ANN AND CHARLES FLORSHEIM FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ANN AND CHARLES FLORSHEIM FOUNDATION (EIN 26-3122808)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201723179349100927
Schema version: 2016v3.0
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
Depreciation Schedule
Gain Loss Sale Other Assets Sch
Investments Corp Bonds Schedule
Investments Corp Stock Schedule
Investments Other Schedule2
Land Etc Schedule2
Other Expenses Schedule
Other Income Schedule2
Other Increases Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-13T09:37:13-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	752311783	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ALEXANDER BOOHER & ASSOCIATES PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	6300 RIDGLEA PLACE SUITE 611	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	761165732	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	263122808	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANN AND CHARLES FLORSHEIM	BusinessNameLine1Txt
Business Name Line2	FAMILY FOUNDATION	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ANNA	BusinessNameControlTxt
Phone	8172338200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3821 LANDS END STREET	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76109	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANN FLORSHEIM	PersonNm
Person Title	DIRECTOR	PersonTitleTxt
Phone	8172338200	PhoneNum
Signature	2017-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM E ALEXANDER CPA	PreparerPersonNm
PTIN	P00448315	PTIN
Phone	8175698860	PhoneNum
Preparation	2017-11-13	PreparationDt

Filing Security Information FilingSecurityInformation

Field	Value	IRS element (for citing)
At Submission Creation Device Id	925B78A6857A337E2CF11B33A92CEC4D68C2ECC0	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7F8DA1CA24E96FDB236727D7A786CEDCD9823B05	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$2,586,212	FMVAssetsEOYAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd

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	$869	InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm	$869	InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm	$869	InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss	$39,452	DividendsRevAndExpnssAmt
Dividends Net Invst Incm	$39,452	DividendsNetInvstIncmAmt
Dividends Adj Net Incm	$39,452	DividendsAdjNetIncmAmt
Gross Rents Rev And Expnss	$11,700	GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm	$11,700	GrossRentsNetInvstIncmAmt
Gross Rents Adj Net Incm	$11,700	GrossRentsAdjNetIncmAmt
Net Rental Income Or Loss	$3,933	NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss	$1,979	NetGainSaleAstRevAndExpnssAmt
Gross Sales Price	$273,467	GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm	$10,972	CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss	-$1,331	OtherIncomeRevAndExpnssAmt
Other Income Adj Net Incm	-$1,331	OtherIncomeAdjNetIncmAmt
Total Rev And Expnss	$52,669	TotalRevAndExpnssAmt
Total Net Invst Incm	$62,993	TotalNetInvstIncmAmt
Total Adj Net Incm	$50,690	TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss	$48,000	CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm	$15,000	CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl	$33,000	CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss	$1,750	AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm	$875	AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps	$875	AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss	$2,261	TaxesRevAndExpnssAmt
Taxes Net Invst Incm	$2,261	TaxesNetInvstIncmAmt
Taxes Adj Net Incm	$2,261	TaxesAdjNetIncmAmt
Deprec And Dpltn Rev And Expnss	$3,108	DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm	$3,108	DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm	$3,108	DeprecAndDpltnAdjNetIncmAmt
Other Expenses Rev And Expnss	$12,006	OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm	$12,006	OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm	$2,398	OtherExpensesAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss	$67,125	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$33,250	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm	$7,767	TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$33,875	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$108,333	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$108,333	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$175,458	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$33,250	TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm	$7,767	TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl	$142,208	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	-$122,789	ExcessRevenueOverExpensesAmt
Net Investment Income	$29,743	NetInvestmentIncomeAmt
Adjusted Net Income	$42,923	AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$17,046	CashBOYAmt
Cash EOY	$3,348	CashEOYAmt
Cash EOYFMV	$3,348	CashEOYFMVAmt
Sav And Temp Cash Invst BOY	$433,169	SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY	$442,871	SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV	$442,871	SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY	$767,939	CorporateStockBOYAmt
Corporate Stock EOY	$773,845	CorporateStockEOYAmt
Corporate Stock EOYFMV	$948,477	CorporateStockEOYFMVAmt
Corporate Bonds BOY	$1,056,176	CorporateBondsBOYAmt
Corporate Bonds EOY	$1,030,836	CorporateBondsEOYAmt
Corporate Bonds EOYFMV	$968,719	CorporateBondsEOYFMVAmt
Other Investments BOY	$228,295	OtherInvestmentsBOYAmt
Other Investments EOY	$138,390	OtherInvestmentsEOYAmt
Other Investments EOYFMV	$147,797	OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss	$86,800	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,266	LandBldgEquipAccumDeprecAmt
Land BOY	$74,642	LandBOYAmt
Land EOY	$71,534	LandEOYAmt
Land EOYFMV	$75,000	LandEOYFMVAmt
Total Assets BOY	$2,577,267	TotalAssetsBOYAmt
Total Assets EOY	$2,460,824	TotalAssetsEOYAmt
Total Assets EOYFMV	$2,586,212	TotalAssetsEOYFMVAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind
Unrestricted BOY	$2,577,267	UnrestrictedBOYAmt
Unrestricted EOY	$2,460,824	UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY	$2,577,267	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$2,460,824	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$2,577,267	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$2,460,824	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$2,577,267	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	-$122,789	ExcessRevenueOverExpensesAmt
Other Increases	$6,346	OtherIncreasesAmt
Subtotal	$2,460,824	SubtotalAmt
Tot Net Ast Or Fund Balances EOY	$2,460,824	TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Field	Value	IRS element (for citing)
Capital Gain Net Income	$10,972	CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

Field	Value	IRS element (for citing)
Liable Section4942 Tax	false	LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1	$128,856	AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1	$2,705,608	NetVlNoncharitableAssetsYr1Amt
Distribution Yr1	0.047626	DistributionYr1Rt
Adjusted Qlfy Distri Yr2	$105,890	AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2	$3,094,778	NetVlNoncharitableAssetsYr2Amt
Distribution Yr2	0.034216	DistributionYr2Rt
Adjusted Qlfy Distri Yr3	$91,448	AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3	$2,555,580	NetVlNoncharitableAssetsYr3Amt
Distribution Yr3	0.035784	DistributionYr3Rt
Adjusted Qlfy Distri Yr4	$94,632	AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4	$1,723,060	NetVlNoncharitableAssetsYr4Amt
Distribution Yr4	0.054921	DistributionYr4Rt
Adjusted Qlfy Distri Yr5	$90,453	AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5	$1,723,462	NetVlNoncharitableAssetsYr5Amt
Distribution Yr5	0.052483	DistributionYr5Rt
Total Distribution	0.225030	TotalDistributionRt
Average Distribution	0.045006	AverageDistributionRt
Net Vl Noncharitable Assets	$2,573,059	NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets	$115,803	AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct	$297	NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct	$116,100	AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions	$142,208	QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	Yes (X)	DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax	$297	InvestmentIncomeExciseTaxAmt
Subtotal	$297	SubtotalAmt
Tax Based On Investment Income	$297	TaxBasedOnInvestmentIncomeAmt
Tax Due	$297	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
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
Individual With Books	CHARLES FLORSHEIM	IndividualWithBooksNm
Phone	8172338200	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	3821 LANDS END STREET	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76109	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	false	PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn	false	TransferAstDisqualifiedPrsnInd
Payment To Government Official	false	PaymentToGovernmentOfficialInd
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 (4 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
CHARLES FLORSHEIM
3821 LANDS END STREET	FORT WORTH	TX	76109	DIRECTOR	000.00	$24,000	$0	$0
ANN FLORSHEIM
3821 LANDS END STREET	FORT WORTH	TX	76109	DIRECTOR	000.00	$24,000	$0	$0
CHARLES C FLORSHEIM
4416 SUMMERCREST COURT	FORT WORTH	TX	76109	DIRECTOR	000.00	$0	$0	$0
CLAIRE FLORSHEIM
3821 LANDS END STREET	FORT WORTH	TX	76109	DIRECTOR	000.00	$0	$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	$2,164,026	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$448,217	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$2,612,243	TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast	$2,612,243	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$39,184	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$2,573,059	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$128,653	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$128,653	MinimumInvestmentReturnAmt
Tax Based On Investment Income	$297	TaxBasedOnInvestmentIncomeAmt
Total Tax	$297	TotalTaxAmt
Distributable Before Adj	$128,356	DistributableBeforeAdjAmt
Distributable Before Ded	$128,356	DistributableBeforeDedAmt
