SAM & SARA MERMELSTEIN FAMILY FOUNDATION: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SAM & SARA MERMELSTEIN FAMILY FOUNDATION (EIN 20-0846315)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-03-06
IRS object ID: 202430669349100913
Schema version: 2023v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990-PF
Accounting Fees Schedule
Investments Corp Stock Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-03-06T12:48:06-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	363553179	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KBKB LTD	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	6201 W HOWARD STREET 201	AddressLine1Txt
City	NILES	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60714	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	200846315	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAM & SARA MERMELSTEIN FAMILY FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SAM&	BusinessNameControlTxt
Phone	7735390385	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6201 W HOWARD STREET 201	AddressLine1Txt
City	NILES	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60714	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALLAN ISENBERG	PersonNm
Person Title	DIRECTOR	PersonTitleTxt
Phone	7735390385	PhoneNum
Signature	2024-02-29	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ALLAN	PersonFirstNm
Person Last	ISENBERG	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SANFORD BOKOR CPA	PreparerPersonNm
PTIN	P00283458	PTIN
Phone	8476753585	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$892,376	FMVAssetsEOYAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Schedule B Not Required	Yes (X)	ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss	$29,226	InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm	$29,226	InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss	$32,900	DividendsRevAndExpnssAmt
Dividends Net Invst Incm	$32,900	DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss	-$557	NetGainSaleAstRevAndExpnssAmt
Gross Sales Price	$101,663	GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm	$0	CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss	$61,569	TotalRevAndExpnssAmt
Total Net Invst Incm	$62,126	TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss	$0	CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm	$0	CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl	$0	CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss	$1,200	AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm	$0	AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps	$0	AccountingFeesChrtblPrpsAmt
Tot Opr Expenses Rev And Expnss	$1,200	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$0	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$0	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$101,670	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$101,670	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$102,870	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$0	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$101,670	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	-$41,301	ExcessRevenueOverExpensesAmt
Net Investment Income	$62,126	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$36,434	CashBOYAmt
Cash EOY	$33,167	CashEOYAmt
Cash EOYFMV	$33,167	CashEOYFMVAmt
Corporate Stock BOY	$1,005,757	CorporateStockBOYAmt
Corporate Stock EOY	$967,723	CorporateStockEOYAmt
Corporate Stock EOYFMV	$859,209	CorporateStockEOYFMVAmt
Total Assets BOY	$1,042,191	TotalAssetsBOYAmt
Total Assets EOY	$1,000,890	TotalAssetsEOYAmt
Total Assets EOYFMV	$892,376	TotalAssetsEOYFMVAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind
Capital Stock BOY	$0	CapitalStockBOYAmt
Capital Stock EOY	$0	CapitalStockEOYAmt
Additional Paid In Capital BOY	$0	AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY	$0	AdditionalPaidInCapitalEOYAmt
Retained Earning BOY	$1,042,191	RetainedEarningBOYAmt
Retained Earning EOY	$1,000,890	RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY	$1,042,191	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$1,000,890	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$1,042,191	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$1,000,890	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$1,042,191	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	-$41,301	ExcessRevenueOverExpensesAmt
Other Increases	$0	OtherIncreasesAmt
Subtotal	$1,000,890	SubtotalAmt
Other Decreases	$0	OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY	$1,000,890	TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDesc	How AcquiredHowAcquiredCd	Gross Sales PriceGrossSalesPriceAmt	Gain Or LossGainOrLossAmt	Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt	AcquiredAcquiredDt	SoldSoldDt	Cost Or Other BasisCostOrOtherBasisAmt
MORGAN STAN-CAP GAINS DIV	P	$1,663	$1,663	$1,663
WELLS FARGO 5.85 SER Q	P	$75,000	$0	$0	2013-07-15	2023-07-15	$75,000
11000 FRANKLIN INCOME A1	P	$25,000	-$2,220	-$2,220	2005-04-22	2023-08-13	$27,220

Field	Value	IRS element (for citing)
Capital Gain Net Income	-$557	CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Investment Income Excise Tax	$864	InvestmentIncomeExciseTaxAmt
Tax Under Section511	$0	TaxUnderSection511Amt
Subtotal	$864	SubtotalAmt
Subtitle A Tax	$0	SubtitleATaxAmt
Tax Based On Investment Income	$864	TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx	$900	EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce	$0	ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid	$0	ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld	$0	BackupWithholdingWithheldAmt
Total Payments And Credits	$900	TotalPaymentsAndCreditsAmt
Es Penalty	$0	EsPenaltyAmt
Overpayment	$36	OverpaymentAmt
Applied To ES Tax	$36	AppliedToESTaxAmt
Refund	$0	RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

Field	Value	IRS element (for citing)
Legislative Political Acty	0	LegislativePoliticalActyInd
More Than100 Spent	0	MoreThan100SpentInd
Form1120 POL Filed	0	Form1120POLFiledInd
Section4955 Organization Tax	$0	Section4955OrganizationTaxAmt
Section4955 Managers Tax	$0	Section4955ManagersTaxAmt
Tax Reimbursed	$0	TaxReimbursedAmt
Activities Not Previously Rpt	0	ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws	0	ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc	0	OrganizationDissolvedEtcInd
Section508e Rqr Satisfied	Yes (1)	Section508eRqrSatisfiedInd
At Least5000 In Assets	Yes (1)	AtLeast5000InAssetsInd
Org Report Or Register State	IL	OrgReportOrRegisterStateCd
Form990 PF Filed With Atty Gen	Yes (1)	Form990PFFiledWithAttyGenInd
Private Operating Foundation	0	PrivateOperatingFoundationInd
New Substantial Contributors	0	NewSubstantialContributorsInd
Own Controlled Entity	0	OwnControlledEntityInd
Donor Advised Fund	0	DonorAdvisedFundInd
Comply With Public Insp Rqr	Yes (1)	ComplyWithPublicInspRqrInd
Website Address	NONE	WebsiteAddressTxt
Individual With Books	ALLAN ISENBERG	IndividualWithBooksNm
Phone	7735390385	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	6243 N LAWNDALE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60659	ZIPCd

Field	Value	IRS element (for citing)
Foreign Accounts Question	0	ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

Field	Value	IRS element (for citing)
Sale Or Exch Disqualified Prsn	0	SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn	0	BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn	0	FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn	0	PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn	0	TransferAstDisqualifiedPrsnInd
Payment To Government Official	0	PaymentToGovernmentOfficialInd
Uncorrected Prior Acts	0	UncorrectedPriorActsInd
Undistributed Income PY	0	UndistributedIncomePYInd
Business Holdings	0	BusinessHoldingsInd
Jeopardy Investments	0	JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst	0	UncorrectedPYJeopardyInvstInd
Influence Legislation	0	InfluenceLegislationInd
Influence Election	0	InfluenceElectionInd
Grants To Individuals	0	GrantsToIndividualsInd
Grants To Organizations	0	GrantsToOrganizationsInd
Noncharitable Purpose	0	NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee Benefit ProgramEmployeeBenefitProgramAmt	Expense Account Other AllwncExpenseAccountOtherAllwncAmt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd
ALLAN ISENBERG
6243 N LAWNDALE	CHICAGO	IL	60659	DIRECTOR	0.00	$0	$0	$0
YISROEL RICH
				DIRECTOR	0.00	$0	$0	$0	RECHOV HIBNER 1	PETACH TIKVAH ISRAEL	IS
SHOSHANA RICH
				DIRECTOR	0.00	$0	$0	$0	RECHOV HIBNER 1	PETACH TIKVAH ISRAEL	IS

Field	Value	IRS element (for citing)
Comp Of Hghst Pd Empl Or NONE	NONE	CompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k	0	OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONE	NONE	CompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k	0	ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

Field	Value	IRS element (for citing)
Average Monthly FMV Of Sec	$896,000	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$0	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$896,000	TotalFMVOfUnusedAssetsAmt
Reduction Claimed	$0	ReductionClaimedAmt
Acquisition Indebtedness	$0	AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast	$896,000	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$13,440	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$882,560	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$44,128	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$44,128	MinimumInvestmentReturnAmt
Tax Based On Investment Income	$864	TaxBasedOnInvestmentIncomeAmt
Total Tax	$864	TotalTaxAmt
Distributable Before Adj	$43,264	DistributableBeforeAdjAmt
Recoveries Qualfied Distri	$0	RecoveriesQualfiedDistriAmt
Distributable Before Ded	$43,264	DistributableBeforeDedAmt
Deduction From Distributable	$0	DeductionFromDistributableAmt
Distributable As Adjusted	$43,264	DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$101,670	ExpensesAndContributionsAmt
Program Related Invst Total	$0	ProgramRelatedInvstTotalAmt
Qualifying Distributions	$101,670	QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$43,264	DistributableAsAdjustedAmt
Undistributed Income PY	$0	UndistributedIncomePYAmt
Total For Prior Years	$0	TotalForPriorYearsAmt
Excess Distribution Cyov Yr5	$29,810	ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4	$32,459	ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3	$66,471	ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2	$27,736	ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov	$156,476	TotalExcessDistributionCyovAmt
Qualifying Distributions	$101,670	QualifyingDistributionsAmt
Applied To Year1	$0	AppliedToYear1Amt
Applied To Prior Years	$0	AppliedToPriorYearsAmt
Treated As Distri From Corpus	$0	TreatedAsDistriFromCorpusAmt
Applied To Current Year	$43,264	AppliedToCurrentYearAmt
Remaining Distri From Corpus	$58,406	RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus	$0	ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY	$0	ExcessDistributionCyovAppCYAmt
Total Corpus	$214,882	TotalCorpusAmt
Prior Year Undistributed Incm	$0	PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax	$0	PriorYearDeficiencyOrTaxAmt
Taxable1	$0	Taxable1Amt
Taxable2	$0	Taxable2Amt
Undistributed Income CY	$0	UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3	$0	CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5	$29,810	ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr	$185,072	ExcessDistriCyovToNextYrAmt
Excess From Year4	$32,459	ExcessFromYear4Amt
Excess From Year3	$66,471	ExcessFromYear3Amt
Excess From Year2	$27,736	ExcessFromYear2Amt
Excess From Current Year	$58,406	ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Only Contri To Preselected	Yes (X)	OnlyContriToPreselectedInd

Application Submission Info ApplicationSubmissionInfoGrp

Field	Value	IRS element (for citing)
Recipient Person	ALLAN ISENBERG	RecipientPersonNm

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	6243 N LAWNDALE AVENUE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60659	ZIPCd

Field	Value	IRS element (for citing)
Recipient Phone	7735390385	RecipientPhoneNum
Form And Info And Materials	WRITTEN APPLICATION INDICATING RELIGIOUS OR EDUCATIONAL PURPOSE	FormAndInfoAndMaterialsTxt
Submission Deadlines	ORGANIZED RELIGIOUS OR EDUCATION INSTITUTIONS ONLY	SubmissionDeadlinesTxt
Restrictions On Awards	N/A	RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Recipient RelationshipRecipientRelationshipTxt	Recipient Foundation StatusRecipientFoundationStatusTxt	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt
AMERICAN FRIENDS OF DARCHEI NOAM
410 E 3RD ST	BROOKLYN	NY	11218	NONE	EXEMPT	EDUCATIONAL	$4,800
AMERICAN FRIENDS OF SHAALEI TORAH
852 WOODMERE PLACE	WOODMERE	NY	11598	NONE	EXEMPT	EDUCATIONAL	$41,000
BMBA
7358 N LINCOLN AVE	LINCOLNWOOD	IL	60712	NONE	EXEMPT	EDUCATIONAL	$10,500
CHICAGO CHESED FUND
7045 RIDGEWAY AVE	LINCOLNWOOD	IL	60712	NONE	EXEMPT	EDUCATIONAL	$3,300
CONG MEADOWBROOK
4655 WEST CHASE	LINCOLNWOOD	IL	60712	NONE	EXEMPT	RELIGIOUS	$8,000
CONG OHEV TZEDEK
118 WEST 95TH ST	NEW YORK	NY	10025	NONE	EXEMPT	EDUCATIONAL	$2,000
CONG ZICHRON AVOS
183 WILSON ST PMB155	BROOKLYN	NY	11211	NONE	EXEMPT	HOUSE OF WORSHIPHOUSE OF WORSHIP	$2,000
EZER MITZION
5225 NEW UTRECHT AVE 3	BROOKLYN	NY	11219	NONE	EXEMPT	WELFARE	$3,000
MIFAL CHESED
1933 50TH ST	BROOKLYN	NY	112041313	NONE	EXEMPT	EDUCATIONAL	$1,000
MISC ORGANIZED CHARITIES
6201 WEST HOWARD ST	NILES	IL	60714	NONE	EXEMPT	EDUCATIONAL /SOCIAL	$16,270
NEEMAN FOUNDATION
236 HUNTINGTON AVE STE 203	BOSTON	MA	02115	NONE	EXEMPT	EDUCATIONAL	$5,000
WOMEND LEAGUE FOR COMM SRVCS
SOUTH END BOSTON	BOSTON	MA	02115	NONE	EXEMPT	HOUSE OF WORSHIP	$2,000
YESHIVA CHASAM SOFER
1876 50TH STREET	BROOKLYN	NY	11204	NONE	EXEMPT	EDUCATIONAL	$2,800

Field	Value	IRS element (for citing)
Total Grant Or Contri Pd Dur Yr	$101,670	TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut	$0	TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

Field	Value	IRS element (for citing)
Business	523000	BusinessCd
Unrelated Business Taxbl Incm	$29,226	UnrelatedBusinessTaxblIncmAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

Field	Value	IRS element (for citing)
Business	523000	BusinessCd
Unrelated Business Taxbl Incm	$32,900	UnrelatedBusinessTaxblIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

Field	Value	IRS element (for citing)
Related Or Exempt Function Incm	-$557	RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Unrelated Business Taxbl Incm	$62,126	UnrelatedBusinessTaxblIncmAmt
Exclusion	$0	ExclusionAmt
Related Or Exempt Function Incm	-$557	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$61,569	TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxt	Relationship StatementRelationshipStatementTxt
3	EDUCATIONAL AND SOCIAL WELFARE ACTIVITIES
4	EDUCATIONAL AND SOCIAL WELFARE ACTIVITIES

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO	0	TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO	0	TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets	0	SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO	0	PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets	0	RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements	0	ReimbursementArrangementsInd
Loans Or Loan Guarantees	0	LoansOrLoanGuaranteesInd
Performance Of Services Etc	0	PerformanceOfServicesEtcInd
Sharing Of Facilities Etc	0	SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO	0	RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	PROFESSIONAL FEES	CategoryTxt
Amt	$1,200	Amt
Net Investment Income	$0	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

Field	Value	IRS element (for citing)
Stock	SECURITIES	StockNm
EOY Book Value	$967,723	EOYBookValueAmt
EOYFMV	$859,209	EOYFMVAmt