STRATEGY STUDIO / PUBLIC DATA EXPLORER

HAZEL AND THEODORE JOHNSON SCHOLARSHIP FUND: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HAZEL AND THEODORE JOHNSON SCHOLARSHIP FUND (EIN 20-0064053)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-04-27
IRS object ID
201601189349100310
Schema version
2015v2.0
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)
Return2016-04-27T15:00:16-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 YARD STREET SUITE 200AddressLine1Txt
CityGRANDVIEW HEIGHTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43212ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200064053EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON HAZEL & THEO SCHOL FUND OAG #04-6115BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone6143319472PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1558 DEPT EA4E86AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43216ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHUNTINGTON NATIONAL BANKPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone6143319472PhoneNum
Signature2016-04-20SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH B HULLPreparerPersonNm
PTINP00135850PTIN
Phone6142327290PhoneNum
Preparation2016-04-20PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$530,139FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Dividends Rev And Expnss$13,575DividendsRevAndExpnssAmt
Dividends Net Invst Incm$13,575DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$8,637NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$165,094GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$8,637CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$22,212TotalRevAndExpnssAmt
Total Net Invst Incm$22,212TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$6,964CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$3,482CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$3,482CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$550AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$275AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$275AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$281TaxesRevAndExpnssAmt
Taxes Net Invst Incm$45TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$200OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$200OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$7,995TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,802TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,957TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$7,995TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,802TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$3,957TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$14,217ExcessRevenueOverExpensesAmt
Net Investment Income$18,410NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$11CashBOYAmt
Sav And Temp Cash Invst BOY$4,548SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$30,028SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$30,028SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Stock BOY$233,222CorporateStockBOYAmt
Corporate Stock EOY$233,261CorporateStockEOYAmt
Corporate Stock EOYFMV$316,555CorporateStockEOYFMVAmt
Corporate Bonds BOY$203,000CorporateBondsBOYAmt
Corporate Bonds EOY$186,032CorporateBondsEOYAmt
Corporate Bonds EOYFMV$183,556CorporateBondsEOYFMVAmt
Other Investments EOYFMV$0OtherInvestmentsEOYFMVAmt
Total Assets BOY$440,781TotalAssetsBOYAmt
Total Assets EOY$449,321TotalAssetsEOYAmt
Total Assets EOYFMV$530,139TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$440,781CapitalStockBOYAmt
Capital Stock EOY$449,321CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$440,781TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$449,321TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$440,781TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$449,321TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$440,781TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$14,217ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$454,998SubtotalAmt
Other Decreases$5,677OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$449,321TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (18 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
403.633 BLACKROCK STRATEGIC INCOME OPPORTUNITIES2015-03-182015-12-09$4,000$4,113-$113-$113
141.7 AMERICAN EUROPACIFIC GROWTH FUND - CLASS2014-03-172015-08-18$7,000$6,861$139$139
120. ISHARES 20+ YEAR TREASURY BOND ETF2014-12-302015-08-14$14,855$15,107-$252-$252
100. JOHNSON & JOHNSON CO2002-08-272015-03-23$10,273$5,544$4,729$4,729
711.744 LOOMIS SAYLES BOND FUND - CLASS I2014-03-172015-08-18$10,000$10,996-$996-$996
1230.004 LOOMIS SAYLES BOND FUND - CLASS I2014-03-172015-09-02$17,023$19,004-$1,981-$1,981
137. MERCK & CO INC2015-03-23$7,997$3,983$4,014$4,014
63.492 OPPENHEIMER DEVELOPING MARKETS FUND - CL2014-12-102015-08-18$2,000$2,232-$232-$232
46.745 OPPENHEIMER DEVELOPING MARKETS FUND - CL2014-12-102015-12-09$1,400$1,644-$244-$244
2782.931 PIMCO TOTAL RETURN FUND INSTL CLASS2014-03-192015-08-18$29,527$30,000-$473-$473
1318.722 PRUDENTIAL TOTAL RETURN BOND FUND - CLAS2015-08-18$18,805$19,000-$195-$195
378.788 FRANKLIN TEMPLETON GLOBAL BOND FUND - AD2014-10-082015-03-18$4,652$5,000-$348-$348
780.64 FRANKLIN TEMPLETON GLOBAL BOND FUND - AD2014-03-172015-03-18$9,586$10,000-$414-$414
185. US BANCORP DEL NEW2002-08-272015-03-23$8,273$3,925$4,348$4,348
479.846 VANGUARD SHORT-TERM BOND INDEX FUND - A2014-03-172015-12-29$5,000$5,048-$48-$48
268.097 VANGUARD INFLATION PROTECTED SECURITIES FUND - ADMIRAL SHARES2014-03-172015-03-18$7,016$7,000$16$16
265.556 VANGUARD INFLATION PROTECTED SECURITIES FUND - ADMIRAL SHARES2015-03-18$6,950$7,000-$50-$50
CAPITAL GAIN DIVIDENDS$737P
FieldValueIRS element (for citing)
Capital Gain Net Income$8,637CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$24,057AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$543,389NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.044272DistributionYr1Rt
Adjusted Qlfy Distri Yr2$29,861AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$529,547NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.05639DistributionYr2Rt
Adjusted Qlfy Distri Yr3$29,407AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$519,393NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.056618DistributionYr3Rt
Adjusted Qlfy Distri Yr4$53,493AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$493,066NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.108491DistributionYr4Rt
Adjusted Qlfy Distri Yr5$15,592AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$492,292NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.031672DistributionYr5Rt
Total Distribution0.297443TotalDistributionRt
Average Distribution0.059489AverageDistributionRt
Net Vl Noncharitable Assets$525,940NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$31,288AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$184NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$31,472AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$3,957QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$368InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$368SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$368TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$236EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$0AppliedToEsTaxAmt
Total Payments And Credits$236TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$132TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateOHOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON NATIONAL BANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5133663801PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13805 EDWARDS ROADAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45209ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON NATIONAL BANKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1558 DEPT EA4E86AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43216ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$6,964CompensationAmt
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
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$519,138AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$14,811AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$533,949TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$533,949AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$8,009CashDeemedCharitableAmt
Net Vl Noncharitable Assets$525,940NetVlNoncharitableAssetsAmt
Minimum Investment Return$26,297MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$26,297MinimumInvestmentReturnAmt
Tax Based On Investment Income$368TaxBasedOnInvestmentIncomeAmt
Total Tax$368TotalTaxAmt
Distributable Before Adj$25,929DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$25,929DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$25,929DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$3,957ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$3,957QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$3,957AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$25,929DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12013PriorYear1Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$592ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$3,616ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$4,208TotalExcessDistributionCyovAmt
Qualifying Distributions$3,957QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$3,957AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$4,208ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$4,208ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$17,764UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$13,575ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$8,637ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$22,212ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$22,212TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$550Amt
Net Investment Income$275NetInvestmentIncomeAmt
Disbursements Charitable Prps$275DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (13 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BLACKROCK STRATEGIC INCOME OPP$15,887$15,232
FEDERATED TOTAL RETURN BOND FU$20,000$19,399
HERSHEY CO 1.6% 08/21/2018$24,994$24,999
ISHARES BARCLAYS 1-3 YEAR CRED$5,265$5,230
JPMORGAN CHASE & CO$24,918$24,798
PIMCO INCOME FUND - INSTITUTIO$15,000$14,121
RALPH LAUREN CORP 2.625% 08/18$25,016$25,238
VANGUARD SHORT-TERM BOND INDEX$54,952$54,539
FRANKLIN TEMPLETON GLOBAL BOND
LOOMIS SAYLES BOND FUND - CLAS
PIMCO TOTAL RETURN FUND - INST
PRUDENTIAL TOTAL RETURN BOND F
VANGUARD INFLATION PROTECTED S

