HANS & CAY JACOBSEN CHARITABLE FOUN DATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HANS & CAY JACOBSEN CHARITABLE FOUN DATION INC (EIN 59-3010451)
Tax period
2022-06-01 to 2023-05-31
Filed
2024-04-15
IRS object ID
202431069349100518
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-04-15T08:55:45-05:00ReturnTs
Tax Period End2023-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 CLEVELAND STREET SUITE 1000AddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33755ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593010451EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANS AND CAY JACOBSEN CHARITABLE FOUNDATBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHANSBusinessNameControlTxt
Phone4078106672PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POBOX 2149AddressLine1Txt
CityWINTER PARKCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32790ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERESA BORCHECKPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4078106672PhoneNum
Signature2024-04-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTERESAPersonFirstNm
Person LastBORCHECKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCATHERINE HAUGPreparerPersonNm
PTINP01395474PTIN
Phone7274460504PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,348,717FMVAssetsEOYAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$117,429DividendsRevAndExpnssAmt
Dividends Net Invst Incm$117,429DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$42,400NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,381,221GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$42,400CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$159,829TotalRevAndExpnssAmt
Total Net Invst Incm$159,829TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$72,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$40,000CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$13,624AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$10,899AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,725AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$36,430OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$18,215OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$18,215OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$7,601TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$457TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$827OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$130,939TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$69,114TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$20,940TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$241,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$241,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$371,939TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$69,114TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$261,940TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$212,110ExcessRevenueOverExpensesAmt
Net Investment Income$90,715NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$223,021SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$105,659SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$105,659SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$301,070USGovernmentObligationsBOYAmt
US Government Obligations EOY$1,395,774USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$1,378,505USGovtObligationsEOYFMVAmt
Corporate Stock BOY$1,358,925CorporateStockBOYAmt
Corporate Stock EOY$1,302,564CorporateStockEOYAmt
Corporate Stock EOYFMV$3,357,444CorporateStockEOYFMVAmt
Other Investments BOY$1,654,134OtherInvestmentsBOYAmt
Other Investments EOY$521,043OtherInvestmentsEOYAmt
Other Investments EOYFMV$507,109OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,537,150TotalAssetsBOYAmt
Total Assets EOY$3,325,040TotalAssetsEOYAmt
Total Assets EOYFMV$5,348,717TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$3,537,150NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$3,325,040NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$3,537,150TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,325,040TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,537,150TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,325,040TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,537,150TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$212,110ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,325,040SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,325,040TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICALLY TRADED SECURITIESPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$1,381,221GrossSalesPriceAmt
Cost Or Other Basis$1,338,821CostOrOtherBasisAmt
Gain Or Loss$42,400GainOrLossAmt
Gains Minus Excess Or Losses$42,400GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$42,400CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,261InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,261SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,261TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$66EsPenaltyAmt
Tax Due$1,327TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateFLOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.HJCF.ORGWebsiteAddressTxt
Individual With BooksCAPITAL CITY TRUST COMPANYIndividualWithBooksNm
Phone8668209671PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1549AddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32302ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TERESA W BORCHECK
PO BOX 2149WINTER PARKFL32790PRESIDENT12.00$27,000$0$0
W THOMAS BROOKS
PO BOX 2149WINTER PARKFL32790VICE PRESIDENT9.00$15,000$0$0
BRIAN BROOKS
PO BOX 2149WINTER PARKFL32790TREASURER9.00$15,000$0$0
SHANNON MCLIN CARLYLE
PO BOX 2149WINTER PARKFL32790SECREATARY9.00$15,000$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$5,103,730AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$159,452AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,263,182TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$5,263,182AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$78,948CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,184,234NetVlNoncharitableAssetsAmt
Minimum Investment Return$259,212MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$259,212MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,261TaxBasedOnInvestmentIncomeAmt
Total Tax$1,261TotalTaxAmt
Distributable Before Adj$257,951DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$257,951DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$257,951DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$261,940ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$261,940QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$257,951DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$88,914ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr3$243,011ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$89,643ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$2,544ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$424,112TotalExcessDistributionCyovAmt
Qualifying Distributions$261,940QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$257,951AppliedToCurrentYearAmt
Remaining Distri From Corpus$3,989RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$428,101TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$88,914ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$339,187ExcessDistriCyovToNextYrAmt
Excess From Year3$243,011ExcessFromYear3Amt
Excess From Year2$89,643ExcessFromYear2Amt
Excess From Year1$2,544ExcessFromYear1Amt
Excess From Current Year$3,989ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonTERESA W BORCHECKRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2149AddressLine1Txt
CityWINTER PARKCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32790ZIPCd
FieldValueIRS element (for citing)
Recipient Phone4078106672RecipientPhoneNum
Recipient Email AddressINFO@HCJF.ORGRecipientEmailAddressTxt
Form And Info And MaterialsCONTACT THE FOUNDATION DIRECTLY OR VISIT THE FOUNDATION'S WEBSITE AT WWW.HJCF.ORG FOR INFORMATION REGARDING FORM AND CONTENT OF APPLICATIONS.FormAndInfoAndMaterialsTxt
Submission DeadlinesREQUESTS ARE TO BE RECEIVED BY APRIL 15 AND NOVEMBER 1 FOR CONSIDERATION AT THE SEMIANNUAL MEETINGS.SubmissionDeadlinesTxt
Restrictions On AwardsGRANTS ARE GENERALLY RESTRICTED TO PROGRAMS WHICH ASSIST CHILDREN AND YOUNG ADULTS IN THE AREAS OF HEALTH, EDUCATION, CULTURE, RECREATION, AND ANY OTHER PROGRAMS THAT WILL ADD TO THE BETTERMENT OF THEIR LIFE AND THEIR PARTICIPATION AS GOOD CITIZENS. GRANTS ARE GENERALLY RESTRICTED TO PROGRAMS CONDUCTED IN LAKE AND/OR SUMTER COUNTY FLORIDA.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (17 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHRISTIAN CARE CENTER
115 NORTH 14TH STREETLEESBURGFL34748N/APCCOMMUNITY$30,000
CHRISTIAN HOME & BIBLE SCHOOL
301 W 13TH AVENUEMOUNT DORAFL32757N/APCEDUCATION$10,000
EDUCATIONAL FOUNDATION OF LAKE COUNTY
201 WEST BURLEIGH BOULEVARDTAVARESFL32778N/APCEDUCATION$15,000
LAKE CARES INC
2001 WEST OLD HWY 441MOUNT DORAFL32757N/APCFOOD PROGRAMS$10,000
LAKE COMMUNITY ACTION AGENCY INC
501 NORTH BAY STEUSTISFL32726N/APCLAKE COUNTY CHILDREN'S PROGRAM$10,000
LAKE SUMTER STATE COLLEGE FOUNDATION INC
9501 US HWY 441LEESBURGFL34788N/APCSCHOLARSHIPS$20,000
LAKE SUMTER CHILDREN'S ADVOCACY CENTER
300 S CANAL STLEESBURGFL34748N/APCCOMMUNITY$25,000
RODEHEAVER FOUNDATION INC
3400 CRILL AVENUEPALATKAFL32177N/APCRODEHAVER BOYS RANCH ASSISTANCE$20,000
SOUTHERN SCHOLARSHIP FOUNDATION CENTRAL FLORIDA OFFICE
322 STADIUM DRTALLAHASSEEFL32304N/APCEDUCATION$6,000
SUMTER YOUTH CENTER INC
PO BOX 2092BUSHNELLFL33513N/APCEDUCATIONAL AND RECREATIONAL ACTIVITIES TO MINOR CHILDREN OF SUMTER COUNTY$20,000
CAMP BOGGY CREEK
30500 BRANTLEY BRANCH ROADEUSTISFL32736N/APCCOMMUNITY$10,000
CENTRAL FLORIDA BIBLE CAMP
23813 CR 44AEUSTISFL32736N/APCRELIGIOUS$10,000
FIND FEED RESTORE
830 WEST MONTROSE STREETCLEMONTFL34711N/APCCOMMUNITY$5,000
COMMUNITY DEVELOMPENT CORPORATION OF LEESBURG INC
314 SOUTH CANAL STREETLEESBURGFL34748N/APCCOMMUNITY$10,000
NEW VISION FOR INDEPENDENCE
4072 UNITED AVEMOUNT DORAFL32758N/APCHEALTH$10,000
BOYS AND GIRLS CLUB OF CENTRAL FLORIDA
1275 PEACHTREE STREET NEATLANTAGA30309N/APCCOMMUNITY$20,000
EARLY LEARNING COALITION OF LAKE COUNTY
1300 CITIZENS BOULEVARD SUITE 206LEESBURGFL34748N/APCEDUCATION$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$241,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$117,429ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$42,400ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$159,829ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$159,829TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$13,624Amt
Net Investment Income$10,899NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,725DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (39 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ALPHABET INC CLA A$52,606$172,632
AMAZON COM INC$34,498$119,012
AMERICAN ELEC PWR INC$16,359$36,157
APPLE INC$19,916$253,999
ARTISTA NETWORKS INC$55,837$131,741
BERKSHIRE HATHAWAY INC CLASS B NEW$35,730$89,260
BLACKROCK INC COM$31,435$65,755
BROADCOM INC COM$53,473$205,222
CHEVRON CORPORATION$35,124$62,507
COLGATE PALMOLIVE CO COM$31,693$52,066
CVS HEALTH CORP$18,772$36,668
DANAHER CORP DEL COM$27,054$95,292
EXXON MOBIL CORP$45,441$64,373
FISERV INC COM$7,827$67,875
GENERAL DYNAMICS CORP COM$17,856$62,275
JOHNSON & JOHNSON$28,483$69,157
JP MORGAN CHASE & CO$73,709$65,819
LABORATORY CORP AMER HLDGS$23,376$60,359
LYONDELLBASEL INDUSTRIES NV$33,049$32,078
MARATHON PETE CORP COM$35,704$60,009
MICROSOFT CORP$19,721$251,875
NEXTERA ENERGY INC$9,715$53,038
ORACLE CORP COMMON$14,449$55,301
PROCTOR & GAMBLE CO COM$25,304$57,000
PUBLIC SERVICE ENTERPRISE GROUP COM$22,359$39,435
RAYTHEON TECHNOLOGIES CORP$12,223$26,721
ROPER TECHNOLOGIES INC$12,893$81,760
T ROWE PRICE GROUP INC COM$26,083$40,828
TARGET CORP$17,723$45,826
THERMO FISHER SCIENTIFIC INC COM$10,919$114,404
TRAVELERS COS INC$19,135$66,004
UNION PACIFIC CORP$18,000$80,858
UNITEDHEALTH GROUP INC$55,012$87,703
US BANCORP DEL COM NEW$31,739$32,890
VANGUARD SMALL-CAP INDEX FUND$97,923$164,427
VANGUARD TOTAL INTL STOCK INDEX$114,337$111,666
VERIZON COMMUNICATIONS$50,223$42,507
VISA INC$47,434$147,869
WALMART INC COM$19,430$55,076

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$1,395,774USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$1,378,505USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (4 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
AMERISOURCE BERGEN CORP DTD 2/20/2015AT COST$49,744$48,327
AMERISOURCE BERGEN CORP DTD 5/22/2014AT COST$101,173$97,975
VANGUARD S/T INFLACTION PROTECTED INDEX FUNDAT COST$220,757$212,971
INTERCONTINENTAL EXCHANGE GROUPAT COST$149,369$147,836

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OFFICE EXPENSES$795$0$0
OTHER$568$0$0
INFORMATION TECHNOLOGY$745$0$0
INSURANCE REIMBURSEMENT-$1,281$0$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryFIDUCIARY FEESCategoryTxt
Amt$36,430Amt
Net Investment Income$18,215NetInvestmentIncomeAmt
Disbursements Charitable Prps$18,215DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryTAXESCategoryTxt
Amt$7,601Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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