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<Return returnVersion="2015v3.0" xsi:schemaLocation="http://www.irs.gov/efile" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2017-01-22T12:46:14-08:00</ReturnTs>
    <TaxPeriodEndDt>2016-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Linda Forman CPA PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>500 Davis St Ste 812</AddressLine1Txt>
        <CityNm>Evanston</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>602014655</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990PF</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>363553268</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>HERRENDORF FAMILY FOUNDATION INC</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>co JOSEPH D AMENT</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>HERR</BusinessNameControlTxt>
      <PhoneNum>3125212401</PhoneNum>
      <USAddress>
        <AddressLine1Txt>191 N WACKER DRIVE</AddressLine1Txt>
        <CityNm>CHICAGO</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60606</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JOSEPH D AMENT</PersonNm>
      <PersonTitleTxt>TREAS/DIR</PersonTitleTxt>
      <SignatureDt>2017-01-22</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Linda Forman CPA</PreparerPersonNm>
      <PTIN>P00496275</PTIN>
      <PhoneNum>8473161040</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="3">
    <IRS990PF documentId="IRS990PF" referenceDocumentId="GeneralExplanation" softwareId="15000324" softwareVersionNum="2015v3.0">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <FMVAssetsEOYAmt>294826</FMVAssetsEOYAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AnalysisOfRevenueAndExpenses>
        <ContriRcvdRevAndExpnssAmt>2</ContriRcvdRevAndExpnssAmt>
        <ScheduleBNotRequiredInd>X</ScheduleBNotRequiredInd>
        <InterestOnSavRevAndExpnssAmt>132</InterestOnSavRevAndExpnssAmt>
        <InterestOnSavNetInvstIncmAmt>132</InterestOnSavNetInvstIncmAmt>
        <InterestOnSavingsAdjNetIncmAmt>132</InterestOnSavingsAdjNetIncmAmt>
        <DividendsRevAndExpnssAmt>3900</DividendsRevAndExpnssAmt>
        <DividendsNetInvstIncmAmt>3900</DividendsNetInvstIncmAmt>
        <DividendsAdjNetIncmAmt>3900</DividendsAdjNetIncmAmt>
        <TotalRevAndExpnssAmt>4034</TotalRevAndExpnssAmt>
        <TotalNetInvstIncmAmt>4032</TotalNetInvstIncmAmt>
        <TotalAdjNetIncmAmt>4032</TotalAdjNetIncmAmt>
        <AccountingFeesRevAndExpnssAmt referenceDocumentId="AccountingFeesSchedule">2391</AccountingFeesRevAndExpnssAmt>
        <AccountingFeesNetInvstIncmAmt>2391</AccountingFeesNetInvstIncmAmt>
        <AccountingFeesAdjNetIncmAmt>2391</AccountingFeesAdjNetIncmAmt>
        <OtherExpensesRevAndExpnssAmt referenceDocumentId="OtherExpensesSchedule AmortizationSchedule">116</OtherExpensesRevAndExpnssAmt>
        <OtherExpensesNetInvstIncmAmt>116</OtherExpensesNetInvstIncmAmt>
        <OtherExpensesAdjNetIncmAmt>116</OtherExpensesAdjNetIncmAmt>
        <TotOprExpensesRevAndExpnssAmt>2507</TotOprExpensesRevAndExpnssAmt>
        <TotOprExpensesNetInvstIncmAmt>2507</TotOprExpensesNetInvstIncmAmt>
        <TotOprExpensesAdjNetIncmAmt>2507</TotOprExpensesAdjNetIncmAmt>
        <TotOprExpensesDsbrsChrtblAmt>0</TotOprExpensesDsbrsChrtblAmt>
        <ContriPaidRevAndExpnssAmt>8775</ContriPaidRevAndExpnssAmt>
        <ContriPaidDsbrsChrtblAmt>8775</ContriPaidDsbrsChrtblAmt>
        <TotalExpensesRevAndExpnssAmt>11282</TotalExpensesRevAndExpnssAmt>
        <TotalExpensesNetInvstIncmAmt>2507</TotalExpensesNetInvstIncmAmt>
        <TotalExpensesAdjNetIncmAmt>2507</TotalExpensesAdjNetIncmAmt>
        <TotalExpensesDsbrsChrtblAmt>8775</TotalExpensesDsbrsChrtblAmt>
        <ExcessRevenueOverExpensesAmt>-7248</ExcessRevenueOverExpensesAmt>
        <NetInvestmentIncomeAmt>1525</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>1525</AdjustedNetIncomeAmt>
      </AnalysisOfRevenueAndExpenses>
      <Form990PFBalanceSheetsGrp>
        <CashBOYAmt>4102</CashBOYAmt>
        <CashEOYAmt>17820</CashEOYAmt>
        <CashEOYFMVAmt>17820</CashEOYFMVAmt>
        <SavAndTempCashInvstBOYAmt>177146</SavAndTempCashInvstBOYAmt>
        <SavAndTempCashInvstEOYAmt>156180</SavAndTempCashInvstEOYAmt>
        <SavAndTempCashInvstEOYFMVAmt>156180</SavAndTempCashInvstEOYFMVAmt>
        <CorporateStockBOYAmt>106317</CorporateStockBOYAmt>
        <CorporateStockEOYAmt>106317</CorporateStockEOYAmt>
        <CorporateStockEOYFMVAmt>120826</CorporateStockEOYFMVAmt>
        <TotalAssetsBOYAmt>287565</TotalAssetsBOYAmt>
        <TotalAssetsEOYAmt>280317</TotalAssetsEOYAmt>
        <TotalAssetsEOYFMVAmt>294826</TotalAssetsEOYFMVAmt>
        <TotalLiabilitiesEOYAmt>0</TotalLiabilitiesEOYAmt>
        <OrgDoesNotFollowSFAS117Ind>X</OrgDoesNotFollowSFAS117Ind>
        <RetainedEarningBOYAmt>287565</RetainedEarningBOYAmt>
        <RetainedEarningEOYAmt>280317</RetainedEarningEOYAmt>
        <TotNetAstOrFundBalancesBOYAmt>287565</TotNetAstOrFundBalancesBOYAmt>
        <TotNetAstOrFundBalancesEOYAmt>280317</TotNetAstOrFundBalancesEOYAmt>
        <TotalLiabilitiesNetAstBOYAmt>287565</TotalLiabilitiesNetAstBOYAmt>
        <TotalLiabilitiesNetAstEOYAmt>280317</TotalLiabilitiesNetAstEOYAmt>
      </Form990PFBalanceSheetsGrp>
      <ChgInNetAssetsFundBalancesGrp>
        <TotNetAstOrFundBalancesBOYAmt>287565</TotNetAstOrFundBalancesBOYAmt>
        <ExcessRevenueOverExpensesAmt>-7248</ExcessRevenueOverExpensesAmt>
        <SubtotalAmt>280317</SubtotalAmt>
        <TotNetAstOrFundBalancesEOYAmt>280317</TotNetAstOrFundBalancesEOYAmt>
      </ChgInNetAssetsFundBalancesGrp>
      <ExciseTaxBasedOnInvstIncmGrp>
        <InvestmentIncomeExciseTaxAmt>31</InvestmentIncomeExciseTaxAmt>
        <SubtotalAmt>31</SubtotalAmt>
        <TaxBasedOnInvestmentIncomeAmt>31</TaxBasedOnInvestmentIncomeAmt>
        <TaxDueAmt>31</TaxDueAmt>
      </ExciseTaxBasedOnInvstIncmGrp>
      <StatementsRegardingActyGrp>
        <LegislativePoliticalActyInd>false</LegislativePoliticalActyInd>
        <MoreThan100SpentInd>false</MoreThan100SpentInd>
        <Form1120POLFiledInd>false</Form1120POLFiledInd>
        <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
        <ChangesToArticlesOrBylawsInd>false</ChangesToArticlesOrBylawsInd>
        <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
        <Form990TFiledInd>false</Form990TFiledInd>
        <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
        <Section508eRqrSatisfiedInd>true</Section508eRqrSatisfiedInd>
        <AtLeast5000InAssetsInd>true</AtLeast5000InAssetsInd>
        <OrgReportOrRegisterStateCd>IL</OrgReportOrRegisterStateCd>
        <Form990PFFiledWithAttyGenInd>true</Form990PFFiledWithAttyGenInd>
        <PrivateOperatingFoundationInd>false</PrivateOperatingFoundationInd>
        <NewSubstantialContributorsInd>false</NewSubstantialContributorsInd>
        <OwnControlledEntityInd>false</OwnControlledEntityInd>
        <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
        <ComplyWithPublicInspRqrInd>true</ComplyWithPublicInspRqrInd>
        <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
        <PersonsWithBooksName>
          <BusinessNameLine1Txt>JOSEPH D AMENT</BusinessNameLine1Txt>
        </PersonsWithBooksName>
        <PhoneNum>3125212401</PhoneNum>
        <LocationOfBooksUSAddress>
          <AddressLine1Txt>191 N WACKER DRIVE STE 1800</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>606061615</ZIPCd>
        </LocationOfBooksUSAddress>
        <ForeignAccountsQuestionInd>false</ForeignAccountsQuestionInd>
      </StatementsRegardingActyGrp>
      <StatementsRegardingActy4720Grp>
        <SaleOrExchDisqualifiedPrsnInd>false</SaleOrExchDisqualifiedPrsnInd>
        <BrrwOrLendDisqualifiedPrsnInd>false</BrrwOrLendDisqualifiedPrsnInd>
        <FurnGoodsDisqualifiedPrsnInd>false</FurnGoodsDisqualifiedPrsnInd>
        <PayCompDisqualifiedPrsnInd>false</PayCompDisqualifiedPrsnInd>
        <TransferAstDisqualifiedPrsnInd>false</TransferAstDisqualifiedPrsnInd>
        <PaymentToGovernmentOfficialInd>false</PaymentToGovernmentOfficialInd>
        <ActsFailToQlfyAsExceptionsInd>false</ActsFailToQlfyAsExceptionsInd>
        <UncorrectedPriorActsInd>false</UncorrectedPriorActsInd>
        <UndistributedIncomePYInd>false</UndistributedIncomePYInd>
        <UndistrIncmSect4942a2NotAppInd>false</UndistrIncmSect4942a2NotAppInd>
        <BusinessHoldingsInd>false</BusinessHoldingsInd>
        <ExcessBusinessHoldingsInd>false</ExcessBusinessHoldingsInd>
        <JeopardyInvestmentsInd>false</JeopardyInvestmentsInd>
        <UncorrectedPYJeopardyInvstInd>false</UncorrectedPYJeopardyInvstInd>
        <InfluenceLegislationInd>false</InfluenceLegislationInd>
        <InfluenceElectionInd>false</InfluenceElectionInd>
        <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
        <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
        <NoncharitablePurposeInd>false</NoncharitablePurposeInd>
        <TransactionsFailToQlfyAsExcInd>false</TransactionsFailToQlfyAsExcInd>
        <MaintainedExpenditureRspnsInd>false</MaintainedExpenditureRspnsInd>
        <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
