HARRY AND THELMA SURRENA MEMORIAL FUND: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HARRY AND THELMA SURRENA MEMORIAL FUND (EIN 23-7435554)
- Tax period
- 2016-11-01 to 2017-10-31
- Filed
- 2018-03-14
- IRS object ID
- 201820739349100712
- Schema version
- 2016v3.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Assets Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-03-14T10:48:57-06:00 | ReturnTs |
| Tax Period End | 2017-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 830232295 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOHATT JOHNSON & GODWIN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 828010603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237435554 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRY & THELMA SURRENA MEMORIAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARR | BusinessNameControlTxt |
| Phone | 3076726494 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT WYATT | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 3076726494 | PhoneNum |
| Signature | 2018-03-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL B JOHNSON | PreparerPersonNm |
| PTIN | P00912386 | PTIN |
| Phone | 3076726494 | PhoneNum |
| Preparation | 2018-03-14 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | B6F0894EE3CE79D3C0F23269B1D9146FC4654C70 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1FF077B5EFF7ADADDD53F8BD4364A8803A2A09FC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $5,968,546 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $12,961 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $12,961 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $156,283 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $156,283 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $278,741 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,643,843 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $278,741 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $447,985 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $447,985 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $38,982 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $19,491 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $19,491 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,100 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,575 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $525 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $32,337 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $32,337 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $11,771 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,437 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $1,491 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $85,190 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $55,840 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $21,507 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $264,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $264,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $349,190 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $55,840 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $285,507 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $98,795 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $392,145 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $74,591 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $77,663 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $77,663 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses BOY | $1,663 | PrepaidExpensesBOYAmt |
| US Government Obligations BOY | $150,000 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $150,000 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $146,912 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $2,845,793 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,031,188 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $4,382,452 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,341,938 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,260,109 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,276,394 | CorporateBondsEOYFMVAmt |
