FLORENCE FORGOTSON PRIVATE FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FLORENCE FORGOTSON PRIVATE FOUNDATION INC (EIN 20-0857287)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201313199349101721
- Schema version
- 2012v2.2
- 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
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T03:13:47-00:00 | 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 | Foundation Source | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Lane Suite 212 | AddressLine1 |
| City | Lake Success | City |
| State | NY | State |
| ZIP Code | 11042 | 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 | 200857287 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Florence Forgotson Charitable Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FLOR | NameControl |
| Phone | 8008391754 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Carol A Hinz | Name |
| Title | President | Title |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2013-11-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 2461378 | 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 | 11164 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 11164 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 170346 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 135975 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 492950 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 9626349 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 351483 | CapitalGainNetIncmNetInvstIncm |
| Other Income Rev And Expnss | -1148 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | 13 | OtherIncomeNetInvstIncm |
| Total Revenue And Expenses | 673312 | TotalRevenueAndExpenses |
| Total Net Investment Income | 498635 | TotalNetInvestmentIncome |
| Oth Empl Slrs Wgs Rev And Expnss | 57500 | OthEmplSlrsWgsRevAndExpnss |
| Oth Empl Slrs Wgs Net Invst Incm | 57500 | OthEmplSlrsWgsNetInvstIncm |
| Pension Empl Bnft Rev And Expnss | 4399 | PensionEmplBnftRevAndExpnss |
| Pension Empl Bnft Net Invst Incm | 4399 | PensionEmplBnftNetInvstIncm |
| Other Prof Fees Rev And Expnss | 5805 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 5794 | OtherProfFeesNetInvstIncm |
| Interest Rev And Expnss | 35389 | InterestRevAndExpnss |
| Interest Net Invst Incm | 25300 | InterestNetInvstIncm |
| Taxes Rev And Expnss | 19493 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 16525 | TaxesNetInvstIncm |
| Other Expenses Rev And Expnss | 27799 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 12635 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 15160 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 150385 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 122153 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 15160 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 116177 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 116177 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 266562 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 122153 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 131337 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 406750 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 376482 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst EOY | 33370 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 33370 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 2001689 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 2509158 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 2172074 | InvestmentsCorpStockEOYFMV |
| Investments Corp Bonds BOY | 266538 | InvestmentsCorpBondsBOY |
| Investments Corp Bonds EOY | 242268 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 188773 | InvestmentsCorpBondsEOYFMV |
| Investments Other BOY | 20081 | InvestmentsOtherBOY |
| Investments Other EOY | 43281 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 67161 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 2288308 | TotalAssetsBOY |
| Total Assets EOY | 2828077 | TotalAssetsEOY |
| Total Assets EOYFMV | 2461378 | TotalAssetsEOYFMV |
| Accounts Payable BOY | 289842 | AccountsPayableBOY |
| Accounts Payable EOY | 458350 | AccountsPayableEOY |
| Other Liabilities BOY | 35489 | OtherLiabilitiesBOY |
| Total Liabilities BOY | 325331 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 458350 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 1962977 | RetainedEarningsBOY |
| Retained Earnings EOY | 2369727 | RetainedEarningsEOY |
| Total Net Assets BOY | 1962977 | TotalNetAssetsBOY |
| Total Net Assets EOY | 2369727 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 2288308 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 2828077 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 1962977 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 406750 | ExcessOfRevenueOverExpenses |
| Subtotal | 2369727 | Subtotal |
| Total Net Assets Fund Balances EOY | 2369727 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (4 entries)
| Description Of AssetDescriptionOfAsset | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|
| Publicly-traded securities | 9626076 | 9123911 | 502165 | 502165 |
| Section 751 Gain Reclass | -288 | -288 | ||
| Passthrough K-1 Capital Gain | -8927 | -8927 | ||
| Allocated to UBI - Acq. Ind. | -141467 | -141467 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 351483 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 103008 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 2654997 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.038798 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 82107 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 2523805 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.032533 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 44428 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 1223650 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 000.036308 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 51280 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 868654 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 000.059034 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 49511 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 1053362 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 000.047003 | DistributionRatioYear5 |
| Total Distribution Ratio | 000.213676 | TotalDistributionRatio |
| Average Distribution Ratio | 000.042735 | AverageDistributionRatio |
| Net Noncharitable Assets | 2347632 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 100326 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 3765 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 104091 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 131337 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 3765 | InvestmentIncomeExciseTax |
| Subtotal | 3765 | Subtotal |
| Tax Based On Investment Income | 3765 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 4382 | EstTaxPaymentsAndOverpayment |
| Tax Paid With Extension | 20500 | TaxPaidWithExtension |
| Total Credits And Payments | 24882 | TotalCreditsAndPayments |
| Tax Paid Original Return | 24882 | TaxPaidOriginalReturn |
| Form2220 Attached | X | Form2220Attached |
| Overpayment | 21117 | Overpayment |
| Amount Credited To Next Year | 4000 | AmountCreditedToNextYear |
| Amount To Be Refunded | 17117 | AmountToBeRefunded |
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 | true | UnrelatedBusIncomeOver1000 |
