BERNARD J AND CAMILLE CEBELAK FOUNDATION: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BERNARD J AND CAMILLE CEBELAK FOUNDATION (EIN 38-2641979)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-16
- IRS object ID
- 201601379349101190
- 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 Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T13:01:51-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381337372 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEENE GARTER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 56 GRANDVILLE AVE SW SUITE 100 | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495034036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382641979 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERNARD J AND CAMILLE CEBELAK | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERN | BusinessNameControlTxt |
| Phone | 2319722099 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11931 TIMBERLANE DR | AddressLine1Txt |
| City | STANWOOD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49346 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOE SWEENEY | PersonNm |
| Person Title | ASST. TREASURER | PersonTitleTxt |
| Phone | 2319722099 | PhoneNum |
| Signature | 2016-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIETTE S GAUSS EA | PreparerPersonNm |
| PTIN | P00194693 | PTIN |
| Phone | 6162355200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,431,624 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $58,556 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $58,556 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $33,453 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,242,440 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $33,453 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $92,009 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $92,009 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $30,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $15,000 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $15,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,410 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,410 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $13,574 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $13,574 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $1,114 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,114 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $47,098 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $32,098 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $15,000 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $206,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $206,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $253,098 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $32,098 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $221,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$161,089 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $59,911 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $37,039 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $86,432 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $86,432 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $1,426,264 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,284,988 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,533,008 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $557,217 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $607,398 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $602,447 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $374,465 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $259,244 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $209,737 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $2,394,985 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,238,062 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,431,624 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $2,885,780 | CapitalStockBOYAmt |
| Capital Stock EOY | $2,885,780 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | -$490,795 | RetainedEarningBOYAmt |
| Retained Earning EOY | -$647,718 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,394,985 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,238,062 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,394,985 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,238,062 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,394,985 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$161,089 | ExcessRevenueOverExpensesAmt |
| Other Increases | $4,166 | OtherIncreasesAmt |
| Subtotal | $2,238,062 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,238,062 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $107,563 | $113,554 | -$5,991 | -$5,991 |
| PUBLICLY TRADED SECURITIES | P | $1,134,379 | $1,095,433 | $38,946 | $38,946 |
| CAPITAL GAINS DIVIDENDS | P | $498 | $498 | $498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $33,453 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $253,671 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,864,288 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.088563 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $316,996 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $2,865,138 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.110639 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $288,750 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,897,460 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.099656 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $272,492 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $3,099,119 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.087926 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $250,490 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $3,022,699 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.082870 | DistributionYr5Rt |
| Total Distribution | 0.469654 | TotalDistributionRt |
| Average Distribution | 0.093931 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,634,101 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $247,424 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $599 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $248,023 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $221,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,198 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,198 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,198 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,237 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,237 | TotalPaymentsAndCreditsAmt |
| Overpayment | $39 | OverpaymentAmt |
