STRATEGY STUDIO / PUBLIC DATA EXPLORER

THE JOSEPH AND CATHERINE JOHNSON FAMILY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE JOSEPH AND CATHERINE JOHNSON FAMILY FOUNDATION (EIN 36-7228534)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-15
IRS object ID
201801359349102510
Schema version
2017v2.2
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)
Return2018-05-15T12:29:52-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390432630PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1QUARLES & BRADY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 N LASALLE STREET SUITE 4000AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60654ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN367228534EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE JOSEPH AND CATHERINE JOHNSONBusinessNameLine1Txt
Business Name Line2FAMILY FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJOSEBusinessNameControlTxt
Phone6184670717PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1REBECCA STEINER 1230 FOX LAKE DRIVEAddressLine1Txt
CityGODFREYCityNm
State AbbreviationILStateAbbreviationCd
ZIP62035ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREBECCA STEINERPersonNm
Person TitleSECRETARY/ TREASURERPersonTitleTxt
Phone6184670717PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIRK A HOOPINGARNERPreparerPersonNm
PTINP01433747PTIN
Phone3127155000PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,177,782FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$42,797DividendsRevAndExpnssAmt
Dividends Net Invst Incm$42,797DividendsNetInvstIncmAmt
Dividends Adj Net Incm$42,797DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$109,882NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,122,415GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$109,882CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$152,679TotalRevAndExpnssAmt
Total Net Invst Incm$152,679TotalNetInvstIncmAmt
Total Adj Net Incm$42,797TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$4,250LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$4,250LegalFeesDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$34,788OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$34,788OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$258TaxesRevAndExpnssAmt
Taxes Net Invst Incm$258TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,561OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$40,857TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$35,046TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,250TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$113,875ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$113,875ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$154,732TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$35,046TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$118,125TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,053ExcessRevenueOverExpensesAmt
Net Investment Income$117,633NetInvestmentIncomeAmt
Adjusted Net Income$42,797AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$440,360CashBOYAmt
Cash EOY$200,418CashEOYAmt
Cash EOYFMV$200,418CashEOYFMVAmt
US Government Obligations BOY$670,227USGovernmentObligationsBOYAmt
US Government Obligations EOY$756,648USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$768,381USGovtObligationsEOYFMVAmt
Corporate Stock BOY$1,701,678CorporateStockBOYAmt
Corporate Stock EOY$1,792,430CorporateStockEOYAmt
Corporate Stock EOYFMV$2,805,754CorporateStockEOYFMVAmt
Corporate Bonds BOY$359,922CorporateBondsBOYAmt
Corporate Bonds EOY$420,638CorporateBondsEOYAmt
