LEVINE FAMILY FOUNDATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
LEVINE FAMILY FOUNDATION INC (EIN 13-3476578)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-13
IRS object ID
202342869349100719
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)
Return2023-10-13T12:10:06-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1STEPHEN A HILCKEN CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12228 WALSALL STAddressLine1Txt
CitySEAFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11783ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133476578EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEVINE FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEVIBusinessNameControlTxt
Phone9146323124PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line153 TRENOR DRIVEAddressLine1Txt
CityNEW ROCHELLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10804ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBERNARD SEGALPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9146323124PhoneNum
Signature2023-10-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBERNARDPersonFirstNm
Person LastSEGALPersonLastNm
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonStephen A HilckenPreparerPersonNm
PTINP01029906PTIN
Phone5168266045PhoneNum
Preparation2023-10-13PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
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$3,973,408FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$58,746DividendsRevAndExpnssAmt
Dividends Net Invst Incm$58,746DividendsNetInvstIncmAmt
Dividends Adj Net Incm$58,746DividendsAdjNetIncmAmt
Cap Gain Net Incm Net Invst Incm$343,924CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Gross Profit Rev And Expnss$0GrossProfitRevAndExpnssAmt
Other Income Rev And Expnss$0OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$58,746TotalRevAndExpnssAmt
Total Net Invst Incm$402,670TotalNetInvstIncmAmt
Total Adj Net Incm$58,746TotalAdjNetIncmAmt
Legal Fees Rev And Expnss$0LegalFeesRevAndExpnssAmt
Accounting Fees Rev And Expnss$0AccountingFeesRevAndExpnssAmt
Other Prof Fees Rev And Expnss$42,207OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$42,207OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$42,207OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$42,207OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$15,000TaxesRevAndExpnssAmt
Taxes Net Invst Incm$15,000TaxesNetInvstIncmAmt
Taxes Adj Net Incm$15,000TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$15,000TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Other Expenses Rev And Expnss$0OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$57,207TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$57,207TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$57,207TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$57,207TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$268,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$268,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$325,207TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$57,207TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$57,207TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$325,207TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$266,461ExcessRevenueOverExpensesAmt
Net Investment Income$345,463NetInvestmentIncomeAmt
Adjusted Net Income$1,539AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$726,178CashBOYAmt
Cash EOY$1,937,131CashEOYAmt
Cash EOYFMV$1,937,131CashEOYFMVAmt
Rcvbl From Officers EOY$0RcvblFromOfficersEOYAmt
Other Nts And Loans Rcvbl EOY$0OtherNtsAndLoansRcvblEOYAmt
Corporate Stock BOY$2,973,983CorporateStockBOYAmt
Corporate Stock EOY$1,840,006CorporateStockEOYAmt
Corporate Stock EOYFMV$2,036,277CorporateStockEOYFMVAmt
Land Bldg Investments EOY$0LandBldgInvestmentsEOYAmt
Other Investments EOY$0OtherInvestmentsEOYAmt
Land EOY$0LandEOYAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$0OtherAssetsEOYAmt
Other Assets EOYFMV$0OtherAssetsEOYFMVAmt
Total Assets BOY$3,700,161TotalAssetsBOYAmt
Total Assets EOY$3,777,137TotalAssetsEOYAmt
Total Assets EOYFMV$3,973,408TotalAssetsEOYFMVAmt
Loans From Officers EOY$0LoansFromOfficersEOYAmt
Mortgages And Notes Payable EOY$0MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$0OtherLiabilitiesEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$3,700,161NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$3,777,137NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$3,700,161TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,777,137TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,700,161TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,777,137TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,700,161TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$266,461ExcessRevenueOverExpensesAmt
Other Increases$343,437OtherIncreasesAmt
Subtotal$3,777,137SubtotalAmt
Tot Net Ast Or Fund Balances EOY$3,777,137TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtDepreciationDepreciationAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtFMV As Of123169FMVAsOf123169AmtAdjusted Basis As Of123169AdjustedBasisAsOf123169AmtExcess FMV Over Adjusted BssExcessFMVOverAdjustedBssAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
SEE STATEMENT ATTACHEDP2022-01-012022-12-31$3,132,450$0$3,224,635-$92,185$0$0$0-$92,185
SEE STATEMENT ATTACHEDP2021-01-012022-12-31$1,957,636$0$1,521,527$436,109$0$0$0$436,109
FieldValueIRS element (for citing)
Capital Gain Net Income$343,924CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$92,185NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,802InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$4,802SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$4,802TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$20,560EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$20,560TotalPaymentsAndCreditsAmt
Original Return Overpayment-$20,560OriginalReturnOverpaymentAmt
Overpayment$15,758OverpaymentAmt
Applied To ES Tax$15,758AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksBERNARD SEGALIndividualWithBooksNm
Phone9146323124PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line153 TRENOR DRIVEAddressLine1Txt
CityNEW ROCHELLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10804ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LINDA ROTHMAN LEVINE
605 EAST 82ND STREETNEW YORKNY10026PREDIDENT3.00$0$0$0
HARRY LEVINE
400 EAST 77TH STREETNEW YORKNY10075V. PRESIDENT1.00$0$0$0
BERNARD SEGAL
53 TRENOR DRIVENEW ROCHELLENY10804TREASURER5.00$0$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$3,078,342AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,331,655AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,409,997TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$4,409,997AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$66,150CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,343,847NetVlNoncharitableAssetsAmt
Minimum Investment Return$217,192MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$217,192MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,802TaxBasedOnInvestmentIncomeAmt
Total Tax$4,802TotalTaxAmt
Distributable Before Adj$212,390DistributableBeforeAdjAmt
Distributable Before Ded$212,390DistributableBeforeDedAmt
Distributable As Adjusted$212,390DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$325,207ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$325,207QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$212,390DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$122,206ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$146,376ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$137,518ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$299,950ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$324,490ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,030,540TotalExcessDistributionCyovAmt
Qualifying Distributions$325,207QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Remaining Distri From Corpus$325,207RemainingDistriFromCorpusAmt
Total Corpus$1,355,747TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$212,390UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$122,206ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,233,541ExcessDistriCyovToNextYrAmt
Excess From Year4$146,376ExcessFromYear4Amt
Excess From Year3$137,518ExcessFromYear3Amt
Excess From Year2$299,950ExcessFromYear2Amt
Excess From Year1$324,490ExcessFromYear1Amt
Excess From Current Year$325,207ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (11 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
NYU GROSSMAN MEDICAL CENTER
550 FIRST AVENUENEW YORKNY10016PCMEDICAL RESEARCH$50,000
BRANDEIS UNIVERSITY
414 SOUTH STREETWALTHAMMA02453PCSTUDENT SCHOLARSHIP$25,000
PLANNED PARENTHOOD
123 WILLIAM STREETNEW YORKNY10038PCWOMENS HEALTH$25,000
SOUTHERN POVERTY LAW CENTER
400 WASHINGTON AVENUEMONTGOMERYAL36104PCCIVIL RIGHTS$20,000
UJA FEDERATION
130 EAST 59TH STREETNEW YORKNY10022PCCOMMUNAL CHARITY$20,000
ANIMAL WELFARE INSTITUTE
900 PENNSYLVANIA AVENUEWASHINGTONDC20003PCANIMAL HEALTH$18,000
SAVE THE CHILDREN
501 KINGS HIGHWAYFAIRFIELDCT06825PCCHIDRENS WELFARE$20,000
COALITION FOR THE HOMELESS
129 FULTON STREETNEW YORKNY10038PCHOMELESS WELFARE$20,000
ACLU
125 BROAD STREETNEW YORKNY10004PCCIVIL LIBERTIES$25,000
ANER JEWISH WORLD SERVICES
45 WEST 36TH STREETNEW YORKNY10018PCWORLDWIDE SOCIAL SERVICES$20,000
DOCTORS WITHOUT BORDERS
PO BOX 5022HAGERSTOWNMD21741PCWORLDWIDE SOCIAL SERVICES$25,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$268,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion6ExclusionCd
Exclusion$58,746ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$58,746ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$58,746TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
CAPITAL GAINS$343,924
MISCELLANEOUS DEDUCTION-$487

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryUS TREASURYCategoryTxt
Amt$15,000Amt
Net Investment Income$15,000NetInvestmentIncomeAmt
Adjusted Net Income$15,000AdjustedNetIncomeAmt
Disbursements Charitable Prps$15,000DisbursementsCharitablePrpsAmt

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