MICHEL FOUNDATION: Form 990PF, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MICHEL FOUNDATION (EIN 20-3424442)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201121339349102037
- Schema version
- 2009v1.7
- 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
- Depreciation Schedule
- Expenditure Responsibility Stmt
- Investments Land Schedule2
- Land Etc Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T14:27:05-07:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sorensen Vance & Company PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3115 E Lion Lane Suite 220 | AddressLine1 |
| City | Salt Lake City | City |
| State | UT | State |
| ZIP Code | 84121 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203424442 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHEL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MICH | NameControl |
| Phone | 8015983935 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2956 COBBLEMOOR LANE | AddressLine1 |
| City | SANDY | City |
| State | UT | State |
| ZIP Code | 84093 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHAUN MICHEL | Name |
| Title | Trustee | Title |
| Date Signed | 2011-05-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY B GYLLENSKOG | Name |
| Phone | 8017335055 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 1604777 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 600 | ContriReceivedRevAndExpnss |
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 314 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 314 | InterestOnSavingsNetInvstIncm |
| Interest On Savings Adj Net Incm | 314 | InterestOnSavingsAdjNetIncm |
| Net Gain Sale Assets Rev And Expnss | 27567 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 85130 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 27567 | CapitalGainNetIncmNetInvstIncm |
| Net STCG Adj Net Incm | 27567 | NetSTCGAdjNetIncm |
| Other Income Rev And Expnss | 63511 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | 63511 | OtherIncomeNetInvstIncm |
| Total Revenue And Expenses | 91992 | TotalRevenueAndExpenses |
| Total Net Investment Income | 91392 | TotalNetInvestmentIncome |
| Total Adjusted Net Income | 27881 | TotalAdjustedNetIncome |
| Oth Empl Slrs Wgs Rev And Expnss | 439 | OthEmplSlrsWgsRevAndExpnss |
| Oth Empl Slrs Wgs Net Invst Incm | 110 | OthEmplSlrsWgsNetInvstIncm |
| Oth Empl Slrs Wgs Dsbrs Chrtbl Prps | 329 | OthEmplSlrsWgsDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 1800 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 450 | AccountingFeesNetInvstIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 1350 | AccountingFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 1482 | TaxesRevAndExpnss |
| Deprec And Depletion Rev And Expnss | 215 | DeprecAndDepletionRevAndExpnss |
| Deprec And Depletion Net Invst Incm | 215 | DeprecAndDepletionNetInvstIncm |
| Printing And Pub Rev And Expnss | 146 | PrintingAndPubRevAndExpnss |
| Printing And Pub Net Invst Incm | 37 | PrintingAndPubNetInvstIncm |
| Printing And Pub Dsbrs Chrtbl Prps | 109 | PrintingAndPubDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 9629 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 113 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 9516 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 13711 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 925 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 11304 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 118675 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 118675 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 132386 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 925 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 129979 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -40394 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 90467 | NetInvestmentIncome |
| Adjusted Net Income | 27881 | AdjustedNetIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | 54776 | CashBOY |
| Cash EOY | 23927 | CashEOY |
| Cash EOYFMV | 23927 | CashEOYFMV |
| Savings And Temp Cash Invst BOY | 3770 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 40858 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 40858 | SavingsAndTempCashInvstEOYFMV |
| Other Notes And Loans Receivable | 857500 | OtherNotesAndLoansReceivable |
| Other Notes And Loans Rcvbl BOY | 837500 | OtherNotesAndLoansRcvblBOY |
| Other Notes And Loans Rcvbl EOY | 857500 | OtherNotesAndLoansRcvblEOY |
| Other Notes And Loans Rcvbl EOYFMV | 837500 | OtherNotesAndLoansRcvblEOYFMV |
| Investments Land Etc Basis | 773 | InvestmentsLandEtcBasis |
| Investments Land Etc BOY | 773 | InvestmentsLandEtcBOY |
| Investments Land Etc EOY | 773 | InvestmentsLandEtcEOY |
| Investments Land Etc EOYFMV | 50000 | InvestmentsLandEtcEOYFMV |
| Investments Mortgage Loans BOY | 589023 | InvestmentsMortgageLoansBOY |
| Investments Mortgage Loans EOY | 652168 | InvestmentsMortgageLoansEOY |
| Investments Mortgage Loans EOYFMV | 652168 | InvestmentsMortgageLoansEOYFMV |
| Investments Other BOY | 57563 | InvestmentsOtherBOY |
| Land Building And Equipment Basis | 1870 | LandBuildingAndEquipmentBasis |
| Accum Deprec Land Bldg And Equip | 1546 | AccumDeprecLandBldgAndEquip |
| Land Building And Equipment BOY | 539 | LandBuildingAndEquipmentBOY |
| Land Building And Equipment EOY | 324 | LandBuildingAndEquipmentEOY |
| Land Building And Equipment EOYFMV | 324 | LandBuildingAndEquipmentEOYFMV |
| Total Assets BOY | 1543944 | TotalAssetsBOY |
| Total Assets EOY | 1575550 | TotalAssetsEOY |
| Total Assets EOYFMV | 1604777 | TotalAssetsEOYFMV |
| Other Liabilities EOY | 72000 | OtherLiabilitiesEOY |
| Total Liabilities EOY | 72000 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 1543944 | UnrestrictedBOY |
| Unrestricted EOY | 1503550 | UnrestrictedEOY |
| Total Net Assets BOY | 1543944 | TotalNetAssetsBOY |
| Total Net Assets EOY | 1503550 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 1543944 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 1575550 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 1543944 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -40394 | ExcessOfRevenueOverExpenses |
| Subtotal | 1503550 | Subtotal |
| Total Net Assets Fund Balances EOY | 1503550 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | ICHABOD HOME SALE | DescriptionOfAsset |
| How Acquired | P | HowAcquired |
| Date Acquired | 2009-03-09 | DateAcquired |
| Date Sold | 2009-07-15 | DateSold |
| Gross Sales Price | 85130 | GrossSalesPrice |
| Cost Or Other Basis | 57563 | CostOrOtherBasis |
| Gain Or Loss | 27567 | GainOrLoss |
| Gains Minus Excess Or Losses | 27567 | GainsMinusExcessOrLosses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 27567 | CapitalGainNetIncome |
| Net Short Term Capital Gain Or Loss | 27567 | NetShortTermCapitalGainOrLoss |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 117631 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 1485288 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.07920 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 97872 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 1499997 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.06525 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 391119 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 1478297 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.26457 | DistributionRatioYear3 |
| Total Distribution Ratio | 0.40902 | TotalDistributionRatio |
| Average Distribution Ratio | 0.13634 | AverageDistributionRatio |
| Net Noncharitable Assets | 1525734 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 208019 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 905 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 208924 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 129979 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 1809 | InvestmentIncomeExciseTax |
| Subtotal | 1809 | Subtotal |
| Tax Based On Investment Income | 1809 | TaxBasedOnInvestmentIncome |
| Tax Paid With Extension | 1500 | TaxPaidWithExtension |
| Total Credits And Payments | 1500 | TotalCreditsAndPayments |
| Form2220 Attached | X | Form2220Attached |
| Penalty For Underpayment | 54 | PenaltyForUnderpayment |
| Tax Due | 363 | TaxDue |
| Amount Credited To Next Year | 0 | 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 |
| Form990 T Filed | false | Form990TFiled |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| States Filed With | UT | StatesFiledWith |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | true | 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 Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHAUN MICHEL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 8015983935 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2956 COBBLEMOOR LANE | AddressLine1 |
| City | SANDY | City |
| State | UT | State |
| ZIP Code | 84093 | ZIPCode |
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 |
| Acts Fail To Qualify As Exceptions | false | ActsFailToQualifyAsExceptions |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| Undistr Income4942a2 Not Applied | false | UndistrIncome4942a2NotApplied |
| Business Holdings | false | BusinessHoldings |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| 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 | true | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| Tr Fail To Qualify As Exceptions | false | TrFailToQualifyAsExceptions |
| Maint Expend Responsibility | true | MaintExpendResponsibility |
| Rcv Funds To Pay Prsnl Bnft Contract | false | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
| Proceeds Or Net Income | false | ProceedsOrNetIncome |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| CAROLA S MICHEL | ||||||
| 11160 SUSAN DRIVE | SANDY | UT | 84092 | Trustee | 5.00 | 0 |
| ULLRICH K MICHEL | ||||||
| 11160 SUSAN DRIVE | SANDY | UT | 84092 | Trustee | 10.00 | 0 |
| ANNETTE S MICHEL | ||||||
| 2956 COBBLEMOOR LANE | SANDY | UT | 84093 | Trustee | 5.00 | 0 |
| UWE W MICHEL | ||||||
| 2956 COBBLEMOOR LANE | SANDY | UT | 84093 | Trustee | 20.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | MUSIC GRANTS TO PAY FOR ALL PROGRAM COSTS FOR THE MUSIC PROGRAM AT WESTRIDGE (WHICH IS A SCHOOL FOR BEHAVIOR CHALLENGED BOYS). | Description1 |
| Expenses1 | 43800 | Expenses1 |
| Description2 | YOUTH SERVICE GRANTS PAID TO THE YOUTHLINC ORGANIZATION, WHOSE PURPOSE IS TO HELP ESTABLISH SCHOOLS IN KENYA AND THAILAND | Description2 |
| Expenses2 | 27819 | Expenses2 |
| Description3 | PHARMACY GRANTS FOR APPROXIMATELY 600 POOR AND NEEDY RECIPIENTS WHO ARE PROVIDED SERVICES AT THE MELEHEA CLINIC IN SALT LAKE CITY (A MEDICAL CLINIC SERVICING ONLY NEEDY FAMILIES). | Description3 |
| Expenses3 | 18000 | Expenses3 |
| Description4 | GRANTS FOR ORGANIZATION THAT PROVIDES QUADRAPALEGIC REHABILITATION SERVICES. | Description4 |
| Expenses4 | 15590 | Expenses4 |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 0 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 72122 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 1476847 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 1548969 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Adj Total FMV Of Unused Assets | 1548969 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 23235 | CashDeemedCharitable |
| Net Noncharitable Assets | 1525734 | NetNoncharitableAssets |
| Minimum Investment Return | 76287 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | X | Sect4942j3j5FndtnAndFrgnOrg |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 129979 | ExpensesAndContributions |
| Qualifying Distributions | 129979 | QualifyingDistributions |
| Adj Qualifying Distributions | 129979 | AdjQualifyingDistributions |
Private Operating Foundations PrivateOperatingFoundations
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Of Ruling | 2007-09-14 | DateOfRuling |
| Section4942j3 | X | Section4942j3 |
Lessor Adj Net Incm Min Invst Return LessorAdjNetIncmMinInvstReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 27881 | CurrentYear |
| Year1 | 26 | Year1 |
| Year2 | 75000 | Year2 |
| Year3 | 60032 | Year3 |
| Total | 162939 | Total |
Percent85 Of Lessor Percent85OfLessor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 23699 | CurrentYear |
| Year1 | 22 | Year1 |
| Year2 | 63750 | Year2 |
| Year3 | 51027 | Year3 |
| Total | 138498 | Total |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 129979 | CurrentYear |
| Year1 | 117631 | Year1 |
| Year2 | 97872 | Year2 |
| Year3 | 391119 | Year3 |
| Total | 736601 | Total |
Qlfy Distri Not Used Directly QlfyDistriNotUsedDirectly
| Field | Value | IRS element (for citing) |
|---|---|---|
| Year2 | 6400 | Year2 |
| Year3 | 341000 | Year3 |
| Total | 347400 | Total |
Qlfy Distri Made Directly QlfyDistriMadeDirectly
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 129979 | CurrentYear |
| Year1 | 117631 | Year1 |
| Year2 | 91472 | Year2 |
| Year3 | 50119 | Year3 |
| Total | 389201 | Total |
Two Thirds Min Invst Return TwoThirdsMinInvstReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 50858 | CurrentYear |
| Year1 | 49509 | Year1 |
| Year2 | 50000 | Year2 |
| Year3 | 49277 | Year3 |
| Total | 199644 | Total |
Supplementary Information SupplementaryInformation
Appication Submission Info AppicationSubmissionInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Name | JEREMY MICHEL | RecipientName |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7240 HIGHLAND DR | AddressLine1 |
| City | SALT LAKE CITY | City |
| State | UT | State |
| ZIP Code | 84121 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone Number | 8019422378 | RecipientPhoneNumber |
| Form And Info And Materials | STATEMENT OF REQUEST CONTAINING PURPOSE AND NEED | FormAndInfoAndMaterials |
| Submission Deadlines | NONE | SubmissionDeadlines |
| Restrictions On Awards | GRANTS ARE AWARDED BASED ON NEED | RestrictionsOnAwards |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (13 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|
| WESTRIDGE ACADEMY | ||||||
| 5500 BAGLEY PARK RD | WEST JORDAN | UT | 84081 | NONE | DONATION FOR ASSISTANCE TO STRUGGLING TEENS | $2,800 |
| STEVE CHRISTENSEN | ||||||
