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HERMES FAMILY FOUNDATION: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HERMES FAMILY FOUNDATION (EIN 51-0172567)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-13
IRS object ID
201422259349100952
Schema version
2013v3.1
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)
Return2014-08-13T15:20:23-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PERKINSON LAW PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14622 COUNTRY CLUB ROAD 270AddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27104ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510172567EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HERMES FAMILY FOUNDATIONBusinessNameLine1
Business Name Line2C/O PERKINSON LAW PLLCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of% JOHN R PERKINSON JRInCareOfNm
Business Name ControlHERMBusinessNameControlTxt
Phone3367946020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O PERKINSON LAW PLLCAddressLine1
Address Line24622 COUNTRY CLUB ROAD STE 270 SuiAddressLine2
CityWINSTONSALEMCity
StateNCState
ZIP Code27104ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDORIS CRUMPLERPersonNm
Person TitleDIRECTOR/PRESIDENTPersonTitleTxt
Phone3367946020PhoneNum
Signature2014-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN R PERKINSON JRPreparerPersonNm
Phone3367946020PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,117,330FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$15,357DividendsRevAndExpnssAmt
Dividends Net Invst Incm$15,357DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$122,556NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$499,185GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$122,556CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$137,913TotalRevAndExpnssAmt
Total Net Invst Incm$137,913TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Legal Fees Rev And Expnss$7,659LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$7,659LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$4,824AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,412AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$2,412AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$7,702OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$7,702OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$1,000TaxesRevAndExpnssAmt
Other Expenses Rev And Expnss$45OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$23OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$22OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$21,230TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$10,137TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$10,093TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$100,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$100,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$121,230TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$10,137TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$110,093TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$16,683ExcessRevenueOverExpensesAmt
Net Investment Income$127,776NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$5,143CashBOYAmt
Cash EOY$8,615CashEOYAmt
Cash EOYFMV$8,615CashEOYFMVAmt
Sav And Temp Cash Invst BOY$5,214SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$85,340SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$85,340SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$725,430CorporateStockBOYAmt
Corporate Stock EOY$658,515CorporateStockEOYAmt
Corporate Stock EOYFMV$1,023,375CorporateStockEOYFMVAmt
Total Assets BOY$735,787TotalAssetsBOYAmt
Total Assets EOY$752,470TotalAssetsEOYAmt
Total Assets EOYFMV$1,117,330TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$735,787CapitalStockBOYAmt
Capital Stock EOY$752,470CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$735,787TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$752,470TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$735,787TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$752,470TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$735,787TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$16,683ExcessRevenueOverExpensesAmt
Subtotal$752,470SubtotalAmt
Tot Net Ast Or Fund Balances EOY$752,470TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
UBS FINANCIAL SERVICES - SEE ATTACHEDP$113,448$112,637$811$811
UBS FINANCIAL SERVICES - SEE ATTACHEDP$189,250$169,708$19,542$19,542
UBS FINANCIAL SERVICES - SEE ATTACHEDP$183,821$82,028$101,793$101,793
UBS FINANCIAL SERVICES - SEE ATTACHEDP$12,655$12,256$399$399
CAPITAL GAIN DISTRIBUTIONP$11$11$11
FieldValueIRS element (for citing)
Capital Gain Net Income$122,556CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$108,779AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,006,699NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.108055DistributionYr1Rt
Adjusted Qlfy Distri Yr2$104,802AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,007,556NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.104016DistributionYr2Rt
Adjusted Qlfy Distri Yr3$113,339AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$970,707NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.116759DistributionYr3Rt
Adjusted Qlfy Distri Yr4$99,625AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,004,390NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.09919DistributionYr4Rt
Adjusted Qlfy Distri Yr5$112,822AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$925,448NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.121911DistributionYr5Rt
Total Distribution0.549931TotalDistributionRt
Average Distribution0.109986AverageDistributionRt
Net Vl Noncharitable Assets$1,056,019NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$116,147AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,278NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$117,425AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$110,093QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,556InvestmentIncomeExciseTaxAmt
Subtotal$2,556SubtotalAmt
Tax Based On Investment Income$2,556TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,120EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$4,500AppliedToEsTaxAmt
Total Payments And Credits$5,620TotalPaymentsAndCreditsAmt
Overpayment$3,064OverpaymentAmt
Applied To ES Tax$3,064AppliedToESTaxAmt

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 StateVAOrgReportOrRegisterStateCd
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 AddressNONEWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1JOHN R PERKINSON JRBusinessNameLine1
FieldValueIRS element (for citing)
Phone3367946020PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line14622 COUNTRY CLUB ROAD STE 270AddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27104ZIPCode
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
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
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 (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ADRIENNE HERMES
C/O PERKINSON LAW PLLCWINSTONSALEMNC27104SECRETARY0$0$0$0
GWENDOLYN SMITH
C/O PERKINSON LAW PLLCWINSTONSALEMNC27104DIRECTOR0$0$0$0
IRMA SMART
C/O PERKINSON LAW PLLCWINSTONSALEMNC27104VICE PRESIDENT0$0$0$0
DORIS CRUMPLER
C/O PERKINSON LAW PLLCWINSTONSALEMNC27104DIRECTOR/PRESIDENT0$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NOT APPLICABLEDescription1Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NOT APPLICABLEDescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,001,628AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$70,473AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,072,101TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,072,101AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$16,082CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,056,019NetVlNoncharitableAssetsAmt
Minimum Investment Return$52,801MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$52,801MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,556TaxBasedOnInvestmentIncomeAmt
Total Tax$2,556TotalTaxAmt
Distributable Before Adj$50,245DistributableBeforeAdjAmt
Distributable Before Ded$50,245DistributableBeforeDedAmt
Distributable As Adjusted$50,245DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$110,093ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$110,093QualifyingDistributionsAmt
Adjusted Qualifying Distri$110,093AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$50,245DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12011PriorYear1Yr
Prior Year22010PriorYear2Yr
Prior Year32009PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$66,720ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$87,752ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$66,292ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$56,504ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$60,512ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$337,780TotalExcessDistributionCyovAmt
Qualifying Distributions$110,093QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$50,245AppliedToCurrentYearAmt
Remaining Distri From Corpus$59,848RemainingDistriFromCorpusAmt
Total Corpus$397,628TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$66,720ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$330,908ExcessDistriCyovToNextYrAmt
Excess From Year4$87,752ExcessFromYear4Amt
Excess From Year3$66,292ExcessFromYear3Amt
Excess From Year2$56,504ExcessFromYear2Amt
Excess From Year1$60,512ExcessFromYear1Amt
Excess From Current Year$59,848ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNAContributingManagerNm
Shareholder ManagerNAShareholderManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonMS DONNIE JONES PERKINSON LAWRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line14622 COUNTRY CLUB ROAD STE 270AddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27104ZIPCode
FieldValueIRS element (for citing)
Recipient Phone3367946020RecipientPhoneNum
Form And Info And MaterialsLETTER SPECIFYING REASONS FOR APPLICATION (I.E., HOW FUNDS ARE TO BE USED)FormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsONLY SEC. 501(C)(3) AND SEC. 170(C) ENTITIES ARE CONSIDEREDRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (46 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2
AMERICAN DIABETES ASSOCIATION
1081 SPRUCE STREETMARTINSVILLEVA24112NONEPCCHARITABLE$1,000
