Dorothy Blakely Foundation: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- Dorothy Blakely Foundation (EIN 61-6055236)
- Tax period
- 2015-12-01 to 2016-11-30
- Filed
- 2017-10-16
- IRS object ID
- 201712899349100426
- Schema version
- 2015v3.0
- 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
- Dissolution Stmt
- Investments Corp Stock Schedule
- Liquidation Explanation Stmt
- Legal Fees Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-16T14:33:37-05:00 | ReturnTs |
| Tax Period End | 2016-11-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383635706 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehmann Robson LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 675 Robinson Rd | AddressLine1Txt |
| City | Jackson | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2015-12-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 616055236 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dorothy Blakely Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DORO | BusinessNameControlTxt |
| Phone | 5175632424 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4251 Horton Road | AddressLine1Txt |
| City | Jackson | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Douglas L Burdick | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 5175632424 | PhoneNum |
| Signature | 2017-10-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Marc S Allen CPA | PreparerPersonNm |
| PTIN | P00738108 | PTIN |
| Phone | 5177876503 | PhoneNum |
| Preparation | 2017-10-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | 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 | $13,251 | 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 |
| Dividends Rev And Expnss | $62,976 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $62,976 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,220,444 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,283,602 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $1,220,444 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $1,283,420 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,283,420 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $1,200 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $1,200 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $9,250 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $9,250 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $3,599 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,299 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $20,270 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $20,270 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $34,319 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $33,019 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $3,170,151 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $3,170,151 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $3,204,470 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $33,019 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $3,170,151 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$1,921,050 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,250,401 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $42,232 | CashBOYAmt |
| Cash EOY | $13,251 | CashEOYAmt |
| Cash EOYFMV | $13,251 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $6,582 | SavAndTempCashInvstBOYAmt |
| Corporate Stock BOY | $1,885,487 | CorporateStockBOYAmt |
| Corporate Stock EOY | $0 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $0 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $1,934,301 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,251 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $13,251 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $100 | CapitalStockBOYAmt |
| Capital Stock EOY | $100 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $2,219,112 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $2,219,112 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | -$284,911 | RetainedEarningBOYAmt |
| Retained Earning EOY | -$2,205,961 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,934,301 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $13,251 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,934,301 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $13,251 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,934,301 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$1,921,050 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $13,251 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $13,251 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES (CHARLES SCHWAB) | P | $237,936 | $235,893 | $2,043 | $2,043 |
| PUBLICLY TRADED SECURITIES (CHARLES SCHWAB) | P | $3,045,666 | $1,827,265 | $1,218,401 | $1,218,401 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $1,220,444 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $159,482 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $3,130,337 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.050947 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $125,500 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $3,110,696 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.040345 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $129,650 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,843,783 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.045591 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $128,000 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $2,592,287 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.049377 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $118,000 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $2,539,575 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.046464 | DistributionYr5Rt |
| Total Distribution | 0.232724 | TotalDistributionRt |
| Average Distribution | 0.046545 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,782,356 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $129,505 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $12,504 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $142,009 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $3,170,151 | 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 | $12,504 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $12,504 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $12,504 | TaxBasedOnInvestmentIncomeAmt |
| Applied To Es Tax | $12,526 | AppliedToEsTaxAmt |
| Total Payments And Credits | $12,526 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $22 | EsPenaltyAmt |
| Tax Due | $0 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | Yes (1) | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | n/a | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUGLAS L BURDICK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5175632424 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4251 HORTON ROAD | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|
| DOUGLAS BURDICK | ||||||||
| 4251 HORTON ROAD | JACKSON | MI | 49201 | PRESIDENT | 0.10 | $0 | $0 | $0 |
| CHARLES H AYMOND | ||||||||
| 6075 BROWNS LAKE ROAD | JACKSON | MI | 49203 | SECRETARY | 0.10 | $0 | $0 | $0 |
| JAMES A HILDRETH | ||||||||
| 1930 HERKIMER DRIVE | JACKSON | MI | 49203 | DIRECTOR | 0.10 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,214,332 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $610,395 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,824,727 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,824,727 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $42,371 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,782,356 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $139,118 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $139,118 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $12,504 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $12,504 | TotalTaxAmt |
| Distributable Before Adj | $126,614 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $126,614 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $126,614 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $3,170,151 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $3,170,151 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $12,504 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $3,157,647 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $126,614 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $143,093 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $3,170,151 | QualifyingDistributionsAmt |
| Applied To Year1 | $143,093 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $126,614 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,900,444 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $2,900,444 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $2,900,444 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $2,900,444 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | DOUGLAS L BURDICK | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4251 HORTON ROAD | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5175632424 | RecipientPhoneNum |
| Form And Info And Materials | INITIAL LETTER OF REQUEST - 1) EXPLAIN NEED 2) AMOUNT OF REQUEST 3) OTHER SOURCES YOU ARE REQUESTING FUNDS FROM FOR THIS PROJECT 4) LIST OF DIRECTORS 5) TAX EXEMPT LETTER 6) CURRENT FINANCIAL STATEMENT & OPERATING BUDGET | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | ANNUALLY, OCTOBER 1, 201x | SubmissionDeadlinesTxt |
| Restrictions On Awards | IMMEDIATE JACKSON, MICHIGAN AREA WITH EXCEPTIONS | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| CASCADES HUMANE SOCIETY | |||||||
| 1515 CARMEN DRIVE | JACKSON | MI | 49202 | NONE | 501 (C) (3) | OPERATIONS | $960,000 |
| ELLA SHARP MUSEUM OF ART AND HISTORY | |||||||
| 3225 FOURTH STREET | JACKSON | MI | 49203 | NONE | 501 (C) (3) | OPERATIONS | $790,151 |
| JACKSON FRIENDLY HOME | |||||||
| 435 WEST NORTH STREET | JACKSON | MI | 49202 | NONE | 501 (C) (3) | OPERATIONS | $400,000 |
| JACKSON INTERFAITH SHELTER | |||||||
| 414 S BLACKSTONE | JACKSON | MI | 49201 | NONE | 501 (C) (3) | OPERATIONS | $200,000 |
| JACKSON SYMPHONY ORCHESTRA ASSOCIATION | |||||||
| 215 WEST MICHIGAN AVENUE | JACKSON | MI | 49201 | NONE | 501 (C) (3) | OPERATIONS | $400,000 |
| JOHN GEORGE HOME INC | |||||||
| 1501 E GANSON STREET | JACKSON | MI | 49202 | NONE | 501 (C) (3) | OPERATIONS | $400,000 |
| MARRIAGE MATTERS | |||||||
| 536 N JACKSON ST | JACKSON | MI | 49201 | NONE | 501 (C) (3) | OPERATIONS | $5,000 |
| THE SHOP RAT FOUNDATION | |||||||
| 11855 BUNKERHILL RD | PLEASANT LAKE | MI | 49272 | NONE | 501 (C) (3) | OPERATION | $10,000 |
| YMCA STORER CAMPS | |||||||
| 6941 STONEY LAKE ROAD | JACKSON | MI | 49201 | NONE | 501 (C) (3) | OPERATIONS | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $3,170,151 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $62,976 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,220,444 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $1,283,420 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,283,420 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | REHMANN | CategoryTxt |
| Amt | $9,250 | Amt |
| Net Investment Income | $9,250 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Dissolution Stmt DissolutionStmt
Dissolution Information DissolutionInformationGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Short ExplanationShortExplanationTxt | DissolutionDissolutionAmt |
|---|---|---|---|---|---|
| CASCADES HUMANE SOCIETY | |||||
| 1515 CARMEN DRIVE | JACKSON | MI | 49202 | FINAL CASH DISTRIBUTION | $960,000 |
| ELLA SHARP MUSEUM OF ART AND HISTORY | |||||
| 3225 FOURTH STREET | JACKSON | MI | 49203 | FINAL CASH DISTRIBUTION | $790,151 |
| JACKSON FRIENDLY HOME | |||||
| 435 WEST NORTH STREET | JACKSON | MI | 49202 | FINAL CASH DISTRIBUTION | $400,000 |
| JACKSON INTERFAITH SHELTER | |||||
| 414 S BLACKSTONE | JACKSON | MI | 49201 | FINAL CASH DISTRIBUTION | $200,000 |
| JACKSON SYMPHONY ORCHESTRA ASSOCIATION | |||||
| 215 WEST MICHIGAN AVENUE | JACKSON | MI | 49201 | FINAL CASH DISTRIBUTION | $400,000 |
| JOHN GEORGE HOME INC | |||||
| 1501 E GANSON STREET | JACKSON | MI | 49202 | FINAL CASH DISTRIBUTION | $400,000 |
| MARRIAGE MATTERS | |||||
| 536 N JACKSON ST | JACKSON | MI | 49201 | FINAL CASH DISTRIBUTION | $5,000 |
| THE SHOP RAT FOUNDATION | |||||
| 11855 BUNKERHILL RD | PLEASANT LAKE | MI | 49272 | FINAL CASH DISTRIBUTION | $10,000 |
| YMCA STORER CAMPS | |||||
| 6941 STONEY LAKE ROAD | JACKSON | MI | 49201 | FINAL CASH DISTRIBUTION | $5,000 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | CHARLES SCHWAB INSTITUTIONAL - ACCOUNT 2514-0369 | StockNm |
| EOY Book Value | $0 | EOYBookValueAmt |
| EOYFMV | $0 | EOYFMVAmt |
Liquidation Explanation Stmt LiquidationExplanationStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | A substantial contraction of the foundation has taken place duing the fiscal year ended November 30, 2016. The assets were distributed as listed in Part XV (Supplementary Information), 3a. Transactions that took place after the end of the fiscal year are as follows: Bank interest received - $6.44 IRS refund received - $768.77 Payment to Rehmann - ($1,500) Payment to IRS - ($12,526) | ExplanationTxt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | MARCOUX ALLEN | CategoryTxt |
| Legal Fees | $1,200 | LegalFeesAmt |
| Net Investment Income | $1,200 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT ADVISORIES | Desc |
| Revenue And Expenses Per Books | $20,270 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $20,270 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN WITHHELD TAXES - CHARLES SCHWAB | $2,299 | $2,299 | $0 |
| EXCISE TAX | $1,300 | $0 | $0 |