C R BARD FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
C R BARD FOUNDATION INC (EIN 22-2840708)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-05
IRS object ID
201711259349100831
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)
Return2017-05-05T14:57:56-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 Madison AvenueAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10017ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222840708EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1C R BARD FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LINDA HREVNACKInCareOfNm
Business Name ControlCRBABusinessNameControlTxt
Phone9082778182PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1730 CENTRAL AVENUEAddressLine1Txt
CityMURRAY HILLCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07974ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT LOWRYPersonNm
Person TitleVP & TREASURERPersonTitleTxt
Phone9082778265PhoneNum
Signature2017-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonYING LIPreparerPersonNm
PTINP01343131PTIN
Phone6464713000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.188.27IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id13074020171255000024FederalOriginalSubmissionId
Federal Original Submission Id2017-05-05FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEF75775F94FFABCA6CE76F49F4EBD30675F6AD9BAtSubmissionCreationDeviceId
At Submission Filing Device IdDE437EBE583AA046F215E11ADCEC6995161C1F27AtSubmissionFilingDeviceId
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$13,317,880FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$45InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$45InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$454,511DividendsRevAndExpnssAmt
Dividends Net Invst Incm$277,612DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$10,263NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$7,156,664GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$11,032CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$464,819TotalRevAndExpnssAmt
Total Net Invst Incm$288,689TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$19,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$19,500AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$88,150OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$63,841OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$24,280OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$5,679TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$113,329TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$63,841TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$43,780TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,820,046ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,820,046ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$2,933,375TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$63,841TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$2,863,826TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,468,556ExcessRevenueOverExpensesAmt
Net Investment Income$224,848NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$40,986CashBOYAmt
Cash EOY$27,055CashEOYAmt
Cash EOYFMV$27,055CashEOYFMVAmt
Corporate Stock BOY$15,734,374CorporateStockBOYAmt
Corporate Stock EOY$13,290,825CorporateStockEOYAmt
Corporate Stock EOYFMV$13,290,825CorporateStockEOYFMVAmt
Total Assets BOY$15,775,360TotalAssetsBOYAmt
Total Assets EOY$13,317,880TotalAssetsEOYAmt
Total Assets EOYFMV$13,317,880TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$15,775,360CapitalStockBOYAmt
