHRS-HARBOR INTERNATIONAL FU | P | 2005-06-24 | 2018-01-17 | $41,305 | $25,000 | $16,305 | $16,305 |
| 662-SHRS-CITIGROUP INC | P | 2015-03-05 | 2018-10-31 | $43,285 | $35,482 | $7,803 | $7,803 |
| 28-SHRS-APPLE INC | P | 2014-03-28 | 2018-10-31 | $6,118 | $2,146 | $3,972 | $3,972 |
| 545-SHRS-CITIGROUP INC | P | 2014-10-20 | 2017-11-02 | $40,294 | $27,549 | $12,745 | $12,745 |
| 49-SHRS-EXXON MOBIL CORP | P | 1983-06-24 | 2018-05-22 | $4,011 | $212 | $3,799 | $3,799 |
| 178-SHRS-JPMORGAN CHASE & CO | P | 2011-10-25 | 2017-11-02 | $17,930 | $6,002 | $11,928 | $11,928 |
| 28-SHRS-QUALCOMM INC | P | 2000-03-03 | 2017-11-02 | $1,539 | $1,754 | -$215 | -$215 |
| 295-SHRS-ROCHE HOLDINGS AG SPN ADR E | P | 2012-12-12 | 2017-11-02 | $8,564 | $7,479 | $1,085 | $1,085 |
| 13-SHRS-UNITEDHEALTH GROUP INC | P | 2012-09-27 | 2018-05-22 | $3,178 | $733 | $2,445 | $2,445 |
| 434.278-SHRS-HARBOR INTERNATIONAL FU | P | 2015-04-01 | 2018-01-17 | $30,782 | $30,000 | $782 | $782 |
| 876-SHRS-CITIGROUP INC | P | 2015-03-05 | 2018-10-31 | $57,215 | $44,390 | $12,825 | $12,825 |
| 682-SHRS-BAKER HUGHES A GE CO | P | 2012-03-05 | 2017-12-20 | $22,104 | $32,772 | -$10,668 | -$10,668 |
| 109-SHRS-CITIGROUP INC | P | 2014-10-20 | 2018-05-22 | $7,789 | $5,510 | $2,279 | $2,279 |
| 50-SHRS-FACEBOOK INC | P | 2016-11-18 | 2018-05-22 | $9,222 | $5,856 | $3,366 | $3,366 |
| 275-SHRS-JPMORGAN CHASE & CO | P | 2012-05-25 | 2017-11-02 | $27,701 | $9,248 | $18,453 | $18,453 |
| 468-SHRS-QUALCOMM INC | P | 2004-02-25 | 2017-11-02 | $25,722 | $13,680 | $12,042 | $12,042 |
| 703-SHRS-ROCHE HOLDINGS AG SPN ADR E | P | 2012-12-12 | 2018-04-04 | $19,541 | $17,823 | $1,718 | $1,718 |
| 181-SHRS-UNITEDHEALTH GROUP INC | P | 2012-09-27 | 2018-08-14 | $47,161 | $10,201 | $36,960 | $36,960 |
| 357.756-SHRS-HARBOR INTERNATIONAL FU | P | 2017-11-03 | 2018-01-17 | $25,358 | $25,000 | $358 | $358 |
| 444-SHRS-CONSUMER STAPLES SELECT SEC | P | 2018-05-16 | 2018-10-31 | $24,387 | $22,046 | $2,341 | $2,341 |
| 450-SHRS-BAKER HUGHES A GE CO | P | 2012-04-05 | 2017-12-20 | $14,585 | $18,572 | -$3,987 | -$3,987 |
| 81-SHRS-COSTCO WHOLESALE CORP | P | 2010-05-14 | 2018-05-16 | $16,043 | $4,678 | $11,365 | $11,365 |
| 81-SHRS-FEDEX CORP | P | 2015-12-14 | 2017-11-02 | $18,174 | $11,514 | $6,660 | $6,660 |
| 255-SHRS-JPMORGAN CHASE & CO | P | 2012-05-25 | 2018-03-16 | $29,662 | $8,576 | $21,086 | $21,086 |
| 332-SHRS-QUALCOMM INC | P | 2004-02-25 | 2018-03-27 | $10,259 | $10,259 | ||
| 1024-SHRS-ROCHE HOLDINGS AG SPN ADR | P | 2013-01-29 | 2018-04-04 | $28,464 | $28,182 | $282 | $282 |
| 120-SHRS-WALMART INC | P | 2016-01-25 | 2018-05-22 | $10,039 | $7,645 | $2,394 | $2,394 |
| 7929.492-SHRS-VANGUARD HIGH-YIELD CO | P | 2015-04-01 | 2017-11-02 | $47,339 | $47,577 | -$238 | -$238 |
| 532-SHRS-BAKER HUGHES A GE CO | P | 2014-10-20 | 2017-12-20 | $17,242 | $28,015 | -$10,773 | -$10,773 |
| 200-SHRS-COSTCO WHOLESALE CORP | P | 2010-08-06 | 2018-05-16 | $39,613 | $11,320 | $28,293 | $28,293 |
| 7-SHRS-FEDEX CORP | P | 2015-12-14 | 2018-05-22 | $1,780 | $995 | $785 | $785 |
| 216-SHRS-LOWE'S COS INC | P | 2016-10-19 | 2017-11-02 | $16,652 | $15,012 | $1,640 | $1,640 |
| 533-SHRS-QUALCOMM INC | P | 2016-03-11 | 2018-03-27 | $27,786 | $27,786 | ||
| 43-SHRS-SCHLUMBERGER LTD | P | 2011-11-23 | 2018-05-22 | $3,196 | $2,868 | $328 | $328 |
| 50000-SHRS-ANTHEM INC 2.3% 15 JUL 20 | P | 2014-09-12 | 2018-07-16 | $50,000 | $50,218 | -$218 | -$218 |
| 445.718-SHRS-VANGUARD HIGH-YIELD COR | P | 2012-07-27 | 2017-11-02 | $2,661 | $2,648 | $13 | $13 |
| 68-SHRS-BERKSHIRE HATHAWAY B SHARES | P | 2010-02-17 | 2018-05-22 | $13,494 | $5,183 | $8,311 | $8,311 |
| 157-SHRS-WALT DISNEY CO/THE | P | 2009-01-15 | 2017-11-02 | $15,465 | $3,156 | $12,309 | $12,309 |
| 1195-SHRS-FORD MOTOR CO | P | 2012-07-05 | 2018-03-16 | $13,313 | $11,484 | $1,829 | $1,829 |
| 43-SHRS-LOWE'S COS INC | P | 2016-10-19 | 2018-05-22 | $3,711 | $2,988 | $723 | $723 |
| 592-SHRS-QUALCOMM INC | P | 2017-02-02 | 2018-03-27 | $31,114 | $31,114 | ||
| 239-SHRS-CONSUMER STAPLES SELECT SEC | P | 2018-05-16 | 2018-05-22 | $11,878 | $11,867 | $11 | $11 |
| 265-SHRS-WELLS FARGO & CO | P | 2016-10-27 | 2017-11-02 | $14,800 | $12,404 | $2,396 | $2,396 |
| 4268.087-SHRS-VANGUARD HIGH-YIELD CO | P | 2012-07-27 | 2018-05-23 | $24,413 | $25,352 | -$939 | -$939 |
| 100-SHRS-BOEING CO/THE | P | 2011-11-04 | 2017-11-02 | $26,043 | $6,582 | $19,461 | $19,461 |
| 18-SHRS-WALT DISNEY CO/THE | P | 2010-03-12 | 2017-11-02 | $1,773 | $607 | $1,166 | $1,166 |
| 1578-SHRS-FORD MOTOR CO | P | 2012-08-03 | 2018-03-16 | $17,580 | $14,358 | $3,222 | $3,222 |
| 140-SHRS-MCKESSON CORP | P | 2012-09-13 | 2017-11-02 | $19,395 | $12,310 | $7,085 | $7,085 |
| 592-SHRS-QUALCOMM INC | P | 2017-02-02 | 2018-03-27 | $30,800 | $30,800 | ||
| 79-SHRS-CONSUMER DISCRETIONARY SELEC | P | 2018-03-16 | 2018-05-22 | $8,314 | $8,349 | -$35 | -$35 |
| 503-SHRS-WELLS FARGO & CO | P | 2016-10-27 | 2018-03-27 | $25,627 | $23,545 | $2,082 | $2,082 |
| 8787.346-SHRS-VANGUARD HIGH-YIELD CO | P | 2016-05-26 | 2018-05-23 | $50,264 | $50,000 | $264 | $264 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $549,350 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | -$29,316 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $285,507 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $5,836,340 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.048919 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $295,282 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,544,325 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.053258 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $308,616 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,532,056 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.055787 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $303,292 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,560,400 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.054545 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $258,436 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $5,125,398 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.050423 | DistributionYr5Rt |
| Total Distribution | 0.262932 | TotalDistributionRt |
| Average Distribution | 0.052586 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,920,934 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $311,358 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $6,424 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $317,782 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $285,532 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $12,848 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $12,848 | SubtotalAmt |
| Tax Based On Investment Income | $12,848 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $7,850 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $7,850 | TotalPaymentsAndCreditsAmt |
| Tax Due | $4,998 | TaxDueAmt |
