| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 3,359 | 0 | 3,359 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990-PF, PART VI-B, LINES 1A(3) AND 1B | PART VI-B, LINE 1A(3) HAS BEEN ANSWERED "YES" BECAUSE BOTH THOMAS VAN DER MEULEN AND JANE VAN DER MEULEN ARE SUBSTANTIAL CONTRIBUTORS TO THE THOMAS AND JANE VAN DER MEULEN FOUNDATION AND ARE THEREFORE DISQUALIFIED PERSONS. THEY PROVIDE "SERVICE" TO THE ORGANIZATION BY KEEPING ITS BOOKS AND SERVING ON ITS BOARD. LINE 1B IS ANSWERED "NO" BECAUSE THESE SERVICES ARE EXCEPTED BY THE REGULATIONS UNDER SECTION 4941. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CHIPOTLE MEXICAN GRILL INCORPORATED (CMG) | 9,927 | 55,500 |
| UBS GROUP AG SHS (SWITZERLAND) (UBS) | 25,979 | 46,310 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 155 | 0 | 155 |
| Description | Amount |
|---|---|
| FMV TO COST ADJUSTMENT ON DONATED STOCK | 66,175 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| WIRE FEES | 25 | 25 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PY FEDERAL EXCISE TAX PAID | 500 | 0 | 0 |