Ann D Black Charitable Remainder Tr 20 102020221580 in Brooklyn, Ohio (OH)
Table of contents:
- Overview
- Detailed Reports
- Analysis of Revenue and Expenses
- Balance Sheets
- Capital Gains and Losses for Tax on Investment Income
- Excise Tax Based on Investment Income
- Statements Regarding Activities
- Statements Regarding Activities for Which Form 4720 May Be Required
- Minimum Investment Return
- Distributable Amount
- Undistributed Income
- Private Operating Foundations
- Supplementary Information
- Analysis of Income-Producing Activities
- Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
- Revenue, Expenses, and Changes in Net Assets or Fund Balances
- Statement of Functional Expenses
- Balance Sheets
- Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
- Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
- Current Officers, Directors, Trustees, and Key Employees
- Other Information
- Analysis of Income-Producing Activities
- Information Regarding Taxable Subsidiaries and Disregarded Entities
- Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
- Statements About Activities
- Reason for Non-Private Foundation Status
- Support Schedule
- Lobbying Expenditures by Electing Public Charities
- Other organizations in Ohio
| Ann D Black Charitable Remainder Tr 20 102020221580 | |
| Employer Identification Number (EIN) | 346741740 |
| Name of Organization | Ann D Black Charitable Remainder Tr 20 102020221580 |
| In Care of Name | Keybank Na Trust Tax |
| Address | 4900 Tiedeman Rd Oh 01 49 0150, Brooklyn, OH 44144 |
| Activities | Gifts, grants, or loans to other organizations |
| Subsection | Charitable Organization |
| Ruling Date | 09/1978 |
| Deductibility | Contributions are deductible |
| Foundation | Private non-operating foundation |
| Organization | Trust |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2013 |
| Assets | $1,000,000 to $4,999,999 |
| Income | $100,000 to $499,999 |
| Filing Requirement | 990 - Not required to file (all other) |
| Asset Amount | $2,270,028 |
| Amount of Income | $347,832 |
| Form 990 Revenue Amount | $49,920 |
| National Taxonomy of Exempt Entities (NTEE) | Philanthropy, Voluntarism and Grantmaking Foundations: Named Trusts/Foundations (Not Elsewhere Classified) |
Non-representatives - add comments:
Revenue for 2013
Expenses for 2013
| Analysis of Revenue and Expenses (for 2013) | ||||
| Revenue and expenses per books | Net investment income | Adjusted net income | Disbursements for charitable purposes (cash basis only) | |
|---|---|---|---|---|
| Total revenue | $211,249 | $211,249 | $0 | |
| Contributions, gifts, grants, etc., received | $0 | |||
| Interest on savings and temporary cash investments | $0 | |||
| Dividends and interest from securities | $73,696 | |||
| Gross rents | $0 | |||
| Gross sales price for all assets | $274,136 | |||
| Gross profit from sales of goods | $0 | |||
| Other income | $0 | |||
| Other | $137,553 | |||
| Total expenses and disbursements | $194,688 | $26,764 | $0 | $165,703 |
| Compensation of officers, directors, trustees, etc. | $35,010 | |||
| Pension plans, employee benefits | $0 | |||
| Legal fees | $0 | |||
| Accounting fees | $1,000 | |||
| Interest | $0 | |||
| Depreciation | $0 | |||
| Occupancy | $0 | |||
| Travel, conferences, and meetings | $0 | |||
| Printing and publications | $0 | |||
| Total operating and administrative expenses | $38,938 | $26,764 | $9,953 | |
| Contributions, gifts, grants paid | $155,750 | |||
| Excess of revenue over expenses and disbursements | $16,561 | |||
| Net investment income | $184,485 | |||
| Adjusted net income | $0 | |||
| Balance Sheets | ||||||
| 2011 | 2012 | 2013 | ||||
|---|---|---|---|---|---|---|
| Book Value | Fair Market Value | Book Value | Fair Market Value | Book Value | Fair Market Value | |
| Total assets | $2,324,604 | $2,943,540 | $2,253,467 | $3,080,622 | $2,270,028 | $3,558,810 |
| Cash - non-interest-bearing | $0 | $0 | $0 | |||
| Investments-U.S. and state government obligations | $0 | $0 | $0 | |||
| Investments-corporate stock | $0 | $0 | $0 | |||
| Investments-corporate bonds | $0 | $0 | $0 | |||
| Investments-mortgage loans | $0 | $0 | $0 | |||
| Investments-other | $2,324,604 | $2,253,467 | $2,270,028 | |||
| Other assets | $0 | $0 | ||||
| Total liabilities | $0 | $0 | $0 | |||
| Total liabilities and net assets/fund balances | $2,324,604 | $2,253,467 | $2,270,028 | |||
| Capital Gains and Losses for Tax on Investment Income | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Capital gain net income | $21,832 | $40,665 | $137,553 |
| Net capital loss | $0 | $0 | $0 |
| Excise Tax Based on Investment Income | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Domestic foundations that meet the section 4940(e) requirements (for Reduced Tax on Net Investment Income) | No | No | No |
| Tax based on investment income | $1,462 | $1,842 | $3,690 |
| Total credits and payments | $2,312 | $1,464 | $4,613 |
| Current year estimated tax payments and previous year's overpayment credited to current year | $2,312 | $1,464 | $1,844 |
| Exempt foreign organizations-tax withheld at source | $0 | $0 | $0 |
| Tax paid with application for extension of time to file (Form 8868) | $0 | $0 | $2,769 |
| Backup withholding erroneously withheld | $0 | $0 | $0 |
| Any penalty for underpayment of estimated tax | $0 | $0 | $0 |
| Tax due | $378 | $0 | |
| Overpayment | $0 | $923 | |
| Amount to be credited to next year's estimated tax | $850 | $0 | $923 |
| Statements Regarding Activities | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign? | No | No | No |
| Has the foundation engaged in any activities that have not previously been reported to the IRS? | No | No | |
| Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar instruments? | No | No | |
| Has the foundation filed a tax return on Form 990-T for this year? | No | No | |
| Was there a liquidation, termination, dissolution, or substantial contraction during the year? | No | No | No |
| Has the foundation furnished a copy of Form 990-PF to the Attorney General (or designate) of each state? | Yes | Yes | |
| Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for current calendar year or the taxable year beginning in this year? | No | No | No |
| Did any persons become substantial contributors during the tax year? | No | No | |
| Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges? | No | No | |
| Did the foundation comply with the public inspection requirements for its annual returns and exemption application? | No | No | |
| Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 | No | No | |
| Statements Regarding Activities for Which Form 4720 May Be Required | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| During the year did the foundation (either directly or indirectly): | |||
| Engage in the sale or exchange, or leasing of property with a disqualified person? | No | No | No |
| Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? | No | No | No |
| Furnish goods, services, or facilities to (or accept them from) a disqualified person? | No | No | No |
| Pay compensation to, or pay or reimburse the expenses of, a disqualified person? | Yes | Yes | Yes |
| Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)? | No | No | No |
| Agree to pay money or property to a government official? | No | No | No |
| Did any of the acts fail to qualify under the exceptions described in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance? | No | No | |
| Did the foundation engage in a prior year in any of the acts, other than excepted acts, that were not corrected before the first day of the tax year beginning in this year? | No | No | |
| At the end of this tax year, did the foundation have any undistributed income for tax year(s) beginning before this year? | No | No | No |
| Are there any years listed above for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed income? | Yes | Yes | |
| Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? | No | No | No |
| Did the foundation have excess business holdings in this year as a result of (1) any purchase by the foundation or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse of the 10-, 15-, or 20-year first phase holding period? | No | No | No |
| Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? | No | No | No |
| Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in this year? | No | No | |
| During the year did the foundation pay or incur any amount to: | |||
| Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? | No | No | No |
| Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive? | No | No | No |
| Provide a grant to an individual for travel, study, or other similar purposes? | No | No | No |
| Provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)? | No | No | No |
| Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? | No | No | No |
| Did any of the transactions fail to qualify under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance? | No | No | |
| Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? | No | No | |
| Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? | No | No | |
| Minimum Investment Return | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes | $3,074,261 | $3,114,999 | $3,402,091 |
| Net value of noncharitable-use assets | $3,068,274 | $3,351,060 | |
| Minimum investment return | $151,407 | $153,414 | $167,553 |
| Distributable Amount | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Distributable amount | $149,945 | $151,572 | $163,863 |
| Undistributed Income | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Distributable amount for this year | $149,945 | $151,572 | $163,863 |
| Undistributed income for this year. This amount must be distributed in the next year | $0 | $0 | $0 |
| Private Operating Foundations (for 2010 - 2013) | |||||
| 2013 | 2012 | 2011 | 2010 | Total | |
|---|---|---|---|---|---|
| The lesser of the adjusted net income or the minimum investment return | $0 | $0 | $0 | $0 | $0 |
| Qualifying distributions made directly for active conduct of exempt activities | $0 | $0 | $0 | $0 | $0 |
| Value of all assets | $0 | $0 | $0 | $0 | $0 |
| Value of assets qualifying under section 4942(j)(3)(B)(i) | $0 | $0 | $0 | $0 | $0 |
| 2/3 of minimum investment return | $0 | $0 | $0 | $0 | $0 |
| Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) | $0 | $0 | $0 | $0 | $0 |
| Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii) | $0 | $0 | $0 | $0 | $0 |
| Gross investment income | $0 | $0 | $0 | $0 | $0 |
| Supplementary Information (for 2013) | |
| Grants approved for future payment | $0 |
| Analysis of Income-Producing Activities (for 2013) | ||
| Amount | Related or exempt function income | |
|---|---|---|
| Program service revenue | ||
| Fees and contracts from government agencies | $0 | $0 |
| Membership dues and assessments | $0 | $0 |
| Interest on savings and temporary cash investments | $0 | $0 |
| Dividends and interest from securities | $73,696 | $0 |
| Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (for 2013) | |
| Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? | |
| Transfers from the reporting foundation to a noncharitable exempt organization of: | |
| Cash | No |
| Other assets | No |
| Other transactions: | |
| Sales of assets to a noncharitable exempt organization | No |
| Purchases of assets from a noncharitable exempt organization | No |
| Rental of facilities, equipment, or other assets | No |
| Reimbursement arrangements | No |
| Loans or loan guarantees | No |
| Performance of services or membership or fundraising solicitations | No |
| Sharing of facilities, equipment, mailing lists, other assets, or paid employees | No |
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2000 | 2001 | 2002 | |
|---|---|---|---|
| Total revenue | $440,043 | $281,548 | $49,920 |
| Contributions, gifts, grants, and similar amounts received | $0 | $0 | $0 |
| Contributions to donor advised funds | |||
| Direct public support | $0 | $0 | $0 |
| Indirect public support | $0 | $0 | $0 |
| Government contributions (grants) | $0 | $0 | $0 |
| Program service revenue including government fees and contracts | $0 | $0 | $0 |
| Membership dues and assessments | $0 | $0 | $0 |
| Interest on savings and temporary cash investments | $0 | $0 | $0 |
| Dividends and interest from securities | $0 | $94,387 | $87,259 |
| Net rental income or (loss) | $0 | $0 | $0 |
| Gross rents | $0 | $0 | $0 |
| Less: rental expenses | $0 | $0 | $0 |
| Other investment income | $111,602 | $0 | $0 |
| Gain or (loss) from sales of assets other than inventory | $328,441 | $187,161 | $-37,339 |
| Gross amount from sales of assets other than inventory | $328,441 | $187,161 | $6,268 |
| Less: cost or other basis and sales expenses | $0 | $0 | $43,608 |
| Net income or (loss) from special events and activities | $0 | $0 | $0 |
| Gross revenue | $0 | $0 | $0 |
| Less: direct expenses other than fundraising expenses | $0 | $0 | $0 |
| Gross profit or (loss) from sales of inventory | $0 | $0 | $0 |
| Gross sales of inventory, less returns and allowances | $0 | $0 | $0 |
| Less: cost of goods sold | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Total expenses | $254,319 | $241,510 | $218,450 |
| Program services | $226,199 | $216,468 | $195,974 |
| Management and general | $28,120 | $25,041 | $22,476 |
| Fundraising | $0 | $0 | $0 |
| Payments to affiliates | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $3,337,083 | $3,377,121 | $3,208,590 |
| Excess or (deficit) for the year | $185,723 | $40,038 | $-168,530 |
| Net assets or fund balances at beginning of year | $3,151,359 | $3,337,083 | $3,377,121 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Statement of Functional Expenses (for 2002) | ||||
| Total | Program services | Management and general | Fundraising | |
|---|---|---|---|---|
| Total functional expenses | $218,450 | $195,974 | $22,476 | $0 |
| Grants paid from donor advised funds | ||||
| Other grants and allocations | $195,974 | |||
| Specific assistance to individuals | $0 | |||
| Benefits paid to or for members | $0 | |||
| Compensation of current officers, directors, key employees, etc. | $21,826 | $0 | $21,826 | $0 |
| Compensation of former officers, directors, key employees, etc. | ||||
| Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) | ||||
| Salaries and wages of employees not included above | $0 | $0 | $0 | $0 |
| Pension plan contributions not included above | $0 | $0 | $0 | $0 |
| Employee benefits not included above | $0 | $0 | $0 | $0 |
| Payroll taxes | $0 | $0 | $0 | $0 |
| Professional fundraising fees | $0 | $0 | $0 | $0 |
| Accounting fees | $450 | $0 | $450 | $0 |
| Legal fees | $0 | $0 | $0 | $0 |
| Supplies | $0 | $0 | $0 | $0 |
| Telephone | $0 | $0 | $0 | $0 |
| Postage and shipping | $0 | $0 | $0 | $0 |
| Occupancy | $0 | $0 | $0 | $0 |
| Equipment rental and maintenance | $0 | $0 | $0 | $0 |
| Printing and publications | $0 | $0 | $0 | $0 |
| Travel | $0 | $0 | $0 | $0 |
| Conferences, conventions, and meetings | $0 | $0 | $0 | $0 |
| Interest | $0 | $0 | $0 | $0 |
| Depreciation, depletion, etc. | $0 | $0 | $0 | $0 |
| Other expenses not covered above | $200 | $0 | $200 | $0 |
| Balance Sheets | |||
| 2000 | 2001 | 2002 | |
|---|---|---|---|
| Total assets | $3,337,083 | $3,377,121 | $3,208,590 |
| Cash - non-interest-bearing | $0 | $0 | $0 |
| Savings and temporary cash investments | $0 | $0 | $0 |
| Accounts receivable less allowance for doubtful accounts | $0 | $0 | $0 |
| Pledges receivable less allowance for doubtful accounts | $0 | $0 | $0 |
| Grants receivable | $0 | $0 | $0 |
| Receivables from current and former officers, directors, trustees, and key employees | $0 | $0 | $0 |
| Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) | |||
| Other notes and loans receivable less allowance for doubtful accounts | $0 | $0 | $0 |
| Inventories for sale or use | $0 | $0 | $0 |
| Prepaid expenses and deferred charges | $0 | $0 | $0 |
| Investments - publicly-traded securities | |||
| Investments - other securities | $0 | $0 | $0 |
| Investments - land, buildings, and equipment less accumulated depreciation | $0 | $0 | $0 |
| Investments - other | $3,337,083 | $3,377,121 | $3,208,590 |
| Land, buildings, and equipment less accumulated depreciation | $0 | $0 | $0 |
| Other assets, including program-related investments | $0 | $0 | $0 |
| Total liabilities | $0 | $0 | $0 |
| Accounts payable and accrued expenses | $0 | $0 | $0 |
| Grants payable | $0 | $0 | $0 |
| Deferred revenue | $0 | $0 | $0 |
| Loans from officers, directors, trustees, and key employees | $0 | $0 | $0 |
| Tax-exempt bond liabilities | $0 | $0 | $0 |
| Mortgages and other notes payable | $0 | $0 | $0 |
| Other liabilities | $0 | $0 | $0 |
| Total liabilities and net assets/fund balances | $3,337,083 | $3,377,121 | $3,208,590 |
| Total net assets or fund balances | $3,337,083 | $3,377,121 | $3,208,590 |
| Reconciliation of Revenue per Audited Financial Statements With Revenue per Return | |||
| 2000 | 2001 | 2002 | |
|---|---|---|---|
| Total revenue | $0 | $0 | $0 |
| Total revenue, gains, and other support per audited financial statements | $0 | $0 | $0 |
| Other expenses | $0 | $0 | $0 |
| Net unrealized gains on investments | $0 | $0 | $0 |
| Donated services and use of facilities | $0 | $0 | $0 |
| Recoveries of prior year grants | $0 | $0 | $0 |
| Other | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Investment expenses | $0 | $0 | $0 |
| Other | $0 | $0 | $0 |
| Reconciliation of Expenses per Audited Financial Statements With Expenses per Return | |||
| 2000 | 2001 | 2002 | |
|---|---|---|---|
| Total expenses | $0 | $0 | $0 |
| Total expenses and losses per audited financial statements | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Donated services and use of facilities | $0 | $0 | $0 |
| Prior year adjustments | $0 | $0 | $0 |
| Losses | $0 | $0 | $0 |
| Other | $0 | $0 | $0 |
| Other expenses | $0 | $0 | $0 |
| Investment expenses | $0 | $0 | $0 |
| Other | $0 | $0 | $0 |