AMERICAN RED CROSS- GREENSBORO CHAPTER
1501 YANCEYVILLE STREETGREENSBORONC27415NONEPCCHARITABLE$2,000
BLOWING ROCK CHARITY HORSE SHOW
PO BOX 650BLOWING ROCKNC28605NONEPCCHARITABLE$1,000
BOYS AND GIRLS CLUB -MARTINSVILLEHENRY COUNTY
6 EAST MAIN STREET SUITE AMARTINSVILLEVA24112NONEPCCHARITABLE$2,500
CARLISLE SCHOOL - ANNUAL GIVING
PO BOX 5388MARTINSVILLEVA24115NONEPCCHARITABLE$8,200
CRISIS CONTROL MINISTRY
200 E 10TH STWINSTONSALEMNC27101NONEPCCHARITBLE$1,000
DANVILLE SCIENCE CENTER
PO BOX 167DANVILLEVA24543NONEPCCHARITABLE$750
DEACON CLUB - WAKE FOREST UNIVERSITY ATHLECTIC DEV
499 DEACON BOULEVARDWINSTONSALEMNC27105NONEPCCHARITABLE$500
DUKE ENDOWMENT FUND
DEVELOPMENT OFFICE - DUKE UNIVERSITDURHAMNC27706NONEPCCHARITABLE$3,000
DUKE UNIVERSITY IRON DUKES
BOX 90542 116 CAMERON INDOOR STADIDURHAMNC27708NONEPCCHARITABLE$8,500
DUKE UNIVERSITY MEDICAL SCHOOL
BOX 90581DURHAMNC27701NONEPCCHARITABLE$1,500
DYER'S STORE FIRE DEPARTMENT
3230 CHATHAM ROADMARTINSVILLEVA24112NONEPCCHARTIABLE$250
EP PEARCE ELEMENTARY SCHOOL
2006 PLEASANT RIDGE ROADGREENSBORONC27410NONENCCHARITABLE$2,000
FERRUM COLLEGE
SCHOLARSHIP FUNDFERRUMVA24088NONEPCCHARITABLE$4,000
FORK MOUNTAIN FIRE DEPARTMENT
2889 FORM MOUNTAIN ROADBASSETTVA24055NONEPCCHARITABLE$750
FORK MOUNTAIN RESCUE SQUAD
2805 VIRGIL H GOODE HIGHWAYROCKY MOUNTVA24151NONEPCCHARITABLE$750
FRANKLIN COUNTY PUBLIC LIBRARY
355 FRANKLIN COUNTYROCKY MOUNTVA24151NONENCCHARITABLE$500
FRANKLIN COUNTRY HIGH SCHOOL
700 TANYARD ROADROCKY MOUNTVA24151NONENCCHARITABLE$10,000
HOLY TRINITY LUTHERAN CHURCH
PO BOX 5184MARTINSVILLEVA24115NONEPCCHARITABLE$500
HORSEPOWER INC
8001 LEABOURNE ROADCOLFAXNC27235NONEPCCHARITABLE$1,000
HUMANE SOCIETY OF THE PIEDMONT
4527 W WENDOVER AVENUEGREENSBORONC27409NONEPCCHARITABLE$1,000
KENTUCKY STATE FAIR HORSE SHOW
C/O EXPOSITION CENTERLOUISVILLEKY40209NONENCCHARITABLE$4,000937 PHILLIPS LANE
MARTINSVILLE AREA COMMUNITY FOUNDATION
PO BOX 1124MARTINSVILLEVA24114NONEPFCHARITABLE$3,500
MARTINSVILLE CEMETARY ASSOCIATION
PO BOX 246MARTINSVILLEVA24114NONENCCHARITABLE$500
MORAVIAN CHURCH
PO BOX 730CLEMMONSNC27012NONEPCCHARITABLE$750
OAK RIDGE PRESBYTERIAN CHURCH
2614 OAK RIDGE RDOAK RIDGENC27310NONEPCCHARITABLE$2,000
PATRICK HENRY COMMUNITY COLLEGE
PO BOX 5311MARTINSVILLEVA24115NONEPCCHARITABLE$2,500
PIEDMONT ARTS ASSOCIATION
215 STARLING AVENUEMARTINSVILLEVA24115NONEPCCHARITABLE$1,000
RIVERWOOD THERAPEUTIC RIDING CENTER
6825 ROLLING VIEW DRIVETOBACCOVILLENC27050NONEPCCHARITABLE$500
ROANOKE COLLEGE
211 COLLEGE LANESALEMVA24153NONEPCCHARITABLE$3,000
SALVATION ARMY BOYS & GIRLS CLUB OF GREENSBORO
1311 S EUGENE STREETGREENSBORONC27406NONEPCCHARITABLE$1,000
SOUTHERN AREA AGENCY ON AGING
204 CLEVELAND AVENUEMARTINSVILLEVA24112NONEPCCHARITABLE$1,000
SPCA
132 JOSEPH MARTIN HIGHWAYMARTINSVILLEVA24078NONEPCCHARITABLE$4,000
ST JUDE'S CHILDREN'S HOSPITAL
262 DANNY THOMAS PLACEMEMPHISTN38105NONEPCCHARITABLE$2,000
SUMMERFIELD FIRE DEPARTMENT
7400 SUMMERFIELD ROADSUMMERFIELDNC27358NONEPCCHARITABLE$1,000
THE CHILDREN'S CENTER
2315 COLISEUM DRIVEWINSTONSALEMNC27106NONEPCCHARITABLE$1,000
THE SUMMIT SCHOOL
2100 REYNOLDA ROADWINSTONSALEMNC27106NONEPCCHARITABLE$3,500
VIRGINIA MUSEUM OF NATURAL HISTORY
21 STARLING AVENUEMARTINSVILLENC24112NONEPCCHARITABLE$4,000
VIRGINIA TECH ATHLECTIC FUND- HOKIE CLUB
POK BOX 10307BLACKSBURGVA24062NONEPCCHARITABLE$2,000
VOICE OF THE BLUE RIDGE
3435 MELROSE AVENUEROANOKEVA24017NONEPCCHARITABLE$750
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BOULEVARDWINSTONSALEMNC27157NONEPCCHARITABLE$8,000
WALNUT COVE VFD & RESUE SQUAD
PO BOX 532WALNUT COVENC27052NONEPCCHARITABLE$500
WALNUT COVE PUBLIC LIBRARY
PO BOX 706WALNUT COVENC27052NONENCCHARITABLE$500
WOUNDED WARRIOR PROJECT
PO BOX 758517TOPEKAKS66675NONEPCCHARITABLE$1,500
YMCA MARTINSVILLEHENRY COUNTY
3 STARLING AVENUEMARTINSVILLENC24112NONEPCCHARITABLE$300
BLUE RIDGE MOUNTAINS COUNCIL BSA
2131 VALLEY VIEW BLVD NWROANOKEVA24012NONEPCCHARITABLE$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$100,000TotalGrantOrContriPdDurYrAmt

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$15,357ExclusionAmt
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$122,556ExclusionAmt
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$137,913ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$137,913TotalIncomeProducingActyAmt

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)
CategoryPERKINSON LAW PLLCCategoryTxt
Amt$4,824Amt
Net Investment Income$2,412NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,412DisbursementsCharitablePrpsAmt

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Other Program Related Invst AllOtherProgramRelatedInvstGrp

FieldValueIRS element (for citing)
DescNONEDesc

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockUBS FINANCIAL-SEE ATTACHEDStockNm
EOY Book Value$658,515EOYBookValueAmt
EOYFMV$1,023,375EOYFMVAmt

Investments Land Schedule2 InvestmentsLandSchedule2

Land Etc Schedule2 LandEtcSchedule2

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryPERKINSON LAW PLLCCategoryTxt
Legal Fees$7,659LegalFeesAmt
Disbursements Charitable Prps$7,659DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescBANK FEESDesc
Revenue And Expenses Per Books$45RevenueAndExpensesPerBooksAmt
Net Investment Income$23NetInvestmentIncomeAmt
Disbursements Charitable Prps$22DisbursementsCharitablePrpsAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryMANAGEMENT FEESCategoryTxt
Amt$7,702Amt
Net Investment Income$7,702NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFEDERAL TAX PAYMENTCategoryTxt
Amt$1,000Amt