| 8698 S MOUNT MAJESTIC RD | SANDY | UT | 84093 | NONE | HOUSING ASSISTANCE FOR LOW INCOME RECIPIENT | $1,000 |
| SOUTHWEST VALLEY SUNRISE ROTARY | ||||||
| 11160 SUSAN DRIVE | SANDY | UT | 84092 | NONE | DONATION | $4,980 |
| SELMA YAGI | ||||||
| 8646 MOUNT MAJESTIC RD | SANDY | UT | 84093 | NONE | HOUSING ASSISTANCE FOR LOW INCOME RECIPIENT | $1,800 |
| PRIMARY CHILDRENS MEDICAL CENTER | ||||||
| 100 MARIO CAPECCHI DR | SALT LAKE CITY | UT | 84113 | NONE | DONATION FOR MEDICAL SERVICES PROVIDED TO CHILDREN | $1,000 |
| NEUROWORX | ||||||
| 10376 S JORDAN GATEWAY | SOUTH JORDAN | UT | 84095 | NONE | QUADRAPALEGIC REHABILITATION | $15,590 |
| NATHAN HILL | ||||||
| UNKNOWN | UNKNOWN | UT | 99999 | NONE | ASSISTANCE FOR HUMANITARIAN MISSION | $181 |
| EPILEPSY FOUNDATION OF UTAH | ||||||
| 1995 W 9000 S | WEST JORDAN | UT | 84088 | NONE | SERVICES FOR PEOPLE SUFFERING WITH EPILEPSY | $1,000 |
| BOY SCOUTS OF AMERICA | ||||||
| PO BOX 152079 | IRVING | TX | 75015 | NONE | DONATION FOR YOUTH SERVICES | $305 |
| BIG T FOUNDATION | ||||||
| 1492 SILICON WY | ST GEORGE | UT | 84770 | NONE | DONATION FOR YOUTH PROGRAMS | $400 |
| RITE AID PHARMACY | ||||||
| 635 E 3300 S | SALT LAKE CITY | UT | 84118 | NONE | MEDICAL PRESCRIPTIONS ASSISTANCE FOR NEEDY FAMILIES | $18,000 |
| YOUTHLINC | ||||||
| 1140 E BRICKYARD RD STE 76 | SALT LAKE CITY | UT | 84106 | NONE | YOUTH SERVICE FOR EDUCATIONAL SERVICES IN KENYA AND THAILAND | $27,819 |
| CHRIS WOODS | ||||||
| 5500 BAGLEY PARK RD | WEST JORDAN | UT | 84081 | NONE | MUSIC PROGRAM INSTRUCTION FOR STRUGGLING TEENS | $43,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 118675 | 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 | $314 | ExclusionAmount |
Other Investment Income Part VII OtherInvestmentIncomePartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $63,511 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 1 | ExclusionCode |
| Exclusion | $27,567 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $91,392 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 91392 | TotalPartXVIA |
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 | FORM 990-PF PREPARATION | Category |
| Amount | $1,800 | Amount |
| Net Investment Income | 450 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 1350 | DisbursementsCharitablePrps |
Depreciation Schedule DepreciationSchedule
Depreciation Depreciation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Property | COMPUTER | DescriptionOfProperty |
| Date Acquired | 2007-01-07 | DateAcquired |
| Cost Or Other Basis | 1870 | CostOrOtherBasis |
| Prior Years Depreciation | 1331 | PriorYearsDepreciation |
| Computation Method | 53 | ComputationMethod |
| Rate | 0.1152 | Rate |
| Current Year Expense | 215 | CurrentYearExpense |
| Net Investment Income | 215 | NetInvestmentIncome |
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibility
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person Name | MELEHEA CLINIC VIA RITE AID | PersonName |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 635 EAST 3300 SOUTH | AddressLine1 |
| City | SALT LAKE CITY | City |
| State | UT | State |
| ZIP Code | 84118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Date | 2009-01-01 | GrantDate |
| Grant | $18,000 | GrantAmount |
| Grant Purpose | TO ASSIST WITH PRESCRIPTION COSTS OF NEEDY PERSONS | GrantPurpose |
| Amount Expended By Grantee | 18000 | AmountExpendedByGrantee |
| Any Diversion By Grantee | No | AnyDiversionByGrantee |
| Dates Of Reports By Grantee | AT LEAST QUARTERLY | DatesOfReportsByGrantee |
| Date Of Verification | 2010-06-30 | DateOfVerification |
| Results Of Verification | FUNDS WERE EXPENDED AS INTENDED | ResultsOfVerification |
Investments Land Schedule2 InvestmentsLandSchedule2
Investment Land InvestmentLand
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Land | CategoryOrItem |
| Cost Or Other Basis | 773 | CostOrOtherBasis |
| Book Value | 773 | BookValue |
| EOYFMV | 50000 | EOYFMV |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Furniture and Fixtures | CategoryOrItem |
| Cost Or Other Basis | 1870 | CostOrOtherBasis |
| Accumulated Depreciation | 1546 | AccumulatedDepreciation |
| Book Value | 324 | BookValue |
| EOYFMV | 324 | EOYFMV |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|
| PROGRAM COSTS | 9516 | 9516 | |
| PENALTIES | 113 | 113 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Investment Income | Description |
| Revenue And Expenses Per Books | 63511 | RevenueAndExpensesPerBooks |
| Net Investment Income | 63511 | NetInvestmentIncome |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MICHEL INVESTMENTS | Description |
| EOY Book Value | 72000 | EOYBookValue |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FEDERAL EXCISE TAXES | Category |
| Amount | $1,482 | Amount |