| Applied To ES Tax | $39 | 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 | MI | 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 | JOE SWEENEY | IndividualWithBooksNm |
| Phone | 2319722099 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11931 TIMBERLANE DR | AddressLine1Txt |
| City | STANWOOD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49346 | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|
| CAMILLE CEBELAK | ||||||||
| 100 GLENVIEW PLACE 404 | NAPLES | FL | 34108 | PRESIDENT, TRUSTEE | 1.00 | $0 | $0 | $0 |
| JOSEPH M SWEENEY | ||||||||
| 11931 TIMBERLANE DRIVE | STANWOOD | MI | 49346 | ASST. TREASURER | 1.00 | $5,000 | $0 | $0 |
| MICHAEL J MURASKI | ||||||||
| 22501 EGYPT CREEK COURT | ADA | MI | 49301 | TREASURER, TRUSTEE | 1.00 | $5,000 | $0 | $0 |
| SUZANNE SINGEL | ||||||||
| 45559 IRVINE DRIVE | NOVI | MI | 48374 | SECRETARY, TRUSTEE | 1.00 | $5,000 | $0 | $0 |
| PATRICE KONWINSKI OP | ||||||||
| 534 BRIAR LANE NE | GRAND RAPIDS | MI | 49503 | TRUSTEE | 1.00 | $5,000 | $0 | $0 |
| LORI WAINWRIGHT | ||||||||
| 5223 WILLOW HOLLOW | OXFORD | MI | 48371 | TRUSTEE | 1.00 | $5,000 | $0 | $0 |
| JUDY SIEKMAN | ||||||||
| 2391 CASCADE LAKES COURT SE | GRAND RAPIDS | MI | 49546 | TRUSTEE | 1.00 | $5,000 | $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 | $2,603,908 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $70,306 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,674,214 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,674,214 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $40,113 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,634,101 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $131,705 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $131,705 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,198 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,198 | TotalTaxAmt |
| Distributable Before Adj | $130,507 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $130,507 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $130,507 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $221,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $221,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $221,000 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $130,507 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $102,951 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $120,552 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $144,900 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $177,687 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $112,115 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $658,205 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $221,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $130,507 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $90,493 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $748,698 | 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 | $102,951 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $645,747 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $120,552 | ExcessFromYear4Amt |
| Excess From Year3 | $144,900 | ExcessFromYear3Amt |
| Excess From Year2 | $177,687 | ExcessFromYear2Amt |
| Excess From Year1 | $112,115 | ExcessFromYear1Amt |
| Excess From Current Year | $90,493 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ALPHA WOMEN'S CENTER | |||||||
| 1725 DIVISION AVE S | GRAND RAPIDS | MI | 49507 | NONE | CHARITABLE | GENERAL | $20,000 |
| BIG BROTHERS BIG SISTERS | |||||||
| 3501 COVINGTON ROAD | KALAMAZOO | MI | 49001 | NONE | CHARITABLE | GENERAL | $10,000 |
| CATHERINE'S HEALTH CENTER | |||||||
| 1211 LAFEYETTE | GRAND RAPIDS | MI | 49503 | NONE | CHARITABLE | GENERAL | $6,000 |
| DIOCESE OF GRAND RAPIDS | |||||||
| 360 DIVISION AVENUE S | GRAND RAPIDS | MI | 49503 | NONE | RELIGIOUS | GENERAL | $35,000 |
| DOMINICAN SISTERS GRAND RAPIDS | |||||||
| 2025 FULTON ST EAST | GRAND RAPIDS | MI | 49503 | NONE | CHARITABLE | GENERAL | $5,000 |
| ENNIS CENTER FOR CHILDREN | |||||||
| 1959 EAST JEFFERSON SUITE 100 | DETROIT | MI | 48207 | NONE | CHARITABLE | GENERAL | $20,000 |
| HAVEN | |||||||
| PO BOX 431045 | PONTIAC | MI | 48343 | NONE | CHARITABLE | GENERAL | $7,500 |
| HOPE FOR HAITI | |||||||
| 1021 5TH AVENUE N | NAPLES | FL | 34102 | NONE | CHARITABLE | GENERAL | $20,000 |
| MICHIGAN DYSLEXIA | |||||||
| 532 E SHIAWASSEE ST | LANSING | MI | 48912 | NONE | CHARITABLE | GENERAL | $10,000 |
| PREGNANCY CRISIS AID | |||||||
| 807 BRIDGE NW | GRAND RAPIDS | MI | 49504 | NONE | CHARITABLE | GENERAL | $20,000 |
| ST JOSEPH CHURCH | |||||||
| 715 N LAPEER ROAD | LAKE ORION | MI | 48362 | NONE | RELIGIOUS | GENERAL | $10,000 |
| ST LEO'S SOUP KITCHEN | |||||||
| 4860 15TH STREET | DETROIT | MI | 48208 | NONE | CHARITABLE | GENERAL | $5,000 |
| ST THOMAS THE APOSTLE SCHOOL | |||||||
| 1429 WILCOX PARK | GRAND RAPIDS | MI | 49506 | NONE | EDUCATION | GENERAL | $7,500 |
| ST VINCENT AND SARAH FISHER CENTER FOR CHILDREN | |||||||
| 27400 WEST 12 MILE ROAD | FARMINGTON HILLS | MI | 48334 | NONE | CHARITABLE | GENERAL | $10,000 |
| ST VINCENT DE PAUL CHURCH | |||||||
| 168 WRIGHT AVENUE | SHEPHERD | MI | 48883 | NONE | RELIGIOUS | GENERAL | $10,000 |
| DOMINICAN SISTERS ADRIAN | |||||||
| 1257 E SIENA HEIGHTS DR | ADRIAN | MI | 49221 | RELIGIOUS | GENERAL | $10,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $206,000 | 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 | $58,556 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $33,453 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $92,009 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $92,009 | 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 | BEENE GARTER | CategoryTxt |
| Amt | $2,410 | Amt |
| Net Investment Income | $2,410 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | FIXED INCOME SECURITIES | BondNm |
| EOY Book Value | $607,398 | EOYBookValueAmt |
| EOYFMV | $602,447 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | COMMON STOCK | StockNm |
| EOY Book Value | $1,284,988 | EOYBookValueAmt |
| EOYFMV | $1,533,008 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| REAL ESTATE | AT COST | $110,433 | $114,062 |
| COMMODITIES | AT COST | $148,811 | $95,675 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BOOK TAX DIFFERENCE IN INCOME | Desc |
| Amt | $4,166 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | NORTHERN TRUST AGENCY FEES | CategoryTxt |
| Amt | $13,574 | Amt |
| Net Investment Income | $13,574 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | NORTHERN TRUST - FOREIGN TAXES | CategoryTxt |
| Amt | $1,114 | Amt |
| Net Investment Income | $1,114 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |