2018-01-17T14:29:24-05:00 2017-05-31 IRC 2017-150 HURRICANE IRMA LATE FILING RELIEF 590548468 PURVIS GRAY & COMPANY LLP 2347 SE 17TH STREET OCALA FL 34471 990PF 2016-06-01 593010451 HANS AND CAY JACOBSEN CHARITABLE FOUNDATION INC HANS 4078106672 PO BOX 2149 WINTER PARK FL 32790 TERESA W BORCHECK PRESIDENT 4078106672 2017-10-24 true MARK A WHITE CPA P00071001 3527323872 2017-10-24 7A421216F2781D0B68D6B9E8C282F61784C3F1C3 7A421216F2781D0B68D6B9E8C282F61784C3F1C3 2016 2021-01-29 14:40:06Z IRC 2017150 HURRICANE IRMA LATE FILING RELIEF X 5237996 X X 103075 103075 103075 258559 1942182 258559 361634 361634 103075 36500 10000 26500 16500 14026 2474 36591 36591 1285 1285 5486 5485 4450 4450 100812 70552 30259 530873 530873 631685 70552 561132 -270051 291082 103075 73873 9556 9556 2541400 2689158 3748354 1841395 1487903 1480086 4456668 4186617 5237996 0 X 4456668 4186617 4456668 4186617 4456668 4186617 4456668 -270051 4186617 4186617 PUBLICLY TRADED SECURITIES P 1935729 1683623 252106 252106 258559 false 300751 5471777 0.054964 359359 5994087 0.059952 363866 5526055 0.065846 281353 5310615 0.052979 221179 5121082 0.043190 0.276931 0.055386 5235118 289952 2911 292863 561132 X 2911 2911 2911 4612 4612 1701 1701 false false false false false false false true true FL true false false false false true HCJF.ORG CAPITAL CITY TRUST COMPANY 8668209671 PO BOX 1549 TALLAHASSEE FL 32302 false false false false true false false false false false false false false false false false false false false false TERESA W BORCHECK PO BOX 2149 WINTER PARK FL 32790 PRESIDENT 10.00 18500 0 0 W THOMAS BROOKS PO BOX 2149 WINTER PARK FL 32790 VICE PRESIDE 6.00 6000 0 0 BRIAN BROOKS PO BOX 2149 WINTER PARK FL 32790 TREASURER 3.00 6000 0 0 SHANNON MCLIN CARLYLE PO BOX 2149 WINTER PARK FL 32790 SECRETARY 3.00 6000 0 0 NONE NONE N/A 5202799 112042 0 5314841 5314841 79723 5235118 261756 261756 2911 2911 258845 258845 258845 561132 561132 2911 558221 258845 77429 70219 29200 176848 561132 258845 302287 479135 0 479135 77429 70219 29200 302287 TERESA BORCHECK PRESIDENT PO BOX 2149 WINTER PARK FL 32790 4078106672 INFO@HCJF.ORG CONTACT THE FOUNDATION DIRECTLY OR VISIT THE FOUNDATION'S WEBSITE AT WWW.HCJF.ORG FOR INFORMATION REGARDING FORM AND CONTENT OF APPLICATIONS REQUESTS ARE TO BE RECEIVED BY APRIL 15 AND NOVEMBER 1 FOR CONSIDERATION AT THE SEMIANNUAL MEETINGS GRANTS ARE GENERALLY RESTRICTED TO PROGRAMS WHICH ASSIST CHILDREN AND YOUNG ADULTS, IN THE AREAS OF HEALTH, EDUCATION, CULTURE, RECREATION, AND ANY OTHER PROGRAMS THAT WILL ADD TO THE BETTERMENT OF THEIR LIFE AND THEIR PARTICIPATION AS GOOD CITIZENS. GRANTS ARE GENERALLY RESTRICTED TO PROGRAMS CONDUCTED IN LAKE AND/OR SUMTER COUNTY FLORIDA. BEACON COLLEGE 105 EAST MAIN STREET LEESBURG FL 34748 GOV FENCING AROUND NEW FIELD 15000 BOYS & GIRLS CLUB OF LAKE & SUMTER PO BOX 8906179 LEESBURG FL 34789 PC OPERATING EXPENSES 227236 BOYS & GIRLS CLUB OF LAKE & SUMTER PO BOX 8906179 LEESBURG FL 34789 PC PROJECT LEARN - HOLIDAY AND AFTERSCH 25000 CAMP BOGGY CREEK 30500 BRANTLY BRANCH ROAD EUSTIS FL 32736 PC 20TH ANNIVERSARY - GENERAL OPERATING 10000 CAMP BOGGY CREEK 30500 BRANTLY BRANCH ROAD EUSTIS FL 32736 PC OPERATING EXPENSES 15000 CHRISTIAN HOME AND BIBLE SCHOOL 301 W 13TH AVENUE MOUNT DORA FL 32757 PC SINGLE PARENT PROGRAM 30000 EARLY LEARNING COALITION 1300 CITIZENS BLVD SUITE LEESBURG FL 34748 PC OPERATING EXPENSES 15000 EASTER SEALS OF FLORIDA 31600 CAMP CHALLENGE ROAD SORRENTO FL 32776 PC CAMP CHALLENGE 10000 EDUCATIONAL FOUNDATION OF LAKE COUN 2045 PRUITT STREET LEESBURG FL 34748 PC UNLOCKED PROGRAM 10000 EDUCATIONAL FOUNDATION OF LAKE COUN 2045 PRUITT STREET LEESBURG FL 34748 PC AFTER SCHOOL LAUNDRY 5805 EDUCATIONAL FOUNDATION OF LAKE COUN 2045 PRUITT STREET LEESBURG FL 34748 PC ROBOTICS CLUB 3000 HAVEN OF LAKE AND SUMTER 2600 SOUTH STREET LEESBURG FL 34748 PC SAVE KIDS PROGRAM 25000 LAKE CARES INC 2001 WEST OLD HWY 441 ST MOUNT DORA FL 32757 PC SUMMER CHILDRENS FEEDING PROGRAM 2500 LAKE COMMUNITY ACTION AGENCY 501 NORTH BAY STREET EUSTIS FL 32736 PC SCHOOL READINESS AND VPK TO 112 CHIL 15000 LAKE SUMTER CHILDRENS ADVOCACY 300 S CANAL STREET LEESBURG FL 34748 PC PURCHASE OF MEDICAL EQUIPMENT 23232 LAKE SUMTER STATE COLLEGE 9501 US HWY 441 LEESBURG FL 34748 GOV AMBASSADOR PROGRAM 5600 LAKE COMMUNITY ACTION AGENCY 501 NORTH BAY STREET EUSTIS FL 32736 PC SCHOOL READINESS AND VPK TO 72 CHILD 30000 LEESBURG AQUATICS CLUB PO BOX 490475 LEESBURG FL 34749 PC THERMAL POOL COVERS FOR VENETIAN GAR 5500 LIFE CONCEPTS DBA QUEST INC 500 E COLONIAL DRIVE ORLANDO FL 32803 PC CAMP THUNDERBIRD 12000 LIFE TO THE MAX 1414 W MAIN STREET LEESBURG FL 34748 PC STEM AFTERSCHOOL 15000 SOUTHERN SCHOLARSHIP FOUNDATION PO BOX 14406 GAINESVILLE FL 32604 PC COLLEGE HOUSING FOR LAKE AND SUMTER 6000 SUMTER COUNTY YOUTH CENTER INC PO BOX 2092 BUSHNELL FL 33513 PC STAFFING FOR HOMEWORK ROOMS 25000 530873 LAKE SUMTER STATE COLLEGE 9501 US HWY 441 LEESBURG FL 34748 GOV DEAN FOR NEW BSN PROGRAM 100000 BOYS & GIRLS CLUB OF LAKE & SUMTER PO BOX 8906179 LEESBURG FL 34789 PC SUMMER BRAIN GAIN 25000 125000 14 103075 18 258559 361634 361634 false false false false false false false false false false INDIRECT ACCOUNTING FEES 16500 14026 2474 AMERICAN EXPRESS CORP 1.55% 9/22/17 100099 100044 AMERICAN EXPRESS CR CORP MTN MTNF 2. 