DAVIS MEMORIAL FUND INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DAVIS MEMORIAL FUND INC (EIN 04-3720418)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-12-15
IRS object ID
201323519349300222
Schema version
2012v2.1
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)
Timestamp2013-12-15T13:25:21-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN133487848EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GOLDBURD & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line142 WEST 38TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10018ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043720418EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DAVIS MEMORIAL FUND INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDAVINameControl
Phone5162950296Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line125 LAWRENCE AVENUEAddressLine1
CityLAWRENCECity
StateNYState
ZIP Code11559ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID GREENBLATTName
TitlePRESIDENTTitle
Phone5162950296Phone
Date Signed2013-12-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACOB GOLDBURDName
PTINP00674529PTIN
Phone2123028970Phone
Date Prepared2013-12-16DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID GREENBLATTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line125 LAWRENCE AVENUEAddressLine1
CityLAWRENCECity
StateNYState
ZIP Code11559ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8465109GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT CHARITABLE ACTIVITIES THROUGH FINANCIAL ASSISTANCE TO NEEDY FAMILIES AND DISADVANTAGED CHILDRENActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3046063ContributionsGrantsPriorYear
Contributions Grants Current Year8464762ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year706InvestmentIncomePriorYear
Investment Income Current Year347InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3046769TotalRevenuePriorYear
Total Revenue Current Year8465109TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3062122GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5202399GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year142554TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY95816TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year113851TotalFundrsngExpCurrentYear
Other Expense Prior Year41768OtherExpensePriorYear
Other Expenses Current Year66119OtherExpensesCurrentYear
Total Expenses Prior Year3246444TotalExpensesPriorYear
Total Expenses Current Year5364334TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-199675RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3100775RevenuesLessExpensesCY
Total Assets BOY790198TotalAssetsBOY
Total Assets EOY3890973TotalAssetsEOY
Total Liabilities BOY96000TotalLiabilitiesBOY
Total Liabilities EOY96000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY694198NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3794973NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5217840Expense
Grants5202399Grants
DescriptionPROVIDED DIRECT CASH ASSISTANCE TO NEEDY AS WELL AS DISCOUNT CERTIFICATES TO HELP WITH FOOD, CLOTHING, AND SHELTER COSTS AND PROVIDED ASSISTANCE TO PROVIDE SPECIAL EDUCATION FOR CHILDREN OF SINGLE PARENT FAMILIESDescription
Total Program Service Expense5217840TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GOLDBURD & CO LLPBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2123028970TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line142 WEST 38TH STREET SUITE 901AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10018ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVID GREENBLATT
PRESIDENT1.00X000
DEBBIE GREENBLATT
VICE PRESIDENT0.00X000
DR DEBORAH DIENSTAG
SECRETARY0.00X000
RABBI DAVID WEINBERGER
TRUSTEE0.00X000
RABBI YAAKOV REISMAN
TRUSTEE0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions8464762AllOtherContributions
Total Contributions8464762TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column347TotalRevenueColumn
Exclusion$347ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8465109TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$347ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total483250Total
Program Services483250ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4719149Total
Program Services4719149ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11000Total
Management And General11000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total95816Total
Fundraising95816Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14857Total
Management And General14857ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total17927Total
Fundraising17927Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total108Total
Fundraising108Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total139Total
Program Services32ProgramServices
Management And General107ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1540915409
BANK CHARGES62096209
MISCELLANEOUS300300
FILING FEE125125

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total45Total
Management And General45ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5364334Total
Program Services5217840ProgramServices
Management And General32643ManagementAndGeneral
Fundraising113851Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY526516BOY
EOY3570243EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY84668BOY
EOY92876EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY178740BOY
EOY227719EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis92797LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec92662LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY274BOY
EOY135EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY790198BOY
EOY3890973EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY96000BOY
EOY96000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY96000BOY
EOY96000EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY694198BOY
EOY3794973EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY694198BOY
EOY3794973EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY790198BOY
EOY3890973EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3100775ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1863703CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3854235CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3523503CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3046063CurrentTaxYearMinus1Year
Current Tax Year8464762CurrentTaxYear
Total20752266Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1863703CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3854235CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3523503CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3046063CurrentTaxYearMinus1Year
Current Tax Year8464762CurrentTaxYear
Total20752266Total
FieldValueIRS element (for citing)
Public Support Total17020752266PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years267CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9848CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2819CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year706CurrentTaxYearMinus1Year
Current Tax Year347CurrentTaxYear
Total13987Total
FieldValueIRS element (for citing)
Total Support20766253TotalSupport
Public Support Pertcentage1700.99930PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99890PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis92797OtherCostOrOtherBasis
Depreciation92662Depreciation
Book Value135BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings135TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Phone SolicitationsXPhoneSolicitations
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1ADM PROCESSINGBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11408 AVENUE JAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11230ZIPCode
FieldValueIRS element (for citing)
ActivityTELEMARKETINGActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts223616GrossReceipts
Amount Retained By Contractor95816AmountRetainedByContractor
Net To Organization127800NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts223616TotalGrossReceipts
Total Retained By Contractors95816TotalRetainedByContractors
Total Net To Organization127800TotalNetToOrganization

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (12 entries)

Amount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BAIS RUCHAMA
116600GENERAL
CONGREGATION TEN YAD EMERGENCY REPAIR FUND
117300GENERAL
(no name)
GENERAL
YESHIVA OF CATERET
5000GENERAL
YESHIVA ADERES HATORAH
6100GENERAL
YDT SPECIAL FUND
5000GENERAL
TORAH DAY SCHOOL
8100GENERAL
JEP OF LONG ISLAND
16600GENERAL
CONGREGATION SKVERE
10000GENERAL
CONGREGATION QUAKER HILL
10000GENERAL
BNOS RIVKA
6250GENERAL
BNOS BAIS YAAKOV
12000GENERAL

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantDIRECT CASH ASSISTANCE AND DIRECT TO VENDORS FOR FOOD, SHELTER, CLOTHINGTypeOfGrant
Amount Of Cash Grant4719149AmountOfCashGrant

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2DAVID GREENBLATT, PRESIDENT, AND DEBBIE GREENBLATT, VICE PRESIDENT, ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PRESENTED TO THE ORGANIZATION'S GOVERNING BODY BEFORE BEING FILED BY THE SIGNING OFFICER.
FORM 990, PART VI, SECTION C, LINE 19THE PUBLIC CAN CONTACT GOLDBURD & CO LLP AT 212-302-8970 TO VIEW ALL DOCUMENTS.

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