| Form990 T Filed | true | Form990TFiled |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| 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 |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 8008391754 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | 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 | true | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | false | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | false | PaymentToGovernmentOffical |
| Acts Fail To Qualify As Exceptions | false | ActsFailToQualifyAsExceptions |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| 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 |
| 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 (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| Richard Cole | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | VP / Dir | 025.00 | 0 |
| Carol Ann Hinz | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Pres / Dir / Sec | 025.00 | 0 |
Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mrs Lynn Cole | Name |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 Mettle Lane | AddressLine1 |
| City | Wharton | City |
| State | NJ | State |
| ZIP Code | 07885 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | Investmt Consult | Title |
| Average Hours Per Week | 035.00 | AverageHoursPerWeek |
| Compensation | 57500 | Compensation |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 2902990 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 9285 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 2912275 | TotalFMVOfUnusedAssets |
| Acquisition Indebtedness | 528892 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 2383383 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 35751 | CashDeemedCharitable |
| Net Noncharitable Assets | 2347632 | NetNoncharitableAssets |
| Minimum Investment Return | 117382 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 117382 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 3765 | TaxBasedOnInvestmentIncome |
| Income Tax For This Year | 20687 | IncomeTaxForThisYear |
| Total Tax | 24452 | TotalTax |
| Distributable Amount Before Adj | 92930 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 92930 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 92930 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 131337 | ExpensesAndContributions |
| Qualifying Distributions | 131337 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 3765 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 127572 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 92930 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 130328 | UndistributedIncomePriorYear |
| Qualifying Distributions | 131337 | QualifyingDistributions |
| Applied To Year1 | 130328 | AppliedToYear1 |
| Applied To Current Year | 1009 | AppliedToCurrentYear |
| Undistributed Income CY | 91921 | UndistributedIncomeCY |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (28 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| AMERICAN RED CROSS - JERSEY COAST CH | |||||||
| 1540 W PARK AVE | TINTON FALLS | NJ | 07724 | N/A | 509a1 | Hurricane Sandy Fund | $1,500 |
| AMERICAN RED CROSS - JERSEY COAST CH | |||||||
| 1540 W PARK AVE | TINTON FALLS | NJ | 07724 | N/A | 509a1 | Disaster Relief | $4,000 |
| ARC OF NEW JERSEY INC | |||||||
| 1158 WAYSIDE RD | TINTON FALLS | NJ | 07712 | N/A | 509a2 | Work Opportunity Center | $1,000 |
| BOYS & GIRLS CLUB OF MONMOUTH COUNTY | |||||||
| 1201 MONROE AVE | ASBURY PARK | NJ | 07712 | N/A | 509a1 | General Unrestricted | $1,000 |
| CANINE SUPPORT TEAMS INC | |||||||
| 26500 SCOTT RD | MENIFEE | CA | 92584 | N/A | 509a1 | General Unrestricted | $5,000 |
| CYSTIC FIBROSIS FOUNDATION | |||||||
| 6931 ARLINGTON RD STE 312 | BETHESDA | MD | 20814 | N/A | 509a1 | General Unrestricted | $5,000 |
| EMCC EDUCATIONAL FOUNDATION INC | |||||||
| 47 RECKLESS PL NO 1 | RED BANK | NJ | 07701 | N/A | 509a2 | General Unrestricted | $10,000 |
| FDNY FOUNDATION | |||||||
| 9 METROTECH CTR RM 5E-9 | BROOKLYN | NY | 11201 | N/A | 509a1 | General Unrestricted | $5,000 |
| FEEDING AMERICA | |||||||
| 35 E WACKER DR STE 200 | CHICAGO | IL | 60601 | N/A | 509a1 | General Unrestricted | $927 |
| FOODBANK - MONMOUTH & OCEAN COUNTIES | |||||||
| 3300 RTE 66 | NEPTUNE | NJ | 07753 | N/A | 509a2 | General Unrestricted | $1,000 |
| HABCORE INC | |||||||
| PO BOX 2361 | RED BANK | NJ | 07701 | N/A | 509a1 | General Unrestricted | $2,500 |
| HEATHER PENDERGAST FUND INC | |||||||
| 67 GRAND AVE | MASSAPEQUA | NY | 11758 | N/A | 509a1 | General Unrestricted | $5,000 |
| HOMES FOR OUR TROOPS INC | |||||||
| 6 MAIN ST | TAUNTON | MA | 02780 | N/A | 509a1 | General Unrestricted | $10,000 |
| HOPE ACADEMY CHARTER SCHOOL | |||||||
| 601 GRAND AVE | ASBURY PARK | NJ | 07712 | N/A | 509a1 | General Unrestricted | $5,000 |
| LUNCH BREAK | |||||||
| PO BOX 2215 | RED BANK | NJ | 07701 | N/A | 509a1 | General Unrestricted | $1,000 |
| MICHAEL GERARD PUHARIC MEMORIAL FUND INC | |||||||
| PO BOX 787 | MATAWAN | NJ | 07747 | N/A | 509a1 | General Unrestricted | $500 |
| NEW JERSEY BLIND CITIZENS ASSOCIATION INC | |||||||
| 18 BURLINGTON AVE | LEONARDO | NJ | 07737 | N/A | 509a1 | General Unrestricted | $1,000 |
| OVERSEAS SAVE CHINESE CHILDREN FOUNDATION | |||||||
| 3446 PELHAM RD | TOLEDO | OH | 43606 | N/A | 509a1 | General Unrestricted | $5,000 |
| PATRIOT FOUNDATION | |||||||
| PO BOX 5069 | PINEHURST | NC | 28374 | N/A | 509a2 | General Unrestricted | $10,000 |
| PLAY2WIN | |||||||
| 1040 BROAD ST 2ND FL | SHREWSBURY | NJ | 07702 | N/A | 509a1 | Charitable Event | $750 |
| POLICE ATHLETIC LEAGUE INC | |||||||
| 34 1/2 E 12TH ST | NEW YORK | NY | 10003 | N/A | 509a1 | General Unrestricted | $15,000 |
| RED BANK CHARTER SCHOOL | |||||||
| 58 OAKLAND ST | RED BANK | NJ | 07701 | N/A | 509a1 | General Unrestricted | $5,000 |
| RED BANK CHARTER SCHOOL CCO INC | |||||||
| 58 OAKLAND ST | RED BANK | NJ | 07701 | N/A | 509a2 | Fitness Program | $5,000 |
| SMILE TRAIN INC | |||||||
| 41 MADISON AVE 28TH FL | NEW YORK | NY | 10010 | N/A | 509a1 | General Unrestricted | $2,500 |
| ST JUDE CHILDRENS RESEARCH HOSPITAL INC | |||||||
| 262 DANNY THOMAS PL MSC 512 | MEMPHIS | TN | 38105 | N/A | 509a1 | General Unrestricted | $1,500 |
| THE MESSIANIC JEWISH ALLIANCE OF AMERICA-- THE MESSIANIC JEWISH ISRAEL FUND | |||||||
| 950 PINE GROVE RD | ROSWELL | GA | 30075 | N/A | 509a1 | General Unrestricted | $5,000 |
| THE WOMAN'S CLUB OF RED BANK NJ | |||||||
| 164 BROAD ST | RED BANK | NJ | 07701 | N/A | 509a2 | General Unrestricted | $2,000 |
| UNITED STATES CATHOLIC CONFERENCE - MARYHAVEN CENTER OF HOPE | |||||||
| 51 TERRYVILLE RD | PORT JEFFERSON STATION | NY | 11776 | N/A | 509a2 | General Unrestricted | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 116177 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $11,164 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Code | 900099 | BusinessCode |
| Unrelated Business Income | $34,371 | UnrelatedBusinessIncomeAmount |
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $135,975 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Code | 900099 | BusinessCode |
| Unrelated Business Income | $141,467 | UnrelatedBusinessIncomeAmount |
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $351,483 | ExclusionAmount |
Other Revenue Described OtherRevenueDescribed (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Unrelated Business IncomeUnrelatedBusinessIncomeAmount | Exclusion CodeExclusionCode | ExclusionExclusionAmount |
|---|---|---|---|---|
| K-1 Passthrough Loss | 525990 | -$1,668 | 14 | $13 |
| 751 Gain on Sale of Partnership | 525990 | $288 | ||
| Federal tax refund | 01 | $219 |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $174,458 | UnrelatedBusinessIncomeAmount |
| Exclusion | $498,854 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 673312 | 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 (5 entries)
| NameName | Gross Sales PriceGrossSalesPrice | BasisBasis | Total NetTotalNet |
|---|---|---|---|
| Publicly-traded securities | 9626076 | 9123911 | 502165 |
| Section 751 Gain Reclass | -288 | ||
| Passthrough K-1 Capital Gain | -8927 | ||
| Allocated to UBI - Acq. Ind. | -141467 | ||
| Allocated to UBI - Acq. Ind. | 141467 |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds (10 entries)
| Name Of BondNameOfBond | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| ALBERTSONS MTN - 6.520 - 04/10/2028 | 27663 | 12610 |
| BARCLAYS BK DEL WILMINGTON 0.00000 07/24/2014CD | 15000 | 17239 |
| BRUNSWICK CORP-7.125-08/01/2027 | 8303 | 10225 |
| DILLARDS INC - 7.130 - 08/01/2018 | 26005 | 27875 |
| DOWNEY FINANCIAL - 6.500 - 07/01/2014 | 27166 | |
| DRESSER INDUS - 7.600 - 08/15/2096 | 30153 | 29920 |
| DYNEGY INC-8.375-05/01/2016 | 18590 | |
| FORD MOTOR CO COM - 8.900 - 01/15/2032 | 40000 | 66125 |
| GLOBAL INDS LTD SR-2.750-08/01/2027 | 35783 | 24779 |
| SEA CONTAINER - 10.500 - 5/15/2012 | 13605 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (71 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| 20 shares of 100 APPLE 500.0 EXP 1/18/14 | 414966 | 269700 |
| 5 shares of 100 DEVON ENERGY CORP 62.5 EXP 1/19/13 | 3870 | 5235 |
| 50 shares of 100 GENERAL ELECTRIC 20.0 EXP 6/22/13 | 1700 | 1060 |
| 50 shares of 100 NOKIA 5.0 EXP 1/18/14 | 3031 | 3150 |
| 10 shares of 100 SELECT SECTOR SPDR 15.0 EXP 3/16/13 | 1189 | 1610 |
| 5 shares of 100 SPDR GOLD 155.0 EXP 1/18/14 | 8883 | 7850 |
| 150 shares of 100 SPRINT NEXTEL 2.5 EXP 1/18/14 | 11037 | 45000 |
| 20 shares of 100 TOLL BROS INC 25.0 EXP 1/18/14 | 12516 | 18600 |
| 5 shares of 100 VERTEX PHARMACEUTICALS 52.5 EXP 1/18/14 | 11005 | 1700 |
| 15 shares of 100 VIVUS INC 25.0 EXP 1/18/14 | 13713 | 1530 |
| 4000 shares of AES TIETE SA S/ADR | 47510 | 40988 |
| 3000 shares of AGIC INTL PREMIUM STRATEGY FUND | 35690 | 29100 |
| 2000 shares of AGIC CONV INCOME FUND | 18820 | 17380 |
| 1000 shares of ALLIANCE BERNSTEIN GLOBAL INC | 14804 | 15650 |
| 4700 shares of ALPINE GLOBAL DYNAMI AGD | 29313 | 24581 |
| 3400 shares of AMERICAN CAPITAL AGENCY CORP. AGNC | 102047 | 98260 |
| 100 shares of AMERICAN INTL GROUP | 3134 | 3530 |
| 5000 shares of ANNALY MTG MGMT INC. COM NLY | 84915 | 70200 |
| 9000 shares of ANWORTH MORTGAGE ASSET CORP ANH | 60273 | 52020 |
| 2000 shares of ARMOUR RESIDENTIAL REIT INC PFD SER A 8ARR PRA | 50000 | 50960 |
| 7000 shares of ARMOUR RESIDENTIAL REIT INCCOM ARR | 50679 | 45290 |
| 4105 shares of BANCO SANTANDER CEN SAN | 36940 | 33538 |
| 39000 shares of BIOHEART INC BHRT | 2067 | 585 |
| 200000 shares of BROWNIES MARINE GROUP | 6005 | 100 |
| 6000 shares of CAPITAL PRODUCT PARTNERS UNITS CPLP | 46445 | 39480 |
| 2000 shares of CAPSTEAD MORTGAGE | 27704 | 22940 |
| 32000 shares of CHIMERA INVESTMENT CORP COMMON STOCK CIM | 90793 | 83520 |
| 18000 shares of CHINA SINGYES SOLAR CSSXF | 7955 | 15328 |
| 3000 shares of COHEN STEERS GLBL INB | 32430 | 30960 |
| 5000 shares of CYS INVESTMENTS INC CYS | 66943 | 59050 |
| 2000 shares of DDR CORP | 50000 | 48920 |
| 10000 shares of DIGITAL DOMAIN MEDIA GROUP INC DDMG | 67400 | 250 |
| 615 shares of DYNEGY INC | 11765 | |
| 2000 shares of ENERPLUS CORP | 33725 | 25920 |
| 600 shares of EURASIAN MINERALS INC EMXX | 1648 | 1218 |
| 2000 shares of FACEBOOK | 56769 | 53239 |
| 3000 shares of FIFTH STREET FINANCE FSC | 29115 | 31260 |
| 5000 shares of FONAR CORPORATION FONR | 21155 | 21650 |
| 1000 shares of GLOBAL HIGH INCOME FUND INC GHI | 12804 | 12920 |
| 600000 shares of GTX CORP GTXO | 41359 | 8400 |
| 1500 shares of HATTERAS FINL CPRP HTS | 42594 | 37215 |
| 500 shares of HOLLYFRONTIER CORP HFC | 17879 | 23275 |
| 1500 shares of HSBC USA PERF SECS W CON PROT LKD SP 500 7/31/14 4042EP552 | 15000 | 22785 |
| 2500 shares of ING ASIA PAC HI IAE | 43491 | 39300 |
| 1000 shares of ING GLOBAL EQ DIV PREM OPPTNTY IGD | 10925 | 8670 |
| 500 shares of INTEL CORP INTC | 13555 | 10310 |
| 1119 shares of INVESCO HIGH INCOME TR II | 16945 | 19303 |
| 4000 shares of INVESCO MORTGAGE INC IVR | 65953 | 78840 |
| 3000 shares of ISHS FTS NRT MTG PLS REM | 41570 | 41010 |
| 33 shares of KRAFT FOODS INC | 1355 | 1501 |
| 300 shares of LAM RESEARCH CORP | 12088 | 10839 |
| 1500 shares of MEXICO FUND INC MXF | 37191 | 43530 |
| 100 shares of MONDELEZ INTL INC | 2531 | 2545 |
| 51 shares of MOTORS LIQ CO GUC TR COM | 1081 | |
| 5000 shares of NAVIOS MARITIME PARTNRS LP NMM | 77513 | 61400 |
| 50000 shares of NORTHERN MANGANESE LTD SHS NMGNF | 7755 | 2491 |
| 6000 shares of NUVEEN MULTI-CURRENCY SHORT-TERM GOVERNMENT INCOME JGT | 96975 | 77220 |
| 1000 shares of PATRICK INDUSTRIES INC PKAT | 12885 | 15560 |
| 10000 shares of RESOURCE CAP CORP RSO | 58359 | 56000 |
| 4000 shares of SANDSTORM RES LTD ORD SNDXF | 28210 | 47016 |
| 1000000 shares of SAVI MEDIA GROUP | 7510 | 1000 |
| 500 shares of SEADRILL LTD SDRL | 14185 | 18400 |
| 3000 shares of SHIP FINC INTL SFL | 42264 | 49890 |
| 200 shares of SILVER WHEATON CORP SLW | 7015 | 7216 |
| 1000 shares of SOLAR CAP LTD 6.75 SR NTS DUE | 25000 | 22930 |
| 13000 shares of TEEKAY TANKERS CL A TNK | 63668 | 37700 |
| 100 shares of TJX COMPANIES | 4259 | 4245 |
| 4000 shares of TWO HARBORS INVESTMENT CORP. TWO | 42039 | 44320 |
| 8000 shares of WELLS FARGO ADVANTAGE GLOBAL DIV OPP FUND EOD | 69867 | 60560 |
| 2000 shares of WESTERN ASSET HIGH INCOME OPPORTUNITY FUND INC HIO | 11695 | 12880 |
| 500 shares of YAMANA GOLD INC AUY | 8530 | 8605 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther (2 entries)
| Category Or ItemCategoryOrItem | Book ValueBookValue | EOYFMVEOYFMV |
|---|---|---|
| INERGY, LP | 34476 | 54570 |
| SUBURBAN PROPANE PARTNERS LP | 8805 | 12591 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (7 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|
| Administrative Fees | 15135 | 15135 | |
| K-1 Expenses INERGY, LP | 2 | ||
| K-1 Expenses PROSHARES VIX SHORT-TERM | 41 | 41 | |
| K-1 Expenses SUBURBAN PROPANE PARTNERS | 2 | ||
| Payroll Processing Fees | 181 | 181 | |
| State or Local Filing Fees | 25 | 25 | |
| Investment Related Subscriptions and Software | 12413 | 12413 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome (5 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome |
|---|---|---|
| K-1 Passthrough Loss INERGY, LP | -1496 | 25 |
| K-1 Passthrough Income PROSHARES VIX SHORT-TERM | 2 | 2 |
| K-1 Passthrough Loss SUBURBAN PROPANE PARTNERS | -161 | -14 |
| 751 Gain on Sale TERRA NITROGEN COMPANY LP | 288 | |
| Federal tax refund | 219 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Outstanding Options | Description |
| BOY Book Value | 35489 | BOYBookValue |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | Category |
| Amount | $5,805 | Amount |
| Net Investment Income | 5794 | NetInvestmentIncome |
Taxes Schedule TaxesSchedule
Taxes Taxes (3 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome |
|---|---|---|
| Estimated Tax for 2012 | $1,700 | |
| Foreign Tax Paid | $16,793 | 16525 |
| 2011 Excise Tax | $1,000 |
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