| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Tax compliance | 2,000 | 1,000 | 1,000 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| General Grants and Donations Program application information | Part XIV, Line 2b | All grant applications must be typed and must comply with all page limitations. Font size is to be 12 point Arial or larger and there shall be no more than six lines per vertical inch. All proposals are to be submitted on white, 8 1/2 by 11 paper. Proposals which do not comply with requirements may not be reviewed and may be returned. Applications must contain the following:1. Year founded.2. Federal Tax ID Number.3. Geographic area served.4. Number of people served annually.5. Mission statement.6. Purpose, methodology, and most recent accomplishments of the organization.7. Specifically state whether or not the organization is exempt under IRC Section 501(c)(3) guidelines (or earlier versions). Include documentation as required attachments. 8. Specifically state whether or not the organization is exempt under Section 509(A) guidelines (public charity). Include documentation in required attachments.9. Is organization legally affiliated with any other organizations? If so, please list.10. Funding information11. Fiscal Year12. Operating budget for the current fiscal year (include income and expenses).13. If the organization was the recipient of funding from the agencies below, please list total amounts received in the most recently completed fiscal year: United Way Federal Government State Government Local Government14. Population of geographic area served15. Size and source of 5 largest grants including a descriptive title and project period.16. Organization personnel: Number of employees Full-time Part-time Volunteer Interns Other17. Number of directors on board |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 13,616 American Funds The Bond Fund of America Class F-2 | 189,741 | 160,395 |
| 16,467 Baird Core Plus Bond Fund Class Inst | 190,545 | 167,630 |
| 14,673 BlackRock Total Return Fund Instl | 175,312 | 151,276 |
| 780 iShares 0-5 Year TIPS Bond ETF | 82,730 | 78,233 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 3,129 Artisan International Value Fund Advisor Class | 103,657 | 112,158 |
| 4,972 DFA Emerging Markets ex China Core Equity Portfolio Inst | 49,024 | 42,262 |
| 2,112 DFA U.S. Small Cap Portfolio Instl | 52,756 | 85,450 |
| 662 Dodge & Cox Stock Fund Class I | 141,295 | 145,299 |
| 1,345 Fidelity 500 Index Fund | 154,080 | 185,114 |
| 3,790 iShares Core Dividend Growth ETF | 168,508 | 185,066 |
| 1,106 iShares Gold Trust ETF | 37,702 | 35,901 |
| 4,000 JOHCM International Select Fund Instl | 100,000 | 79,040 |
| 3,205 MFS Global Real Estate Fund Class I | 45,668 | 56,276 |
| 631 SPDR Portfolio S&P 500 High Dividend ETF | 25,000 | 25,385 |
| 526 Vanguard Mid-Cap Index Fund Admiral Shares | 95,877 | 136,538 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| D&O insurance | 1,783 | 0 | 1,783 | |
| Memberships and dues | 450 | 0 | 450 | |
| Office expense | 1,417 | 0 | 1,417 | |
| State filing fees | 10 | 0 | 10 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Investment management fees | 13,311 | 13,311 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Excise tax | 4,633 | 0 | 0 |