KAREN AND JASON SUSSMAN FAMILY FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- KAREN AND JASON SUSSMAN FAMILY FOUNDATION (EIN 27-3586426)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-12
- IRS object ID
- 202221329349102702
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T12:10:23-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9500 Bryn Mawr Ave Suite 300 | AddressLine1Txt |
| City | Rosemont | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60018 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273586426 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karen and Jason Sussman Family Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JASON SUSSMAN | InCareOfNm |
| Business Name Control | KARE | BusinessNameControlTxt |
| Phone | 8479248669 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4485 Normandy Court | AddressLine1Txt |
| City | Long Grove | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60047 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON SUSSMAN TREASURER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8479248669 | PhoneNum |
| Signature | 2022-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JASON SUSSMAN | PersonFirstNm |
| Person Last | TREASURER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael J Dean | PreparerPersonNm |
| PTIN | P00540379 | PTIN |
| Phone | 8476762000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,014,324 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $142,415 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $4 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $4 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $17,736 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $17,736 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $163,707 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $163,707 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $163,707 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $323,862 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $181,447 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Accounting Fees Rev And Expnss | $1,750 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $875 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $875 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $1,259 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $25 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $25 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $3,034 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $875 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $900 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $47,465 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $47,465 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $50,499 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $875 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $48,365 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $273,363 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $180,572 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $36,413 | CashBOYAmt |
| Cash EOY | $38,322 | CashEOYAmt |
| Cash EOYFMV | $38,322 | CashEOYFMVAmt |
| Corporate Stock BOY | $70,768 | CorporateStockBOYAmt |
| Corporate Stock EOY | $39,118 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $120,005 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $238,143 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $541,247 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $855,997 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $345,324 | TotalAssetsBOYAmt |
| Total Assets EOY | $618,687 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,014,324 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $345,324 | RetainedEarningBOYAmt |
| Retained Earning EOY | $618,687 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $345,324 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $618,687 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $345,324 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $618,687 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $345,324 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $273,363 | ExcessRevenueOverExpensesAmt |
| Subtotal | $618,687 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $618,687 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 970 SHS ARK INNOVATION ETF | 2020-03-26 | 2021-02-10 | $152,406 | $44,570 | $107,836 | $107,836 | |
| 5665 SHS SP500 CLIRN ISSUER BOFA | 2019-02-21 | 2021-02-26 | $65,657 | $56,650 | $9,007 | $9,007 | |
| CAPITAL GAIN DIVIDENDS | $46,864 | P | |||||
| CAPITAL GAIN DIVIDENDS | $46,864 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $163,707 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,510 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,510 | SubtotalAmt |
| Tax Based On Investment Income | $2,510 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $640 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Total Payments And Credits | $640 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Tax Due | $1,870 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | n/a | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON SUSSMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8479248669 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4485 NORMANDY COURT | AddressLine1Txt |
| City | Long Grove | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60047 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|
| Karen Sussman | ||||||||
| 4485 Normandy Court | Long Grove | IL | 60047 | President | 0.5 | $0 | $0 | $0 |
| Jason Sussman | ||||||||
| 4485 Normandy Court | Long Grove | IL | 60047 | Vice President, Treasurer | 0.5 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $770,682 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $41,175 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $811,857 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $811,857 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $12,178 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $799,679 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $39,984 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $39,984 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,510 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,510 | TotalTaxAmt |
