HANS & CAY JACOBSEN CHARITABLE FOUN DATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HANS & CAY JACOBSEN CHARITABLE FOUN DATION INC (EIN 59-3010451)
Tax period
2021-06-01 to 2022-05-31
Filed
2023-06-15
IRS object ID
202321669349100912
Schema version
2021v4.2
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)
Return2023-06-15T13:41:21-05:00ReturnTs
Tax Period End2022-05-31TaxPeriodEndDt

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 Begin2021-06-01TaxPeriodBeginDt

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
Signature2023-06-07SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCATHERINE HAUGPreparerPersonNm
PTINP01395474PTIN
Phone7274460504PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,410,875FMVAssetsEOYAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,000ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$92,115DividendsRevAndExpnssAmt
Dividends Net Invst Incm$92,115DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$375,778NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,371,067GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$375,778CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$468,893TotalRevAndExpnssAmt
Total Net Invst Incm$467,893TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$59,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$27,000CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$6,387AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,110AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,277AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$40,340OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$20,150OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$20,150OtherProfFeesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$1,065TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$4,046OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$110,838TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$52,260TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$21,427TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$273,250ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$273,250ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$384,088TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$52,260TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$294,677TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$84,805ExcessRevenueOverExpensesAmt
Net Investment Income$415,633NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$285,957SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$223,021SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$223,021SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$99,938USGovernmentObligationsBOYAmt
US Government Obligations EOY$301,070USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$301,777USGovtObligationsEOYFMVAmt
Corporate Stock BOY$1,709,682CorporateStockBOYAmt
Corporate Stock EOY$1,358,925CorporateStockEOYAmt
Corporate Stock EOYFMV$3,274,692CorporateStockEOYFMVAmt
Other Investments BOY$1,356,768OtherInvestmentsBOYAmt
Other Investments EOY$1,654,134OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,611,385OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,452,345TotalAssetsBOYAmt
Total Assets EOY$3,537,150TotalAssetsEOYAmt
Total Assets EOYFMV$5,410,875TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$3,452,345NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$3,537,150NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$3,452,345TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,537,150TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,452,345TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,537,150TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,452,345TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$84,805ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,537,150SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,537,150TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICALLY TRADED SECURITIESP$1,363,507$995,289$368,218$368,218
CAPITAL GAINS DIVIDENDSP$7,560$7,560$7,560
FieldValueIRS element (for citing)
Capital Gain Net Income$375,778CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$5,777InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$5,777SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$5,777TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,080EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$4,080TotalPaymentsAndCreditsAmt
Es Penalty$125EsPenaltyAmt
Tax Due$1,822TaxDueAmt

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$23,750$0$0
W THOMAS BROOKS
PO BOX 2149WINTER PARKFL32790VICE PRESIDENT9.00$11,750$0$0
BRIAN BROOKS
PO BOX 2149WINTER PARKFL32790TREASURER9.00$11,750$0$0
SHANNON MCLIN CARLYLE
PO BOX 2149WINTER PARKFL32790SECREATARY9.00$11,750$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$5,883,529AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$165,396AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$6,048,925TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$6,048,925AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$90,734CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,958,191NetVlNoncharitableAssetsAmt
Minimum Investment Return$297,910MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$297,910MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,777TaxBasedOnInvestmentIncomeAmt
Total Tax$5,777TotalTaxAmt
Distributable Before Adj$292,133DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$292,133DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$292,133DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$294,677ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$294,677QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$292,133DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$302,287ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$88,914ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr2$243,011ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$89,643ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$723,855TotalExcessDistributionCyovAmt
Qualifying Distributions$294,677QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$292,133AppliedToCurrentYearAmt
Remaining Distri From Corpus$2,544RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$726,399TotalCorpusAmt
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$302,287ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$424,112ExcessDistriCyovToNextYrAmt
Excess From Year4$88,914ExcessFromYear4Amt
Excess From Year2$243,011ExcessFromYear2Amt
Excess From Year1$89,643ExcessFromYear1Amt
Excess From Current Year$2,544ExcessFromCurrentYearAmt

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 (13 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
SUMTER YOUTH CENTER INC
PO BOX 2092BUSHNELLFL33513N/APCEDUCATIONAL AND RECREATIONAL ACTIVITIES TO MINOR CHILDREN OF SUMTER COUNTY$37,250
LAKE COMMUNITY ACTION AGENCY INC
501 NORTH BAY STEUSTISFL32726N/APCLAKE COUNTY CHILDREN'S PROGRAM$40,000
LAKE CARES INC
2001 WEST OLD HWY 441MOUNT DORAFL32757N/APCFOOD PROGRAMS$10,000
EDUCATIONAL FOUNDATION OF LAKE COUNTY
201 WEST BURLEIGH BOULEVARDTAVARESFL32778N/APCEDUCATION$15,000
LAKE SUMTER STATE COLLEGE FOUNDATION INC
9501 US HWY 441LEESBURGFL34788N/APCSCHOLARSHIPS$20,000
CHRISTIAN CARE CENTER
115 NORTH 14TH STREETLEESBURGFL34748N/APCCOMMUNITY$20,000
CHRISTIAN HOME & BIBLE SCHOOL
301 W 13TH AVENUEMOUNT DORAFL32757N/APCEDUCATION$20,000
HAVEN OF LAKE & SUMTER COUNTIES
2602 SOUTH STREETLEESBURGFL34748N/APCCOMMUNITY$30,000
LAKE SUMTER CHILDREN'S ADVOCACY CENTER
300 S CANAL STLEESBURGFL34748N/APCCOMMUNITY$25,000
SOUTHERN SCHOLARSHIP FOUNDATION CENTRAL FLORIDA OFFICE
322 STADIUM DRTALLAHASSEEFL32304N/APCEDUCATION$6,000
RODEHEAVER FOUNDATION INC
3400 CRILL AVENUEPALATKAFL32177N/APCRODEHAVER BOYS RANCH ASSISTANCE$20,000
LEESBURG YELLOW JACKET BOOSTER CLUB INC
1401 YELLOW JACKET WAYLEESBURGFL34748N/APCFOR LEESBURG HIGH SCHOOL SCOREBOARD$10,000
EASTERSEALS FLORIDA
2010 CROSBY WAYWINTERPARKFL32792N/APCFUND SCHOLARSHIPS FOR CHILDREN WITH DISABILITIES TO ATTEND SESSIONS AT CAMP CHALLENGE$20,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$273,250TotalGrantOrContriPdDurYrAmt
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$92,115ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$375,778ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$467,893ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$467,893TotalIncomeProducingActyAmt

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$6,387Amt
Net Investment Income$5,110NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,277DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (42 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ALPHABET INC CLA A$63,652$193,395
AMAZON COM INC$43,001$144,251
AMERICAN ELEC PWR INC$16,359$44,383
APPLE INC$22,670$242,014
ARTISTA NETWORKS INC$55,837$81,006
AT&T INC$13,733$13,519
BERKSHIRE HATHAWAY INC CLASS B NEW$35,730$87,842
BLACKROCK INC COM$31,436$66,908
BROADCOM INC COM$53,473$147,353
CHEVRON CORPORATION$35,124$72,484
COLGATE PALMOLIVE CO COM$31,693$55,167
CVS HEALTH CORP$18,772$52,148
DANAHER CORP DEL COM$27,054$109,485
EXXON MOBIL CORP$45,441$60,480
FISERV INC COM$7,827$60,609
GENERAL DYNAMICS CORP COM$17,856$68,598
JOHNSON & JOHNSON$28,483$80,070
JP MORGAN CHASE & CO$73,709$64,132
LABORATORY CORP AMER HLDGS$23,376$70,068
LYONDELLBASEL INDUSTRIES NV$33,049$42,844
MARATHON PETE CORP COM$35,704$58,224
MICROSOFT CORP$21,365$22,652
NEXTERA ENERGY INC$9,715$54,648
ORACLE CORP COMMON$14,449$37,542
PROCTOR & GAMBLE CO COM$25,304$59,152
PUBLIC SERVICE ENTERPRISE GROUP COM$22,359$45,236
RAYTHEON TECHNOLOGIES CORP$12,223$27,585
ROPER TECHNOLOGIES INC$12,893$79,639
T ROWE PRICE GROUP INC COM$26,083$48,421
TARGET CORP$17,723$56,658
THERMO FISHER SCIENTIFIC INC COM$12,946$150,406
TRAVELERS COS INC$19,135$69,826
UNION PACIFIC CORP$18,000$92,308
UNITEDHEALTH GROUP INC$55,012$89,420
US BANCORP DEL COM NEW$31,739$58,377
VANGUARD SMALL-CAP INDEX FUND$97,923$174,610
VANGUARD TOTAL INTL STOCK INDEX$114,337$116,840
VERIZON COMMUNICATIONS$50,223$61,189
VF CORPORATION$12,369$22,202
VISA INC$47,434$141,942
WALMART INC COM$19,430$48,236
WARNER BROS DISCOVERY INC COM$4,284$2,823

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$301,070USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$301,777USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (6 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
AMERISOURCE BERGEN CORP DTD 2/20/2015AT COST$49,744$49,630
AMERISOURCE BERGEN CORP DTD 5/22/2014AT COST$101,173$100,110
DODGE & COX INCOME FUNDAT COST$507,976$469,174
FEDERATED ULTRASHORT INSTL BOND FUNDAT COST$181,884$179,624
VANGUARD S/T INFLACTION PROTECTED INDEX FUNDAT COST$247,315$254,866
VANGUARD ULTRA SHORT TERM BOND FUND ADMIRAL SHARESAT COST$566,042$557,981

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OFFICE EXPENSES$2,258$0$0
OTHER$759$0$0
INFORMATION TECHNOLOGY$1,029$0$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryFIDUCIARY FEESCategoryTxt
Amt$40,340Amt
Net Investment Income$20,150NetInvestmentIncomeAmt
Disbursements Charitable Prps$20,150DisbursementsCharitablePrpsAmt

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