JANE E DELINE FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
JANE E DELINE FOUNDATION (EIN 61-1739748)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-07-10
IRS object ID
202021929349100227
Schema version
2019v5.1
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)
Return2020-07-10T09:50:18-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201317788PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BOWERS & COMPANY CPAS PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11120 COMMERCE PARK DRIVE EASTAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13601ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN611739748EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JANE E DELINE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJANEBusinessNameControlTxt
Phone3157886700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 STERLING STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCATHERINE BURNS QUENCERPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone3157886700PhoneNum
Signature2020-07-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNATHANIEL J CARROLLPreparerPersonNm
PTINP01052758PTIN
Phone3157887690PhoneNum
Preparation2020-06-23PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,385,687FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$125,253DividendsRevAndExpnssAmt
Dividends Net Invst Incm$125,253DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$109,964NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$864,945GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$109,964CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$4,388OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$239,605TotalRevAndExpnssAmt
Total Net Invst Incm$235,217TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$8,590CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,600AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$31,596OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$28,436OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$13,134TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,030TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$2,512OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$59,432TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$29,466TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$189,764ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$189,764ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$249,196TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$29,466TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$189,764TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$9,591ExcessRevenueOverExpensesAmt
Net Investment Income$205,751NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$324,425CashBOYAmt
Cash EOY$293,984CashEOYAmt
Cash EOYFMV$293,984CashEOYFMVAmt
Corporate Stock BOY$3,932,045CorporateStockBOYAmt
Corporate Stock EOY$3,958,747CorporateStockEOYAmt
Corporate Stock EOYFMV$4,091,703CorporateStockEOYFMVAmt
Other Assets BOY$5,080OtherAssetsBOYAmt
Other Assets EOY$0OtherAssetsEOYAmt
Other Assets EOYFMV$0OtherAssetsEOYFMVAmt
Total Assets BOY$4,261,550TotalAssetsBOYAmt
Total Assets EOY$4,252,731TotalAssetsEOYAmt
Total Assets EOYFMV$4,385,687TotalAssetsEOYFMVAmt
Other Liabilities BOY$2,002OtherLiabilitiesBOYAmt
Other Liabilities EOY$2,774OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,002TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,774TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$4,259,548NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$4,249,957NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$4,259,548TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,249,957TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,261,550TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,252,731TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,259,548TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$9,591ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,249,957SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,249,957TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (26 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
ELI LILLY & CO2014-06-282019-01-18$47,499$30,274$17,225$17,225
ELI LILLY & CO2014-06-282019-01-18$52,499$30,474$22,025$22,025
SALLIE MAE BK MURRAY UTAH2016-04-212019-01-22$100,000$100,000$0$0
MERCK & CO INC2014-06-282019-03-13$39,999$28,025$11,974$11,974
AMERICAN EXPRE EXPRESS SENTERN2017-07-062019-09-23$50,000$50,000$0$0
CAPITAL ONE BK2017-02-022019-10-11$50,000$50,000$0$0
CORTEVA INC2017-02-072019-10-01$2,699$2,699$0$0
DISCOVER BK2016-12-072019-08-19$50,000$50,000$0$0
DISCOVER BK GREENWOOD DEL2016-03-302019-07-23$50,000$50,000$0$0
GE CAP RETAIL BK UTAH2016-04-062019-08-26$50,000$50,000$0$0
KRAFT HEINZ COMPANY2017-01-012019-08-27$17,557$38,748-$21,191-$21,191
KROGER CO2017-01-012019-10-04$49,422$56,237-$6,815-$6,815
MONDELEZ INTERNATIONAL2014-06-282019-05-08$25,556$18,430$7,126$7,126
MONDELEZ INTERNATIONAL2014-06-282019-12-20$27,499$17,720$9,779$9,779
PROCTOR & GAMBLE2014-06-282019-07-17$49,999$38,160$11,839$11,839
PROCTOR & GAMBLE2018-05-172019-07-17$20,000$14,229$5,771$5,771
TARGET CORP2017-01-012019-10-18$44,999$30,077$14,922$14,922
WABTEC CORP2019-02-252019-02-25$9$8$1$1
WELLS FARGO BANK NATL ASSN2017-04-132019-03-29$50,000$50,000$0$0
WELLS FARGO BK N A SIOUX FALLS2017-05-012019-04-26$50,000$49,900$100$100
CALL KR2017-07-062019-09-23$1,305$1,305$1,305
CALL PG2019-01-222019-10-24$1,260$1,260$1,260
CALL TGT2019-01-222018-08-10$1,120$1,120$1,120
CALL WELL2019-12-232019-07-09$468$468$468
CALL WELL2019-12-232019-07-09$1,170$1,170$1,170
CAPITAL GAINS DIVIDENDS$31,885$31,885$31,885P
FieldValueIRS element (for citing)
Capital Gain Net Income$109,964CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$205,650AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$4,277,412NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.048078DistributionYr1Rt
Adjusted Qlfy Distri Yr2$248,678AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$4,323,099NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.057523DistributionYr2Rt
Adjusted Qlfy Distri Yr3$162,837AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,131,377NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.039415DistributionYr3Rt
Adjusted Qlfy Distri Yr4$75,000AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,949,565NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.038470DistributionYr4Rt
Adjusted Qlfy Distri Yr5$115,000AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,417,040NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.081155DistributionYr5Rt
Total Distribution0.264641TotalDistributionRt
Average Distribution0.052928AverageDistributionRt
Net Vl Noncharitable Assets$4,206,048NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$222,618AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,058NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$224,676AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$189,764QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,115InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$4,115SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$4,115TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,000EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$4,000TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$115TaxDueAmt

