2017-03-27T12:47:48-05:00 2016-06-30 591488101 LKD - CPAS & CONSULTANTS 500 UNIVERSITY BLVD SUITE 215 JUPITER FL 33458 990 2015-07-01 592104920 LOST TREE VILLAGE CHARITABLE FOUNDATION INC LOST 5616223780 8 CHURCH LANE NORTH PALM BEACH FL 334082961 TREASURER TREASURER 5616223780 2017-03-10 1 MARTIN A DYTRYCH P00294232 5616941040 2015 2021-01-29 14:40:06Z DAVID DABERKO 8 CHURCH LANE NORTH PALM BEACH FL 334082961 6754578 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. 9 9 4 115 0 0 2896201 3553797 0 0 395867 732505 0 0 3292068 4286302 3130260 3075333 0 0 232364 234345 0 0 0 192623 129635 3555247 3439313 -263179 846989 8215567 7983376 778662 378000 7436905 7605376 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 3075333 3075333 THE ORGANIZATION AWARDED 55 GRANTS TO VARIOUS HUMAN SERVICE ENTITIES TO BE USED PRIMARILY FOR CAPITAL NEEDS. 3075333 1 1 0 0 0 0 0 0 0 1 0 1 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 1 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 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 PRESIDENT 10.00 X X 0 0 0 NANCY CALCAGNINI VICE PRESIDENT 7.00 X X 0 0 0 DAVE BORNHOEFT VICE PRESIDENT 7.00 X X 0 0 0 DAVID A DABERKO TREASURER 10.00 X X 0 0 0 DOROTHY FORBES SECRETARY 7.00 X X 0 0 0 PAUL JONES VICE PRESIDENT 7.00 X X 0 0 0 STEPHEN C KIRMSE VICE PRESIDENT 7.00 X X 0 0 0 JANET LEWIS VICE PRESIDENT 7.00 X X 0 0 0 JOSEPH MELONE VICE PRESIDENT 7.00 X X 0 0 0 PHIL ODEEN PAST PRESIDENT (EX-OFFICIO) 7.00 X X 0 0 0 CARROLL ROTCHFORD VICE PRESIDENT 7.00 X X 0 0 0 JILLIAN C VUKUSICH EXECUTIVE DIRECTOR 40.00 X 62917 0 0 62917 0 0 0 0 0 0 0 3553797 181288 3553797 128438 128438 3072343 2468276 604067 604067 604067 4286302 0 0 732505 3075333 3075333 201908 201908 11878 11878 5120 5120 15439 15439 19532 19532 7656 7656 25443 25443 3174 3174 9285 9285 3114 3114 4600 4600 OTHER EXPENSES 48898 48898 OFFICE EQUIPMENT AND EQ 4374 4374 OFFICE REPAIRS AND MAIN 3559 3559 3439313 3075333 363980 0 667093 1214873 232141 215736 15000 153649 10002 5126 4925924 3867792 2034464 2274338 330943 251862 8215567 7983376 2045 776617 378000 778662 378000 X 4102546 3979542 1849202 2154040 1485157 1471794 7436905 7605376 8215567 7983376 846989 -678518 0 X X 0 1 X 1 0 X 2008633 3172114 2301872 2896201 3075333 13454153 2008633 3172114 2301872 2896201 3075333 13454153 3641598 9812555 108791 132327 126322 146410 128438 642288 41758 41706 43394 22391 61000 210249 14306690 0.68590 0.72130 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PAYMENTS RECEIVED FROM BENEFICIAL INTEREST IN LEAD TRUST - 2011 AMOUNT: $ 41,758. 2012 AMOUNT: $ 41,706. 2013 AMOUNT: $ 43,394. 2014 AMOUNT: $ 22,391. 2015 AMOUNT: $ 61,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1485157 -13363 1471794 1477154 8003 1485157 1300690 176464 1477154 1214524 86166 1300690 1219958 -5434 1214524 1.00000 0 0 0 MFB NORTHERN FUNDS BD INDEX FD 497751 F MFB NORTHERN FUNDS ULTRA SHORT 1255100 F MFC ISHARES TR SELECT 521487 F 2274338 X 3607784 -678518 -678518 4286302 0 4286302 3439313 0 3439313 0 3439313 PART V, LINE 4: 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. PART X, LINE 2: MANAGEMENT HAS ASSESSED ITS TAX POSITIONS FOR THE YEAR ENDED JUNE 30, 2016 AND DETERMINED THERE ARE NO UNCERTAIN TAX POSITIONS TO BE RECOGNIZED. THE FOUNDATION IS GENERALLY NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. 1 ARC OF THE GLADES INC 4250 NW 16TH STREET BELLE GLADE FL 33430 591760374 10200 PARKING LOT MAINTENANCE BIG BROTHERS BIG SISTERS OF PALM BEACH & MARTIN COUNTIES INC 1700 KIRK ROAD WEST PALM BEACH FL 33406 592676889 23525 COMPUTER REPLACEMENT AND FIREWALL AND SECURITY UPGRADES BIG HEART BRIGADE 5770 WHIRLAWAY RD PALM BEACH GARDENS FL 33418 650581187 5000 2015 BIG HEART BRIGADE THANKSGIVING FEAST BOYS & GIRLS CLUBS OF MARTIN COUNTY PO BOX 910 HOBE SOUND FL 33475 650253002 56793 COLE-CLARK BRANCH GYMNASIUM FLOOR CATHOLIC CHARITIES OF THE DIOCESE OF PALM BEACH INC 9995 N MILITARY TRAIL PALM BEACH GARDENS FL 33410 592470479 10615 MULTI-PROGRAM RESOURCE ROOM/COMPUTER LAB PROJECT CENTER FOR CHILD COUNSELING INC 7731 N MILITARY TRAIL PALM BEACH GARDENS FL 33410 650932032 25000 TECHNOLOGY AND PLAY THERAPY KITS FOR THERAPEUTIC SERVICES CENTER FOR CREATIVE EDUCATION 425 24TH ST WEST PALM BEACH FL 334075401 650594599 12000 SECURING THE WELL BEING OF STUDENTS AND VISITORS CENTER FOR FAMILY SERVICES OF PALM BEACH COUNTY 4101 PARKER AVE WEST PALM BEACH FL 33405 591084179 18360 PAT REEVES VILLAGE SHELTER CHILD PROTECTION TEAM PALM BEACH 5305 GREENWOOD AVENUE WEST PALM BEACH FL 33407 650746922 38974 FACILITY & SECURITY UPGRADES CHILDREN'S HOME SOCIETY OF FLORIDA 3333 FOREST HILL BOULEVARD WEST PALM BEACH FL 33406 590192430 37599 SAFE HARBOR TRANSPORTATION NEEDS CLASS OF 57 ROOSEVELT HIGH SCHOOL PO BOX 9124 RIVIERA BEACH FL 33419 311504009 9000 SCHOLARSHIPS FOR DISADVANTAGED STUDENTS DEPORRES PLACE INC 1016 N DIXIE HWY 2ND FLOOR WEST PALM BEACH FL 33401 650747575 4310 INFORMATION TECHNOLOGY AND COMMUNICATIONS UPGRADE EL SOL JUPITER'S NEIGHBORHOOD RESOURCE CENTER 106 MILITARY TRAIL JUPITER FL 33458 010870672 30000 EL SOL VAN FAMILIES FIRST OF PALM BEACH COUNTY 3333 FOREST HILL BLVD 2ND FLOOR WEST PALM BEACH FL 33406 650166352 15287 SERVERS FOR FAMILIES FIRST OF PALM BEACH COUNTY FARMWORKER CHILDRENS CENTER INC 130 ISLAND DRIVE OCEAN RIDGE FL 33435 650169221 11000 CAMPO ALEGRE FARMWORKER COORDINATING COUNCIL OF PALM BEACH COUNTY INC 1123 CRESTWOOD BOULEVARD LAKE WORTH FL 33460 591830267 18485 FWCC OFFICE FURNITURE & EQUIPMENT FEDERATION OF FAMILIES OF FLORIDA INC 1402 ROYAL PALM BEACH BLVD ROYAL PALM BEACH FL 33411 522313668 50000 GLADES STAR: FAMILY EMPOWERMENT CENTER FERN HOUSE INC 1958 CHURCH STREET WEST PALM BEACH FL 33409 592286556 33495 MOVING TOWARDS RECOVERY FIRST TEE OF THE PALM BEACHESCHILDRENS GOLF FOUNDATION 7301 HAVERHILL ROAD WEST PALM BEACH FL 33407 650262208 25000 DRIVING RANGE MOVABLE CANOPY/OFFICE & BUILDING UPGRADES FLORIDA ATLANTIC UNIVERSITY CHRISTINE E LYNN COLLEGE OF NURSING 777 GLADES ROAD BOCA RATON FL 33431 590917284 25000 ENSURING QUALITY HEALTH CARE THROUGH SUPPORTING NURSING EDUCATION FRIENDS OF FOSTER CHILDREN OF PALM BEACH COUNTY INC 4100 OKEECHOBEE BLVD WEST PALM BEACH FL 33409 592487590 28600 RESOURCE CONNECTIONS FOR FOSTER CHILDREN FRIENDS OF FOSTER CHILDREN OF PALM BEACH COUNTY INC 4100 OKEECHOBEE BLVD WEST PALM BEACH FL 33409 592487590 25000 COMMUNITY BACK TO SCHOOL BASH GRATITUDE HOUSE 1700 N DIXIE HWY WEST PALM BEACH FL 33407 237215223 50000 GRATITUDE HOUSE KITCHEN RENOVATION GULF STREAM COUNCIL BOY SCOUTS OF AMERICA 8335 NORTH MILITARY TRAIL PALM BEACH GARDENS FL 33410 590624407 50000 FOR MUCH NEEDED RENOVATIONS AND UPDATES AT THE TANAH KEETAH SCOUT RESERVATION. HABITAT FOR HUMANITY OF MARTIN COUNTY 2090 NW FEDERAL HWY STUART FL 34994 592816698 50000 NEIGHBORHOOD REVITALIZATION: CARTER PARK, NEW CONSTRUCTION HOBE SOUND EARLY LEARNING CENTER 11580 SE GOMEZ AVENUE HOBE SOUND FL 33455 591107869 25000 READY FOR SCHOOL! HOMELESS COALITION OF PALM BEACH COUNTY INC 810 DATURA STREET WEST PALM BEACH FL 33401 650125852 2500 MOSQUITO SPRAY FOR THE HOMELESS HOMESAFE 2840 SIXTH AVENUE SOUTH LAKE WORTH FL 33461 591935485 53332 INDEPENDENT LIVING HOUSING PROGRAM HOUSE OF HOPE 2484 SE BONITA STREET STUART FL 34997 592422998 200000 INCREASING CAPACITY FOR PANTRY WAREHOUSE AND DIRECT CLIENT SERVICES JACK THE BIKE MAN INC 2406 FLORIDA AVENUE WEST PALM BEACH FL 33401 260579626 7500 CHRISTMAS BIKE PROGRAM KIDS CANCER FOUNDATION INC 246 ROYAL PALM BEACH BLVD ROYAL PALM BEACH FL 33411 010551879 25000 FAMILY SUPPORT PROGRAMS KIDSAFE FOUNDATION 20283 STATE ROAD 7 300 BOCA RATON FL 33498 271067698 32310 KIDSAFE'S EDUCATIONAL MATERIALS PRINTED & TRANSLATED INTO SPANISH & CREOLE KIDSANCTUARY CAMPUS INC 700 S DIXIE HIGHWAY WEST PALM BEACH FL 33401 421764903 7500 SAMS COTTAGE AT KIDSANCTUARY CAMPUS LEGAL AID SOCIETY OF PALM BEACH COUNTY INC 423 FERN STREET SUITE 200 WEST PALM BEACH FL 33401 596046994 12400 IT NETWORK STABILITY PROJECT (TO INCREASE NETWORK SECURITY, EFFICIENCY AND USER ACCESS POINTS) LOGGERHEAD MARINE LIFE CENTER 14200 US HIGHWAY 1 JUNO BEACH FL 33408 592445926 15000 PASSPORT PROGRAM MEALS ON WHEELS OF THE PALM BEACHES INC PO BOX 247 WEST PALM BEACH FL 334020247 272891297 30000 NORTH PALM PROGRAM EXPANSION NOPE TASK FORCE INC 50 SW US HIGHWAY ONE JUPITER FL 33477 201289080 10000 PALM BEACH COUNTY SUBSTANCE ABUSE PREVENTION INITIATIVE OPPORTUNITY INC OF PALM BEACH COUNTY 1713 QUAIL DRIVE WEST PALM BEACH FL 33409 590624429 77841 TECHNOLOGY FOR FUTURE OPPORTUNITIES PALM BEACH COUNTY FOOD BANK 525 GATOR DRIVE LANTANA FL 33462 900788707 100000 HEALTHY FOOD DISTRIBUTION & NUTRITION EDUCATION PALM BEACH HABILITATION CENTER 4522 SOUTH CONGRESS AVENUE LAKE WORTH FL 33461 596213381 25000 FIRE SPRINKLER SYSTEM INSTALLATION FOR JB'S RANCH GROUP HOME (PALM BEACH HABILITATION CENTER) SEAGULL SERVICES 3879 BYRON DR WEST PALM BEACH FL 33404 591879968 44730 SAFETY LIGHTING UPGRADES TO SEAGULL ACHIEVEMENT CENTER PARKING LOTS SOUP KITCHEN INC THE 8645 WEST BOYNTON BEACH BLVD BOYNTON BEACH FL 33472 592628415 34822 OVERALL COOLING IMPROVEMENTS FOR THE SOUP KITCHEN SOUTH FLORIDA SCIENCE CENTER AND AQUARIUM 4801 DREHER TRAIL NORTH WEST PALM BEACH FL 33405 590915177 57500 GROW UP GREAT EARLY CHILDHOOD PLAYGROUND SPEAK UP FOR KIDS OF PALM BEACH COUNTY PO BOX 1896 WEST PALM BEACH FL 33402 800345608 25000 CHILD ADVOCATE ST VINCENT DE PAUL OF ST PETER 1701 INDIAN CREEK PKWY JUPITER FL 33458 591058446 40000 TEMPORARY EMERGENCY CASH PROGRAM THE COUNCIL ON AGING OF MARTIN COUNTY 900 SE SALERNO ROAD STUART FL 34997 521007762 49074 A FOOD SERVICE DELIVERY TRUCK FOR MEALS ON WHEELS AND SENIOR DINING CENTER PROGRAMS THE EDUCATION FOUNDATION OF PALM BEACH COUNTY INC 3300 FOREST HILL BLVDC-141 WEST PALM BEACH FL 33406 592420369 30000 EDUCATION FOUNDATION FREE SCHOOL SUPPLY STORE THE EDUCATION FOUNDATION OF PALM BEACH COUNTY INC 3300 FOREST HILL BLVDC-141 WEST PALM BEACH FL 33406 592420369 587063 RIVIERA BEACH LITERACY PROJECT URBAN LEAGUE OF PALM BEACH COUNTY 1700 NORTH AUSTRALIAN AVENUE WEST PALM BEACH FL 33417 591533710 12518 HIGH SCHOOL SUCCESS URBAN YOUTH IMPACT 2823 N AUSTRALIAN AVENUE WEST PALM BEACH FL 33407 911901103 100000 URBAN YOUTH IMPACT LIFE CENTER VILLAGES OF HOPE OF PALM BEACH COUNTY INC 3551 BURMA CIRCLE LAKE PARK FL 33403 204591024 50000 NEW ROOF, APARTMENT RENOVATIONS AND DECORATIONS AND CAMPUS VEHICLE VINCEREMOS THERAPEUTIC RIDING CENTER 13300 SIXTH COURT N LOXAHATCHEE FL 33470 592274451 33000 STAFF HOUSING VITAL FLIGHT INC 3080 SE CHANDELLE JUPITER FL 33478 273302681 10000 FLIGHTS OF COMPASSION CARIDAD CENTER INC 8645 W BOYNTON BEACH BLVD BOYNTON BEACH FL 33437 650149423 400000 CARIDAD EXPANSION AND RENOVATION PROJECT LORD'S PLACE INC THE 2808 NORTH AUSTRALIAN AVENUE WEST PALM BEACH FL 33407 592240502 300000 BURCKLE PLACE II (BURCKLE PLACE GRADUATE HOUSING) YOUTH RECREATION ASSOCIATION 3005 BERNARDO LANE RIVIERA BEACH FL 33407 650250058 15000 GIRLS AND BOYS BASKETBALL PROGRAM 55 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 ACCOUNTABLITY 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 ANNUAL GRANTMAKERS SALARY AND BENEFITS REPORT PROVIDED BY THE COUNCIL ON FOUNDATIONS. X 21 181288 MARKET VALUE 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 11 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 WRITTEN REQUESTS MUST 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 MAILED A COPY OF THE REQUESTED DOCUMENTS. DIGITAL COPIES OF THE FORM 990 ARE ALSO AVAILABLE ON GUIDESTAR.ORG FORM 990; PART XI, LINE 2C CONSISTENT WITH PRIOR YEAR THE FOUNDATION'S EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FOUNDATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.