POLISSENI FOUNDATION INC: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
POLISSENI FOUNDATION INC (EIN 16-1611263)
Tax period
2019-09-01 to 2020-08-31
Filed
2020-10-15
IRS object ID
202022899349101002
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)
Return2020-10-15T12:06:10-05:00ReturnTs
Tax Period End2020-08-31TaxPeriodEndDt

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 Begin2019-09-01TaxPeriodBeginDt

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
Signature2020-10-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVINCENT J TOMEI III CPAPreparerPersonNm
PTINP00936595PTIN
Phone5854278900PhoneNum
Preparation2020-10-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.88.174.3IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-06IPDt
IP Tm14:13:27IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA3098CE9DE43BB2541F8C5D4A8AA4A8648865DD1AtSubmissionCreationDeviceId
At Submission Filing Device IdAF772A47F4D2D50AE906369D5928EB22DE588371AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$18,085FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$171,345ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$115InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$115InterestOnSavNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$85,175NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$152,690GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$85,175CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$256,635TotalRevAndExpnssAmt
Total Net Invst Incm$85,290TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$24,000OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$12,000OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$12,000OthEmplSlrsWgsDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,060AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,060AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$10,058TaxesRevAndExpnssAmt
Taxes Net Invst Incm$4,185TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$4,185TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$3,819OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,740OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$2,079OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$40,937TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$20,985TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$18,264TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$511,154ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$511,154ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$552,091TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$20,985TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$529,418TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$295,456ExcessRevenueOverExpensesAmt
Net Investment Income$64,305NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$304,677CashBOYAmt
Cash EOY$2,791CashEOYAmt
Cash EOYFMV$2,791CashEOYFMVAmt
Other Investments BOY$0OtherInvestmentsBOYAmt
Other Investments EOY$6,430OtherInvestmentsEOYAmt
Other Investments EOYFMV$15,294OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$24,261LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,261LandBldgEquipAccumDeprecAmt
Total Assets BOY$304,677TotalAssetsBOYAmt
Total Assets EOY$9,221TotalAssetsEOYAmt
Total Assets EOYFMV$18,085TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
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$304,677RetainedEarningBOYAmt
Retained Earning EOY$9,221RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$304,677TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$9,221TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$304,677TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$9,221TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$304,677TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$295,456ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$9,221SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$9,221TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
Property2100 PAYXPropertyDesc
How AcquiredDHowAcquiredCd
Sold2020-06-25SoldDt
Gross Sales Price$152,690GrossSalesPriceAmt
Cost Or Other Basis$67,515CostOrOtherBasisAmt
Gain Or Loss$85,175GainOrLossAmt
Gains Minus Excess Or Losses$85,175GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$85,175CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$492,790AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$404,862NetVlNoncharitableAssetsYr1Amt
Distribution Yr11.217180DistributionYr1Rt
Adjusted Qlfy Distri Yr2$619,884AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$751,068NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.825337DistributionYr2Rt
Adjusted Qlfy Distri Yr3$506,864AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$404,532NetVlNoncharitableAssetsYr3Amt
Distribution Yr31.252964DistributionYr3Rt
Adjusted Qlfy Distri Yr4$520,048AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$520,296NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.999523DistributionYr4Rt
Adjusted Qlfy Distri Yr5$513,457AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$465,629NetVlNoncharitableAssetsYr5Amt
Distribution Yr51.102717DistributionYr5Rt
Total Distribution5.397721TotalDistributionRt
Average Distribution1.079544AverageDistributionRt
Net Vl Noncharitable Assets$132,111NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$142,620AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$643NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$143,263AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$529,418QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$643InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$643SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$643TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$18EsPenaltyAmt
Tax Due$661TaxDueAmt

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 (5 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
GREGORY POLISSENI
17 MILES AVENUEFAIRPORTNY14450DIRECTOR0.00$0$0$0
VALERIE POLISSENI WILCOX
31 HYACINTH LANEFAIRPORTNY14450DIRECTOR0.00$0$0$0
GLENN E PEZZOLO
100 CHESTNUT STREETROCHESTERNY14604DIRECTOR0.00$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$1,274AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$132,849AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$134,123TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$134,123AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,012CashDeemedCharitableAmt
Net Vl Noncharitable Assets$132,111NetVlNoncharitableAssetsAmt
Minimum Investment Return$6,606MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$6,606MinimumInvestmentReturnAmt
Tax Based On Investment Income$643TaxBasedOnInvestmentIncomeAmt
Total Tax$643TotalTaxAmt
Distributable Before Adj$5,963DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,963DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,963DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$529,418ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$529,418QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$643PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$528,775AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,963DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$497,312ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$494,053ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$501,451ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$582,331ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$490,775ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,565,922TotalExcessDistributionCyovAmt
Qualifying Distributions$529,418QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$5,963AppliedToCurrentYearAmt
Remaining Distri From Corpus$523,455RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,089,377TotalCorpusAmt
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$497,312ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,592,065ExcessDistriCyovToNextYrAmt
Excess From Year4$494,053ExcessFromYear4Amt
Excess From Year3$501,451ExcessFromYear3Amt
Excess From Year2$582,331ExcessFromYear2Amt
Excess From Year1$490,775ExcessFromYear1Amt
Excess From Current Year$523,455ExcessFromCurrentYearAmt