99892 100629 CVS HEALTH CORP 2.8% 6/20/2020 100910 102001 FED ULTRASHORT BOND ISSUE FUND 108 150000 149836 GENERAL ELECTRIC 1.50% 07/12/2016 GENERAL ELECTRIC CORP 2.2% 10/18/201 99990 101291 IBM CORP 1.25% 2/6/2017 ISHARES CORE US AGGREGATE BOND 192341 192080 PNC BANK NA NOTE 2.4% 10/18/2019 50235 50560 STRYKER CORP NOTE 1.300% 4/01/2018 74811 74845 UNITED HEALTH GROUP INC 1.45% 07/17/ 100074 100025 US BANCORP 1.95% 11/15/2018 100424 100551 US BK NATL ASSN MINNEAPOLIS 2.125% 1 100476 100868 VANGUARD INFLAT PROTECTED- IV 170000 159270 VANGUARD SHORT TERM BOND INDEX ADM F 148651 148086 ALLEGRAN PLC 21958 69363 ALPHABET INC CL A 63652 83903 AMAZON COM INC 53751 74597 AMERICAN ELEC PWR INC 16359 31224 APPLE INC 33144 90128 ARTISAN INTERNATIONAL ATT INC 18035 24467 BERKSHIRE HATHAWAY INC CLASS B NEW 43056 55369 BLACKROCK INC 47153 61386 BROADCOM LIMITED 32164 43106 CHEVRON CORPORATION 35124 42944 COGNIZANT TECHNOLOGY SOL CL A 24258 51186 COLGATE PALMOLIVE CO COM 40633 68724 CVS HEALTH 18772 41411 DANAHER CORP DEL COM 48892 63705 DODGE COX INTL STOCK FUND 475308 517152 EXXON MOBIL CORP 45441 50715 FEDERATED INVESTORS INCOME CLASS B 26915 40504 FISERV INC COM 18648 90202 F5 NETWORKS INC COM 43256 38439 GENERAL DYNAMICS CORP COM 17856 61991 JOHNSON JOHNSON 35841 71820 LABORATORY CORP AMER HLDGS 27204 45870 LYONDELLBASEL INDUSTRIES 33049 30195 MCKESSON CORP 28008 60343 METLIFE INC 17635 30607 MICROSOFT CORP 26846 72634 NEXTERA ENERGY INC. 12412 32531 ORACLE CORP COMMON 23379 38128 PRICE T ROWE GROUP INC COM 49633 51069 PRICELINE GRP INC COM NEW 38965 65698 PROCTER & GAMBLE CO 43642 60782 PUBLIC SVC ENTERPRISE GROUP 22359 29641 ROPER ENTERPRISES 12893 40896 SCHLUMBERGER LTD 51546 38970 SCRIPPS NETWORKS INTERACTIVE 26358 43374 TARGET GROUP 19255 20956 THERMO FISHER SCIENTIFIC INCCOM 20216 69980 TRAVELERS COS INC 22577 57431 UNION PAC COM 18000 46326 UNITED TECHNOLOGIEZ CORP 21089 35171 US BANCORP DEL COM NEW 27252 59287 VANGUARD SMALL CAP INDEX 333560 389542 VANGUARD 500 ETF 499776 532008 VERIZON COMMUNICATIONS 30526 39178 VF CORPORATION 46406 78548 VISA INC 51759 69518 WAL MART STORES INC COM 24597 37335 EXPENSES WEBSITE 1060 1060 POSTAGE 140 140 INSURANCE 1250 1250 OTHER EXPENSES 2000 2000 FIDUCIARY FEES 36591 36591 INDIRECT TAXES/LICENSES 1285 1285