THE FALCK FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
THE FALCK FOUNDATION INC (EIN 59-3098588)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-05
IRS object ID
201742499349100304
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)
Return2017-09-05T13:50:13-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN592110180PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HILLEGASS CHEPENIK & HOOD CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1427 3RD STREET NORTHAddressLine1Txt
CityJACKSONVILLE BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP322507028ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593098588EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FALCK FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFALCBusinessNameControlTxt
Phone9042460713PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18049 WHISPER LAKE LANE WESTAddressLine1Txt
CityPONTE VEDRA BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32082ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAPHNE E FRANCPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9042460713PhoneNum
Signature2017-09-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY J HOODPreparerPersonNm
PTINP01200953PTIN
Phone9042460713PhoneNum
Preparation2017-09-05PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id74860AFDA01B449928CE6F3F6B4AA4D4375987F4AtSubmissionCreationDeviceId
At Submission Filing Device Id74860AFDA01B449928CE6F3F6B4AA4D4375987F4AtSubmissionFilingDeviceId
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$1,557,061FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$2,015InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$15InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$29,080DividendsRevAndExpnssAmt
Dividends Net Invst Incm$29,080DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$20,271NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$361,120GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$26,108CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$406OtherIncomeRevAndExpnssAmt
Other Income Adj Net Incm$406OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$11,230TotalRevAndExpnssAmt
Total Net Invst Incm$55,203TotalNetInvstIncmAmt
Total Adj Net Incm$406TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$1,050AccountingFeesRevAndExpnssAmt
Taxes Rev And Expnss$200TaxesRevAndExpnssAmt
Other Expenses Rev And Expnss$13,315OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$12,320OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$14,565TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$12,320TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$82,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$82,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$96,565TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$12,320TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$82,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$85,335ExcessRevenueOverExpensesAmt
Net Investment Income$42,883NetInvestmentIncomeAmt
Adjusted Net Income$406AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$2,932SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$243,592SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$243,592SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$50,000USGovernmentObligationsBOYAmt
US Government Obligations EOY$50,000USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$51,772USGovtObligationsEOYFMVAmt
Other Investments BOY$1,548,917OtherInvestmentsBOYAmt
Other Investments EOY$1,222,922OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,261,697OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,601,849TotalAssetsBOYAmt
Total Assets EOY$1,516,514TotalAssetsEOYAmt
Total Assets EOYFMV$1,557,061TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$1,601,849RetainedEarningBOYAmt
Retained Earning EOY$1,516,514RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,601,849TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,516,514TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,601,849TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,516,514TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,601,849TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$85,335ExcessRevenueOverExpensesAmt
Subtotal$1,516,514SubtotalAmt
Tot Net Ast Or Fund Balances EOY$1,516,514TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

FieldValueIRS element (for citing)
Capital Gain Net Income$26,108CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$83,087AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,652,819NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.050270DistributionYr1Rt
Adjusted Qlfy Distri Yr2$78,812AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,699,049NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.046386DistributionYr2Rt
Adjusted Qlfy Distri Yr3$75,240AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,621,243NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.046409DistributionYr3Rt
Adjusted Qlfy Distri Yr4$57,644AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,530,920NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.037653DistributionYr4Rt
Adjusted Qlfy Distri Yr5$25,000AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,174,134NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.021292DistributionYr5Rt
Total Distribution0.202010TotalDistributionRt
Average Distribution0.040402AverageDistributionRt
Net Vl Noncharitable Assets$1,557,249NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$62,916AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$429NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$63,345AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$82,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$429InvestmentIncomeExciseTaxAmt
Subtotal$429SubtotalAmt
Tax Based On Investment Income$429TaxBasedOnInvestmentIncomeAmt
Tax Due$429TaxDueAmt

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 StateFLOrgReportOrRegisterStateCd
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
Individual With BooksTERRY J HOODIndividualWithBooksNm
Phone9042460713PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1427 N 3RD STREETAddressLine1Txt
CityJACKSONVILLE BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32250ZIPCd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAPHNE E FRANC
8049 WHISPER LAKE LANE WEST8049 WHISPER LAKE LANE WESTPONTE VEDRA BEACHFL32082TRUSTEE000.00$0$0$0
REBECCA F WININGER
5574 RAMBLEWOOD COURT5574 RAMBLEWOOD COURTCOLUMBUSOH43235TRUSTEE000.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

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$1,553,513AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$27,450AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,580,963TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$1,580,963AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$23,714CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,557,249NetVlNoncharitableAssetsAmt
Minimum Investment Return$77,862MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$77,862MinimumInvestmentReturnAmt
Tax Based On Investment Income$429TaxBasedOnInvestmentIncomeAmt
Total Tax$429TotalTaxAmt
Distributable Before Adj$77,433DistributableBeforeAdjAmt
Distributable Before Ded$77,433DistributableBeforeDedAmt
Distributable As Adjusted$77,433DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$82,000ExpensesAndContributionsAmt
Qualifying Distributions$82,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$429PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$81,571AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$77,433DistributableAsAdjustedAmt
Undistributed Income PY$81,483UndistributedIncomePYAmt
Qualifying Distributions$82,000QualifyingDistributionsAmt
Applied To Year1$81,483AppliedToYear1Amt
Applied To Current Year$517AppliedToCurrentYearAmt
Undistributed Income CY$76,916UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (2 entries)

Address Line1RecipientUSAddress/AddressLine1TxtAddress Line2RecipientUSAddress/AddressLine2TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
FL SCHOOL-DEAF & BLIND
207 SAN MARCO AVE207 SAN MARCO AVEST AUGUSTINEFL32084NONEDONATION$41,000
SPINAL CORD SOCIETY
19051 COUNTY HIGHWAY19051 COUNTY HIGHWAYFERGUS FALLSMN56537NONEDONATION$41,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$82,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$2,015RelatedOrExemptFunctionIncmAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$29,080RelatedOrExemptFunctionIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm-$20,271RelatedOrExemptFunctionIncmAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescNONDIVIDEND DISTRIBUTIONSDesc
Related Or Exempt Function Incm$406RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$11,230RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$11,230TotalIncomeProducingActyAmt

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$1,050Amt

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (6 entries)

AssetAssetDescHow AcquiredHowAcquiredTxtGross Sales PriceGrossSalesPriceAmtBasisBasisAmtTotal NetTotalNetAmt
COVERED SEC-WELLS FARGO-4614PURCHASE$30,664$31,201-$537
COVERED SEC-WELLS FARGO-4614PURCHASE$177,306$227,491-$50,185
NONCOVERED SEC-WELLS FARGO-4614PURCHASE$97,963$91,950$6,013
COVERED SEC-WELLS FARGO-0771PURCHASE$3,113$2,919$194
COVERED SEC-WELLS FARGO-0771PURCHASE$24,947$26,936-$1,989
NONCOVERED SEC-WELLS FARGO-0771PURCHASE$1,019$894$125

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
State Local Sec Book Vl EOY$50,000StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$51,772StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemMUTUAL FUNDSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$1,222,922BookValueAmt
EOYFMV$1,261,697EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
EXPENSES
BROKERAGE FEES$12,320$12,320
FEDERAL INCOME TAX$934
LICENSE & FEE$61

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescNONDIVIDEND DISTRIBUTIONSDesc
Revenue And Expenses Per Books$406RevenueAndExpensesPerBooksAmt
Adjusted Net Income$406AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXES PAIDCategoryTxt
Amt$200Amt

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