M J SURGALA TR: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- M J SURGALA TR (EIN 11-6556638)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201313169349100121
- Schema version
- 2012v2.0
- 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
- Form 990-PF
- Gain Loss Sale Other Assets Sch
- General Explanation Attachment
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-12T06:14:57-08:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID M LASTOWSKI CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1137 W 38TH ST | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 165082457 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 116556638 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | M J SURGALA TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MJSU | NameControl |
| Phone | 8148384921 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16505 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY LINCOLN | Name |
| Title | TRUSTEE / EXEC DIR | Title |
| Phone | 8148384921 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID M LASTOWSKI CPA | Name |
| Phone | 8148684802 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 16333656 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 1006 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 1006 | InterestOnSavingsNetInvstIncm |
| Interest On Savings Adj Net Incm | 1006 | InterestOnSavingsAdjNetIncm |
| Dividends Rev And Expnss | 350875 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 350875 | DividendsNetInvstIncm |
| Dividends Adj Net Incm | 350875 | DividendsAdjNetIncm |
| Net Gain Sale Assets Rev And Expnss | 125661 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 499721 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 125661 | CapitalGainNetIncmNetInvstIncm |
| Net STCG Adj Net Incm | 1695 | NetSTCGAdjNetIncm |
| Total Revenue And Expenses | 477542 | TotalRevenueAndExpenses |
| Total Net Investment Income | 477542 | TotalNetInvestmentIncome |
| Total Adjusted Net Income | 353576 | TotalAdjustedNetIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 93714 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 93714 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Adj Net Incm | 93714 | CompOfcrDirTrstAdjNetIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 93714 | CompOfcrDirTrstDsbrsChrtblPrps |
| Taxes Rev And Expnss | 7450 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 7450 | TaxesNetInvstIncm |
| Taxes Adj Net Incm | 7450 | TaxesAdjNetIncm |
| Taxes Dsbrs Chrtbl Prps | 7450 | TaxesDsbrsChrtblPrps |
| Occupancy Rev And Expnss | 6000 | OccupancyRevAndExpnss |
| Occupancy Net Invst Incm | 6000 | OccupancyNetInvstIncm |
| Occupancy Adj Net Incm | 6000 | OccupancyAdjNetIncm |
| Occupancy Dsbrs Chrtbl Prps | 6000 | OccupancyDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 23300 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 750 | OtherExpensesNetInvstIncm |
| Other Expenses Adj Net Incm | 23250 | OtherExpensesAdjNetIncm |
| Other Expenses Dsbrs Chrtbl Prps | 23250 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 130464 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 107914 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Adj Net Incm | 130414 | TotOprExpensesAdjNetIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 130414 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 648350 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 648350 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 778814 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 107914 | TotalExpensesNetInvstIncm |
| Total Expenses Adj Net Incm | 130414 | TotalExpensesAdjNetIncm |
| Total Expenses Dsbrs Chrtbl Prps | 778764 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -301272 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 369628 | NetInvestmentIncome |
| Adjusted Net Income | 223162 | AdjustedNetIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 2974145 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 2690400 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 2690400 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 8538992 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 8511032 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 12153627 | InvestmentsCorpStockEOYFMV |
