2016-11-15T15:48:02-06:00 2015-12-31 113080565 SCHWARTZ & COMPANY LLP 2580 SUNRISE HIGHWAY BELLMORE NY 11710 990 2015-01-01 272884884 CHAD A JACOBS MEMORIAL FOUNDATION CHAD 2032472133 6 SLEIGH RIDGE WESTPORT CT 06880 KAREN JACOBS CHAIR 2032472133 2016-11-15 1 MICHAEL J SCHWARTZ CPA P00115049 5164095000 2016-11-15 2015 2017-02-10 21:41:12Z KAREN JACOBS 6 SLEIGH RIDGE WESTPORT CT 06880 146301 0 X WWW.CAJFOUNDATION.ORG X 2010 CT THE CHAD A. JACOBS MEMORIAL FOUNDATION PROVIDES ACADEMIC AND ATHLETIC SCHOLARSHIP TO CHILDREN IN FINANCIAL NEED FOCUSING ON CHILDREN WHO RESIDE IN CONNECTICUT. 9 9 0 0 0 0 93763 102678 0 0 16304 22273 0 -25780 110067 99171 35683 39250 0 0 0 0 0 0 0 28664 5740 64347 44990 45720 54181 500295 554476 0 0 500295 554476 THE FOUNDATION WILL FUND ATHLETIC AND ACADEMIC SCHOLARSHIPS TO KIDS IN NEED AT FAIRFIELD PREPARATORY SCHOOL AND AT WONDERLAND OF ICE IN BRIDGEPORT, CT. 0 0 39250 39250 22273 THE FOUNDATION WILL FUND ATHLETIC AND ACADEMIC SCHOLARSHIPS TO KIDS IN NEED AT FAIRFIELD PREPARATORY SCHOOL AND AT WONDERLAND OF ICE IN BRIDGEPORT, CT. 39250 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 CT X DON JACOBS 2032472133 PO BOX 414 SOUTHPORT CT 06890 X KAREN JACOBS CHAIR 10.00 X X 0 0 0 TOM RYAN ASSISTANT CHAIR 1.00 X X 0 0 0 DON JACOBS TREASURER 2.00 X X 0 0 0 GINNY JACOBS SECRETARY 1.00 X X 0 0 0 SCOTT SANTARELLA BOARD MEMBER 1.00 X 0 0 0 BRENDON FREY BOARD MEMBER 1.50 X 0 0 0 JOSEPH TEKLITS BOARD MEMBER 1.50 X 0 0 0 DOUG TINKLER BOARD MEMBER 1.00 X 0 0 0 CHRIS HARBERT BOARD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 64716 37962 27271 102678 22273 22273 21350 64716 47130 -25780 -25780 99171 22273 0 -25780 39250 39250 50 50 54 54 2688 2688 CREDIT CARD FEES 2948 2948 44990 39250 5740 0 0 5 109712 136862 390013 410688 570 6921 500295 554476 0 0 X 0 0 0 0 500295 554476 500295 554476 500295 554476 54181 0 X 0 0 0 X 158224 120551 111878 93763 124028 608444 158224 120551 111878 93763 124028 608444 117272 491172 850 186 11342 14525 3277 30180 12685 12685 651309 0.75410 0.65240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 INVESTMENT IN PEOPLE'S SECURITY 410688 C 410688 X 0 SCAVENGER HUNT & CELEBRATION PARTY 86066 64716 21350 4000 7800 35330 86066 64716 21350 4000 7800 35330 47130 -25780 0 FAIRFIELD COLLEGE PREPARATORY SCHOOL 1073 NORTH BENSON ROAD FAIRFIELD CT 06824 060646623 11600 PROVIDES ACADEMIC AND ATHLETIC SCHOLARSHIP TO CHILDREN IN FINANCIAL NEED FOCUSING ON CHILDREN WHO RESIDE IN CONNECTICUT. WONDERLAND WIZARDS YOUTH HOCKEY ASSOCIATION INC PO BOX 55348 BRIDGEPORT CT 06610 200148070 26400 PROVIDES ACADEMIC AND ATHLETIC SCHOLARSHIP TO CHILDREN IN FINANCIAL NEED FOCUSING ON CHILDREN WHO RESIDE IN CONNECTICUT. UNITED IN HOPE SCHOLARSHIP PO BOX 818 SOUTHPORT CT 06890 264783810 1250 PROVIDES ACADEMIC AND ATHLETIC SCHOLARSHIP TO CHILDREN IN FINANCIAL NEED FOCUSING ON CHILDREN WHO RESIDE IN CONNECTICUT. X 3272 COST X 3 2500 SELLING PRICE X 2 175 COST X GIFT CARDS/TICKETS 27 21225 COST X OTHER 1 99 COST 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DON JACOBS AND GINNY JACOBS ARE HUSBAND AND WIFE. DON JACOBS AND GINNY JACOBS ARE KAREN JACOBS IN-LAWS. KAREN JACOBS AND BRENDON FREY ARE 1ST COUSINS. TOM RYAN IS SECOND COUSIN TO KAREN JACOBS AND BRENDON FREY. FORM 990, PART VI, SECTION B, LINE 11 THE GOVERNING BODY MEETS TO REVIEW FORM 990. FORM 990, PART VI, SECTION C, LINE 19 "CHAD A JACOBS MEMORIAL FOUNDATION" GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.