| Distributable Before Adj | $37,474 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $37,474 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $37,474 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $48,365 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $48,365 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $37,474 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Prior Year1 | 2019 | PriorYear1Yr |
| Prior Year2 | 2018 | PriorYear2Yr |
| Prior Year3 | 2017 | PriorYear3Yr |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $44,918 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $59,706 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $61,735 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $48,438 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $49,138 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $263,935 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $48,365 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Current Year | $37,474 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $10,891 | RemainingDistriFromCorpusAmt |
| Total Corpus | $274,826 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $44,918 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $229,908 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $59,706 | ExcessFromYear4Amt |
| Excess From Year3 | $61,735 | ExcessFromYear3Amt |
| Excess From Year2 | $48,438 | ExcessFromYear2Amt |
| Excess From Year1 | $49,138 | ExcessFromYear1Amt |
| Excess From Current Year | $10,891 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | KAREN JASON SUSSMAN | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | KAREN JASON SUSSMAN | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4485 NORMANDY COURT | AddressLine1Txt |
| City | LONG GOVE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60047 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 8479248669 | RecipientPhoneNum |
| Form And Info And Materials | None | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | None | SubmissionDeadlinesTxt |
| Restrictions On Awards | None | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| United States Holocaust Memorial Museum | ||||||||
| 100 Raoul Wallenberg Place SW | Washington | DC | 200242126 | None | PC | To enhance the purpose of the organization | $500 | |
| St Jude Children's Research Hospital | ||||||||
| 501 St Jude Place | Memphis | TN | 38105 | None | PC | To enhance the purpose of the organization | $7,500 | |
| North Shore University Health System | ||||||||
| 777 Park Avenue West | Highland Park | IL | 60035 | None | PC | To enhance the purpose of the organization | $1,900 | Suite 1264 |
| Breast Cancer Research Foundation | ||||||||
| 28 West 44th Street | New York | NY | 10036 | None | PC | To enhance the purpose of the organization | $250 | Suite 609 |
| Cancer Wellness Center | ||||||||
| 215 Revere Drive | Northbrook | IL | 60062 | None | PC | To enhance the purpose of the organization | $1,200 | |
| Hazelden Betty Ford Foundation | ||||||||
| PO Box 11 | Center City | MN | 55012 | None | PC | To enhance the purpose of the organization | $1,500 | OS 3 |
| Jewish United Fund of Metropolitan Chicago | ||||||||
| Ben Gurlon Way | Chicago | IL | 606065056 | None | PC | To enhance the purpose of the organization | $12,500 | 30 South Wells Street |
| Living Beyond Breast Cancer | ||||||||
| 40 Monument Road | Bala Cynwyd | PA | 19004 | None | PC | To enhance the purpose of the organization | $50 | Suite 104 |
| Southern Poverty Law Center | ||||||||
| 400 Washington Avenue | Montgomery | AL | 361022390 | None | PC | To enhance the purpose of the organization | $500 | PO Box 2390 |
| The ARK | ||||||||
| 6450 N California Avenue | Chicago | IL | 60645 | None | PC | To enhance the purpose of the organization | $1,800 | |
| Chicago Public Media Inc (WBEZ) | ||||||||
| 848 East Grand Ave | Chicago | IL | 606113509 | None | PC | To enhance the purpose of the organization | $365 | |
| Cistyc Fibrosis Foundation | ||||||||
| 150 N Michigan Ave | Chicago | IL | 60601 | PC | To enhance the purpose of the organization | $200 | Ste 1550 | |
| Karen Dove Cabral Foundation | ||||||||
| 2350 Chestnut Ave 202 | Glenview | IL | 60026 | NONE | PC | To enhance the purpose of the organization | $200 | |
| LifeBridge Health | ||||||||
| 2401 W Belvedere Avenue | Baltimore | MD | 21215 | NONE | PC | To enhance the purpose of the organization | $1,000 | |
| AM YISRAEL | ||||||||
| 4 HAPP ROAD | NORTHFIELD | IL | 60093 | NONE | PC | To enhance the purpose of the organization | $18,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $47,465 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $4 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $17,736 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $163,707 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $181,447 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $181,447 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | KAREN AND JASON SUSSMAN | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4485 NORMANDY COURT | AddressLine1Txt |
| City | LONG GROVE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60047 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $142,415 | TotalContributionsAmt |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | 17,560 shares of FT Unit 8474 Capital Strength | NoncashPropertyDesc |
| Fair Market Value | $252,832 | FairMarketValueAmt |
| Received | 2021-12-07 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $1,750 | Amt |
| Net Investment Income | $875 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $875 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 28 SHS - AMAZON.COM INC | $14,118 | $93,361 |
| 5,000 SHS - SP500 CLIRN ISSUER | $0 | $0 |
| 1,500 SHS - R2000 ARNS ISSUER | $15,000 | $15,599 |
| 1,000 SHS - SP500 ARNS ISSUER | $10,000 | $11,045 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (7 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| 2392.7 SHS - COLUMBIA SELIGMAN | AT COST | $58,210 | $114,325 |
| 1,770 SHS - LORD ABBETT GROWTH | AT COST | $51,844 | $71,143 |
| 2,028 SHS - ARK INNOVATION ETF | AT COST | $93,091 | $191,639 |
| 17560 SHS FT UNIT 8474 CAP | AT COST | $142,415 | $259,080 |
| 3831 SHS - COLUMBIA DIVIDEND | $103,141 | $121,060 | |
| 1,791 SHS - LORD ABBETT GROWTH | $77,118 | $62,674 | |
| 494.59 SHS - COLUMBIA SELIGMAN | $15,428 | $36,076 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | STATE REGISTRATION FEES | Desc |
| Revenue And Expenses Per Books | $25 | RevenueAndExpensesPerBooksAmt |
| Disbursements Charitable Prps | $25 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FEDERAL EXCISE TAX | CategoryTxt |
| Amt | $1,259 | Amt |
Comments