| Investments Corp Bonds BOY | 1344433 | InvestmentsCorpBondsBOY |
| Investments Corp Bonds EOY | 1354866 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 1489629 | InvestmentsCorpBondsEOYFMV |
| Total Assets BOY | 12857570 | TotalAssetsBOY |
| Total Assets EOY | 12556298 | TotalAssetsEOY |
| Total Assets EOYFMV | 16333656 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 12857570 | UnrestrictedBOY |
| Unrestricted EOY | 12556298 | UnrestrictedEOY |
| Total Net Assets BOY | 12857570 | TotalNetAssetsBOY |
| Total Net Assets EOY | 12556298 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 12857570 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 12556298 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 12857570 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -301272 | ExcessOfRevenueOverExpenses |
| Subtotal | 12556298 | Subtotal |
| Total Net Assets Fund Balances EOY | 12556298 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (10 entries)
| Description Of AssetDescriptionOfAsset | How AcquiredHowAcquired | Date AcquiredDateAcquired | Date SoldDateSold | Gross Sales PriceGrossSalesPrice | DepreciationDepreciation | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | FMV As Of123169FMVAsOf123169 | Adjusted Basis As Of123169AdjustedBasisAsOf123169 | Excess Of FMV Over Adjusted BasisExcessOfFMVOverAdjustedBasis | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FACEBOOK, INC. | P | 2012-05-17 | 2012-05-18 | 20630 | 0 | 19000 | 1630 | 0 | 0 | 0 | 1630 |
| MOTORS LIQ CO GUC TR UBI | P | 2012-06-12 | 2012-06-12 | 12 | 0 | 0 | 12 | 0 | 0 | 0 | 12 |
| KRAFT FOOD GROUP INC COM | P | 2002-02-05 | 2012-10-01 | 16 | 0 | 6 | 10 | 0 | 0 | 0 | 10 |
| USB CAP IX | P | 2006-08-23 | 2012-05-18 | 100000 | 0 | 100000 | 0 | 0 | 0 | 0 | 0 |
| WPX ENERGY INC | P | 2011-11-22 | 2012-02-23 | 602 | 0 | 549 | 53 | 0 | 0 | 0 | 53 |
| APPLE INC | P | 2008-11-02 | 2012-11-08 | 108969 | 0 | 67163 | 41806 | 0 | 0 | 0 | 41806 |
| BARCLAYS BANK IPATH NEW PATH | P | 2010-05-20 | 2012-10-08 | 26 | 0 | 405 | -379 | 0 | 0 | 0 | -379 |
| INTEL CORP | P | 2008-10-23 | 2012-01-03 | 61615 | 0 | 36652 | 24963 | 0 | 0 | 0 | 24963 |
| INTERNATIONAL BUSINESS MACHINES | P | 2005-12-08 | 2012-01-20 | 183571 | 0 | 114845 | 68726 | 0 | 0 | 0 | 68726 |
| VALERO ENERGY CORP NEW | P | 2008-05-21 | 2012-12-21 | 24280 | 0 | 35440 | -11160 | 0 | 0 | 0 | -11160 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 125661 | CapitalGainNetIncome |
| Net Short Term Capital Gain Or Loss | 1695 | NetShortTermCapitalGainOrLoss |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 659284 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 15618867 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.042211 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 555279 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 13314410 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.041705 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 588505 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 11816064 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.049806 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 587150 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 12977640 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.045243 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 542517 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 12724555 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.042635 | DistributionRatioYear5 |
| Total Distribution Ratio | 0.221600 | TotalDistributionRatio |
| Average Distribution Ratio | 0.044320 | AverageDistributionRatio |
| Net Noncharitable Assets | 16370924 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 725559 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 3696 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 729255 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 778764 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 3696 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 3696 | Subtotal |
| Tax Based On Investment Income | 3696 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 7450 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 7450 | TotalCreditsAndPayments |
| Original Return Overpayment | -7450 | OriginalReturnOverpayment |
| Overpayment | 3754 | Overpayment |
| Amount Credited To Next Year | 3754 | AmountCreditedToNextYear |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | false | LegislativePoliticalActivities |
| More Than100 Spent | false | MoreThan100Spent |
| Form1120 POL Filed | false | Form1120POLFiled |
| Activities Not Prev Reported | false | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | false | UnrelatedBusIncomeOver1000 |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| States Filed With | NY | StatesFiledWith |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | false | PrivateOperatingFoundation |
| New Substantial Contributors | false | NewSubstantialContributors |
| Interest In Controlled Entity | false | InterestInControlledEntity |
| Applicable Insurance Contract | false | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | true | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | MARY LINCOLN | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 8148384921 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DR | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | false | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | false | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | false | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | false | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | false | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | false | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | false | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| Undistr Income4942a2 Not Applied | false | UndistrIncome4942a2NotApplied |
| Business Holdings | false | BusinessHoldings |
| Jeopardy Investments | false | JeopardyInvestments |
| Uncorrected Jeopardy Investments | false | UncorrectedJeopardyInvestments |
| Influence Legislation | false | InfluenceLegislation |
| Influence Election | false | InfluenceElection |
| Grants To Individuals | false | GrantsToIndividuals |
| Grants To Organizations | false | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | false | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person Name | MARY LINCOLN TRUSTEE | PersonName |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | EXEC DIR | Title |
| Avg Hours Per Wk Devoted To Position | 8.00 | AvgHoursPerWkDevotedToPosition |
| Compensation | 93714 | Compensation |
| Contri To Empl Benefit Plans Etc | 0 | ContriToEmplBenefitPlansEtc |
| Expense Account Other Allowances | 0 | ExpenseAccountOtherAllowances |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 13761279 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 2858948 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 16620227 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 16620227 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 249303 | CashDeemedCharitable |
| Net Noncharitable Assets | 16370924 | NetNoncharitableAssets |
| Minimum Investment Return | 818546 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 818546 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 3696 | TaxBasedOnInvestmentIncome |
| Total Tax | 3696 | TotalTax |
| Distributable Amount Before Adj | 814850 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 814850 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 814850 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 778764 | ExpensesAndContributions |
| Qualifying Distributions | 778764 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 3696 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 775068 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 814850 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 773600 | UndistributedIncomePriorYear |
| Excess Distri Carryover Year1 | 3378 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 3378 | TotalExcessDistriCarryover |
