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2014 NOTE - with
changes caused by the Andy Blair tragedy (see Shocker) as well
as SMA grantees' resultant reduced compliance with our
Transparency and Continuity requirements, it now
appears that we will NOT be making perpetual distributions
to SMA grantees that require any future reporting.
Instead we expect to issue one-time cash grants in
accordance with the explanations on our allocations
webpage. As a result, some if not all
of the below
information may now be no longer applicable.
Below are EXAMPLES of how to handle sales, purchases, splits, dividends paid in extra shares, merger changes, etc., etc., etc. Adapt these examples to meet your organization's own needs for each year. The template to actually copy and use is at endowment

We certify that these assets are kept physically
segregated from all other assets and are kept in a
completely separate brokerage account at _Fidelity Investments, 100 Main Street,
BigTown, OH_ (the brokerage statements for all of the year's transactions as well as the end of year statement are attached). This statement has been prepared by _Joan Jones, Treasurer_ and was completed on _Jan 26, 20xx_. Both the physical presence and the mathematical accuracy of
the below information was verified by _Mary Smith, President_. The reconciliation of the beginning valuation to the ending valuation is at the
bottom of this page. |
----Beginning of year information---- |
This is "EXAMP-20xx- Endowment Assets" | ----END of year
information- |
company name | # shares | $ per share | valuation | Description of transactions this year (sales,
purchases, splits, dividends paid in extra shares. merger changes, etc.) | company name s | # shares | $ per share | valuation |
income received this year | ABC | 1000 | $23.32 | 23,320.00 | | ABC | 1000 | 26,15 | 26,150.00 | 1,400.00 | DEF | 1000 | 24.18 | 24,180.00 | sale at 28.95 share on April 24th 2013 (after
commissions) 28,950
| sold | sold | | 0 | 250.00 | purch | purch | | | purchased on April 28th 2013 for 277.12 share (including
commissions) (note #2) | GHI | 100 | 244.18 | 24,418.00 | 984.00 | JKL | 1000 | 33.18 | 33,180.00 | two for one split this year | JKL | 2000 | 17.11 | 34,220.00 | 1,600.00 | MNO | 500 | 70.00 | 35,000.00 | paid 10%
dividend in stock (plus the regular dividend in cash), only stock shown here | MNO | 550 | 63.82 | 35.101.00 | 375.00 | PQR | 1000 | 38.00 | 38,000.00 | PQR accepted merger offer for 500 shares of STU plus $3.73 "in lieu of fractional shares"
(note#1) | STU | 500 | 99.88 | 49.940.00 | 990.00 | ??? | ??? | ??? | 351,555.00 | all others -
see example of ABC at the top of this example list | ??? | ??? | ??? | 363.182.00 | 14,234.00 | | | | | | | | | | | | | | | | | | | | | Cash | n/a | n/a | 999.00 | Cash
in endowment account | Cash | n/a | n/a | 1,111.00 |
14.33 | xxxxxxxx | xxxxx | xxxxx | $506,234.00 | Totals | xxxxxxxx | xxxxxx | xxxxx | $534,122.00 | $19.847.33
|

Reconciliation of the beginning
VALUATION to the ending VALUATION follows:
|
Beginning valuation, which must be
EXACTLY the same as last year's ending
valuation |
|
$506,234.00 |
Add sales proceeds, net
of commissions, as listed above |
$28,950.00 |
|
Add income received this
year, as shown above |
19,847.33 |
|
Add all
other receipts (and explain details) (see
note #1) |
3.73 |
|
Subtotal of Additions to
cash
|
|
48,801.06 |
Subtract costs
of purchases, including commissions, as
listed above |
$27,712.00 |
|
Subtract distributions of
cash to our mission's beneficiaries |
19,000.00 |
|
Subtract And other cash
paid out (other than for the above, and
explain why this cash was paid out in a
note (#1, #2, #3, etc) |
0.00 |
|
Subtotal of Subtractions from
cash
|
|
(46,712.00) |
Subtotal of above prior to recording this year's gain or (loss) on valuation due to market
fluctuation - this accounts for the net
changes in cash |
|
508,323.06 |
Ending valuation, which agrees with the above listing of ending
values |
|
534,122.00 |
Excess (or deficiency) of changes in valuation due solely to this past year's market
fluctuations
|
|
25,798.94 |
Cumulative Excess (or deficiency) of changes in valuation
as computed last year and shown on last year's Endowment Assets
Report.. |
|
17,833.24 |
CUMULATIVE EXCESS (OR
DEFICiENCY) since original receipt of the MPWCF's dissolution distribution
|
|
$43,632.18 |

Reconciliation of the beginning cash to the ending cash follows:
|
Cash at beginning of the year, same as ending cash for last year |
|
$ 1111.00 |
Add dividends and other income as shown above |
$19,847.33 |
|
Add proceeds of sales of securities sold this year as shown above |
$28,950.00 |
|
Add any other items (and
explain) |
$
3.73 |
$48,801.06 |
Subtract purchases of new shares as shown above |
$27,712.00 |
|
Subtract monies paid out in support of our organization's mission |
$19.000.00 |
|
other subtractions (explain) |
$
0.00 |
($46.712.00) |
Cash at end of year, agreeing with bank statement and is mathematically in agreement with the above |
|
$ 3,200.06 |
Notes supporting the
above Statements regarding our Endowment
from the MPWCFoundation:
#1 - hares of STU plus $3.73 "in lieu of fractional shares"
#2 - GHI is a foreign
country stock and, as a non-profit
organization, we do not pay taxes.
So the foreign withholding tax is a cost
to us and therefore may not have been a wise
purchase by us. |
Signed
by _________________________________________ Chief Executive of your
organization
Signed
by _________________________________________ Chief Financial Executive of your
organization
Signed
by _________________________________________ person who prepares the annual
input for the MPWCF for your organization
Signed
by _________________________________________ person who checks all of the annual
input for the MPWCF for your organization
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