M J SURGALA TR: Form 990PF, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
M J SURGALA TR (EIN 11-6556638)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201523209349102147
Schema version
2014v5.0
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)
Return2015-11-16T11:19:58-08:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAVID M LASTOWSKI CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11137 W 38TH STAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP165082457ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN116556638EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1M J SURGALA TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMJSUBusinessNameControlTxt
Phone8148384921PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15966 WYNDEMERE DRIVEAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16505ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY LINCOLNPersonNm
Person TitleTRUSTEE / EXEC DIRPersonTitleTxt
Phone8148384921PhoneNum
Signature2015-10-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID M LASTOWSKI CPAPreparerPersonNm
Phone8148684802PhoneNum
Preparation2015-11-02PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$15,724,669FMVAssetsEOYAmt
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$425InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$425InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$425InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$409,694DividendsRevAndExpnssAmt
Dividends Net Invst Incm$409,694DividendsNetInvstIncmAmt
Dividends Adj Net Incm$409,694DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$43,568NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$178,046GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$43,568CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$4NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$453,687TotalRevAndExpnssAmt
Total Net Invst Incm$453,687TotalNetInvstIncmAmt
Total Adj Net Incm$410,123TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$80,910CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$80,910CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$80,910CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$80,910CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,500AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$1,500AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$1,500AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$56,118TaxesRevAndExpnssAmt
Taxes Net Invst Incm$118TaxesNetInvstIncmAmt
Taxes Adj Net Incm$2,023TaxesAdjNetIncmAmt
Occupancy Rev And Expnss$6,000OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$6,000OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$6,000OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$6,000OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,128OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,128OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$1,128OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$1,128OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$145,656TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$89,656TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$91,561TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$89,538TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$768,700ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$768,700ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$914,356TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$89,656TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$91,561TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$858,238TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$460,669ExcessRevenueOverExpensesAmt
Net Investment Income$364,031NetInvestmentIncomeAmt
Adjusted Net Income$318,562AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$2,310,092SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,752,344SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,752,344SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$8,436,178CorporateStockBOYAmt
Corporate Stock EOY$8,525,269CorporateStockEOYAmt
Corporate Stock EOYFMV$12,426,817CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,543,474CorporateBondsBOYAmt
Corporate Bonds EOY$1,551,462CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,545,508CorporateBondsEOYFMVAmt
Total Assets BOY$12,289,744TotalAssetsBOYAmt
Total Assets EOY$11,829,075TotalAssetsEOYAmt
Total Assets EOYFMV$15,724,669TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$12,289,744UnrestrictedBOYAmt
Unrestricted EOY$11,829,075UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$12,289,744TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$11,829,075TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$12,289,744TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$11,829,075TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$12,289,744TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$460,669ExcessRevenueOverExpensesAmt
Subtotal$11,829,075SubtotalAmt
Tot Net Ast Or Fund Balances EOY$11,829,075TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtDepreciationDepreciationAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtFMV As Of123169FMVAsOf123169AmtAdjusted Basis As Of123169AdjustedBasisAsOf123169AmtExcess FMV Over Adjusted BssExcessFMVOverAdjustedBssAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
GENERAL MOTORS COP2003-06-272014-11-12$25$0$0$25$0$0$0$25
HARBOR BOND FUND INST CLP2014-01-022014-09-26$2,050$0$2,082-$32$0$0$0-$32
WHOLE FOODS MARKET INCP2014-05-072014-08-26$11,580$0$11,544$36$0$0$0$36
HARBOR BOND FUND INST CLP2013-01-032014-09-26$4,571$0$4,643-$72$0$0$0-$72
HARBOR BOND FUND INST CLP2013-01-032014-09-26$57,960$0$57,986-$26$0$0$0-$26
KINDER MORGAN ENERGY XXXCASP2013-01-032014-12-30$101,860$0$58,223$43,637$0$0$0$43,637
FieldValueIRS element (for citing)
Capital Gain Net Income$43,568CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$4NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$631,154AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$16,506,677NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.038236DistributionYr1Rt
Adjusted Qlfy Distri Yr2$775,068AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$16,370,924NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.047344DistributionYr2Rt
Adjusted Qlfy Distri Yr3$659,284AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$15,618,867NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.042211DistributionYr3Rt
Adjusted Qlfy Distri Yr4$555,279AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$13,314,410NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.041705DistributionYr4Rt
Adjusted Qlfy Distri Yr5$588,505AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$11,816,064NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.049806DistributionYr5Rt
Total Distribution0.219302TotalDistributionRt
Average Distribution0.043860AverageDistributionRt
Net Vl Noncharitable Assets$16,344,603NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$716,874AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$3,640NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$720,514AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$963,238QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$3,640InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,640SubtotalAmt
Tax Based On Investment Income$3,640TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$8,000EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$8,000TotalPaymentsAndCreditsAmt
Original Return Overpayment-$8,000OriginalReturnOverpaymentAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$39EsPenaltyAmt
Overpayment$4,321OverpaymentAmt
Applied To ES Tax$4,321AppliedToESTaxAmt