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (17 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ASTON ANCHOR CAPITAL ENHANCED$15,000$14,291
AMERICAN EXPRESS$10,828$15,649
CISCO SYSTEMS$9,119$17,243
DFA US CORE EQUITY 1 PORTFOLIO$20,000$19,237
AMERICAN EUROPACIFIC GROWTH FU$29,139$27,303
INTEL CORP$12,640$24,804
JOHNSON & JOHNSON$11,087$20,544
MCDONALDS CORP$6,842$26,582
MERCK & CO INC$9,360$21,128
OPPENHEIMER DEVELOPING MARKETS$8,124$6,929
PROCTER & GAMBLE CO$13,513$23,823
T.ROWE PRICE REAL ESTATE FUND$6,000$6,152
U S BANCORP$10,609$21,335
VANGUARD MID CAP INDEX FUND -$20,000$20,531
VANGUARD SMALL CAP INDEX - ADM$31,000$30,903
VANGUARD 500 INDEX FUND - ADMI$20,000$20,101
GENERAL ELECTRIC

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (3 entries)

DescDescAmtAmt
2015 INCOME POSTED IN 2016$233
2014 SALE (LOSS) POSTED IN 2015$5,428
ROUNDING/ADJUSTMENTS$16

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOTHER ALLOCABLE EXPENSE-PRINCIDesc
Revenue And Expenses Per Books$200RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$200DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL ESTIMATES - PRINCIPAL$236$0$0
FOREIGN TAXES ON QUALIFIED FOR$40$40$0
FOREIGN TAXES ON NONQUALIFIED$5$5$0