STRATEGY STUDIO / PUBLIC DATA EXPLORER

MAXSAN FOUNDATION: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MAXSAN FOUNDATION (EIN 20-6299515)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-10-03
IRS object ID
201932769349100508
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-10-03T11:13:03-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1330 E KILBOURN AVENUE SUITE 750AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN206299515EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAXSAN FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O JEAN-MAX AND SANDRA J DERMONDBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% JEAN-MAX AND SANDRA DERMONDInCareOfNm
Business Name ControlMAXSBusinessNameControlTxt
Phone4149639426PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 NORTH PROSPECT AVENUE Suite 240AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEAN-MAX DERMONDPersonNm
Person TitleTrusteePersonTitleTxt
Phone4149639426PhoneNum
Signature2019-08-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER F MUELLERPreparerPersonNm
PTINP01250553PTIN
Phone4142725900PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.140.145.178IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id39521220192765000000FederalOriginalSubmissionId
Federal Original Submission Id2019-10-03FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id342C69388EA7BCA13281E38B3DD773C2383BC7B2AtSubmissionCreationDeviceId
At Submission Filing Device IdAAA3540577B3B617C177EF20D3BFFC53CE7B5F7AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$900,047FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$177InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$177InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$21,342DividendsRevAndExpnssAmt
Dividends Net Invst Incm$21,067DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$37,434NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$358,027GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$38,659CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$58,953TotalRevAndExpnssAmt
Total Net Invst Incm$59,903TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Other Prof Fees Rev And Expnss$6,687OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$6,772OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$0TaxesRevAndExpnssAmt
Taxes Net Invst Incm$569TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,305OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,305OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$7,992TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$8,646TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$44,700ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$44,700ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$52,692TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$8,646TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$44,700TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$6,261ExcessRevenueOverExpensesAmt
Net Investment Income$51,257NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$16,962CashBOYAmt
Cash EOY$20,953CashEOYAmt
Cash EOYFMV$20,953CashEOYFMVAmt
Sav And Temp Cash Invst BOY$1,731SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,731SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,731SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$206,796USGovernmentObligationsBOYAmt
US Government Obligations EOY$180,982USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$176,284USGovtObligationsEOYFMVAmt
Corporate Stock BOY$478,657CorporateStockBOYAmt
Corporate Stock EOY$531,169CorporateStockEOYAmt
Corporate Stock EOYFMV$513,046CorporateStockEOYFMVAmt
Other Investments BOY$226,375OtherInvestmentsBOYAmt
Other Investments EOY$201,947OtherInvestmentsEOYAmt
Other Investments EOYFMV$188,033OtherInvestmentsEOYFMVAmt
Total Assets BOY$930,521TotalAssetsBOYAmt
Total Assets EOY$936,782TotalAssetsEOYAmt
Total Assets EOYFMV$900,047TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$680,811CapitalStockBOYAmt
Capital Stock EOY$680,811CapitalStockEOYAmt
Retained Earning BOY$249,710RetainedEarningBOYAmt
Retained Earning EOY$255,971RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$930,521TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$936,782TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$930,521TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$936,782TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$930,521TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$6,261ExcessRevenueOverExpensesAmt
Subtotal$936,782SubtotalAmt
Tot Net Ast Or Fund Balances EOY$936,782TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
CAPITAL GAINS - SHORT TERM COVERED$83,206$84,952-$1,746-$1,746
CAPITAL GAINS - LONG TERM COVERED$236,594$220,100$16,494$16,494
CAPITAL GAINS - LONG TERM NON-COVERED$19,344$14,316$5,028$5,028
CAPITAL GAIN DIVIDENDS$18,883P
FieldValueIRS element (for citing)
Capital Gain Net Income$38,659CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$46,679AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$991,501NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.047079DistributionYr1Rt
Adjusted Qlfy Distri Yr2$48,895AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$925,801NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.052814DistributionYr2Rt
Adjusted Qlfy Distri Yr3$49,370AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$983,882NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.050179DistributionYr3Rt
Adjusted Qlfy Distri Yr4$38,440AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,008,206NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.038127DistributionYr4Rt
Adjusted Qlfy Distri Yr5$30,224AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$777,362NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.03888DistributionYr5Rt
Total Distribution0.227079TotalDistributionRt
Average Distribution0.045416AverageDistributionRt
Net Vl Noncharitable Assets$990,766NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$44,997AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$513NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$45,510AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$44,700QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,025InvestmentIncomeExciseTaxAmt
Subtotal$1,025SubtotalAmt
Tax Based On Investment Income$1,025TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,317EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$1,317TotalPaymentsAndCreditsAmt
Overpayment$292OverpaymentAmt
Applied To ES Tax$292AppliedToESTaxAmt

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 StateWIOrgReportOrRegisterStateCd
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 Line1JEAN-MAX AND SANDRA DERMONDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4149639426PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1825 NORTH PROSPECT AVENUE NO2402AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
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 PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JEAN-MAX DERMOND
825 NORTH PROSPECT AVENUE NO2402MILWAUKEEWI53202TRUSTEE0.0$0$0$0
SANDRA J DERMOND
825 NORTH PROSPECT AVENUE NO2402MILWAUKEEWI53202TRUSTEE0.0$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE MAXSAN FOUNDATION IS ORGANIZED AND OPERATED FOR THE SOLE PURPOSE OF MAKING CASH CONTRIBUTIONS TO QUALIFYING PUBLIC CHARITIES. THE FOUNDATION DOES NOT ENGAGE IN ANYDescription1Txt
Description2DIRECT CHARITABLE ACTIVITIES.Description2Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1.Description1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$983,145AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$22,709AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,005,854TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,005,854AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$15,088CashDeemedCharitableAmt
Net Vl Noncharitable Assets$990,766NetVlNoncharitableAssetsAmt
Minimum Investment Return$49,538MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$49,538MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,025TaxBasedOnInvestmentIncomeAmt
Total Tax$1,025TotalTaxAmt
Distributable Before Adj$48,513DistributableBeforeAdjAmt
Distributable Before Ded$48,513DistributableBeforeDedAmt
Distributable As Adjusted$48,513DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$44,700ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$44,700QualifyingDistributionsAmt
Adjusted Qualifying Distri$44,700AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$48,513DistributableAsAdjustedAmt
Undistributed Income PY$44,697UndistributedIncomePYAmt
Prior Year12016PriorYear1Yr
Prior Year22015PriorYear2Yr
Prior Year32014PriorYear3Yr
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$44,700QualifyingDistributionsAmt
Applied To Year1$44,697AppliedToYear1Amt
Applied To Current Year$3AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$48,510UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Current Year$0ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJEAN-MAX DERMONDContributingManagerNm
Contributing ManagerSANDRA J DERMONDContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ABCD
5775 N Glen Park Rd Suite 201GlendaleWI53209nonePCGeneral$500
Alliance Francaise de Milwaukee
1800 E Capitol DrMilwaukeeWI53211nonePCGeneral$500
Benedict Center
1849 N Doctor MLK Jr Dr Suite 1MilwaukeeWI53212nonePCGeneral$5,000
Boys & Girls Clubs of Greater Milwaukee
1558 N 6th StMilwaukeeWI53212nonePCGeneral$5,500
Danceworks
1661 N Water StMilwaukeeWI53202nonePCGeneral$1,500
Juneau Park
900 N Prospect AveMilwaukeeWI53202nonePCGeneral$750
Lake Park Friends
2975 N Lake Park RdMilwaukeeWI53211nonePCGeneral$750
Lupus Foundation of America
2600 N Mayfair RdMilwaukeeWI53226nonePCGeneral$500
MAM (Milwaukee Art Museum)
700 N Art Museum DrMilwaukeeWI53202nonePCDevelopment$2,500
Matc Foundation
700 W State StMilwaukeeWI53233nonePCGeneral$6,500
MPTV Friends
1036 N 8th StMilwaukeeWI53233nonePCGeneral$1,000
Pearls for Teen Girls
1805 N MLK Jr DrMilwaukeeWI53212nonePCGeneral$500
Planned Parenthood of Wisconsin
2207 W Wisconsin AveMilwaukeeWI53233nonePCGeneral$5,000
Radio 889
220 E Pittsburgh AveMilwaukeeWI53204nonePCGeneral$1,000
Sojourner Truth Peace Center
619 W Walnut StMilwaukeeWI53212nonePCGeneral$5,000
St Marcus School
2215 N Palmer StMilwaukeeWI53212nonePCGeneral$5,700
Tall Pines
PO Box 65NoshotahWI53058nonePCGeneral$1,000W330 N4465 Lakeland Dr Hwy C
UWM French Scholarship
1440 East North AvenueMilwaukeeWI53202nonePCGeneral$500
WUWM
111 E Wisconsin Ave Suite 700MilwaukeeWI53202nonePCGeneral$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$44,700TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$177ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$21,342ExclusionAmt
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$37,434ExclusionAmt
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$58,953ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$58,953TotalIncomeProducingActyAmt

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

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (20 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
FIDELITY 500 INDEX FD-AI$81,243$77,210
INVESCO QQQ TR UNITSER1$19,333$18,048
JPMORGAN US L/C CORE PL-R6$29,969$32,724
NEUBERGER BER MU/C OPP-INS$24,969$25,980
PARNASSUS CORE EQUITY FD-INS$39,576$35,791
PRIMECAP ODYSSEY STOCK FD$42,866$46,644
JPM MID CAP EQ FD - R6$15,149$16,672
SPDR S&P OIL & GAS EXP & PR$9,742$7,110
VANGUARD MID-CAP ETF$45,877$40,072
CAUSEWAY INTERNATL VAL-INST$29,927$27,035
FIDELITY INTERNATIONAL INDEX$41,245$33,980
OAKMARK INTERNATIONAL-INST$13,815$13,078
T ROWE PR OVERSEAS STOCK-I$25,334$25,330
ISHARES INC MSCI JAPAN NEW$28,694$26,460
ISHARES MSCI ALL COUNTRY ASI$7,608$10,165
MATTHEWS ASIA DIVIDEND-INST$15,412$16,483
ISHARES CORE MSCI EMERGING$29,141$26,970
ISHARES MSCI INDIA ETF$14,936$18,870
NEUBERGER BER GR CHINA$7,152$4,887
VANNECK VECTORS GOLD MINERS$9,181$9,537

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$180,982USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$176,284USGovtObligationsEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (10 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
AQR EQUITY MARKET NEUTRAL-R6$9,662$8,834
AQR LONG-SHORT EQUITY-R6$22,401$16,481
BLACKSTONE ALT MULTI-STRAT- Y$48,606$45,770
DIAMOND HILL LONG/SHORT-I$18,770$16,688
NEUBERGER BERMAN LONG SH-INS$19,799$17,957
THE ARBITRAGE FD-I$9,289$9,318
JPM REALTY INC FD - R6$27,039$26,723
PRUDENTIAL GLOBAL REAL EST- FD$9,363$8,689
TORTOISE MLP & PIPELINE-INST$16,727$17,762
ISHARES GOLD SHARES$20,291$19,811

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOTHER EXPENSESDesc
Revenue And Expenses Per Books$1,305RevenueAndExpensesPerBooksAmt
Net Investment Income$1,305NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$6,687Amt
Net Investment Income$6,772NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXESCategoryTxt
Amt$0Amt
Net Investment Income$569NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt