FURP.ORG / PUBLIC DATA EXPLORER

SAM & SARA MERMELSTEIN FAMILY FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SAM & SARA MERMELSTEIN FAMILY FOUNDATION (EIN 20-0846315)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-03
IRS object ID
202023089349100952
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)
Return2020-11-03T12:34:31-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN363553179PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KBKB LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18140 RIVER DRIVEAddressLine1Txt
CityMORTON GROVECityNm
State AbbreviationILStateAbbreviationCd
ZIP60053ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200846315EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAM & SARA MERMELSTEIN FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAM&BusinessNameControlTxt
Phone7735390385PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18140 RIVER DRIVEAddressLine1Txt
CityMORTON GROVECityNm
State AbbreviationILStateAbbreviationCd
ZIP60053ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALLAN ISENBERGPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone7735390385PhoneNum
Signature2020-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSANFORD BOKOR CPAPreparerPersonNm
PTINP00283458PTIN
Phone8476753585PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.15.22.41IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-30IPDt
IP Tm13:04:23IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9619744AC64492DDA3F4BBEF3F6DAEE2C845D083AtSubmissionCreationDeviceId
At Submission Filing Device Id9619744AC64492DDA3F4BBEF3F6DAEE2C845D083AtSubmissionFilingDeviceId
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$999,644FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$37,117InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$37,117InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$30,072DividendsRevAndExpnssAmt
Dividends Net Invst Incm$30,072DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$267NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$267GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$267CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$67,456TotalRevAndExpnssAmt
Total Net Invst Incm$67,456TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$623LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$115TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,238TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$80,594ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$80,594ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$82,832TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$80,594TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$15,376ExcessRevenueOverExpensesAmt
Net Investment Income$67,456NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$25,101CashBOYAmt
Cash EOY$11,216CashEOYAmt
Cash EOYFMV$11,216CashEOYFMVAmt
Corporate Stock BOY$948,435CorporateStockBOYAmt
Corporate Stock EOY$1,007,284CorporateStockEOYAmt
Corporate Stock EOYFMV$988,428CorporateStockEOYFMVAmt
Total Assets BOY$973,536TotalAssetsBOYAmt
Total Assets EOY$1,018,500TotalAssetsEOYAmt
Total Assets EOYFMV$999,644TotalAssetsEOYFMVAmt
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$973,536RetainedEarningBOYAmt
Retained Earning EOY$1,018,500RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$973,536TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,018,500TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$973,536TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,018,500TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$973,536TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$15,376ExcessRevenueOverExpensesAmt
Other Increases$60,340OtherIncreasesAmt
Subtotal$1,018,500SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,018,500TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyCAPITAL GAINS DIVIDENDSPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$267GrossSalesPriceAmt
Gain Or Loss$267GainOrLossAmt
Gains Minus Excess Or Losses$267GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$267CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$77,799AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$975,569NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.079747DistributionYr1Rt
Adjusted Qlfy Distri Yr2$96,675AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,096,589NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.088160DistributionYr2Rt
Adjusted Qlfy Distri Yr3$97,636AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,034,250NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.094403DistributionYr3Rt
Adjusted Qlfy Distri Yr4$102,235AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,083,500NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.094356DistributionYr4Rt
Adjusted Qlfy Distri Yr5$89,190AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,083,500NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.082317DistributionYr5Rt
Total Distribution0.438983TotalDistributionRt
Average Distribution0.087797AverageDistributionRt
Net Vl Noncharitable Assets$989,678NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$86,891AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$675NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$87,566AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$80,594QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,349InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,349SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,349TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,708EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$1,708TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$359OverpaymentAmt
Applied To ES Tax$359AppliedToESTaxAmt
Refund$0RefundAmt

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 SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
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 AddressNONEWebsiteAddressTxt
Individual With BooksALAN ISENBERGIndividualWithBooksNm
Phone7735390385PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line16243 N LAWNDALEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60659ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCd
ALAN ISENBERG
6243 N LAWNDALECHICAGOIL60659DIRECTOR0.00$0$0$0
YISROEL RICH
DIRECTOR0.00$0$0$0RECHOV HIBNER 1PETACH TIKVAH ISRAELIS
SHOSHANA RICH
DIRECTOR0.00$0$0$0RECHOV HIBNER 1PETACH TIKVAH ISRAELIS
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$986,590AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$18,159AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,004,749TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,004,749AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$15,071CashDeemedCharitableAmt
Net Vl Noncharitable Assets$989,678NetVlNoncharitableAssetsAmt
Minimum Investment Return$49,484MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$49,484MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,349TaxBasedOnInvestmentIncomeAmt
Total Tax$1,349TotalTaxAmt
Distributable Before Adj$48,135DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$48,135DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$48,135DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$80,594ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$80,594QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$80,594AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$48,135DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$36,410ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$49,490ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$47,351ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$43,360ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$29,810ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$206,421TotalExcessDistributionCyovAmt
Qualifying Distributions$80,594QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$48,135AppliedToCurrentYearAmt
Remaining Distri From Corpus$32,459RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$238,880TotalCorpusAmt
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$36,410ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$202,470ExcessDistriCyovToNextYrAmt
Excess From Year4$49,490ExcessFromYear4Amt
Excess From Year3$47,351ExcessFromYear3Amt
Excess From Year2$43,360ExcessFromYear2Amt
Excess From Year1$29,810ExcessFromYear1Amt
Excess From Current Year$32,459ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonALAN ISENBERGRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line16243 N LAWNDALE AVENUEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60659ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7735390385RecipientPhoneNum
Form And Info And MaterialsWRITTEN APPLICATION INDICATING RELIGIOUS OR EDUCATIONAL PURPOSEFormAndInfoAndMaterialsTxt
Submission DeadlinesORGANIZED RELIGIOUS OR EDUCATION INSTITUTIONS ONLYSubmissionDeadlinesTxt
Restrictions On AwardsN/ARestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (34 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtCityRecipientForeignAddress/CityNmCountryRecipientForeignAddress/CountryCdForeign PostalRecipientForeignAddress/ForeignPostalCd
ALEH ISRAEL FOUNDATION
P O BOX 4911NEW YORKNY10185NONEEDUCATIONAL$2,000
AM FRIENDS OF PONEVITCH YESHIVA
1133 BROADWAYNEW YORKNY10010NONEEDUCATIONAL$6,500
AMERICAN FRIENDS OF DARCHEI NOAM
410 E 3RD STBROOKLYNNY11218NONEEDUCATIONAL$4,800
AMERICAN FRIENDS OF MIFAL HACHESED
4612 12TH AVEBROOKLYNNY11219NONEEDUCATIONAL$2,500