| Other Assets BOY | $22,982 | OtherAssetsBOYAmt |
| Other Assets EOY | $22,982 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $85,125 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $4,436,967 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,541,942 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,968,546 | TotalAssetsEOYFMVAmt |
| Other Liabilities EOY | $6,180 | OtherLiabilitiesEOYAmt |
| Total Liabilities EOY | $6,180 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $2,443,594 | CapitalStockBOYAmt |
| Capital Stock EOY | $2,443,594 | CapitalStockEOYAmt |
| Retained Earning BOY | $1,993,373 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,092,168 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,436,967 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,535,762 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,436,967 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,541,942 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,436,967 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $98,795 | ExcessRevenueOverExpensesAmt |
| Subtotal | $4,535,762 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $4,535,762 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (70 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|---|---|
| LITIGATION PROCEEDS | P | 2015-01-01 | 2017-09-29 | $384 | $384 | $384 | |
| 1892.51-SHRS-TEMPLETON GLOBAL BOND F | P | 2014-05-13 | 2016-12-19 | $24,459 | $24,459 | ||
| 992.85-SHRS-T ROWE PRICE MID-CAP GRO | P | 2005-06-24 | 2017-02-02 | $77,353 | $27,353 | $27,353 | $50,000 |
| 106.00-SHRS-TARGET CORP | P | 2014-04-15 | 2017-06-29 | $5,520 | -$796 | -$796 | $6,316 |
| 36.59-SHRS-OPPENHEIMER INTERNATIONAL | P | 2014-03-03 | 2017-09-18 | $222 | $222 | ||
| 196.00-SHRS-PROCTER & GAMBLE CO/THE | P | 2003-06-16 | 2016-11-02 | $17,034 | $7,969 | $7,969 | $9,065 |
| 1954.65-SHRS-TEMPLETON GLOBAL BOND F | P | 2014-03-03 | 2016-12-19 | $24,441 | $24,441 | ||
| 12479.20-SHRS-VANGUARD HIGH-YIELD CO | P | 2014-11-19 | 2017-02-02 | $73,253 | -$1,747 | -$1,747 | $75,000 |
| 532.00-SHRS-BAKER HUGHES INC | P | 2014-10-20 | 2017-07-06 | $28,015 | $28,015 | ||
| 4058.44-SHRS-OPPENHEIMER INTERNATION | P | 2014-05-13 | 2017-09-18 | $25,000 | $25,000 | ||
| 99.00-SHRS-PROCTER & GAMBLE CO/THE | P | 2003-06-16 | 2016-11-02 | $8,604 | $4,025 | $4,025 | $4,579 |
| 3750.94-SHRS-TEMPLETON GLOBAL BOND F | P | 2014-09-12 | 2016-12-19 | $48,928 | $48,928 | ||
| 4556.57-SHRS-VANGUARD HIGH-YIELD COR | P | 2015-04-01 | 2017-02-02 | $26,747 | -$592 | -$592 | $27,339 |
| 450.00-SHRS-BAKER HUGHES INC | P | 2012-04-05 | 2017-07-06 | $18,572 | $18,572 | ||
| 8237.23-SHRS-OPPENHEIMER INTERNATION | P | 2014-09-12 | 2017-09-18 | $50,000 | $50,000 | ||
| 11.89-SHRS-GENERAL MOTORS CO | P | 2015-01-01 | 2016-11-08 | $378 | $378 | $378 | |
| 623.66-SHRS-TEMPLETON GLOBAL BOND FU | P | 2011-04-06 | 2016-12-19 | $8,478 | $8,478 | ||
| 25000.00-SHRS-ELI LILLY & CO 5.2% 15 | P | 2010-02-03 | 2017-03-15 | $25,000 | -$606 | -$606 | $25,606 |
| 682.00-SHRS-BAKER HUGHES INC | P | 2012-03-05 | 2017-07-06 | $32,772 | $32,772 | ||
| 36.66-SHRS-OPPENHEIMER INTERNATIONAL | P | 2014-03-03 | 2017-09-19 | $222 | $222 | ||
| 19.22-SHRS-GENERAL MOTORS CO | P | 2015-01-01 | 2016-11-08 | $612 | $612 | $612 | |
| 1753.10-SHRS-TEMPLETON GLOBAL BOND F | P | 2013-04-11 | 2016-12-19 | $23,499 | $23,499 | ||
| 12210.01-SHRS-PRINCIPAL GLOBAL REAL | P | 2013-08-27 | 2017-04-07 | $109,646 | $9,646 | $9,646 | $100,000 |
| 364.00-SHRS-AMERICAN EXPRESS CO | P | 2013-08-29 | 2017-07-26 | $31,063 | $4,682 | $4,682 | $26,381 |
| 4065.21-SHRS-OPPENHEIMER INTERNATION | P | 2014-05-13 | 2017-09-19 | $25,000 | $25,000 | ||
| 0.89-SHRS-GENERAL MOTORS CO | P | 2015-01-01 | 2016-11-08 | $28 | $28 | $28 | |
| 481.54-SHRS-TEMPLETON GLOBAL BOND FU | P | 2011-11-23 | 2016-12-19 | $5,862 | $5,862 | ||
| 5931.20-SHRS-PRINCIPAL GLOBAL REAL E | P | 2014-03-03 | 2017-04-07 | $53,262 | $3,262 | $3,262 | $50,000 |
| 77.00-SHRS-FEDEX CORP | P | 2015-12-14 | 2017-07-26 | $16,479 | $5,534 | $5,534 | $10,945 |
