MICHEL FOUNDATION: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MICHEL FOUNDATION (EIN 20-3424442)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201721359349104952
- 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
- Schedule B
- Land Etc Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T15:48:52-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sorensen Vance & Company PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3115 E Lion Lane Suite 220 | AddressLine1Txt |
| City | Salt Lake City | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203424442 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHEL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MICH | BusinessNameControlTxt |
| Phone | 8015983935 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7240 S HIGHLAND DR 101 | AddressLine1Txt |
| City | SALT LAKE CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84121 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAUN MICHEL | PersonNm |
| Person Title | Trustee | PersonTitleTxt |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS R HARDY | PreparerPersonNm |
| PTIN | P00176385 | PTIN |
| Phone | 8017335055 | PhoneNum |
| 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 | $1,467,563 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $94,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $491 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $491 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $491 | InterestOnSavingsAdjNetIncmAmt |
| Other Income Rev And Expnss | $146,972 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $146,972 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $146,972 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $241,463 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $147,463 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $147,463 | TotalAdjNetIncmAmt |
| Other Prof Fees Rev And Expnss | $2,625 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $394 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $2,231 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $356 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $356 | TaxesNetInvstIncmAmt |
| Occupancy Rev And Expnss | $4,260 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $639 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $3,621 | OccupancyDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $42 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $6 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $36 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $92,437 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $638 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $91,799 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $99,720 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $2,033 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $97,687 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $39,867 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $39,867 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $139,587 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $2,033 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $137,554 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $101,876 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $145,430 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $147,463 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $119,564 | CashBOYAmt |
| Cash EOY | $2,003 | CashEOYAmt |
| Cash EOYFMV | $2,003 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $149,949 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $148,434 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $148,434 | SavAndTempCashInvstEOYFMVAmt |
| Other Nts And Loans Rcvbl | $837,500 | OtherNtsAndLoansRcvblAmt |
| Other Nts And Loans Rcvbl BOY | $837,500 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $837,500 | OtherNtsAndLoansRcvblEOYAmt |
| Other Nts And Loans Rcvbl EOYFMV | $837,500 | OtherNtsAndLoansRcvblEOYFMVAmt |
| Mortgage Loans BOY | $255,452 | MortgageLoansBOYAmt |
| Mortgage Loans EOY | $476,404 | MortgageLoansEOYAmt |
| Mortgage Loans EOYFMV | $476,404 | MortgageLoansEOYFMVAmt |
| Other Investments BOY | $3,222 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,222 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,222 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $1,870 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,870 | LandBldgEquipAccumDeprecAmt |
| Total Assets BOY | $1,365,687 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,467,563 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,467,563 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $1,365,687 | UnrestrictedBOYAmt |