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 | WY | 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 |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOHATT JOHNSON & GODWIN LLP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3076726494 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82801 | 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 | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| 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 |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN PRADERE | ||||||||
| PO BOX 603 | SHERIDAN | WY | 82801 | TRUSTEE | 6.00 | $19,491 | $0 | $0 |
| ROBERT WYATT | ||||||||
| PO BOX 603 | SHERIDAN | WY | 82081 | TRUSTEE | 6.00 | $19,491 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,794,888 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $188,451 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $27,762 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $6,011,101 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $6,011,101 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $90,167 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,920,934 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $296,047 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $296,047 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $12,848 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $12,848 | TotalTaxAmt |
| Distributable Before Adj | $283,199 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $283,199 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $283,199 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $285,532 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $285,532 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $285,532 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $283,199 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr3 | $17,903 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $20,740 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,533 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $40,176 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $285,532 | QualifyingDistributionsAmt |
| Applied To Current Year | $283,199 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,333 | RemainingDistriFromCorpusAmt |
| Total Corpus | $42,509 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $42,509 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $17,903 | ExcessFromYear3Amt |
| Excess From Year2 | $20,740 | ExcessFromYear2Amt |
| Excess From Year1 | $1,533 | ExcessFromYear1Amt |
| Excess From Current Year | $2,333 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | SURRENA MEMORIAL FUND | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3077526855 | RecipientPhoneNum |
| Form And Info And Materials | WRITTEN APPLICATION | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | CHARITABLE, RELIGIOUS, SCIENTIFIC, & EDUCATIONAL PURPOSES IN THE U.S. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (24 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| BREAD OF LIFE | ||||||||
| PO BOX 909 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| BUFFALO SENIOR CENTER | ||||||||
| PO BOX 941 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| CHILDREN'S CENTER | ||||||||
| 863 HIGHLAND AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $30,000 | |
| CHILDREN'S CENTER - BUFFALO | ||||||||
| 151 KLONDIKE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $50,000 | |
| CLEARMONT COMMUNITY LIBRARY | ||||||||
| PO BOX 26 | CLEARMONT | WY | 82835 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| GENESIS FOUNDATION | ||||||||
| 444 CRESCENT DR | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $25,000 | |
| JOHNSON COUNTY LIBRARY | ||||||||
| 171 N ADAMS | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | FOUNDATION |
| HABITAT FOR HUMANITY | ||||||||
| PO BOX 6196 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | OF THE EASTERN BIGHORNS |
| JOHNSON COUNTY YMCA | ||||||||
| 101 SOUTH KLONDIKE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $20,000 | |
| LUNCH TOGETHER SOUP KITCHEN | ||||||||
| 102 S CONNER ST | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| METHODIST CHURCH | ||||||||
| 132 N ADAMS AVE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | OF BUFFALO WYOMING |
| METHODIST CHURCH | ||||||||
| 215 W WORKS | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | OF SHERIDAN WYOMING |
| MOUNTAIN PLAINS HERITAGE | ||||||||
| PO BOX 1034 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $2,500 | |
| SENIOR CITIZENS COUNCIL | ||||||||
| 211 SMITH STREET | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| SHERIDAN COLLEGE | ||||||||
| 3059 COFFEEN AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | SCHOLARSHIPS | $10,000 | FOUNDATION |
| SHERIDAN COUNTY LIBRARY | ||||||||
| 335 W ALGER | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | FOUNDATION INC |
| SHERIDAN COUNTY YMCA | ||||||||
| 417 NORTH JEFFERSON | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $20,000 | |
| STORY BRANCH LIBRARY | ||||||||
| PO BOX 188 | STORY | WY | 82842 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| STORY COMMUNITY CHURCH | ||||||||
| PO BOX 415 | STORY | WY | 82842 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| THE FOOD GROUP | ||||||||
| 51 COFFEEN AVE-SUITE 101 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| TONGUE RIVER BRANCH | ||||||||
| PO BOX 909 | RANCHESTER | WY | 82839 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | LIBRARY |
| TONGUE RIVER CHILD'S | ||||||||
| PO BOX 232 | RANCHESTER | WY | 82839 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $15,000 | PLACE |
| VOLUNTEERS OF AMERICA OF | ||||||||
| 1876 S SHERIDAN AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | HOMELESS SHELTER | $4,000 | WYOMING AND MONTANA |
| COMPASS-CENTER FOR FAMILIES | ||||||||
| PO BOX 6022 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | CASA PROGRAM | $5,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $264,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $11,792 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $137,591 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $549,350 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $698,733 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $698,733 | TotalIncomeProducingActyAmt |
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 | ACCOUNTING FEES | CategoryTxt |
| Amt | $2,200 | Amt |
| Net Investment Income | $1,650 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $550 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (13 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ANTHEM INC | ||
| BLACKROCK INC | $50,000 | $52,055 |
| EATON VANCE FLOATING RATE FUND | $250,000 | $249,303 |
| EATON CORP | ||
| GENERAL ELECTRIC CAP 5.1% | $100,000 | $101,292 |
| MORGAN STANLEY 2.8% | $50,908 | $50,079 |
| OPPENHEIMER INTERNATIONAL BOND FUND | $74,757 | $66,022 |
| TEMPLETON GLOBAL BOND FUND | $135,431 | $120,981 |
| TENNESSEE VALLEY AUTHORITY | $49,980 | $48,490 |
| VANGUARD HIGH YIELD CORPORATE FUND | $73,980 | $78,510 |
| VANGUARD INTERMEDIATE-TERM INVEST | $99,032 | $95,612 |
| VANGUARD SHORT-TERM INVESTMENT GRADE | $98,700 | $96,248 |
| WELLS FARGO & CO 2.5% | $50,711 | $48,925 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (63 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ALPHABET INC CAP STK CL A | $42,419 | $52,348 |
| AMERICAN EUROPACIFIC GROWTH FUND | $118,447 | $140,103 |
| AMERICAN EXPRESS | $46,859 | $75,381 |
| APACHE CORPORATION | ||
| APPLE COMPUTER INC | $36,826 | $93,891 |
| BAKER HUGHES INC | ||
| BERKSHIRE HATHAWAY INC - CL B | $19,600 | $51,115 |
| BOEING CO | $17,816 | $106,458 |
| BRISTOL MYERS SQUIBB | $30,822 | $42,484 |
| CELGENE | ||
| CHEVRON CORP | $17,061 | $35,281 |
| CISCO SYSTEMS | $25,679 | $58,286 |
| CITIGROUP | ||
| COMMUNICATION SERVICES SEL SPDR | $69,031 | $64,318 |
| CONSUMER DISCRETIONARY SEL SPDR | $45,340 | $45,208 |
| CONSUMER STAPLES SEL SECTOR SPDR | $22,096 | $24,479 |
| COSTCO WHOLESALE CORPORATION | ||
| DFA COMMODITY STRATEGY PORTFOLIO | $275,000 | $263,957 |
| DFA EMERGING MARKETS SMALL CAP | $150,000 | $124,863 |
| DFA GLOBAL REAL ESTATE SECURITIES | $187,908 | $186,883 |
| DFA US SMALL CAP PORTFOLIO | $200,000 | $219,511 |
| DOWDUPONT INC | $23,433 | $35,857 |
| EMERSON ELECTRIC CO | $23,823 | $51,657 |
| ENERGY SELECT SECTOR SPDR | $14,180 | $14,036 |
| EXELON CORPORATION | $39,396 | $51,652 |
| EXXON MOBIL CORP | $51,590 | $62,708 |
| FACEBOOK INC | $46,122 | $52,671 |
| FEDEX CORP | $29,140 | $45,170 |
| FIDELITY INTERNATIONAL INDEX FUND | $153,865 | $132,994 |
| FINANCIAL SELECT SECTOR SPDR | $69,171 | $68,223 |
| FORD MOTOR COMPANY | ||
| GENERAL ELECTRIC CO | ||
| GILEAD SCIENCES INC. | $41,035 | $62,998 |
| GOLDMAN SACHS GROUP INC | $58,887 | $58,596 |
| GOLDMAN SACHS INTERNATIONAL SMALL CA | $150,000 | $145,145 |
| HARBOR INTERNATIONAL FUND | ||
| HEALTH CARE SELEC SECTOR SPDR | $119,187 | $123,470 |
| INDUSTRICAL SELECT SECTOR SPDR | $66,814 | $58,979 |
| J.P. MORGAN CHASE & CO | $34,302 | $111,200 |
| LOWE'S COS INC | $50,846 | $67,469 |
| MATERIALS SELECT SECTOR SPDR | $19,464 | $17,203 |
| MCKESSON CORPORATION | $62,465 | $58,013 |
| MICROCHIP TECHNOLOGY INC | $27,128 | $27,233 |
| MICROSOFT CORPORATION | $20,330 | $68,358 |
| MONDELEZ INTERNATIONAL INC | $25,040 | $46,262 |
| NIKE INC | $39,566 | $56,430 |
| OPPENHEIMER DEVELOPING MARKETS FD | $150,799 | $150,077 |
| PEPSICO | $14,359 | $52,481 |
| QUALCOMM INC | $35,020 | $43,331 |
| ROCHE HOLDINGS AG SPN ADR EACH REP | ||
| SCHLUMBERGER LIMITED | $32,936 | $24,885 |
| SKYWORKS SOLUTIONS INC | $13,833 | $47,718 |
| SOUTHERN CO | ||
| STARBUCKS CORP | $54,921 | $53,201 |
| TECHNOLOGY SELECT SECTOR SPDR | $94,423 | $91,823 |
| UNION PACIFIC | $28,686 | $52,785 |
| UNITEDHEALTH GROUP INC | $10,257 | $47,566 |
| VANGUARD 500 INDEX FUND | $50,000 | $72,113 |
| VANGUARD MID-CAP INDEX FUND | $150,000 | $175,008 |
| VANUGARD EMERGING MARKETS STOCK INDE | $150,000 | $134,767 |
| WAL-MART STORES INC | $37,005 | $53,550 |
| WALT DISNEY | $43,195 | $104,840 |
| WELLS FARGO & CO |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $400,000 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $382,329 | USGovtObligationsEOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MINERAL RIGHTS | Desc |
| BOY Book Value | $22,982 | BOYBookValueAmt |
| EOY Book Value | $22,982 | EOYBookValueAmt |
| EOYFMV | $22,982 | EOYFMVAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEDERAL TAXES PAYABLE | Desc |
| BOY Book Value | $6,180 | BOYBookValueAmt |
| EOY Book Value | $4,998 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEES | CategoryTxt |
| Amt | $32,988 | Amt |
| Net Investment Income | $32,988 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAXES | $12,848 | ||
| FOREIGN TAXES | $689 | $689 | |
| PAYROLL TAXES | $2,982 | $1,491 | $1,491 |