KOHL FAMILY FOUNDATION: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: KOHL FAMILY FOUNDATION (EIN 39-1911092)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-10-02
IRS object ID: 201222769349100202
Schema version: 2011v1.2
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
General Explanation Attachment
Investments Corp Bonds Schedule
Investments Corp Stock Schedule
Investments Govt Obligations Sch
Other Liabilities Schedule
Other Professional Fees Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-10-02T11:22:57-00:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AUGUSTINE AND ASSOCIATES LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1337 N TAYLOR DR	AddressLine1
City	SHEBOYGAN	City
State	WI	State
ZIP Code	53081	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	391911092	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KOHL FAMILY FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	KOHL	NameControl
Phone	9208763611	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 354	AddressLine1
City	ELKHART LAKE	City
State	WI	State
ZIP Code	53020	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GARRY L MATZ	Name
Title	TRUSTEE	Title
Date Signed	2012-10-02	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KENT AUGUSTINE	Name
Phone	9204526272	Phone
Date Prepared	2012-10-02	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Exempt PF	X	ExemptPF
FMV Assets EOY	1398496	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Not Required To Attach Schedule B	X	NotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss	8	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	8	InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss	39632	DividendsRevAndExpnss
Dividends Net Invst Incm	39632	DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss	14400	NetGainSaleAssetsRevAndExpnss
Gross Sales Price	2310850	GrossSalesPrice
Capital Gain Net Incm Net Invst Incm	14400	CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses	54040	TotalRevenueAndExpenses
Total Net Investment Income	54040	TotalNetInvestmentIncome
Accounting Fees Rev And Expnss	1715	AccountingFeesRevAndExpnss
Other Prof Fees Rev And Expnss	15930	OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm	15930	OtherProfFeesNetInvstIncm
Interest Rev And Expnss	322	InterestRevAndExpnss
Interest Net Invst Incm	322	InterestNetInvstIncm
Taxes Rev And Expnss	1520	TaxesRevAndExpnss
Taxes Net Invst Incm	1520	TaxesNetInvstIncm
Tot Opr Expenses Rev And Expnss	19487	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	17772	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	0	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	82703	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	82703	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	102190	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	17772	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	82703	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	-48150	ExcessOfRevenueOverExpenses
Net Investment Income	36268	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	176337	CashBOY
Savings And Temp Cash Invst BOY	10462	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	39394	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	39394	SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY	69334	InvestmentsGovtObligBOY
Investments Govt Oblig EOY	69298	InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV	93091	InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY	621610	InvestmentsCorpStockBOY
Investments Corp Stock EOY	829037	InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV	807729	InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY	631697	InvestmentsCorpBondsBOY
Investments Corp Bonds EOY	448168	InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV	458282	InvestmentsCorpBondsEOYFMV
Total Assets BOY	1509440	TotalAssetsBOY
Total Assets EOY	1385897	TotalAssetsEOY
Total Assets EOYFMV	1398496	TotalAssetsEOYFMV
Other Liabilities BOY	75393	OtherLiabilitiesBOY
Total Liabilities BOY	75393	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	1434047	CapitalStockBOY
Capital Stock EOY	1385897	CapitalStockEOY
Total Net Assets BOY	1434047	TotalNetAssetsBOY
Total Net Assets EOY	1385897	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	1509440	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	1385897	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	1434047	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	-48150	ExcessOfRevenueOverExpenses
Subtotal	1385897	Subtotal
Total Net Assets Fund Balances EOY	1385897	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (33 entries)

Description Of AssetDescriptionOfAsset	How AcquiredHowAcquired	Date AcquiredDateAcquired	Date SoldDateSold	Gross Sales PriceGrossSalesPrice	Cost Or Other BasisCostOrOtherBasis	Gain Or LossGainOrLoss	Gains Minus Excess Or LossesGainsMinusExcessOrLosses
DODGE COX INTL STK FUND	P	2011-02-28	2011-09-19	17240	21500	-4260	-4260
DREYFUS STRAT VALUE	P	2011-02-28	2011-09-19	78421	94000	-15579	-15579
FRANKLIN GROWTH FUND ADV	P	2011-02-28	2011-09-19	20324	21910	-1586	-1586
INVESCO INTL GRWTH FD	P	2010-12-10	2011-09-19	590	639	-49	-49
ISHARES MSCI BRIC IDX	P	2010-11-29	2011-09-19	49602	62316	-12714	-12714
ISHARES MSCI BRIC IDX	P	2011-02-28	2011-09-19	17132	21481	-4349	-4349
ISHARES SP SMALLCAP 600 INDX	P	2011-02-28	2011-09-19	11333	12825	-1492	-1492
LAZARD ENRG MKTS INST	P	2011-02-28	2011-08-15	104932	111659	-6727	-6727
LOOMIS SAYLES VALUE FUND	P	2010-12-29	2011-02-28	861	807	54	54
MAINSTAY ICAP SELECT EQ	P	2011-02-28	2011-09-19	19349	22566	-3217	-3217
OAKMARK INTL FD	P	2011-02-28	2011-09-19	69370	89500	-20130	-20130
OPPENHEIMER INTL BOND FD	P	2011-02-28	2011-09-22	21972	22878	-906	-906
OPPENHEIMER INTL BOND FD	P	2011-02-28	2011-09-22	6515	6834	-319	-319
PRIMECAP ODYSSEY STOCK	P	2011-02-28	2011-09-19	20174	22010	-1836	-1836
PROSHS ULTRASHRT SP 500 PROSHARES	P	2011-08-15	2011-09-19	102082	104228	-2146	-2146
US TREAS NOTE	P	2011-09-26	2011-11-01	862196	873605	-11409	-11409
VANGUARD INTL VALUE FUND	P	2010-12-28	2011-02-28	1437	1362	75	75
VANGUARD ST INVEST GRD	P	2011-02-28	2011-12-22	3586	3641	-55	-55
FRANKLIN GROWTH FUND ADV	P	2009-06-19	2011-09-19	65055	47002	18053	18053
INVESO INTL GRWTH	P	2009-06-19	2011-09-19	59617	49115	10502	10502
ISHARES TR SP SMALCAP 600 INDX	P	2009-06-22	2011-09-19	40611	28540	12071	12071
LAZARD EMRG MKTS INST	P	2010-02-02	2011-08-15	3058	2772	286	286
LAZARD EMRG MKTS INST	P	2010-02-02	2011-09-19	34183	32715	1468	1468
LOOMIS SAYLES VALUE FUND	P	2009-06-19	2011-02-28	72857	51674	21183	21183
MAINSTAY ICAP SELECT EQ	P	2009-06-19	2011-09-19	62337	49732	12605	12605
OPPENHEIMER INTL BOND FD	P	2009-06-19	2011-09-22	124420	129730	-5310	-5310
PRIMECAP ODYSSEY STOCK	P	2009-06-19	2011-09-19	64996	48665	16331	16331
VANGUARD INTL VALUE FUND	P	2009-06-19	2011-02-28	67232	51204	16028	16028
VANGUARD ST INVEST GRD	P	2009-06-19	2011-12-22	46384	47292	-908	-908
IPATH SP 500 VXX	P	2010-12-01	2011-02-17	75393	46627	28766	28766
IPATH SP 500 VXX	P	2010-12-01	2011-02-17	38110	32533	5577	5577
IPATH SP 500 VXZ	P	2010-12-01	2011-02-17	120555	154696	-34141	-34141
IPATH SP 500 VXZ	P	2010-12-01	2011-02-17	28926	30392	-1466	-1466

Field	Value	IRS element (for citing)
Capital Gain Net Income	14400	CapitalGainNetIncome
Net Short Term Capital Gain Or Loss	-87909	NetShortTermCapitalGainOrLoss

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	false	LiableFor4942Tax
Qualifying Distributions Year1	70726	QualifyingDistributionsYear1
Noncharitable Assets Year1	1535603	NoncharitableAssetsYear1
Distribution Ratio Year1	000.046057	DistributionRatioYear1
Qualifying Distributions Year2	73660	QualifyingDistributionsYear2
Noncharitable Assets Year2	1446638	NoncharitableAssetsYear2
Distribution Ratio Year2	000.050918	DistributionRatioYear2
Qualifying Distributions Year3	80813	QualifyingDistributionsYear3
Noncharitable Assets Year3	1714797	NoncharitableAssetsYear3
Distribution Ratio Year3	000.047127	DistributionRatioYear3
Qualifying Distributions Year4	75060	QualifyingDistributionsYear4
Noncharitable Assets Year4	1996130	NoncharitableAssetsYear4
Distribution Ratio Year4	000.037603	DistributionRatioYear4
Qualifying Distributions Year5	41506	QualifyingDistributionsYear5
Noncharitable Assets Year5	1860155	NoncharitableAssetsYear5
Distribution Ratio Year5	000.022313	DistributionRatioYear5
Total Distribution Ratio	000.204018	TotalDistributionRatio
Average Distribution Ratio	000.040804	AverageDistributionRatio
Net Noncharitable Assets	1464289	NetNoncharitableAssets
Adjusted Noncharitable Assets	59749	AdjustedNoncharitableAssets
One Percent Net Investment Income	363	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	60112	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	82703	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	X	DomesticOrgMeetingSect4940e
Investment Income Excise Tax	363	InvestmentIncomeExciseTax
Subtotal	363	Subtotal
Tax Based On Investment Income	363	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	1800	EstTaxPaymentsAndOverpayment
Total Credits And Payments	1800	TotalCreditsAndPayments
Tax Paid Original Return	1800	TaxPaidOriginalReturn
Overpayment	1437	Overpayment
Amount Credited To Next Year	1437	AmountCreditedToNextYear

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	false	LegislativePoliticalActivities
More Than100 Spent	false	MoreThan100Spent
Form1120 POL Filed	false	Form1120POLFiled
Activities Not Prev Reported	false	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	false	UnrelatedBusIncomeOver1000
Termination Etc	false	TerminationEtc
Requirements Of Sect508e	true	RequirementsOfSect508e
At Least5000 In Assets	true	AtLeast5000InAssets
Private Operating Foundation	false	PrivateOperatingFoundation
New Substantial Contributors	false	NewSubstantialContributors
Interest In Controlled Entity	false	InterestInControlledEntity
Applicable Insurance Contract	false	ApplicableInsuranceContract
Comply With Public Inspection Rqr	true	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress
Books In Care Of Person Name	GARRY L MATZ	BooksInCareOfPersonName
Books In Care Of Phone Number	9208763611	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 354	AddressLine1
City	ELKHART LAKE	City
State	WI	State
ZIP Code	53020	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	false	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	false	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	false	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	false	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	false	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	false	TransferAssetsToDsqflyPerson
Payment To Government Offical	false	PaymentToGovernmentOffical
Uncorrected Prior Acts	false	UncorrectedPriorActs
Undistributed Income Prior Years	false	UndistributedIncomePriorYears
Business Holdings	false	BusinessHoldings
Jeopardy Investments	false	JeopardyInvestments
Uncorrected Jeopardy Investments	false	UncorrectedJeopardyInvestments
Influence Legislation	false	InfluenceLegislation
Influence Election	false	InfluenceElection
Grants To Individuals	false	GrantsToIndividuals
Grants To Organizations	false	GrantsToOrganizations
Noncharitable Purpose	false	NoncharitablePurpose
Pay Premiums Prsnl Bnft Contract	false	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	false	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation
PATRICIA CRAUSWELL
PO BOX 354	ELKHART LAKE	WI	53020	TRUSTEE	000.00	0
KATHLEEN GARNER
PO BOX 354	ELKHART LAKE	WI	53020	TRUSTEE	000.00	0
TODD WEIMER
PO BOX 354	ELKHART LAKE	WI	53020	TRUSTEE	000.00	0
GARRY MATZ
PO BOX 354	ELKHART LAKE	WI	53020	TRUSTEE	000.00	0
LARRY SILTON
PO BOX 354	ELKHART LAKE	WI	53020	TRUSTEE	000.00	0

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

Field	Value	IRS element (for citing)
Description1	N/A	Description1
Expenses1	0	Expenses1

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Field	Value	IRS element (for citing)
Description1	N/A	Description1

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	1373491	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	113097	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	1486588	TotalFMVOfUnusedAssets
Adj Total FMV Of Unused Assets	1486588	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	22299	CashDeemedCharitable
Net Noncharitable Assets	1464289	NetNoncharitableAssets
Minimum Investment Return	73214	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	73214	MinimumInvestmentReturn
Tax Based On Investment Income	363	TaxBasedOnInvestmentIncome
Total Tax	363	TotalTax
Distributable Amount Before Adj	72851	DistributableAmountBeforeAdj
Distributable Amount Before Ded	72851	DistributableAmountBeforeDed
Distributable Amount As Adjusted	72851	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	82703	ExpensesAndContributions
Qualifying Distributions	82703	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	363	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	82340	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	72851	DistributableAmountAsAdjusted
Undistributed Income Prior Year	10026	UndistributedIncomePriorYear
Prior Year1	2007	PriorYear1
Prior Year2	2008	PriorYear2
Prior Year3	2009	PriorYear3
Total For Prior Years	7350	TotalForPriorYears
Qualifying Distributions	82703	QualifyingDistributions
Applied To Year1	10026	AppliedToYear1
Applied To Current Year	72677	AppliedToCurrentYear
Prior Year Undistributed Income	7350	PriorYearUndistributedIncome
Taxable Amount1	7350	TaxableAmount1
Undistributed Income CY	174	UndistributedIncomeCY

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Only Contributes To Preselected	X	OnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (14 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient RelationshipRecipientRelationship	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
WORLD RELIEF JAPAN
7 EAST BALTIMORE ST	BALTIMORE	MD	21202	NONE	PUBLIC	TO FUND DISASTER RELIEF	$5,000
UMCOR UNITED METHODIST
475 RIVERSIDE DR	NEW YORK	NY	10115	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$5,000
BOY SCOUTS OF AMERICA
PO BOX 152079	IRVING	TX	75015	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$703
TUCSON COLD WET NOSES
2209 N NORTHWAY	TUCSON	AZ	85716	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$1,000
ELKHART LAKE SCHOOL DISTRICT
201 N LINCOLN	ELKHART LAKE	WI	53020	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$35,000
ELKHART LAKE 1ST RESPONDERS
81 N EAST	ELKHART LAKE	WI	53020	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$9,000
ST JAMES SCHOOL
910 20TH ST ENSLEY	BIRMINGHAM	AL	35218	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$6,000
AZ FRIENDS OF TIBET
PO BOX 31956	TUCSON	AZ	85751	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$2,000
SALVATION ARMY
PO BOX 269	ALEXANDRIA	VA	22313	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$500
SHRINERS HOSPITAL
2900 ROCKY POINT DR	TAMPA	FL	33607	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$500
ELKHART LAKE LIBRARY
40 PINE	ELKHART LAKE	WI	53020	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$500
ALZHEIMERS DISEASE
225 N MICHIGAN AVE	CHICAGO	IL	60601	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$500
UNIVERSITY OF ARIZONA
PO BOX 210109	TUSCON	AZ	85721	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$10,000
HELENA UNITED METHODIST CHURCH
2035 HIGHWAY 58	HELENA	AL	35080	NONE	PUBLIC	TO FUND GENERAL OPERATIONS	$7,000

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	82703	TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$8	ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$39,632	ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Field	Value	IRS element (for citing)
Exclusion Code	18	ExclusionCode
Exclusion	$14,400	ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Exclusion	$54,040	ExclusionAmount

Field	Value	IRS element (for citing)
Total Part XVIA	54040	TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Field	Value	IRS element (for citing)
Line Number	0	LineNumber
Relationship Statement	N/A	RelationshipStatement

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	false	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	false	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	false	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	false	RentalOfFacilitiesEtc
Reimbursement Arrangements	false	ReimbursementArrangements
Loans Or Loan Guarantees	false	LoansOrLoanGuarantees
Performance Of Services Etc	false	PerformanceOfServicesEtc
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	false	RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Field	Value	IRS element (for citing)
Category	AUGUSTINE ASSOCIATES, LLC	Category
Amount	$1,715	Amount

General Explanation Attachment GeneralExplanationAttachment

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (3 entries)

Name Of BondNameOfBond	EOY Book ValueEOYBookValue	EOYFMVEOYFMV
PIMCO TOTAL RETURN	149877	160028
VANGUARD INTERM TERM	173400	173977
VANGUARD SHORT TERM	124891	124277

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (3 entries)

Name Of StockNameOfStock	EOY Book ValueEOYBookValue	EOYFMVEOYFMV
3230 shares of ISHARES TR MSCI EAFE FD	166063	159982
3275 shares of ISHARES TRUST SP 500	415213	412519
6200 shares of ISHARES MSCI EMERGING MKTS INDEX	247761	235228

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

Field	Value	IRS element (for citing)
US Govt Securities EOY Book Value	69298	USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV	93091	USGovtSecuritiesEOYFMV

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	SHORT IPATH SP 500 VIX ST FUTURES	Description
BOY Book Value	75393	BOYBookValue

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees (2 entries)

CategoryCategory	AmountAmount	Net Investment IncomeNetInvestmentIncome
INTERACTIVE BROKERS LLC	$761	761
SCHWAB	$15,169	15169

Taxes Schedule TaxesSchedule

Taxes Taxes

Field	Value	IRS element (for citing)
Category	Income tax	Category
Amount	$1,520	Amount
Net Investment Income	1520	NetInvestmentIncome
Adjusted Net Income	0	AdjustedNetIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps