FURP.ORG / PUBLIC DATA EXPLORER

THOMAS FAMILY FOUNDATION: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
THOMAS FAMILY FOUNDATION (EIN 30-6304249)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-01
IRS object ID
201431219349100808
Schema version
2013v3.0
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)
Return2014-05-01T10:50:39-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580942047PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Babush Neiman Kornman & Johnson LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15909 Peachtree Dunwoody Rd SuiteAddressLine1
Address Line2800AddressLine2
CityAtlantaCity
StateGAState
ZIP Code30328ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN306304249EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE THOMAS FAMILY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlTHOMBusinessNameControlTxt
Phone9043460836PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13918 ALHAMBRA DR WAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32207ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLee ThomasPersonNm
Person TitleTrusteePersonTitleTxt
Phone9043460836PhoneNum
Signature2014-04-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHoward F NeimanPreparerPersonNm
PTINP00029525PTIN
Phone7702611900PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$6,957,037FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$2,047,920ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$288InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$288InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$131,563DividendsRevAndExpnssAmt
Dividends Net Invst Incm$131,563DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$83,092NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$83,092GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$83,092CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$2,262,863TotalRevAndExpnssAmt
Total Net Invst Incm$214,943TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$159LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$79LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$80LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,800AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,900AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,900AccountingFeesChrtblPrpsAmt
Tot Opr Expenses Rev And Expnss$3,959TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,979TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,980TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$200,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$200,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$203,959TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,979TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$201,980TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$2,058,904ExcessRevenueOverExpensesAmt
Net Investment Income$212,964NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$66,660CashBOYAmt
Cash EOY$77,644CashEOYAmt
Cash EOYFMV$77,644CashEOYFMVAmt
Corporate Stock BOY$5,544,949CorporateStockBOYAmt
Corporate Stock EOY$7,592,869CorporateStockEOYAmt
Corporate Stock EOYFMV$6,879,393CorporateStockEOYFMVAmt
Total Assets BOY$5,611,609TotalAssetsBOYAmt
Total Assets EOY$7,670,513TotalAssetsEOYAmt
Total Assets EOYFMV$6,957,037TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$5,611,609RetainedEarningBOYAmt
Retained Earning EOY$7,670,513RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$5,611,609TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$7,670,513TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$5,611,609TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$7,670,513TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$5,611,609TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$2,058,904ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$7,670,513SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$7,670,513TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyCapital Gains DividendsPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$83,092GrossSalesPriceAmt
Gain Or Loss$83,092GainOrLossAmt
Gains Minus Excess Or Losses$83,092GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$83,092CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$92,158AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,865,271NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049407DistributionYr1Rt
Adjusted Qlfy Distri Yr2$0AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$398,679NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.000000DistributionYr2Rt
Total Distribution0.049407TotalDistributionRt
Average Distribution0.024704AverageDistributionRt
Net Vl Noncharitable Assets$6,282,676NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$155,207AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,130NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$157,337AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$201,980QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$2,130InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,130SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,130TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$608EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$608TotalPaymentsAndCreditsAmt
Tax Due$1,522TaxDueAmt

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 Satisfied0Section508eRqrSatisfiedInd
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
Individual With BooksLEE M THOMASIndividualWithBooksNm
Phone9043460836PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13918 ALHAMBRA DRIVE WAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32207ZIPCode
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 (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LEE M THOMAS
3918 ALHAMBRA DR WJACKSONVILLEFL32207TRUSTEE1.00$0$0$0
DOROTHY B THOMAS
3918 ALHAMBRA DR WJACKSONVILLEFL32207TRUSTEE1.00$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$6,306,651AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$71,700AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$6,378,351TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$6,378,351AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$95,675CashDeemedCharitableAmt
Net Vl Noncharitable Assets$6,282,676NetVlNoncharitableAssetsAmt
Minimum Investment Return$314,134MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$314,134MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,130TaxBasedOnInvestmentIncomeAmt
Total Tax$2,130TotalTaxAmt
Distributable Before Adj$312,004DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$312,004DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$312,004DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$201,980ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$201,980QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$2,130PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$199,850AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$312,004DistributableAsAdjustedAmt
Undistributed Income PY$4,455UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$201,980QualifyingDistributionsAmt
Applied To Year1$4,455AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$197,525AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$114,479UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerLEE M THOMASContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1VIRGINIA EPISCOPAL SCHOOLBusinessNameLine1

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1400 VES ROAD PO BOX 408AddressLine1
CityLYNCHBURGCity
StateVAState
ZIP Code24505ZIPCode
FieldValueIRS element (for citing)
Recipient Foundation Status501(c)(3)RecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL OPERATIONSGrantOrContributionPurposeTxt
Amt$200,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$200,000TotalGrantOrContriPdDurYrAmt
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$288ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$131,563ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$83,092ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$214,943ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$214,943TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonLEE M THOMASContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line13918 ALHAMBRA DR WAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32207ZIPCode
FieldValueIRS element (for citing)
Total Contributions$2,047,920TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property48,000 RAYONIER INC COMMON STOCKNoncashPropertyDesc
Fair Market Value$2,047,920FairMarketValueAmt
Received2013-12-20ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,800Amt
Net Investment Income$1,900NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,900DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockRAYONIER INCStockNm
EOY Book Value$7,592,869EOYBookValueAmt
EOYFMV$6,879,393EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$159LegalFeesAmt
Net Investment Income$79NetInvestmentIncomeAmt
Disbursements Charitable Prps$80DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonLEE M THOMASPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13918 ALHAMBRA DR WAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32207ZIPCode