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CHARLES A MICALE FOUNDATION 01-01-98: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHARLES A MICALE FOUNDATION 01-01-98 (EIN 83-0320607)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-14
IRS object ID
201721959349100107
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-07-14T11:11:58-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN830331229PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCGEE HEARNE & PAIZ LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1088AddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82003ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN830320607EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Charles A Micale FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHARBusinessNameControlTxt
Phone3076342151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1088AddressLine1Txt
CityCheyenneCityNm
State AbbreviationWYStateAbbreviationCd
ZIP82003ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES S MICALEPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone3076342151PhoneNum
Signature2017-07-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRonald J NimmoPreparerPersonNm
PTINP00010537PTIN
Phone3076342151PhoneNum
Preparation2017-07-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.144.123.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-06IPDt
IP Tm17:09:16IPTm
IP TimezoneMDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id14E56A337541C142A2FA9C800FD2666FF0D5DDA6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,471,690FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$75,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$30,639DividendsRevAndExpnssAmt
Dividends Net Invst Incm$30,639DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$81,748NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,492,088GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$23,891TotalRevAndExpnssAmt
Total Net Invst Incm$30,639TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$4,075AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,075AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$25TaxesRevAndExpnssAmt
Taxes Net Invst Incm$25TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$27,463OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$27,351OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$31,563TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$31,451TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$73,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$73,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$105,063TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$31,451TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$73,500TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$81,172ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$706,407CashBOYAmt
Cash EOY$97,772CashEOYAmt
Cash EOYFMV$97,772CashEOYFMVAmt
Other Investments BOY$736,198OtherInvestmentsBOYAmt
Other Investments EOY$1,271,709OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,373,918OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,442,605TotalAssetsBOYAmt
Total Assets EOY$1,369,481TotalAssetsEOYAmt
Total Assets EOYFMV$1,471,690TotalAssetsEOYFMVAmt
Accounts Payable EOY$475AccountsPayableEOYAmt
Mortgages And Notes Payable EOY$574MortgagesAndNotesPayableEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,049TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,442,605RetainedEarningBOYAmt
Retained Earning EOY$1,368,432RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,442,605TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,368,432TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,442,605TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,369,481TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,442,605TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$81,172ExcessRevenueOverExpensesAmt
Other Increases$6,999OtherIncreasesAmt
Subtotal$1,368,432SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,368,432TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
MERRILL LYNCH 6CW-03105-ADDITIONAL INFORMATION AVAILABLE UPOND REQUESTP2016-01-012016-12-31$1,431,381$1,507,547-$76,166-$76,166
MERRILL LYNCH 6CW-03105-ADDITIONAL INFORMATION AVAILABLE UPOND REQUESTP2016-01-012016-12-31$60,707$66,289-$5,582-$5,582
FieldValueIRS element (for citing)
Capital Gain Net Income-$81,748CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$76,284AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,435,525NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.053140DistributionYr1Rt
Adjusted Qlfy Distri Yr2$66,473AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,422,718NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.046723DistributionYr2Rt
Adjusted Qlfy Distri Yr3$48,000AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,378,912NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.034810DistributionYr3Rt
Adjusted Qlfy Distri Yr4$34,500AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,318,458NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.026167DistributionYr4Rt
Adjusted Qlfy Distri Yr5$40,725AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,178,710NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.034550DistributionYr5Rt
Total Distribution0.195390TotalDistributionRt
Average Distribution0.039078AverageDistributionRt
Net Vl Noncharitable Assets$1,423,549NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$55,629AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$0NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$55,629AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$73,500QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$0TaxDueAmt

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 StateWYOrgReportOrRegisterStateCd
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 Addressn/aWebsiteAddressTxt
Individual With BooksCharles A MicaleIndividualWithBooksNm
Phone3076370019PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1088AddressLine1Txt
CityCheyenneCityNm
State AbbreviationWYStateAbbreviationCd
ZIP820031088ZIPCd
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
CHARLES A MICALE
PO BOX 1088CHEYENNEWY82003DIRECTOR0.00$0$0$0
CHARLES S MICALE
PO BOX 1088CHEYENNEWY82003DIRECTOR0.00$0$0$0
DONNA SEBASTIAN
PO BOX 1088CHEYENNEWY82003DIRECTOR0.00$0$0$0
DEBBIE MCCONNELL
PO BOX 1088CHEYENNEWY82003DIRECTOR0.00$0$0$0
GIAVANNA MICALE
PO BOX 1088CHEYENNEWY82003DIRECTOR0.00$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

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$1,366,124AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$79,103AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,445,227TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,445,227AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$21,678CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,423,549NetVlNoncharitableAssetsAmt
Minimum Investment Return$71,177MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$71,177MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$71,177DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$71,177DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$71,177DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$73,500ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$73,500QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$73,500AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$71,177DistributableAsAdjustedAmt
Undistributed Income PY$61,569UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$73,500QualifyingDistributionsAmt
Applied To Year1$61,569AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$11,931AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$59,246UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerCHARLES A MICALEContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
COMEA HOUSE
1504 Stinson AveCHEYENNEWY82001NONEPUBLIC CHARITYGENERAL USE$10,000
COMMUNITY RESOURCE CENTER
789 SHERMAN STREET SUITE 210DENVERCO80203NONEPUBLIC CHARITYGENERAL USE$5,000
DENVER POST CHARITIES
101 W COLFAX AVEDENVERCO80202NONEPUBLIC CHARITYGENERAL USE$10,000
DENVER RESCUE MISSION
PO BOX 5206DENVERCO80217NONEPUBLIC CHARITYGENERAL USE$10,000
HUMANITARIAN FOUNDATION FUND
17339 HEATHER LANECLINTON TWPMI48038NONEPUBLIC CHARITYGENERAL USE$15,500
MCCONNELL OFFICER SPOUSE CLUB ASSOCIATION
PO BOX 782511WICHITAKS67278NONEPUBLIC CHARITYGENERAL USE$1,000
OPEN ARMS OF MINNESOTA
2500 BLOOMINGTON AVENUE SOUTHMINNEAPOLISMN55404NONEPUBLIC CHARITYGENERAL USE$6,000
SALVATION ARMY
601 EAST 20TH STREETCHEYENNEWY82001NONEPUBLIC CHARITYGENERAL USE$1,000
UNIVERSITY OF WYOMING FOUNDATION
1200 E IVINSON STREETLARAMieWY82070NONEPUBLIC CHARITYGENERAL USE$10,000
URBAN PEAK
423 E Cucharras StColorado SpringsCO80903NONEPUBLIC CHARITYGENERAL USE$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$73,500TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$30,639ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$81,748ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion-$51,109ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty-$51,109TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number4LineNumberTxt
Relationship StatementNOT APPLICABLERelationshipStatementTxt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1Douglas MatthewsBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line12211 NE 36TH Street Suite 203rAddressLine1Txt
CityLighthouse PointCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33064ZIPCd
FieldValueIRS element (for citing)
Total Contributions$75,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryPROFESSIONAL FEESCategoryTxt
Amt$4,075Amt
Net Investment Income$4,075NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
UBSAT COST$0$0
MERRILL LYNCHAT COST$1,271,709$1,373,918

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT EXPENSES$7,309$7,309$0$0
OUTSIDE EXPENSE$19,890$19,890$0$0
BANK CHARGES$152$152$0$0
FEDERAL TAX EXPENSE$112$0$0$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
INCOME TAX REFUND$344
UNREALIZED GAIN ON INVESTMENTS$6,655

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryTAXES & LICENSESCategoryTxt
Amt$25Amt
Net Investment Income$25NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt