2019-01-28T16:02:43-06:00 2018-06-30 592831281 CALER DONTEN LEVINE ET AL PA 505 SOUTH FLAGLER DR 900 WEST PALM BEACH FL 334015948 990 2017-07-01 592104920 LOST TREE VILLAGE CHARITABLE FOUNDATION INC LOST 5616223780 8 CHURCH LANE NORTH PALM BEACH FL 334082961 JOHN K TWYMAN TREASURER 5616223780 2019-01-28 1 THOMAS A PENCE JR P00141013 5618329292 75.147.220.17 2019-01-28 15:41:39 ES P 78903881BDAA35041F96C9AE50DE9646954C4E1D 78903881BDAA35041F96C9AE50DE9646954C4E1D 2017 2019-02-21 02:37:17Z JOHN K TWYMAN 8 CHURCH LANE NORTH PALM BEACH FL 334082961 4245622 0 X WWW.LOSTTREEFOUNDATION.ORG X 1981 FL THE PURPOSE OF THE FOUNDATION IS TO IMPROVE THE QUALITY OF LIFE BY BUILDING A STRONGER LOCAL COMMUNITY THROUGH THE PROCESS OF GRANTING FUNDS TO 501(C)(3) HUMAN SERVICE ORGANIZATIONS, WHICH PROVIDE SERVICES OR AID TO THOSE IN NEED IN OUR COMMUNITY. 10 10 3 145 0 0 4073313 3333299 0 0 726174 422916 653 0 4800140 3756215 2552230 3375994 0 0 243054 260775 0 0 75664 150880 -93454 2946164 3543315 1853976 212900 9988704 10223294 536678 465468 9452026 9757826 THE LOST TREE VILLAGE CHARITABLE FOUNDATION IS DEDICATED TO BUILDING A STRONGER COMMUNITY AND IMPROVING THE QUALITY OF LIFE FOR ALL LOCAL RESIDENTS. 0 0 3417319 3375994 THE ORGANIZATION AWARDED 85 GRANTS TO VARIOUS HUMAN SERVICE ENTITIES TO BE USED PRIMARILY FOR CAPITAL NEEDS. 3417319 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 3 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X JILLIAN C VUKUSICH 5616223780 8 CHURCH LANE NORTH PALM BEACH FL 33408 X HENRY P BAER PAST PRESIDENT (EX-OFFICIO) 7.00 X X 0 0 0 ELIZABETH CHACE VICE PRESIDENT 7.00 X X 0 0 0 CE THOMAS CLEVELAND VICE PRESIDENT 7.00 X X 0 0 0 ATWOOD COLLINS III VICE PRESIDENT 7.00 X X 0 0 0 WILLIAM J CONATY VICE PRESIDENT 7.00 X X 0 0 0 STEPHEN C KIRMSE PRESIDENT 10.00 X X 0 0 0 JANET LEWIS VICE PRESIDENT 7.00 X X 0 0 0 TINA E MIKKELSEN VICE PRESIDENT 7.00 X X 0 0 0 SCOTT A ROGERS VICE PRESIDENT 7.00 X X 0 0 0 CARROLL ROTCHFORD VICE PRESIDENT 7.00 X X 0 0 0 JOHN K TWYMAN TREASURER 10.00 X X 0 0 0 JILLIAN C VUKUSICH EXECUTIVE DIRECTOR 40.00 X 136450 0 9557 136450 0 9557 1 0 0 0 0 3333299 282819 3333299 284753 284753 627570 489407 138163 138163 138163 3756215 0 0 422916 3375994 3375994 227039 158927 22704 45408 11759 8231 1176 2352 6000 4200 600 1200 15977 11184 1598 3195 16500 11550 1650 3300 7251 5076 725 1450 20573 5651 13307 1615 6183 4328 618 1237 10187 7131 1019 2037 856 599 86 171 4640 3248 464 928 4734 3314 473 947 ANNUAL REPORT 16710 11697 1671 3342 ANNUAL BENEFACTOR EVENT 15611 10928 1561 3122 EQUIPMENT REPAIR & MAIN 6119 4283 612 1224 TELEPHONE / INTERNET 3911 2738 391 782 -206729 -211760 1677 3354 3543315 3417319 50332 75664 764374 1042905 204456 77272 137913 47492 9661 6506 4030822 8825386 4594095 0 247383 223733 9988704 10223294 5921 15968 530757 449500 536678 465468 X 5600586 5544874 2251181 2588299 1600259 1624653 9452026 9757826 9988704 10223294 X 212900 85347 7553 X 0 1 X 1 0 X 2301872 2896201 3075333 4073313 3333299 15680018 2301872 2896201 3075333 4073313 3333299 15680018 3180411 12499607 126322 146410 128438 178266 284753 864189 43394 22391 61000 37656 38761 203202 16747409 0.74640 0.70450 X 1600259 24394 1624653 1471794 128465 1600259 1485157 -13363 1471794 1477154 8003 1485157 1300690 176464 1477154 1.00000 0 0 0 X 3849115 85347 7553 92900 3756215 0 3756215 3543315 0 3543315 0 3543315 PART X, LINE 2: THE FOUNDATION EVALUATES ITS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, WHICH STATES THAT MANAGEMENT'S DETERMINATION OF THE TAXABLE STATUS OF AN ENTITY, INCLUDING ITS STATUS AS A TAX-EXEMPT ENTITY, IS A TAX POSITION SUBJECT TO THE STANDARDS REQUIRED FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT DOES NOT BELIEVE THAT THE FOUNDATION HAS ANY SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE MATERIAL TO THE FINANCIAL STATEMENTS. THE FOUNDATION REMAINS SUBJECT TO EXAMINATIONS BY MAJOR TAX JURISDICTIONS FOR TAX YEARS ENDING AFTER 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUST 7,553. PART V, LINE 4 - ENDOWMENT FUNDS: PERMANENTLY RESTRICTED ENDOWMENT FUNDS - THE PRINCIPAL IS TO BE MAINTAINED IN PERPETUITY AND INVESTED FOR THE PURPOSE OF PRODUCING INCOME AND LONG-TERM GROWTH OF PRINCIPAL. 1 211 PALM BEACHTREASURE COAST PO BOX 3588 LANTANA FL 33465 237153017 3486 211'S CALL VOLUME DOUBLED AND AT TIMES TRIPLED IN THE DAYS BEFORE AND WEEKS AFTER IRMA. REQUEST SUPPORT FOR FACILITY REPAIRS AND INCREASED OPERATING EXPENSES. ADOPT-A-FAMILY OF THE PALM BEACHES INC 1712 SECOND AVENUE NORTH LAKE WORTH FL 33460 592471253 150000 FOR THE DEVELOPMENT OF AFFORDABLE HOUSING FOR HOMELESS FAMILIES WITH ELEMENTARY SCHOOL-AGED CHILDREN. ADOPT-A-FAMILY OF THE PALM BEACHES INC 1712 SECOND AVENUE NORTH LAKE WORTH FL 33460 592471253 5655 FOR FACILITY REPAIRS AND PROPERTY RESTORATION DUE TO DAMAGE CAUSED BY HURRICANE IRMA. AIDS TO VICTIMS OF DOMESTIC ABUSE INC PO BOX 6161 DELRAY BEACH FL 33482 592488620 50000 TO IMPROVE SECURITY, LIGHTING AND ACCESSIBILITY FOR VICTIMS OF DOMESTIC VIOLENCE. ARC OF THE GLADES INC 4250 NW 16TH STREET BELLE GLADE FL 33430 591760374 55917 FOR A MULTI-PASSENGER, HANDICAPPED ACCESSIBLE VAN TO BE USED TO TRANSPORT CLIENTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. BOYS & GIRLS CLUBS OF PALM BEACH COUNTY 800 NORTHPOINT PARKWAY SUITE 204 WEST PALM BEACH FL 33407 237060561 50000 TO COMPLETE ESSENTIAL SECURITY UPGRADES AT EIGHT CLUBS TO MAXIMIZE SAFETY FOR MEMBERS, FAMILIES, STAFF AND GUESTS. CARIDAD CENTER INC 8645 W BOYNTON BEACH BLVD BOYNTON BEACH FL 33472 650149423 6324 FOR FACILITY REPAIRS AND PROPERTY RESTORATION CAUSED BY HURRICANE IRMA. CATHOLIC CHARITIES OF THE DIOCESE OF PALM BEACH INC 9995 N MILITARY TRAIL PALM BEACH GARDENS FL 33410 592470479 10000 FOR DIRECT SERVICES AND EMERGENCY FINANCIAL ASSISTANCE FOR RENT AND UTILITIES FOR CLIENTS AT DISASTER RECOVERY CENTERS. CENTER FOR CHILD COUNSELING INC 7731 N MILITARY TRAIL SUITE 4 PALM BEACH GARDENS FL 33410 650932032 90000 FOR PREVENTION, EARLY INTERVENTION AND TRAUMA-INFORMED CARE FOR CHILDREN IN RIVIERA BEACH TO ADDRESS CHRONIC TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES (ACES). CENTER FOR CREATIVE EDUCATION 425 24TH ST WEST PALM BEACH FL 334075401 650594599 23365 TO IMPROVE STUDENT, VISITOR AND STAFF SAFETY THROUGH ENHANCEMENTS TO THE SECURITY, VISITOR MANAGEMENT AND INTERNAL COMMUNICATIONS SYSTEMS. CHILD PROTECTION TEAM PALM BEACH 5305 GREENWOOD AVENUE SUITE 101 WEST PALM BEACH FL 33407 650746922 10000 TO PROVIDE SCHOOL SUPPLIES AND BOOKS TO CHILDREN WHO HAVE BEEN REMOVED FROM THEIR HOME DUE TO ABUSE, ASSAULT AND/OR NEGLECT. CHILD NET 4100 OKEECHOBEE BOULEVARD WEST PALM BEACH FL 33409 651149351 40000 A MATCHING GRANT TO CREATE THE FOSTER CARE VISITATION CENTER FOR QUALITY PARENT-CHILD VISITATIONS, A KEY COMPONENT OF THE FAMILY REUNIFICATION PROCESS. CHRISTIANS REACHING OUT TO SOCIETY INC 3677 23RD AVENUE SOUTH B-101 LAKE WORTH FL 33461 591802917 5000 FOR THE PURCHASE OF FOOD FOR THE INCREASED DEMAND DUE TO HURRICANE IRMA. CLINICS CAN HELP 2560 WESTGATE AVENUE WEST PALM BEACH FL 33409 202778895 35000 TO PURCHASE AND INSTALL A SECURITY FENCE, INCLUDING VEHICLE AND PEDESTRIAN GATES TO IMPROVE SECURITY AT THE NEW FACILITY. DEPORRES PLACE INC 1016 N DIXIE HWY 2ND FLOOR WEST PALM BEACH FL 33401 650747575 5919 TO PROVIDE UPGRADED EQUIPMENT AND SOFTWARE FOR THE ADULT LITERACY CENTER. DIABETES COALITION OF PALM BEACH COUNTY 2081 VISTA PARKWAY SUITE 240 WEST PALM BEACH FL 33411 823062946 11460 FOR EQUIPMENT AND TECHNOLOGY TO IMPROVE TRACKING OF PROGRAM OUTCOMES AND OVERALL ORGANIZATIONAL CAPACITY. EASTER SEALS FLORIDA INC 213 S CONGRESS AVENUE WEST PALM BEACH FL 33409 590637848 2800 FOR REPLACEMENT OF THE PLAYGROUND SHADE COVER AND DEBRIS CLEANUP FOLLOWING HURRICANE IRMA. EDUCATION FOUNDATION OF MARTIN COUNTY PO BOX 291 STUART FL 34995 650304639 47500 TO PROVIDE INCREASED ACCESS TO TECHNOLOGY FOR STUDENTS AND FAMILIES IN THE INDIANTOWN COMMUNITY. EL SOL JUPITER'S NEIGHBORHOOD RESOURCE CENTER 106 MILITARY TRAIL JUPITER FL 33458 010870672 22000 FOR A VARIETY OF UPGRADES TO IMPROVE INFORAMTION/TECHNOLOGY MANAGEMENT AND OVERALL SAFETY AND SECURITY. EL SOL JUPITER'S NEIGHBORHOOD RESOURCE CENTER 106 MILITARY TRAIL JUPITER FL 33458 010870672 1699 FOR THE REPAIRS IN THE COMMUNITY GARDEN FOLLOWING HURRICANE IRMA. FAMILIES FIRST OF PALM BEACH COUNTY 3333 FOREST HILL BLVD 2ND FLOOR WEST PALM BEACH FL 33406 650166352 25887 FOR TECHNOLOGY AND EQUIPMENT TO IMPROVE CLINICAL TRAINING AND INCREASE OVERALL ORGANIZATIONAL CAPACITY. FAMILIES FIRST OF PALM BEACH COUNTY 3333 FOREST HILL BLVD 2ND FLOOR WEST PALM BEACH FL 33406 650166352 5000 FOR CLIENT SERVICES RELATED TO ASSISTANCE FOR DIAPERS, FOOD, UTILITY BILLS, GAS CARDS AND RENT ASSISTANCE, DUE TO LOSS OF WAGES FOLLOWING HURRICANE IRMA. FARMWORKER CHILDRENS CENTER INC 130 ISLAND DRIVE OCEAN RIDGE FL 33435 650169221 11000 FCCI'S REQUEST WAS TO SPONSOR UNDERSERVED CHILDREN OF FARMWORKERS & WORKFORCE FAMILIES FOR CAMPO ALEGRE I & II, A SUMMER ACADEMIC ENRICHMENT PROGRAM. FARMWORKER COORDINATING COUNCIL OF PALM BEACH COUNTY INC 1123 CRESTWOOD BOULEVARD LAKE WORTH FL 33460 591830267 7710 FOR TECHNOLOGY AND EQUIPMENT TO IMPROVE THE SAFETY AND SECURITY FOR STAFF AND CLIENTS. FARMWORKER COORDINATING COUNCIL OF PALM BEACH COUNTY INC 1123 CRESTWOOD BOULEVARD LAKE WORTH FL 33460 591830267 3800 TO PROVIDE DIRECT ASSISTANCE TO LOW INCOME FAMILIES THAT WERE AFFECTED BY HURRICANE IRMA. FLORIDA COMMUNITY HEALTH CENTERS INC 5827 CORPORATE WAY WEST PALM BEACH FL 334072000 591671640 50000 FOR RENOVATIONS AND EQUIPMENT AT THE PAHOKEE CENTER, TO IMPROVE FOR PATIENT CARE. FRIENDS OF FOSTER CHILDREN OF PALM BEACH COUNTY INC 4100 OKEECHOBEE BOULEVARD WEST PALM BEACH FL 33409 592487590 15000 FOR THE 2018 COMMUNITY BACK TO SCHOOL BASH, WHICH PROVIDES BACKPACKS AND SCHOOL SUPPLIES TO DISADVANTAGED YOUTH IN PALM BEACH COUNTY. FRIENDS OF FOSTER CHILDREN OF PALM BEACH COUNTY INC 4100 OKEECHOBEE BOULEVARD WEST PALM BEACH FL 33409 592487590 15000 FOR RESOURCE CONNECTIONS, WHICH PROVIDES EMERGENCY BAGS AND UNIFORM VOUCHERS FOR CHILDREN ENTERING THE FOSTER CARE SYSTEM. GRANDMA'S PLACE INC 184 SPARROW DRIVE ROYAL PALM BEACH FL 33411 650821321 34898 FOR HURRICANE IMPACT WINDOWS FOR THE SHELTER TO MAXIMIZE PREPAREDNESS FOR HURRICANES AND SAFEGUARD CHILDREN WHO HAVE BEEN REMOVED FROM THEIR HOMES. HABITAT FOR HUMANITY OF MARTIN COUNTY 2090 NW FEDERAL HWY STUART FL 34994 592816698 60000 TO BUILD HOMES IN CARTER PARK, AN AFFORDABLE HOMEOWNERSHIP COMMUNITY IN MARTIN COUNTY. HABITAT FOR HUMANITY OF PALM BEACH COUNTY 6758 N MILITARY TRAIL SUITE 301 RIVIERA BEACH FL 33407 593525576 100000 TO PROVIDE AFFORDABLE HOUSING IN THE PLEASANT CITY NEIGHBORHOOD IN WEST PALM BEACH. HABITAT FOR HUMANITY OF PALM BEACH COUNTY 6758 N MILITARY TRAIL SUITE 301 RIVIERA BEACH FL 33407 593525576 2500 FOR HOMEOWNER ROOF REPAIR AND DEBRIS REMOVAL FOLLOWING HURRICANE IRMA. HABITAT FOR HUMANITY OF SOUTH PALM BEACH COUNTY 181 SE 5TH AVENUE DELRAY BEACH FL 33467 650307017 25000 FOR NEW HOME CONSTRUCTION AND NEIGHBORHOOD REVITALIZATION EFFORTS IN BOYNTON BEACH. HEALTH MOTHERS HEALTHY BABIES COALITION OF PALM BEACH COUNTY 4601 LAKE WORTH ROAD GREENACRES FL 33463 592657051 34000 FOR A MULTI-USE VEHICLE, TO BE USED FOR CLIENT TRANSPORTATION, DIAPER DISTRIBUTION AND OUTREACH EVENTS IN THE COMMUNITY. HOBE SOUND EARLY LEARNING CENTER 11580 SE GOMEZ AVENUE HOBE SOUND FL 33455 591107869 20377 FOR A SANITIZING CABINET TO PROTECT CHILDREN, FAMILIES AND STAFF FROM ILLENSS, THUS REDUCING ABSENTEEISM AND LOSS OF WORK FOR PARENTS AND GUARDIANS. HOLY GROUND SHELTER FOR HOMELESS INC 200 W 20TH STREET RIVIERA BEACH FL 33404 263342975 71720 FOR RENOVATIONS AND FURNISINGS AT A NEW APARTMENT COMPLEX THAT WILL PROVIDE SHELTER AND MENTORSHIP TO HOMELESS, PREGNANT AND PARENTING YOUNG MOTHERS. HOMESAFE 2840 SIXTH AVENUE SOUTH LAKE WORTH FL 33461 591935485 67000 FOR PASSENGER VANS TO PROVIDE TRANSPORTATION FOR FOSTER CARE YOUTH RESIDING AT THE SYLVESTER FAMILY CAMPUS IN WEST PALM BEACH. HOMESAFE 2840 SIXTH AVENUE SOUTH LAKE WORTH FL 33461 591935485 2625 FOR REPAIRS AT THE LAKE WORTH AND WEST PALM BEACH CAMPUSES THAT WERE DAMAGED BY HURRICANE IRMA. HOUSING PARTNERSHIP INC 2001 WEST BLUE HERON BLVD RIVIERA BEACH FL 33404 592704597 100000 FOR MUCH NEEDED RENOVATIONS AND UPGRADES AT VILLAGES FOR CHANGE, A COMMUNITY OF COTTAGES FOR ADULTS ENROLLED IN THE SUBSTANCE ABUSE PROGRAM. HOUSING PARTNERSHIP INC 2001 WEST BLUE HERON BLVD RIVIERA BEACH FL 33404 592704597 12500 TO REHABILITATE ONE OF SIX UNITS AT VILLAGE FOR CHANGE, WHICH WAS RENDERED INHABITABLE BY HURRICANE IRMA. IN THE PINES INC 16101 HALF MILE ROAD DELRAY BEACH FL 33446 591862904 24000 FOR NEW FLOORING IN THE APARTMENTS, WHICH PROVIDE AFFORDABLE HOUSING FOR POVERTY-LEVEL FARMWORKER AND WORKFORCE FAMILIES AT RISK FOR HOMELESSNESS. KIDSAFE FOUNDATION 20283 STATE ROAD 7 BLDG 300 SUITE 106 BOCA RATON FL 33498 271067698 7000 A MATCHING GRANT FOR MULTILINGUAL EDUCATIONAL MATERIALS TO HELP PREVENT SEXUAL ABUSE, BULLYING AND ONLINE EXPLOITATION OF CHILDREN. LAKE WORTH WEST RESIDENT PLANNING GROUP INC 4730 MAINE STREET LAKE WORTH FL 33461 650838753 3665 FOR UPGRADED SECURITY EQUIPMENT AT THE COMMUNITY CENTER, WHICH PROMOTES FAMILY UNITY, COMMUNITY SAFETY AND PROVIDES WELLNESS, CULTURAL AND EDUCATIONAL PROGRAMS. LIGHTHOUSE FOR THE BLIND OF THE PALM BEACHES 1710 TIFFANY DRIVE EAST WEST PALM BEACH FL 33407 596008622 11500 TO EXPAND THE KITCHEN TO TEACH SAFE, ADAPTIVE COOKING SKILLS TO PEOPLE WITH VISION LOSS. MEALS ON WHEELS OF THE PALM BEACHES INC PO BOX 247 WEST PALM BEACH FL 334020247 272891297 50000 FOR KITCHEN EQUIPMENT, APPLIANCES, CABINETRY AND PACKAGING MATERIALS AT THE NEW FACILITY. NATIONAL ALLIANCE ON MENTAL ILLNESS OF PALM BEACH COUNTY 5205 GREENWOOD AVE SUITE 110 WEST PALM BEACH FL 33407 592301320 14792 FOR RENOVATIONS TO CREATE A SUPPORTIVE ENVIRONMENT FOR INDIVIDUALS AND FAMILIES COPING WITH MENTAL ILLNESS. NATIONAL AUTISM REGISTRY INC 7261 160TH ST N PALM BEACH GARDENS FL 33418 651061465 4864 FOR EQUIPMENT TO OPERATE A COFFEE CONCESSION, EXPANDING JOB TRAINING FOR ADULTS WITH SPECIAL NEEDS. NONPROFITS FIRST 1818 S AUSTRALIAN AVENUE SUITE 450 WEST PALM BEACH FL 33409 263189428 3500 A MATCHING GRANT TO PROVIDE CUSTOMIZED NON-PROFIT TRAINING FOR VOLUNTEERS, EMPLOYEES, MANAGERS, AND LEADERS IN THE BELLE GLADE COMMUNITY. OPPORTUNITY INC OF PALM BEACH COUNTY 1713 QUAIL DRIVE WEST PALM BEACH FL 33409 590624429 100000 FOR PLAYGROUND EQUIPMENT AND CLASSROOM FURNITURE AT THE NEW STATE-OF-THE-ART FACILITY FOR PRESCHOOL STUDENTS FROM LOW-INCOME WORKING FAMILIES. OUR SISTER'S PLACE INC 580 US HIGHWAY ONE TEQUESTA FL 33469 200932817 6098 FOR AN UPGRADED AIR CONDITIONING SYSTEM AND WASHER AND DRYER FOR THE CONFIDENTIAL TRANISITIONAL HOUSING SITE FOR DOMESTIC ABUSE SURVIVORS. PALM BEACH COUNTY FOOD BANK 525 GATOR DRIVE LANTANA FL 33462 900788707 100000 FOR A GENERATOR TO POWER THE COOLERS AND FREEZERS IN THE EVENT OF POWER LOSS. PALM BEACH COUNTY LITERACY COALITION 3651 QUANTUM BLVD BOYNTON BEACH FL 33426 650169781 30293 TO UPGRADE TECHNOLOGY FOR STUDENTS IN THE FAMILY EDUCATION PROGRAMS. PALM BEACH COUNTY POLICE ATHLETIC LEAGUE 3228 GUN CLUB ROAD WEST PALM BEACH FL 33406 650461384 27000 FOR A PASSENGER VAN TO TRANSPORT STUDENTS FROM THE CABANA COLONY YOUTH CENTER TO A VARIETY OF OFFSITE ACTIVITIES. PALM BEACH SCHOOL FOR AUTISM 8480 LANTANA ROAD LAKE WORTH FL 33467 050571797 60200 FOR SPECIALIZED TRANSPORTATION FOR STUDENTS TO PARTICIPATE IN COMMUNITY-BASED INSTRUCTION TO LEAD TO AN INDEPENDENT FUTURE. PALM BEACH STATE COLLEGE FOUNDATION 4200 S CONGRESS AVE MS 20 LAKE WORTH FL 33461 591818556 43250 A MATCHING GRANT FOR THE EXPANSION OF THE MEDICAL SIMULATION CENTER TO IMPROVE TRAINING FOR NURSING, EMS AND RESPIRATORY PROGRAM STUDENTS. PEOPLE ENGAGED IN ACTIVE COMMUNITY EFFORTS 100 N PALMWAY LAKE WORTH FL 33460 650416691 36630 FOR A SIMULTANEOUS INTERPRETATION EQUIPMENT KIT TO CIVICALLY ENGAGE MULTILINGUAL RESIDENTS IN COMMUNITY ISSUES. QUANTUM HOUSE 987 45TH STREET WEST PALM BEACH FL 33407 650898326 50000 TO INSTALL A PLAYGROUND FOR CHILDREN WHO ARE RECEIVING TREATMENT FOR A SERIOUS MEDICAL CONDITION. RENEWAL COALITION 88 WEST RIVERSIDE DRIVE JUPITER FL 33469 270831240 4225 TO PROVIDE RECREATIONAL EQUIPMENT AT RETREATS FOR COMBAT INJURED SERVICE MEMBERS AND THEIR FAMILIES. RIVIERA BEACH LITERACY PROJECT (FISCAL AGENT EDUCATION FOUNDATION OF PBC) 1160 W 10TH STREET RIVIERA BEACH FL 33404 596000783 613643 FOR THE RIVIERA BEACH LITERACY PROJECT. SEAGULL SERVICES 3879 BYRON DRIVE WEST PALM BEACH FL 33404 591879968 62330 FOR COMPLETE RESTORATION OF SEAGULL ACHIEVEMENT CENTER'S ROOF TO PROVIDE A SAFE, STABLE ENVIRONMENT FOR STAFF AND CLIENTS WITH DISABILITIES. SEAGULL SERVICES 3879 BYRON DRIVE WEST PALM BEACH FL 33404 591879968 10584 FOR TREE REMOVAL AND CONCRETE REPAIR IN RECREATIONAL COURTYARD WHICH WAS DAMAGED BY HURRICANE IRMA. SOCIETY OF ST VINCENT DEPAUL PALM BEACH DISTRICT COUNCIL 1701 INDIAN CREEK PKWY JUPITER FL 33458 591058446 10000 FOR THE TEMPORARY EMERGENCY CASH PROGRAM WHICH PROVIDES FINANCIAL ASSISTANCE TO INDIVIDUALS OR FAMILIES, HELPING THEM THROUGH A TEMPORARY CRISIS. SOUP KITCHEN INC 8645 W BOYNTON BEACH BLVD BOYNTON BEACH FL 33472 592628415 65000 TO EXPAND THE FACILITY WHICH PROVIDES OVER 750 MEALS EACH DAY TO THOSE IN NEED. SOUP KITCHEN INC 8645 W BOYNTON BEACH BLVD BOYNTON BEACH FL 33472 592628415 14629 TO REPLACE AND INSTALL A NEW GENERATOR FOLLOWING HURRICANE IRMA. SPEAK UP FOR KIDS OF PALM BEACH COUNTY PO BOX 1896 WEST PALM BEACH FL 33402 800345608 25000 FOR A CHILD'S BEST INTEREST ATTORNEY TO OVERSEE VOLUNTEER GUARDIAN AD LITEMS (GAL), EFFECTIVELY HELPING 300 CHILDREN IN THE DEPENDECY COURT SYSTEM. STEM HQ INC 824 PAR CIRCLE DELRAY BEACH FL 33445 462516444 25000 TO PROVIDE EQUIPMENT AND TECHNOLOGY FOR STUDENTS TO LEARN STEM SKILLS THROUGH COMPETITIVE ROBOTICS AT THE WESTGATE CENTER & BOYS & GIRLS CLUB IN RIVIERA BEACH. STUDENT ACES INC 7750 ARBOR CREST WAY PALM BEACH GARDENS FL 33412 463081102 25000 FOR CIRRICULUM AND A WEB PORTAL THAT INSTILLS CORE VALUES IN STUDENT LEADERS: RESPECT, TRUST, ATTITUDE, ETHICAL BEHAVIOR, WORK ETHIC, INTEGRITY AND TEAMWORK. SWEET DREAM MAKERS 55 NE 5TH AVE SUITE 400 BOCA RATON FL 33432 813693206 12000 PROVIDE BEDS TO PALM BEACH COUNTY CHILDREN SLEEPING ON THE FLOOR, SHARING BEDS, OR SLEEPING IN UNSAFE, UNSANITARY CONDITIONS. TABERNACLE LEARNING CENTER 720 8TH STREET WEST PALM BEACH FL 33401 811802916 45000 FOR A PLAYGROUND AT THE NEW CHILDCARE FACILITY IN NORTHWEST NIEGHBORHOOD OF WEST PALM BEACH. THE ANQUAN BOLDIN FOUNDATION 931 VILLAGE BLVD SUITE 905-104 WEST PALM BEACH FL 33409 201686580 37000 TO PROVIDE TECHNOLOGY AND MATERIALS FOR THE SUMMER ENRICHMENT PROGRAM, WHICH PROVIDES ACADEMIC AND PERSONAL EXPERIENCES FOR STUDENTS IN THE GLADES. THE ARC OF PALM BEACH COUNTY INC 1201 AUSTRALIAN AVENUE RIVIERA BEACH FL 334046698 590883386 100000 TO REPAIR STRUCTURAL DAMAGE AND CONSTRUCT TWO ADDITIONAL CLASSROOMS TO EXPAND COMMUNITY SERVICES FOR STUDENTS AND ADULTS WITH DISABILITIES. THE BANNER LAKE CLUB INC PO BOX 1875 12212 SE LANTANA AVE HOBE SOUND FL 33475 591093236 25000 FOR KITCHEN EQUIPMENT IN THE NEW COMMUNITY CENTER WHICH WILL PROVIDE FOOD FOR PROGRAMS SUCH AS THE SENIOR MEAL PROGRAM AND SOUP KITCHEN. THE CHILDREN'S HEALING INSTITUTE 2161 PALM BEACH LAKES BLVD SUITE 406 WEST PALM BEACH FL 33409 650071524 5176 FOR A ONE-MONTH SUPPLY OF DIAPERS FOR 80 NEWBORN PREMATURE INFANTS AFTER DISCHARGE FROM THE HOSPITAL TO REDUCE PARENTAL STRESS, FINANCIAL BURDEN AND HEALTH RISKS. THE EDUCATION FOUNDATION OF PALM BEACH COUNTY INC 3300 FOREST HILL BLVD C-141 WEST PALM BEACH FL 33406 592420369 10000 TO REPLENISH CLASSROOM SUPPLIES AT RED APPLE SUPPLIES FOLLOWING HURRICANE IRMA. THE LORD'S PLACE 2808 NORTH AUSTRALIAN AVE WEST PALM BEACH FL 33407 592240502 76524 FOR REPAIRS AND IMPROVEMENTS TO CAFE JOSHUA, WHICH PROVIDES TRANSITIONAL WORK EXPERIENCE FOR HOMELESS INDIVIDUALS TO HELP THEM GAIN OUTSIDE EMPLOYMENT. THE LORD'S PLACE 2808 NORTH AUSTRALIAN AVE WEST PALM BEACH FL 33407 592240502 30000 FOR ASSISTANCE WITH ROOF REPLACEMENT AT CAFE JOSHUA, WHICH WAS DAMAGED BY HURRICANE IRMA. URBAN LEAGUE OF PALM BEACH COUNTY 1700 NORTH AUSTRALIAN AVENUE WEST PALM BEACH FL 33417 591533710 5880 A MATCHING GRANT FOR GRADUATING SENIORS GOING TO POST-SECONDARY EDUCATION. URBAN LEAGUE OF PALM BEACH COUNTY 1700 NORTH AUSTRALIAN AVENUE WEST PALM BEACH FL 33417 591533710 5000 TO REPAIR ROOF LEAKS AT THE MAIN FACILITY, AIR CONDITIONER REPAIRS, LANDSCAPE REMOVAL AND REPLACEMENT OF LIGHT FIXTURES THAT WERE DAMAGED BY HURRICANE IRMA. URBAN YOUTH IMPACT 2823 N AUSTRALIAN AVENUE WEST PALM BEACH FL 33407 911901103 50000 TO CREATE ADDITIONAL CLASSROOM SPACE AND A TEACHING KITCHEN AT THE LIFE CENTER FOR AT-RISK YOUTH. VINCEREMOS THERAPEUTIC RIDING CENTER 13300 SIXTH COURT N LOXAHATCHEE FL 33470 592274451 24050 FENCING FOR THE FARM PERIMETER TO BETTER SECURE THE FACILITY WHICH PROVIDES THERAPEUTIC HORSEBACK RIDING PROGRAMS FOR INDIVIDUALS WITH DISABILITIES. VITAL FLIGHT INC 3080 SE CHANDELLE JUPITER FL 33478 273302681 10000 TO PROVIDE AIR TRANSPORTATION FOR INDIVIDUALS AND THEIR FAMILIES WITH COMPASSIONATE, MEDICAL OR HUMANITARIAN NEEDS. WAYSIDE HOUSE 378 NE SIXTH AVENUE DELRAY BEACH FL 33483 591590644 75000 FOR REPAIRS AND RENOVATIONS AT WAYSIDE HOUSE, WHICH HELPS WOMEN WITH DRUG AND ALCOHOL DEPENDENCE BY PROVIDING THEM WITH TOOLS TO REBUILD THEIR LIVES. WEST JUPITER COMMUNITY GROUP INC 7187 CHURCH ST JUPITER FL 33458 650137715 77019 FOR A PASSENGER BUS TO PROVIDE A SAFE TRANSPORTATION FOR STUDENTS. YMCA OF THE TREASURE COAST 1700 SE MONTEREY ROAD STUART FL 34996 591911653 50000 TO REPAIR THE POOL AT THE INDIANTOWN BRANCH IN ORDER TO PROVIDE SWIMMING LESSONS TO FAMILIES IN NEED. YOUTH RECREATION ASSOCIATION 3005 BERNARDO LANE RIVIERA BEACH FL 33407 650250058 20000 FOR THE YOUTH SPORTS PROGRAM WHICH AIMS TO PROVIDE SAFE ACTIVITIES THAT WILL HELP BUILD SELF-AWARENESS AND ENCOURAGE SUCCESS. 73 PART I, LINE 2: GRANT PROCEDURES ARE AS FOLLOWS: 1. ONCE A GRANT IS APPROVED, A GRANT CONTRACT IS SENT TO THE AGENCY, WHICH MUST BE SIGNED AND AGREED TO BY AN EXECUTIVE OF THE AGENCY. 2. WHEN THE CONTRACT IS RETURNED AND ALL CONDITIONS ARE MET, A CHECK FOR THE GRANT AMOUNT IS ISSUED. WHEN THE PROJECT IS COMPLETE, THE AGENCY SUBMITS A GRANT ACCOUNTABILITY REPORT. THIS REPORT REQUIRES THE AGENCY TO INCLUDE A NARRATIVE ON THE GRANT OUTCOMES AND AN ACCOUNTING OF EXPENSES WITH BACK-UP DOCUMENTATION. 3. ALSO, IF AN AGENCY RECEIVES A GRANT IN ONE YEAR AND A VISITING TEAM GOES BACK THE NEXT YEAR, ONE OF THE REQUIREMENTS FOR THE TEAM IS TO ENSURE THAT THE GRANT OF THE PRIOR YEAR WAS SPENT CORRECTLY. X X 0 0 0 0 0 0 0 0 0 PART I, LINE 3: THE EXECUTIVE COMMITTEE OF THE FOUNDATION'S BOARD DETERMINES AND APPROVES ALL COMPENSATION ON AN ANNUAL BASIS. EMPLOYEES DO NOT ENTER INTO ANY EMPLOYMENT AGREEMENT. IN ADDITION, THE EXECUTIVE COMMITTEE REVIEWS THE FOUNDATION OPERATIONS AND MANAGEMENT REPORT PROVIDED BY EXPONENT PHILANTHROPY. X 19 282819 STOCK EXCHANGE 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 A MEMBER OF THE FOUNDATION IS DEFINED AS FOLLOWS: (I) AN INDIVIDUAL WHO MADE A FINANCIAL CONTRIBUTION TO THE FOUNDATION IN AT LEAST ONE OF THE LAST TWO FISCAL YEARS PRIOR TO THE ANNUAL MEETING; (II) AN INDIVIDUAL WHO HAS MADE CONTRIBUTIONS TOTALING MORE THAN $100,000 SINCE THE FOUNDATION'S INCEPTION; AND (III) AN INDIVIDUAL WHO IS A MEMBER OF THE LEGACY SOCIETY. FORM 990, PART VI, SECTION A, LINE 7A ALL MEMBERS ARE ELIGIBLE TO VOTE ON SELECTING THE BOARD OF TRUSTEES AND MAY ELECT UP TO 90 OF THE TRUSTEES. THE BOARD OF TRUSTEES VOTE TO ELECT THE GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 7B ALL DECISIONS MADE BY THE GOVERNING BOARD MUST BE APPROVED BY THE BOARD OF TRUSTEES MEMBERSHIP AND RATIFIED AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE DRAFT FORM 990 IS E-MAILED TO VOTING AND CERTAIN OTHER BOARD MEMBERS FOR AN INDEPENDENT REVIEW. BOARD MEMBERS MEET SUBSEQUENTLY TO MAKE INQUIRIES, DISCUSS QUESTIONS THEY MAY HAVE ON THE TAX RETURN, AND MAKE OR RECOMMEND CHANGES. AFTER ALL INQUIRIES ARE CLEARED AND ADJUSTMENTS MADE (IF ANY), THE TAX PREPARER SUBMITS A SECOND DRAFT TO THE BOARD FOR FINAL REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AND ANNUALLY SUBMIT DOCUMENTATION OF ANY CONFLICTS TO THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNING BOARD REVIEWS AND APPROVES THE COMPENSATION OF EMPLOYEES. THE COMPENSATION IS INCLUDED IN THE BUDGET, WHICH IS APPROVED BY THE BOARD AND DOCUMENTED AS SUCH IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS MAY BE MADE DIRECTLY TO THE ORGANIZATION FOR REVIEW OF ITS DOCUMENTS. PERSONS MAKING THE REQUEST MAY BE ASKED TO VISIT THE OFFICE TO REVIEW THE DOCUMENTS OR THEY MAY BE SENT A COPY OF THE REQUESTED DOCUMENTS. DIGITAL COPIES OF THE FORM 990 ARE ALSO AVAILABLE ON GUIDESTAR.ORG. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUST 7,553.