| Qualifying Distributions | 778764 | QualifyingDistributions |
| Applied To Year1 | 773600 | AppliedToYear1 |
| Remaining Distri From Corpus | 5164 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 3378 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 3378 | ExcessDistriCyovAppliedCY |
| Total Corpus | 5164 | TotalCorpus |
| Undistributed Income CY | 811472 | UndistributedIncomeCY |
| Excess Distri Cyov To Next Year | 5164 | ExcessDistriCyovToNextYear |
| Excess From Current Year | 5164 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManager |
| Shareholder Manager | NONE | ShareholderManager |
Appication Submission Info AppicationSubmissionInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Name | MARY LINCOLN TRUSTEE | RecipientName |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5966 WYNDEMERE DRIVE | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone Number | 8148684921 | RecipientPhoneNumber |
| Form And Info And Materials | CONTACT THE TRUSTEE FOR INFORMATION ON SUBMITTING APPLICATIONS | FormAndInfoAndMaterials |
| Submission Deadlines | NONE | SubmissionDeadlines |
| Restrictions On Awards | AWARDS ARE MADE IN THE FIELDS OF HEALTHCARE, EDUCATION, SOCIAL SERVICES AND THE ARTS. | RestrictionsOnAwards |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (55 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|
| ST JOSEPH'S MEDICAL CENTER FDN | ||||||
| 703 MAIN STREET | PATERSON | NJ | 07503 | 501(c)(3) | FACILITY SERVING RESI-REGIONAL HEALTH CAREDENTS OF PATERSON NJ | $25,000 |
| DEPARTMENT OF COMMUNITY MEDICINE | ||||||
| MT SINAI MEDICAL CENTER | NEW YORK | NY | 10011 | 509(a)(1) | HOMEBOUND AND HOMELESSCOMMUNITY HEALTH CARE FOR | $50,000 |
| CLEVELAND CLINIC | ||||||
| 9500 EUCLID AVENUE | CLEVELAND | OH | 44195 | 501(c)(3) | HEALTH CARE FACILITYACADEMIC AND RESEARCH | $5,000 |
| COMMUNITY SHELTER SERVICES | ||||||
| 655 WEST 16TH STREET | ERIE | PA | 16503 | 501(c)(3) | FOR THE HOMELESSPROVIDES RESIDENCE | $10,000 |
| HAMOT HEALTH FOUNDATION | ||||||
| 2 EAST 2ND STREET | ERIE | PA | 16507 | 501(c)(3) | OF THE WOMEN'S ANDFOR THE CONSTRUCTIONCHILDREN'S HOSPITAL | $8,000 |
| UNITARIAN UNIVERSALIST CONGREGATION | ||||||
| 7180 PERRY HIGHWAY | ERIE | PA | 16509 | 501(c)(3) | RELIGIOUS | $15,000 |
| NEIGHBORHOOD ART HOUSE | ||||||
| 201 EAST 10TH STREET | ERIE | PA | 16503 | 501(c)(3) | TION AND SUPPORT TOPROVIDES ART EDUCA-INNER CITY YOUTH | $10,000 |
| ERIE PHILHARMONIC ORCHESTRA | ||||||
| 1006 STATE STREET | ERIE | PA | 16501 | 501(c)(3) | ORCHESTRA TO THE REGIONSUPPORTS A SYMPHONY | $12,500 |
| ERIE CITY MISSION | ||||||
| 1023 FRENCH STREET | ERIE | PA | 16501 | 501(c)(3) | AND POOR WITH SHELTERASSISTS THE HOMELESSAND HOT MEALS | $130,000 |
| ST CASMIR'S CHURCH | ||||||
| 147 MONTGOMERY STREET | PATERSON | NJ | 07501 | 501(c)(3) | RELIGIOUS | $2,000 |
| ERIE ART MUSEUM | ||||||
| 417 STATE STREET | ERIE | PA | 16507 | 501(c)(3) | ART EXHIBITS ANDPROVIDES A MUSEUM FORART EDUCATION | $1,000 |
| BOCA RATON REGIONAL HOSPITAL | ||||||
| 800 MEADOWS ROAD | BOCA RATON | FL | 33486 | 501(c)(3) | HEALTH CARE SERVICESPROVIDES COMMUNITY | $5,000 |
| SALVATION ARMY | ||||||
| 1209 SASSAFRAS STREET | ERIE | PA | 16502 | 501(c)(3) | SERVICES TO THEPROVIDES SOCIALPOOR AND HOMELESS | $5,000 |
| MERCY CENTER FOR WOMEN | ||||||
| 1039 EAST 27TH STREET | ERIE | PA | 16504 | 501(c)(3) | SERVICES TO WOMEN INPROVIDES SUPPORTIVENEED. | $11,000 |
| ERIE HOMES FOR CHILDREN AND ADULTS | ||||||
| 226 EAST 27TH STREET | ERIE | PA | 16504 | 501(c)(3) | SUPPORTIVE CARE TOPROVIDES HOUSING ANDINDIVIDUALS WITH DISABILITIES | $20,000 |
| ERIE PLAYHOUSE | ||||||
| 13 WEST 10TH STREET | ERIE | PA | 16501 | 501(c)(3) | THEATRE AND PROMOTESPROVIDES A COMMUNITYEDUCATION IN THEATRE | $20,000 |
| BOCA RATON MUSEUM OF ART | ||||||
| 501 PLAZA REAL | BOCA RATON | FL | 33432 | 501(C)(3) | ART EXHIBITS ANDPROVIDES A MUSEUM FORART EDUCATION | $4,600 |
| EMMAUS MINISTRIES | ||||||
| 310 EAST 10TH STREET | ERIE | PA | 16503 | 501(C)(3) | SHELTER TO THEPROVIDES MEALS ANDHOMELESS | $10,000 |
| ERIE ZOOLOGICAL SOCIETY | ||||||
| 423 WEST 38TH STREET | ERIE | PA | 16508 | 501(C)(3) | RECREATIONAL ACTIVITIESPROVIDES EDUCATIONAL ANDTHROUGH A COMMUNITY ZOO | $3,500 |
| UNITED WAY OF ERIE | ||||||
| 420 WEST 6TH STREET | ERIE | PA | 16507 | 501(C)(3) | SOCIAL SERVICE ORGANIZATIONSPROVIDES ASSISTANCE TOIN THE ERIE AREA | $10,000 |
| VISITING NURSE ASSOCIATION | ||||||
| 2253 W GRANDVIEW BLVD | ERIE | PA | 16508 | 501(C)(3) | PORTIVE CARE TO TERMIN-PROVIDES HEALTH AND SUP-ALLY ILL INDIVIDUALS | $5,000 |
| MARCH OF DIMES | ||||||
| 1407 PENINSULA DRIVE | ERIE | PA | 16505 | 501(C)(3) | OF PREGNANT WOMENPROMOTES HEALTHAND THEIR BABIES | $850 |
| FLAGSHIP NIAGARA LEAGUE | ||||||
| 150 EAST FRONT STREET | ERIE | PA | 16507 | 501(C)(3) | PRESERVATION OF THEWORKS TO PROMOTEFLAGSHIP NIAGARA | $26,200 |
| SAFE NET | ||||||
| PO BOX 1436 | ERIE | PA | 16512 | 501(C)(3) | WOMEN SUFFERINGASSISTANCE TOFROM DOMESTIC ABUSE | $10,250 |
| ST PAUL'S NEIGHBORHOOD FREE CLINIC | ||||||
| 1608 WALNUT STREET | ERIE | PA | 16502 | 501(C)(3) | CLINIC FOR LOWFREE MEDICALINCOME INDIVIDUALS | $5,000 |
| ASBURY WOODS PARTNERSHIP | ||||||
| 4105 ASBURY ROAD | ERIE | PA | 16506 | 501(C)(3) | AND NATURECOMMUNITY PARKCENTER | $2,000 |
| BAYFRONT CTR FOR MARITIME STUDIES | ||||||
| 40 HOLLAND STREET | ERIE | PA | 16507 | 501(C)(3) | MARITIME EDUCATIONALUNIQUE HANDS ON& RECREATIONAL | $5,000 |
| ST MARY'S HIGH SCHOOL | ||||||
| 1300 NORTHERN BLVD | MANHASSET | NY | 11030 | 501(C)(3) | ORGANIZATIONRELIGIOUS | $20,000 |
| CROHN'S AND COLITIS FOUNDATION | ||||||
| 300 PENN CENTER BLVD | PITTSBURGH | PA | 15235 | 501(C)(3) | ASSISTANCE TORESEARCH ANDINDIVIDUALS | $3,000 |
| JUNIOR ACHIEVEMENT OF WESTERM PA | ||||||
| 5101 JORDAN ROAD BURKE | ERIE | PA | 16563 | 501(C)(3) | PREPARE YOUNG PEOPLE TOPROGRAMS TO INSPIRE ANDSUCCEED IN A GLOBAL ECONOMY | $2,000 |
| SECOND HARVEST FOOD BANK OF NWPA | ||||||
| 1507 GRIMM DRIVE | ERIE | PA | 16502 | 501(C)(3) | FOOD TO THE POORPROVIDES LOW COSTIN NW PA | $10,000 |
| PRESQUE ISLE PARTNERSHIP | ||||||
| 301 PENINSULA DRIVE | ERIE | PA | 16505 | 501(C)(3) | IN THE OPERATION OFSUPPORTS THE PA DNRPRESQUE ISLE STATE PARK | $2,500 |
| EXPERIENCE CHILDREN'S MUSEUM | ||||||
| 420 FRENCH STREET | ERIE | PA | 16507 | 501(C)(3) | MUSEUMOPERATES A CHILDREN'S | $1,500 |
| YMCA OF ERIE | ||||||
| 3727 CHERRY STREET | ERIE | PA | 16508 | 501(C)(3) | TEEN PROGRAMSUPPORT OF THE | $5,000 |
| UNITARIAN UNIVERSALIST CHURCH OF GIRARD | ||||||
| MYRTLE STREET | GIRARD | PA | 16417 | 501(C)(3) | RELIGIOUS | $2,000 |
| ERIE SUMMER FESTIVAL OF THE ARTS | ||||||
| 1001 STATE STREET | ERIE | PA | 16501 | 501(C)(3) | ARTS FESTIVALMULTI MEDIA | $5,000 |
| SISTERS OF ST JOSEPH NEIGHBORHOOD NETWORK | ||||||
| 425 WEST 18TH STREET | ERIE | PA | 16502 | 501(C)(3) | ORGANIZATIONSOCIAL SERVICE | $5,000 |
| PUBLIC BROADCASTING OF NW PA | ||||||
| 8425 PEACH STREET | ERIE | PA | 16509 | 501(C)(3) | AND RADIOPUBLIC TELEVISION | $200 |
| REGIONAL CANCER CENTER | ||||||
| 2500 WEST 12TH STREET | ERIE | PA | 16505 | 501(C)(3) | CANCER TREATMENT | $5,500 |
| AMERICAN CANCER SOCIETY | ||||||
| 2115 WEST 38TH STREET | ERIE | PA | 16508 | 501(C)(3) | AND RESEARCHCANCER TREATMENT | $5,000 |
| AMERICAN RED CROSS - ERIE | ||||||
| 4961 PITTSBURGH AVENUE | ERIE | PA | 16509 | 501(C)(3) | DISASTER ASSISTANCE | $5,250 |
| AMERICAN RED CROSS - PALM BEACH | ||||||
| 825 FERN STREET | PALM BEACH | FL | 33487 | 501(C)(3) | ASSISTANCEDISASTER | $1,500 |
| ERIE WOMEN'S FUND OF ECF | ||||||
| 459 WEST 6TH STREET | ERIE | PA | 16507 | 501(C)(3) | OF INTEREST TOSUPPORTS CAUSESWOMEN | $1,000 |
| ST VINCENT HOSPITAL FOUNDATION | ||||||
| 252 WEST 25TH STREET | ERIE | PA | 16502 | 501(C)(3) | HOSPITAL | $2,000 |
| GANNON UNIVERSITY | ||||||
| UNIVERSITY SQUARE | ERIE | PA | 16501 | 501(C)(3) | UNIVERSITYACCREDITED | $30,000 |
| PENN STATE ERIE - BEHREND COLLEGE | ||||||
| 4701 COLLEGE DRIVE | ERIE | PA | 16563 | 501(C)(3) | COLLEGEACCREDITED | $5,000 |
| ARTS ERIE | ||||||
| 3 EAST 4TH STREET | ERIE | PA | 16507 | 501(C)(3) | AGENCYLOCAL ARTS | $5,000 |
| ACHIEVEMENT CENTER | ||||||
| 2420 WEST 23 STREET | ERIE | PA | 16505 | 501(C)(3) | DISABLED CHILDRENASSISTANCE TO | $1,000 |