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 Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksCATHERINE BURNS QUENCERIndividualWithBooksNm
Phone3157886700PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1220 STERLING STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13601ZIPCd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOHN WHEELER
417 LACHENAUER DRIVEWATERTOWNNY13601TRUSTEE0.50$1,718$0$0
THOMAS E COLLIGAN
546 NE MONROE STREETPORTLANDOR97212TRUSTEE0.50$1,718$0$0
RICHARD E POULSEN
PO BOX 437HENDEERSON HARBORNY13651TRUSTEE0.50$1,718$0$0
WILLIAM G HARTMAN
926 GOTHAM STREETWATERTOWNNY13601TRUSTEE0.50$1,718$0$0
CATHERINE BURNS QUENCER
220 STERLING STREETWATERTOWNNY13601TRUSTEE0.50$1,718$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$3,967,243AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$302,856AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,270,099TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,270,099AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$64,051CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,206,048NetVlNoncharitableAssetsAmt
Minimum Investment Return$210,302MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$210,302MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,115TaxBasedOnInvestmentIncomeAmt
Total Tax$4,115TotalTaxAmt
Distributable Before Adj$206,187DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$206,187DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$206,187DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$189,764ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$189,764QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$189,764AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$206,187DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$13,271ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr2$35,567ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$48,838TotalExcessDistributionCyovAmt
Qualifying Distributions$189,764QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$189,764AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$16,423ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$16,423ExcessDistributionCyovAppCYAmt
Total Corpus$32,415TotalCorpusAmt
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$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$32,415ExcessDistriCyovToNextYrAmt
Excess From Year2$32,415ExcessFromYear2Amt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonCATHERINE BURNS QUENCERRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1220 STERLING STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13601ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3157886700RecipientPhoneNum
Form And Info And MaterialsWRITTEN APPLICATION THAT IS SUFFICIENT TO DEMONSTRATE NEED.FormAndInfoAndMaterialsTxt
Submission DeadlinesNONE.SubmissionDeadlinesTxt
Restrictions On AwardsNONE.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICAN RED CROSS
203 N HAMILTON STREETWATERTOWNNE13601NONEPCASSISTANCE$3,000
ACR HEALTH
120 WASHINGTON STREET 3WATERTOWNNY13601NONEPCASSISTANCE$5,500
ALCOHOL AND SUBSTANCE ABUSE
167 POLK STREET 320WATERTOWNNY13601NONEPCASSISTANCE$25,000
FAMILY COUNSELING CENTER
200 MULLIN STREET 102WATERTOWNNY13601NONEPCASSISTANCE$3,050
HOSPICE OF JEFFERSON
1398 GOTHAM STREETWATERTOWNNY13601NONEPCASSISTANCE$40,000
JEFFERSON REHABILITATION CENTER
380 GAFFNEY DRIVEWATERTOWNNY13601NONEPCASSISTANCE$41,014
NORTH COUNTRY FAMILY
238 ARSENAL STREETWATERTOWNNY13601NONEPCASSISTANCE$15,000
TRANSITIONAL LIVING SERVICES
482 BLACK RIVER PARKWAYWATERTOWNNY13601NONEPCASSISTANCE$18,200
WATERTOWN FAMILY YMCA
119 WASHINGTON STREETWATERTOWNNY13601NONEPCASSISTANCE$24,000
WATERTOWN URBAN MISSION
247 FACTORY STREETWATERTOWNNY13601NONEPCASSISTANCE$15,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$189,764TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$125,253ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion19ExclusionCd
Exclusion$109,964ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Related Or Exempt Function Incm$4,388RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$235,217ExclusionAmt
Related Or Exempt Function Incm$4,388RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$239,605TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number2LineNumberTxt
Relationship StatementASSISTANCE TO CHARITABLE, RELIGIOUS, AND SCIENTIFIC INSTITUTIONS, AS WELL AS FOR LITERARY AND/OR EDUCATIONAL PORPOSES.RelationshipStatementTxt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,600Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
US EQUITIES - RBC$2,066,642$2,221,492
MIXED SECURITIES - RBC$1,892,105$1,870,211

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDEFERRED TAX ASSETDesc
BOY Book Value$5,080BOYBookValueAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$1,942$0$0
MISCELLANEOUS$570$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Revenue And Expenses Per Books$4,388RevenueAndExpensesPerBooksAmt
Adjusted Net Income$4,388AdjustedNetIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
FEDERAL EXCISE TAX PAYABLE$2,002$115
DEFERRED TAX LIABILITY$0$2,659

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryADVISOR FEESCategoryTxt
Amt$31,596Amt
Net Investment Income$28,436NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL & NYS INCOME TAX$4,365$0$0
FOREIGN TAX PAID$1,030$1,030$0
DEFERRED TAX EXPENSE$7,739$0$0

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