2023-06-15T13:41:21-05:00 2022-05-31 721396621 CARR RIGGS & INGRAM LLC 600 CLEVELAND STREET SUITE 1000 CLEARWATER FL 33755 990PF 2021-06-01 593010451 HANS AND CAY JACOBSEN CHARITABLE FOUNDAT HANS 4078106672 POBOX 2149 WINTER PARK FL 32790 TERESA BORCHECK PRESIDENT 4078106672 2023-06-07 1 TERESA BORCHECK 999009999 CATHERINE HAUG P01395474 7274460504 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z X 5410875 X 1000 X 92115 92115 375778 1371067 375778 468893 467893 59000 27000 0 6387 5110 1277 40340 20150 20150 1065 0 0 4046 0 0 110838 52260 21427 273250 273250 384088 52260 294677 84805 415633 285957 223021 223021 99938 301070 301777 1709682 1358925 3274692 1356768 1654134 1611385 3452345 3537150 5410875 0 0 X 3452345 3537150 3452345 3537150 3452345 3537150 3452345 84805 0 3537150 0 3537150 PUBLICALLY TRADED SECURITIES P 1363507 995289 368218 368218 CAPITAL GAINS DIVIDENDS P 7560 7560 7560 375778 5777 0 5777 0 5777 4080 0 0 0 4080 125 1822 0 0 0 0 0 0 0 0 0 0 1 1 FL 1 0 0 0 0 1 WWW.HJCF.ORG CAPITAL CITY TRUST COMPANY 8668209671 PO BOX 1549 TALLAHASSEE FL 32302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TERESA W BORCHECK PO BOX 2149 WINTER PARK FL 32790 PRESIDENT 12.00 23750 0 0 W THOMAS BROOKS PO BOX 2149 WINTER PARK FL 32790 VICE PRESIDENT 9.00 11750 0 0 BRIAN BROOKS PO BOX 2149 WINTER PARK FL 32790 TREASURER 9.00 11750 0 0 SHANNON MCLIN CARLYLE PO BOX 2149 WINTER PARK FL 32790 SECREATARY 9.00 11750 0 0 NONE 0 NONE 0 0 5883529 165396 0 6048925 0 0 6048925 90734 5958191 297910 297910 5777 5777 292133 0 292133 0 292133 294677 0 294677 292133 0 0 302287 88914 243011 89643 723855 294677 0 0 0 292133 2544 0 0 726399 0 0 0 0 0 0 302287 424112 88914 243011 89643 2544 TERESA W BORCHECK PO BOX 2149 WINTER PARK FL 32790 4078106672 INFO@HCJF.ORG CONTACT THE FOUNDATION DIRECTLY OR VISIT THE FOUNDATION'S WEBSITE AT WWW.HJCF.ORG FOR INFORMATION REGARDING FORM AND CONTENT OF APPLICATIONS. REQUESTS ARE TO BE RECEIVED BY APRIL 15 AND NOVEMBER 1 FOR CONSIDERATION AT THE SEMIANNUAL MEETINGS. GRANTS 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. 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