| AMERICAN HEART ASSOCIATION | ||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | 501(C)(3) | TREATMENT OFRESEARCH ANDHEART DESEASE | $1,000 |
| BETHESDA FOUNDATION FOR CHILDREN | ||||||
| 15667 HIGHWAY 86 | MEADVILLE | PA | 16335 | 501(C)(3) | AND MENTAL HEALTHPROVIDES BEHAVIORALSERVICES TO CHILDREN | $10,000 |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY | ||||||
| 2115 WEST 8TH STREET | ERIE | PA | 16505 | 501(C)(3) | THE CHALLANGES OF LIVINGASSIST INDIVIDUALS WITHWITH MULTIPLE SCLEROSIS | $1,000 |
| GREAT LAKES HOSPICE | ||||||
| 1700 PEACH STREET | ERIE | PA | 16501 | 501(C)(3) | HOSPICE CARE | $1,000 |
| ERIE COUNTY DIABETES ASSOC | ||||||
| 1128 STATE STREET | ERIE | PA | 16501 | 501(C)(3) | DIABETES EDUCATION | $1,000 |
| PENNSYLVANIA STATE UNIVESRITY | ||||||
| UNIVERSITY PARK | STATE COLLEGE | PA | 16802 | 501(C)(3) | FUNDSCHOLARSHIP | $100,000 |
| STAIRWAYS BEHAVORIAL HEALTH | ||||||
| 2185 WEST 8TH STREET | ERIE | PA | 16505 | 501(C)(3) | MENTAL HEALTH SERVICESPROVIDES OUTPATIENT | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 648350 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Code | 900001 | BusinessCode |
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $1,006 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Code | 900001 | BusinessCode |
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $350,875 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Code | 900001 | BusinessCode |
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $125,661 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $477,542 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 477542 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | false | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | false | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | false | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | false | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | false | ReimbursementArrangements |
| Loans Or Loan Guarantees | false | LoansOrLoanGuarantees |
| Performance Of Services Etc | false | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | false | RelationshipsNoncharitableEOs |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAsset
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALL SALES | Name |
| How Acquired | Purchased | HowAcquired |
Purchaser Name PurchaserName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Individual | VARIOUS | Individual |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Price | 499721 | GrossSalesPrice |
| Basis | 374060 | Basis |
| Basis Method | Cost | BasisMethod |
| Total Net | 125661 | TotalNet |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART XII LINE 3b | Identifier |
| Explanation | AMOUNTS SET ASIDE FOR SPECIFIC PROJECTS SATISFYING THE CASH DISTRIBUTION TEST: CONTRI8BUTION TO BE PAID TO: ERIE CITY MISSION 1023 STATE STREET ERIE, PA 16501 CONTRIBUTION AMOUNT $110,000 TO BE PAID AS FOLLOWS YEAR 2012 $27,500 YEAR 2013 $27,500 YEAR 2014 $27,500 TEAR 2015 $27,500 | Explanation |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds (2 entries)
| Name Of BondNameOfBond | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| MORGAN STANLEY DW INC. 684-032215-020 | 835238 | 918689 |
| CHARLES SCHWAB & CO | 519628 | 570940 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (3 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| CHARLES SCHWAB & CO | 1578625 | 2181251 |
| IBM CORPORATION (DIVIDEND REINVESTMENT PROGRAM) | 3944779 | 6555557 |
| MORGAN STANLEY DW INC. 684-032215-020 | 2987628 | 3416819 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| REGISTRATION FEES | 750 | 750 | 750 | 750 |
| ADMINISTRATIVE EXPENSE | 22550 | 22500 | 22500 |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX ON NET INVESTMENT INCOME | Category |
| Amount | $7,450 | Amount |
| Net Investment Income | 7450 | NetInvestmentIncome |
| Adjusted Net Income | 7450 | AdjustedNetIncome |
| Disbursements Charitable Prps | 7450 | DisbursementsCharitablePrps |
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