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          <PersonName>MR THOMAS F JAUNTIG JR</PersonName>
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        <OfcrDirTrusteesOrKeyEmployee>
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          <FormAndInfoAndMaterials>1. COMPLETE A 10 PAGE APPLICATION2. COPY OF 501 (C)(3)3. COPY OF MOST RECENT FEDERAL AND STATE TAX RETURNS4. MISSION STATEMENT5. BOARD OF DIRECTOS LIST6. LIST OF MAJOR CORPORATE SPONSORS7. CALENDAR OF EVENTS8. ANNUAL REPORT, IF EXISTS9. RECENT PUBLIC RELATIONS MATERIAL</FormAndInfoAndMaterials>
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          <RestrictionsOnAwards>AWARDS SHOULD ENHANCE QUALITY OF LIFE IN THE COMMUNITIES OF ROCKLAND, ORGANGE, ULSTER, SULLIVAN AND PUTNAM COUNTIES IN NEW YORK AND BERGEN COUNTY IN NEW JERSEY. YOU CANNOT BE A RECIPIENT OF A PROVIDENT CHARITABLE FOUNDATION GRANT FOR THE PRIOR FISCAL YEAR.</RestrictionsOnAwards>
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            <ZIPCode>10901</ZIPCode>
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            <State>NY</State>
            <ZIPCode>10591</ZIPCode>
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          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>2500</Amount>
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          <RecipientPersonName>PUTNAMNORTH WESTHESTER WOMEN'S RSC</RecipientPersonName>
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            <City>MAHOPAC</City>
            <State>NY</State>
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          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
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        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>PINE BUSH HIGH SCHOOL</RecipientPersonName>
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            <City>PINE BUSH</City>
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          <RecipientRelationship>NONE</RecipientRelationship>
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        <GrantOrContriPaidDuringYear>
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          <RecipientRelationship>N/A</RecipientRelationship>
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        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>JEWISH FAMILY SERVICES</RecipientPersonName>
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          <RecipientRelationship>N/A</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>1500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>HABITAT FOR HUMANITY OF ROCKLAND</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 329</AddressLine1>
            <City>SPRING VALLEY</City>
            <State>NY</State>
            <ZIPCode>10977</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>N/A</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ELLENVILLE REGIONAL HOSPITAL</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>2 GRAM PLACE</AddressLine1>
            <City>ELLENVILLE</City>
            <State>NY</State>
            <ZIPCode>12428</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>COMMUNITY ACTION PROGERAM OF ROCKLA</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>176 NORTH MAIN STREET</AddressLine1>
            <City>SPRING VALLEY</City>
            <State>NY</State>
            <ZIPCode>10977</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>2500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ORANGE REGIONAL MEDICAL CENTER FOUN</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>4 HARRIMAN DR</AddressLine1>
            <City>GOSHEN</City>
            <State>NY</State>
            <ZIPCode>10924</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>20000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ST THOMAS AQUINAS COLLEGE</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>125 ROUTE 340</AddressLine1>
            <City>SPARKILL</City>
            <State>NY</State>
            <ZIPCode>10976</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATIONAL</PurposeOfGrantOrContribution>
          <Amount>50000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>GARNERVILLE ARTS PROJECT GALLERY</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>55 WEST RAILROAD AVENUE</AddressLine1>
            <City>GARNERVILLE</City>
            <State>NY</State>
            <ZIPCode>10923</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>YOUTH PROGRAM</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>EPIC</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>461 VIOLA RD</AddressLine1>
            <City>SPRING VALLEY</City>
            <State>NY</State>
            <ZIPCode>10977</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>BIRTHRIGHT</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>257 S MIDDLETOWN ROAD</AddressLine1>
            <City>NANUET</City>
            <State>NY</State>
            <ZIPCode>10954</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>3000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ROCKLAND CONSERVATORY OF MUSIC</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>7 PERLMAN DR</AddressLine1>
            <City>SPRING VALLEY</City>
            <State>NY</State>
            <ZIPCode>10977</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION PROGRAM</PurposeOfGrantOrContribution>
          <Amount>2500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>NAMI FAMILIA OF RC</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 635</AddressLine1>
            <City>ORANGEBURGH</City>
            <State>NY</State>
            <ZIPCode>10962</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>CANDLE</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>120 N MAIN STREET</AddressLine1>
            <City>NEW CITY</City>
            <State>NY</State>
            <ZIPCode>10956</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>3000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ST LUKE'S HOSPITAL</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>70 DUBOIS ST</AddressLine1>
            <City>NEWBURGH</City>
            <State>NY</State>
            <ZIPCode>12550</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH AND HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>25000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>TOUCH</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>209 ROUTE 9W</AddressLine1>
            <City>CONGERS</City>
            <State>NY</State>
            <ZIPCode>10920</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>N/A</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>2500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ROCKLAND FAMILY SHELTER</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>2 CONGERS ROAD</AddressLine1>
            <City>NEW CITY</City>
            <State>NY</State>
            <ZIPCode>10956</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>N/A</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>10000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>HELP FROM PEOPLE TO PEOPLE</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>121 WEST NYACK ROAD</AddressLine1>
            <City>NANUET</City>
            <State>NY</State>
            <ZIPCode>10954</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>N/A</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>10000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ROCKLAND HOUSING ACTION COALITION I</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>95 NEW CLARKSTOWN ROAD</AddressLine1>
            <City>NANUET</City>
            <State>NY</State>
            <ZIPCode>10954</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>N/A</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>15000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>UNITED WAY OF RC</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>135 MAIN STREET</AddressLine1>
            <City>NYACK</City>
            <State>NY</State>
            <ZIPCode>10960</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>N/A</RecipientRelationship>
          <RecipientFoundationStatus>P CHAR</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; HUMAN SERVICES</PurposeOfGrantOrContribution>
          <Amount>22315</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>215315</TotGrantOrContriPaidDuringYear>
      </SupplementaryInformation>
      <AnalysisIncomeProducingActy>
        <DividendsAndIntFromSecPartVII>
          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>81604</ExclusionAmount>
        </DividendsAndIntFromSecPartVII>
        <SubtotalsPartXVIA>
          <ExclusionAmount>81604</ExclusionAmount>
        </SubtotalsPartXVIA>
        <TotalPartXVIA>81604</TotalPartXVIA>
      </AnalysisIncomeProducingActy>
      <RlnOfActyToAccomOfExemptPrps>
        <RlnOfActyToAccomOfExemptPrps>
          <LineNumber>1</LineNumber>
          <RelationshipStatement>GRANTS MADE TO COMMUNITY NON-PROFIT ORGANIZATIONS FOR SUPPORT OF EDUCATION, YOUTH, HEALTH AND HUMAN SERVICES COMMUNITY PROGRAMS.</RelationshipStatement>
        </RlnOfActyToAccomOfExemptPrps>
      </RlnOfActyToAccomOfExemptPrps>
      <TrnsfrTrRlnWithNoncharitableEO>
        <TrnsfrOfCashToNoncharitableEO>false</TrnsfrOfCashToNoncharitableEO>
        <TrnsfrOthAssetsNoncharitableEO>false</TrnsfrOthAssetsNoncharitableEO>
        <SalesOrExchangesOfAssets>false</SalesOrExchangesOfAssets>
        <PurchaseAssetsNoncharitableEO>false</PurchaseAssetsNoncharitableEO>
        <RentalOfFacilitiesEtc>false</RentalOfFacilitiesEtc>
        <ReimbursementArrangements>false</ReimbursementArrangements>
        <LoansOrLoanGuarantees>false</LoansOrLoanGuarantees>
        <PerformanceOfServicesEtc>false</PerformanceOfServicesEtc>
        <SharingOfFacilitiesEtc>false</SharingOfFacilitiesEtc>
        <RelationshipsNoncharitableEOs>false</RelationshipsNoncharitableEOs>
      </TrnsfrTrRlnWithNoncharitableEO>
    </IRS990PF>
    <AccountingFeesSchedule documentId="AccountingFeesSchedule" softwareId="11000144" softwareVersion="2011v1.2">
      <AccountingFees>
        <Category>AUDIT FEE</Category>
        <Amount>5000</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>5000</DisbursementsCharitablePrps>
      </AccountingFees>
    </AccountingFeesSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="11000144" softwareVersion="2011v1.2">
      <OtherExpenses>
        <Description>TRUST FEES</Description>
        <RevenueAndExpensesPerBooks>6689</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>1750</NetInvestmentIncome>
        <DisbursementsCharitablePrps>5758</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>STATE AND OTHER ANNUAL FILING FEES</Description>
        <RevenueAndExpensesPerBooks>305</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>305</DisbursementsCharitablePrps>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <OtherLiabilitiesSchedule documentId="OtherLiabilitiesSchedule" softwareId="11000144" softwareVersion="2011v1.2">
      <OtherLiabilities>
        <Description>Rounding</Description>
        <EOYBookValue>1</EOYBookValue>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>NOTES PAYABLE</Description>
        <EOYBookValue>147000</EOYBookValue>
      </OtherLiabilities>
    </OtherLiabilitiesSchedule>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="11000144" softwareVersion="2011v1.2">
      <Taxes>
        <Category>excise tax</Category>
        <Amount>799</Amount>
      </Taxes>
    </TaxesSchedule>
  </ReturnData>
</Return>