FLORENCE FORGOTSON PRIVATE FOUNDATION INC: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FLORENCE FORGOTSON PRIVATE FOUNDATION INC (EIN 20-0857287)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-10
- IRS object ID
- 201723149349101172
- Schema version
- 2016v3.1
- 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
- Form 990-PF
- Depreciation Schedule
- General Explanation Attachment
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-10T14:42:26-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Ln Ste 212 | AddressLine1Txt |
| City | Lake Success | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200857287 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Florence Forgotson Charitable Foundation | BusinessNameLine1Txt |
| Business Name Line2 | Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | FLOR | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL A HINZ | PersonNm |
| Person Title | president | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2017-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.187.244.114 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 06391520173145000023 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-10 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D1C4C64F5DE6A8B6330749B9C284B5FAFE420F11 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9D59D74B225D538E4555D08F8D8ED29667824494 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,602,362 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $32 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $32 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $187,875 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $187,869 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $15,839 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,329,301 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $14,674 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $1,239 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $204,985 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $202,575 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $132,240 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $62,240 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $70,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $10,116 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $4,761 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $5,355 | PensionEmplBnftDsbrsChrtblAmt |
| Interest Rev And Expnss | $2,154 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $2,008 | InterestNetInvstIncmAmt |
| Printing And Pub Rev And Expnss | $4,149 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $4,149 | PrintingAndPubNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $19,348 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $817 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $18,528 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $168,007 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $73,975 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $93,883 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $54,250 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $54,250 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $222,257 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $73,975 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $148,133 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$17,272 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $128,600 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $40,670 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $33,901 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $33,901 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $2,495 | AcctRcvblAmt |
| Acct Rcvbl EOY | $2,495 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $2,495 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $2,955,400 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,952,304 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,565,966 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $13,605 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $13,605 | CorporateBondsEOYAmt |
| Total Assets BOY | $3,009,675 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,002,305 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,602,362 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $7,200 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $10,275 | AccountsPayableEOYAmt |
| Other Liabilities EOY | $6,827 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $7,200 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,102 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $3,002,475 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,985,203 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,002,475 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,985,203 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,009,675 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,002,305 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,002,475 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$17,272 | ExcessRevenueOverExpensesAmt |
| Subtotal | $2,985,203 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $2,985,203 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|
| PUBLICLY-TRADED SECURITIES | $1,329,301 | $1,313,462 | $15,839 | $15,839 |
| ALLOCATED TO UBTI - ACQUISITION INDEBTED | -$1,165 | -$1,165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $14,674 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $225,915 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,929,481 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.077118 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $56,242 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $3,305,151 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.017016 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $93,821 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,443,863 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.03839 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $127,572 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $2,347,632 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.054341 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $103,008 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $2,654,997 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.038798 | DistributionYr5Rt |
| Total Distribution | 0.225663 | TotalDistributionRt |
| Average Distribution | 0.045133 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,373,412 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $107,119 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,286 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $108,405 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $148,133 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $1,286 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $1,286 | SubtotalAmt |
| Tax Based On Investment Income | $1,286 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $600 | EstimatedPlusOvpmtIncmTxAmt |
| Applied To Es Tax | $687 | AppliedToEsTaxAmt |
| Total Payments And Credits | $1,287 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $1 | OverpaymentAmt |
| Applied To ES Tax | $1 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | DE | OrgReportOrRegisterStateCd |
| Org Report Or Register State | NJ | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| Lynn Cole | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP / Dir | 25.0 | $62,240 | $0 | $0 |
| Carol Ann Hinz | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres / Dir / Sec | 25.0 | $70,000 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,402,966 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $32,227 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,435,193 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $25,638 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,409,555 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $36,143 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,373,412 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $118,671 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $118,671 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,286 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $3 | IncomeTaxAmt |
| Total Tax | $1,289 | TotalTaxAmt |
| Distributable Before Adj | $117,382 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $117,382 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $117,382 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $148,133 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $148,133 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,286 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $146,847 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $117,382 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $136,526 | UndistributedIncomePYAmt |
| Prior Year1 | 2014 | PriorYear1Yr |
| Prior Year2 | 2013 | PriorYear2Yr |
| Prior Year3 | 2012 | PriorYear3Yr |
| Qualifying Distributions | $148,133 | QualifyingDistributionsAmt |
| Applied To Year1 | $136,526 | AppliedToYear1Amt |
| Applied To Current Year | $11,607 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $105,775 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| 180 TURNING LIVES AROUND INC | |||||||
| 1 BETHANY RD STE 3 | HAZLET | NJ | 07730 | N/A | PC | General & Unrestricted | $1,000 |
| AMERICAN RED CROSS - JERSEY COAST CHAPTER | |||||||
| 1540 W PARK AVE | TINTON FALLS | NJ | 07724 | N/A | PC | General & Unrestricted | $1,750 |
| ARC OF NEW JERSEY INC | |||||||
| 1158 WAYSIDE RD | TINTON FALLS | NJ | 07712 | N/A | PC | Work Opportunity Center | $1,000 |
| BOYS & GIRLS CLUB OF MONMOUTH COUNTY | |||||||
| 1201 MONROE AVE | ASBURY PARK | NJ | 07712 | N/A | PC | General & Unrestricted | $750 |
| CARETTES INC OF MORRIS COUNTY | |||||||
| PO BOX 2203 | MORRISTOWN | NJ | 07962 | N/A | PC | General & Unrestricted | $250 |
| CHINESE AMERICAN ARTS COUNCIL INCORPORATED | |||||||
| 456 BROADWAY 3RD FL | NEW YORK | NY | 10013 | N/A | PC | General & Unrestricted | $2,000 |
| CHINESE THEATER WORKS INC | |||||||
| 37-18 NORTHERN BLVD 105 | LONG ISLAND CITY | NY | 11101 | N/A | PC | General & Unrestricted | $2,000 |
| CONFUCIUS FOUNDATION INC | |||||||
| 3901 MAIN ST STE 203 | FLUSHING | NY | 11354 | N/A | PC | General & Unrestricted | $4,000 |
| EASTERN MONMOUTH AREA CHAMBER OF COMMERCE ED | |||||||
| 8 RECKLESS PL NO 1 | RED BANK | NJ | 07701 | N/A | PC | General & Unrestricted | $10,000 |
| FEEDING AMERICA | |||||||
| 35 E WACKER DR STE 2000 | CHICAGO | IL | 60601 | N/A | PC | General & Unrestricted | $750 |
| FOODBANK OF MONMOUTH AND OCEAN COUNTIES INC | |||||||
| 3300 RTE 66 | NEPTUNE | NJ | 07753 | N/A | PC | General & Unrestricted | $750 |
| HABCORE INC | |||||||
| 788 SHREWSBURY AVE STE 2151 | TINTON FALLS | NJ | 07724 | N/A | PC | General & Unrestricted | $1,750 |
| HOMES FOR OUR TROOPS INC | |||||||
| 6 MAIN ST | TAUNTON | MA | 02780 | N/A | PC | General & Unrestricted | $5,000 |
| LUNCH BREAK | |||||||
| PO BOX 2215 | RED BANK | NJ | 07701 | N/A | PC | General & Unrestricted | $750 |
| NEW JERSEY BLIND CITIZENS ASSOCIATION INC | |||||||
| 18 BURLINGTON AVE | LEONARDO | NJ | 07737 | N/A | PC | General & Unrestricted | $1,000 |
| NEW JERSEY STATE FEDERATION OF WOMENS CLUBS | |||||||
| 164 BROAD ST | RED BANK | NJ | 07701 | N/A | PC | General & Unrestricted | $2,000 |
| POLICE ATHLETIC LEAGUE INC | |||||||
| 34 1/2 E 12TH ST | NEW YORK | NY | 10003 | N/A | PC | General & Unrestricted | $5,000 |
| SELFHELP COMMUNITY SERVICES INC | |||||||
| 520 8TH AVE | NEW YORK | NY | 10018 | N/A | PC | General & Unrestricted | $4,000 |
| SMILE TRAIN INC | |||||||
| 41 MADISON AVE 28TH FL | NEW YORK | NY | 10010 | N/A | PC | General & Unrestricted | $2,000 |
| ST JUDE CHILDRENS RESEARCH HOSPITAL INC | |||||||
| 262 DANNY THOMAS PL MS512 | MEMPHIS | TN | 38105 | N/A | PC | General & Unrestricted | $2,500 |
| THE CHILDRENS HOSPITAL OF PHILADELPHIA FOUNDATION | |||||||
| PO BOX 781352 | PHILADELPHIA | PA | 19178 | N/A | PC | General & Unrestricted | $5,000 |
| WHITE BOX LTD | |||||||
| 329 BROOME ST | NEW YORK | NY | 10002 | N/A | PC | General & Unrestricted | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $54,250 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $32 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 525990 | BusinessCd |
| Unrelated Business Taxbl Incm | $6 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $187,869 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 525990 | BusinessCd |
| Unrelated Business Taxbl Incm | $1,165 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $14,674 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal Tax Refund | Desc |
| Exclusion | 01 | ExclusionCd |
| Exclusion | $1,239 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $1,171 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $203,814 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $204,985 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Depreciation Schedule DepreciationSchedule
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part I Line 6a Net Gain/Loss from Sales of Assets Not Included in Part IV | IdentifierTxt |
| Form And Line Reference | Part I, Line 6a (990-PF) | FormAndLineReferenceDesc |
| Medium Explanation | Name: Publicly-traded Securities Gross Sales Price: $1,329,301 Book Basis: $1,313,462 Net Gain/(Loss): $15,839 Allocated to UBTI-Acquisition Indebtedness: $(1,165) Total Net Gain/(Loss) included in Part IV: $14,674 Aloccated to UBTI-Acquisition Indebtedness: $1,165 Part I, Line 6a Total: $15,839 | MediumExplanationTxt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | SEA CONTAINERS 10.5% 05/15/12 | BondNm |
| EOY Book Value | $13,605 | EOYBookValueAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (50 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 1,000 LITHIUM X ENERGY | $1,695 | $1,670 |
| 10 ANTHEM INC @ $145.00 | $5,859 | $2,936 |
| 10 APPLE INC @ $110.00 | $5,361 | $8,049 |
| 10 CHEETAH MOBILE @ $11.00 | $2,018 | $2,031 |
| 10 HAWAIIAN HOLDINGS @ $55.00 | $1,578 | $2,881 |
| 10 SPDR DOW JONES @ $180.00 | $1,871 | $140 |
| 10 SPDR TR @ $225.00 | $3,701 | $10 |
| 10 WYNN RESORTS @ $89.00 | $2,151 | $2,012 |
| 10,000 DIGITAL DOMAIN MED | $67,400 | |
| 10,005,000 SAVI MEDIA GRP | $41,123 | |
| 100 AURIS MED HLDG @ $2.50 | $1,663 | $775 |
| 100 FOUNDATION MED @ $40.00 | $2,882 | $1,260 |
| 100 US OIL FUND @ $11.00 | $3,662 | $269 |
| 103 AURIS MED HLDG @ $2.50 | $1,629 | $2,037 |
| 15,000 UR ENERGY INC | $9,615 | $7,967 |
| 150 VIRTUSA CORP | $3,665 | $3,768 |
| 16,000 BARCLAYS BANK | $160,000 | $142,720 |
| 160,000 HEMP INC | $70,905 | $5,520 |
| 18,000 UBS AG | $180,000 | $180,000 |
| 19,000 UBS AG | $190,000 | $170,810 |
| 2,000 PLATINUM GROUP METAL | $3,761 | $2,860 |
| 20 ALTRIA GROUP @ $70.00 | $3,076 | $2,673 |
| 20 CISCO SYSTEMS @ $30.00 | $5,250 | $5,006 |
| 20 COCA COLA @ $40.00 | $6,988 | $6,713 |
| 20 ISHARES @ $137.50 | $2,336 | $1,940 |
| 20 PFIZER INC @ $32.00 | $5,322 | $5,283 |
| 20 PROCTER GAMBLE @ $85.00 | $9,256 | $9,361 |
| 20 VERIZON COM @ $55.00 | $5,165 | $4,910 |
| 20,000 BARCLAYS BANK | $200,000 | $184,800 |
| 20,000 BARCLAYS BANK | $200,000 | $195,200 |
| 20,000 GOLDMAN SACHS GROUP | $200,000 | $177,400 |
| 20,000 GS FINANCE CORP | $200,000 | $200,000 |
| 20,000 JPMORGAN CHASE | $200,000 | $198,800 |
| 200 WEIGHT WATCHERS @ $9.00 | $4,625 | $5,254 |
| 25 RUTH'S HOSPITALITY @ $17.50 | $5,289 | $3,464 |
| 25,000 REGEN BIOPHARMA INC | $2,505 | $2,051 |
| 3,909 SHARESPOST 100 FUND | $100,000 | $104,887 |
| 30 PROSHARES TRUST @ $41.00 | $2,512 | $3,462 |
| 37 CHIPOTLE MEX GRILL @ $220 | $3,171 | $1,225 |
| 40,000 GOLDMAN SACHS GROUP | $400,000 | $363,600 |
| 40,000 UBS AG | $400,000 | $358,000 |
| 5 NVIDIA CORP @ $65.00 | $13,418 | $23,201 |
| 5 NVIDIA CORP @ $70.00 | $4,208 | $19,619 |
| 5,000 CREDIT SUISSE | $50,000 | $41,900 |
| 50 SEARS HOLDING @ $5.00 | $3,434 | $3,398 |
| 500 AERIE PHARMACEUTICALS | $10,850 | $18,923 |
| 500 HIMAX TECHNOLOGIES | $3,870 | $3,020 |
| 710,000 GTX CORP | $44,050 | $4,331 |
| 75,000 3D PIONEER SYSTEMS | $16,440 | $270 |
| 9,000 BARCLAYS BANK | $90,000 | $79,560 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $15,103 | $15,103 | |
| DUES & MEMBERSHIPS | $2,797 | $2,797 | |
| Payroll Processing Fees | $1,100 | $550 | $550 |
| State or Local Filing Fees | $78 | $78 | |
| BANK CHARGES | $270 | $267 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal Tax Refund | Desc |
| Revenue And Expenses Per Books | $1,239 | RevenueAndExpensesPerBooksAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPEN SHORT OPTIONS | Desc |
| EOY Book Value | $6,827 | EOYBookValueAmt |
Comments