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 StateNYOrgReportOrRegisterStateCd
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 BooksMARY LINCOLNIndividualWithBooksNm
Phone8148384921PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line15966 WYNDEMERE DRAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16505ZIPCd
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
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
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

FieldValueIRS element (for citing)
PersonMARY LINCOLN TRUSTEEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15966 WYNDEMERE DRIVEAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16505ZIPCd
FieldValueIRS element (for citing)
TitleEXEC DIRTitleTxt
Average Hrs Per Wk Devoted To Pos10.00AverageHrsPerWkDevotedToPosRt
Compensation$80,910CompensationAmt
Employee Benefit Program$0EmployeeBenefitProgramAmt
Expense Account Other Allwnc$0ExpenseAccountOtherAllwncAmt
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

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$14,526,455AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$2,067,051AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$16,593,506TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$16,593,506AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$248,903CashDeemedCharitableAmt
Net Vl Noncharitable Assets$16,344,603NetVlNoncharitableAssetsAmt
Minimum Investment Return$817,230MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$817,230MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,640TaxBasedOnInvestmentIncomeAmt
Total Tax$3,640TotalTaxAmt
Distributable Before Adj$813,590DistributableBeforeAdjAmt
Distributable Before Ded$813,590DistributableBeforeDedAmt
Distributable As Adjusted$813,590DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$858,238ExpensesAndContributionsAmt
Set Aside Cash Distri Test$105,000SetAsideCashDistriTestAmt
Qualifying Distributions$963,238QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$3,640PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$959,598AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$813,590DistributableAsAdjustedAmt
Undistributed Income PY$814,511UndistributedIncomePYAmt
Prior Year12012PriorYear1Yr
Total For Prior Years$180,318TotalForPriorYearsAmt
Qualifying Distributions$963,238QualifyingDistributionsAmt
Applied To Year1$814,511AppliedToYear1Amt
Applied To Prior Years$148,727AppliedToPriorYearsAmt
Prior Year Undistributed Incm$31,591PriorYearUndistributedIncmAmt
Taxable1$31,591Taxable1Amt
Undistributed Income CY$813,590UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonMARY LINCOLN TRUSTEERecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line15966 WYNDEMERE DRIVEAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16505ZIPCd
FieldValueIRS element (for citing)
Recipient Phone8148684921RecipientPhoneNum
Form And Info And MaterialsCONTACT THE TRUSTEE FOR INFORMATION ON SUBMITTING APPLICATIONSFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsAWARDS ARE MADE IN THE FIELDS OF HEALTHCARE, EDUCATION, SOCIAL SERVICES AND THE ARTS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (56 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ST JOSEPH'S MEDICAL CENTER FDN
703 MAIN STREETPATERSONNJ07503501(c)(3)FACILITY SERVING RESI-REGIONAL HEALTH CAREDENTS OF PATERSON NJ$5,000
CLEVELAND CLINIC
9500 EUCLID AVENUECLEVELANDOH44195501(c)(3)HEALTH CARE FACILITYACADEMIC AND RESEARCH$5,000
COMMUNITY SHELTER SERVICES
655 WEST 16TH STREETERIEPA16503501(c)(3)FOR THE HOMELESSPROVIDES RESIDENCE$110,000
HAMOT HEALTH FOUNDATION