| Unrestricted EOY | $1,467,563 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,365,687 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,467,563 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,365,687 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,467,563 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,365,687 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $101,876 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,467,563 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,467,563 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $102,276 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,377,209 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.07426 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $97,258 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,549,014 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.06279 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $48,674 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,435,508 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.03391 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $86,879 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,496,642 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.05805 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $102,667 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,500,039 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.06844 | DistributionYr5Rt |
| Total Distribution | 0.297449 | TotalDistributionRt |
| Average Distribution | 0.059490 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,514,955 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $90,125 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,454 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $91,579 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $137,554 | 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 | $1,454 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $1,454 | SubtotalAmt |
| Tax Based On Investment Income | $1,454 | TaxBasedOnInvestmentIncomeAmt |
| Applied To Es Tax | $500 | AppliedToEsTaxAmt |
| Total Payments And Credits | $500 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $10 | EsPenaltyAmt |
| Tax Due | $964 | 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 |
| Form990 T Filed | false | Form990TFiledInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | UT | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (true) | 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 | SHAUN MICHEL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8015983935 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7240 S HIGHLAND DR 101 | AddressLine1Txt |
| City | SALT LAKE CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84121 | 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 |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| 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 |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | false | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Proceeds Or Net Income | false | ProceedsOrNetIncomeInd |
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 |
|---|---|---|---|---|---|---|
| UWE W MICHEL | ||||||
| 7240 S HIGHLAND DR 101 | SALT LAKE CITY | UT | 84121 | Trustee | 7.00 | $0 |
| ANNETTE S MICHEL | ||||||
| 7240 S HIGHLAND DR 101 | SALT LAKE CITY | UT | 84121 | Trustee | 1.00 | $0 |
| ULLRICH K MICHEL | ||||||
| 7240 S HIGHLAND DR 101 | SALT LAKE CITY | UT | 84121 | Trustee | 5.00 | $0 |
| CAROLA S MICHEL | ||||||
| 7240 S HIGHLAND DR 101 | SALT LAKE CITY | UT | 84121 | Trustee | 1.00 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | DONATIONS OF MEDICAL PRESCRIPTIONS PROVIDED TO NEEDY INDIVIDUALS. | Description1Txt |
| Expenses1 | $4,000 | Expenses1Amt |
| Description2 | DONATIONS FOR MEDICAL SERVICES PROVIDED TO NEEDY INDIVIDUALS. | Description2Txt |
| Expenses2 | $2,000 | Expenses2Amt |
| Description3 | DONATIONS OF COATS FOR NEEDY INDIVIDUALS. | Description3Txt |
| Expenses3 | $2,000 | Expenses3Amt |
| Description4 | ASSISTANCE WITH PURCHASE OF PIANO FOR INTERMOUNTAIN HEALTH CARE HOSPITAL. | Description4Txt |
| Expenses4 | $8,000 | Expenses4Amt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $265,750 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,272,275 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,538,025 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $1,538,025 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $23,070 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,514,955 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $75,748 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $137,554 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $137,554 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,454 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $136,100 | AdjustedQualifyingDistriAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 2007-09-14 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $75,748 | CurrentYearAmt |
| Year1 | $36,229 | Year1Amt |
| Year2 | $16,327 | Year2Amt |
| Year3 | $4,618 | Year3Amt |
| Total | $132,922 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $64,386 | CurrentYearAmt |
| Year1 | $30,795 | Year1Amt |
| Year2 | $13,878 | Year2Amt |
| Year3 | $3,925 | Year3Amt |
| Total | $112,984 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $137,554 | CurrentYearAmt |
| Year1 | $102,619 | Year1Amt |
| Year2 | $97,258 | Year2Amt |
| Year3 | $48,674 | Year3Amt |
| Total | $386,105 | TotalAmt |
Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Year3 | $7,000 | Year3Amt |
| Total | $7,000 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $137,554 | CurrentYearAmt |
| Year1 | $102,619 | Year1Amt |
| Year2 | $97,258 | Year2Amt |
| Year3 | $41,674 | Year3Amt |
| Total | $379,105 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $50,499 | CurrentYearAmt |
| Year1 | $45,906 | Year1Amt |
| Year2 | $51,634 | Year2Amt |
| Year3 | $47,850 | Year3Amt |
| Total | $195,889 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | JEREMY MICHEL | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7240 HIGHLAND DR | AddressLine1Txt |
| City | SALT LAKE CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 8019422378 | RecipientPhoneNum |
| Form And Info And Materials | STATEMENT OF REQUEST CONTAINING PURPOSE AND NEED | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | GRANTS ARE AWARDED BASED ON NEED | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| YOUTHLINC | |||||||
| 1140 E BRICKYARD RD STE 76 | SALT LAKE CITY | UT | 84106 | NONE | PC | YOUTH SERVICE FOR EDUCATIONAL SERVICES IN KENYA AND THAILAND | $2,250 |
| RITE AID PHARMACY | |||||||
| 635 E 3300 S | SALT LAKE CITY | UT | 84118 | NONE | NC | MEDICAL PRESCRIPTIONS ASSISTANCE FOR NEEDY FAMILIES | $4,000 |
| MALIHEH FREE CLINIC | |||||||
| 415 E 3900 S | SALT LAKE CITY | UT | 84107 | NONE | PC | MEDICAL | $2,000 |
| NEUROWORX | |||||||
| 10376 S JORDAN GATEWAY | SOUTH JORDAN | UT | 84095 | NONE | PC | QUADRAPALEGIC REHABILITATION | $21,922 |
| BOY SOUTS OF AMERICA | |||||||
| 748 NORTH 1340 WEST | OREM | UT | 84057 | NONE | PC | YOUTH SERVICE FOR EDUCATION | $1,000 |
| CHURCH OF JESUS CHRIST LATTER DAY S | |||||||
| 270 E 500 S | SALT LAKE CITY | UT | 84111 | NONE | PC | MISSIONARY WORK | $500 |
| ROTARY DISTRICT 5420 | |||||||
| 50 W FOREST ST 101 | BRIGHAM CITY | UT | 84302 | NONE | PC | HUMANITARIAN | $2,950 |
| AMERICAN DIABETIS ASSOCIATION | |||||||
| 4424 SOUTH 700 EAST | SALT LAKE CITY | UT | 84107 | NONE | PC | MEDICAL RESEARCH | $250 |
| MS ASSOCIATION | |||||||
| 1440 FOOTHILL DRIVE 200 | SALT LAKE CITY | UT | 84108 | NONE | PC | MEDICAL RESEARCH | $100 |
| KNIGHTS OF COLUMBUS | |||||||
| 4501 WEST 5215 SOUTH | KEARNS | UT | 84118 | NONE | NC | FOR COATS AND FOOD FOR NEEDY FAMILY FOR CHRISTMAS. | $2,000 |
| THE FARM | |||||||
| 1004 TUSCANY VIEW ROAD 1706 | MIDVALE | UT | 84047 | NONE | PF | FEED THE ANIMALS FUND. | $400 |
| AMAR INTERNATIONAL CHARITY ORGANIZA | |||||||
| 1616 H STREET NW SUITE 105 | WASHINGTON | DC | 20006 | NONE | PF | HELPS PEOPLE IN AREAS OF CONFLICT, CIVIL DISORDER AND DISRUPTION BY CREATING AND SUSTAINING PROFESSIONAL SERVICES IN MEDICINE,PULBIC HEALTH, EDUCATION AND THE PROVISION OF BASIS NEEDS. | $500 |
| IHC HOSPITAL | |||||||
| 5121 S COTTONWOOD STREET | SALT LAKE CITY | UT | 84107 | NONE | NC | MEDICAL | $1,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $39,867 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Related Or Exempt Function Incm | $491 | RelatedOrExemptFunctionIncmAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $146,972 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $147,463 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $147,463 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| GERALD DONNA FOY | ||||||
| 1 | 62 BEL AIR DR NE | GRAND RAPIDS | MI | 495033916 | $15,000 | Yes (X) |
| MICHEL ULLIRCH | ||||||
| 2 | 11160 SUSAN DRIVE | SANDY | UT | 84092 | $14,000 | Yes (X) |
| MICHEL UWE | ||||||
| 3 | 2956 COBBLEMORE LN | SANDY | UT | 84093 | $14,000 | Yes (X) |
| COLTRIN FAMILY FOUNDATION | ||||||
| 4 | 2770 WILLOW HILLS | SANDY | UT | 84093 | $50,000 | Yes (X) |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Furniture and Fixtures | CategoryOrItemTxt |
| Cost Or Other Basis | $1,870 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $1,870 | AccumulatedDepreciationAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| BANK FEES | $46 | $7 | $39 |
| FUNDRAISING EXPENSE | $350 | $350 | |
| LICENSES & FEES | $30 | $30 | |
| OTHER | $200 | $30 | $170 |
| PROGRAM COSTS | $90,335 | $90,335 | |
| REPAIRS & MAINTENANCE | $1,476 | $221 | $1,255 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Investment Income | Desc |
| Revenue And Expenses Per Books | $146,972 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $146,972 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $146,972 | AdjustedNetIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING SERVICES | CategoryTxt |
| Amt | $2,625 | Amt |
| Net Investment Income | $394 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $2,231 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAXES | CategoryTxt |
| Amt | $356 | Amt |
| Net Investment Income | $356 | NetInvestmentIncomeAmt |