STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

JACK AND CAROLYN FERGUSON CHARITABLE FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
JACK AND CAROLYN FERGUSON CHARITABLE FOUNDATION (EIN 20-0450986)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201823189349102132
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-14T14:05:56-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561169449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON PRICE SPRINKLE PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line179 WOODFIN PLACE SUITE 300AddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28801ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200450986EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACK AND CAROLYN FERGUSONBusinessNameLine1Txt
Business Name Line2CHARITABLE FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJACKBusinessNameControlTxt
Phone8286671418PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line171 BEAVERDAM ROADAddressLine1Txt
CityCANDLERCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28715ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACK FERGUSONPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone8286671418PhoneNum
Signature2018-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSOK HEANG CHENGPreparerPersonNm
PTINP00920734PTIN
Phone8282542374PhoneNum
Preparation2018-11-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.85.136.162IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-08IPDt
IP Tm12:53:03IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD11ADA07A3BDF93BB859C03AE9A95004BFED59CDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,975,747FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$8,577InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$8,577InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$64,670DividendsRevAndExpnssAmt
Dividends Net Invst Incm$64,670DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$6,673NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$337,552GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$6,673CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$64,677OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$64,677OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$144,597TotalRevAndExpnssAmt
Total Net Invst Incm$144,597TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$64,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$32,000CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$32,000CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$9,092AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$8,637AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$455AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$169TaxesRevAndExpnssAmt
Taxes Net Invst Incm$161TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$8TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,266OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,203OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$63OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$74,527TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$42,001TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$32,526TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$216,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$216,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$291,027TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$42,001TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$249,026TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$146,430ExcessRevenueOverExpensesAmt
Net Investment Income$102,596NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$18,376SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$45,299SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$45,299SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$488PrepaidExpensesBOYAmt
Corporate Stock BOY$263,057CorporateStockBOYAmt
Corporate Stock EOY$34,097CorporateStockEOYAmt
Corporate Stock EOYFMV$53,483CorporateStockEOYFMVAmt
Other Investments BOY$4,090,697OtherInvestmentsBOYAmt
Other Investments EOY$4,144,419OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,874,059OtherInvestmentsEOYFMVAmt
Other Assets BOY$3,692OtherAssetsBOYAmt
Other Assets EOY$2,906OtherAssetsEOYAmt
Other Assets EOYFMV$2,906OtherAssetsEOYFMVAmt
Total Assets BOY$4,376,310TotalAssetsBOYAmt
Total Assets EOY$4,226,721TotalAssetsEOYAmt
Total Assets EOYFMV$2,975,747TotalAssetsEOYFMVAmt
Accounts Payable BOY$13AccountsPayableBOYAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$14OtherLiabilitiesEOYAmt
Total Liabilities BOY$13TotalLiabilitiesBOYAmt
Total Liabilities EOY$14TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$4,376,297RetainedEarningBOYAmt
Retained Earning EOY$4,226,707RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$4,376,297TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,226,707TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,376,310TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,226,721TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,376,297TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$146,430ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,229,867SubtotalAmt
Other Decreases$3,160OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,226,707TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtCost Or Other BasisCostOrOtherBasisAmt
1231 GAINP$22$22$22
1250 GAINP$4,789$4,789$4,789
SECURITIESP$318,935$16,354$16,354$302,581
LOSS ON INVESTMENT MACQUAIREP-$28,298-$28,298$28,298
CAPITAL GAINS DIVIDENDSP$13,806$13,806$13,806
FieldValueIRS element (for citing)
Capital Gain Net Income$6,673CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$318,413AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,357,295NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.094842DistributionYr1Rt
Adjusted Qlfy Distri Yr2$319,085AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,397,287NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.093923DistributionYr2Rt
Adjusted Qlfy Distri Yr3$359,351AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,070,183NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.088289DistributionYr3Rt
Adjusted Qlfy Distri Yr4$585,337AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,155,544NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.140857DistributionYr4Rt
Adjusted Qlfy Distri Yr5$176,975AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$5,539,829NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.031946DistributionYr5Rt
Total Distribution0.449857TotalDistributionRt
Average Distribution0.089971AverageDistributionRt
Net Vl Noncharitable Assets$3,092,709NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$278,254AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,026NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$279,280AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$249,026QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,052InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,052SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,052TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,960EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$1,960TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Tax Due$92TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNCOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1JACK FERGUSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8286671418PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line171 BEAVERDAM ROADAddressLine1Txt
CityCANDLERCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28715ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

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 PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JACK R FERGUSON
71 BEAVERDAM ROADCANDLERNC28715PRESIDENT7.00$0$0$0
CAROLYN H FERGUSON
71 BEAVERDAM ROADCANDLERNC28715SECRETARY7.00$0$0$0
RENEA BENNETT TURNER
116 YOUNG DRIVECANDLERNC28715DIRECTOR3.00$12,000$0$0
JONEL F KINSER
1924 WATERFORD VILLAGE DRIVECLEMMONSNC27012DIRECTOR3.00$12,000$0$0
ROBIN JACK FERGUSON
75 FAIRMONT ROADCANDLERNC28715DIRECTOR3.00$12,000$0$0
STEVEN RAY FERGUSON
89 FAIRMONT ROADCANDLERNC28715DIRECTOR3.00$12,000$0$0
AARON BENNETT
2292 N W 76 TERRACEHOLLYWOODFL33024DIRECTOR1.00$4,000$0$0
REVA ANN FERGUSON
1129 MARICOPA HWY 218OJAICA93023DIRECTOR1.00$4,000$0$0
SCOTT KINSER
2533 DANIELS STREETCHARLOTTENC28205DIRECTOR1.00$4,000$0$0
MATTHEW FERGUSON
75 FAIRMONT ROADCANDLERNC28715DIRECTOR1.00$4,000$0$0
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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$218,894AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$46,853AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$2,874,059FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,139,806TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,139,806AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$47,097CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,092,709NetVlNoncharitableAssetsAmt
Minimum Investment Return$154,635MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$154,635MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,052TaxBasedOnInvestmentIncomeAmt
Total Tax$2,052TotalTaxAmt
Distributable Before Adj$152,583DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$152,583DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$152,583DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$249,026ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$249,026QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$249,026AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$152,583DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$379,122ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$158,149ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$151,849ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$154,448ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$843,568TotalExcessDistributionCyovAmt
Qualifying Distributions$249,026QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$152,583AppliedToCurrentYearAmt
Remaining Distri From Corpus$96,443RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$940,011TotalCorpusAmt
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$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$940,011ExcessDistriCyovToNextYrAmt
Excess From Year4$379,122ExcessFromYear4Amt
Excess From Year3$158,149ExcessFromYear3Amt
Excess From Year2$151,849ExcessFromYear2Amt
Excess From Year1$154,448ExcessFromYear1Amt
Excess From Current Year$96,443ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJACK R FERGUSONContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ABCCM HOMINY VALLEY
155 CANDLER SCHOOL RDCANDLERNC28715N/AN/AGENERAL DONATION$76,500
BAPTIST CHILDREN'S HOMES OF NORTH CAROLINA INC
PO BOX 338THOMASVILLENC27361N/AN/AGENERAL DONATION$5,000
BLACK MOUNTAIN HOME FOR CHILDREN
80 LAKE EDEN ROADBLACK MOUNTAINNC28711N/AN/AGENERAL DONATION$5,000
CARE PARTNERS HOSPICE FOUNDATION
PO BOX 25338ASHEVILLENC28813N/AN/AGENERAL DONATION$10,000
ENKA HIGH SCHOOL
475 ENKA LAKE RDASHEVILLENC28715N/AN/AGENERAL DONATION$5,000
HOMINY BAPTIST CHURCH
135 CANDLER SCHOOL ROADCANDLERNC28715N/AN/AGENERAL DONATION$39,500
MARS HILL UNIVERSITY
100 ATHLETIC STMARS HILLNC28754N/AN/AGENERAL DONATION$10,000
SPECIAL OLYMPICS
378 SCHOOL ROAD EASHEVILLENC28803N/AN/AGENERAL DONATION$5,000
ST JUDE CHILDREN'S RESEARCH HOSPITAL
501 ST JUDE PLACEMEMPHISTN381051942N/AN/AGENERAL DONATION$10,000
HOMINY LODGE
38 OLD PISGAH HWYCANDLERNC28715N/AN/AGENERAL DONATION$500
MADISON COUNTY BOARD OF EDUCATION
5738 US-70MARSHALLNC28753N/AN/AGENERAL DONATION$20,000
MOUNTAIN CHILD ADVOCACY CENTER
11 VANDERBILT PARK DRIVEASHEVILLENC28803N/AN/AGENERAL DONATION$10,000
WAKE FOREST BAPTIST HEALTH
MEDICAL CENTER BOULEVARDWINSTON SALEMNC27157N/AN/AGENERAL DONATION$10,000
HENDERSONVILLE SHRINE CLUB
PO BOX 1901HENDERSONVILLENC28793N/AN/AGENERAL DONATION$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$216,500TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$8,577ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$64,670ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,159ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$6,673ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (3 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
MACQUARIE EQUIPMENT K-114$72,742
ICON FUND 1514-$4,783
OTHER14-$5,441

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$144,597ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$144,597TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING & TAX PREPCategoryTxt
Amt$9,092Amt
Net Investment Income$8,637NetInvestmentIncomeAmt
Disbursements Charitable Prps$455DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
LOWES STOCK$30,246$46,470
SURREY BANCORP$3,851$7,013

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (8 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
HARTFORD INSURANCE 1955316AT COST$3,006,064$1,825,339
ICON CAPITAL CORPAT COST$18,290$28,655
GRIFFIN CAPITAL REITAT COST$200,000$195,331
CARTER VALIDUS REITAT COST$250,000$231,500
STEADFAST INCOME REITAT COST$200,000$227,539
CORPORATE CAPITAL TRUSTAT COST$200,000$125,715
TERRA SECURED INCOME FUNDAT COST$190,065$165,820
GRIFFIN AMERICAN HEALTHCARE REITAT COST$80,000$74,160

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDIVIDENDS RECEIVABLEDesc
BOY Book Value$3,692BOYBookValueAmt
EOY Book Value$2,906EOYBookValueAmt
EOYFMV$2,906EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescFEDERAL INCOME TAXDesc
Amt$3,160Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescBANK FEESDesc
Revenue And Expenses Per Books$1,266RevenueAndExpensesPerBooksAmt
Net Investment Income$1,203NetInvestmentIncomeAmt
Disbursements Charitable Prps$63DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
NON DIVIDEND DISTRIBUTIONS$2,159$2,159$2,159
MACQUARIE EQUIPMENT K-1$72,742$72,742$72,742
ICON FUND 15-$4,783-$4,783-$4,783
OTHER-$5,441-$5,441-$5,441

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$14EOYBookValueAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
STATE TAXES$1$1$0
FOREIGN TAXES$168$160$8