MR TS FAMILY FOUNDATION INC: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MR TS FAMILY FOUNDATION INC (EIN 65-0967328)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-06
IRS object ID
201601279349101410
Schema version
2015v2.0
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)
Return2016-05-06T13:10:45-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOCKWOOD & ASSOCIATES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12380 PROFESSIONAL DRAddressLine1Txt
CityROSEVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP956617745ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650967328EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MR TS FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMRTSBusinessNameControlTxt
Phone5614512880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1791 PARK OF COMMERCE DRIVEAddressLine1Txt
CityBOCA RATONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33487ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGEORGE R THOLKEPersonNm
Person TitleDirectorPersonTitleTxt
Signature2016-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid LockwoodPreparerPersonNm
PTINP00031003PTIN
Phone9167713838PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$811,389FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$50,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$61,744InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$61,744InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$2,804DividendsRevAndExpnssAmt
Dividends Net Invst Incm$2,804DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$32,887NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$256,528GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$32,887CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$18,914OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$18,914OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$166,349TotalRevAndExpnssAmt
Total Net Invst Incm$116,349TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$2,830AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,830AccountingFeesNetInvstIncmAmt
Other Expenses Rev And Expnss$10OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$10OtherExpensesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$2,840TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,840TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$61,355ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$61,355ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$64,195TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,840TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$61,355TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$102,154ExcessRevenueOverExpensesAmt
Net Investment Income$113,509NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$42,712SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$96,002SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$96,002SavAndTempCashInvstEOYFMVAmt
Other Nts And Loans Rcvbl$63,195OtherNtsAndLoansRcvblAmt
Other Nts And Loans Rcvbl BOY$100,849OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$63,195OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$63,195OtherNtsAndLoansRcvblEOYFMVAmt
US Government Obligations BOY$136,547USGovernmentObligationsBOYAmt
US Government Obligations EOY$88,448USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$44,237USGovtObligationsEOYFMVAmt
Corporate Stock BOY$50,592CorporateStockBOYAmt
Corporate Stock EOY$162,539CorporateStockEOYAmt
Corporate Stock EOYFMV$163,263CorporateStockEOYFMVAmt
Corporate Bonds BOY$429,269CorporateBondsBOYAmt
Corporate Bonds EOY$430,393CorporateBondsEOYAmt
Corporate Bonds EOYFMV$409,267CorporateBondsEOYFMVAmt
Other Investments BOY$18,890OtherInvestmentsBOYAmt
Other Investments EOY$37,607OtherInvestmentsEOYAmt
Other Investments EOYFMV$35,425OtherInvestmentsEOYFMVAmt
Total Assets BOY$778,859TotalAssetsBOYAmt
Total Assets EOY$878,184TotalAssetsEOYAmt
Total Assets EOYFMV$811,389TotalAssetsEOYFMVAmt
Other Liabilities BOY$3,443OtherLiabilitiesBOYAmt
Other Liabilities EOY$614OtherLiabilitiesEOYAmt
Total Liabilities BOY$3,443TotalLiabilitiesBOYAmt
Total Liabilities EOY$614TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$775,416RetainedEarningBOYAmt
Retained Earning EOY$877,570RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$775,416TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$877,570TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$778,859TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$878,184TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$775,416TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$102,154ExcessRevenueOverExpensesAmt
Subtotal$877,570SubtotalAmt
Tot Net Ast Or Fund Balances EOY$877,570TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
168.000sh PHILIP MORRIS INTLP2000-08-092015-06-15$13,640$2,079$11,561$11,561
VARIOUS HJSIMS SALESP2010-12-022015-12-21$224,297$220,911$3,386$3,386
VARIOUS HJSIMS SALESP2001-01-012015-09-01$18,591$651$17,940$17,940
FieldValueIRS element (for citing)
Capital Gain Net Income$32,887CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$62,724AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$764,516NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.08204DistributionYr1Rt
Adjusted Qlfy Distri Yr2$50,263AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$721,377NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.06968DistributionYr2Rt
Adjusted Qlfy Distri Yr3$57,009AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$768,495NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.07418DistributionYr3Rt
Adjusted Qlfy Distri Yr4$62,502AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$738,171NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.08467DistributionYr4Rt
Adjusted Qlfy Distri Yr5$35,210AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$659,879NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.05336DistributionYr5Rt
Total Distribution0.363932TotalDistributionRt
Average Distribution0.072786AverageDistributionRt
Net Vl Noncharitable Assets$753,403NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$54,837AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,135NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$55,972AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$61,355QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,135InvestmentIncomeExciseTaxAmt
Subtotal$1,135SubtotalAmt
Tax Based On Investment Income$1,135TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$759EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$759TotalPaymentsAndCreditsAmt
Tax Due$376TaxDueAmt

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
Form990 T FiledfalseForm990TFiledInd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1DAVID A LOCKWOOD CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9167713838PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12380 PROFESSIONAL DRIVEAddressLine1Txt
CityROSEVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95661ZIPCd
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
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsfalseMaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd

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 PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
GEORGE R THOLKE
7315 MANDARIN DRBOCA RATONFL33433President1.00$0
LAURA YOUNGWERTH
7315 MANDARIN DRBOCA RATONFL33433Director1.00$0
MARIA HEISE
401 WALLS WAYOSPREYFL34229Director2.00$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$618,244AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$83,437AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$63,195FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$764,876TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$764,876AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$11,473CashDeemedCharitableAmt
Net Vl Noncharitable Assets$753,403NetVlNoncharitableAssetsAmt
Minimum Investment Return$37,670MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$37,670MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,135TaxBasedOnInvestmentIncomeAmt
Total Tax$1,135TotalTaxAmt
Distributable Before Adj$36,535DistributableBeforeAdjAmt
Distributable Before Ded$36,535DistributableBeforeDedAmt
Distributable As Adjusted$36,535DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$61,355ExpensesAndContributionsAmt
Qualifying Distributions$61,355QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,135PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$60,220AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$36,535DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$2,912ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$27,259ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$20,216ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$15,308ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$25,980ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$91,675TotalExcessDistributionCyovAmt
Qualifying Distributions$61,355QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$36,535AppliedToCurrentYearAmt
Remaining Distri From Corpus$24,820RemainingDistriFromCorpusAmt
Total Corpus$116,495TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$2,912ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$113,583ExcessDistriCyovToNextYrAmt
Excess From Year4$27,259ExcessFromYear4Amt
Excess From Year3$20,216ExcessFromYear3Amt
Excess From Year2$15,308ExcessFromYear2Amt
Excess From Year1$25,980ExcessFromYear1Amt
Excess From Current Year$24,820ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerGEORGE R THOLKEContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BOCA RATON COMM HOSPITAL FNDN
745 MEADOWS ROADBOCA RATONFL33486NONEPUBLICSUPPORT COMMUNITY HOSPITAL$5,000
SAINT ANDREWS SCHOOL
3900 JOG ROADBOCA RATONFL33434NONEPUBLICFINANCIAL AID$33,940
NORTH FLORIDA RESEARCH INST
3426 NW 43RD STREET STE BGAINESVILLEFL32606NONEPUBLICPROSTATE RESEARCH$5,000
SPECIAL OLYMPICS
PO BOX 120128CLERMONTFL34712NONEPUBLICSPORTS TRAINING FOR SPECIAL OLYMPICS$100
BROWARD CHILDRENS CENTER INC
200 SE 19TH AVEPOMPANO BEACHFL33060NONEPUBLICOPERATIONAL SUPPORT$5,000
THE SMILE TRAIN
245 FIFTH AVE 2201NEW YORKNY10016NONEPUBLICDEVELPMENT FUND$500
AF BEST SECURITIES FND
101 NORTH FEDERAL HWY 600BOCA RATONFL33432NONEFINANCIAL AIDFINANCIAL AID$1,500
VETERANS OF FOREIGN WARS
PO BOX 8911TOPEKAKS66608NONEPUBLICOPERATING SUPPORT$20
DISABLED AMERICAN VETERANS
PO BOX 14301CINCINNATIOH45250NONEPUBLICOPERATION SUPPORT$25
MARCH OF DIMES
PO BOX 6708LAKE WORTHFL33466NONEPUBLICOPERATION SUPPORT$20
WXEL
PO BOX 6607WEST PALM BEACHFL33405NONEPUBLICSUPPORT$50
NATIONAL PARKINSON FOUNDATION
791 PARK OF COMMERCE DRBACA RATONFL33487NONEPUBLICSUPPORT$1,000
WPBT CHANNEL 2
PO BOX 610002MIAMIFL33261NONEPUBLICSUPPORT$50
ZENO MOUNTAIN FARMS
950 ZENO ROADLINCOLNVT05443NONEPUBLICSUPPORT$1,000
BEST FOOT FORWARD FD
21441 BOCA RIO RDBOCA RATONFL33433NONEPUBLICSUPPORT$1,000
USF FOUNDATION INC
4202 E FOWLER AVE ALC100TAMPAFL33620NONEPCSUPPORT$5,000
WOUNDED WARRIOR PROJECT
10150 HIGHLAND MANOR DR 330TAMPAFL33610NONEPUBLICSUPPORT$150
JR ACHIEVMENT
1130 COCONUT CREEK BLVDBOCA RATONFL33066NONEPUBLICSUPPORT$2,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$61,355TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$61,744ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,804ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$18,914ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$32,887ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$116,349ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$116,349TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonGEORGE THOLKEContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line17315 MANDARIN DRIVEAddressLine1Txt
CityBOCA RATONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33433ZIPCd
FieldValueIRS element (for citing)
Total Contributions$50,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
Amt$2,830Amt
Net Investment Income$2,830NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (13 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SIMS BENCHMARK I LLC ACCD INV$75,548$75,000
HJSI PORTFOLIO I LLC$50,008$32,100
SIMS BENCHMARK I LLC TX BD ACCD INVS$24,006$24,000
CLEVELAND THERMAL LLC$24,834$29,560
DRSN REAL ESTATE GP$24,779$24,750
MORGAN STANLEY MEDIUM TERM SR NTS$24,632$21,750
MORGAN STANLEY MEDIUM TERM SR TNS$9,857$8,687
SIMS BENCHMARK I LLC TX BD ACCD INVS$40,000$40,000
RIVERCHASE FDG LLC TX SUB BD$25,008$25,000
SIMS CATHCARD FDG LLC SUB REV BD$50,015$50,000
GRYPHON BH FDG LLC SUB REV$25,007$24,844
MORGAN STANLEY MEDIUM TERM SR NTS$49,632$47,276
SIMS OASIS LLC TX REV BD$7,067$6,300

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (8 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
PHILIP MORRIS INTL COM$5,603$26,373
LEUCADIA NAT'L CORP$19,180$104
MICROSOFT CORP$5,386$11,096
SCHLUMBERGER LTD$8,538$6,975
TRANSOCEAN LTD$9,805$6,190
LAS VEGAS SANDS CORP$5,208$4,384
PRUDENTIAL FINANCIAL INC$8,811$8,141
HJSI ATHENA PORTFOLIO FIN LLC$100,008$100,000

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
State Local Sec Book Vl EOY$88,448StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$44,237StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
LLOYDS TSB BK PLC MEDIUM TERM BKFMV$17,742$16,725
CREDIT SUISSE AG, LONDON BRANCHFMV$19,865$18,700

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescFLORIDA STATE FEEDesc
Revenue And Expenses Per Books$10RevenueAndExpensesPerBooksAmt
Net Investment Income$10NetInvestmentIncomeAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOther Investment IncomeDesc
Revenue And Expenses Per Books$18,914RevenueAndExpensesPerBooksAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescESCROW INS/TAXDesc
BOY Book Value$3,443BOYBookValueAmt
EOY Book Value$614EOYBookValueAmt

Comments

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