Corporate Bonds EOYFMV$403,229CorporateBondsEOYFMVAmt
Total Assets BOY$3,172,187TotalAssetsBOYAmt
Total Assets EOY$3,170,134TotalAssetsEOYAmt
Total Assets EOYFMV$4,177,782TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
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$3,172,187RetainedEarningBOYAmt
Retained Earning EOY$3,170,134RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,172,187TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,170,134TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,172,187TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,170,134TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,172,187TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,053ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,170,134SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,170,134TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (39 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
475 SHRS CHEVRONP2017-03-022017-05-09$50,194$54,092-$3,898-$3,898
700 SHRS EXXONP2017-06-012017-12-20$58,047$56,488$1,559$1,559
200 SHRS GILEAD SCIENCES INC.P2017-03-022017-04-20$13,299$14,095-$796-$796
700 SHRS LOWES COMPANIES INC.P2017-02-222017-07-27$53,861$53,667$194$194
850 SHRS CAVIUMP2014-06-272017-02-24$55,220$41,882$13,338$13,338
50 SHRS FACEBOOK INC.P2013-05-222017-12-20$8,889$1,256$7,633$7,633
600 SHRS GILEAD SCIENCES INC.P2013-08-202017-04-20$39,897$35,003$4,894$4,894
400 SHRS INTERCONTINENTAL EXCP2014-06-232017-03-09$24,055$15,859$8,196$8,196
30 SHRS INTUITIVE SURGICALP2014-06-172017-05-24$26,903$12,158$14,745$14,745
450 SHRS NXP SEMICONDUCTORSP2015-09-242017-10-18$51,961$38,114$13,847$13,847
175 SHRS NXP SEMICONDUCTORSP2016-07-282017-10-18$20,207$14,724$5,483$5,483
200 SHRS PAYPAL HOLDINGS INC.P2011-10-032017-12-20$14,795$3,434$11,361$11,361
225 SHRS PAYPAL HOLDINGS INC.P2015-09-282017-12-20$16,644$7,435$9,209$9,209
575 SHRS TARGET CORPORATIONP2014-08-052017-04-20$31,299$33,862-$2,563-$2,563
255 SHRS THERMO FISHER SCNTFCP2014-11-252017-05-24$43,706$32,781$10,925$10,925
150 SHRS WALGREENS BOOTS ALIP2013-04-042017-03-09$12,816$6,986$5,830$5,830
$100,000 GLOUCESTER CITY BONDP2017-01-042017-04-10$100,000$100,131-$131-$131
$25,000 FT.MYERS UTL BONDP2013-06-172017-01-27$24,968$23,199$1,769$1,769
$50,000 GA ST HSG & FA BONDP2015-04-132017-08-17$50,104$50,011$93$93
$50,000 LACROSSE CNTY BONDP2015-10-062017-10-15$50,000$50,083-$83-$83
$25,000 MAIN ST NAT GAS BONDP2015-10-062017-10-15$25,000$28,258-$3,258-$3,258
$50,000 OR SCH BD ASSN BONDP2010-09-232017-06-30$50,000$56,470-$6,470-$6,470
$40,000 SANTA ANN CA GAS BONDP2013-04-012017-01-01$40,000$44,315-$4,315-$4,315
200 SHRS FLUOR CORPP2016-10-102017-06-22$8,755$10,179-$1,424-$1,424
.953 SHRS LAMAR ADVERTISINGP2017-06-302017-09-19$60$71-$11-$11
675 SHRS POWERSHARES DYN BLDGP2017-03-132017-09-13$20,301$18,823$1,478$1,478
401.724 SHRS PROSHARES DYN BLDGP2017-03-072017-09-07$20,132$20,766-$634-$634
402.724 SHRS GUGGENHEIM S&P500P2017-03-132017-09-13$38,044$36,162$1,882$1,882
75.319 SHRS SPDR S& P MIDCAPP2017-03-132017-09-13$24,053$22,948$1,105$1,105
100 SHRS VULCAN MATLS CO.P2016-10-102017-09-13$11,551$10,742$809$809
325.858 SHRS WISDOM TREE EUROPEP2017-06-302017-07-18$20,473$20,370$103$103
225 SHRS FTNASDAQ 100 TECH ETFP2014-12-112017-09-13$15,010$9,963$5,047$5,047
530 SHRS FIRST TRUST ISE HLTH CAREP2016-01-262017-01-26$31,278$31,365-$87-$87
700 SHRS GENERAL ELECTRICP2016-03-282017-03-28$20,580$20,998-$418-$418
85 SHRS LAMAR ADVERTISING CO.P2016-03-162017-09-09$5,367$4,904$463$463
100 SHRS ROSS STORES INC.P2016-03-162017-05-17$6,139$5,816$323$323
250 SHRS VCA INC.P2015-04-232017-01-09$22,662$13,887$8,775$8,775
200 SHRS WISDOM TREE US SMLCAPP2016-07-172017-07-17$16,143$11,236$4,907$4,907
CAPITAL GAINS DIVIDENDSP$2$2$2
FieldValueIRS element (for citing)
Capital Gain Net Income$109,882CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$13,574NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$163,500AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,646,918NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.044832DistributionYr1Rt
Adjusted Qlfy Distri Yr2$3,338,338AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$0NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.000000DistributionYr2Rt
Adjusted Qlfy Distri Yr3$506,768AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$7,868,486NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.064405DistributionYr3Rt
Adjusted Qlfy Distri Yr4$484,557AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$7,313,211NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.066258DistributionYr4Rt
Adjusted Qlfy Distri Yr5$436,609AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$6,809,479NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.064118DistributionYr5Rt
Total Distribution0.239613TotalDistributionRt
Average Distribution0.047923AverageDistributionRt
Net Vl Noncharitable Assets$154,126NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$7,386AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,176NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$8,562AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$118,125QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,176InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,176SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,176TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$37EsPenaltyAmt
Tax Due$1,213TaxDueAmt

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 StateILOrgReportOrRegisterStateCd
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
Individual With BooksREBECCA A STEINERIndividualWithBooksNm
Phone6184670717PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11230 FOX LAKE DRIVEAddressLine1Txt
CityGODFREYCityNm
State AbbreviationILStateAbbreviationCd
ZIP62035ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
REBECCA A STEINER
1230 FOX LAKE DRIVEGODFREYIL62035DIRECTOR/SEC/TREASURER5.00$0$0$0
CATHERINE E JOHNSON
3122 N E 13TH AVENUEPORTLANDOR97212DIRECTOR/PRESIDENT1.00$0$0$0
RUTH PIVAR
5506 WEST LAKE DRIVEWEST BENDWI53095DIRECTOR1.00$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$138,125AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$18,348AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$156,473TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$156,473AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,347CashDeemedCharitableAmt
Net Vl Noncharitable Assets$154,126NetVlNoncharitableAssetsAmt
Minimum Investment Return$7,706MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$7,706MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,176TaxBasedOnInvestmentIncomeAmt
Total Tax$1,176TotalTaxAmt
Distributable Before Adj$6,530DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$6,530DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$6,530DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$118,125ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$118,125QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,176PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$116,949AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$6,530DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$101,323ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$126,068ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$119,556ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$176,250ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$523,197TotalExcessDistributionCyovAmt
Qualifying Distributions$118,125QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$6,530AppliedToCurrentYearAmt
Remaining Distri From Corpus$111,595RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$634,792TotalCorpusAmt
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$101,323ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$533,469ExcessDistriCyovToNextYrAmt
Excess From Year4$126,068ExcessFromYear4Amt
Excess From Year3$119,556ExcessFromYear3Amt
Excess From Year2$176,250ExcessFromYear2Amt
Excess From Current Year$111,595ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ANGEL FLIGHT
12345 E SKELLY DRIVETULSAOK74128PUBLIC CHARITYGENERAL AND UNRESTRICTED$5,000
AUDUBON SOCIETY- PORTLAND OREGON
5151 NORTHWEST CORNELL ROADPORTLANDOR97210PUBLIC CHARITYGENERAL AND UNRESTRICTED$2,500
COMMUNITY WAREHOUSE
3969 NE MLK BLVDPORTLANDOR97212PUBLIC CHARITYGENERAL AND UNRESTRICTED$7,000
DIOCESE OF IKOT EKPENE OFFICE FOR THE MISSIONS USA
413 SOUTH RIVER LNEGENEVAIL60134PUBLIC CHARITYGENERAL AND UNRESTRICTED$20,000
ECO TRUST
721 NORTHWEST NINTH AVENUEPORTLANDOR97209PUBLIC CHARITYGENERAL AND UNRESTRICTED$2,500
INTERNATIONAL CRANE FOUNDATOIN
E-11376 SHADY LN RDPOBOX447BARBOOWI53913PUBLIC CHARITYGENERAL AND UNRESTRICTED$5,000
LEUKEMIA & LYMPHOMA SOCIETY- OSWIM CHAPTER
3 INTERNATIONAL DR STE 200RYE BROOKNY10573PUBLIC CHARITYSTUDENT CAMPAIGN$5,000
LEUKEMIA & LYMPHOMA SOCIETY- OSWIM CHAPTER
3 INTERNATIONAL DR STE 200RYE BROOKNY10573PUBLIC CHARITYTO SUPPORT LIGHT THE NIGHT PROGRAM$5,000
LEUKEMIA & LYMPHOMA SOCIETY- OSWIM CHAPTER
3 INTERNATIONAL DR STE 200RYE BROOKNY10573PUBLIC CHARITYFOR SUPPORT OF OREGON SW WASHINGTON, IDAHO AND MONTANA CHAPTER$7,500
MADELEINE SCHOOL
3123 NE 24TH AVENUEPORTLANDOR97212PUBLIC CHARITYGENERAL AND UNRESTRICTED$15,000
MADELEINE SCHOOL
3123 NE 24TH AVENUEPORTLANDOR97212PUBLIC CHARITYFOR SUPPORT FOR VICTIMS OF PUERTO RICO HURRICANE$5,000
ST MARY MAGDALENE CHURCH
3123 NE 24TH AVENUEPORTLANDOR97212PUBLIC CHARITYHABITAT FOR HUMANITY ($1,000)PEACE AND JUSTICE PROGRAM ($2,875) AND OLD CHURCH RESTORATION ($10,000)$13,875
ST PETER CATHOLIC CHURCH
1891 KANEVILLE ROADGENEVAIL60134EXCELLANT WAY CAMPAIGN$10,000
THE REBUILDING CENTER
3625 NORTH MISSIPPI AVEPORTLANDOR97227GENERAL AND UNRESTRICTED$2,500
WATER 1ST INTERNATIONAL
1904 3RD AVENUE SUITE 1012SEATTLEWA98101GENERAL AND UNRESTRICTED$1,000
WILD SALMON CENTER
721 NW NINTH AVESTE300PORTLANDOR97209GENERAL AND UNRESTRICTED$7,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$113,875TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$42,797ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2ExclusionAmt
Related Or Exempt Function Incm$109,880RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$42,799ExclusionAmt
Related Or Exempt Function Incm$109,880RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$152,679TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
3INTEREST AND DIVIDENDS FROM PUBLIC SECURITIES
8CAPITAL GAINS REALIZED IN THE SALE OF PUBLIC SECURITIES

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

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (8 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
GE CAPITAL 5% 3/15/18$55,511$50,292
JOHNSON & JOHNSON NOTES 5.15%$29,156$25,447
BERKSHIRE HATHAWAY 5.4% BOND$28,026$25,330
DUPONT EI 5.75% BOND$104,128$104,128
JPMORGAN CHASE 4.35% BOND$54,874$52,943
AMAZON BOND 2.6% DUE 12/5/19$76,999$75,769
$42,000 DELTA AIR LINES BOND$21,448$19,307
$50,000 GOLDMAN SACHS BOND$50,496$50,013

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (60 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
APPLE INC.$21,975$97,307
BOEING CO$42,807$103,219
CELEGENE CORP$19,128$67,834
DUNKIN BRANDS GROUP INC.$11,670$24,176
FACEBOOK INC.$19,941$66,173
FIRST TRUST NASDQ 100 TECH$26,967$36,869
ALPHABET CLASS A SHRS$14,244$47,403
ALPHABET CLASS C SHRS$12,623$41,856
INTERCONTINENTAL EXCHANGE INC.$46,691$58,212
INTUITIVE SURGICAL, INC$32,422$43,793
ISHARES MSCI-JAPAN$11,084$13,662
PENTAIR INC.$16,336$35,866
PRICELINE.COM INCORPRATED$42,953$60,821
PRIMECAP ODYSSEY GROWTH FUND$10,196$22,490
REGENERON PHARMACEUTICALS, INC.$46,365$69,553
SOUTHWEST AIRLINE$12,105$24,544
SPDR DJ MID CAP GROWTH$21,948$55,220
THERMO FISHER SCHIENTIFIC INC.$28,282$41,774
UNITED CONTINENTAL HOLDINGS$30,884$72,455
VANGUARD MID-CAP VALUE INDEX$5,411$19,909
WALGREEN BOOTS ALLIANCE INC.$27,943$43,572
WEX, INC.$4,726$14,123
WISDOMTREE SC DIV$18,320$35,841
FORTUNE BRANDS 1300 SHRS.$60,019$88,972
PAYPAL HOLDINGS INC.1657 SHRS$38,063$64,418
STARBUCKS CORP 1,100 SHRS$55,887$63,173
UNITED HEALTH CARE GRP 325 SHRS$36,947$71,650
VANGUARD CONSUMER DISC.INDEX$26,954$35,207
CARNIVAL CORP. 375 SHRS.$18,239$25,363
INTERCONTINENTAL EXCHANGE INC.125 SHRS$10,846$44,100
PJT PARTNERS INC. 8 SHRS.$30$365
ISHARES RUSSELL 1000 100 SHRS$10,486$30,965
ISHARES RUSSELL 2000 100 SHRS.$12,429$26,233
SELECT SECTOR SPDR 275 SHRS$13,886$22,115
ADVISORS INNER CIRCLE WESTWOOD$10,000$11,853
AMG RIV ROAD SM CAP 2405.734 SHRS$29,000$34,949
ADVISORS INNER CIRCLE CHAMPLAIN$6,424$10,654
HENDERSON FDS. 763.469 SHRS$20,000$23,234
ADOBE SYSTEMS 130 SHRS$12,473$22,781
LEAR CORP 85 SHRS$8,172$12,483
BERKSHIRE HATHAWAY 375 SHRS$47,221$74,333
CHARLES SCHWAB 1900 SHRS$50,181$97,603
JPMORGAN CHASE 600 SHRS$33,074$64,164
SCHWAB EMERGING MARKETS FUND$80,424$108,966
PALO ALTO NETWORKS 375 SHRS$45,473$54,353
TIME WARNER 575 SHRS$49,683$52,595
PULTEGROUP INC. 2,350 SHRS$55,444$78,138
TETRA TECH INC.850 SHRS$39,187$40,928
UNIVERSAL DISPLAY$67,385$64,744
WATERS CORP 215 SHRS$37,909$41,536
XYLEM INC. 725 SHRS$36,511$49,445
ZIONS BANCORP$64,959$64,808
FORTINET INC. 1,050 SHRS$42,353$45,875
ITRON INC. 575 SHRS$35,491$39,215
ALEXIAN PHARMA INC. 425 SHRS$60,536$50,826
CATATLANTIC GROUP 1500 SHRS$51,710$84,585
VANGUARD EUR STK 231.225 SHRS$12,969$13,677
ISHARES MSCI EAFE 395.396 SHRS$25,094$27,800
VANGUARD EMG FD 586.811 SHRS$24,615$26,940
VANGUARD INTL FD 1,332.758 SHRS$37,335$40,036

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$458,276USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$475,037USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$298,372StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$293,344StateLocalSecEOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryQUARLES & BRADYCategoryTxt
Legal Fees$4,250LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$4,250DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
TRAVEL FOR C JOHNSON FOR DIR MTG.$461$0$0$0
POSTAGE AND FED EX$240$0$0$0
BANK CHARGES$241$0$0$0
TRAVEL FOR R STEINER FOR DIR MTG$619$0$0$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OPTIMUM INVESTMENT ADVISORS$6,925$6,925$0$0
PREMIER ASSET MANAGEMENT$27,863$27,863$0$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAX ASSESSED ON AMERITRADE INVESTCategoryTxt
Amt$258Amt
Net Investment Income$258NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt