STRATEGY STUDIO / PUBLIC DATA EXPLORER

SIEBENTHALER FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SIEBENTHALER FOUNDATION (EIN 04-3662001)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-03-04
IRS object ID
201610649349100006
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)
Return2016-03-04T15:37:23-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383635706PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1REHMANN ROBSON LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1MILLIKEN PLACE 107 S CASS STE AAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043662001EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIEBENTHALER FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O JESSICA E THOMPSONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSIEBBusinessNameControlTxt
Phone2318834715PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 N WEST TORCH LAKE DRIVEAddressLine1Txt
CityKEWADINCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49648ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJESSICA THOMPSONPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone2318834715PhoneNum
Signature2016-03-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER L MORSE CPAPreparerPersonNm
PTINP00410796PTIN
Phone2319463230PhoneNum
Preparation2016-02-29PreparationDt
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$536,781FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$46,794ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$10,878DividendsRevAndExpnssAmt
Dividends Net Invst Incm$10,878DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$70,214NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$121,323GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$70,214CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$127,886TotalRevAndExpnssAmt
Total Net Invst Incm$81,092TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$22,626CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$11,312CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$11,314CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$2,575AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,287AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,288AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$3,090OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$3,090OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,330TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$284OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$29,905TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$15,689TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$12,602TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$25,370ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$25,370ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$55,275TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$15,689TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$37,972TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$72,611ExcessRevenueOverExpensesAmt
Net Investment Income$65,403NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,376CashBOYAmt
Cash EOY$10,047CashEOYAmt
Cash EOYFMV$10,047CashEOYFMVAmt
Other Investments BOY$360,075OtherInvestmentsBOYAmt
Other Investments EOY$378,297OtherInvestmentsEOYAmt
Other Investments EOYFMV$526,734OtherInvestmentsEOYFMVAmt
Total Assets BOY$361,451TotalAssetsBOYAmt
Total Assets EOY$388,344TotalAssetsEOYAmt
Total Assets EOYFMV$536,781TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
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$361,451RetainedEarningBOYAmt
Retained Earning EOY$388,344RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$361,451TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$388,344TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$361,451TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$388,344TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$361,451TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$72,611ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$434,062SubtotalAmt
Other Decreases$45,718OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$388,344TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
DOVER CORPORATION2014-04-082015-01-14$17,195$20,627-$3,432-$3,432
ORACLE CORPORATION1997-09-242015-02-18$72,492$10,672$61,820$61,820
NIKE INC2008-04-222015-08-04$11,575$3,395$8,180$8,180
UNITED TECHNOLOGIES2011-01-282015-10-26$20,061$16,415$3,646$3,646
FieldValueIRS element (for citing)
Capital Gain Net Income$70,214CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$42,710AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$521,890NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.081837DistributionYr1Rt
Adjusted Qlfy Distri Yr2$48,317AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$549,791NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.087882DistributionYr2Rt
Adjusted Qlfy Distri Yr3$33,178AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$553,533NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.059939DistributionYr3Rt
Adjusted Qlfy Distri Yr4$64,766AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$468,615NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.138207DistributionYr4Rt
Adjusted Qlfy Distri Yr5$60,843AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$470,640NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.129277DistributionYr5Rt
Total Distribution0.497142TotalDistributionRt
Average Distribution0.099428AverageDistributionRt
Net Vl Noncharitable Assets$509,315NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$50,640AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$654NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$51,294AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$37,972QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,308InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,308SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,308TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,170EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$1,170TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$8EsPenaltyAmt
Tax Due$146TaxDueAmt

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 StateMIOrgReportOrRegisterStateCd
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 BooksJESSICA THOMPSONIndividualWithBooksNm
Phone2318834715PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1225 N WEST TORCH LAKE DRIVEAddressLine1Txt
CityKEWADINCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49648ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JEFFREY D TERRELL
225 N WEST TORCH LAKE DRIVEKEWADINMI49648VICE-PRESIDENT5.00$11,313$0$0
JESSICA E THOMPSON
225 N WEST TORCH LAKE DRIVEKEWADINMI49648SECRETARY/TREASURER5.00$11,313$0$0
ELIZABETH C SIEBENTHALER
225 N WEST TORCH LAKE DRIVEKEWADINMI49648PRESIDENT1.00$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$507,304AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$9,767AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$517,071TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$517,071AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$7,756CashDeemedCharitableAmt
Net Vl Noncharitable Assets$509,315NetVlNoncharitableAssetsAmt
Minimum Investment Return$25,466MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$25,466MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,308TaxBasedOnInvestmentIncomeAmt
Total Tax$1,308TotalTaxAmt
Distributable Before Adj$24,158DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$24,158DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$24,158DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$37,972ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$37,972QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$37,972AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$24,158DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$37,768ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$42,055ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$6,152ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$21,797ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$18,165ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$125,937TotalExcessDistributionCyovAmt
Qualifying Distributions$37,972QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$24,158AppliedToCurrentYearAmt
Remaining Distri From Corpus$13,814RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$139,751TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$37,768ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$101,983ExcessDistriCyovToNextYrAmt
Excess From Year4$42,055ExcessFromYear4Amt
Excess From Year3$6,152ExcessFromYear3Amt
Excess From Year2$21,797ExcessFromYear2Amt
Excess From Year1$18,165ExcessFromYear1Amt
Excess From Current Year$13,814ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerELIZABETH C SIEBENTHALERContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonJESSICA THOMPSONJEFF TERRELLRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1225 N WEST TORCH LAKE DRIVEAddressLine1Txt
CityKEWADINCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49648ZIPCd
FieldValueIRS element (for citing)
Recipient Phone2318834715RecipientPhoneNum
Form And Info And MaterialsNO SPECIFIC FORMAT REQUIREDFormAndInfoAndMaterialsTxt
Submission DeadlinesNO SUBMISSION DEADLINESubmissionDeadlinesTxt
Restrictions On AwardsNO RESTRICTIONS OR LIMITATIONS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (35 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ACME CHRISTIAN THRIFT STOREFOOD PANTRY
996 GARFIELD WOODS DRIVE SUITE ATRAVERSE CITYMI49686NONEOTHER PUBLIC CHARITYPER REQUEST$500
AMERICAN HEART ASSOCIATION
24445 NORTHWESTERN HWY SUITE 100SOUTHFIELDMI480752436NONEOTHER PUBLIC CHARITYPER REQUEST$500
AMERICAN RED CROSS OF NORTHWEST MICHIGAN
735 S GARFIELD SUITE B100TRAVERSE CITYMI49686NONEOTHER PUBLIC CHARITYPER REQUEST$1,000
AMVETS POST #114
PO BOX 144ELK RAPIDSMI49629NONEOTHER PUBLIC CHARITYPER REQUEST$500
ANTRIM COUNTY HABITAT FOR HUMANITY
306 S WILLIAMS STREETMANCELONAMI49659NONEOTHER PUBLIC CHARITYPER REQUEST$250
CHERRYLAND HUMANE SOCIETY
1750 AHLBERG ROADTRAVERSE CITYMI49696NONEOTHER PUBLIC CHARITYPER REQUEST$250
CHILD AND FAMILY SERVICES OF NW MICHIGAN
3785 VERTERANS DRIVETRAVERSE CITYMI49684NONEOTHER PUBLIC CHARITYPER REQUEST$250
CMU PUBLIC BROADCASTING NETWORK
1999 EAST CAMPUS DRIVEMT PLEASANTMI48859NONEOTHER PUBLIC CHARITYPER REQUEST$250
DOCTORS WITHOUT BORDERS
333 7TH AVENUE 2ND FLOORNEW YORKNY100015004NONEOTHER PUBLIC CHARITYPER REQUEST$200
ELK RAPIDS AREA HISTORICAL SOCIETY
PO BOX 238ELK RAPIDSMI496290002NONEOTHER PUBLIC CHARITYPER REQUEST$500
ELK RAPIDS GARDEN CLUB
PO BOX 534ELK RAPIDSMI49629NONEOTHER PUBLIC CHARITYPER REQUEST$500
ELK RAPIDS SCHOOLS
707 E THIRD STEAST LANSINGMI49629NONEOTHER PUBLIC CHARITYPER REQUEST$3,500
EVERGLADES FOUNDATION
18001 OLD CUTLER ROAD SUITE 625PALMETTO BAYFL33157NONEOTHER PUBLIC CHARITYPER REQUEST$250
GOOD SAMARITAN FAMILY SERVICES
9746 MAIN STELLSWORTHMI49729NONEOTHER PUBLIC CHARITYPER REQUEST$500
GRAND TRAVERSE REGIONAL LAND CONSERVANCY
3860 NORTH LONG LAKE ROAD SUITE DTRAVERSE CITYMI49684NONEOTHER PUBLIC CHARITYPER REQUEST$250
GRASS RIVER NATURAL AREA
6500 ALDEN HWYBELLAIREMI49615NONEOTHER PUBLIC CHARITYPER REQUEST$250
HEIFER INTERNATIONAL
1 WORLD AVENUELITTLE ROCKAR72202NONEOTHER PUBLIC CHARITYPER REQUEST$120
HERTHA
401 RIVER STREETELK RAPIDSMI49629NONEOTHER PUBLIC CHARITYPER REQUEST$500
INTERLOCHEN CENTER FOR THE ARTS
PO BOX 199INTERLOCHENMI496430199NONEOTHER PUBLIC CHARITYPER REQUEST$500
INTERLOCHEN PUBLIC RADIO
PO BOX 199INTERLOCHENMI496430199NONEOTHER PUBLIC CHARITYPER REQUEST$100
MICHIGAN AUDUBON SOCIETY
6011 W ST JOSEPH HWY SUITE 403LANSINGMI48917NONEOTHER PUBLIC CHARITYPER REQUEST$100
MUNSON HEALTHCARE REGIONAL FOUNDATION
1150 MEDICAL CAMPUS DRTRAVERSE CITYMI49684NONEOTHER PUBLIC CHARITYPER REQUEST$1,000
SPECIAL OLYMPICS MICHIGAN
CENTRAL MICHIGAN UNIVERSITYMT PLEASANTMI48859NONEOTHER PUBLIC CHARITYPER REQUEST$150
ST JUDES CHILDREN'S RESEARCH HOSPITAL
501 ST JUDE PLACEMEMPHISTN381051942NONEOTHER PUBLIC CHARITYPER REQUEST$500
ST PAULS EPISCOPAL CHURCH
403 TRAVERSE STREETELK RAPIDSMI49629NONEOTHER PUBLIC CHARITYPER REQUEST$10,000
TART TRAILS
PO BOX 252TRAVERSE CITYMI49685NONEOTHER PUBLIC CHARITYPER REQUEST$250
THE CHILDREN'S CANCER RECOVERY FOUNDATION
PO BOX 238HERSHEYPA17033NONEOTHER PUBLIC CHARITYPER REQUEST$100
THE SALVATION ARMY
1239 BARLOW STREETTRAVERSE CITYMI49686NONEOTHER PUBLIC CHARITYPER REQUEST$500
THE WATERSHED CENTER
13272 S WEST BAY SHORE DRIVETRAVERSE CITYMI49684NONEOTHER PUBLIC CHARITYPER REQUEST$1,000
TOYS FOR TOTS
18251 QUANTICO GATEWAY DRTRIANGLEVA22172NONEOTHER PUBLIC CHARITYPER REQUEST$100
TRAVERSE CITY AREA PUBLIC SCHOOLS
3962 THREE MILE ROAD NTRAVERSE CITYMI49686NONEOTHER PUBLIC CHARITYPER REQUEST$250
TRAVERSE SYMPHONY ORCHESTRA
300 E FRONT ST STE 230TRAVERSE CITYMI49684NONEOTHER PUBLIC CHARITYPER REQUEST$250
USO
2560 MAYPORT ROADATLANTIC BEACHFL32233NONEOTHER PUBLIC CHARITYPER REQUEST$100
WONDERWORK
420 FIFTH AVENUE 27TH FLOORNEW YORKNY10018NONEOTHER PUBLIC CHARITYPER REQUEST$150
WOUNDED WARRIOR PROJECT
7020 AC SKINNER PKWY SUITE 100JACKSONVILLEFL32256NONEOTHER PUBLIC CHARITYPER REQUEST$250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$25,370TotalGrantOrContriPdDurYrAmt
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$10,878ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$70,214ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$81,092ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$81,092TotalIncomeProducingActyAmt

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 PersonELIZABETH SIEBENTHALERContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1225 W TORCH LAKE DRIVEAddressLine1Txt
CityKEWADINCityNm
State AbbreviationNMStateAbbreviationCd
ZIP49648ZIPCd
FieldValueIRS element (for citing)
Total Contributions$46,794TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property775 SHARES OF ABBVIE STOCKNoncashPropertyDesc
Fair Market Value$46,794FairMarketValueAmt
Received2015-11-18ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$2,575Amt
Net Investment Income$1,287NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,288DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemCHARLES SCHWABCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$378,297BookValueAmt
EOYFMV$526,734EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescSUBSTANTIAL DIFFERENCE IN SECURITY DONATEDDesc
Amt$45,718Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Revenue And Expenses Per Books$284RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$3,090Amt
Net Investment Income$3,090NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFEDERAL EXCISE TAXCategoryTxt
Amt$1,330Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt