ANDRE FAMILY FOUNDATION INC: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ANDRE FAMILY FOUNDATION INC (EIN 20-3966428)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-07
IRS object ID
201633129349100318
Schema version
2015v2.1
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)
Return2016-11-07T13:27:49-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1215 BAYTREE DRIVE SUITE 1AddressLine1Txt
CityMELBOURNECityNm
State AbbreviationFLStateAbbreviationCd
ZIP329402195ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203966428EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ANDRE FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANDRBusinessNameControlTxt
Phone3217252232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH HARBOR CITY BLVDAddressLine1Txt
CityMELBOURNECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE M ANDREPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3217252232PhoneNum
Signature2016-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN E KIRKLAND CPAPreparerPersonNm
PTINP00124234PTIN
Phone3212550088PhoneNum
Preparation2016-11-07PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$781,171FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$83,217ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$9InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$9InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$12,587DividendsRevAndExpnssAmt
Dividends Net Invst Incm$12,587DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$17,147NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$110,458GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$17,147CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$112,960TotalRevAndExpnssAmt
Total Net Invst Incm$29,743TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Taxes Rev And Expnss$1,079TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$2,105OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$2,105OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$3,184TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,105TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$193,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$193,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$196,184TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,105TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$193,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$83,224ExcessRevenueOverExpensesAmt
Net Investment Income$27,638NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$72,741SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$21,552SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$21,552SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$832,471OtherInvestmentsBOYAmt
Other Investments EOY$759,619OtherInvestmentsEOYAmt
Other Investments EOYFMV$759,619OtherInvestmentsEOYFMVAmt
Total Assets BOY$905,212TotalAssetsBOYAmt
Total Assets EOY$781,171TotalAssetsEOYAmt
Total Assets EOYFMV$781,171TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$905,212UnrestrictedBOYAmt
Unrestricted EOY$781,171UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$905,212TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$781,171TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$905,212TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$781,171TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$905,212TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$83,224ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$821,988SubtotalAmt
Other Decreases$40,817OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$781,171TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES2015-12-31$47,862$42,474$5,388$5,388
PUBLICLY TRADED SECURITIES2015-06-30$50,150$50,837-$687-$687
CAPITAL GAINS DIVIDENDS$12,446$12,446$12,446P
FieldValueIRS element (for citing)
Capital Gain Net Income$17,147CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$172,910AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$938,938NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.184155DistributionYr1Rt
Adjusted Qlfy Distri Yr2$323,258AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,007,290NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.320919DistributionYr2Rt
Adjusted Qlfy Distri Yr3$188,850AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,115,750NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.169258DistributionYr3Rt
Adjusted Qlfy Distri Yr4$232,700AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,243,381NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.187151DistributionYr4Rt
Adjusted Qlfy Distri Yr5$279,714AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,793,914NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.155924DistributionYr5Rt
Total Distribution1.017407TotalDistributionRt
Average Distribution0.203481AverageDistributionRt
Net Vl Noncharitable Assets$790,514NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$160,855AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$276NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$161,131AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$193,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$276InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$276SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$276TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$760EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$760TotalPaymentsAndCreditsAmt
Overpayment$484OverpaymentAmt
Applied To ES Tax$484AppliedToESTaxAmt
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 SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateFLOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
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 Line1JEANNE M ANDREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3217252232PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH HARBOR CITY BLVDAddressLine1Txt
CityMELBOURNECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32901ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JEANNE M ANDRE
404 SOUTH HARBOR CITY BLVDMELBOURNEFL32901PRESIDENT1.50$0$0$0
EDWARD A ANDRE
404 SOUTH HARBOR CITY BLVDMELBOURNEFL32901VICE-PRESIDENT1.50$0$0$0
JESSICA L ANDRE
404 SOUTH HARBOR CITY BLVDMELBOURNEFL32901DIRECTOR1.50$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$761,235AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$41,317AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$802,552TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$802,552AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$12,038CashDeemedCharitableAmt
Net Vl Noncharitable Assets$790,514NetVlNoncharitableAssetsAmt
Minimum Investment Return$39,526MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$39,526MinimumInvestmentReturnAmt
Tax Based On Investment Income$276TaxBasedOnInvestmentIncomeAmt
Total Tax$276TotalTaxAmt
Distributable Before Adj$39,250DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$39,250DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$39,250DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$193,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$193,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$276PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$192,724AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$39,250DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$192,280ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$171,231ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$134,185ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$274,569ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$126,698ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$898,963TotalExcessDistributionCyovAmt
Qualifying Distributions$193,000QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$39,250AppliedToCurrentYearAmt
Remaining Distri From Corpus$153,750RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,052,713TotalCorpusAmt
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$192,280ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$860,433ExcessDistriCyovToNextYrAmt
Excess From Year4$171,231ExcessFromYear4Amt
Excess From Year3$134,185ExcessFromYear3Amt
Excess From Year2$274,569ExcessFromYear2Amt
Excess From Year1$126,698ExcessFromYear1Amt
Excess From Current Year$153,750ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJEANNE M ANDREContributingManagerNm
Contributing ManagerEDWARD A ANDREContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonJEANNE M ANDRERecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH HARBOR CITY BLVDAddressLine1Txt
CityMELBOURNECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32901ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3217252232RecipientPhoneNum
Form And Info And MaterialsCOMPLETION OF THE ANDRE FAMILY FOUNDATION STRUCTURED GRANT APPLICATION FORMFormAndInfoAndMaterialsTxt
Submission DeadlinesONGOINGSubmissionDeadlinesTxt
Restrictions On AwardsSEC 501(C)(3) ORGANIZATIONSRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (26 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AFA FOUNDATION
PO BOX 3933TUPELOMS38803N/APUBLIC CHARITYCHARITABLE$2,000
AUBURN UNIVERSITY FCA
392 S DONAHUE DRAUBURNAL36849N/APUBLIC CHARITYCHARITABLE$30,000
BREVARD RESCUE MISSION
PO BOX 204COCOAFL32923N/APUBLIC CHARITYCHARITABLE$3,000
CAMPUS CRUSADE FOR CHRIST INTERNATIONAL
P O BOX 628222ORLANDOFL328628222N/APUBLIC CHARITYCHARITABLE$10,000
CARE
151 ELLIS STREET NEATLANTAGA30303N/APUBLIC CHARITYCHARITABLE$5,000
CLUB ESTEEM
3316 MONROE STREETMELBOURNEFL32901N/APUBLIC CHARITYCHARITABLE$2,500
COASTAL COMMUNITY SCHOOL
638 PATRICK DRSATELLITE BEACHFL32967N/APUBLIC CHARITYCHARITABLE$3,000
COASTAL COMMUNITY CHURCH
399 EAST EAU GALLIE BLVDINDIAN HARBOURFL32967N/APUBLIC CHARITYCHARITABLE$2,000
CAMPUS CRUSADE FOR CHRIST INTERNATIONAL
PO BOX 628222ORLANDOFM328628222N/APUBLIC CHARITYCHARITABLE$29,000
EASTMINSTER GLOBAL MISSIONS
PO BOX 33473INDIALANTICFL32903N/APUBLIC CHARITYCHARITABLE$10,000
FAMILY LIFE- CAMPUS CRUSADE FOR CHRIST
5800 RANCH DRIVELITTLE ROCKAR72260N/APUBLIC CHARITYCHARITABLE$5,000
FELLOWSHIP OF CHRISTIAN ATHLETES
8701 LEEDS ROADKANSAS CITYMO64129N/APUBLIC CHARITYCHARITABLE$16,000
FLORIDA INSTITUTE OF TECHNOLOGY
150 W UNIVERSITY BLVDMELBOURNEFL32901N/APUBLIC CHARITYCHARITABLE$10,000
GENESIS HOUSE
PO BOX 2044MELBOURNEFL32902N/APUBLIC CHARITYCHARITABLE$5,000
HEALTH FIRST FOUNDATION
1350 S HICKORY STREETMELBOURNEFL32901N/APUBLIC CHARITYCHARITABLE$20,000
HEART FOR ORPHANS
3917 MIDLANDS RDWILLIAMSBURGVA23188N/APUBLIC CHARITYCHARITABLE$1,000
INTERNATIONAL COOPERATING MINISTRIES
1901 N ARMISTEAD AVEHAMPTONVA23666N/APUBLIC CHARITYCHARITABLE$10,000
LIGHT THE NIGHT (LEUKEMIA & LYMPHOMA SOCIETY)
3 INTERNATIONAL DR SUITE 200RYE BROOKNY10573N/APUBLIC CHARITYCHARITABLE$1,000
MASTER'S WORKSHOP
2525 LIPSCOMB STREETMELBOURNEFM32904N/APUBLIC CHARITYCHARITABLE$3,000
PLAY FOR PINK (THE BREAST CANCER RESEARCH FOUNDATION)
60 EAST 56TH STREET 8TH FLOORNEW YORKNY10022N/APUBLIC CHARITYCHARITABLE$2,000
PREGNANCY RESOURCES
165 N BABCOCK STREETMALABARFM32935N/APUBLIC CHARITYCHARITABLE$2,000
RADIUS CAMPS
PO BOX 92288NASHVILLETN37209N/APUBLIC CHARITYCHARITABLE$10,000
ROLLING READERS SPACE COAST INC
1948 PINEAPPLE AVENUEMELBOURNEFM32935N/APUBLIC CHARITYCHARITABLE$500
SHEPHERD CENTER FOUNDATION INC
2020 PEACHTREE ROAD NWATLANTAGA30309N/APUBLIC CHARITYCHARITABLE$5,000
SOUTH AMERICA MISSIONS
1021 MAXWELL MILL RDFT MILLSC29708N/APUBLIC CHARITYCHARITABLE$5,000
YOUNG LIFE
18115 SE 95TH STREET RDOCKLAWAHAFL32179N/APUBLIC CHARITYCHARITABLE$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$193,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$9ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$12,587ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$17,147ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$29,743ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$29,743TotalIncomeProducingActyAmt

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 (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
ED AND JEANNE ANDRE
13800 N RIVERSIDE DRIVEINDIALANTICFL32903$31,175Yes (X)
EDWARD A ANDRE CHARITABLE LEAD ANNU
23800 N RIVERSIDE DRIVEINDIALANTICFL32903$52,042Yes (X)

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemSCHWAB INVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$759,619BookValueAmt
EOYFMV$759,619EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSDesc
Amt$40,817Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MANAGEMENT FEES$1,940$1,940$0
BANK CHARGES$90$90$0
LEGAL FEES$75$75$0

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonEDWARD JEANNE ANDREPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 N RIVERSIDE DRIVEAddressLine1Txt
CityINDIALANTICCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32903ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFEDERALCategoryTxt
Amt$1,079Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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