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RIVERSIDE MEDICAL CLINIC FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE MEDICAL CLINIC FOUNDATION (EIN 33-0099694)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-09-14
IRS object ID
201842579349100814
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)
Return2018-09-14T13:58:03-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330770910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHRISTENSON OREJEL ASSOCIATES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15005 LA MART DRIVE SUITE 100AAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92507ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330099694EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE MEDICAL CLINIC FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRIVEBusinessNameControlTxt
Phone9516822753PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2605AddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP925162605ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUE KINSINGERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9516822753PhoneNum
Signature2018-08-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALICIA OREJEL CPAPreparerPersonNm
PTINP00847432PTIN
Phone9517849552PhoneNum
Preparation2018-08-28PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.41.56.22IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-08-28IPDt
IP Tm16:54:53IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1520D560C8A61838F44317DA04290CE9760B3385AtSubmissionCreationDeviceId
At Submission Filing Device Id1520D560C8A61838F44317DA04290CE9760B3385AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,843,217FMVAssetsEOYAmt
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$3InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$3InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$73,235DividendsRevAndExpnssAmt
Dividends Net Invst Incm$73,235DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$211,027NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,515,106GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$211,027CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$284,265TotalRevAndExpnssAmt
Total Net Invst Incm$284,265TotalNetInvstIncmAmt
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$1,990AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$5,631TaxesRevAndExpnssAmt
Taxes Net Invst Incm$5,575TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$60TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$2,881OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$2,855OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$26OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$10,502TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$8,430TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$86TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$220,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$220,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$230,502TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$8,430TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$220,086TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$53,763ExcessRevenueOverExpensesAmt
Net Investment Income$275,835NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,129CashBOYAmt
Sav And Temp Cash Invst BOY$10,647SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$7,539SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$7,539SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$2,720,580OtherInvestmentsBOYAmt
Other Investments EOY$2,835,678OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,835,678OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,732,356TotalAssetsBOYAmt
Total Assets EOY$2,843,217TotalAssetsEOYAmt
Total Assets EOYFMV$2,843,217TotalAssetsEOYFMVAmt
Accounts Payable EOY$1,990AccountsPayableEOYAmt
Other Liabilities BOY$437OtherLiabilitiesBOYAmt
Other Liabilities EOY$2,935OtherLiabilitiesEOYAmt
Total Liabilities BOY$437TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,925TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$2,731,919UnrestrictedBOYAmt
Unrestricted EOY$2,838,292UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$2,731,919TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,838,292TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,732,356TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,843,217TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,731,919TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$53,763ExcessRevenueOverExpensesAmt
Other Increases$52,610OtherIncreasesAmt
Subtotal$2,838,292SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,838,292TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
CHARLES SCHWABP$599,622$575,290$24,332$24,332
CHARLES SCHWABP$891,383$728,789$162,594$162,594
CAPITAL GAINS DIVIDENDSP$24,101$24,101$24,101
FieldValueIRS element (for citing)
Capital Gain Net Income$211,027CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$226,731AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,813,072NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.080599DistributionYr1Rt
Adjusted Qlfy Distri Yr2$207,422AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,934,953NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.070673DistributionYr2Rt
Adjusted Qlfy Distri Yr3$267,073AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,021,266NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.088398DistributionYr3Rt
Adjusted Qlfy Distri Yr4$231,880AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,985,777NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.077662DistributionYr4Rt
Adjusted Qlfy Distri Yr5$272,248AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,855,630NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.095337DistributionYr5Rt
Total Distribution0.412669TotalDistributionRt
Average Distribution0.082534AverageDistributionRt
Net Vl Noncharitable Assets$2,839,522NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$234,357AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,758NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$237,115AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$220,086QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$5,517InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$5,517SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$5,517TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,640EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$2,640TotalPaymentsAndCreditsAmt
Es Penalty$17EsPenaltyAmt
Tax Due$2,894TaxDueAmt

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 StateCAOrgReportOrRegisterStateCd
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 AddressRIVFOUND.ORGWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE MEDICAL CLINIC FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9516822753PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line17177 BROCKTON AVE SUITE 220AddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92506ZIPCd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOAN ROBERTS
7177 BROCKTON AVE SUITE 220RIVERSIDECA92506PRESIDENT2.00$0$0$0
SUE KINSINGER
7177 BROCKTON AVE SUITE 220RIVERSIDECA92506TREASURER2.00$0$0$0
FRANCISCA HERNANDEZ
7177 BROCKTON AVE SUITE 220RIVERSIDECA92506SECRETARY2.00$0$0$0
MICHAEL J MARLATT ATTORNEY
7177 BROCKTON AVE SUITE 220RIVERSIDECA92506MEMBER2.00$0$0$0
CRAIG MARSHALL ATTORNEY
7177 BROCKTON AVE SUITE 220RIVERSIDECA92506MEMBER2.00$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION GRANTS FUNDS TO COMMUNITY ORGANIZATIONS SUPPORTING HEALTH EDUCATION.Description1Txt
Expenses1$220,000Expenses1Amt

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$2,872,259AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$10,504AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,882,763TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,882,763AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$43,241CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,839,522NetVlNoncharitableAssetsAmt
Minimum Investment Return$141,976MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$141,976MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,517TaxBasedOnInvestmentIncomeAmt
Total Tax$5,517TotalTaxAmt
Distributable Before Adj$136,459DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$136,459DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$136,459DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$220,086ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$220,086QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$220,086AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$136,459DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$133,142ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$88,875ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$121,208ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$62,838ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$88,706ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$494,769TotalExcessDistributionCyovAmt
Qualifying Distributions$220,086QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$136,459AppliedToCurrentYearAmt
Remaining Distri From Corpus$83,627RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$578,396TotalCorpusAmt
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$133,142ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$445,254ExcessDistriCyovToNextYrAmt
Excess From Year4$88,875ExcessFromYear4Amt
Excess From Year3$121,208ExcessFromYear3Amt
Excess From Year2$62,838ExcessFromYear2Amt
Excess From Year1$88,706ExcessFromYear1Amt
Excess From Current Year$83,627ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE MEDICAL CLINIC CHARITABLE FOUNDATIONBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line17177 BROCKTON AVENUE SUITE 220AddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92506ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipN/ARecipientRelationshipTxt
Recipient Foundation StatusPUBLIC CHARITYRecipientFoundationStatusTxt
Grant Or Contribution PurposeTO SUPPORT THE CHARITABLE FOUNDATION'S PROGRAMS INCLUDING ANTI-BULLYING, SCHOLARSHIP, AND SUPPORT GROUPS FOR CHRONIC DISEASES AND OTHER CONDITIONS. ALSO GENERAL SUPPORT FOR THE CHARITABLE FOUNDATION.GrantOrContributionPurposeTxt
Amt$220,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$220,000TotalGrantOrContriPdDurYrAmt
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$3ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$73,235ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$211,027ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$284,265ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$284,265TotalIncomeProducingActyAmt

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)
CategoryACCOUNTINGCategoryTxt
Amt$1,990Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
BOND MUTUAL FUNDSFMV$1,266,209$1,266,209
EQUITY MUTUAL FUNDSFMV$996,466$996,466
STOCK ETF'SFMV$573,003$573,003

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK AND INVESTMENT FEES$2,860$2,855$5
LICENSES AND FEES$21$0$21

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN (LOSS) ON INVESTMENTSDesc
Amt$52,610Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescEXCISE TAXES PAYABLEDesc
BOY Book Value$437BOYBookValueAmt
EOY Book Value$2,935EOYBookValueAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryOTHER TAXESCategoryTxt
Amt$5,631Amt
Net Investment Income$5,575NetInvestmentIncomeAmt
Disbursements Charitable Prps$60DisbursementsCharitablePrpsAmt