RONNIE & JERROLD ROSENBAUM FAMILY FOUNDATION INC: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- RONNIE & JERROLD ROSENBAUM FAMILY FOUNDATION INC (EIN 59-3695159)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-31
- IRS object ID
- 201712439349100606
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-31T10:23:08-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 591843700 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ENNIS PELLUM & ASSOCIATES CPA'S | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5150 BELFORT ROAD SOUTH BLDG 600 | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32256 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593695159 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONNIE & JERROLD ROSENBAUM FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RONN | BusinessNameControlTxt |
| Phone | 9042850828 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1283 PONTE VEDRA BLVD | AddressLine1Txt |
| City | PONTE VEDRA BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32082 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH ANGELO | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 9042850828 | PhoneNum |
| Signature | 2017-08-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RON R PELLUM | PreparerPersonNm |
| PTIN | P00851057 | PTIN |
| Phone | 9043965965 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.79.92.229 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-29 | IPDt |
| IP Tm | 08:20:35 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FADB9788308223999070A0EEB4B6A23BC9DBC0E9 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0982A4007B39798D537A156C00F93CADDB1BDC95 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,339,408 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $923,580 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $20,890 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $20,890 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $28,721 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $667,792 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $28,721 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $973,191 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $49,611 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,725 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,863 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $1,862 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $838 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $838 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $2,875 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $3,528 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $3,463 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $65 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $10,966 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $6,164 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,927 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $82,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $82,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $93,466 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $6,164 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $84,427 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $879,725 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $43,447 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $466,929 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $229,031 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $229,031 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $384,237 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,740,962 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,110,377 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $243,135 | CorporateBondsBOYAmt |
| Total Assets BOY | $1,094,301 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,969,993 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,339,408 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $4,457 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $424 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $4,457 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $424 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $1,089,844 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,969,569 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,089,844 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,969,569 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,094,301 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,969,993 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,089,844 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $879,725 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,969,569 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,969,569 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | $655,755 | $639,071 | $16,684 | $16,684 | |
| CAPITAL GAINS DIVIDENDS | $12,037 | $12,037 | $12,037 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $28,721 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $39,000 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,173,388 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.033237 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $43,959 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,202,272 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.036563 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $58,000 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,178,261 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.049225 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $40,000 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,049,713 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.038106 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $75,145 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $491,580 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.152864 | DistributionYr5Rt |
| Total Distribution | 0.309995 | TotalDistributionRt |
| Average Distribution | 0.061999 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,242,091 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $77,008 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $434 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $77,442 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $84,427 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $434 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $434 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $434 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,440 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,440 | TotalPaymentsAndCreditsAmt |
| Overpayment | $1,006 | OverpaymentAmt |
| Applied To ES Tax | $1,006 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | FL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | BETH ANGELO | IndividualWithBooksNm |
| Phone | 9042850828 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1283 PONTE VEDRA BOULEVARD | AddressLine1Txt |
| City | PONTE VEDRA BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32082 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JERROLD ROSENBAUM | ||||||||
| 1283 PONTE VEDRA BLVD | PONTE VEDRA BEACH | FL | 32082 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| BETH ANGELO | ||||||||
| 1283 PONTE VEDRA BLVD | PONTE VEDRA BEACH | FL | 32082 | VP/TREASURER | 1.00 | $0 | $0 | $0 |
| LAURIE BAUGUSS | ||||||||
| 2601 SIMS COVE LANE | JACKSONVILLE | FL | 32217 | VP/SECRETARY | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,125,587 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $135,419 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,261,006 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,261,006 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $18,915 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,242,091 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $62,105 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $62,105 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $434 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $434 | TotalTaxAmt |
| Distributable Before Adj | $61,671 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $61,671 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $61,671 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $84,427 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $84,427 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $434 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $83,993 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $61,671 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $40,512 | ExcessDistributionCyovYr5Amt |
| Total Excess Distribution Cyov | $40,512 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $84,427 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $61,671 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $22,756 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $63,268 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $40,512 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $22,756 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $22,756 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | JERROLD ROSENBAUM | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| GABRIEL HOUSE OF CARE | |||||||
| 4599 WORRALL WAY | JACKSONVILLE | FL | 32224 | N/A | PUBLIC | GENERAL FUND | $1,000 |
| JEWISH FAMILY & COMMUNITY SERVICES | |||||||
| 6261 DUPONT STATION COURT EAST | JACKSONVILLE | FL | 32217 | N/A | PUBLIC | GENERAL FUND | $20,000 |
| JEWISH FEDERATION OF JACKONVILLE | |||||||
| 8505 SAN JOSE BLVD | JACKSONVILLE | FL | 32217 | N/A | PUBLIC | GENERAL FUND | $20,000 |
| TULANE UNIVERSITY | |||||||
| 1555 POYDRAS STREET SUITE 1000 | NEW ORLEANS | LA | 70112 | N/A | PUBLIC | ANNUAL FUND: BUSINESS | $2,500 |
| UNIVERSITY OF FLORIDA | |||||||
| PO BOX 117153 | GAINESVILLE | FL | 32611 | N/A | PUBLIC | MILLER CENTER FOR RETAILING EDUCATION AND RESEARCH | $7,500 |
| UNITED WAY OF NE FLORIDA | |||||||
| 40 E ADAMS STREET STE 200 | JACKSONVILLE | FL | 32202 | N/A | PUBLIC | GENERAL FUND | $10,000 |
| BETTY GRIFFIN HOUSE | |||||||
| 2450 OLD MOULTRIE ROAD STE 202 | ST AUGUSTINE | FL | 32086 | N/A | PUBLIC | GENERAL FUND | $5,000 |
| MUSCULAR DYSTROPHY ASSOCIATION | |||||||
| 222 S RIVERSIDE PLAZA STE 1500 | CHICAGO | IL | 60606 | N/A | PUBLIC | GENERAL FUND | $2,000 |
| CHILDREN'S HOME SOCIETY | |||||||
| 482 S KELLER ROAD | ORLANDO | FL | 32810 | N/A | PUBLIC | GENERAL FUND | $5,000 |
| RIVER GARDEN FOUNDATION | |||||||
| 11401 OLD SAINT AUGUSTINE RD | JACKSONVILLE | FL | 32258 | N/A | PUBLIC | GENERAL FUND | $3,000 |
| JACKSONVILLE ZOO AND GARDENS | |||||||
| 370 ZOO PKWY | JACKSONVILLE | FL | 32218 | N/A | PUBLIC | GENERAL FUND | $1,500 |
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS STREET NW | ATLANTA | GA | 30303 | N/A | PUBLIC | GENERAL FUND | $2,500 |
| HOSPICE OF NE FLORIDA | |||||||
| 4266 SUNBEAM ROAD | JACKSONVILLE | FL | 32257 | N/A | PUBLIC | GENERAL FUND | $2,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $82,500 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $20,890 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $28,721 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $49,611 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $49,611 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | JERROLD ROSENBAUM | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1283 PONTE VEDRA BLVD | AddressLine1Txt |
| City | PONTE VEDRA BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32082 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $1,189,375 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | 995SHS ABBVIE INC., 1010SHS BECTON DICKINSON & CO., 3,030SHS NIKE INC., 960SHS STRYKER CORP | NoncashPropertyDesc |
| Fair Market Value | $486,809 | FairMarketValueAmt |
| Received | 2016-12-05 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $3,725 | Amt |
| Net Investment Income | $1,863 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,862 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | WELLS FARGO #1200 INVESTMENTS | StockNm |
| EOY Book Value | $1,740,962 | EOYBookValueAmt |
| EOYFMV | $2,110,377 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| BANK CHARGES | $3,397 | $3,397 | $0 |
| ANNUAL REPORT FEE | $131 | $66 | $65 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO BARLEY, MCNAMARA & WILD | Desc |
| BOY Book Value | $4,457 | BOYBookValueAmt |
| EOY Book Value | $424 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $838 | Amt |
| Net Investment Income | $838 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | 990-PF EXCISE TAX | CategoryTxt |
| Amt | $2,875 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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