Distributable As Adjusted	$128,356	DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$142,208	ExpensesAndContributionsAmt
Qualifying Distributions	$142,208	QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm	$297	PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri	$141,911	AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$128,356	DistributableAsAdjustedAmt
Undistributed Income PY	$59,253	UndistributedIncomePYAmt
Qualifying Distributions	$142,208	QualifyingDistributionsAmt
Applied To Year1	$59,253	AppliedToYear1Amt
Applied To Current Year	$82,955	AppliedToCurrentYearAmt
Undistributed Income CY	$45,401	UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Only Contri To Preselected	Yes (X)	OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (31 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt
ACH CHILD & FAMILY SERVICES
1424 SUMMIT	FORT WORTH	TX	76102	UNRESTRICTED	$500
AMERICAN HEART ASSOCIATION
10900-B STONELAKE BLVD S	AUSTIN	TX	78759	UNRESTRICTED	$500
CATHOLIC CHARITIES
249 THORNHILL DR	FORT WORTH	TX	76115	UNRESTRICTED	$500
COOK CHILDRENS MEDICAL CENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	UNRESTRICTED	$500
FIRST UNITED METHODIST CHURCH
800 W 5TH STREET	FORT WORTH	TX	76102	UNRESTRICTED	$1,000
FORT WORTH COUNTRY DAY SCHOOL
4200 COUNTRY DAY LANE	FORT WORTH	TX	76109	UNRESTRICTED	$200
FREE TO BREATHE
1 POINT PLACE	MADISON	WI	53179	UNRESTRICTED	$15,000
HISTORIC FORT WORTH
1110 PENN STREET	FORT WORTH	TX	76102	UNRESTRICTED	$100
HUMANE SOCIETY
1840 E LANCASTER	FORT WORTH	TX	76103	UNRESTRICTED	$500
JEWEL CHARITY
5020 COLLINWOOD	FORT WORTH	TX	76107	UNRESTRICTED	$2,000
MONCRIEF CANCER INSTITUTE
400 W MAGNOLIA AVE	FORT WORTH	TX	76104	UNRESTRICTED	$5,000
PRESBYTERIAN NIGHT SHELTER
2400 CYPRESS STREET	FORT WORTH	TX	76102	UNRESTRICTED	$600
ST JUDES CHILDRENS RESEARCH HOSP
262 DANNY THOMAS PLACE	MEMPHIS	TN	38105	UNRESTRICTED	$500
TARRANT AREA FOOD BANK
2600 CULLEN STREET	FORT WORTH	TX	76107	UNRESTRICTED	$1,000
TEXAS CHRISTIAN UNIVERSITY
2800 S UNIVERSITY DRIVE	FORT WORTH	TX	76129	UNRESTRICTED	$18,290
TEXAS HEALTH RESOURCES
12645 TIMBERLAND	KELLER	TX	76244	UNRESTRICTED	$1,500
TEXAS WESLEYAN UNIVERSITY
1201 WESLYAN ST	FORT WORTH	TX	76105	UNRESTRICTED	$25,000
TRINITY VALLEY SCHOOL
7500 DUTCH BRANCH ROAD	FORT WORTH	TX	76132	UNRESTRICTED	$10,000
UNITED COMMUNITY SERVCIE
1200 E MADDOX AVE	FORT WORTH	TX	76104	UNRESTRICTED	$900
UNIVERSITY CHRISTIAN CHURCH
2720 S UNIVERSITY DRIVE	FORT WORTH	TX	76109	UNRESTRICTED	$6,700
CENTER FOR TRANSFORMING LIVES
512 W 4TH STREET	FORT WORTH	TX	76102	UNRESTRICTED	$7,000
ARKANSAS TECH UNIVERSITY FOUNDATION
215 WEST O STREET	RUSSELLVILLE	AR	72801	UNRESTRICTED	$100
TEXAS STATE GUARD NON-PROIFT ASSOC
PO BOX 9584	AUSTIN	TX	78766	UNRESTRICTED	$500
ALZHEIMER'S ASSOCIATION
2630 WEST FWY 100	FORT WORTH	TX	76102	UNRESTRICTED	$100
DALLAS CAN ACADEMY
325 W 12TH STREET	DALLAS	TX	75208	UNRESTRICTED	$1,000
CHARLES FLORSHEIM
3821 LANDS END STREET	FORT WORTH	TX	76109	UNRESTRICTED	$343
ADDARIO LUNG CANCER FOUNDATION
1100 INDUSTRIAL RD 1	SAN CARLOS	CA	94070	UNRESTRICTED	$6,500
DACHSHUND LOVERS OF TEXAS
PO BOX 820984	DALLAS	TX	75382	UNRESTRICTED	$500
RONALD MCDONALD HOUSE FORT WORTH
1001 8TH AVE	FORT WORTH	TX	76104	UNRESTRICTED	$500
SUSAN G KOMEN OF GREATER FORT WORTH
2216 GREEN OAKS RD	FORT WORTH	TX	76116	UNRESTRICTED	$1,000
TRINITY HABITAT FOR HUMANITY
9333 N NORMANDALE ST	FORT WORTH	TX	76116	UNRESTRICTED	$500

Field	Value	IRS element (for citing)
Total Grant Or Contri Pd Dur Yr	$108,333	TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$869	ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$39,452	ExclusionAmt

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

Field	Value	IRS element (for citing)
Exclusion	16	ExclusionCd
Exclusion	$3,933	ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$10,972	ExclusionAmt
Related Or Exempt Function Incm	-$8,993	RelatedOrExemptFunctionIncmAmt

Other Revenue Described OtherRevenueDescribedGrp (8 entries)

DescDesc	Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
ARDEN SAGE MULTI-STRATEGY K	$6
ARDEN SAGE MULTI-STRATEGY K	-$3
ARDEN SAGE MULTI-STRATEGY K	-$10
ARDEN SAGE MULTI-STRATEGY K	$938
ARDEN SAGE MULTI-STRATEGY K	$283
ABBEY CAPITAL MULTI-MGR K-1	-$2,478
POWERSHARES DB AGRICULTURE	-$56
POWERSHARES DB BASE METALS	-$11

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Exclusion	$55,226	ExclusionAmt
Related Or Exempt Function Incm	-$10,324	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$44,902	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	INDIRECT ACCOUNTING FEES	CategoryTxt
Amt	$1,750	Amt
Net Investment Income	$875	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$875	DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (3 entries)

PropertyPropertyDesc	AcquiredAcquiredDt	Cost Or Other BasisCostOrOtherBasisAmt	Prior Year DepreciationPriorYearDepreciationAmt	Computation MethodComputationMethodTxt	LifeLifeRt	Current Year ExpenseCurrentYearExpenseAmt	Net Investment IncomeNetInvestmentIncomeAmt	Adjusted Net IncomeAdjustedNetIncomeAmt
COMMERCIAL BLDG 102-104 S CROCKETT	2012-08-01	$63,750	$5,518	S/L	39.0000	$1,634	$1,634	$1,634
LAND 102-104 S CROCKETT	2012-08-01	$11,250
HVAC 102-104 S CROCKETT	2013-05-15	$11,800	$6,640	200DB	7.0000	$1,474	$1,474	$1,474

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (62 entries)

AssetAssetDesc	AcquiredAcquiredDt	How AcquiredHowAcquiredTxt	SoldSoldDt	Gross Sales PriceGrossSalesPriceAmt	BasisBasisAmt	Total NetTotalNetAmt
AMN HEALTHCARE SERVICES	2016-03	PURCHASE	2016-06	$5,007	$3,943	$1,064
AQR MANAGED FUTURES	2016-06	PURCHASE	2016-12	$6,022	$6,671	-$649
INVESCO BALANCED-RISK	2016-08	PURCHASE	2016-12	$6,751	$7,029	-$278
ALASKA AIR GROUP	2015-11	PURCHASE	2016-05	$3,809	$4,180	-$371
AMERISOURCEBERGEN	2015-06	PURCHASE	2016-02	$3,581	$4,534	-$953
BANC OF CALIFORNIA	2016-05	PURCHASE	2016-10	$1,858	$2,680	-$822
BLACKHAWK NETWORK HLDGS	2015-11	PURCHASE	2016-02	$2,145	$2,757	-$612
CELGENE CORP COMMON	2015-11	PURCHASE	2016-02	$3,278	$4,194	-$916
CENTENE CORP	2016-08	PURCHASE	2016-10	$3,674	$4,067	-$393
CONSTELLATION BRANCS INC	2016-05	PURCHASE	2016-11	$2,448	$2,528	-$80
DR HORTON INC	2015-11	PURCHASE	2016-02	$3,410	$4,150	-$740
DYCOM INDUSTRIES	2015-11	PURCHASE	2016-03	$1,934	$2,748	-$814
EDWARDS LIFESCIENCES	2016-10	PURCHASE	2016-10	$3,361	$4,161	-$800
ELLIE MAE INC	2015-11	PURCHASE	2016-02	$1,746	$1,595	$151
EPAM SYSTEMS INC	2015-11	PURCHASE	2016-06	$3,810	$4,174	-$364
FIRST TR MID CAP GROWTH	2016-01	PURCHASE	2016-06	$5,627	$5,210	$417
THE GABELLI GOLD FUND	2016-06	PURCHASE	2016-12	$5,215	$6,779	-$1,564
JOHN HANCOCK PREFERRED	2015-08	PURCHASE	2016-04	$6,307	$5,761	$546
ISHARES 20+ YEAR TREAS	2015-09	PURCHASE		$9,435	$8,509	$926
ISHARES 7-10 YEAR TREAS	2015-09	PURCHASE	2016-08	$3,021	$2,860	$161
ISHARES SILVER TRUST ETF	2016-08	PURCHASE	2016-12	$2,428	$2,808	-$380
JANUS SHORT-TERM BOND	2016-02	PURCHASE	2016-03	$6,433	$6,390	$43
WESTERN ASSET SHORT	2016-02	PURCHASE	2016-05	$6,374	$6,386	-$12
LIGAND PHARMACEUTICALS	2016-05	PURCHASE	2016-08	$2,370	$2,659	-$289
LITHIA MOTORS INC	2015-11	PURCHASE	2016-01	$1,860	$2,769	-$909
LORD ABBETT SHORT DURATION	2016-11	PURCHASE	2016-12	$6,743	$6,774	-$31
MASCO CORP COMMON	2016-05	PURCHASE	2016-11	$3,760	$3,907	-$147
MASTERCARD INC	2016-01	PURCHASE	2016-06	$4,010	$3,821	$189
NEWELL BRANDS INC	2016-10	PURCHASE	2016-11	$3,230	$3,573	-$343
SIERRA STRATEGIC INCOME	2016-04	PURCHASE	2016-08	$5,507	$5,302	$205
O'REILLY AUTOMOTIVE	2016-03	PURCHASE	2016-10	$3,697	$3,843	-$146
PRA HEALTH SCIENCES INC	2016-05	PURCHASE	2016-07	$3,464	$3,923	-$459
PAYCOM SOFTWARE INC	2015-12	PURCHASE	2016-02	$1,638	$2,691	-$1,053
PIONEER SHORT TERM INCOME		PURCHASE		$12,992	$12,992
POWERSHARES DB AGRI	2016-08	PURCHASE	2016-12	$4,025	$4,198	-$173
PROSHARES SHORT S&P500		PURCHASE	2016-09	$7,539	$7,633	-$94
PROSHARES SHORT QQQ ETF	2016-03	PURCHASE	2016-05	$6,108	$6,407	-$299
PROSHARES SHORT DOW30 ETF	2016-02	PURCHASE	2016-03	$6,031	$6,393	-$362
PRUDENTIAL SHORT-TERM CORP		PURCHASE	2016-08	$5,119	$5,058	$61
SIX FLAGS ENTERTAINMENT CORP	2016-06	PURCHASE	2016-08	$1,255	$1,320	-$65
SMITH & WESOSN HOLDINGS	2016-03	PURCHASE	2016-11	$2,045	$2,627	-$582
STARBUCKS CORP COMMON	2015-11	PURCHASE	2016-04	$2,552	$2,754	-$202
STORE CAP CORP	2016-04	PURCHASE	2016-11	$4,067	$3,990	$77
SYNAPTICS INC	2015-11	PURCHASE	2016-01	$2,094	$2,847	-$753
TYLER TECHNOLOGIES	2016-01	PURCHASE	2016-02	$839	$1,115	-$276
TYSON FOODS INC	2016-05	PURCHASE	2016-11	$2,417	$2,659	-$242
VANGUARD REIT ETF	2016-08	PURCHASE	2016-11	$6,258	$7,029	-$771
VERIZON COMMUNICATIONS	2016-04	PURCHASE	2016-10	$3,941	$3,943	-$2
AB HIGH INCOME FUND		PURCHASE	2016-08	$9,552	$9,667	-$115
WALT DISNEY CO		PURCHASE	2016-02	$3,834	$2,137	$1,697
ELLIE MAE INC	2015-11	PURCHASE	2016-12	$1,439	$1,197	$242
FACEBOOK INC	2014-04	PURCHASE		$5,490	$2,869	$2,621
FIRST TRUST LARGE CAP VALUE	2014-08	PURCHASE	2016-06	$4,970	$5,334	-$364
FLEETCOR TECHNOLOGIES	2013-12	PURCHASE	2016-01	$4,068	$3,895	$173
FOOT LOCKER INC	2014-12	PURCHASE	2016-04	$4,715	$4,360	$355
ISHARES INTERMEDIATE CREDIT	2015-08	PURCHASE	2016-08	$7,466	$7,255	$211
LOOMIS SAYLES SR FLOATING		PURCHASE	2016-08	$10,235	$10,552	-$317
POWERSHARES DWA		PURCHASE	2016-02	$5,715	$3,787	$1,928
UNDER ARMOUR INC	2014-03	PURCHASE	2016-01	$3,770	$3,051	$719
ISHARES SILVER TRUST ETF		PURCHASE		$6	$6
ABBEY CAPITAL MULTI MANAGER FUND		PURCHASE			$1,215	-$1,215
ABBEY CAPITAL MULTI MANAGER FUND		PURCHASE			$1,822	-$1,822

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)

BondBondNm	EOY Book ValueEOYBookValueAmt	EOYFMVEOYFMVAmt
UBS BROKERAGE ACCOUNT	$795,153	$732,426
UBS - JPMORGAN INCOME BUILDER	$235,683	$236,293
UBS PMP ACCOUNT

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNm	EOY Book ValueEOYBookValueAmt	EOYFMVEOYFMVAmt
UBS FOUNDATION BROKERAGE ACCOUNT	$674,089	$838,433
UBS PMP ACCOUNT	$99,756	$110,044

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (5 entries)

Category Or ItemCategoryOrItemTxt	Listed At Cost Or FMVListedAtCostOrFMVCd	Book ValueBookValueAmt	EOYFMVEOYFMVAmt
ANTIQUE FURNITURE	AT COST	$21,245	$21,245
ARDEN-SAGE MULLTI STRATEGY FUND LLC	AT COST		$1,253
ABBEY CAPITAL MULTI-MANAGER FUND	AT COST	$104,310	$111,875
POWERSHARES DB BASE METALS FUND	AT COST	$6,140	$6,386
ALPS CORE COMMODITY MANAGED	AT COST	$6,695	$7,038

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (2 entries)

Cost Or Other BasisCostOrOtherBasisAmt	Accumulated DepreciationAccumulatedDepreciationAmt	Book ValueBookValueAmt	EOYFMVEOYFMVAmt
$75,550	$15,266	$60,284	$75,000
$11,250		$11,250

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt	Net Investment IncomeNetInvestmentIncomeAmt	Adjusted Net IncomeAdjustedNetIncomeAmt
COMMERCIAL REAL ESTATE
INSURANCE	$2,242	$2,242	$2,242
REPAIRS	$156	$156	$156
EXPENSES
INVESTMENT EXPENSES - ABBEY C	$2,692	$2,692
INVESTMENT ADVISOR FEE	$2,429	$2,429
STORAGE	$2,152	$2,152
INSURANCE	$2,335	$2,335

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (8 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt	Adjusted Net IncomeAdjustedNetIncomeAmt
ARDEN SAGE MULTI-STRATEGY K-1	$6	$6
ARDEN SAGE MULTI-STRATEGY K-1	-$3	-$3
ARDEN SAGE MULTI-STRATEGY K-1	-$10	-$10
ARDEN SAGE MULTI-STRATEGY K-1	$938	$938
ARDEN SAGE MULTI-STRATEGY K-1	$283	$283
ABBEY CAPITAL MULTI-MGR K-1	-$2,478	-$2,478
POWERSHARES DB AGRICULTURE	-$56	-$56
POWERSHARES DB BASE METALS	-$11	-$11

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

Field	Value	IRS element (for citing)
Desc	INCREASE IN VALUE OF ASSETS	Desc
Amt	$6,346	Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	COMMERCIAL REAL ESTATE	CategoryTxt
Amt	$2,261	Amt
Net Investment Income	$2,261	NetInvestmentIncomeAmt
Adjusted Net Income	$2,261	AdjustedNetIncomeAmt