THE JIM AND TABITHA FURYK FOUNDATION INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- THE JIM AND TABITHA FURYK FOUNDATION INC (EIN 30-0659382)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-08-06
- IRS object ID
- 202112189349100111
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-06T12:40:22-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560574444 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1075 PEACHTREE STREET NE SUITE 2200 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300659382 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE JIM AND TABITHA FURYK FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JIMA | BusinessNameControlTxt |
| Phone | 9048265180 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2867 | AddressLine1Txt |
| City | PONTE VEDRA BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32004 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TABITHA FURYK | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 9048265180 | PhoneNum |
| Signature | 2021-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TABITHA | PersonFirstNm |
| Person Last | FURYK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA ADAMS | PreparerPersonNm |
| PTIN | P00748038 | PTIN |
| Phone | 4042090954 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 | $2,536,895 | 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 | $1,705,202 | ContriRcvdRevAndExpnssAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $1,705,202 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $0 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $124,693 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $124,693 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $10,329 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $10,329 | PensionEmplBnftDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,081 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $3,081 | AccountingFeesChrtblPrpsAmt |
| Occupancy Rev And Expnss | $1,779 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $1,779 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $239 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $239 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $359,952 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $359,952 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $500,073 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $500,073 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $148,885 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $148,885 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $648,958 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $648,958 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,056,244 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,483,185 | CashBOYAmt |
| Cash EOY | $2,536,895 | CashEOYAmt |
| Cash EOYFMV | $2,536,895 | CashEOYFMVAmt |
| Total Assets BOY | $1,483,185 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,536,895 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,536,895 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $4,965 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $2,431 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $4,965 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,431 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $1,478,220 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,534,464 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,478,220 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,534,464 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,483,185 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,536,895 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,478,220 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,056,244 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $2,534,464 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,534,464 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $0 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $0 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $0 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | FL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.JIMANDTABITHAFURYKFOUNDATION.COM | WebsiteAddressTxt |