        <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
        <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
        <ProceedsOrNetIncomeInd>false</ProceedsOrNetIncomeInd>
      </StatementsRegardingActy4720Grp>
      <OfficerDirTrstKeyEmplInfoGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>SUZI GLASSMAN</PersonNm>
          <USAddress>
            <AddressLine1Txt>120 N VILLAGE WAY</AddressLine1Txt>
            <CityNm>JUPITER</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33458</ZIPCd>
          </USAddress>
          <TitleTxt>VP/DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>JOSHUA HERRENDORF</PersonNm>
          <USAddress>
            <AddressLine1Txt>120 N VILLAGE WAY</AddressLine1Txt>
            <CityNm>JUPITER</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33458</ZIPCd>
          </USAddress>
          <TitleTxt>PRES/DIRECTR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>JOSEPH D AMENT</PersonNm>
          <USAddress>
            <AddressLine1Txt>191 N WACKER DR SUITE 1800</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606061615</ZIPCd>
          </USAddress>
          <TitleTxt>SEC/TRES/DIR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>KASONDRA COHEN-HERRENDORF</PersonNm>
          <ForeignAddress>
            <AddressLine1Txt>3308 TRUTCH STREET</AddressLine1Txt>
            <CityNm>VANCOUVER</CityNm>
            <ProvinceOrStateNm>BRITISH COLUMBIA</ProvinceOrStateNm>
            <CountryCd>CA</CountryCd>
            <ForeignPostalCd>V6L 2T4</ForeignPostalCd>
          </ForeignAddress>
          <TitleTxt>VP/DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <CompOfHghstPdEmplOrNONETxt>NONE</CompOfHghstPdEmplOrNONETxt>
        <CompOfHghstPdCntrctOrNONETxt>NONE</CompOfHghstPdCntrctOrNONETxt>
      </OfficerDirTrstKeyEmplInfoGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>117535</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>177624</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>295159</TotalFMVOfUnusedAssetsAmt>
        <ReductionClaimedAmt>0</ReductionClaimedAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>295159</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>4427</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>290732</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>14537</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <MinimumInvestmentReturnAmt>14537</MinimumInvestmentReturnAmt>
        <TaxBasedOnInvestmentIncomeAmt>31</TaxBasedOnInvestmentIncomeAmt>
        <TotalTaxAmt>31</TotalTaxAmt>
        <DistributableBeforeAdjAmt>14506</DistributableBeforeAdjAmt>
        <DistributableBeforeDedAmt>14506</DistributableBeforeDedAmt>
        <DistributableAsAdjustedAmt>14506</DistributableAsAdjustedAmt>
      </DistributableAmountGrp>
      <QualifyingDistriPartXIIGrp>
        <ExpensesAndContributionsAmt>8775</ExpensesAndContributionsAmt>
        <QualifyingDistributionsAmt>8775</QualifyingDistributionsAmt>
        <AdjustedQualifyingDistriAmt>8775</AdjustedQualifyingDistriAmt>
      </QualifyingDistriPartXIIGrp>
      <UndistributedIncomeGrp>
        <DistributableAsAdjustedAmt>14506</DistributableAsAdjustedAmt>
        <ExcessDistributionCyovYr5Amt>19356</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>22534</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>12695</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>6613</ExcessDistributionCyovYr2Amt>
        <ExcessDistributionCyovYr1Amt>25020</ExcessDistributionCyovYr1Amt>
        <TotalExcessDistributionCyovAmt>86218</TotalExcessDistributionCyovAmt>
        <QualifyingDistributionsAmt>8775</QualifyingDistributionsAmt>
        <TreatedAsDistriFromCorpusAmt>0</TreatedAsDistriFromCorpusAmt>
        <AppliedToCurrentYearAmt>8775</AppliedToCurrentYearAmt>
        <ExcessDistriCyovAppCYCorpusAmt>5731</ExcessDistriCyovAppCYCorpusAmt>
        <ExcessDistributionCyovAppCYAmt>5731</ExcessDistributionCyovAppCYAmt>
        <TotalCorpusAmt>80487</TotalCorpusAmt>
        <UndistributedIncomeCYAmt>0</UndistributedIncomeCYAmt>
        <ExcessDistriCyovFromYr5Amt>13625</ExcessDistriCyovFromYr5Amt>
        <ExcessDistriCyovToNextYrAmt>66862</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear4Amt>22534</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>12695</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>6613</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>25020</ExcessFromYear1Amt>
      </UndistributedIncomeGrp>
      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>CONGREGATION ANSHE MOTELE</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>6520 N CALIFORNIA AVENUE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60645</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UNRESTRICTED.</GrantOrContributionPurposeTxt>
          <Amt>1800</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>LEUKEMIA LYMPHOMA SOCIETY</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>3 International Drive Suite 200</AddressLine1Txt>
            <CityNm>RYE BROOOK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10573</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UNRESTRICTED.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>THE FIRST TEE OF THE PALM BEACHES</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>7301 N HAVERHILL ROAD</AddressLine1Txt>
            <CityNm>WEST PALM BEACH</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33407</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UNRESTRICTED.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>AUTISM SPEAKS</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1060 State Road 2nd Floor</AddressLine1Txt>
            <CityNm>PRINCETON</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08540</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UNRESTRICTED.</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>THE MIRACLE LEAGUE</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1506 Klondike Road sUITE 105</AddressLine1Txt>
            <CityNm>CONYERS</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30094</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UNRESTRICTED.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>JUPITER MEDICAL CENTER</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1210 S Old Dixie Hwy</AddressLine1Txt>
            <CityNm>JUPITER</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33458</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UNRESTRICTED.</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>WORLD OF CHILDREN</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>11501 Dublin Blvd sUITE 200</AddressLine1Txt>
            <CityNm>DUBLIN</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94568</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UNRESTRICTED.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>TOURETTE SYNDROME ASSOCIATION</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>42-40 Bell Boulevard Suite 2015</AddressLine1Txt>
            <CityNm>BAYSIDE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11361</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UNRESTRICTED.</GrantOrContributionPurposeTxt>
          <Amt>475</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>8775</TotalGrantOrContriPdDurYrAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <IntOnSavAndTempCashInvstGrp>
          <RelatedOrExemptFunctionIncmAmt>132</RelatedOrExemptFunctionIncmAmt>
        </IntOnSavAndTempCashInvstGrp>
        <DivAndIntFromSecPartVIIGrp>
          <RelatedOrExemptFunctionIncmAmt>3900</RelatedOrExemptFunctionIncmAmt>
        </DivAndIntFromSecPartVIIGrp>
        <SubtotalsIncmProducingActyGrp>
          <RelatedOrExemptFunctionIncmAmt>4032</RelatedOrExemptFunctionIncmAmt>
        </SubtotalsIncmProducingActyGrp>
        <TotalIncomeProducingActyAmt>4032</TotalIncomeProducingActyAmt>
      </AnalysisIncomeProducingActyGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>false</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <AccountingFeesSchedule documentId="AccountingFeesSchedule" softwareId="15000324" softwareVersionNum="2015v3.0">
      <AccountingFeesDetail>
        <CategoryTxt>ACCOUNTING FEES</CategoryTxt>
        <Amt>2391</Amt>
        <NetInvestmentIncomeAmt>2391</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>2391</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>0</DisbursementsCharitablePrpsAmt>
      </AccountingFeesDetail>
    </AccountingFeesSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="15000324" softwareVersionNum="2015v3.0">
      <OtherExpensesScheduleGrp>
        <Desc>BANK FEES</Desc>
        <RevenueAndExpensesPerBooksAmt>106</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>106</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>106</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>STATE FILING FEES</Desc>
        <RevenueAndExpensesPerBooksAmt>10</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>10</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>10</AdjustedNetIncomeAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
  </ReturnData>
</Return>