FOUNDATION OF SHALOM PARK INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION OF SHALOM PARK INC (EIN 58-1477833)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-17
IRS object ID
201331989349300418
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-17T09:50:09-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1C DeWitt Foard & Co PA CPAsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11001 Morehead Square DrSte450AddressLine1
CityCharlotteCity
StateNCState
ZIP Code28203ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581477833EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Foundation of Shalom ParkBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFOUNNameControl
Phone7049446841Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15007 Providence RoadAddressLine1
CityCharlotteCity
StateNCState
ZIP Code28226ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteve MenakerName
TitleVice PresidentTitle
Date Signed2013-07-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTerry W LancasterName
PTINP00096087PTIN
Phone7043721515Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1235431GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTo own, operate, maintain, renovate and construct the properties & facilities of Shalom Park on behalf of the Jewish community.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members26NbrIndependentVotingMembers
Total Nbr Employees35TotalNbrEmployees
Total Gross UBI13751TotalGrossUBI
Net Unrelated Business Txbl Income290NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year686293ContributionsGrantsPriorYear
Contributions Grants Current Year382523ContributionsGrantsCurrentYear
Program Service Revenue Prior Year648619ProgramServiceRevenuePriorYear
Program Service Revenue CY691788ProgramServiceRevenueCY
Investment Income Prior Year183774InvestmentIncomePriorYear
Investment Income Current Year147369InvestmentIncomeCurrentYear
Other Revenue Prior Year12419OtherRevenuePriorYear
Other Revenue Current Year13751OtherRevenueCurrentYear
Total Revenue Prior Year1531105TotalRevenuePriorYear
Total Revenue Current Year1235431TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year604137SalariesEtcPriorYear
Salaries Etc Current Year596187SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year168266TotalFundrsngExpCurrentYear
Other Expense Prior Year2351347OtherExpensePriorYear
Other Expenses Current Year2289759OtherExpensesCurrentYear
Total Expenses Prior Year2955484TotalExpensesPriorYear
Total Expenses Current Year2885946TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1424379RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1650515RevenuesLessExpensesCY
Total Assets BOY34367168TotalAssetsBOY
Total Assets EOY33354794TotalAssetsEOY
Total Liabilities BOY569491TotalLiabilitiesBOY
Total Liabilities EOY515652TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33797677NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY32839142NetAssetsOrFundBalancesEOY
Mission DescriptionTo own, operate, maintain, renovate and construct the properties & facilities of Shalom Park on behalf of the Jewish community.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2523997Expense
DescriptionProvides facilities for the religious, educational, and recreational benefit of members of the Jewish community and other local residents.Description
Total Program Service Expense2523997TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees35NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members26NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKaren A Roode Acct ManagerNamePerson
Telephone Number7049446841TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15007 Providence RoadAddressLine1
CityCharlotteCity
StateNCState
ZIP Code28226ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Daniel Levine
Director0.000.00X000
Alan Kronovet
Director0.000.00X000
Michael Koss
Director0.000.00X000
Ken Golder
Treasurer0.000.00X000X
Rick Glaser
Director0.000.00X000
Adam Foodman
Director0.000.00X000
Eric Sklut
Director0.000.00X000
Linda Siegel
Vice President0.000.00X000X
Eliot Rosen
Executive Direc32.000.00X8713507505X
Steve Menaker
Vice President0.000.00X000X
Scott Menaker
Director0.000.00X000
David Van Glish
Director0.000.00X000
Michael Baumstein
Director0.000.00X000
Leon Levine
Director0.000.00X000
Howard Levine
Director0.000.00X000
Harry Lerner
Director0.000.00X000
Jonathan Howard
Director0.000.00X000
Todd Gorelick
Director0.000.00X000
Jeff Gorelick
President0.000.00X000X
Bill Gorelick
Director0.000.00X000
Steve Cohen
Director0.000.00X000
Roni Fishkin
Director0.000.00X000
Stuart Breidbart
Director0.000.00X000
Alan Blumenthal
Secretary0.000.00X000X
Sam Bernstein
Director0.000.00X000
Judy August
Director0.000.00X000
Barry Bobrow
Director0.000.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org87135TotalReportableCompFromOrg
Total Other Compensation7505TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions382523AllOtherContributions
Total Contributions382523TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Rental Income691756691756
Other3232
FieldValueIRS element (for citing)
Total Program Service Revenue691788TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column63298TotalRevenueColumn
Exclusion$63,298ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13751Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13751Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13751TotalRevenueColumn
Unrelated Business Revenue13751UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities84071Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities84071Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column84071TotalRevenueColumn
Related Or Exempt Function Income84071RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1235431TotalRevenueColumn
Related Or Exempt Function Income775859RelatedOrExemptFunctionIncome
Unrelated Business Revenue13751UnrelatedBusinessRevenue
Exclusion$63,298ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total87135Total
Program Services78422ProgramServices
Management And General3485ManagementAndGeneral
Fundraising5228Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total509052Total
Program Services458147ProgramServices
Management And General20362ManagementAndGeneral
Fundraising30543Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total81505Total
Management And General81505ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total5646Total
Program Services5081ProgramServices
Management And General226ManagementAndGeneral
Fundraising339Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1518448Total
Program Services1366603ProgramServices
Management And General60738ManagementAndGeneral
Fundraising91107Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total107671Total
Program Services96904ProgramServices
Management And General4307ManagementAndGeneral
Fundraising6460Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Administrative expenses616735550624673700
Utilities1040379363341626242
Security12136110922548547282
Repairs & maintenance246760222084987014806

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total42658Total
Program Services38392ProgramServices
Management And General1707ManagementAndGeneral
Fundraising2559Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2885946Total
Program Services2523997ProgramServices
