BETA

ANDRE FAMILY FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ANDRE FAMILY FOUNDATION INC (EIN 20-3966428)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-10-09
IRS object ID
201702829349100110
Schema version
2016v3.0
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)
Return2017-10-09T14:33:19-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1215 BAYTREE DRIVEAddressLine1Txt
CityMELBOURNECityNm
State AbbreviationFLStateAbbreviationCd
ZIP329402195ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203966428EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ANDRE FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANDRBusinessNameControlTxt
Phone3217252232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH HARBOR CITY BLVDAddressLine1Txt
CityMELBOURNECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE M ANDREPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3217252232PhoneNum
Signature2017-09-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN E KIRKLAND CPAPreparerPersonNm
PTINP00124234PTIN
Phone3212550088PhoneNum
Preparation2017-09-19PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.16.54.186IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-20IPDt
IP Tm16:03:07IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4914686EBFC42C0958511A0F112B8A3442D22466AtSubmissionCreationDeviceId
At Submission Filing Device IdF50BC8D0E391728C4F1EB46004F67724879D7C8DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$758,123FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$78,063ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$12InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$12InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$10,139DividendsRevAndExpnssAmt
Dividends Net Invst Incm$10,139DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$20,632NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$221,735GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$20,632CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$108,846TotalRevAndExpnssAmt
Total Net Invst Incm$30,783TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Other Expenses Rev And Expnss$3,231OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$2,151OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$3,231TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,151TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$180,720ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$180,720ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$183,951TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,151TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$180,720TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$75,105ExcessRevenueOverExpensesAmt
Net Investment Income$28,632NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$21,552SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$56,576SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$56,576SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$759,619OtherInvestmentsBOYAmt
Other Investments EOY$701,547OtherInvestmentsEOYAmt
Other Investments EOYFMV$701,547OtherInvestmentsEOYFMVAmt
Total Assets BOY$781,171TotalAssetsBOYAmt
Total Assets EOY$758,123TotalAssetsEOYAmt
Total Assets EOYFMV$758,123TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$781,171UnrestrictedBOYAmt
Unrestricted EOY$758,123UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$781,171TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$758,123TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$781,171TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$758,123TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$781,171TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$75,105ExcessRevenueOverExpensesAmt
Other Increases$52,057OtherIncreasesAmt
Subtotal$758,123SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$758,123TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES2016-12-31$114,817$106,402$8,415$8,415
PUBLICLY TRADED SECURITIES2017-06-30$98,197$94,701$3,496$3,496
CAPITAL GAINS DIVIDENDS$8,721$8,721$8,721P
FieldValueIRS element (for citing)
Capital Gain Net Income$20,632CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$192,724AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$790,514NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.243796DistributionYr1Rt
Adjusted Qlfy Distri Yr2$172,910AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$938,938NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.184155DistributionYr2Rt
Adjusted Qlfy Distri Yr3$323,258AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,007,290NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.320919DistributionYr3Rt
Adjusted Qlfy Distri Yr4$188,850AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,115,750NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.169258DistributionYr4Rt
Adjusted Qlfy Distri Yr5$232,700AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,243,381NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.187151DistributionYr5Rt
Total Distribution1.105279TotalDistributionRt
Average Distribution0.221056AverageDistributionRt
Net Vl Noncharitable Assets$776,582NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$171,668AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$286NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$171,954AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$180,720QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$286InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$286SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$286TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$484EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$484TotalPaymentsAndCreditsAmt
Overpayment$198OverpaymentAmt
Applied To ES Tax$198AppliedToESTaxAmt
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 SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateFLOrgReportOrRegisterStateCd
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 AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1JEANNE M ANDREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3217252232PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH HARBOR CITY BLVDAddressLine1Txt
CityMELBOURNECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32901ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JEANNE M ANDRE
404 SOUTH HARBOR CITY BLVDMELBOURNEFL32901PRESIDENT1.50$0$0$0
EDWARD A ANDRE
404 SOUTH HARBOR CITY BLVDMELBOURNEFL32901VICE-PRESIDENT1.50$0$0$0
JESSICA L ANDRE
404 SOUTH HARBOR CITY BLVDMELBOURNEFL32901DIRECTOR1.50$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$727,864AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$60,544AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$788,408TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$788,408AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$11,826CashDeemedCharitableAmt
Net Vl Noncharitable Assets$776,582NetVlNoncharitableAssetsAmt
Minimum Investment Return$38,829MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$38,829MinimumInvestmentReturnAmt
Tax Based On Investment Income$286TaxBasedOnInvestmentIncomeAmt
Total Tax$286TotalTaxAmt
Distributable Before Adj$38,543DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$38,543DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$38,543DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$180,720ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$180,720QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$286PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$180,434AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$38,543DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$171,231ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$134,185ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$274,569ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$126,698ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$153,750ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$860,433TotalExcessDistributionCyovAmt
Qualifying Distributions$180,720QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$38,543AppliedToCurrentYearAmt
Remaining Distri From Corpus$142,177RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,002,610TotalCorpusAmt
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$171,231ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$831,379ExcessDistriCyovToNextYrAmt
Excess From Year4$134,185ExcessFromYear4Amt
Excess From Year3$274,569ExcessFromYear3Amt
Excess From Year2$126,698ExcessFromYear2Amt
Excess From Year1$153,750ExcessFromYear1Amt
Excess From Current Year$142,177ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonJEANNE M ANDRERecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH HARBOR CITY BLVDAddressLine1Txt
CityMELBOURNECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32901ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3217252232RecipientPhoneNum
Form And Info And MaterialsCOMPLETION OF THE ANDRE FAMILY FOUNDATION STRUCTURED GRANT APPLICATION FORMFormAndInfoAndMaterialsTxt
Submission DeadlinesONGOINGSubmissionDeadlinesTxt
Restrictions On AwardsSEC 501(C)(3) ORGANIZATIONSRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BREVARD RESCUE MISSION
PO BOX 204COCOAFL32923N/APUBLIC CHARITYCHARITABLE$3,500
CAMPUS CRUSADE FOR CHRIST INTERNATIONAL
P O BOX 628222ORLANDOFL328628222N/APUBLIC CHARITYCHARITABLE$10,000
CARE
151 ELLIS STREET NEATLANTAGA30303N/APUBLIC CHARITYCHARITABLE$5,000
CLUB ESTEEM
3316 MONROE STREETMELBOURNEFL32901N/APUBLIC CHARITYCHARITABLE$2,500
EASTMINSTER GLOBAL MISSIONS
PO BOX 33473INDIALANTICFL32903N/APUBLIC CHARITYCHARITABLE$10,000
FELLOWSHIP OF CHRISTIAN ATHLETES
8701 LEEDS ROADKANSAS CITYMO64129N/APUBLIC CHARITYCHARITABLE$73,000
HEALTH FIRST FOUNDATION
1350 S HICKORY STREETMELBOURNEFL32901N/APUBLIC CHARITYCHARITABLE$3,920
INTERNATIONAL COOPERATING MINISTRIES
1901 N ARMISTEAD AVEHAMPTONVA23666N/APUBLIC CHARITYCHARITABLE$16,000
MASTER'S WORKSHOP
2525 LIPSCOMB STREETMELBOURNEFL32904N/APUBLIC CHARITYCHARITABLE$3,000
PLAY FOR PINK (THE BREAST CANCER RESEARCH FOUNDATION)
60 EAST 56TH STREET 8TH FLOORNEW YORKNY10022N/APUBLIC CHARITYCHARITABLE$2,000
RADIUS CAMPS
PO BOX 92288NASHVILLETN37209N/APUBLIC CHARITYCHARITABLE$11,000
BRIDGES
1694 CEDAR STREETROCKLEDGEFL32955N/APUBLIC CHARITYCHARITABLE$1,500
CALVARY CHAPEL
950 PINETREE DRIVEINDIAN HARBOUR BEACHFL32937N/APUBLIC CHARITYCHARITABLE$500
CANCER CARE FOUNDATION
7025 N WICKHAM RD 111MELBOURNEFL32940N/APUBLIC CHARITYCHARITABLE$5,300
CHILDREN'S HOME SOCIETY OF FL
326 CROTON RDMELBOURNEFL32935N/APUBLIC CHARITYCHARITABLE$1,000
CRU
100 LAKE HART DRIVEORLANDOFL32832N/APUBLIC CHARITYCHARITABLE$30,500
NEW TRIBES MISSION
108 MISSION BLVDSANFORDFL32771N/APUBLIC CHARITYCHARITABLE$1,000
HABITAT FOR HUMANITY
4515 BABCOCK STREETPALM BAYFL32905N/APUBLIC CHARITYCHARITABLE$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$180,720TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$12ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$10,139ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$20,632ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$30,783ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$30,783TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1EDWARD A ANDRE CHARITABLE LEAD ANNUITY TRUSTBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line13800 N RIVERSIDE DRIVEAddressLine1Txt
CityINDIALANTICCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32903ZIPCd
FieldValueIRS element (for citing)
Total Contributions$78,062TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemSCHWAB INVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$701,547BookValueAmt
EOYFMV$701,547EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MANAGEMENT FEES$1,883$1,883$0
BANK CHARGES$268$268$0
SPONSORSHIPS$1,080$0$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$52,057Amt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonEDWARD JEANNE ANDREPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 N RIVERSIDE DRIVEAddressLine1Txt
CityINDIALANTICCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32903ZIPCd

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