FURP.ORG / PUBLIC DATA EXPLORER

MYERS L & MARILYN R GIRSH FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MYERS L & MARILYN R GIRSH FOUNDATION INC (EIN 45-5303068)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-04-18
IRS object ID
201721089349100527
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)
Return2017-04-18T18:04:35+00:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN231285212PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SKLAR CARMOSIN & COMPANYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1801 OLD YORK RD STE 402AddressLine1Txt
CityJENKINTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19046ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN455303068EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MYERS L & MARILYN R GIRSHBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMYERBusinessNameControlTxt
Phone3058680202PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15500 COLLINS AVENUE RM/STE 1402AddressLine1Txt
CityMIAMI BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33140ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARILYN R GIRSHPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone3058680202PhoneNum
Signature2017-04-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEPHEN J SMARTPreparerPersonNm
PTINP01305891PTIN
Phone2158855811PhoneNum
Preparation2017-04-14PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id987B871A70ED843D13A9A7111D33725CB6C81490AtSubmissionCreationDeviceId
At Submission Filing Device Id987B871A70ED843D13A9A7111D33725CB6C81490AtSubmissionFilingDeviceId
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$4,586,596FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$38,320InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$38,320InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$38,320InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$70,608DividendsRevAndExpnssAmt
Dividends Net Invst Incm$70,608DividendsNetInvstIncmAmt
Dividends Adj Net Incm$70,608DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$46,020NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$619,679GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$15,873CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$154,948TotalRevAndExpnssAmt
Total Net Invst Incm$124,801TotalNetInvstIncmAmt
Total Adj Net Incm$108,928TotalAdjNetIncmAmt
Taxes Rev And Expnss$2,345TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,345TaxesNetInvstIncmAmt
Taxes Adj Net Incm$2,345TaxesAdjNetIncmAmt
Other Expenses Rev And Expnss$15,396OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$15,396OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$15,396OtherExpensesAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$17,741TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$17,741TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$17,741TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$253,169ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$253,169ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$270,910TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$17,741TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$17,741TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$253,169TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$115,962ExcessRevenueOverExpensesAmt
Net Investment Income$107,060NetInvestmentIncomeAmt
Adjusted Net Income$91,187AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$212,769CashBOYAmt
Cash EOY$75,899CashEOYAmt
Cash EOYFMV$75,899CashEOYFMVAmt
Corporate Stock BOY$1,844,669CorporateStockBOYAmt
Corporate Stock EOY$1,915,305CorporateStockEOYAmt
Corporate Stock EOYFMV$1,915,305CorporateStockEOYFMVAmt
Corporate Bonds BOY$2,278,745CorporateBondsBOYAmt
Corporate Bonds EOY$2,301,348CorporateBondsEOYAmt
Corporate Bonds EOYFMV$2,301,348CorporateBondsEOYFMVAmt
Other Investments BOY$186,839OtherInvestmentsBOYAmt
Other Investments EOY$279,025OtherInvestmentsEOYAmt
Other Investments EOYFMV$279,025OtherInvestmentsEOYFMVAmt
Other Assets BOY$13,954OtherAssetsBOYAmt
Other Assets EOY$15,019OtherAssetsEOYAmt
Other Assets EOYFMV$15,019OtherAssetsEOYFMVAmt
Total Assets BOY$4,536,976TotalAssetsBOYAmt
Total Assets EOY$4,586,596TotalAssetsEOYAmt
Total Assets EOYFMV$4,586,596TotalAssetsEOYFMVAmt
Other Liabilities EOY$31OtherLiabilitiesEOYAmt
Total Liabilities EOY$31TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$4,536,976UnrestrictedBOYAmt
Unrestricted EOY$4,586,565UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$4,536,976TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,586,565TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,536,976TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,586,596TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,536,976TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$115,962ExcessRevenueOverExpensesAmt
Other Increases$166,071OtherIncreasesAmt
Subtotal$4,587,085SubtotalAmt
Other Decreases$520OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,586,565TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

FieldValueIRS element (for citing)
Capital Gain Net Income$15,873CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$255,332AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$4,718,377NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.054114DistributionYr1Rt
Adjusted Qlfy Distri Yr2$302,034AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$4,928,575NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.061282DistributionYr2Rt
Adjusted Qlfy Distri Yr3$309,245AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,960,036NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.062347DistributionYr3Rt
Adjusted Qlfy Distri Yr4$140,262AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,954,444NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.028310DistributionYr4Rt
Total Distribution0.206053TotalDistributionRt
Average Distribution0.051513AverageDistributionRt
Net Vl Noncharitable Assets$4,719,426NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$243,112AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,071NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$244,183AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$253,169QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,071InvestmentIncomeExciseTaxAmt
Subtotal$1,071SubtotalAmt
Tax Based On Investment Income$1,071TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,040EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$1,040TotalPaymentsAndCreditsAmt
Tax Due$31TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
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
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (true)PrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksCHARLES P SACHERIndividualWithBooksNm
Phone3054483900PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12655 LEJEUNE ROAD SUITE 1101AddressLine1Txt
CityCORAL GABLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33134ZIPCd
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
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARILYN R GIRSH
5500 COLLINS AVENUE 1402MIAMI BEACHFL33140DIRECTOR000.00$0$0$0
MICHAEL J WALKER
15 HULSE STREETBELLPORTNY11713DIRECTOR000.00$0$0$0
CHARLES P SACHER
2655 LEJEUNE ROAD SUITE 1101CORAL GABLESFL33134DIRECTOR000.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1TO SUPPORT NOT FOR PROFIT HOSPITALS AND THE CHARITABLE PURPOSES AND ACTIVITIES NECESSARY OR INCIDENTAL THERETO.Description1Txt
Expenses1$131,200Expenses1Amt
Description2A)TO PROVIDE FOR SCHOLARSHIPS, LOANS, GRANTS, AND OTHER FINANCIAL AID FOR COLLEGE AND POST-GRADUATE STUDIES FOR SUCH CANDIDATES AS MAY BE APPROVED PURSUANT TO QUALIFICATION REQUIREMENTS ESTABLISHED BY THE BOARD OF DIRECTORS AND APPROVED BY THE INTERNAL REVENUE SERVICE, IN ACCORDANCE WITH APPLICABLE LIMITATIONS OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME. B) TO MAKE CONTRIBUTIONS TO ANY ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, WITH THE EXCEPTION OF AN ORGANIZATION TESTING FOR PUBLIC SAFETY.Description2Txt
Expenses2$109,299Expenses2Amt
Description3TO SUPPORT MEDICAL RESEARCH CARRIED ON BY NOT FOR PROFIT ORGANIZATIONS AND FOUNDATIONS BY PROVIDING SPECIFIC GRANTS OR CONTRIBUTIONS FOR GENERAL OPERATING EXPENSES.Description3Txt
Expenses3$10,550Expenses3Amt
Description4TO SUPPORT RELIGIOUS ORGANIZATIONS AND THE CHARITABLE PURPOSES AND ACTIVITIES CONDUCTED BY RELIGIOUS ORGANIZATIONS.Description4Txt
Expenses4$2,120Expenses4Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,663,546AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$112,730AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$15,019FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,791,295TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$4,791,295AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$71,869CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,719,426NetVlNoncharitableAssetsAmt
Minimum Investment Return$235,971MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$253,169ExpensesAndContributionsAmt
Qualifying Distributions$253,169QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,071PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$252,098AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Qualifying Distributions$253,169QualifyingDistributionsAmt
Remaining Distri From Corpus$253,169RemainingDistriFromCorpusAmt
Total Corpus$253,169TotalCorpusAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$91,187CurrentYearAmt
Year1$73,801Year1Amt
Year2$104,706Year2Amt
Year3$86,232Year3Amt
Total$355,926TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$77,509CurrentYearAmt
Year1$62,731Year1Amt
Year2$89,000Year2Amt
Year3$73,297Year3Amt
Total$302,537TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$253,169CurrentYearAmt
Year1$256,370Year1Amt
Year2$303,443Year2Amt
Year3$310,398Year3Amt
Total$1,123,380TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$253,169CurrentYearAmt
Year1$256,370Year1Amt
Year2$303,443Year2Amt
Year3$310,398Year3Amt
Total$1,123,380TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Current Year$157,314CurrentYearAmt
Year1$157,279Year1Amt
Year2$164,286Year2Amt
Year3$165,335Year3Amt
Total$644,214TotalAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonCHARLES P SACHERRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line12655 LEJEUNE ROAD SUITE 1101AddressLine1Txt
CityCORAL GABLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33134ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3054483900RecipientPhoneNum
Recipient Email AddressCPS@SACHMARLAW.COMRecipientEmailAddressTxt
Form And Info And MaterialsIN A MANNER TO PROVIDE THE MOST COMPLETE INFORMATION ABOUT THE PROJECT.FormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On Awards501(C)(3) ORGANIZATIONSRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (68 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2TxtBusiness Name Line2RecipientBusinessName/BusinessNameLine2Txt
AARP FOUNDATION
601 E STREET NWWASHINGTONDC20049CONTRIBUTION TO 501(C)(3) ORGANIZATI$150
ALS ASSOCIATION
1275 K STREET NW STE250WASHINGTONDC20005SUPPORT MEDICAL RESEARCH BY NPO$100
ALS ASSOCIATION
1275 K STREET NW STE250WASHINGTONDC20005SUPPORT MEDICAL RESEARCH BY NPO$100
AMERICAN CANCER SOCIETY
PO BOX 22718OKLAHOMA CITYOK73123SUPPORT MEDICAL RESEARCH BY NPO$200
AMERICAN FRIENDS OF MAGEN DAVID ADO
352 SEVENTH AVENUENEW YORKNY10001SUPPORT FOR NOT FOR PROFIT HOSPITAL$1,000SUITE 400
AMERICAN HUMANE ASSOCIATION
1400 16TH STREET NW 360WASHINGTONDC20036CONTRIBUTION TO 501(C)(3) ORGANIZATI$250
AMERICAN KIDNEY FUND
6110 EXECUTIVE BOULEVARDROCKVILLEMD20852SUPPORT MEDICAL RESEARCH BY NPO$60SUITE 1010
AMFAR THE FOUNDATION FOR AIDS RESE
120 WALL STREET 13TH FLRNEW YORKNY10005SUPPORT MEDICAL RESEARCH BY NPO$90
AMNESTY LEADERSHIP GROUP
5 PENN PLAZANEW YORKNY10001CONTRIBUTION TO 501(C)(3) ORGANIZATI$500
ARTHRITIS FOUNDATION
1330 WEST PEACHTREE STREEATLANTAGA30309SUPPORT MEDICAL RESEARCH BY NPO$50
ASPCA
424 EAST 92ND STREETNEW YORKNY10128CONTRIBUTION TO 501(C)(3) ORGANIZATI$500
BBB WISE GIVING ALLIANCE
3033 WILSON BOULEVARDARLINGTONVA22201CONTRIBUTION TO 501(C)(3) ORGANIZATI$70SUITE 600
BLINDED VETERANS ASSOCIATION
477 H STREET NWWASHINGTONDC20001CONTRIBUTION TO 501(C)(3) ORGANIZATI$100
BOYS TOWN
200 FLANAGAN BOULEVARDBOYS TOWNNE68010CONTRIBUTION TO 501(C)(3) ORGANIZATI$50PO BOX 8000
CHILDRENS RESOURCE FUND INC
8571 SW 112TH STREETMIAMIFL33156CONTRIBUTION TO 501(C)(3) ORGANIZATI$100,000
CITIZENS INTERESTED IN ARTS INC
1745 E HALLANDALE BEACHHALLANDALEFL33009CONTRIBUTION TO 501(C)(3) ORGANIZATI$500
COVENANT HOUSE
461 EIGHTH AVENUENEW YORKNY10001CONTRIBUTION TO 501(C)(3) ORGANIZATI$250
CYSTIC FIBROSIS FOUNDATION
6931 ARLINGTON ROAD 200BETHESDAMD20814SUPPORT MEDICAL RESEARCH BY NPO$1,000
DIABETES RESEARCH INSTITUTE FOUNDAT
200 S PARK ROAD STE 100HOLLYWOODFL33021SUPPORT MEDICAL RESEARCH BY NPO$5,000
DIABETES RESEARCH INSTITUTE FOUNDAT
200 S PARK ROAD STE 100HOLLYWOODFL33021SUPPORT MEDICAL RESEARCH BY NPO$1,000
ENVIRONMENTAL DEFENSE FUND
1875 CONNECTICUT AVE NWWASHINGTONDC20009CONTRIBUTION TO 501(C)(3) ORGANIZATI$25
FEED THE CHILDREN
PO BOX 36OKLAHOMA CITYOK73101SUPPORT RELIGIOUS ORG CHARITABLE PUR$100
FOOD FOR THE POOR INC
6401 LYONS ROADCOCONUT CREEKFL33073SUPPORT RELIGIOUS ORG CHARITABLE PUR$200
FRIENDS OF WLRN
PO BOX 19731MIAMIFL331012500CONTRIBUTION TO 501(C)(3) ORGANIZATI$170
GREATER MIAMI JEWISH FEDERATION
4200 BISCAYNE BOULEVARDMIAMIFL33137SUPPORT RELIGIOUS ORG CHARITABLE PUR$620
HABITAT FOR HUMANITY
1800 NORTH BAYSHORE DRIVEMIAMIFL33132CONTRIBUTION TO 501(C)(3) ORGANIZATI$1,5003501
INTERNATIONAL EYE FOUNDATION
10801 CONNECTICUT AVENUEKENSINGTONMD20895SUPPORT MEDICAL RESEARCH BY NPO$1,000
JDRF
26 BROADWAY 14TH FLOORNEW YORKNY10004SUPPORT MEDICAL RESEARCH BY NPO$250
JEWISH MUSEUM OF FLORIDA
301 WASHINGTON AVENUEMIAMI BEACHFL33139SUPPORT RELIGIOUS ORG CHARITABLE PUR$1,000
LEUKEMIA & LYMPHOMA SOCIETY
1311 MAMARONECK AVENUEWHITE PLAINSNY10605SUPPORT MEDICAL RESEARCH BY NPO$250
MARCH OF DIMES
1275 MAMARONECK AVENUEWHITE PLAINSNY10605SUPPORT MEDICAL RESEARCH BY NPO$50
MERCY CORPS
PO BOX 2669 DEPT WPORTLANDOR97208CONTRIBUTION TO 501(C)(3) ORGANIZATI$100
MIAMI JEWISH HEALTH SYSTEMS FOUNDAT
5200 NE 2ND AVENUEMIAMIFL33137SUPPORT FOR NOT FOR PROFIT HOSPITALS$80,000
MIAMI PROJECT TO CURE PARALYSIS
PO BOX 016960MIAMIFL33101SUPPORT MEDICAL RESEARCH BY NPO$50
MIAMI RESCUE MISSION
2159 NW 1ST COURTMIAMIFL33127CONTRIBUTION TO 501(C)(3) ORGANIZATI$150
MOTHERS AGAINST DRUNK DRIVING
511 E JOHN CARPENTER FREIRVINGTX75062CONTRIBUTION TO 501(C)(3) ORGANIZATI$55
MOUNT SINAI MEDICAL CENTER
4300 ALTON ROADMIAMI BEACHFL33140SUPPORT FOR NOT FOR PROFIT HOSPITALS$50,000
NATIONAL AUDUBON SOCIETY
225 VARICK STREET 7TH FLNEW YORKNY10014CONTRIBUTION TO 501(C)(3) ORGANIZAT$40
NATIONAL AUDUBON SOCIETY
225 VARICK STREET 7TH FLNEW YORKNY10014CONTRIBUTION TO 501(C)(3) ORGANIZAT$25
NATIONAL FEDERATION OF THE BLIND
1800 JOHNSON STREETBALTIMOREMD21230CONTRIBUTION TO 501(C)(3) ORGANIZATI$55
NATIONAL MULTIPLE SCLEROSIS SOCIETY
PO BOX 4527NEW YORKNY10163SUPPORT MEDICAL RESEARCH BY NPO$100
NATIONAL PARKINSON FOUNDATION
200 SE 1ST STREETMIAMIFL33131SUPPORT MEDICAL RESEARCH BY NPO$500SUITE 800
NATIONAL TRUST FOR HISTORIC ORIC
2600 VIRGINIA AVENUE NWWASHINGTONDC20037CONTRIBUTION TO 501(C)(3) ORGANIZATI$25SUITE 1100PRESERVATION
OXFAM AMERICA
226 CAUSEWAY STREET 5THBOSTONMA02114CONTRIBUTION TO 501(C)(3) ORGANIZATI$100
OXFAM AMERICA
226 CAUSEWAY STREET 5THBOSTONMA02114CONTRIBUTION TO 501(C)(3) ORGANIZATI$150
PROJECT HOPE
255 CARTER HALL LANEMILLWOODVA22646CONTRIBUTION TO 501(C)(3) ORGANIZATI$90PO BOX 250
SALVATION ARMY
615 SLATERS LANEALEXANDRIAVA22313CONTRIBUTION TO 501(C)(3) ORGANIZATI$50
SMILE TRAIN
41 MADISON AVENUE 28TH FLNEW YORKNY10010CONTRIBUTION TO 501(C)(3) ORGANIZAT$1,000
SPECIAL OLYMPICS FLORIDA
1915 DON WICKHAM DRIVECLERMONTFL34711CONTRIBUTION TO 501(C)(3) ORGANIZATI$59
ST LABRE INDIAN SCHOOL
1000 TONGUE RIVER ROADASHLANDMT59003CONTRIBUTION TO 501(C)(3) ORGANIZATI$25
STUTTERING ASSOCIATION FOR THE YOUN
330 WEST 42ND STREET 12FLNEW YORKNY10036SUPPORT MEDICAL RESEARCH BY NPO$500
SUSAN G KOMEN FOR THE CURE
PO BOX 650309DALLASTX75265SUPPORT MEDICAL RESEARCH BY NPO$250
UNCF - UNITED NEGRO COLLEGE FUND
1805 7TH STREET NWWASHINGTONDC20001CONTRIBUTION TO 501(C)(3) ORGANIZATI$70
UNION OF CONCERNED SCIENTISTS
2 BRATTLE SQUARECAMBRIDGEMA02138CONTRIBUTION TO 501(C)(3) ORGANIZAT$100
UNION OF CONCERNED SCIENTISTS
2 BRATTLE SQUARECAMBRIDGEMA02138CONTRIBUTION TO 501(C)(3) ORGANIZAT$100
USO
PO BOX 96860WASHINGTONDC20077CONTRIBUTION TO 501(C)(3) ORGANIZATI$80
WOUNDED WARRIOR PROJECT
4899 BELFORT ROADSTE 300JACKSONVILLEFL32256CONTRIBUTION TO 501(C)(3) ORGANIZATI$350
WPBT2
PO BOX 610002MIAMIFL332610002CONTRIBUTION TO 501(C)(3) ORGANIZATI$250
THE WOMEN'S COMMITTEE BIG BROTHERS
5201 BLUE LAGOON DRIVEMIAMIFL33126CONTRIBUTION TO 501(C)(3) ORGANIZATI$1009TH FLOORBIG SISTERS OF MIAMI
MILITARY ORDER OF THE PURPLE HEART
PO BOX 49ANNANDALEVA22003CONTRIBUTION TO 501(C)(3) ORGANIZATI$50
ST JUDE CHILDREN'S RESEARCH HOSPIT
501 ST JUDE PLACEMEMPHISTN38105SUPPORT FOR NOT FOR PROFIT HOSPITALS$100
ST JUDE CHILDREN'S RESEARCH HOSPIT
501 ST JUDE PLACEMEMPHISTN38105SUPPORT FOR NOT FOR PROFIT HOSPITALS$100
AMERICAN RED CROSS
PO BOX 37839BOONEIA500370839CONTRIBUTION TO 501(C)(3) ORGANIZATI$1,000
MIAMI LIGHTHOUSE FOR THE BLIND
601 SW 8TH AVENUEMIAMIFL33130CONTRIBUTION TO 501(C)(3) ORGANIZATI$1,000
AMERICAN FEDERATION OF POLICE &
6350 HORIZON DRIVETITUSVILLEFL32780CONTRIBUTION TO 501(C)(3) ORGANIZATI$60CONCERNED CITIZENS
DAV - DISABLED AMERICAN VETERANS
PO BOX 14301CINCINNATIOH452500301CONTRIBUTION TO 501(C)(3) ORGANIZATI$100
OCEAN CONSERVANCY
1300 19TH STREET NWWASHINGTONDC20036CONTRIBUTION TO 501(C)(3) ORGANIZATI$508TH FLOOR
HILLEL INTERNATIONAL
800 EIGHTH STREET NWWASHINGTONDC200013724SUPPORT RELIGIOUS ORG CHARITABLE PUR$200
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$253,169TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$38,320RelatedOrExemptFunctionIncmAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$70,608RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$46,020RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$154,948RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$154,948TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (3 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
3USED TO PROVIDE GRANTS , CONTRIBUTIONS, SCHOLARSHIPS, ETC. TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE
4USED TO PROVIDE GRANTS , CONTRIBUTIONS, SCHOLARSHIPS, ETC. TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE
8USED TO PROVIDE GRANTS , CONTRIBUTIONS, SCHOLARSHIPS, ETC. TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE

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

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (37 entries)

AssetAssetDescHow AcquiredHowAcquiredTxtSoldSoldDtGross Sales PriceGrossSalesPriceAmtBasisBasisAmtTotal NetTotalNetAmtAcquiredAcquiredDt
EMERSON ELECTRIC CO COMPURCHASE2016-01$10,416$12,868-$2,452
PFIZER INC COMPURCHASE2016-01$853$918-$652015-01
3M CO COMPURCHASE2016-01$863$797$662014-02
ABBOTT LABORATORIESPURCHASE2016-01$2,602$3,079-$4772014-12
GALLAGHER ARTHUR J & CO COMPURCHASE2016-01$5,967$5,865$102
PNC FINANCIAL SERVICES GROUPPURCHASE2016-01$2,992$3,095-$103
PNC FINANCIAL SERVICES GROUPPURCHASE2016-02$1,980$2,201-$2212014-12
PUBLIC STORAGE COMPURCHASE2016-02$4,669$4,027$642
WELLTOWER INC COMPURCHASE2016-02$5,290$5,644-$354
WELLTOWER INC COMPURCHASE2016-02$2,086$2,373-$2872015-12
WELLTOWER INC COMPURCHASE2016-02$3,157$3,193-$362012-08
PEPSICO INC. .7% DUE 02-26-2016PURCHASE2016-02$100,000$99,933$672013-03
TOTAL CAP 2.3% DUE 03-15-2016PURCHASE2016-03$25,004$25,592-$5882013-01
TOTAL CAP 2.3% DUE 03-15-2016PURCHASE2016-03$75,000$76,735-$1,7352013-01
REORG/CALIFORNIA RES CORP REVERSE SPURCHASE2016-04$21$24-$3
SMUCKER J M CO COM NEWPURCHASE2016-04$6,797$6,362$4352015-04
KIMBERLY-CLARK CORPPURCHASE2016-04$4,221$2,908$1,313
ALTRIA GROUP INC COMPURCHASE2016-06$652$350$3022012-08
ANALOG DEVICES INCPURCHASE2016-06$9,896$7,341$2,555
COCA COLA CO COMPURCHASE2016-06$951$827$1242012-08
HASBRO INC COMPURCHASE2016-06$778$490$2882015-01
KIMBERLY CLARK CORPPURCHASE2016-07$6,049$3,572$2,4772012-08
REALTY INCOME CORP COMPURCHASE2016-07$5,258$4,474$7842016-02
ABBOTT LABORATORIESPURCHASE2016-08$685$663$222016-07
WALT DISNEY COMPANY 1.35% DUE 08-16-PURCHASE2016-08$100,000$100,911-$9112013-01
ABBVIE INC COM USD 0.01PURCHASE2016-08$4,526$3,593$933
PAYCHEX INCPURCHASE2016-08$1,948$1,568$380
WEC ENERGY GROUP INC COMPURCHASE2016-08$2,010$1,399$6112013-11
KIMBERLY CLARK CORPPURCHASE2016-10$1,615$1,111$5042012-08
PAYCHEX INCPURCHASE2016-10$1,962$1,649$313
SPECTRA ENERGY CORP COM STKPURCHASE2016-10$2,561$2,080$481
NOVARTIS CAP CORP 2.4% DUE 09-21-202PURCHASE2016-10$102,890$100,135$2,7552012-09
ABBVIE INC COM USD 0.01PURCHASE2016-11$1,989$1,269$720
PAYCHEX INCPURCHASE2016-11$3,053$2,534$519
MERCK & CO INC NEW COMPURCHASE2016-11$5,065$4,143$922
MFB NORTHERN FUNDS SMALL CAP INDEX FPURCHASE2016-12$50,000$46,434$3,5662014-11
MFB NORTHERN FUNDS STK INDEX FDPURCHASE2016-12$50,000$33,502$16,498

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondNORTHERN TRUSTBondNm
EOY Book Value$2,301,348EOYBookValueAmt
EOYFMV$2,301,348EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockNORTHERN TRUSTStockNm
EOY Book Value$1,915,305EOYBookValueAmt
EOYFMV$1,915,305EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemNORTHERN TRUSTCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$279,025BookValueAmt
EOYFMV$279,025EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ACCRUED INVESTMENT INCOME$13,136$14,502$14,502
PREPAID FEDERAL TAX$402
ACCRUED INTEREST PAID$416$517$517

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescNON-DEDUCTIBLE CONTRIBUTIONSDesc
Amt$520Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
EXPENSES
BROKER AGENCY FEES$6,896$6,896$6,896
BROKER FEES$8,500$8,500$8,500

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED APPECIATIONDesc
Amt$166,071Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescFEDERAL TAX PAYABLEDesc
EOY Book Value$31EOYBookValueAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
FEDERAL TAX$1,071$1,071$1,071
FOREIGN TAXES$1,274$1,274$1,274