Management And General193683ManagementAndGeneral
Fundraising168266Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY895507BOY
EOY847447EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY193165BOY
EOY103429EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY76687BOY
EOY55608EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY19544BOY
EOY30158EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42442832LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18261939LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25567916BOY
EOY24180893EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7614349BOY
EOY8137259EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34367168BOY
EOY33354794EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY114113BOY
EOY63491EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY133345BOY
EOY138025EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY322033BOY
EOY314136EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY569491BOY
EOY515652EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26927705BOY
EOY25778053EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY778951BOY
EOY517039EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6091021BOY
EOY6544050EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33797677BOY
EOY32839142EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34367168BOY
EOY33354794EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1650515ReconcilationRevenueExpenses
Reconciliation Unrealized Invest691980ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2326592CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1765400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years664912CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year686293CurrentTaxYearMinus1Year
Current Tax Year382523CurrentTaxYear
Total5825720Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2326592CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1765400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years664912CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year686293CurrentTaxYearMinus1Year
Current Tax Year382523CurrentTaxYear
Total5825720Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2261686AmountsSubstContributorsTotal
Public Support Total1703564034PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years140336CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123303CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years109454CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year92599CurrentTaxYearMinus1Year
Current Tax Year63298CurrentTaxYear
Total528990Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10710CurrentTaxYearMinus2Years
Total37420Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support6392130TotalSupport
Gross Receipts From Admissions Etc3266048GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.55760PublicSupportPertcentage170
Public Support Pertcent Prior Year0.53660PublicSupportPertcentPriorYear
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

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Assets In Part X856454AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Collect Used For PreservationXCollectUsedForPreservation
Solicited Assets For SalefalseSolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance6757895BeginningOfYearBalance
Contributions80000Contributions
Investment Earnings Or Losses825415InvestmentEarningsOrLosses
Other Expenditures301000OtherExpenditures
Administrative Expenses81505AdministrativeExpenses
End Of Year Balance7280805EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6942358BeginningOfYearBalance
Contributions250000Contributions
Investment Earnings Or Losses-168734InvestmentEarningsOrLosses
Other Expenditures194346OtherExpenditures
Administrative Expenses71383AdministrativeExpenses
End Of Year Balance6757895EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6352935BeginningOfYearBalance
Investment Earnings Or Losses843802InvestmentEarningsOrLosses
Other Expenditures188134OtherExpenditures
Administrative Expenses66245AdministrativeExpenses
End Of Year Balance6942358EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5183986BeginningOfYearBalance
Investment Earnings Or Losses1226267InvestmentEarningsOrLosses
Administrative Expenses57318AdministrativeExpenses
End Of Year Balance6352935EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance380500BeginningOfYearBalance
Contributions-1942763Contributions
Grants Or Scholarships360000GrantsOrScholarships
Other Expenditures62330OtherExpenditures
Administrative Expenses5183986AdministrativeExpenses
End Of Year Balance5183986EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.01000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.99000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis895242OtherCostOrOtherBasis
Book Value895242BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36457202OtherCostOrOtherBasis
Depreciation13171551Depreciation
Book Value23285651BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5090388OtherCostOrOtherBasis
Depreciation5090388Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24180893TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionCollections of ArtDescription
Book Value856454BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets8137259TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1845906TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments691980NetUnrealizedGainsInvestments
Revenue Not Rptd F990691980RevenueNotRptdF990
Revenue Subtotal1153926RevenueSubtotal
Investment Expenses Not Included81505InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt81505RevenueNotRptdOnFinStmt
Total Revenue Per Form9901235431TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2804441TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2804441ExpensesSubtotal
Investment Expenses Not Included281505InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt81505ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902885946TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteGenerally accepted accounting procedures require an organization to recognize a tax benefit or expense from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The Foundation has no uncertain tax positions as of December 31, 2012.
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.General operating expenses.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableMade available upon request
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementFinance committee determines compensation of the Executive Director
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessThe Accounting Manager reviews the 990 before it is filed and it is emailed to the board members for their review.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1801 Jefferson LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15007 Providence RoadAddressLine1
CityCharlotteCity
StateNCState
ZIP Code28226ZIPCode
FieldValueIRS element (for citing)
EIN263229923EIN
Primary ActivitiesResidential rentalsPrimaryActivities
Legal Domicile StateNCLegalDomicileState
Total Income13751TotalIncome
EOY Assets360226EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1The Foundation of Shalom ParkBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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