Capital Stock EOY$13,317,880CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$15,775,360TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$13,317,880TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$15,775,360TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$13,317,880TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$15,775,360TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,468,556ExcessRevenueOverExpensesAmt
Other Increases$11,076OtherIncreasesAmt
Subtotal$13,317,880SubtotalAmt
Tot Net Ast Or Fund Balances EOY$13,317,880TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
UBS ACCOUNT 3F 02433$221,359$207,067$14,292$14,292
UBS ACCOUNT 3F 02433$1,458,753$1,418,652$40,101$40,101
UBS ACCOUNT 3F 02463$749,832$749,778$54$54
UBS ACCOUNT 3F 02463$3,129,982$3,145,396-$15,414-$15,414
UBS ACCOUNT 3F 02432$1,272,198$1,316,721-$44,523-$44,523
UBS ACCOUNT 3F 02432$324,540$308,018$16,522$16,522
FieldValueIRS element (for citing)
Capital Gain Net Income$11,032CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$2,459,379AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$17,231,475NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.142726DistributionYr1Rt
Adjusted Qlfy Distri Yr2$4,984,732AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$27,801,331NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.179298DistributionYr2Rt
Adjusted Qlfy Distri Yr3$2,442,984AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,944,290NetVlNoncharitableAssetsYr3Amt
Distribution Yr31.256492DistributionYr3Rt
Adjusted Qlfy Distri Yr4$2,558,299AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$404,549NetVlNoncharitableAssetsYr4Amt
Distribution Yr46.32383DistributionYr4Rt
Adjusted Qlfy Distri Yr5$2,391,616AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$901,693NetVlNoncharitableAssetsYr5Amt
Distribution Yr52.652362DistributionYr5Rt
Total Distribution10.554708TotalDistributionRt
Average Distribution2.110942AverageDistributionRt
Net Vl Noncharitable Assets$14,766,750NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$31,171,753AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,248NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$31,174,001AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$2,863,826QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,497InvestmentIncomeExciseTaxAmt
Subtotal$4,497SubtotalAmt
Tax Based On Investment Income$4,497TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$10,011EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$10,011TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Overpayment$5,514OverpaymentAmt
Applied To ES Tax$5,514AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNJOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1LINDA HREVNACKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9082778172PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1CR BARD 730 CENTRAL AVENUEAddressLine1Txt
CityMURRAY HILLCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07974ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TIMOTHY M RING
730 CENTRAL AVENUEMURRAY HILLNJ07974PRESIDENT1.0$0$0$0
JOHN H WEILAND
730 CENTRAL AVENUEMURRAY HILLNJ07974VICE PRESIDENT1.0$0$0$0
SCOTT T LOWRY
730 CENTRAL AVENUEMURRAY HILLNJ07974VP & TREASURER1.0$0$0$0
Betty D Larson
730 CENTRAL AVENUEMURRAY HILLNJ07974SECRETARY1.0$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt
FieldValueIRS element (for citing)
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$14,194,711AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$796,913AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$14,991,624TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$14,991,624AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$224,874CashDeemedCharitableAmt
Net Vl Noncharitable Assets$14,766,750NetVlNoncharitableAssetsAmt
Minimum Investment Return$738,338MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$738,338MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,497TaxBasedOnInvestmentIncomeAmt
Total Tax$4,497TotalTaxAmt
Distributable Before Adj$733,841DistributableBeforeAdjAmt
Distributable Before Ded$733,841DistributableBeforeDedAmt
Distributable As Adjusted$733,841DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,863,826ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$2,863,826QualifyingDistributionsAmt
Adjusted Qualifying Distri$2,863,826AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$733,841DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12014PriorYear1Yr
Prior Year22013PriorYear2Yr
Prior Year32012PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$2,346,531ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,532,365ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,345,704ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$3,578,246ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,600,900ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$12,403,746TotalExcessDistributionCyovAmt
Qualifying Distributions$2,863,826QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$733,841AppliedToCurrentYearAmt
Remaining Distri From Corpus$2,129,985RemainingDistriFromCorpusAmt
Total Corpus$14,533,731TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$2,346,531ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$12,187,200ExcessDistriCyovToNextYrAmt
Excess From Year4$2,532,365ExcessFromYear4Amt
Excess From Year3$2,345,704ExcessFromYear3Amt
Excess From Year2$3,578,246ExcessFromYear2Amt
Excess From Year1$1,600,900ExcessFromYear1Amt
Excess From Current Year$2,129,985ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNAContributingManagerNm
Shareholder ManagerNAShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (163 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
A Child's Voice Child Advocacy Center Inc
216 Brookstone PlaceSocial CircleGA30025NONEPCCommunity Development$12,000
A Little Easier Recovery Inc
43 High Street Suite 120North AndoverMA01845NONEPCHealth$5,000
Action Ministries Inc
2160 Church Street P O Box 693CovingtonGA30015NONEPCCommunity Development$7,500
Amanda Hope Rainbow Angels
326 East Coronado Rd Suite 103PhoenixAZ85004NONEPCCommunity Development$5,000
American Cancer Society
Calle Cabo Alverio 566 Urb La MeHato ReyPR00918NONEPCHealth$25,000
American Cancer Society
4550 E Bell Road Suite 126PhoenixAZ85032NONEPCCommunity Development$15,000
American Cancer Society
2310 Route 30 Suite 1DManasquanNJ08736NONEPCHealth$1,500
American Diabetes Association
5333 North 7th Street Suite B212PhoenixAZ85014NONEPCHealth$7,500
American Diabetes Association
5333 North 7th Street Suite B212PhoenixAZ85014NONEPCHealth$5,000
American Foundation For Suicide Prevention
Capital Region NY ChapterEast GreenbushNY12061NONEPCHealth$3,000P O Box 486
American Heart Association
2929 South 48th StreetTempeAZ85282NONEPCHealth$5,000
American Heart Association
1 Union Street Suite 301RobbinsvilleNJ08691NONEPCHealth$10,000
American Inst for Medical and
Biological EngineeringWashingtonDC20005NONEPCEducation$10,0001400 Eye Street NW Suite 235
American Red Cross
New Jersey CrossroadsSummitNJ07901NONEPCDisaster Relief$10,000695 Springfield Avenue
American Red Cross
New Jersey CrossroadsSummitNJ07901NONEPCDisaster Relief$10,000695 Springfield Avenue
American Red Cross
P O Box 9021067San JuanPR009021067NONEPCCommunity Development$5,000
American Red Cross
New Jersey CrossroadsSummitNJ07901NONEPCCommunity Development$7,500695 Springfield Avenue
AmeriCares Foundation
88 Hamilton AvenueStamfordCT06902NONEPCDisaster Relief$15,000
AmeriCares Foundation
88 Hamilton AvenueStamfordCT06902NONEPCDisaster Relief$10,000
AmeriCares Foundation
88 Hamilton AvenueStamfordCT06902NONEPCHealth$10,000
Angel Flight Soars Inc
2000 Airport Road Suite 227AtlantaGA30341NONEPCHealth$3,600
Arnold Palmer Medical Center Foundation
3160 Southgate Commerce BlvdOrlandoFL32806NONEPCHealth$20,000
Autism Speaks Inc
1955 West Baseline Road Suite 113-MesaAZ85202NONEPCHealth$10,000
Autism Speaks Inc
1060 State Road 2nd FloorPrincetonNJ08540NONEPCHealth$5,000
Bear Creek Services Inc
3108 Highway 52 NorthRochesterMN55901NONEPCHealth$2,500
Berkeley County Foundation of Volunteers of the
SC Guardian Ad Litem ProgramMoncks CornerSC29461NONEPCOther$4,000111 Pine Street
Big Brothers Big Sisters of Orange County
1801 East Edinger Avenue Suite 101Santa AnaCA92705NONEPCCommunity Development$1,000
Boy Scouts of America Inc
1 Saddle RoadCedar KnollsNJ07927NONEPCEducation$15,000
Boys & Girls Club of Pawtucket
One Moeller PlacePawtucketRI02860NONEPCCommunity Development$2,000
Callen Lacey Center for Children
5055 Lackawanna BlvdNorth CharlestonSC29405NONEPCCommunity Development$10,000
Camp Ruggles Inc
PO Box 353ChepachetRI02814NONEPCCommunity Development$2,000
Can Do Canines
9440 Science Center DriveMinneapolisMN55428NONEPCCommunity Development$3,500
Cancer Support Community Montana
102 South 11th AvenueBozemanMT59715NONEPCCommunity Development$1,000
Cancer Support Community of Central New Jersey
3 Crossroads DriveBedminsterNJ07921NONEPCHealth$5,000
Canine Companions For Independence
124 Rancho del Oro DriveSan DiegoCA92057NONEPCCommunity Development$1,000
Caritas Incorporated
142 Bay StreetGlens FallsNY12801NONEPCHealth$1,000
Catholic Partnership Schools Camden
808 Market Street 2nd FloorCamdenNJ08102NONEPCEducation$5,000
Channel One Regional Food Bank
131 35th Street SERochesterMN55904NONEPCCommunity Development$2,500
Children's Healthcare of Atlanta Foundation
1577 Northeast Expressway Suite AAtlantaGA30329NONEPCHealth$3,000
Children's Hospital Colorado Foundation
13123 E 16th Avenue Box 045AuroraCO80045NONEPCHealth$3,000
Circle of Life Children's Center
851 Broad StreetElizabethNJ07208NONEPCHealth$20,000
Cleveland Clinic Foundation
9500 Euclid Avenue/UA3ClevelandOH44195NONEPCHealth$10,000
College of New Jersey Foundation
P O Box 7718EwingNJ086280718NONEPCEducation$10,000
Community Arts Association in Newton County
1106 Washington StreetCovingtonGA30014NONEPCCulture, Arts & Humanities$2,000
Community Educational Outreach
P O Box 18874DenverCO80218NONEPCEducation$3,000
Community Health Charities
1199 North Fairfax Street Suite 60AlexandriaVA22314NONEPCFederated Giving Programs for Employee Campaigns$196,055
Community Health Charities of Georgia
3301 Buckeye Road Suite 203AtlantaGA30341NONEPCHealth$3,000
Cookies For Kids Cancer
P O Box 415CalifonNJ07830NONEPCHealth$5,000
Crandall Library
251 Glen StreetGlens FallsNY12801NONEPCCulture, Arts & Humanities$5,000
Crossroads Rhode Island
160 Broad StreetProvidenceRI02903NONEPCCommunity Development$5,000
Cystic Fibrosis Foundation
455 Patroon Creek Boulevard SuiteAlbanyNY12206NONEPCHealth$5,000
Direct Relief
27 La Patera LaneSanta BarbaraCA93117NONEPCDisaster Relief$15,000
Double H Hole in the Woods Ranch
97 Hidden Valley RoadLake LuzerneNY12846NONEPCCommunity Development$5,000
Drew University
36 Madison AvenueMadisonNJ07940NONEPCEducation$5,000
Elizabeth Buffum Chace Center
P O Box 9476WarwickRI02889NONEPCCommunity Development$3,000
Families Forward
8 ThomasIrvineCA92618NONEPCCommunity Development$1,500
Family YMCA of the Glens Falls Area
600 Glen StreetGlens FallsNY12801NONEPCCommunity Development$2,500
Foundation for Morristown Medical Center
475 South Street First FloorMorristownNJ07960NONEPCHealth$25,000
Foundation for Service Dog Support
5350 West Bell Road Suite C122 6GlendaleAZ85308NONEPCCommunity Development$1,500
Freedom House Foundation Inc
2004 Rt 31 N Suite 1ClintonNJ08809NONESO IHealth$7,000
Georgia Prostate Cancer Coalition
560 Barnesley LaneAlpharettaGA30022NONEPCHealth$2,000
Girls Incorporated of Greater Lowell
220 Worthen StreetLowellMA01852NONEPCCommunity Development$1,500
Give2Asia
340 Pine Street Suite 501San FranciscoCA94104NONEPCDisaster Relief$25,000
Give2Asia
340 Pine Street Suite 501San FranciscoCA94104NONEPCDisaster Relief$25,000
Global Learning Inc
P O Box 1011ChathamNJ07928NONEPCEducation$2,500
Goodwill Industries of Rhode Island
100 Houghton StreetProvidenceRI02904NONEPCEducation$5,000
Greater Glens Falls Senior Center
380 Glen StreetGlens FallsNY12801NONEPCCommunity Development$3,750
Habitat For Humanity of Berkeley County
1 Belknap RoadGoose CreekSC29445NONEPCCommunity Development$1,000
Hamilton House
276 Angell StreetProvidenceRI02906NONEPCEducation$2,000
HandsOn Greater Phoenix
5151 North 19th Avenue Suite 200PhoenixAZ85015NONEPCEducation$3,500
Hermanas Carmelitas Teresas De San Jose Inc
P O Box 868CanovanasPR00729NONEPCCommunity Development$5,000
Hernia Repair for the Underserved
12370 Rose LaneOmahaNE68154NONEPCHealth$10,000
Hiawatha Homes Foundation
1820 Valkyrie Drive NWRochesterMN55901NONEPCCommunity Development$2,500
Homefront Health Care
725 Branch Avenue Suite 214ProvidenceRI02904NONEPCHealth$3,000
Hope Hospice & Palliative Care Rhode Island
1085 North Main StreetProvidenceRI02904NONEPCHealth$5,000
HopeKids Inc
P O Box 28471ScottsdaleAZ85255NONEPCCommunity Development$5,000
Hyde Collection Trust
161 Warren StreetGlens FallsNY12801NONEPCCulture, Arts & Humanities$2,500
Independent College Fund of New Jersey
797 Springfield AvenueSummitNJ07960NONEPCEducation$25,000
Ironwood Springs Christian Ranch
7291 CR 6 SWStewartvilleMN55976NONEPCCommunity Development$2,500
Ironwood Springs Christian Ranch
7291 CR 6 SWStewartvilleMN55976NONEPCCommunity Development$6,000
It's About Caring for Kids
P O Box 16201RochesterNY14616NONEPCHealth$2,500
John F Kennedy Center for the Performing Arts
2700 F Street NWWashingtonDC20566NONEPCCulture, Arts & Humanities$33,333
John F Kennedy Medical Center Foundation
80 James StreetEdisonNJ08820NONEPCHealth$10,000
Johns Hopkins Medicine
James Buchanan Brady Urological InsBaltimoreMD21287NONEPCHealth$20,000600 North Wolfe Street CMSC 130
Johns Hopkins University
5200 Eastern Avenue MFL Center TowBaltimoreMD21224NONEPCHealth$10,000Suite 359
Junior Achievement of New Jersey
4365 Route One SouthPrincetonNJ08540NONEPCEducation$2,500
Junior Achievement of Rhode Island
57 Greene StreetWarwickRI02886NONEPCEducation$2,000
Kessler Foundation
300 Executive Drive Suite 70West OrangeNJ07052NONEPCHealth$2,500
Liberty Science Center
222 Jersey City BoulevardJersey CityNJ07305NONEPCCulture, Arts & Humanities$10,000Liberty State Park
MAP International
4700 Glynco ParkwayBrunswickGA31525NONEPCDisaster Relief$5,000
MAP International
4700 Glynco ParkwayBrunswickGA31525NONEPCDisaster Relief$5,000
MAP International
4700 Glynco ParkwayBrunswickGA31525NONEPCDisaster Relief$5,000
March of Dimes Foundation
1776 Peachtree Street NW Suite 200AtlantaGA30309NONEPCHealth$2,500
Marklund Children's Home
1S450 Wyatt DriveGenevaIL60134NONEPCHealth$4,000
Massachusetts General Hospital
125 Nashua Street Suite 540BostonMA02114NONEPCHealth$20,000
McCarter Theatre Center
91 University PlacePrincetonNJ08540NONEPCCulture, Arts & Humanities$1,000
Meals on Wheels of Rhode Island Inc
70 Bath StreetProvidenceRI02908NONEPCCommunity Development$4,000
Merrimack Valley Food Bank
P O Box 8638LowellMA01853NONEPCCommunity Development$1,500
Morris Museum
6 Normandy Heights RoadMorristownNJ07960NONEPCCulture, Arts & Humanities$2,500
Morristown Neighborhood House Association
12 Flagler StreetMorristownNJ07960NONEPCCommunity Development$5,000
New Jersey Performing Arts Center
One Center StreetNewarkNJ07102NONEPCCulture, Arts & Humanities$20,000
New Jersey SEEDS
494 Broad Street Suite 105NewarkNJ07102NONEPCEducation$20,000
New Jersey Symphony Orchestra
60 Park Place 9th FloorNewarkNJ07102NONEPCCulture, Arts & Humanities$2,000
New Providence Downtown Improvement District
360 Elkwood AvenueNew ProvidenceNJ07974NONEPCCommunity Development$5,000
New Providence Downtown Improvement District
360 Elkwood AvenueNew ProvidenceNJ07974NONEPCCommunity Development$10,000
New Providence Fire Department
360 Elkwood AvenueNew ProvidenceNJ07974NONEPCCommunity Development$5,433
Newton County Senior Services
6183 Turner Lake RoadCovingtonGA30014NONEPCCommunity Development$1,500
Northwestern University Feinberg School of Medicin
Development Alumni RelationsChicagoIL60611NONEPCEducation$50,000Arthur J Rubloff Building 9th Flo
Our House Foundation Inc
76 Floral AvenueMurray HillNJ07974NONEPCCommunity Development$7,500
Ovations For The Cure of Ovarian Cancer
79 Main Street Suite 202FraminghamMA01702NONEPCHealth$2,500
Overlook Hospital Foundation
36 Upper Overlook RoadSummitNJ07902NONEPCHealth$25,000
Oxford College of Emory University
810 Whatcoat StreetOxfordGA30054NONEPCEducation$2,500
Paper Mill Playhouse
22 Brookside DriveMillburnNJ07041NONEPCCulture, Arts & Humanities$10,000
PediPlace
502 South Old Orchard Lane Suite 1LewisvilleTX75067NONEPCHealth$1,000
People For Irvine Community Health
1505 East 17th Street Suite 108Santa AnaCA92705NONEPCCommunity Development$1,500
Project Cameron's Story Inc
7 Faxon StreetGlens FallsNY12801NONEPCHealth$1,500
Project HOPE
255 Carter Hall Lane P O Box 250MillwoodVA22646NONEPCDisaster Relief$5,000
Project ReNeWal Domestic Violence Intervention
Program IncConyersGA30012NONEPCCommunity Development$9,600P O Box 1205
Project ReNeWal Domestic Violence Intervention
Program IncConyersGA30012NONEPCCommunity Development$6,000P O Box 1205
Ronald McDonald House Charities of Phoenix
501 East Roanoke AvenuePhoenixAZ85004NONEPCCommunity Development$5,000
Roper St Francis Foundation
125 Doughty Street Suite 790CharlestonSC29403NONESO IHealth$1,000
Roscoe Reading Program
P O Box 2095Moncks CornerSC29461NONEPCEducation$8,000
Rutgers University Foundation
65 Bergen Street 14th FloorNewarkNJ07103NONEPCHealth$10,000
Rutgers University Foundation - Cancer
Institute of New JerseyNew BrunswickNJ08901NONEPCEducation$25,0007 College Avenue Winants Hall
Rutgers University Foundation - Cancer
Institute of New JerseyNew BrunswickNJ08901NONEPCHealth$25,0007 College Avenue Winants Hall
SAGE Eldercare Inc
290 Broad StreetSummitNJ07901NONEPCHealth$15,000
Saint Barnabas Medical Center
94 Old Short Hills RoadLivingstonNJ07039NONEPCHealth$10,000
Salvation Army
37 Broad StreetGlens FallsNY12801NONEPCCommunity Development$5,000
Samaritans of Rhode Island
PO Box 9086ProvidenceRI02940NONEPCHealth$5,000
Save the Bay Inc
100 Save The Bay DriveProvidenceRI02905NONEPCEducation$2,000
Senior Services Center of the Chathams
58 Meyersville RoadChathamNJ07928NONEPCCommunity Development$1,000
Shakespeare Theatre of New Jersey
3 Vreeland RoadFlorham ParkNJ07932NONEPCCulture, Arts & Humanities$2,500
Society of Interventional Radiology Foundation
3975 Fair Ridge Dr 400NFairfaxVA22033NONESO IResearch Grants$100,000
Special Olympics Georgia
4000 Dekalb Technology PkwyAtlantaGA30340NONEPCCommunity Development$3,000Suite 400 Building 400
Special Olympics New Jersey
1 Eunice Kennedy Shriver WayLawrencevilleNJ08648NONEPCCommunity Development$2,500
Special Olympics New York
504 Balltown RoadSchenectadyNY12304NONEPCCommunity Development$5,000
Spectrum 360 (formerly The Children's Institute)
One Sunset AvenueVeronaNJ07044NONEPCCommunity Development$5,000
St Peter's Hospital Foundation
254 Easton AvenueNew BrunswickNJ08901NONEPCHealth$10,000
Steffen Thomas Museum & Archives
4200 Bethany RoadBuckheadGA30625NONEPCCulture, Arts & Humanities$3,000
Summit Speech School
705 Central AvenueNew ProvidenceNJ07974NONEPCEducation$15,000
SUNY Adirondack Foundation
640 Bay RoadQueensburyNY12804NONEPCEducation$5,000
Surfrider Foundation
P O Box 4216Seal BeachCA90740NONEPCEnvironmental Quality & Protection$1,000
Surgical Outreach for the Americas
12211 Blackheath CourtSaint LouisMO63141NONEPCHealth$5,000
Susan G Komen Breast Cancer Foundation
4900 S Highland Drive Suite BSalt Lake CityUT84117NONEPCHealth$12,000
Susan G Komen Breast Cancer Foundation
44 Middle Avenue 2nd FloorSummitNJ07901NONEPCHealth$10,000
Texas 4000 For Cancer
P O Box 6459AustinTX78762NONEPCHealth$3,000
The Board of Trustees of the Leland Stanford
Junior Unit 318 Campus Drive RoomStanfordCA943055428NONEPCEducation$100,000James H Clark Center
The Nehemiah Wall
1322 Hottle AvenueBethlehemPA18017NONEPCCommunity Development$2,500
The Senior Center of the Kingsbury and
Fort Edward AreaHudson FallsNY12839NONEPCCommunity Development$3,75078 Oak Street
Thomas Jefferson University
Office of Institutional AdvancementPhiladelphiaPA19107NONEPCHealth$10,000125 South 9th Street Suite 600
Tri-County Scholarship Fund
4 Century DriveParsippanyNJ07054NONEPCEducation$15,000
Union County Performing Arts Center
1601 Irving StreetRahwayNJ07065NONEPCCulture, Arts & Humanities$5,000
United Way of Butler County
184 Pittsburgh RoadButlerPA16001NONEPCCommunity Development$5,500
United Way of Greater Union County
33 West Grand StreetElizabethNJ07202NONEPCFederated Giving Programs for Employee Campaigns$336,202
University Of Utah
10 North 1900 EastSalt Lake CityUT84112NONEPCResearch Grants$14,500
University of Utah
WEB 1885 72 South Central Campus DSalt Lake CityUT84112NONEPCEducation$15,000
University of Utah
72 South Central Campus Drive RM 1Salt Lake CityUT84112NONEPCEducation$15,000
Val Skinner Foundation
P O Box 213Bay HeadNJ08742NONEPCHealth$20,000
Willing Helpers Medical Inc
8111 Brown Bridge RoadCovingtonGA30014NONEPCHealth$15,900
WisePlace
1411 North BroadwaySanta AnaCA92706NONEPCCommunity Development$1,000
Woburn Council of Social Concern Inc
2 Merrimac StreetWoburnMA01801NONEPCCommunity Development$1,500
Working Wardrobes for a New Start
1851 Kettering StreetIrvineCA92614NONEPCCommunity Development$2,000
Matching Gifts - See Attachment 8
730 CENTRAL AVENUEMURRAY HILLNJ07974NONEPCMATCHING GIFTS (SEE ATTACHED)$882,423
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,820,046TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$45ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$454,511ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$10,263ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$464,819ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$464,819TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$19,500Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$19,500DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockUBS PORTFOLIOStockNm
EOY Book Value$13,290,825EOYBookValueAmt
EOYFMV$13,290,825EOYFMVAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
REALIZED GAINS$10,263
MISC. BOOK/TAX DIFFERENCE$813

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MATCHING GIFT ADMIN SERVICES$24,280$0$0$24,280
BANK MANAGEMENT FEE - UBS ACCT$62,939$62,910
BANK MANAGEMENT FEE-CHASE ACCT$931$931

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX PAID$1,579$0$0$0
ESTIMATED TAX PAID$4,100$0$0$0

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