STRATEGY STUDIO / PUBLIC DATA EXPLORER

BAXLEY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BAXLEY FOUNDATION (EIN 46-5629311)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201833189349103368
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)
Return2018-11-14T16:47:34-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN752409112PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HUSELTON MORGAN & MAULTSBY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112221 MERIT DRIVE SUITE 1800AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75251ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465629311EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAXLEY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAXLBusinessNameControlTxt
Phone2142323123PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13887 BROADMOOR WAYAddressLine1Txt
CityFRISCOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANNA BAXLEYPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone2142323123PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDY GARCIAPreparerPersonNm
PTINP01306548PTIN
Phone9724041010PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.210.195.86IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm13:02:15IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id089196CA7AF3CADEDBA20EB5A0B5952F1B403BFCAtSubmissionCreationDeviceId
At Submission Filing Device Id03F0119596B37D4D762E5CA3F795DFD5F040DDF4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,323,484FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,156,265ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$208InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$208InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$11,679DividendsRevAndExpnssAmt
Dividends Net Invst Incm$11,679DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$113,988NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,139,349GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$541,251CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$226OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$226OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$1,282,366TotalRevAndExpnssAmt
Total Net Invst Incm$553,364TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$3,500AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$6,865TaxesRevAndExpnssAmt
Taxes Net Invst Incm$965TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$24,162OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$24,128OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$34,527TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$25,093TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,500TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$180,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$180,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$215,027TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$25,093TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$184,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,067,339ExcessRevenueOverExpensesAmt
Net Investment Income$528,271NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$99,226CashBOYAmt
Cash EOY$344,692CashEOYAmt
Cash EOYFMV$344,692CashEOYFMVAmt
Corporate Stock BOY$931,933CorporateStockBOYAmt
Corporate Stock EOY$1,745,895CorporateStockEOYAmt
Corporate Stock EOYFMV$1,950,267CorporateStockEOYFMVAmt
Corporate Bonds BOY$24,303CorporateBondsBOYAmt
Corporate Bonds EOY$24,714CorporateBondsEOYAmt
Corporate Bonds EOYFMV$28,525CorporateBondsEOYFMVAmt
Total Assets BOY$1,055,462TotalAssetsBOYAmt
Total Assets EOY$2,115,301TotalAssetsEOYAmt
Total Assets EOYFMV$2,323,484TotalAssetsEOYFMVAmt
Grants Payable BOY$7,500GrantsPayableBOYAmt
Total Liabilities BOY$7,500TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
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$1,047,962RetainedEarningBOYAmt
Retained Earning EOY$2,115,301RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,047,962TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,115,301TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,055,462TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,115,301TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,047,962TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,067,339ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$2,115,301SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,115,301TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (10 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
UBS #5185 PUBLICLY TRADED SECURITIES$397,241$313,835$83,406$83,406
UBS #5195 PUBLICLY TRADED SECURITIES$298,788$212,043$86,745$86,745
UBS #5197 PUBLICLY TRADED SECURITIES$497,627$359,908$137,719$137,719
UBS #5198 PUBLICLY TRADED SECURITIES$462,845$348,793$114,052$114,052
UBS #5199 PUBLICLY TRADED SECURITIES$155,981$130,973$25,008$25,008
UBS #5367 PUBLICLY TRADED SECURITIES$292,454$232,546$59,908$59,908
UBS #5195 PUBLICLY TRADED SECURITIES$623$623$623
THE BLACKSTONE GROUP K-1$1,028$1,028$1,028
THE BLACKSTONE GROUP K-1$50$50$50
CAPITAL GAINS DIVIDENDS$32,712$32,712$32,712P
FieldValueIRS element (for citing)
Capital Gain Net Income$541,251CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$58,704AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$589,047NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.099659DistributionYr1Rt
Adjusted Qlfy Distri Yr2$0AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$0NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.000000DistributionYr2Rt
Adjusted Qlfy Distri Yr3$0AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$0NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.000000DistributionYr3Rt
Total Distribution0.099659TotalDistributionRt
Average Distribution0.033220AverageDistributionRt
Net Vl Noncharitable Assets$2,170,196NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$72,094AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$5,283NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$77,377AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$184,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$5,283InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$5,283SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$5,283TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,092EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$4,200ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$5,292TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$101EsPenaltyAmt
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 Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateTXOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksREBEKAH BENNETTIndividualWithBooksNm
Phone2142323123PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11145 CAMBRIDGE CIRCLEAddressLine1Txt
CityBENTONCityNm
State AbbreviationARStateAbbreviationCd
ZIP72019ZIPCd
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 PrsnYes (1)FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
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
DAVID A BAXLEY
3887 BROADMOOR WAYFRISCOTX75033DIRECTOR, CHAIRMAN1.00$0$0$0
DANNY LEWIS BAXLEY
123 BRANCH STREETBERLINMD21811DIRECTOR1.00$0$0$0
MELLISSA MCELHINNY
6519 MIMMS DRIVEDALLASTX75252DIRECTOR, TREASURER3.00$0$0$0
DANNA BAXLEY
1892 MCDONALD FERRY ROADFRANKFORTKY40601DIRECTOR, PRESIDENT3.00$0$0$0
REBEKAH BENNETT
1145 CAMBRIDGE CIRCLEBENTONAR72019DIRECTOR, SECRETARY2.00$0$0$0
TRACY BAXLEY LEWIS
386 OCEAN PARKWAYBERLINMD21811DIRECTOR1.00$0$0$0
PAUL LLOYD BAXLEY
10505 1ST PLACE NELAKE STEVENSWA98258DIRECTOR1.00$0$0$0
TARA M AUSBROOKS
1201 LONE PINE DRIVELITTLE ELMTX75068DIRECTOR1.00$0$0$0
DANIEL P BAXLEY
3887 BROADMOOR WAYFRISCOTX75033DIRECTOR1.00$0$0$0
JESSICA N RINTALA
3833 PARAMOUNT DRIVEPLANOTX75023DIRECTOR1.00$0$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$1,979,101AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$224,144AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,203,245TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,203,245AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$33,049CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,170,196NetVlNoncharitableAssetsAmt
Minimum Investment Return$108,510MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$108,510MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,283TaxBasedOnInvestmentIncomeAmt
Total Tax$5,283TotalTaxAmt
Distributable Before Adj$103,227DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$103,227DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$103,227DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$184,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$184,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$5,283PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$178,717AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$103,227DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr1$38,644ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$38,644TotalExcessDistributionCyovAmt
Qualifying Distributions$184,000QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$103,227AppliedToCurrentYearAmt
Remaining Distri From Corpus$80,773RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$119,417TotalCorpusAmt
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$119,417ExcessDistriCyovToNextYrAmt
Excess From Year1$38,644ExcessFromYear1Amt
Excess From Current Year$80,773ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDAVID A BAXLEYContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (21 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
321FOUNDATION INC
PO BOX 1128BEARDE19701NONEPUBLICGENERAL FUND$2,500
CHRISTIAN COMMUNITY CARE CLINIC
220 W SOUTH STREETBENTONAR72015NONEPUBLICGENERAL FUND$6,000
THE NATURE CONSERVANCY
4245 NORTH FAIRFAX DRIVE SUITE 100ARLINGTONVA222031606NONEPUBLICGENERAL FUND$36,000
GIGI'S PLAYHOUSE
1309 ANGLESEY DRIVEDAVIDSONVILLEMD21035NONEPUBLICGENERAL FUND$36,000
CHRISTIAN COMMUNITY CARE CLINIC
220 W SOUTH STREETBENTONAR72015NONEPUBLICGENERAL FUND$30,000
EASTERSEALS
61 CORPORATE CIRCLENEW CASTLEDE197202439NONEPUBLICGENERAL FUND$6,000
ST JOHN'S EPISCOPAL CHURCH
913 2NDSNOHOMISHWA98290NONEPUBLICMEMORIAL FUND$3,000
STAGE ONE FAMILY THEATRE
315 W MARKET STREET SUITE 2SLOUISVILLEKY40202NONEPUBLICGENERAL FUND$6,000
SONSHINE ALL-STAR BOOSTER CLUB
PO BOX 839MAYFLOWERAR72106NONEPUBLICCHEER FORCE ARKANSAS FUND$3,000
SAINT MICHAEL'S EPISCOPAL CATHEDRAL
518 N EIGHTH STREETBOISEID83702NONEPUBLICGENERAL FUND$3,000
PRINCE OF PEACE CATHOLIC SCHOOL
5100 PLANO PARKWAY WESTPLANOTX75093NONEPUBLICCHILDREN'S LEARNING CENTER$4,000
PRINCE OF PEACE CATHOLIC SCHOOL
5100 PLANO PARKWAY WESTPLANOTX75093NONEPUBLICGENERAL FUND$2,000
THE CALL
PO BOX 25524LITTLE ROCKAR72221NONEPUBLICGENERAL FUND$3,000
THE NATURE CONSERVANCY
4245 NORTH FAIRFAX DRIVE SUITE 100ARLINGTONVA222031606NONEPUBLICGENERAL FUND$9,000
CAMP SUMMIT
17210 CAMPBELL ROAD SUITE 180-WDALLASTX75252NONEPUBLICGENERAL FUND$4,000
EASTERSEALS
61 CORPORATE CIRCLENEW CASTLEDE197202439NONEPUBLICGENERAL FUND$9,000
CHI ST VINCENT FOUNDATIONS FOR HS WOMEN'S CENTER
2 ST VINCENT CIRCLELITTLE ROCKAR722055499NONEPUBLICGENERAL FUND$2,000
SAINT MICHAEL'S EPISCOPAL CATHEDRAL
518 N EIGHTH STREETBOISEID83702NONEPUBLICGENERAL FUND$7,000
HABITAT FOR HUMANITY OF SALINE COUNTY AR
404 WEST WALNUTBENTONAR72015NONEPUBLICGENERAL FUND$3,000
CHURCHES JOINT COUNCIL ON HUMAN NEED
103 E ELM STBENTONAR72015NONEPUBLICFOOD ACCOUNT$3,000
FELLOWSHIP BIBLE CHURCH BENTON
5724 ALCOA RDBENTONAR72015NONEPUBLICGENERAL FUND$3,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$180,500TotalGrantOrContriPdDurYrAmt
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$208ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$11,679ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$226ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$113,988ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$126,101ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$126,101TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonDAVID A BAXLEYContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line13887 BROADMOOR WAYAddressLine1Txt
CityFRISCOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75033ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,156,265TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash PropertyPUBLICLY TRADED SECURITIESNoncashPropertyDesc
Fair Market Value$1,156,265FairMarketValueAmt
Received2017-01-11ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,500Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,500DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondUBS #5185 CORPORATE BONDS AND NOTESBondNm
EOY Book Value$24,714EOYBookValueAmt
EOYFMV$28,525EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (7 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
UBS #5185 CONVERTIBLE SECURITIES$438,818$464,993
UBS #5195 COMMON STOCK$382,310$450,412
UBS #5195 665 SHS BLACKSTONE GROUP LP$21,281$21,293
UBS #5197 COMMON STOCK$288,639$346,954
UBS #5198 COMMON STOCK$298,115$303,489
UBS #5199 COMMON STOCK$182,216$210,759
UBS #5367 COMMON STOCK$134,516$152,367

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT FEES$24,126$24,128$0
THE BLACKSTONE GROUP EXPENSES$36$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
THE BLACKSTONE GROUP$3$3$3
THE BLACKSTONE GROUP$223$223$223

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonDAVID A BAXLEYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13887 BROADMOOR WAYAddressLine1Txt
CityFRISCOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75033ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES ON DIVIDENDS$965$965$0
FEDERAL EXCISE TAX$5,900$0$0