FLORENCE FORGOTSON PRIVATE FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FLORENCE FORGOTSON PRIVATE FOUNDATION INC (EIN 20-0857287)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-08
IRS object ID
202213129349100041
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)
Return2022-11-08T15:18:08-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13333 New Hyde Park Rd Ste 406AddressLine1Txt
CityNew Hyde ParkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200857287EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Florence Forgotson Charitable FoundationBusinessNameLine1Txt
Business Name Line2IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlFLORBusinessNameControlTxt
Phone8008391754PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personcarol a hinzPersonNm
Person TitlepresidentPersonTitleTxt
Phone8008391754PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person Firstcarol aPersonFirstNm
Person LasthinzPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey D HaskellPreparerPersonNm
PTINP01345770PTIN
Phone8008391754PhoneNum

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,037,572FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$150,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$121InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$121InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$174,152DividendsRevAndExpnssAmt
Dividends Net Invst Incm$174,152DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$6,778NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,666,103GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$6,778CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$331,051TotalRevAndExpnssAmt
Total Net Invst Incm$181,051TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$132,240CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$62,240CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$70,000CompOfcrDirTrstDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$12,142PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$5,775PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$6,367PensionEmplBnftDsbrsChrtblAmt
Interest Rev And Expnss$146InterestRevAndExpnssAmt
Interest Net Invst Incm$146InterestNetInvstIncmAmt
Taxes Rev And Expnss$500TaxesRevAndExpnssAmt
Other Expenses Rev And Expnss$23,724OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$180OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$23,544OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$168,752TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$68,341TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$99,911TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$73,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$73,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$241,752TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$68,341TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$172,911TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$89,299ExcessRevenueOverExpensesAmt
Net Investment Income$112,710NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$272,717SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$615,509SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$615,509SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$3,623,430CorporateStockBOYAmt
Corporate Stock EOY$2,090,927CorporateStockEOYAmt
Corporate Stock EOYFMV$2,169,337CorporateStockEOYFMVAmt
Corporate Bonds BOY$13,605CorporateBondsBOYAmt
Corporate Bonds EOY$1,292,615CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,252,726CorporateBondsEOYFMVAmt
Total Assets BOY$3,909,752TotalAssetsBOYAmt
Total Assets EOY$3,999,051TotalAssetsEOYAmt
Total Assets EOYFMV$4,037,572TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$3,909,752RetainedEarningBOYAmt
Retained Earning EOY$3,999,051RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,909,752TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,999,051TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,909,752TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,999,051TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,909,752TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$89,299ExcessRevenueOverExpensesAmt
Subtotal$3,999,051SubtotalAmt
Tot Net Ast Or Fund Balances EOY$3,999,051TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPublicly-traded SecuritiesPropertyDesc
Gross Sales Price$3,666,103GrossSalesPriceAmt
Cost Or Other Basis$3,659,325CostOrOtherBasisAmt
Gain Or Loss$6,778GainOrLossAmt
Gains Minus Excess Or Losses$6,778GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$6,778CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,567InvestmentIncomeExciseTaxAmt
Subtotal$1,567SubtotalAmt
Tax Based On Investment Income$1,567TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,011EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$2,011TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$444OverpaymentAmt
Applied To ES Tax$444AppliedToESTaxAmt

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 StateDEOrgReportOrRegisterStateCd
Org Report Or Register StateNJOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsYes (true)NewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Lynn Cole
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir, VP25.0$62,240$0$0
Carol Ann Hinz
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir, Pres, Sec25.0$70,000$0$0
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$3,132,772AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$837,538AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,970,310TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,970,310AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$59,555CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,910,755NetVlNoncharitableAssetsAmt
Minimum Investment Return$195,538MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$195,538MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,567TaxBasedOnInvestmentIncomeAmt
Total Tax$1,567TotalTaxAmt
Distributable Before Adj$193,971DistributableBeforeAdjAmt
Distributable Before Ded$193,971DistributableBeforeDedAmt
Distributable As Adjusted$193,971DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$172,911ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$172,911QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$193,971DistributableAsAdjustedAmt
Undistributed Income PY$159,082UndistributedIncomePYAmt
Prior Year12019PriorYear1Yr
Prior Year22018PriorYear2Yr
Prior Year32017PriorYear3Yr
Qualifying Distributions$172,911QualifyingDistributionsAmt
Applied To Year1$159,082AppliedToYear1Amt
Applied To Current Year$13,829AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$180,142UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Current Year$0ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (21 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
180 TURNING LIVES AROUND INC
1 BETHANY ROAD BLDG 3 STE 42HAZLETNJ07730N/APCGeneral & Unrestricted$1,000
ABWE FOUNDATION INC
PO BOX 8585HARRISBURGPA17105N/APCGeneral & Unrestricted$6,000
AMERICAN RED CROSS - JERSEY COAST CHAPTER
1540 WEST PARK AVETINTON FALLSNJ07724N/APCGeneral & Unrestricted$2,500
BOYS & GIRLS CLUB OF MONMOUTH COUNTY
1201 MONROE AVEASBURY PARKNJ07712N/APCGeneral & Unrestricted$1,250
CLARK SUMMIT UNIVERSITY
538 VENARD RDSOUTH ABINGTON TOWNSHIPA18411N/APCGeneral & Unrestricted$5,000
EASTERN MONMOUTH AREA CHAMBER OF COMMERCE EDUCATIO
PO BOX 627RED BANKNJ07701N/APCGeneral & Unrestricted$10,000
FAITH KITCHEN
123 E BLACKWELL STDOVERNJ07801N/APCGeneral & Unrestricted$3,000
FEEDING AMERICA
161 N CLARK ST SUITE 700CHICAGOIL60601N/APCGeneral & Unrestricted$1,000
FELLOWSHIP OF CHRISTIAN ATHLETES
8701 LEEDS RDKANSAS CITYMO64129N/APCGeneral & Unrestricted$5,000
FOODBANK OF MONMOUTH AND OCEAN COUNTIES INC
3300 RTE 66NEPTUNENJ07753N/APCGeneral & Unrestricted$1,000
HABCORE INC
PO BOX 2361RED BANKNJ07701N/APCGeneral & Unrestricted$1,500
HOMES FOR OUR TROOPS INC
6 MAIN STTAUNTONMA02780N/APCGeneral & Unrestricted$5,000
LIGHTHOUSE PREGNANCY RESOURCE CENTER INC
2025 HAMBURG TPKE SUITE LWAYNENJ07470N/APCGeneral & Unrestricted$5,000
LITTLE EYES INTERNATIONAL
7530 E COOLIDGE STSCOTTSDALEAZ85251N/APCGeneral & Unrestricted$4,000
LUNCH BREAK
PO BOX 2215RED BANKNJ07701N/APCGeneral & Unrestricted$1,000
MAKE A WISH FOUNDATION OF NEW JERSEY
1347 PERRINEVILLE RDMONROE TOWNSHIPNJ08831N/APCGeneral & Unrestricted$5,000
NEW JERSEY BLIND CITIZENS ASSOCIATION INC
18 BURLINGTON AVELEONARDONJ07737N/APCGeneral & Unrestricted$1,500
NEW JERSEY STATE FEDERATION OF WOMENS CLUBS
164 BROAD STRED BANKNJ07701N/APCGeneral & Unrestricted$1,500
RED BANK CHARTER SCHOOL FOUNDATION INC
68 WHITE STRED BANKNJ07701N/APCnew gymnasium$10,000
SMILE TRAIN INC
PO BOX 96231WASHINGTONDC20090N/APCGeneral & Unrestricted$1,250
WWP INC - WOUNDED WARRIOR PROJECT INC
PO BOX 758517TOPEKAKS66675N/APCGeneral & Unrestricted$1,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$73,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$121ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$174,152ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$6,778ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$181,051ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$181,051TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonEstate of Florence Forgotson AdamsContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line173 Middlesex RoadAddressLine1Txt
CityMatawanCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07747ZIPCd
FieldValueIRS element (for citing)
Total Contributions$150,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (19 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ALLY FINL INC BOND PERPETUAL -$52,239$51,540
ALTRIA GROUP INC - 4.000% - 02$49,497$47,968
BCS WORSTOF CONTINGENT AUTOCAL$175,000$175,594
BRIGHTHOUSE FIN INC - 4.700% -$55,261$55,043
ENABLE MIDSTREAM PARTNERS LP -$28,645$26,933
ENERGY TRANSFER LP - 5.350% -$59,691$57,582
FORD MTR CO DEL NOTE - 5.29100$56,869$58,763
GENERAL MOTORS FIN CO FXD TO 0$58,189$55,306
GERNERAL ELECTRIC CO FXD TO 06$72,207$69,563
HARLEY DAVIDSON INC - 4.625% -$55,010$53,298
HSBC WORSTOF CONTINGENT AUTOCA$100,000$96,529
MOTOROLA SOLUTIONS INC - 5.220$58,204$54,919
MS WORSTOF CONTINGENT AUTOCALL$150,000$150,007
MS WORSTOF CONTINGENT AUTOCALL$75,000$73,894
PACIFIC GAS AND ELECTRIC CO -$53,277$51,631
REYNOLDS AMERICAN INC - 5.850%$63,731$60,922
SEA CONTAINERS LTD - 3.500% -$13,605
UNUM GROUP - 4.125% - 06/15/20$51,090$50,926
WESTERN UNION CO - 6.200% - 06$65,100$62,308

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (33 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AGNCP$62,500$63,150
AMAZONAS FLORESTAL$845$600
ATLANTIC UN BANKSHARES 6.875%$50,000$56,000
BANK OF AMER CORP 4.125% PREFE$62,500$63,525
BANK OF AMERICA CORP PFD - 4.2$125,000$126,850
BANK OZK SER A PFD$125,000$125,700
BRIGHTHOUSE FINL INC$50,000$50,980
BROOKFIELD INFRA FINULC - 5.00$125,000$125,750
CAPITAL ONE FIN CO 4.25$25,000$25,460
CITI 8.5% WORSTOF CONTINGENT A$100,000$101,800
CITIGROUP GLOBAL RTY UKX$125,000$123,250
CLARITAS PHARMACEUTICALS INC$995$75
DIS CALL-$210-1/21/22$2,271$5
GRAYSCALE BITCOIN TR BTC SHS A$32,463$140,425
HALO COLLECTIVE INC$1,062$78
HEMP$72,229$360
JPMORGAN CHASE AND CO PFD SER$50,000$51,040
KLEANGAS ENERGY TECHNOLOGIES$105
KNOW LABS INC COM$1,845$1,698
MEDICAL MARIJUANA$2,627$460
MFA FINANCIAL INC 6.500 PREF$62,500$59,100
MORGAN STANLEY 4.250% DP PFD$125,000$126,150
NEW RESIDENTIAL INVT - 6.375 P$250,000$231,600
PROSHARES BITCOIN STRATEGY ETF$8,270$5,780
PROSPECT CAPITAL CORP 5.35% PR$125,000$109,400
PUBLIC STORAGE 3.950% DEP PF Q$50,000$49,740
PUBLIC STORAGE, 4.00% SER P$50,000$50,180
REGEN BIOPHARMA$2,615$1,103
RIVERNORTH DOUBLELINE STRAT OP$75,000$73,989
SHARESPOST 100 FUND CLASS A$115,600$179,419
TELEPHONE & DATA SYS 6% PFD W$125,000$133,000
US CELLULAR CORP 6.250% PFD DU$62,500$67,750
WELLS FARGO & COM 4.25 SER-DD$25,000$24,920

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Administrative Fees$23,350$23,350
Bank Charges$180$180
Payroll Processing Fees$87$87
Postage/Delivery Service$49$49
State or Local Filing Fees$58$58

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonEstate of Florence Forgotson AdamsPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line173 Middlesex RoadAddressLine1Txt
CityMatawanCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07747ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
Category990-PF Estimated Tax for 2021CategoryTxt
Amt$500Amt

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