POLISSENI FOUNDATION INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
POLISSENI FOUNDATION INC (EIN 16-1611263)
Tax period
2020-09-01 to 2021-08-31
Filed
2021-09-24
IRS object ID
202102679349100210
Schema version
2020v4.1
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)
Return2021-09-24T11:54:11-05:00ReturnTs
Tax Period End2021-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN474526160PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EFPR GROUP CPAS PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 SOUTH CLINTON AVE SUITE 1500AddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP146041801ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161611263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE POLISSENI FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPOLIBusinessNameControlTxt
Phone5856410151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 LINDEN OAKS NO 200AddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14625ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARY POLISSENIPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5856410151PhoneNum
Signature2021-09-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGARYPersonFirstNm
Person LastPOLISSENIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVINCENT J TOMEI III CPAPreparerPersonNm
PTINP00936595PTIN
Phone5854278900PhoneNum
Preparation2021-09-17PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$22,894FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$270,161ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$3InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$3InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$256DividendsRevAndExpnssAmt
Dividends Net Invst Incm$256DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$299,408NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$473,539GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$299,215CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$569,828TotalRevAndExpnssAmt
Total Net Invst Incm$299,474TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$30,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$15,000CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$15,000CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$2,375AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,375AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Interest Rev And Expnss$13InterestRevAndExpnssAmt
Interest Net Invst Incm$13InterestNetInvstIncmAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$3,070TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,865TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$1,205TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$3,276OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,534OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$1,532OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$38,734TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$20,787TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$17,737TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$522,440ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$522,440ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$561,174TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$20,787TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$540,177TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$8,654ExcessRevenueOverExpensesAmt
Net Investment Income$278,687NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$2,791CashBOYAmt
Other Investments BOY$6,430OtherInvestmentsBOYAmt
Other Investments EOY$21,460OtherInvestmentsEOYAmt
Other Investments EOYFMV$22,894OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$24,261LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,261LandBldgEquipAccumDeprecAmt
Total Assets BOY$9,221TotalAssetsBOYAmt
Total Assets EOY$21,460TotalAssetsEOYAmt
Total Assets EOYFMV$22,894TotalAssetsEOYFMVAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$3,585OtherLiabilitiesEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,585TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$9,221RetainedEarningBOYAmt
Retained Earning EOY$17,875RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$9,221TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$17,875TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$9,221TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$21,460TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$9,221TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$8,654ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$17,875SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$17,875TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtFMV As Of123169FMVAsOf123169AmtExcess FMV Over Adjusted BssExcessFMVOverAdjustedBssAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
1200 PAYXD2020-09-15$93,958$46,040$47,918$193$193$47,725
500 PAYXD2021-02-04$45,046$18,781$26,265$26,265
2000 PAYXD2020-03-16$194,343$64,300$130,043$130,043
200 PAYXD2021-05-06$19,889$6,430$13,459$13,459
1000 PAYXD2002-05-10$100,919$32,150$68,769$68,769
200 PAYXD2021-05-20$19,384$6,430$12,954$12,954
FieldValueIRS element (for citing)
Capital Gain Net Income$299,215CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,874InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,874SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,874TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$14EsPenaltyAmt
Tax Due$3,888TaxDueAmt

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 Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressHTTP://WWW.POLISSENIFOUNDATION.COM/WebsiteAddressTxt
Individual With BooksGP ASSOCIATESIndividualWithBooksNm
Phone5856410151PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1120 LINDEN OAKS SUITE 200AddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14625ZIPCd
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
WANDA POLISSENI
16 BEAUCLAIRE LANEFAIRPORTNY14450PRESIDENT0.00$0$0$0
GARY POLISSENI
5 WHISPERWOOD DRIVEVICTORNY14564DIRECTOR0.00$0$0$0
VALERIE POLISSENI WILCOX
31 HYACINTH LANEFAIRPORTNY14450DIRECTOR0.00$0$0$0
GLENN E PEZZOLO
2000 FIVE STAR BANK PLAZAROCHESTERNY14604DIRECTOR0.00$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

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$11,741AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$28,269AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$40,010TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$40,010AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$600CashDeemedCharitableAmt
Net Vl Noncharitable Assets$39,410NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,971MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,971MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,874TaxBasedOnInvestmentIncomeAmt
Total Tax$3,874TotalTaxAmt
Distributable Before Adj$0DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$0DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$0DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$540,177ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$540,177QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$540,177AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$0DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$494,053ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$501,451ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$582,331ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$490,775ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$523,455ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,592,065TotalExcessDistributionCyovAmt
Qualifying Distributions$540,177QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$0AppliedToCurrentYearAmt
Remaining Distri From Corpus$540,177RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,132,242TotalCorpusAmt
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$494,053ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,638,189ExcessDistriCyovToNextYrAmt
Excess From Year4$501,451ExcessFromYear4Amt
Excess From Year3$582,331ExcessFromYear3Amt
Excess From Year2$490,775ExcessFromYear2Amt
Excess From Year1$523,455ExcessFromYear1Amt
Excess From Current Year$540,177ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonTHE POLISSENI FOUNDATIONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1C/O GP ASSOCIATES 1080 PITTSFORDAddressLine1Txt
Address Line2VICTOR ROAD STE 201AddressLine2Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5856410151RecipientPhoneNum
Form And Info And MaterialsGRANT APPLICATION FORM, PROPOSAL, PROJECT BUDGET, ORGANIZATION OPERATING BUDGET, BOARD OF DIRECTORS LISTING, MOST RECENT FINANCIAL STATEMENT, COPY OF IRS 501(C)(3) DETERMINATION LETTERFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (33 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
13THIRTY CANCER CONNECT
1000 ELMWOOD AVENUEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$1,000
AMERICAN RED CROSS
50 PRINCE STREETROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$8,000
BEST BUDDIES IN WESTERN NY
1000 ELMWOOD AVE STE 400ROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$3,000
BIG BROTHERS BIG SISTERS
232 S PLYMOUTH AVEROCHESTERNY14608NONEPUBLIC CHARITYCHARITY$2,240
BIVONA CHILD ADVOCACY CENTER
ONE MOUNT HOPE AVEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$1,500
BOYS & GIRLS CLUB OF ROCHESTER
500 GENESEE STROCHESTERNY14611NONEPUBLIC CHARITYCHARITY$1,500
CAMERON COMMUNITY MINISTRIES
48 CAMERON STROCHESTERNY14606NONEPUBLIC CHARITYCHARITYCHARITY$1,500
CDS MONARCH
860 HARD ROADWEBSTERNY14580NONEPUBLIC CHARITYCHARITY$9,000
CENTER FOR EMPLOYMENT OPPORTUNITIES
39 STATE STREET STE 400ROCHESTERNY14614NONEPUBLIC CHARITYCHARITY$1,500
CHAMPION ACADEMY FUND CO ROCHESTER AREA COMMUNITY FOUNDATION
500 EAST AVENUEROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$100,000
DIMITRI HOUSE
102 N UNION STREETROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$1,500
GENEVA READS
25 N MORRELL AVEGENEVANY14607NONEPUBLIC CHARITYCHARITY$1,000
GILDA'S CLUB
225 ALEXANDER STREETROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$3,000
HOPE LUTHERAN CHURCH
1301 VINTAGE LNROCHESTERNY14626NONEPUBLIC CHARITYCHARITY$4,000
IRONDEQUOIT UNITED CHURCH OF CHRIST
644 TITUS AVEROCHESTERNY14611NONEPUBLIC CHARITYCHARITY$3,000
KELLY FOR KIDS
8205 MAIN STREETWILLIAMSVILLENY14421NONEPUBLIC CHARITYCHARITY$25,000
MONROE COUNTY SHERIFF PBA
170 MOUNTY READ BLVDROCHESTERNY14611NONEPUBLIC CHARITYCHARITY$3,000
NATIVITY PREPARATORY ACADEMY
15 WHALIN STROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$1,500
PERINTON VOLUNTEER AMBULANCE
1400 TURK HILL ROADFAIRPORTNY14450NONEPUBLIC CHARITYCHARITY$5,000
PLUTA CANCER CENTER
125 RED CREEK DRIVEROCHESTERNY14623NONEPUBLIC CHARITYCHARITY$5,000
PROJECT STORK
20 WEBBER AVEOAKFIELDNY14125NONEPUBLIC CHARITYCHARITY$3,000
PUSH PHYSICAL THEATER
389 GREGORY STREETROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$2,500
RESOLVE OF GREATER ROCHESTER
PO BOX 21FAIRPORTNY14450NONEPUBLIC CHARITYCHARITY$3,000
RIT
1 LOMB MEMORIAL DRIVEROCHESTERNY14623NONEPUBLIC CHARITYCHARITYCHARITY$166,700
ROCHESTER HEARING & SPEECH CENTER
1000 ELMWOOD AVE STE 400ROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$2,000
ROCOVERY FITNESS
1036 DEWEY AVEROCHESTERNY14613NONEPUBLIC CHARITYCHARITY$2,000
RONALD MCDONALD HOUSE
333 WESTMORELAND DRIVEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$2,500
SPIRITUS CHRISTI MENTAL HEALTH CENTER
121 N FITZHUGH STREETROCHESTERNY14614NONEPUBLIC CHARITYCHARITY$2,000
ST JOHN FISHER COLLEGE
3690 EAST AVENUEROCHESTERNY14618NONEPUBLIC CHARITYCHARITY$150,000
STARBRIDGE
1650 SOUTH AVEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$2,000
THE SUSIE REIZOD FOUNDATION
PO BOX 816NEW PALTZNY12561NONEPUBLIC CHARITYCHARITY$1,000
VIA
1170 MAIN STREETBUFALONY14209NONEPUBLIC CHARITYCHARITY$2,000
YATES CULTURAL & RECREATION RESOURCES
467 NORTH MAIN STPENN YANNY14527NONEPUBLIC CHARITYCHARITY$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$522,440TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$3ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$256RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$299,408RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$3ExclusionAmt
Related Or Exempt Function Incm$299,664RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$299,667TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
8INCOME GENERATED FROM THE SALE OF SECURITIES IS USED TO CREATE
8ADDITIONAL INCOME TO DISTRIBUTE TO CHARITIES

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

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
WANDA POLISSENI
116 BEAUCLAIRE LANEFAIRPORTNY14450$232,661Yes (X)
VALERIE WILCOX
231 HYACINTH LANEFAIRPORTNY14450$37,500Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$2,375Amt
Net Investment Income$2,375NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemPAYX STOCKCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$21,460BookValueAmt
EOYFMV$22,894EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
NYS FILING FEES$25$13$12
PAYROLL PROCESSING FEES$1,485$743$742
INSURANCE$1,462$731$731
WEB HOSTING$94$47$47
BANK FEE$210$0$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescCASH OVERDRAFTDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$3,585EOYBookValueAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCd
WANDA POLISSENI
16 BEAUCLAIRE LANEFAIRPORTNY14450
GARY POLISSENI
5 WHISPERWOOD DRIVEVICTORNY14564
GREG POLISSENI
17 MILES AVENUEFAIRPORTNY14450
VALERIE WILCOX
31 HYACINTH LANEFAIRPORTNY14450

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PAYROLL TAXES$2,409$1,204$1,205
FEDERAL INCOME TAX$661$661$0

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