2 EAST 2ND STREETERIEPA16507501(c)(3)OF THE WOMEN'S ANDFOR THE CONSTRUCTIONCHILDREN'S HOSPITAL$6,500
UNITARIAN UNIVERSALIST CONGREGATION
7180 PERRY HIGHWAYERIEPA16509501(c)(3)RELIGIOUS$12,000
NEIGHBORHOOD ART HOUSE
201 EAST 10TH STREETERIEPA16503501(c)(3)TION AND SUPPORT TOPROVIDES ART EDUCA-INNER CITY YOUTH$32,000
ERIE PHILHARMONIC ORCHESTRA
1006 STATE STREETERIEPA16501501(c)(3)ORCHESTRA TO THE REGIONSUPPORTS A SYMPHONY$15,000
ERIE COUNTY HISTORICAL SOCIETY
419 STATE STREETERIEPA16507501(c)(3)LOCAL HISTORYPRESERVATION OF$25,000
ERIE ART MUSEUM
417 STATE STREETERIEPA16507501(c)(3)ART EXHIBITS ANDPROVIDES A MUSEUM FORART EDUCATION$10,000
BOCA RATON REGIONAL HOSPITAL
800 MEADOWS ROADBOCA RATONFL33486501(c)(3)HEALTH CARE SERVICESPROVIDES COMMUNITY$5,000
SALVATION ARMY
1209 SASSAFRAS STREETERIEPA16502501(c)(3)SERVICES TO THEPROVIDES SOCIALPOOR AND HOMELESS$10,000
MERCY CENTER FOR WOMEN
1039 EAST 27TH STREETERIEPA16504501(c)(3)SERVICES TO WOMEN INPROVIDES SUPPORTIVENEED.$20,000
ERIE HOMES FOR CHILDREN AND ADULTS
226 EAST 27TH STREETERIEPA16504501(c)(3)SUPPORTIVE CARE TOPROVIDES HOUSING ANDINDIVIDUALS WITH DISABILITIES$20,000
ERIE PLAYHOUSE
13 WEST 10TH STREETERIEPA16501501(c)(3)THEATRE AND PROMOTESPROVIDES A COMMUNITYEDUCATION IN THEATRE$10,000
BOCA RATON MUSEUM OF ART
501 PLAZA REALBOCA RATONFL33432501(C)(3)ART EXHIBITS ANDPROVIDES A MUSEUM FORART EDUCATION$7,250
EMMAUS MINISTRIES
310 EAST 10TH STREETERIEPA16503501(C)(3)SHELTER TO THEPROVIDES MEALS ANDHOMELESS$10,000
ERIE ZOOLOGICAL SOCIETY
423 WEST 38TH STREETERIEPA16508501(C)(3)RECREATIONAL ACTIVITIESPROVIDES EDUCATIONAL ANDTHROUGH A COMMUNITY ZOO$5,000
UNITED WAY OF ERIE
420 WEST 6TH STREETERIEPA16507501(C)(3)SOCIAL SERVICE ORGANIZATIONSPROVIDES ASSISTANCE TOIN THE ERIE AREA$15,000
VISITING NURSE ASSOCIATION
2253 W GRANDVIEW BLVDERIEPA16508501(C)(3)PORTIVE CARE TO TERMIN-PROVIDES HEALTH AND SUP-ALLY ILL INDIVIDUALS$5,000
MARCH OF DIMES
1407 PENINSULA DRIVEERIEPA16505501(C)(3)OF PREGNANT WOMENPROMOTES HEALTHAND THEIR BABIES$2,000
Flagship Niagara League
150 East Front StreetERIEPA16507501(C)(3)PRESERVATION OF THEWORKS TO PROMOTEFLAGSHIP NIAGARA$2,950
SAFE NET
PO BOX 1436ERIEPA16512501(C)(3)WOMEN SUFFERINGASSISTANCE TOFROM DOMESTIC ABUSE$5,500
St Paul's Neighborhood Free Clinic
1608 WALNUT STREETERIEPA16502501(C)(3)CLINIC FOR LOWFREE MEDICALINCOME INDIVIDUALS$10,000
Asbury Woods Partnership
4105 ASBURY ROADERIEPA16506501(C)(3)AND NATURECOMMUNITY PARKCENTER$25,000
BAYFRONT CTR FOR MARITIME STUDIES
40 HOLLAND STREETERIEPA16507501(C)(3)MARITIME EDUCATIONALUNIQUE HANDS ON& RECREATIONAL$5,000
CROHN'S AND COLITIS FOUNDATION
300 PENN CENTER BLVDPITTSBURGHPA15235501(C)(3)ASSISTANCE TORESEARCH ANDINDIVIDUALS$2,000
JUNIOR ACHIEVEMENT OF WESTERM PA
4213 STATION ROADERIEPA16510501(C)(3)PREPARE YOUNG PEOPLE TOPROGRAMS TO INSPIRE ANDSUCCEED IN A GLOBAL ECONOMY$3,000
SECOND HARVEST FOOD BANK OF NWPA
1507 GRIMM DRIVEERIEPA16502501(C)(3)FOOD TO THE POORPROVIDES LOW COSTIN NW PA$20,000
EXPERIENCE CHILDREN'S MUSEUM
420 FRENCH STREETERIEPA16507501(C)(3)MUSEUMOPERATES A CHILDREN'S$5,000
YMCA OF ERIE
3727 CHERRY STREETERIEPA16508501(C)(3)TEEN PROGRAMSUPPORT OF THE$10,000
PUBLIC BROADCASTING OF NW PA
8425 PEACH STREETERIEPA16509501(C)(3)AND RADIOPUBLIC TELEVISION$5,000
AMERICAN CANCER SOCIETY
2115 WEST 38TH STREETERIEPA16508501(C)(3)AND RESEARCHCANCER TREATMENT$5,000
AMERICAN RED CROSS - ERIE
4961 PITTSBURGH AVENUEERIEPA16509501(C)(3)DISASTER ASSISTANCE$10,000
YOUNG PEOPLES CHORUS OF ERIE
PENN STATE ERIE - BEHREND COLLEGEERIEPA16510501(C)(3)CHILDREN REGARDLESS OFOFFERS MUSIC INSTRUCTION TOSOCIOECONOMIC BACKGROUND$20,000
ERIE WOMEN'S FUND OF ECF
459 WEST 6TH STREETERIEPA16507501(C)(3)OF INTEREST TOSUPPORTS CAUSESWOMEN$5,000
ST VINCENT HOSPITAL FOUNDATION
252 WEST 25TH STREETERIEPA16502501(C)(3)HOSPITAL$2,000
PENN STATE ERIE - BEHREND COLLEGE
4701 COLLEGE DRIVEERIEPA16563501(C)(3)COLLEGEACCREDITED$100,000
ERIE ARTS AND CULTURE
3 EAST 4TH STREETERIEPA16507501(C)(3)AGENCYLOCAL ARTS$10,000
ACHIEVEMENT CENTER
2420 WEST 23 STREETERIEPA16505501(C)(3)DISABLED CHILDRENASSISTANCE TO$5,000
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231501(C)(3)TREATMENT OFRESEARCH ANDHEART DESEASE$5,000
BETHESDA FOUNDATION FOR CHILDREN
15667 HIGHWAY 86MEADVILLEPA16335501(C)(3)AND MENTAL HEALTHPROVIDES BEHAVIORALSERVICES TO CHILDREN$5,000
REGIONAL CANCER FOUNDATION
2500 WEST 12TH STREETERIEPA16505501(C)(3)AND TREATMENT OFFUNDS RESEARCHCANCER PATIENTS$10,000
ERIE CHAMBER ORCHASTRA
109 UNIVERSITY SQUAREERIEPA16541501(c)(3)HAS ACCESS TO FREE PERFOR-ENSURES THAT EVERYONEMANCES OF CLASSICAL MUSIC.$5,000
DR GERTRUDE BARBER FND
100 BARBER PLACEERIEPA16507501(c)(3)CHILDREN WITH DISABILITIESEDUCATIONAL SUPPORT FORAND MENTAL HEALTH NEEDS$5,500
BENEDICTINE SISTERS OF ERIE
6101 EAST LAKE ROADERIEPA16511501(c)(3)WORKS IN CREATIVE WORKS TOA COMMUNITY OF WOMEN THATMEET THE SOCIAL NEEDS AROUND THEM$20,000
HELPING HANDS
541 CAMBRIDGE STREETALLSTONMA02134501(c)(3)CORD INJURIES LIVE MOREHELPS ADULTS WITH SPINALINDEPENDENT AND ENGAGED LIVES$10,000
US FUND FOR UNICEF
125 MAIDEN LANENEW YORKNY10038501(c)(3)MENTAL SUPPORT FOR THENON PROFIT, NON GOVERN-UN CHILDREN'S FUND$5,000
SISTERS OF ST JOSEPH NEIGHBORHOOD NETWORK
425 WEST 18TH STREETERIEPA16502501(c)(3)NEIGHBORHOODS ANDWORKS TO REVITALIZEEMPOWER ITS PEOPLE$5,000
MILLCREEK AND ERIE COUNTY ADVOCATES
PO BOX 8245ERIEPA16505501(c)(3)LOPMENTALLY DISABLEDADVOCACY FOR THE DEVE-IN ERIE COUNTY PA$2,000
INNOCENCE PROJECT
40 WORTH STREETNEW YORKNY10013501(c)(3)CONVICTED THROUGHEXONERATING WRONGFULLYDNA TESTING$2,000
ERIE COMMUNITY FOUNDATION
459 WEST 6TH STREETERIEPA16502501(c)(3)MUSIC EDUCATION FORFUND TO BENEFITYOUNG PEOPLE$100,000
HUMANE SOCIETY OF NORTHWEST PA
2407 ZIMMERLY ROADERIEPA16509501(c)(3)AND NEGLECTEDCARE FOR UNWANTEDANIMALS$1,000
CHILDREN'S ADVOCACY CENTER
1334 WEST 38TH STREETERIEPA16508501(c)(3)TO CHILDREN SUFFERINGPROVIDES ASSISTANCEFROM ALL FORMS OF ABUSE$1,000
ERIE JUNION PHILHARMONIC
609 WALNUT STREETERIEPA16502501(c)(3)SECTIONAL COACHING ANDOFFERS REHEARSALSPERFORMANCE OPPORTUNITIES$5,000
THE UPPER ROOM
1024 PEACH STREETERIEPA16501501(c)(3)PROVIDING MEALS SOCIALIZATIONDAYTIME HOMELESS SHELTERCOUNSELING AND THERAPY$5,000
STAIRWAYS BEHAVIORAL HEALTH
2185 WEST 8TH STREETERIEPA16505501(c)(3)MENT AND RESIDENTIAL FACILITIESOFFERS MENTAL HEALTH TREATFOR ADULTS AND CHILDREN$2,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$768,700TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (2 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
MERCY CENTER FOR WOMEN
1039 EAST 27TH STREETERIEPA16504501(c)(3)PROVIDES SUPPORTIVESERVICES TO WOMENIN NEED$30,000
ASBURY WOODS PARTNERSHIP
4105 ASBURY ROADERIEPA16506501(c)(3)COMMUNITY PARK ANDNATURE EDUCATIONCENTER$75,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$105,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Business900001BusinessCd
Exclusion18ExclusionCd
Exclusion$425ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Business900001BusinessCd
Exclusion18ExclusionCd
Exclusion$409,694ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business900001BusinessCd
Exclusion18ExclusionCd
Exclusion$43,568ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$453,687ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$453,687TotalIncomeProducingActyAmt

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)
CategoryDAVID M. LASTOWSKI CPA TAX PREPARATIONCategoryTxt
Amt$1,500Amt
Net Investment Income$1,500NetInvestmentIncomeAmt
Adjusted Net Income$1,500AdjustedNetIncomeAmt
Disbursements Charitable Prps$1,500DisbursementsCharitablePrpsAmt

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp

FieldValueIRS element (for citing)
AssetALL SALESAssetDesc
How AcquiredPurchasedHowAcquiredTxt

Purchaser Name PurchaserNameGrp

FieldValueIRS element (for citing)
PersonVARIOUSPersonNm
FieldValueIRS element (for citing)
Gross Sales Price$178,046GrossSalesPriceAmt
Basis$134,478BasisAmt
Basis MethodCostBasisMethodTxt
Total Net$43,568TotalNetAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART XII LINE 3bFormAndLineReferenceDesc
Medium ExplanationAMOUNTS SET ASIDE FOR SPECIFIC PROJECTS SATISFYING THE CASH DISTRIBUTION TEST CONTRIBUTION TO BE PAID TO ASBURY WOODS PARTNERSHIP 4105 ASBURY ROAD ERIE, PA 16506 CONTRIBUTION AMOUNT $75,000 TO BE PAID AS FOLLOWS: YEAR 2015 $25,000 YEAR 2016 $25,000 YEAR 2017 $25,000 CONTRIBUTION TO BE PAID TO MERCY CENTER FOR WOMEN 1039 EAST 27TH STREET ERIE, PA 16504 CONTRIBUTION AMOUNT $30,000 TO BE PAID AS FOLLOWS: YEAR 2015 $10,000 YEAR 2016 $10,000 YEAR 2017 $10,000MediumExplanationTxt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
MORGAN STANLEY DW INC. 684-032215-020$566,941$565,932
CHARLES SCHWAB & CO$984,521$979,576

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CHARLES SCHWAB & CO$1,814,089$2,808,673
IBM CORPORATION (DIVIDEND REINVESTMENT PROGRAM)$3,844,779$5,567,950
MORGAN STANLEY DW INC. 684-032215-020$2,866,401$4,050,194

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
REGISTRATION FEES$750$750$750$750
ADMINISTRATIVE EXPENSE$378$378$378$378

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtAdjusted Net IncomeAdjustedNetIncomeAmtNet Investment IncomeNetInvestmentIncomeAmt
TAX ON NET INVESTMENT INCOME$1,905$1,905
FOREIGN TAXES$118$118$118
FORM 4720 TAXES$54,095

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