| 8250.96-SHRS-OPPENHEIMER INTERNATION | P | 2014-09-12 | 2017-09-19 | $50,000 | $50,000 | ||
| 399.00-SHRS-GENERAL MOTORS CO | P | 2015-11-13 | 2016-11-08 | $12,700 | $8,710 | $8,710 | $3,990 |
| 626.00-SHRS-CITIGROUP INC | P | 2013-11-26 | 2017-01-19 | $35,492 | $2,251 | $2,251 | $33,241 |
| 353.00-SHRS-APPLE INC | P | 2011-01-06 | 2017-05-31 | $53,930 | $37,105 | $37,105 | $16,825 |
| 210.00-SHRS-APPLE INC | P | 2011-01-06 | 2017-08-09 | $33,682 | $23,673 | $23,673 | $10,009 |
| 0.15-SHRS-DOWDUPONT INC | P | 2010-10-26 | 2017-09-25 | $10 | $5 | $5 | $5 |
| 399.00-SHRS-GENERAL MOTORS CO | P | 2015-11-13 | 2016-11-08 | $12,700 | $5,386 | $5,386 | $7,314 |
| 17.00-SHRS-CITIGROUP INC | P | 2014-10-20 | 2017-01-19 | $964 | $105 | $105 | $859 |
| 65.00-SHRS-COSTCO WHOLESALE CORP | P | 2010-05-14 | 2017-05-31 | $11,696 | $7,942 | $7,942 | $3,754 |
| 299.00-SHRS-PROCTER & GAMBLE CO/THE | P | 2003-06-16 | 2017-08-09 | $27,419 | $13,590 | $13,590 | $13,829 |
| 683.00-SHRS-JACOBS ENGINEERING GROUP | P | 2013-12-17 | 2017-10-17 | $39,708 | $72 | $72 | $39,636 |
| 50000.00-SHRS-CSX CORP 6.25% 15 MAR | P | 2008-04-02 | 2016-11-17 | $53,412 | $3,251 | $3,251 | $50,161 |
| 114.00-SHRS-JPMORGAN CHASE & CO | P | 2000-03-03 | 2017-01-19 | $9,511 | $3,405 | $3,405 | $6,106 |
| 241.00-SHRS-EI DU PONT DE NEMOURS & | P | 2010-10-26 | 2017-05-31 | $18,895 | $8,114 | $8,114 | $10,781 |
| 353.00-SHRS-EI DU PONT DE NEMOURS & | P | 2010-10-26 | 2017-09-01 | $15,792 | $15,792 | ||
| 463.00-SHRS-JACOBS ENGINEERING GROUP | P | 2015-03-31 | 2017-10-17 | $26,918 | $5,981 | $5,981 | $20,937 |
| 1892.51-SHRS-TEMPLETON GLOBAL BOND F | P | 2014-05-13 | 2016-11-17 | $24,501 | $24,501 | ||
| 213.00-SHRS-JPMORGAN CHASE & CO | P | 2010-03-12 | 2017-01-19 | $17,771 | $8,510 | $8,510 | $9,261 |
| 64.00-SHRS-UNITEDHEALTH GROUP INC | P | 2011-05-19 | 2017-05-31 | $11,207 | $7,965 | $7,965 | $3,242 |
| 225.00-SHRS-EI DU PONT DE NEMOURS & | P | 2011-10-25 | 2017-09-01 | $9,748 | $9,748 | ||
| 4180.60-SHRS-VANGUARD HIGH-YIELD COR | P | 2015-04-01 | 2017-10-25 | $25,000 | -$84 | -$84 | $25,084 |
| 481.54-SHRS-TEMPLETON GLOBAL BOND FU | P | 2011-11-23 | 2016-11-17 | $5,873 | $5,873 | ||
| 150.00-SHRS-JPMORGAN CHASE & CO | P | 2011-06-13 | 2017-01-19 | $12,515 | $6,278 | $6,278 | $6,237 |
| 24.00-SHRS-UNITEDHEALTH GROUP INC | P | 2012-09-27 | 2017-05-31 | $4,203 | $2,850 | $2,850 | $1,353 |
| 75.00-SHRS-EI DU PONT DE NEMOURS & C | P | 2011-03-03 | 2017-09-01 | $3,901 | $3,901 | ||
| 623.66-SHRS-TEMPLETON GLOBAL BOND FU | P | 2011-04-06 | 2016-11-17 | $8,492 | $8,492 | ||
| 22.00-SHRS-JPMORGAN CHASE & CO | P | 2011-10-25 | 2017-01-19 | $1,835 | $1,093 | $1,093 | $742 |
| 367.00-SHRS-TARGET CORP | P | 2004-04-19 | 2017-06-29 | $19,143 | $3,069 | $3,069 | $16,074 |
| 265.60-SHRS-AMERICAN FUNDS EUROPACIF | P | 2012-07-27 | 2017-09-18 | $10,000 | $10,000 | ||
| 3750.94-SHRS-TEMPLETON GLOBAL BOND F | P | 2014-09-12 | 2016-11-17 | $49,012 | $49,012 | ||
| 566.00-SHRS-MICROSOFT CORP | P | 2012-10-17 | 2017-02-02 | $35,754 | $18,997 | $18,997 | $16,757 |
| 373.00-SHRS-TARGET CORP | P | 2014-04-15 | 2017-06-29 | $19,427 | -$2,798 | -$2,798 | $22,225 |
| 695.90-SHRS-AMERICAN FUNDS EUROPACIF | P | 2005-06-24 | 2017-09-18 | $25,000 | $25,000 | ||
| 1954.65-SHRS-TEMPLETON GLOBAL BOND F | P | 2014-03-03 | 2016-11-17 | $24,485 | $24,485 | ||
| 332.00-SHRS-MICROSOFT CORP | P | 2013-08-15 | 2017-02-02 | $20,972 | $10,426 | $10,426 | $10,546 |
| 17.00-SHRS-TARGET CORP | P | 2004-04-19 | 2017-06-29 | $885 | $140 | $140 | $745 |
| 1115.27-SHRS-AMERICAN FUNDS EUROPACI | P | 2004-11-12 | 2017-09-18 | $38,447 | $38,447 | ||
| 1753.10-SHRS-TEMPLETON GLOBAL BOND F | P | 2013-04-11 | 2016-11-17 | $23,538 | $23,538 | ||
| 502.00-SHRS-SKYWORKS SOLUTIONS INC | P | 2013-08-23 | 2017-02-02 | $45,737 | $33,112 | $33,112 | $12,625 |
| 250.00-SHRS-TARGET CORP | P | 2010-09-13 | 2017-06-29 | $13,019 | -$255 | -$255 | $13,274 |
| 399.36-SHRS-AMERICAN FUNDS EUROPACIF | P | 2015-04-01 | 2017-09-18 | $20,000 | $20,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $278,741 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $14,096 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $295,282 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $5,544,325 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.053258 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $308,616 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,532,056 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.055787 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $303,292 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,560,400 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.054545 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $258,436 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,125,398 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.050423 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $244,959 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $4,807,448 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.050954 | DistributionYr5Rt |
| Total Distribution | 0.264967 | TotalDistributionRt |
| Average Distribution | 0.052993 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,836,340 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $309,285 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,921 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $313,206 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $285,507 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $7,843 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $7,843 | SubtotalAmt |
| Tax Based On Investment Income | $7,843 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,663 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,663 | TotalPaymentsAndCreditsAmt |
| Tax Due | $6,180 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | WY | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOHATT JOHNSON & GODWIN LLP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3076726494 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 603 | AddressLine1Txt |
| City | SHERIDAN | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JOHN PRADERE | ||||||||
| PO BOX 603 | SHERIDAN | WY | 82801 | TRUSTEE | 6.00 | $19,491 | $0 | $0 |
| ROBERT WYATT | ||||||||
| PO BOX 603 | SHERIDAN | WY | 82081 | TRUSTEE | 6.00 | $19,491 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $5,652,089 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $188,004 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $85,125 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,925,218 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $5,925,218 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $88,878 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,836,340 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $291,817 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $291,817 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $7,843 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $7,843 | TotalTaxAmt |
| Distributable Before Adj | $283,974 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $283,974 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $283,974 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $285,507 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $285,507 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $285,507 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $283,974 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr2 | $17,903 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $20,740 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $38,643 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $285,507 | QualifyingDistributionsAmt |
| Applied To Current Year | $283,974 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $1,533 | RemainingDistriFromCorpusAmt |
| Total Corpus | $40,176 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $40,176 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $17,903 | ExcessFromYear2Amt |
| Excess From Year1 | $20,740 | ExcessFromYear1Amt |
| Excess From Current Year | $1,533 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | SURRENA MEMORIAL FUND | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 27 | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82834 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3076845574 | RecipientPhoneNum |
| Form And Info And Materials | WRITTEN APPLICATION | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | CHARITABLE, RELIGIOUS, SCIENTIFIC, & EDUCATIONAL PURPOSES IN THE U.S. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (24 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| BREAD OF LIFE | ||||||||
| PO BOX 909 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| BUFFALO SENIOR CENTER | ||||||||
| PO BOX 941 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| CHILDREN'S CENTER | ||||||||
| 863 HIGHLAND AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $30,000 | |
| CHILDREN'S CENTER - BUFFALO | ||||||||
| 151 KLONDIKE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $50,000 | |
| CLEARMONT COMMUNITY LIBRARY | ||||||||
| PO BOX 26 | CLEARMONT | WY | 82835 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| GENESIS FOUNDATION | ||||||||
| 444 CRESCENT DR | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $25,000 | |
| JOHNSON COUNTY LIBRARY | ||||||||
| 171 N ADAMS | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | FOUNDATION |
| HABITAT FOR HUMANITY | ||||||||
| PO BOX 6196 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | OF THE EASTERN BIGHORNS |
| JOHNSON COUNTY YMCA | ||||||||
| 101 SOUTH KLONDIKE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $20,000 | |
| LUNCH TOGETHER SOUP KITCHEN | ||||||||
| 102 S CONNER ST | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| METHODIST CHURCH | ||||||||
| 132 N ADAMS AVE | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | OF BUFFALO WYOMING |
| METHODIST CHURCH | ||||||||
| 215 W WORKS | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | OF SHERIDAN WYOMING |
| MOUNTAIN PLAINS HERITAGE | ||||||||
| PO BOX 1034 | BUFFALO | WY | 82834 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $2,500 | |
| SENIOR CITIZENS COUNCIL | ||||||||
| 211 SMITH STREET | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $7,500 | |
| SHERIDAN COLLEGE | ||||||||
| 3059 COFFEEN AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | SCHOLARSHIPS | $10,000 | FOUNDATION |
| SHERIDAN COUNTY LIBRARY | ||||||||
| 335 W ALGER | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | FOUNDATION INC |
| SHERIDAN COUNTY YMCA | ||||||||
| 417 NORTH JEFFERSON | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $20,000 | |
| STORY BRANCH LIBRARY | ||||||||
| PO BOX 188 | STORY | WY | 82842 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| STORY COMMUNITY CHURCH | ||||||||
| PO BOX 415 | STORY | WY | 82842 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| THE FOOD GROUP | ||||||||
| 51 COFFEEN AVE-SUITE 101 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | |
| TONGUE RIVER BRANCH | ||||||||
| PO BOX 909 | RANCHESTER | WY | 82839 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $5,000 | LIBRARY |
| TONGUE RIVER CHILD'S | ||||||||
| PO BOX 232 | RANCHESTER | WY | 82839 | NONE | EXEMPT ORG. | GENERAL OPERATIONS | $15,000 | PLACE |
| VOLUNTEERS OF AMERICA OF | ||||||||
| 1876 S SHERIDAN AVE | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | HOMELESS SHELTER | $4,000 | WYOMING AND MONTANA |
| COMPASS-CENTER FOR FAMILIES | ||||||||
| PO BOX 6022 | SHERIDAN | WY | 82801 | NONE | EXEMPT ORG. | CASA PROGRAM | $5,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $264,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $12,961 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $156,283 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $278,741 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $447,985 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $447,985 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $2,100 | Amt |
| Net Investment Income | $1,575 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $525 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (15 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ANTHEM INC | $50,218 | $50,521 |
| BLACKROCK INC | $50,000 | $54,187 |
| CSX CORP 6.25% | ||
| EATON VANCE FLOATING RATE FUND | $150,000 | $148,243 |
| EATON CORP | $50,062 | $50,373 |
| ELI LILLY & CO | ||
| GENERAL ELECTRIC CAP 5.1% | $100,000 | $103,872 |
| MORGAN STANLEY 2.8% | $50,908 | $51,255 |
| OPPENHEIMER INTERNATIONAL BOND FUND | $75,222 | $73,178 |
| TEMPLETON GLOBAL BOND FUND | $135,431 | $126,732 |
| TENNESSEE VALLEY AUTHORITY | $49,980 | $49,823 |
| VANGUARD HIGH YIELD CORPORATE FUND | $272,577 | $290,415 |
| VANGUARD INTERMEDIATE-TERM INVEST | $125,000 | $127,418 |
| VANGUARD SHORT-TERM INVESTMENT GRADE | $100,000 | $99,974 |
| WELLS FARGO & CO 2.5% | $50,711 | $50,403 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (58 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ALPHABET INC CAP STK CL A | $54,105 | $65,082 |
| AMERICAN EUROPACIFIC GROWTH FUND | $93,447 | $141,277 |
| AMERICAN EXPRESS | $61,717 | $89,734 |
| APACHE CORPORATION | $24,846 | $22,933 |
| APPLE COMPUTER INC | $65,438 | $141,994 |
| BAKER HUGHES INC | $79,359 | $52,300 |
| BERKSHIRE HATHAWAY INC - CL B | $24,782 | $59,260 |
| BOEING CO | $24,398 | $103,192 |
| BRISTOL MYERS SQUIBB | $33,335 | $55,969 |
| CELGENE | $68,883 | $107,129 |
| CHEVRON CORP | $21,270 | $49,601 |
| CISCO SYSTEMS | $38,308 | $61,914 |
| CITIGROUP | $112,932 | $161,112 |
| COSTCO WHOLESALE CORPORATION | $15,998 | $45,263 |
| DFA COMMODITY STRATEGY PORTFOLIO | $150,000 | $155,966 |
| DFA EMERGING MARKETS SMALL CAP | $50,000 | $56,466 |
| DFA GLOBAL REAL ESTATE SECURITIES | $162,908 | $165,335 |
| DFA US SMALL CAP PORTFOLIO | $125,000 | $154,757 |
| DOWDUPONT INC | $29,435 | $60,523 |
| DU PONT E I DE NEMOURS & COMPANY | ||
| EMERSON ELECTRIC CO | $25,155 | $51,761 |
| EXELON CORPORATION | $56,036 | $67,432 |
| EXXON MOBIL CORP | $32,438 | $67,930 |
| FACEBOOK INC | $27,760 | $42,674 |
| FEDEX CORP | $41,649 | $66,162 |
| FORD MOTOR COMPANY | $54,807 | $59,877 |
| GENERAL ELECTRIC CO | $148,573 | $127,613 |
| GENERAL MOTORS | ||
| GILEAD SCIENCES INC. | $43,926 | $77,808 |
| GOLDMAN SACHS INTERNATIONAL SMALL CA | $50,000 | $71,156 |
| HARBOR INTERNATIONAL FUND | $88,089 | $126,730 |
| J.P. MORGAN CHASE & CO | $58,128 | $173,854 |
| JACOBS ENGINEERING | $172 | |
| LOWE'S COS INC | $68,846 | $77,467 |
| MCKESSON CORPORATION | $75,303 | $84,245 |
| MICROSOFT CORPORATION | $29,510 | $77,274 |
| MONDELEZ INTERNATIONAL INC | $33,142 | $63,678 |
| NIKE INC | $48,563 | $50,756 |
| OPPENHEIMER DEVELOPING MARKETS FD | $100,798 | $120,421 |
| PEPSICO | $19,897 | $71,319 |
| PRINCIPAL GLOBAL REAL ESTATE SEC | ||
| PROCTOR & GAMBLE CO | ||
| QUALCOMM INC | $85,421 | $99,623 |
| ROCHE HOLDINGS AG SPN ADR EACH REP | $65,440 | $72,085 |
| SCHLUMBERGER LIMITED | $35,803 | $33,792 |
| SKYWORKS SOLUTIONS INC | $19,919 | $90,177 |
| SOUTHERN CO | $6,839 | $52,200 |
| STARBUCKS CORP | $69,507 | $63,176 |
| T ROWE PRICE MID CAP FUND | ||
| TARGET CORP | ||
| UNION PACIFIC | $55,942 | $81,516 |
| UNITEDHEALTH GROUP INC | $26,714 | $99,644 |
| VANGUARD 500 INDEX FUND | $50,000 | $68,463 |
| VANGUARD MID-CAP INDEX FUND | $125,000 | $148,503 |
| VANUGARD EMERGING MARKETS STOCK INDE | $100,000 | $108,253 |
| WAL-MART STORES INC | $44,649 | $57,101 |
| WALT DISNEY | $47,632 | $108,373 |
| WELLS FARGO & CO | $59,541 | $71,410 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $150,000 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $146,912 | USGovtObligationsEOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MINERAL RIGHTS | Desc |
| BOY Book Value | $22,982 | BOYBookValueAmt |
| EOY Book Value | $22,982 | EOYBookValueAmt |
| EOYFMV | $85,125 | EOYFMVAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEDERAL TAXES PAYABLE | Desc |
| EOY Book Value | $6,180 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEES | CategoryTxt |
| Amt | $32,337 | Amt |
| Net Investment Income | $32,337 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAXES | $7,843 | ||
| FOREIGN TAXES | $946 | $946 | |
| PAYROLL TAXES | $2,982 | $1,491 | $1,491 |