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 (26 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
13THIRTY CANCER CONNECT
1000 ELMWOOD AVENUEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$2,000
ABVI
422 SOUTH CLINTON AVEROCHESTERNY14618NONEPUBLIC CHARITYCHARITY$5,000
AMERICAN RED CROSS
50 PRINCE STREETROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$9,000
BIG BROTHERS BIG SISTERS
232 S PLYMOUTH AVEROCHESTERNY14608NONEPUBLIC CHARITYCHARITY$5,000
CHAMPION ACADEMY FUND CO ROCHESTER AREA COMMUNITY FOUNDATION
500 EAST AVENUEROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$100,000
DIMITRI HOUSE
102 N UNION STREETROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$5,000
ESWA CO IRONDEQUOIT UNITED CHURCH OF CHRIST
644 TITUS AVEROCHESTERNY14611NONEPUBLIC CHARITYCHARITY$2,000
FAMILY PROMISE OF ONTARIO COUNTY
185 NORTH MAIN STCANANDAIGUANY14424NONEPUBLIC CHARITYCHARITY$9,227
GENEVA READS
25 N MORRELL AVEGENEVANY14607NONEPUBLIC CHARITYCHARITY$2,000
HOPE LUTHERAN CHURCH
1301 VINTAGE LNROCHESTERNY14626NONEPUBLIC CHARITYCHARITY$2,500
IVMF
150 CROUSE DRSYRACUSENY13244NONEPUBLIC CHARITYCHARITYCHARITY$5,000
LIFETIME ASSISTANCE
425 PAUL RDROCHESTERNY14624NONEPUBLIC CHARITYCHARITY$5,000
MERCY FLIGHT CENTRAL
2420 BRICKYARD RDCANANDAIGUANY14424NONEPUBLIC CHARITYCHARITY$5,000
MERCY FLIGHT CENTRAL
2420 BRICKYARD RDCANANDAIGUANY14424NONEPUBLIC CHARITYCHARITY$12,332
PAIGE'S BUTTERFLY RUN
50 PRESIDENTIAL PLAZA STE 106SYRACUSENY13202NONEPUBLIC CHARITYCHARITY$2,000
RESOLVE OF GREATER ROCHESTER
PO BOX 21FAIRPORTNY14450NONEPUBLIC CHARITYCHARITY$2,500
RIT
1 LOMB MEMORIAL DRIVEROCHESTERNY14623NONEPUBLIC CHARITYCHARITYCHARITY$166,700
ROCOVERY FITNESS
1036 DEWEY RDROCHESTERNY14613NONEPUBLIC CHARITYCHARITY$1,500
RONALD MCDONALD HOUSE
333 WESTMORELAND DRIVEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$4,895
RONALD MCDONALD HOUSE
333 WESTMORELAND DRIVEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$3,000
SPIRITUS CHRISTI MENTAL HEALTH CENTER
121 N FITZHUGH STREETROCHESTERNY14614NONEPUBLIC CHARITYCHARITY$2,000
SPRINGWATER WAYLAND EMS
PO BOX 625WAYLANDNY14572NONEPUBLIC CHARITYCHARITY$3,000
ST JOHN FISHER COLLEGE
3690 EAST AVENUEROCHESTERNY14618NONEPUBLIC CHARITYCHARITY$150,000
STARBRIDGE
1650 SOUTH AVEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$1,500
YATES CULTURAL & RECREATION RESOURCES
467 NORTH MAIN STPENN YANNY14527NONEPUBLIC CHARITYCHARITY$1,500
YMCA OF GREATER ROCHESTER
444 EAST MAIN STREETROCHESTERNY14604NONEPUBLIC CHARITYCHARITY$3,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$511,154TotalGrantOrContriPdDurYrAmt
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$115ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$85,175RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$115ExclusionAmt
Related Or Exempt Function Incm$85,175RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$85,290TotalIncomeProducingActyAmt

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 (4 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
WANDA POLISSENI
116 BEAUCLAIRE LANEFAIRPORTNY14450$140,945Yes (X)
VALERIE WILCOX
231 HYACINTH LANEFAIRPORTNY14450$15,200Yes (X)
GARY POLISSENI
35 WHISPERWOOD DRIVEVICTORNY14564$2,200Yes (X)
GREG POLISSENI
4120 LINDEN OAKSROCHESTERNY14625$13,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,060Amt
Net Investment Income$3,060NetInvestmentIncomeAmt
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$6,430BookValueAmt
EOYFMV$15,294EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
NYS FILING FEES$100$0$100
PAYROLL PROCESSING FEES$1,398$699$699
INSURANCE$2,051$1,025$1,026
WEB HOSTING$254$0$254
BANK FEE$16$16$0

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$8,371$4,185$4,185
FEDERAL INCOME TAX$1,687$0$0

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