FURP.ORG / PUBLIC DATA EXPLORER

TREIBER FAMILY FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
TREIBER FAMILY FOUNDATION (EIN 11-3440919)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-02-21
IRS object ID
201740529349100004
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)
Return2017-02-21T11:06:35-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN112896024PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAVID A BLACK CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line131 ROBBINS DRIVEAddressLine1Txt
CityEAST WILLISTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11596ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN113440919EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Treiber Family FoundationIncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTREIBusinessNameControlTxt
Phone5162144044PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1377 Oak Street No 405-7AddressLine1Txt
CityGarden CityCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11530ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonH CRAIG TREIBERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5162144044PhoneNum
Signature2017-02-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00117902PTIN
Phone5162946638PhoneNum
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address68.198.188.64IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-02-21IPDt
IP Tm12:04:21IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCAE66C5F2B6FC9359B339683EC8D1EA6031616FAAtSubmissionCreationDeviceId
At Submission Filing Device IdCAE66C5F2B6FC9359B339683EC8D1EA6031616FAAtSubmissionFilingDeviceId
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$2,352,375FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$123,686ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$7,088InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$7,088InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$46,332DividendsRevAndExpnssAmt
Dividends Net Invst Incm$46,332DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$41,404NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$557,807GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$41,404CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$218,510TotalRevAndExpnssAmt
Total Net Invst Incm$94,824TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$7,313AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,657AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$1,487TaxesRevAndExpnssAmt
Taxes Net Invst Incm$96TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$18,632OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$15,628OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$1,000OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$27,432TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$19,381TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,000TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$222,505ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$222,505ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$249,937TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$19,381TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$223,505TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$31,427ExcessRevenueOverExpensesAmt
Net Investment Income$75,443NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$6,737CashBOYAmt
Cash EOY$7,483CashEOYAmt
Cash EOYFMV$7,483CashEOYFMVAmt
Sav And Temp Cash Invst BOY$39,448SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$75,274SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$75,274SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$1,965,385OtherInvestmentsBOYAmt
Other Investments EOY$1,897,386OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,269,618OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,011,570TotalAssetsBOYAmt
Total Assets EOY$1,980,143TotalAssetsEOYAmt
Total Assets EOYFMV$2,352,375TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$2,011,570RetainedEarningBOYAmt
Retained Earning EOY$1,980,143RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,011,570TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,980,143TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,011,570TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,980,143TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,011,570TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$31,427ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,980,143SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,980,143TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (10 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
See Schedule I #04037P2016-01-012016-12-31$28,182$27,662$520$520
See Schedule I #04037P2015-01-012016-12-31$30,612$30,170$442$442
See Schedule II #04036P2016-01-012016-12-31$8,146$8,070$76$76
See Schedule II #04036P2015-01-012016-12-31$10,517$10,440$77$77
See Schedule II #04036P2016-01-012016-12-31$65,964$65,202$762$762
See Schedule III #04033P2016-01-012016-12-31$107,128$91,298$15,830$15,830
See Schedule III #04033P2015-01-012016-12-31$90,010$93,721-$3,711-$3,711
See Schedule IV #04030P2016-01-012016-12-31$21,224$24,201-$2,977-$2,977
See Schedule IV #04030P2015-01-012016-12-31$194,433$165,639$28,794$28,794
Capital Gains DividendsP$1,591$1,591$1,591
FieldValueIRS element (for citing)
Capital Gain Net Income$41,404CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$338,233AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,215,106NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.152694DistributionYr1Rt
Adjusted Qlfy Distri Yr2$269,446AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,436,772NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.110575DistributionYr2Rt
Adjusted Qlfy Distri Yr3$288,792AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,382,560NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.121211DistributionYr3Rt
Adjusted Qlfy Distri Yr4$226,094AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,539,089NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.089045DistributionYr4Rt
Adjusted Qlfy Distri Yr5$343,882AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,595,278NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.132503DistributionYr5Rt
Total Distribution0.606028TotalDistributionRt
Average Distribution0.121206AverageDistributionRt
Net Vl Noncharitable Assets$2,071,082NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$251,028AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$754NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$251,782AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$223,505QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,509InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,509SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,509TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,400EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$2,400TotalPaymentsAndCreditsAmt
Overpayment$891OverpaymentAmt
Applied To ES Tax$891AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1H Craig TreiberBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5162144044PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1377 Oak StreetAddressLine1Txt
CityGarden CityCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11530ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
H Craig Treiber
7 Tanglewood LaneSea CliffNY11579President0.00$0$0$0
John H Treiber
394 Charles StreetEast WillistonNY11596Vice President0.00$0$0$0
Scott R Treiber
112 Blair RoadOyster Bay CoveNY11771Treasurer0.00$0$0$0
Peter S Treiber
5 Tanglewood LaneSea CliffNY11579Secretary0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,024,296AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$78,325AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,102,621TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,102,621AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$31,539CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,071,082NetVlNoncharitableAssetsAmt
Minimum Investment Return$103,554MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$103,554MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,509TaxBasedOnInvestmentIncomeAmt
Total Tax$1,509TotalTaxAmt
Distributable Before Adj$102,045DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$102,045DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$102,045DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$223,505ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$223,505QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$223,505AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$102,045DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$216,556ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$104,652ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$173,880ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$153,405ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$231,860ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$880,353TotalExcessDistributionCyovAmt
Qualifying Distributions$223,505QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$102,045AppliedToCurrentYearAmt
Remaining Distri From Corpus$121,460RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,001,813TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$216,556ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$785,257ExcessDistriCyovToNextYrAmt
Excess From Year4$104,652ExcessFromYear4Amt
Excess From Year3$173,880ExcessFromYear3Amt
Excess From Year2$153,405ExcessFromYear2Amt
Excess From Year1$231,860ExcessFromYear1Amt
Excess From Current Year$121,460ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (30 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AABR FOUNDATION
49 Knollwood RoadElmSFORDNY10523NONEFoundationGENERAL$5,000
ADELPHI UNIVERSITY
One South AvenueGarden CityNY11530NonePublic CharityGeneral Fund$3,000
AHRC
189 Wheatley RoadBrookvilleNY11545NonePublic CharityGeneral Fund$250
AVOW HOSPICE OF NAPLES
1095 Whippoorwill LaneNaplesFL34105NonePublic CharityGENERAL$100
BSAFE - ST STEPHENS YOUTH PROGRAM
419 Shawmut AvenueBostonMA02118NonePublic CharityGENERAL$500
CHAMINADE DEVELOPMENT FUND
Jackson AvenueMineolaNY11501NONEPUblic CharityGeneral Fund$900
FAMILY AND CHILDREN'S ASSOCIATION
100 East Old Country RoadMineolaNY11501NonePublic CharityProgram Development$12,500
Huntington Hospital
270 Park AvenueHuntingtonNY11743NonePublic CharityGeneral$500
JOHNSON STATE COLLEGE - GLORY CAMPAIGN
377 College HillJohnsonVT05656NONEPublic CharityGENERAL$1,000
Kiwanis Club of Patchogue
255 Executive Drive Suite 308PlainviewNY11803NonePublic CharityGeneral$1,000
Lauren Bower
67 MistWestburyNY11590NoneIndividualScholarship$17,805
LICADD
207 Hillside AvenueWilliston ParkNY11596NONEPUblic CharityGeneral Fund$25,000
LONG ISLAND ALZHEIMERS FOUNDATION
5 Channel DrivePort WashingtonNY11050NonePublic CharityGeneral Fund$20,000
LONG ISLAND GOLF ASSOCIATION
114 Old Country RoadMineolaNY11501NonePublic CharityGeneral Fund$5,000
MAKE A WISH FOUNDATION OF METRO NEW YORK
1111 Marcus Avenue Suite LL22Lake SuccessNY11042NonePublic CharityGeneral Fund$10,000
Melanoma Research Foundation
1375 BroadwayNew YorkNY10018NonePublic CharityGeneral Fund$250
METROPOLITAN GOLF ASSOCIATION FOUNDATION
49 Knollwood RoadELMSFORDNY10523NONEPrivate FoundationGeneral Fund$4,000
METROPOLITAN PGA INC
49 Knollwood RoadElmsfordNY10523NONEPrivate FoundationGeneral Fund$22,500
North Shore Land Alliance
151 Post RoadOld WestburyNY11568NonePublic CharityGeneral Fund$1,000
NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEM
125 Community DriveGreat NeckNY11021NonePublic CharityGeneral Fund$30,000
North Shore Woman's Club
29 Sheppard StreetGlen HeadNY11545NonePrivate FoundationGeneral Fund$500
Northwell Health Foundation
125 Community DriveGreat NeckNY11021NonePublic CharityGeneral$100
Ronald McDonald House Charities
One Kroc DriveOak BrookIL60523NonePublic CharityGeneralGeneral$5,000
SCO FAMILY OF SERVICES
1 Alexander PlaceGlen CoveNY11542NonePublic CharityGeneral Fund$40,100
The Coalition to Save Hempstead Harbor
PO Box 159Sea CliffNY11579NonePublic CharityGeneral$2,500
The D'Addario Foundation
595 Smith StreetFarmingdaleNY11735NonePrivate FoundationGeneral$5,000
THE Sid Jacobson JCC Outing
300 Forest DriveGreenvaleNY11548NonePublic CharityGeneral$1,000
VISION WALK FOUNDATION FOR FIGHTING BLINDNESS
225 West 34th Street Suite 1708New YorkNY10122Nonepublic CharityGeneral Fund$1,000
WINTHROP UNIVERSITY HOSPITAL
286 Old Country RoadMineolaNY11501NonePublic CharityBuilding Fund$3,500
YMCA OF LONG ISLAND INC
121 Dosoris LaneGlen CoveNY11542NonePublic CharityGeneral Fund$3,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$222,505TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$7,088RelatedOrExemptFunctionIncmAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$46,332RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$41,404RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$0ExclusionAmt
Related Or Exempt Function Incm$94,824RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$94,824TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number4LineNumberTxt
Relationship StatementThe dividends and capital gains earned on the funds investments fund its charitable contributions.RelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (3 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionInd
Peter S Treiber
15 Tanglewood LaneSea CliffNY11579$10,672Yes (X)
Peter S Treiber
25 Tanglewood LaneSea CliffNY11579$7,235Yes (X)
H Craig Treiber
37 Tanglewood LaneSea CliffNY11579$105,779Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp (3 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
1287 Shares Arthur J. Gallagher common stock$10,6722016-07-13
2142 Shares Arthur J. Gallagher common stock$7,2352016-12-13
33850 Shares First National Bank of Long Island$105,7792016-12-06

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryAccountingCategoryTxt
Amt$7,313Amt
Net Investment Income$3,657NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemMERRILL LYNCH INVESTMENT ACCOUNTSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$1,897,386BookValueAmt
EOYFMV$2,269,618EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
New York State Fee$250$0$0
Statutory Advertising$150$0$0
Investment Management Fee$15,583$15,583$0
Telephone$1,595$0$0
Postage$9$0$0
Filing Fee$1,000$0$1,000
Bank Charges$45$45$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Federal Excise Taxes$1,391$0$0
Foreign Withholding Taxes$96$96$0