POLISSENI FOUNDATION INC: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
POLISSENI FOUNDATION INC (EIN 16-1611263)
Tax period
2017-09-01 to 2018-08-31
Filed
2018-10-01
IRS object ID
201802749349100310
Schema version
2017v2.3
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)
Return2018-10-01T14:50:05-05:00ReturnTs
Tax Period End2018-08-31TaxPeriodEndDt

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 Line1280 KENNETH DRIVEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14623ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-09-01TaxPeriodBeginDt

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
Signature2018-09-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVINCENT J TOMEI III CPAPreparerPersonNm
PTINP00936595PTIN
Phone5854278900PhoneNum
Preparation2018-09-25PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,310,809FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$115,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$37,937DividendsRevAndExpnssAmt
Dividends Net Invst Incm$37,937DividendsNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$152,937TotalRevAndExpnssAmt
Total Net Invst Incm$37,937TotalNetInvstIncmAmt
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$3,250AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,250AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Interest Rev And Expnss$16,196InterestRevAndExpnssAmt
Interest Net Invst Incm$16,196InterestNetInvstIncmAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$11,578TaxesRevAndExpnssAmt
Taxes Net Invst Incm$10,420TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$1,158TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$2,675OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,149OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$1,526OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$57,699TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$43,015TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$14,684TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$605,200ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$605,200ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$662,899TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$43,015TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$619,884TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$509,962ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Corporate Stock BOY$1,973,119CorporateStockBOYAmt
Corporate Stock EOY$1,973,118CorporateStockEOYAmt
Corporate Stock EOYFMV$1,310,809CorporateStockEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$24,261LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,261LandBldgEquipAccumDeprecAmt
Total Assets BOY$1,973,119TotalAssetsBOYAmt
Total Assets EOY$1,973,118TotalAssetsEOYAmt
Total Assets EOYFMV$1,310,809TotalAssetsEOYFMVAmt
Other Liabilities BOY$183,774OtherLiabilitiesBOYAmt
Other Liabilities EOY$693,735OtherLiabilitiesEOYAmt
Total Liabilities BOY$183,774TotalLiabilitiesBOYAmt
Total Liabilities EOY$693,735TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,789,345RetainedEarningBOYAmt
Retained Earning EOY$1,279,383RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,789,345TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,279,383TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,973,119TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,973,118TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,789,345TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$509,962ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,279,383SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,279,383TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$506,864AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$404,532NetVlNoncharitableAssetsYr1Amt
Distribution Yr11.252964DistributionYr1Rt
Adjusted Qlfy Distri Yr2$520,048AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$520,296NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.999523DistributionYr2Rt
Adjusted Qlfy Distri Yr3$513,457AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$465,629NetVlNoncharitableAssetsYr3Amt
Distribution Yr31.102717DistributionYr3Rt
Adjusted Qlfy Distri Yr4$739,310AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$651,435NetVlNoncharitableAssetsYr4Amt
Distribution Yr41.134895DistributionYr4Rt
Adjusted Qlfy Distri Yr5$266,506AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$322,344NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.826775DistributionYr5Rt
Total Distribution5.316874TotalDistributionRt
Average Distribution1.063375AverageDistributionRt
Net Vl Noncharitable Assets$751,068NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$798,667AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$0NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$798,667AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$619,884QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$7,440EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$7,440TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$7,440OverpaymentAmt
Applied To ES Tax$7,440AppliedToESTaxAmt
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 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

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
36 WEST MAIN STREETROCHESTERNY14614DIRECTOR0.00$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$762,506AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$762,506TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$762,506AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$11,438CashDeemedCharitableAmt
Net Vl Noncharitable Assets$751,068NetVlNoncharitableAssetsAmt
Minimum Investment Return$37,553MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$37,553MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$37,553DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$37,553DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$37,553DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$619,884ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$619,884QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$619,884AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$37,553DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$266,506ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$722,010ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$497,312ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$494,053ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$501,451ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,481,332TotalExcessDistributionCyovAmt
Qualifying Distributions$619,884QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$37,553AppliedToCurrentYearAmt
Remaining Distri From Corpus$582,331RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,063,663TotalCorpusAmt
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$266,506ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,797,157ExcessDistriCyovToNextYrAmt
Excess From Year4$722,010ExcessFromYear4Amt
Excess From Year3$497,312ExcessFromYear3Amt
Excess From Year2$494,053ExcessFromYear2Amt
Excess From Year1$501,451ExcessFromYear1Amt
Excess From Current Year$582,331ExcessFromCurrentYearAmt

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 (25 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHILDREN AWAITING PARENTS
595 BLOSSOM RD SUITE 306ROCHESTERNY14610NONEPUBLIC CHARITYCHARITY$2,500
COMPEER ROCHESTER
259 MONROE AVEROCHETERNY14607NONEPUBLIC CHARITYCHARITY$1,000
CURE
200 WESTFALL ROADROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$15,000
EAST HOUSE
259 MONROE AVEROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$3,000
GILDA'S CLUB
225 ALEXANDER STREETROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$5,000
GREATER CANANDAIGUA FAMILY YMCA
32 NORTH MAIN STREETCANANDAIGUANY14424NONEPUBLIC CHARITYCHARITY$50,000
MERCY FLIGHT CENTRAL
2420 BRICKYARD RDROCHESTERNY14424NONEPUBLIC CHARITYCHARITY$5,000
RIT
1 LOMB MEMORIAL DRIVEROCHESTERNY14623NONEPUBLIC CHARITYCHARITYCHARITY$166,700
ROCHESTER CHILDFIRST NETWORK
941 SOUTH AVEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$2,000
SPIRITUS CHRISTI MENTAL HEALTH CENTER
121 N FITZHUGH STREETROCHESTERNY14614NONEPUBLIC CHARITYCHARITY$1,000
ST JOHN FISHER COLLEGE
3690 EAST AVENUEROCHESTERNY14618NONEPUBLIC CHARITYCHARITY$150,000
THE SUSIE REIZOD FOUNDATION
PO BOX 816NEW PALTZNY12561NONEPUBLIC CHARITYCHARITY$2,500
VETERANS OUTREACH
459 SOUTH AVEROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$3,500
WOMEN'S FOUNDATION OF GENESEE VALLEY
277 ALEXANDER STREETROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$5,000
YMCA OF GREATER ROCHESTER
444 EAST MAIN STREETROCHESTERNY14604NONEPUBLIC CHARITYCHARITY$7,500
FLACE BUDDING READERS
8485 GARLINGHOUSE ROADNAPLESNY14512NONEPUBLIC CHARITYCHARITY$2,000
CHAMPION ACADEMY FUND CO ROCHESTER AREA COMMUNITY FOUNDATION
500 EAST AVENUEROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$100,000
SAINTS PLACE
46 SOUTH MAIN STREETPITTSFORDNY14534NONEPUBLIC CHARITYCHARITY$2,500
LOOP MINISTRIES
111 NORTH CHESTNUT STREETROCHESTERNY14604NONEPUBLIC CHARITYCHARITY$2,500
DIMITI HOUSE
102 N UNION STREETROCHESTERNY14607NONEPUBLIC CHARITYCHARITY$5,000
LOLLYPOP FARM
99 VICTOR ROADFAIRPORTNY14450NONEPUBLIC CHARITYCHARITY$60,000
GOODWILL OF FINGER LAKES
451 CLINTON AVE SROCHESTERNY14620NONEPUBLIC CHARITYCHARITY$5,000
CENTER FOR EMPLOYMENT OPPORTUNITIES
39 STATE STREET STE 400ROCHESTERNY14614NONEPUBLIC CHARITYCHARITY$5,000
CELEBRATION OF LIFE COMMUNITY INC
506 JAY STREETROCHESTERNY14611NONEPUBLIC CHARITYCHARITY$2,000
IRONDEQUOIT UNITED CHURCH OF CHRIST
644 TITUS AVENUEROCHESTERNY14611NONEPUBLIC CHARITYCHARITY$1,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$605,200TotalGrantOrContriPdDurYrAmt
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$37,937ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$37,937ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$37,937TotalIncomeProducingActyAmt

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$60,000Yes (X)
VALERIE WILCOX
231 HYACINTH LANEFAIRPORTNY14450$17,500Yes (X)
GARY POLISSENI
35 WHISPERWOOD DRIVEVICTORNY14564$12,500Yes (X)
GREG POLISSENI
417 MILES AVENUEFAIRPORTNY14450$25,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,250Amt
Net Investment Income$3,250NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockSTOCKStockNm
EOY Book Value$1,973,118EOYBookValueAmt
EOYFMV$1,310,809EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
NYS FILING FEES$100$100$0
PAYROLL PROCESSING FEES$1,057$529$528
INSURANCE$1,039$520$519
WEB HOSTING$479$0$479

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescLINE OF CREDITDesc
BOY Book Value$183,774BOYBookValueAmt
EOY Book Value$693,735EOYBookValueAmt

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$2,317$1,159$1,158
FEDERAL TAXES$9,261$9,261$0

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