| Individual With Books | TABITHA FURYK | IndividualWithBooksNm |
| Phone | 9048265180 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2867 | AddressLine1Txt |
| City | PONTE VEDRA BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|
| JIM FURYK | ||||||||
| PO BOX 2867 | PONTE VEDRA BEACH | FL | 32004 | DIRECTOR | 5.00 | $0 | $0 | $0 |
| TABITHA FURYK | ||||||||
| PO BOX 2867 | PONTE VEDRA BEACH | FL | 32004 | DIRECTOR | 40.00 | $0 | $0 | $0 |
| ANDREW WITLIEB | ||||||||
| 301 E 69TH ST 10G | NEW YORK | NY | 10021 | DIRECTOR | 0.50 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| ADAM RENFROE | ||||||||
| PO BOX 2867 | PONTE VEDRA BEACH | FL | 32004 | TOURNAMENT DIRECTOR | 40.00 | $61,916 | $0 | $0 |
| LIZ HERRMANN | ||||||||
| PO BOX 2867 | PONTE VEDRA BEACH | FL | 32004 | EXECUTIVE ASSISTANT | 40.00 | $50,050 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | FURYK AND FRIENDS CONCERT/GOLF TOURNAMENT: CREATED TO RAISE AWARENESS AND FUNDING TO BENEFIT CHILDREN AND FAMILIES IN NEED BY THE JIM & TABITHA FURYK FOUNDATION, CELEBRATED 10 YEARS OF RAISING MUCH NEEDED DOLLARS FOR LOCAL CHARITIES AND SUPPORTING JACKSONVILLE'S YOUTH. | Description1Txt |
| Expenses1 | $296,507 | Expenses1Amt |
| Description2 | HOPE FOR THE HOLIDAYS: THE JIM & TABITHA FURYK FOUNDATION PROVIDED FUNDING AND PRODUCTS TO PACK OVER 5,000 HOLIDAY MEALS FOR FOOD INSECURE FAMILIES IN NORTHEAST FLORIDA. | Description2Txt |
| Expenses2 | $39,311 | Expenses2Amt |
| Description3 | OPERATION SHOWER HOSTS BABY SHOWERS FOR MILITARY MOMS AND FAMILIES. THE FOUNDATION PROVIDED GIFTS FOR ALL OF THE MOMS AT THE SHOWER TO RECOGNIZE ALL THEY DO FOR OUR COUNTRY. | Description3Txt |
| Expenses3 | $3,214 | Expenses3Amt |
| Description4 | THESE KIDS CAN PLAY: CREATED TO GIVE THE CHILDREN FROM COMMUNITY PEDSCARE AND WOLFSON CHILDREN'S HOSPITAL A CHANCE TO ENJOY A DAY AT THE PLAYERS, COMPLETE WITH ACTIVITIES SPECIFICALLY TAILORED TO THEIR HEALTH NEEDS. THE FAMILIES VISIT INDIVIDUAL STATIONS WITH INTERACTIVE ART, ZOO ANIMALS, BOOK SELECTIONS, GAMES AND MORE. EACH CHILD RECEIVES A SPECIAL GIFT BAG AND PHOTO OPPORTUNITIES WITH THE PGA TOUR PLAYERS. | Description4Txt |
| Expenses4 | $291 | Expenses4Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,663,999 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,663,999 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,663,999 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $24,960 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,639,039 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $81,952 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $81,952 | MinimumInvestmentReturnAmt |
| Total Tax | $0 | TotalTaxAmt |
| Distributable Before Adj | $81,952 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $81,952 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $81,952 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $648,958 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $648,958 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $648,958 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $81,952 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $64,795 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $489,732 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $279,752 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $313,834 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $653,383 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,801,496 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $648,958 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $81,952 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $567,006 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $2,368,502 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $64,795 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $2,303,707 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $489,732 | ExcessFromYear4Amt |
| Excess From Year3 | $279,752 | ExcessFromYear3Amt |
| Excess From Year2 | $313,834 | ExcessFromYear2Amt |
| Excess From Year1 | $653,383 | ExcessFromYear1Amt |
| Excess From Current Year | $567,006 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | JIM FURYK | ContributingManagerNm |
| Contributing Manager | TABITHA FURYK | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (6 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BLESSINGS IN A BACKPACK | |||||||
| 4121 SHELBYVILLE RD | LOUISVILLE | KY | 40207 | N/A | PC | WEEKEND MEALS FOR FOOD INSECURE CHILDREN DURING THE SCHOOL YEAR | $39,485 |
| BAPTIST HEALTH SYSTEM FOUNDATION | |||||||
| 800 PRUDENTIAL DRIVE | JACKSONVILLE | FL | 32207 | N/A | PC | COVID-19 EMERGENCY FUND TO MEET THE NEEDS OF THE HOSPITALS FRONT LINE WORKERS WHILE THEY RESPONDED TO THE PANDEMIC. | $100,000 |
| CITRUS DISTILLERS | |||||||
| 2222 HARPER ST | JACKSONVILLE | FL | 32204 | N/A | PC | CITRUS DISTILLERS PRODUCED HAND SANITIZER DURING THE COVID-19 PANDEMIC WHEN IT WAS IMPOSSIBLE TO FIND. THE FOUNDATION PURCHASED HAND SANITIZER TO SUPPLY TO OUR LOCAL PARTNERS THAT WERE IN NEED. BAPTIST HOSPITAL, COMMUNITY HOSPICE & PALLIATIVE CARE, SULZBACHER, HUBBARD HOUSE, DANIEL KIDS, JACKSONVILLE HUMANE SOCIETY, JEWISH FAMILY & COMMUNITY SERVICES AND OTHERS WERE SUPPLIED WITH HAND SANITIZER FOR THEIR STAFF AND COMMUNITIES. | $2,150 |
| WHEELCHAIRS 4 KIDS | |||||||
| 1976 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | N/A | PC | EQUIPMENT FOR CHILDREN WITH SPECIAL NEEDS | $2,000 |
| OPERATION SHOWER | |||||||
| 7382 PERSHING 1E | ST LOUIS | MO | 63130 | N/A | PC | SPONSORING BABY SHOWERS FOR MILITARY FAMILIES | $5,000 |
| LOVE GROVE ELEMENTARY | |||||||
| 2446 UNIVERSITY BLVD | JACKSONVILLE | FL | 32216 | N/A | GOV | SPONSOR THE SCHOOLS HANG TAGS THAT ARE USED BY PARENTS WHEN PICKING UP THEIR CHILD EACH DAY. THE HANG TAGS IMPROVE THE SAFETY OF CHILDREN BY ENSURING ONLY AN AUTHORIZED PERSON PICKS THEM UP. | $250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $148,885 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $0 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (41 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| AT&T | ||||||
| 1 | 10375 CENTURION PKWY N RM 423 | JACKSONVILLE | FL | 32256 | $40,000 | Yes (X) |
| BAKER CONSTRUCTORS | ||||||
| 2 | 70 SHIRLEY B JAMES DR | SAVANNAH | GA | 31408 | $12,000 | Yes (X) |
| BEARD EQUIPMENT COMPANY | ||||||
| 3 | 2480 E I-65 SERVICE RD N | MOBILE | AL | 36617 | $8,250 | Yes (X) |
| BROWN FAMILY FOUNDATION | ||||||
| 4 | 345 PONTE VEDRA BLVD | PONTE VEDRA BEACH | FL | 32082 | $12,000 | Yes (X) |
| CAA | ||||||
| 5 | 2000 AVENUE OF THE STARS | LOS ANGELES | CA | 90067 | $12,000 | Yes (X) |
| CHARLIE ARNOLD | ||||||
| 6 | 3548 SILERY LANE | JACKSONVILLE | FL | 32217 | $12,000 | Yes (X) |
| CHERRY BEKAERT LLP | ||||||
| 7 | 27 BALL MILL PLACE | ATLANTA | GA | 30350 | $12,000 | Yes (X) |
| COMPLETE HEALTH PARTNERS | ||||||
| 8 | PO BOX 36250 | CHARLOTTE | NC | 28236 | $16,500 | Yes (X) |
| CONSTELLATION AN EXELON AGENCY | ||||||
| 9 | 1310 POINT ST 18TH FL | BALTIMORE | MD | 21231 | $100,000 | Yes (X) |
| DAN ST JOHN | ||||||
| 10 | 1301 RIVERPLACE BLVD STE 200 | JACKSONVILLE | FL | 32207 | $9,000 | Yes (X) |
| DAVID MILLER | ||||||
| 11 | 830-13 A1A NORTH SUITE 120 | PONTE VEDRA BEACH | FL | 32082 | $23,000 | Yes (X) |
| DLL FINANCIAL SOLUTIONS PARTNER | ||||||
| 12 | OLD EAGLE SCHOOL RD | WAYNE | PA | 19087 | $27,000 | Yes (X) |
| DRUMMOND | ||||||
| 13 | PO BOX 2421 | JACKSONVILLE | FL | 32203 | $7,250 | Yes (X) |
| FIS | ||||||
| 14 | 601 RIVERSIDE AVE | JACKSONVILLE | FL | 32204 | $125,000 | Yes (X) |
| GREBE MANAGEMENT | ||||||
| 15 | 831 PONTE VEDRA BLVD | PONTE VEDRA BEACH | FL | 32082 | $262,000 | Yes (X) |
| HAMPTON GOLF | ||||||
| 16 | 7845 BAYMEADOWS WAY | JACKSONVILLE | FL | 32256 | $15,000 | Yes (X) |
| JIM AND TABITHA FURYK | ||||||
| 17 | 2600 RIVER RD | JACKSONVILLE | FL | 32207 | $225,100 | Yes (X) |
| JIM ASHTON | ||||||
| 18 | 120 CHAPEL HILL CIRCLE | PAOLI | PA | 19301 | $6,000 | Yes (X) |
| JOHN D BAKER | ||||||
| 19 | 200 W FORSYTH ST | JACKSONVILLE | FL | 32202 | $6,250 | Yes (X) |
| JOSEF BUCHER | ||||||
| 20 | 13118 WEXORD HOLLOW RD N | JACKSONVILLE | FL | 32224 | $30,000 | Yes (X) |
| JOSHUA PAULSON | ||||||
| 21 | 30 WEST 63RD ST APT 18STU | NEW YORK | NY | 10023 | $6,000 | Yes (X) |
| KARL G ESTES FOUNDATION | ||||||
| 22 | 24 LA VISTA DR | PONTE VEDRA BEACH | FL | 32082 | $13,000 | Yes (X) |
| LEAH CHAPMAN | ||||||
| 23 | 518 RUTILE DR | PONTE VEDRA BEACH | FL | 32082 | $5,200 | Yes (X) |
| MARTIN ALPERT | ||||||
| 24 | 660 IAGO COURT | LEAGUE CITY | TX | 77573 | $9,000 | Yes (X) |
| MERRILL LYNCH | ||||||
| 25 | 50 N LAURA ST 3700 | JACKSONVILLE | FL | 32202 | $12,000 | Yes (X) |
| MG ORENDER | ||||||
| 26 | 3909 DUVAL DR | JACKSONVILLE BEACH | FL | 32250 | $12,000 | Yes (X) |
| MILLER ELECTRIC COMPANY | ||||||
| 27 | PO BOX 1799 | JACKSONVILLE | FL | 32201 | $65,625 | Yes (X) |
| OMT REVIEW | ||||||
| 28 | 145 BRISTOL PL | PONTE VEDRA BEACH | FL | 32082 | $7,600 | Yes (X) |
| ONPOINT | ||||||
| 29 | 20 SUNSET DR 1 | JACKSONVILLE | FL | 32202 | $8,250 | Yes (X) |
| PAJCIC & PAJCIC | ||||||
| 30 | 1900 INDEPENDENT SQUARE | JACKSONVILLE | FL | 32202 | $6,250 | Yes (X) |
| PGA TOUR | ||||||
| 31 | 100 PGA TOUR BLVD | PONTE VEDRA BEACH | FL | 32082 | $15,100 | Yes (X) |
| RUSSELL BROWN | ||||||
| 32 | 9538 NEWBRIDGE DRIVE | POTOMAC | MD | 20854 | $9,000 | Yes (X) |
| SAM VANVOORHIS | ||||||
| 33 | 13 MARIA PLACE | PONTE VEDRA BEACH | FL | 32082 | $5,000 | Yes (X) |
| SANJEEV MEHRA | ||||||
| 34 | 44 MAYFAIR LN | GREENWICH | CT | 06831 | $6,000 | Yes (X) |
| SRS DISTRIBUTION | ||||||
| 35 | 7440 STATE HIGHWAY 121 | MCKINNEY | TX | 75070 | $40,000 | Yes (X) |
| THE EARL & BETTIE FIELDS AUTOMOTIVE GROUP FOUNDATION | ||||||
| 36 | 700 W FRONTAGE RD | NORTHFIELD | IL | 60093 | $12,920 | Yes (X) |
| THE LEGACY AGENCY | ||||||
| 37 | 276 5TH AVENUE SUITE 711 | NEW YORK | NY | 10001 | $12,000 | Yes (X) |
| TMM | ||||||
| 38 | 8445 WESTERN WAY | JACKSONVILLE | FL | 32256 | $6,000 | Yes (X) |
| UNDERWOOD JEWELERS | ||||||
| 39 | 2044 SAN MARCO BLVD | JACKSONVILLE | FL | 32207 | $6,250 | Yes (X) |
| VIDA DE LOUIE TEQUILA | ||||||
| 40 | 1529 3RD ST SOUTH | JACKSONVILLE | FL | 32250 | $6,000 | Yes (X) |
| VYSTAR | ||||||
| 41 | 76 SOUTH LAURA ST | JACKSONVILLE | FL | 32202 | $20,000 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| RETURN PREPARATION | $2,500 | $0 | $2,500 |
| OTHER ACCOUNTING SERVICES | $581 | $0 | $581 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PROGRAM EXPENSES - SEE PART IX-A | $339,323 | $0 | $339,323 |
| POSTAGE & SHIPPING | $581 | $0 | $581 |
| LICENSES & PERMITS | $220 | $0 | $220 |
| PAYPAL FEES | $6,949 | $0 | $6,949 |
| OFFICE SUPPLIES | $3,123 | $0 | $3,123 |
| PAYROLL FEES | $1,940 | $0 | $1,940 |
| DUES AND SUBSCRIPTIONS | $5,050 | $0 | $5,050 |
| OTHER ADMINISTRATIVE EXPENSES | $2,766 | $0 | $2,766 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | AMERICAN EXPRESS CREDIT CARD | Desc |
| BOY Book Value | $4,965 | BOYBookValueAmt |
| EOY Book Value | $2,431 | EOYBookValueAmt |
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