| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL AND INCOME TAX PREPARATION | 12,871 | 0 | 7,723 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| TRANSAMERICA ANNUITY 56506785 ROLLOVER (SEE FOOTNOTE) | 2009-05 | PURCHASED | 2020-09 | NOT APPLICABLE SEE FOOTNOTE | 2,079,083 | VALUE AT TIME OF ACQUISITION | 0 | |||
| TRANSAMERICA ANNUITY TAR0057027 ROLLOVER (SEE FOOTNOTE) | 2002-06 | PURCHASED | 2020-09 | NOT APPLICABLE SEE FOOTNOTE | 7,510,886 | VALUE AT TIME OF ACQUISITION | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| EXPLANATION OF UNUSUAL CIRCUMSTANCES OCCURING IN 2020 | FORM 990-PF, PART II, LINE 13 | THE FOUNDATION OWNED TWO SEPARATE ANNUITIES WITH TRANSAMERICA. THE BENEFICIARY OF EACH ANNUITY WAS BEVERLY IVERSON. MRS. IVERSON SERVED AS THE PRESIDENT OF THE BOARD FOUNDATION SINCE THE INCEPTION OF THE FOUNDATION. MRS. IVERSON PASSED AWAY ON APRIL 19, 2020. AS A CONSEQUENCE OF HER PASSING, THE ANNUITY PAID THE FOUNDATION THE DEATH BENEFIT FOR EACH OF THE ANNUITIES.THE PAYMENTS FROM THE TWO ANNUITIES WERE AS FOLLOWS: 1) TRANSAMERICA LIFE INSURANCE COMPANY #TAR0057027 $7,510,886 2) TRANSAMERICA LIFE INSURANCE COMPANY #56506785 $2,079,083THE RECEIPTS FROM THE TWO ANNUITIES WERE SUBSEQUENTLY INVESTED BY THE FOUNDATION IN THREE SEPARATE INVESTMENTS, TWO OF WHICH ARE ANNUITIES, AS FOLLOWS: 1) MIDLAND ANNUITY #8500775090 - AMOUNT INVESTED WAS: $3,000,000 2) F&G ANNUITY #L9379381 - AMOUNT INVESTED WAS: $1,000,000 THE REMAINING AMOUNT WAS INVESTED IN A SECURITIES ACCOUNT WITH US GUIDEMARK #3861451 - AMOUNT INVESTED WAS: $5,000,000CONSEQUENTLY, THE SUBSTANCE OF THE ABOVE-MENTIONED TRANSACTIONS IS THAT THE DEATH BENEFITS PAID TO THE FOUNDATION WERE ESSENTIALLY 'ROLLED OVER' TO NEW INVESTMENTS WITH THE PURPOSE OF CONTINUING THE FUNDING OF THE ACTIVTIES OF THE FOUNDATION AS SET FORTH IN THE BY-LAWS. AS A RESULT, NO GAIN OR LOSS IS BEING REPORTED IN 2020 THE DEATH BENEFIT PROCEEDS WERE REPORTED ON A FORM 1099-R, THE GROSS AMOUNT RECEIVED HAS BEEN INCLUDED IN ON PAGE 1, PART I, LINE 6B, BUT NOT INCLUDED AS INVESTMENT INCOME UNDER PART I, COLUMN (B). |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| US GUIDEMARK A/C 3861451 | 5,000,000 | 5,227,572 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| F&G ANNUITY L9379381 | AT COST | 1,000,000 | 1,000,000 |
| MIDLAND ANNUITY 8500775090 | AT COST | 3,000,000 | 3,000,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SUPPLIES, POSTAGE, REIMBURSEMENTS | 795 | 0 | 477 | |
| TELEPHONE | 1,400 | 0 | 840 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY WITHDRAWALS | 265,505 | 265,505 | 265,505 |
| Description | Amount |
|---|---|
| ANNUITY FOUND AFTER DEATH OF THE BENEFICIARY ON APRIL 19, 2020-SEE FOOTNOTE | 1,255,937 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| DUE TO OFFICER | 804 | 804 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAX | 18,154 | 0 | 10,892 | |
| REGISTRY OF CHARITABLE TRUSTS (2019) | 75 | 0 | 75 | |
| FRANCHISE TAX BOARD (2019) | 10 | 0 | 10 | |
| IRS (2020 ESTIMATES) | 216 | 0 | 216 |