| Current Officers, Directors, Trustees, and Key Employees |
| Total number of officers, directors, and trustees permitted to vote on organization business at board meetings | 0 |
| Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships? | |
| Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization? | |
| Does the organization have a written conflict of interest policy? |
| Other Information | |
| Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year? | No |
| Was there a liquidation, dissolution, termination, or substantial contraction during the year? | No |
| Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? | No |
| Direct and indirect political expenditures | $0 |
| Did the organization file Form 1120-POL for this year? | No |
| Were substantially all dues nondeductible by members? | |
| Did the organization make only in-house lobbying expenditures of $2,000 or less? | |
| Dues, assessments, and similar amounts from members | $0 |
| Section 162(e) lobbying and political expenditures | $0 |
| Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices | $0 |
| Taxable amount of lobbying and political expenditures | $0 |
| Does the organization elect to pay the section 6033(e) tax on the amount above? | |
| If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? | |
| Initiation fees and capital contributions | $0 |
| Gross receipts for public use of club facilities | $0 |
| At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)? | |
| Amount of tax imposed on the organization during the year under: section 4911 | $0 |
| Amount of tax imposed on the organization during the year under: section 4912 | $0 |
| Amount of tax imposed on the organization during the year under: section 4955 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? | No |
| Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 | $0 |
| Amount of tax above, reimbursed by the organization | $0 |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | |
| Did the organization acquire a direct or indirect interest in any applicable insurance contract? | |
| Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year? | |
| Number of employees employed in the pay period that includes March 12, 2006 | 0 |
| Analysis of Income-Producing Activities (for 2002) | |||||
| Unrelated business income | Excluded by section 512, 513, or 514 | Related or exempt function income | |||
|---|---|---|---|---|---|
| Business code | Amount | Exclusion code | Amount | ||
| Total | $0 | $49,920 | $0 | ||
| Program service revenue | |||||
| Program service revenue 1 | 000000 | $0 | 00 | $0 | $0 |
| Program service revenue 2 | 000000 | $0 | 00 | $0 | $0 |
| Program service revenue 3 | 000000 | $0 | 00 | $0 | $0 |
| Program service revenue 4 | 000000 | $0 | 00 | $0 | $0 |
| Program service revenue 5 | 000000 | $0 | 00 | $0 | $0 |
| Medicare/Medicaid payments | 000000 | $0 | 00 | $0 | $0 |
| Fees and contracts from government agencies | 000000 | $0 | 00 | $0 | $0 |
| Membership dues and assessments | 000000 | $0 | 00 | $0 | $0 |
| Interest on savings and temporary cash investments | 000000 | $0 | 00 | $0 | $0 |
| Dividends and interest from securities | 000000 | $0 | Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1) | $87,259 | $0 |
| Net rental income or (loss) from real estate | |||||
| debt-financed property | 000000 | $0 | 00 | $0 | $0 |
| not debt-financed property | 000000 | $0 | 00 | $0 | $0 |
| Net rental income or (loss) from personal property | 000000 | $0 | 00 | $0 | $0 |
| Other investment income | 000000 | $0 | 00 | $0 | $0 |
| Gain or (loss) from sales of assets other than inventory | 000000 | $0 | Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A)) | $-37,339 | $0 |
| Net income or (loss) from special events | 000000 | $0 | 00 | $0 | $0 |
| Gross profit or (loss) from sales of inventory | 000000 | $0 | 00 | $0 | $0 |
| Other revenue | 000000 | $0 | 00 | $0 | $0 |
| Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2002) | |||
| EIN of corporation, partnership, or disregarded entity | Percentage of ownership interest | Total income | End-of-year assets |
|---|---|---|---|
| 0% | $0 | $0 | |
| 0% | $0 | $0 | |
| 0% | $0 | $0 | |
| 0% | $0 | $0 | |
| Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2002) | ||
| Compensation | Contributions to employee benefit plans & deferred compensation | Expense account and other allowances |
|---|---|---|
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| Total number of other employees paid over $50,000 | 0 |
| Statements About Activities (for 2002) | |
| Expenses paid or incurred in connection with the lobbying activities | $0 |
| Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures? | |
| Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services? | |
| Did the organization maintain any donor advised funds? | |
| Did the organization make any taxable distributions under section 4966? | |
| Did the organization make a distribution to a donor, donor advisor, or related person? | |
| The total number of donor advised funds owned at the end of the tax year | |
| The aggregate value of assets held in all donor advised funds owned at the end of the tax year | |
| The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts | |
| The aggregate value of assets held in all funds or accounts included above at the end of the tax year | |
| Reason for Non-Private Foundation Status | |
| The organization is not a private foundation because it is | Not controlled by disqualified persons/supports non private foundation |
| Support Schedule | |||
| 1999 | 2000 | 2001 | |
|---|---|---|---|
| Total | $0 | $0 | $0 |
| Gifts, grants, and contributions received | $0 | $0 | $0 |
| Membership fees received | $0 | $0 | $0 |
| Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose | $0 | $0 | $0 |
| Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975 | $0 | $0 | $0 |
| Net income from unrelated business activities not included above | $0 | $0 | $0 |
| Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf | $0 | $0 | $0 |
| The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge | $0 | $0 | $0 |
| Other income | $0 | $0 | $0 |
| Lobbying Expenditures by Electing Public Charities (for 2002) | |
| Total exempt purpose expenditures | $0 |
| Total lobbying expenditures | $0 |
| Total lobbying expenditures to influence public opinion (grassroots lobbying) | $0 |
| Total lobbying expenditures to influence a legislative body (direct lobbying) | $0 |
| Other exempt purpose expenditures | $0 |
| Lobbying nontaxable amount | $0 |
| Grassroots nontaxable amount | $0 |
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| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Raymond E Mason Foundation | 1234 E Broad St, Columbus, OH 43205-1405 | OH | 1989-06 | $5 |
| 2 | St Vincent Charity Medical Center | 6935 Treeline Drive, Brecksville, OH 44141-3374 | OH | 1946-03 | $153,480,269 |
| 3 | Treu Mart Fund | 25701 Science Park Dr, Cleveland, OH 44122-7302 | OH | 1980-01 | $2,299,794 |
| 4 | United Appeal Community Chest Red Cross/Cincinnati Area Inc | Cincinnati, OH 45202 | OH | $56,391,189 | |
| 5 | United Way Of Central Ohio Inc | 360 S 3rd St, Columbus, OH 43215-5412 | OH | 1952-11 | $53,930,755 |
| 6 | United Way Of Greater Cincinnati | 2400 Reading Road, Cincinnati, OH 45202-1458 | OH | 1955-10 | $288,986,126 |
| 7 | United Way Of Greater Toledo | 424 Jackson St, Toledo, OH 43604-1410 | OH | 1956-03 | $14,798,245 |
| 8 | United Way Of Henry County | 611 North Perry St, Napoleon, OH 43545-1784 | OH | 1982-05 | $469,489 |
| 9 | United Way Of Richland County | 35 N Park Street, Mansfield, OH 44902-1722 | OH | 1948-01 | $1,385,222 |
| 10 | Andrew Squire Testamentary Tr | 4900 Tiedeman Rd Oh-01-49-015, Brooklyn, OH 44144-2338 | OH | 1970-12 | $5,174,528 |
| 11 | Ann D Black Charitable Remainder Tr 20 102020221580 | 4900 Tiedeman Rd Oh 01 49 0150, Brooklyn, OH 44144 | OH | 1978-09 | $347,832 |
| 12 | Benjamin Rose Tr | 4900 Tiedeman Rd, Brooklyn, OH 44144-2338 | OH | 1971-11 | $3,867,594 |
| 13 | Catherine B Shoemaker Fund | 10 W Second 26th Fl, Dayton, OH 45402-1791 | OH | 1940-12 | $121,399 |
| 14 | Ellen Garretson Wade Memorial Fund | 4900 Tiedeman Rd, Brooklyn, OH 44144-2338 | OH | 1944-12 | $6,343,695 |
| 15 | Elma M Lapp Foundation | 38 Fountain Square Plz, Cincinnati, OH 45263-0001 | OH | 1983-06 | $12,060,967 |
| 16 | George C Matthes Trust 20-242000921601 | 4900 Tiedeman Rd, Brooklyn, OH 44144-2338 | OH | 1975-06 | $1,362,982 |
| 17 | J W Ellsworth Endowment Trust 20-32389000 | 4900 Tiedeman Rd Tr Tx Oh 0149 0150, Brooklyn, OH 44144 | OH | 1953-10 | $17,629,451 |
| 18 | M R Lilly P And Mary Dickey Memorial Fund | 4900 Tiedeman Rd, Brooklyn, OH 44144-2338 | OH | 1994-03 | $6,606,032 |
| 19 | Millikin Severance No 2 Fund A-2 | 4900 Tiedeman Rd, Brooklyn, OH 44144-2338 | OH | 1986-01 | $1,400,504 |
| 20 | Robert F Wolfe & Edgar T Wolfe Foundation | 1234 E Broad St, Columbus, OH 43205-1405 | OH | 1989-01 | $23,121,175 |
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