| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEE (NON-ALLOC | 1,149 | 1,149 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
ELKS OF LOS ANGELES FOUNDATION |
ONE WEST FORTUH STREET 2ND FL WINSTONSALEM,NC27101 |
2018-12-31 | 30,000 | CALIFORNIA-HAWAII ELKS PROJECT, DOUGLAS MICHAEL FULLER CORPORATION PENNY LANE CENTERS, UCLA FOUNDATION, MIDNIGHT MISSIONS | 30,000 | NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE GRANTS WERE ORIGIN | 5/22/2019 | 2019-05-22 | FOUNDATION HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF INFORMATION SUPPLIED BY THE GRANTEE. |
| Identifier | Return Reference | Explanation |
|---|---|---|
| The compensation reported in column (c) is calculated based on | periodic market values and/or the applicable fee agreement. It is not | determined on an hourly basis and the reference to one hour per week is an estimate only. Corporate trustee services include, but are not limited to, administrative services such as fiduciary accounting, custody of assets, complying with tax filing requirements, complying with distribution provisions, and complying with federal and state laws applicable to private foundations, plus asset management services such as creating asset allocation strategies, investments reporting and reallocating and rebalancing of portfolios as necessary. |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| 921943858 VANGUARD EUROPE PACI | AT COST | 146,249 | 148,215 |
| 63872T885 ASG GLOBAL ALTERNATI | AT COST | 46,222 | 43,056 |
| 81369Y407 AMEX CONSUMER DISCR | AT COST | 22,991 | 70,495 |
| 921937827 VANGUARD BD INDEX FD | AT COST | 37,157 | 36,692 |
| 81369Y704 AMEX INDUSTRIAL SPDR | AT COST | 42,450 | 68,597 |
| 81369Y605 AMEX FINANCIAL SELEC | AT COST | 43,044 | 82,393 |
| 81369Y803 AMEX TECHNOLOGY SELE | AT COST | 36,833 | 104,250 |
| 46434G103 ISHARES CORE MSCI EM | AT COST | 75,030 | 68,320 |
| 47803M168 JOHN HANCOCK II-CURR | AT COST | 47,606 | 45,471 |
| 277923264 EATON VANCE GLOB MAC | AT COST | 75,977 | 67,337 |
| 81369Y308 CONSUMER STAPLES SEC | AT COST | 26,242 | 36,358 |
| 64128R608 NEUBERGER BERMAN LON | AT COST | 42,534 | 42,181 |
| 464287705 ISHARES S&P MIDCAP 4 | AT COST | 46,888 | 91,581 |
| 77958B402 T ROWE PRICE INST FL | AT COST | 14,948 | 14,413 |
| 779919307 T ROWE PR REAL ESTAT | AT COST | 22,662 | 21,435 |
| 81369Y209 AMEX HEALTH CARE SPD | AT COST | 49,631 | 97,583 |
| 09260C703 BLACKROCK GL L/S CRE | AT COST | 67,208 | 63,112 |
| 780071106 ROYAL AMERICAN PRODU | AT COST | 116 | |
| 81369Y100 AMEX MATERIALS SPDR | AT COST | 9,191 | 14,348 |
| 921937819 VANGUARD INTERMEDIAT | AT COST | 128,948 | 124,943 |
| 464287606 ISHARES S&P MIDCAP 4 | AT COST | 38,122 | 91,599 |
| 46090F100 INVESCO OPTIMUM YIEL | AT COST | 47,745 | 38,609 |
| 81369Y506 AMEX ENERGY SELECT S | AT COST | 17,115 | 16,632 |
| 31641Q763 FIDELITY NEW MRKTS I | AT COST | 146,201 | 135,004 |
| 922042858 VANGUARD EMERGING MA | AT COST | 115,643 | 137,541 |
| 78463X863 SPDR DJ WILSHIRE INT | AT COST | 17,526 | 22,688 |
| 81369Y852 COMM SERV SELECT SEC | AT COST | 41,678 | 38,432 |
| 87234N765 TCW EMRG MKTS INCM-I | AT COST | 117,566 | 112,184 |
| 00203H859 AQR MANAGED FUTURES | AT COST | 77,485 | 65,775 |
| 4812C0803 JPMORGAN HIGH YIELD | AT COST | 31,605 | 30,267 |
| 464287655 ISHARES RUSSELL 2000 | AT COST | 187,628 | 156,931 |
| Description | Amount |
|---|---|
| MUTUAL FUND TIMING DIFFERENCE | 64 |
| PY RETURN OF CAPITAL ADJUSTMENT | 431 |
| COST BASIS ADJUSTMENT | 173 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FILING FEE/STATE TAX | 10 | 0 | 10 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 129 | 129 | 0 | |
| FEDERAL TAX PAYMENT - PRIOR YE | 1,700 | 0 | 0 | |
| FEDERAL ESTIMATES - PRINCIPAL | 68 | 0 | 0 | |
| FOREIGN TAXES ON QUALIFIED FOR | 494 | 494 | 0 | |
| FOREIGN TAXES ON NONQUALIFIED | 658 | 658 | 0 |