| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING AND TAX RETURN PREPARATION | 3,037 | 3,037 | 3,037 | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| General Explanation Supplemental Information for Form 990-PF | Part XV, Question 2a.Applications should be addressed to:The Charles E. Nearburg FoundationAttn: C. NearburgP.O. Box 823085Dallas, TX 75382-3085Telephone: 214-739-1778Part XV, Question 2d.To be eligible to be considered to receive an award or loan, anindividual must demonstrate that he or she:(a) is in one of the following categories of candidates, it being theintention of the corporation to give preference to candidates on thebasis of the category in which they are found, in the order ofpreference set forth below: (i) Children of employees of Nearburg Producing Company ("Nearburg"); or (ii) Other deserving members of the community;(b) has been accepted for attendance at, and plans to attend, either(A) a private middle or secondary school approved by the corporation'sscholarship committee or (B) an accredited college or universityapproved by the corporation's scholarship committee (including, ifapproved by such committee, a trade school or other specialized typeof educational institution); and(c) meets such minimum standards of academic achievement, financialneed, public service, or other appropriate measures as thecorporation's scholarship committee shall determine from time to time. | |
| General Explanation Supplemental Information for Form 990-PF | THE CHARLES E. NEARBURG FOUNDATIONAPPLICATION FOR EDUCATIONAL GRANT OR LOANName: _____________________________________ Address: _____________________________________ _____________________________________ 1. Is parent an employee of Nearburg Producing Company? ___Yes ___No If yes, please identify: _________________________________________________ 2. School currently attending: _______________________________________________ Attach (1) transcripts or report cards showing grade point average for last two semesters or last three quarters completed; (2) documentation from school establishing that applicant's disciplinary record is free of serious disciplinary charges or actions; and (3) documentation from school establishing applicant's ranking in comparison to all others at applicant's academic level.3. Attach completed financial information statement.4. Describe community activities in which applicant is involved, such as (but not limited to)student government, volunteering with community organizations, or participation in Boy Scouts, Girl Scouts, or similar organization. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 5. Describe applicant's other pursuits of skills or achievements including school- sponsored programs and activities, such as (but not limited to) the study of music, dance, or other artistic skills; the study of a foreign language; participation in skilled athletics; and the study of scientific topics such as astronomy or physics. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ APPLICATION - Page 1THE CHARLES E. NEARBURG FOUNDATIONAPPLICATION FOR EDUCATIONAL GRANT OR LOAN (continued)6. Identify educational institution applicant plans to attend if Foundation award is made. _________________________________________________________________________________ Has applicant been accepted at such institution? ____Yes ____No If not, when is acceptance process expected to be completed? ________________7. Attach a letter of recommendation from at least one individual who is not a member of the applicant's family.8. Attach results of a negative drug detection test performed on applicant within 10 days prior to the dated of this application.9. Are there circumstances not disclosed by the foregoing information that should be considered in determining whether the applicant should receive an award from the Foundation? Is so, please describe the circumstances and state how they should affect the applicant's application. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Signature of applicant:__________________________________________ Date ____________________________ APPLICATION - Page 2 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE - CASH VALUE | 53,411 | 55,367 | 55,367 |
| Description | Amount |
|---|---|
| FEDERAL INCOME TAX PAYMENTS | 5,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ANNUAL FEES - AMERICAN EXPRESS | 595 | 595 | 595 | |
| INVEST MGMT FEES - US BANK | 16,914 | 16,914 | 16,914 | |
| INVESTMENT EXPENSES | 128 | 128 | 128 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| LIFE INS CASH VAL INCREAS | 1,956 | 1,956 | 1,956 |
| OIL & GAS ADMIN | -63 | -63 | -63 |
| OIL & GAS COST DEPLETION | -1,469 | -1,469 | -1,469 |
| OIL & GAS ROYALTIES | 729 | 729 | 729 |
| OIL & GAS SEVERANCE TAXES | -32 | -32 | -32 |
| ORDINARY INC - BOND MATUR | 908 | 908 | 908 |
| SECURITIES CLASS ACTION | 135 | 135 | 135 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 1,639 | 1,639 | 1,639 |