HITCHCOCKS CHARITY FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: HITCHCOCKS CHARITY FOUNDATION (EIN 20-1214557)
Tax period: 2015-04-01 to 2016-03-31
Filed: 2016-08-22
IRS object ID: 201602359349100015
Schema version: 2015v2.1
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
Investments Other Schedule2
Other Expenses Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-22T13:56:13-05:00	ReturnTs
Tax Period End	2016-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	593204548	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES MOORE & CO PL	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5931 NW 1ST PLACE	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	326072063	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2015-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	201214557	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HITCHCOCK'S CHARITY FOUNDATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HITC	BusinessNameControlTxt
Phone	3864622284	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	29220 NW 122ND ST	AddressLine1Txt
City	ALACHUA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	326153240	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	OFFICER	PersonNm
Person Title	OFFICER	PersonTitleTxt
Phone	3864622284	PhoneNum
Signature	2016-08-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DONNA S BROWN	PreparerPersonNm
PTIN	P00080835	PTIN
Phone	3523781331	PhoneNum
Preparation	2016-08-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2016-12-15 16:53:06Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$304,971	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
Dividends Rev And Expnss	$21	DividendsRevAndExpnssAmt
Dividends Net Invst Incm	$21	DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss	$63	NetGainSaleAstRevAndExpnssAmt
Gross Sales Price	$63	GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm	$63	CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss	$84	TotalRevAndExpnssAmt
Total Net Invst Incm	$84	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
Accounting Fees Rev And Expnss	$1,300	AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm	$650	AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps	$650	AccountingFeesChrtblPrpsAmt
Other Expenses Rev And Expnss	$20	OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm	$10	OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl	$10	OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss	$1,320	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$660	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$660	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$71,756	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$71,756	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$73,076	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$660	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$72,416	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	-$72,992	ExcessRevenueOverExpensesAmt
Net Investment Income	$0	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$7,703	CashBOYAmt
Cash EOY	$17,525	CashEOYAmt
Cash EOYFMV	$17,525	CashEOYFMVAmt
Other Investments BOY	$374,244	OtherInvestmentsBOYAmt
Other Investments EOY	$291,430	OtherInvestmentsEOYAmt
Other Investments EOYFMV	$287,446	OtherInvestmentsEOYFMVAmt
Total Assets BOY	$381,947	TotalAssetsBOYAmt
Total Assets EOY	$308,955	TotalAssetsEOYAmt
Total Assets EOYFMV	$304,971	TotalAssetsEOYFMVAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind
Capital Stock BOY	$0	CapitalStockBOYAmt
Capital Stock EOY	$0	CapitalStockEOYAmt
Additional Paid In Capital BOY	$0	AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY	$0	AdditionalPaidInCapitalEOYAmt
Retained Earning BOY	$381,947	RetainedEarningBOYAmt
Retained Earning EOY	$308,955	RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY	$381,947	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$308,955	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$381,947	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$308,955	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$381,947	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	-$72,992	ExcessRevenueOverExpensesAmt
Other Increases	$0	OtherIncreasesAmt
Subtotal	$308,955	SubtotalAmt
Other Decreases	$0	OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY	$308,955	TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

Field	Value	IRS element (for citing)
Property	CAPITAL GAINS DIVIDENDS	PropertyDesc
How Acquired	P	HowAcquiredCd
Gross Sales Price	$63	GrossSalesPriceAmt
Gain Or Loss	$63	GainOrLossAmt
Gains Minus Excess Or Losses	$63	GainsMinusExcessOrLossesAmt

Field	Value	IRS element (for citing)
Capital Gain Net Income	$63	CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

Field	Value	IRS element (for citing)
Liable Section4942 Tax	0	LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1	$71,070	AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1	$421,789	NetVlNoncharitableAssetsYr1Amt
Distribution Yr1	0.168497	DistributionYr1Rt
Adjusted Qlfy Distri Yr2	$87,583	AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2	$462,594	NetVlNoncharitableAssetsYr2Amt
Distribution Yr2	0.189330	DistributionYr2Rt
Adjusted Qlfy Distri Yr3	$8,810	AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3	$484,668	NetVlNoncharitableAssetsYr3Amt
Distribution Yr3	0.018177	DistributionYr3Rt
Adjusted Qlfy Distri Yr4	$10,797	AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4	$470,460	NetVlNoncharitableAssetsYr4Amt
Distribution Yr4	0.022950	DistributionYr4Rt
Adjusted Qlfy Distri Yr5	$73,741	AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5	$477,936	NetVlNoncharitableAssetsYr5Amt
Distribution Yr5	0.154291	DistributionYr5Rt
Total Distribution	0.553245	TotalDistributionRt
Average Distribution	0.110649	AverageDistributionRt
Net Vl Noncharitable Assets	$359,851	NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets	$39,817	AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct	$0	NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct	$39,817	AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions	$72,416	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	$0	InvestmentIncomeExciseTaxAmt
Tax Under Section511	$0	TaxUnderSection511Amt
Subtotal	$0	SubtotalAmt
Subtitle A Tax	$0	SubtitleATaxAmt
Tax Based On Investment Income	$0	TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx	$544	EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits	$544	TotalPaymentsAndCreditsAmt
Overpayment	$544	OverpaymentAmt
Applied To ES Tax	$544	AppliedToESTaxAmt
Refund	$0	RefundAmt

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	0	OrganizationDissolvedEtcInd
Section508e Rqr Satisfied	Yes (1)	Section508eRqrSatisfiedInd
At Least5000 In Assets	Yes (1)	AtLeast5000InAssetsInd
Org Report Or Register State	FL	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
Individual With Books	CLARA J BEMBRY	IndividualWithBooksNm
Phone	3864622284	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 129	AddressLine1Txt
City	ALACHUA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32616	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
ROBERT A HITCHCOCK
PO BOX 129	ALACHUA	FL	32616	PRESIDENT	1.00	$0	$0	$0
CATHY S HITCHCOCK
PO BOX 129	ALACHUA	FL	32616	VICE PRESIDENT	1.00	$0	$0	$0
CLARA J BEMBRY
PO BOX 129	ALACHUA	FL	32616	SECRETARY/TREASURER	1.00	$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	$336,091	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$29,240	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$365,331	TotalFMVOfUnusedAssetsAmt
Reduction Claimed	$0	ReductionClaimedAmt
Acquisition Indebtedness	$0	AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast	$365,331	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$5,480	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$359,851	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$17,993	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$17,993	MinimumInvestmentReturnAmt
Total Tax	$0	TotalTaxAmt
Distributable Before Adj	$17,993	DistributableBeforeAdjAmt
Recoveries Qualfied Distri	$0	RecoveriesQualfiedDistriAmt
Distributable Before Ded	$17,993	DistributableBeforeDedAmt
Deduction From Distributable	$0	DeductionFromDistributableAmt
Distributable As Adjusted	$17,993	DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$72,416	ExpensesAndContributionsAmt
Program Related Invst Total	$0	ProgramRelatedInvstTotalAmt
Qualifying Distributions	$72,416	QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm	$0	PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri	$72,416	AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$17,993	DistributableAsAdjustedAmt
Undistributed Income PY	$0	UndistributedIncomePYAmt
Total For Prior Years	$0	TotalForPriorYearsAmt
Excess Distribution Cyov Yr5	$40,112	ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr2	$65,039	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$49,995	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$155,146	TotalExcessDistributionCyovAmt
Qualifying Distributions	$72,416	QualifyingDistributionsAmt
Applied To Year1	$0	AppliedToYear1Amt
Applied To Prior Years	$0	AppliedToPriorYearsAmt
Treated As Distri From Corpus	$0	TreatedAsDistriFromCorpusAmt
Applied To Current Year	$17,993	AppliedToCurrentYearAmt
Remaining Distri From Corpus	$54,423	RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus	$0	ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY	$0	ExcessDistributionCyovAppCYAmt
Total Corpus	$209,569	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	$40,112	ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr	$169,457	ExcessDistriCyovToNextYrAmt
Excess From Year2	$65,039	ExcessFromYear2Amt
Excess From Year1	$49,995	ExcessFromYear1Amt
Excess From Current Year	$54,423	ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Contributing Manager	ROBERT A HITCHCOCK	ContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

Field	Value	IRS element (for citing)
Recipient Person	ROBERT A HITCHCOCK	RecipientPersonNm

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 129	AddressLine1Txt
City	ALACHUA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32616	ZIPCd

Field	Value	IRS element (for citing)
Recipient Phone	3864620101	RecipientPhoneNum
Form And Info And Materials	WRITTEN	FormAndInfoAndMaterialsTxt
Submission Deadlines	NONE	SubmissionDeadlinesTxt
Restrictions On Awards	DETERMINATION OF AWARDS IS BASED ON NEED FOCUSING ON YOUTH IN THE AREAS OF HEALTH, EDUCATION AND SPORTS ACTIVITIES. THERE ARE NO SPECIFIC DOLLAR LIMITATIONS OR RESTRICTIONS ON THE AWARDS.	RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Recipient RelationshipRecipientRelationshipTxt	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt
ALACHUA COUNTY YOUTH FAIR
2800 NE 39TH AVE	GAINESVILLE	FL	32609	NONE	YOUTH PROGRAMS	$706
SANTA FE HIGH SCHOOL
16213 NW US HWY 441	ALACHUA	FL	32615	NONE	YOUTH PROGRAMS	$15,600
STOP CHILDREN'S CANCER
2622 NW 43RD ST	GAINESVILLE	FL	32606	NONE	CURING CHIDREN'S CANCER	$5,000
UF FOUNDATION
PO BOX 14425	GAINESVILLE	FL	32604	NONE	UF FOOD PANTRY	$50,000
HIGH SPRINGS COMMUNITY SCHOOL
1015 N MAIN ST	HIGH SPRINGS	FL	32643	NONE	YOUTH PROGRAMS	$150
HAMILTON MILL UNITED METHODIST CHURCH
1450 PINE RD	DACULA	GA	30019	NONE	CHURCH PROGRAMS - MISSIONS	$100
OUR SANTE FE RIVER
2070 SW CO RD 138	FORT WHITE	FL	32038	NONE	SAVE RIVER PROJECT	$200

Field	Value	IRS element (for citing)
Total Grant Or Contri Pd Dur Yr	$71,756	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	$21	ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$63	ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Unrelated Business Taxbl Incm	$0	UnrelatedBusinessTaxblIncmAmt
Exclusion	$84	ExclusionAmt
Related Or Exempt Function Incm	$0	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$84	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	ACCOUNTING FEES	CategoryTxt
Amt	$1,300	Amt
Net Investment Income	$650	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$650	DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

Field	Value	IRS element (for citing)
Category Or Item	OTHER INVESTMENTS	CategoryOrItemTxt
Listed At Cost Or FMV	FMV	ListedAtCostOrFMVCd
Book Value	$291,430	BookValueAmt
EOYFMV	$287,446	EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	BANK SERVICE FEES	Desc
Revenue And Expenses Per Books	$20	RevenueAndExpensesPerBooksAmt
Net Investment Income	$10	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$10	DisbursementsCharitablePrpsAmt