AMERICAN FRIENDS OF SHAALEI TORAH
852 WOODMERE PLACEWOODMEERENY11598NONEEDUCATIONAL$22,000
AMERICAN FRIENDS OF TIFERET MO
28 PARK AVEAIRMONTNY10952NONEEDUCATIONAL$500
BAIS MEDRASH MAYAN
LAKEWOOD TOWNSHIPLAKEWOODNJ07012NONESOCIALSOCIAL$432
BAYIT LEPLELTOT
NONEEDUCATIONALEDUCATIONALEDUCATIONALEDUCATIONAL$360P O BOX 505JERUSALEMIS91050
CHICAGO CHESED FUND
7045 N RIDGEWAY AVELINCOLNWOODIL60712NONESOCIAL WELFARE$19,500
CHOFETZ CHAIM FOUNDATION
361 SPOOK ROCK RDSUFFERNNY10901NONEEDUCATIONAL$500
CONG AGUDAS ISRAEL BIKUR CHOLIM
3541 W PETERSON AVECHICAGOIL60659NONEHOUSE OF WORSHIP$720
CONG EMUNAS YISROEL
4310 16TH AVEBROOKLYNNY11219NONEHOUSE OF WORSHIP$1,000
CONG KHAL CHASIDIM
6757 N RICHMOND AVECHICAGOIL60645NONEHOUSE OF WORSHIP$1,000
CONG KJBS
3701 W DEVON AVECHICAGOIL60659NONEHOUSE OF WORSHIPHOUSE OF WORSHIP$1,000
CONG ZICHRON AVOS
183 WILSON ST PMB 155BROOKLYNNY11211NONEHOUSE OF WORSHIP$2,500
EZER MITZION
5225 NEW UTRECHT AVEBROOKLYNNY11212NONEEDUCATIONAL$3,000
FRIENDS OF MOSDOT GOR
3611 14TH AVE 217BROOKLYNNY11218NONEEDUCATIONAL$3,000
FRIENDS OF YAD SARAH
445 PARK AVE - STE 1702NEW YORKNY10022NONEEDUCATIONAL$500
KHAL CHODROV
6336 N LINCOLN AVECHICAGOIL60659NONEHOUSE OF WORSHIP$500
LEV BEREL
111 MADISON AVELAKEWOODNJ08701NONEEDUCATIONAL$500
MARGOLIN HEBREW ACADEMY
390 S WHITE STATION RDMEMPHISTN38117NONEEDUCATIONAL$500
OHR HALACHA
704 HOEY AVELONG BRANCHNJ07740NONEEDUCATIONAL$300
PEF ISRAEL ENDOWMENT FUND
630 3RD AVE RM 1501NEW YORKNY10017NONEEDUCATIONAL$500
SAR SHALOM
200 BLUEBONNET STSAGINAWTX76179NONEEDUCATIONAL$360
SHALVA
P O BOX 46375CHICAGOIL60646NONESOCIAL/EDUCATIONAL$500
TELSHE YESHIVA
3535 W FOSTER AVECHICAGOIL60625NONEEDUCATIONAL$500
VAR MISC ORGANIZED CHARITIES
8140 RIVER DRIVEMORTON GROVEIL60053NONEEDUCATIONAL$122
WOMEN'S LEAGUE
475 RIVERSIDE DR 820NEW YORKNY10115NONEEDUCATIONAL$500
YAD BCHESED
440 TOTTEN POND RDWLTHANMA02451NONEEDUCATIONAL$1,000
YAD MALKAH
1215-42 STBROOKLYNNY11219NONEEDUCATIONAL$750
YESHIVA CHOSEN SOFER
1876 50TH STREETBROOKLYNNY11204NONEEDUCATIONAL$1,000
YESHIVA TIFERES TZVI
6317 N CALIFORNIA AVECHICAGOIL60659NONEEDUCATIONALEDUCATIONAL$250
YESHIVAS BAIS YISROEL
2828 W PRATT AVECHICAGOIL60645NONEEDUCATIONAL$1,000
ZICHRON MANECHEM
50 WEST 47TH ST - STE 2100NEW YORKNY10036NONECANCER RESEARCH$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$80,594TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Business523000BusinessCd
Unrelated Business Taxbl Incm$37,117UnrelatedBusinessTaxblIncmAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Business523000BusinessCd
Unrelated Business Taxbl Incm$30,072UnrelatedBusinessTaxblIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business523000BusinessCd
Unrelated Business Taxbl Incm$267UnrelatedBusinessTaxblIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$67,456UnrelatedBusinessTaxblIncmAmt
Exclusion$0ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$67,456TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

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

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
3EDUCATIONAL AND SOCIAL WELFARE ACTIVITIES
4EDUCATIONAL AND SOCIAL WELFARE ACTIVITIES

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)
CategoryPROFESSIONAL FEESCategoryTxt
Amt$1,500Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockSECURITIESStockNm
EOY Book Value$1,007,284EOYBookValueAmt
EOYFMV$988,428EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryPROFESSIONAL FEESCategoryTxt
Legal Fees$623LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescADJUSTMENTS BASED UPON COST TO MARKET VALUEDesc
Amt$60,340Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryIL CHARITY BUREAUCategoryTxt
Amt$115Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt