STRATEGY STUDIO / PUBLIC DATA EXPLORER

POTTERS CLAY FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
POTTERS CLAY FOUNDATION (EIN 36-7014358)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-04-29
IRS object ID
201601209349101215
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-04-29T16:12:29-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN204206235PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KOPCZYK OSHER & SCOTT CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line165 E WACKER PL STE 1502AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP606017239ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN367014358EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE POTTER'S CLAY FOUNDATIONBusinessNameLine1Txt
Business Name Line2PHILIP & GERALYN K LUBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPOTTBusinessNameControlTxt
Phone8478596151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7043AddressLine1Txt
CityEVANSTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP60204ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGERALYN K LUPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8478596151PhoneNum
Signature2016-04-25SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRODNEY C SCOTTPreparerPersonNm
PTINP00733684PTIN
Phone3125270111PhoneNum
Preparation2016-04-29PreparationDt
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$2,248,353FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$5InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$5InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$23,664DividendsRevAndExpnssAmt
Dividends Net Invst Incm$23,664DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$218,663NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$383,599GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$218,663CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$347OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$347OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$242,679TotalRevAndExpnssAmt
Total Net Invst Incm$242,679TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$1,300AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,300AccountingFeesNetInvstIncmAmt
Other Prof Fees Rev And Expnss$7,802OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$7,802OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$6,404TaxesRevAndExpnssAmt
Other Expenses Rev And Expnss$15OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$15OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$15,521TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$9,117TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$135,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$135,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$150,521TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$9,117TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$135,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$92,158ExcessRevenueOverExpensesAmt
Net Investment Income$233,562NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$76,826SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$19,429SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$19,429SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$1,648,218CorporateStockBOYAmt
Corporate Stock EOY$1,797,773CorporateStockEOYAmt
Corporate Stock EOYFMV$2,228,924CorporateStockEOYFMVAmt
Total Assets BOY$1,725,044TotalAssetsBOYAmt
Total Assets EOY$1,817,202TotalAssetsEOYAmt
Total Assets EOYFMV$2,248,353TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$1,725,044UnrestrictedBOYAmt
Unrestricted EOY$1,817,202UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$1,725,044TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,817,202TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,725,044TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,817,202TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,725,044TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$92,158ExcessRevenueOverExpensesAmt
Subtotal$1,817,202SubtotalAmt
Tot Net Ast Or Fund Balances EOY$1,817,202TotNetAstOrFundBalancesEOYAmt

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
US TRUSTP2015-06-012015-12-31$122,318$86,827$35,491$35,491
US TRUSTP2014-06-012015-12-31$193,546$78,109$115,437$115,437
FieldValueIRS element (for citing)
Capital Gain Net Income$218,663CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$35,491NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$148,000AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,426,969NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.060981DistributionYr1Rt
Adjusted Qlfy Distri Yr2$142,500AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,234,501NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.063773DistributionYr2Rt
Adjusted Qlfy Distri Yr3$139,660AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,059,645NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.067808DistributionYr3Rt
Adjusted Qlfy Distri Yr4$139,574AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,066,201NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.067551DistributionYr4Rt
Adjusted Qlfy Distri Yr5$139,605AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,054,678NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.067945DistributionYr5Rt
Total Distribution0.328058TotalDistributionRt
Average Distribution0.065612AverageDistributionRt
Net Vl Noncharitable Assets$2,351,406NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$154,280AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,336NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$156,616AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$135,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,671InvestmentIncomeExciseTaxAmt
Subtotal$4,671SubtotalAmt
Tax Based On Investment Income$4,671TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,780EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$3,780TotalPaymentsAndCreditsAmt
Tax Due$891TaxDueAmt

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 StateILOrgReportOrRegisterStateCd
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
Website AddressN/AWebsiteAddressTxt
Individual With BooksMS GERALYN LUIndividualWithBooksNm
Phone8478596151PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7043AddressLine1Txt
CityEVANSTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP60204ZIPCd
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 PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Undistributed Income PYfalseUndistributedIncomePYInd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
PHILLIP Y LU
PO BOX 7043EVANSTONIL60204TRUSTEE5.00$0$0$0
GERALYN K LU
PO BOX 7043EVANSTONIL60204TRUSTEE5.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,371,014AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$16,200AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,387,214TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$2,387,214AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$35,808CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,351,406NetVlNoncharitableAssetsAmt
Minimum Investment Return$117,570MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$117,570MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,671TaxBasedOnInvestmentIncomeAmt
Total Tax$4,671TotalTaxAmt
Distributable Before Adj$112,899DistributableBeforeAdjAmt
Distributable Before Ded$112,899DistributableBeforeDedAmt
Distributable As Adjusted$112,899DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$135,000ExpensesAndContributionsAmt
Qualifying Distributions$135,000QualifyingDistributionsAmt
Adjusted Qualifying Distri$135,000AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$112,899DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$37,661ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$37,116ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$37,358ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$31,977ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$30,431ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$174,543TotalExcessDistributionCyovAmt
Qualifying Distributions$135,000QualifyingDistributionsAmt
Applied To Current Year$112,899AppliedToCurrentYearAmt
Remaining Distri From Corpus$22,101RemainingDistriFromCorpusAmt
Total Corpus$196,644TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$37,661ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$158,983ExcessDistriCyovToNextYrAmt
Excess From Year4$37,116ExcessFromYear4Amt
Excess From Year3$37,358ExcessFromYear3Amt
Excess From Year2$31,977ExcessFromYear2Amt
Excess From Year1$30,431ExcessFromYear1Amt
Excess From Current Year$22,101ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
OPENING DOORS
1561 JACKSON STREETDUBUQUEIA52001EMERGENCY TRANSITIONAL HOUSING$10,000
HOWARD BROWN HEALTH CENTER
4025 N SHERIDAN RDCHICAGOIL60613HEALTH CARE & SOCIAL SERV FOR YOUNG$10,000
THE NIGHT MINISTRY
4711 N RAVENSWOOD AVECHICAGOIL60640HOUSING/HEALTH CARE FOR HOMELESS$25,000
GREATER CHICAGO FOOD DEPOSITORY
4100 WEST ANN LURIE PLACECHICAGOIL60632FOOD DISTRIBUTION PROGRAM$15,000
PLANNED PARENTHOOD OF ILLINOIS
18 S MICHIGAN AVE 6TH FLRCHICAGOIL60603HEALTH CARE AND EDUCATIONAL SVCS$25,000
PLANNED PARENTHOOD OF WISCONSIN
302 NORTH JACKSON STREETMILWAUKEEWI53202HEALTH CARE AND EDUCATIONSL SVCS$25,000
PLANNED PARENTHOOD OF THE HEARTLAND
818 5TH AVENUE SUITE 200DES MOINESIA50309HEALTH CARE AND EDUCATIONAL SVCS$25,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$135,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$5ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$23,664ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$218,663ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Exclusion18ExclusionCd
Exclusion$347ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$242,679ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$242,679TotalIncomeProducingActyAmt

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)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$1,300Amt
Net Investment Income$1,300NetInvestmentIncomeAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
DOMINI SOCIAL EQUITY FUND$948,914$1,240,634
U.S. TRUST - STOCK INVESTMENTS$306,668$472,688
DOMINI SOCIAL BOND FUND$542,191$515,602

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
EXPENSES
BANK CHARGES$15$15

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Revenue And Expenses Per Books$347RevenueAndExpensesPerBooksAmt
Net Investment Income$347NetInvestmentIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$7,802Amt
Net Investment Income$7,802NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmt
FOREIGN TAXES PAID$42
IL CHARITY BUREAU FEE$15
FEDERAL EXCISE TAX$6,347