THE MELLEN FOUNDATION INC: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE MELLEN FOUNDATION INC (EIN 22-2778847)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-24
IRS object ID
201222069349100707
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-07-24T15:38:22-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061331879EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FRIEDBERG SMITH & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1855 MAIN STREET 6TH FLOORAddressLine1
CityBRIDGEPORTCity
StateCTState
ZIP Code066044915ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222778847EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE MELLEN FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMELLNameControl
Phone2033665876Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 SHADY LANEAddressLine1
CityMONROECity
StateCTState
ZIP Code06468ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNEIL MELLENName
TitlePRESIDENTTitle
Phone2033665876Phone
Date Signed2012-07-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID ZIEFFName
PTINP01236646PTIN
Phone2033665876Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY1974130FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Dividends Rev And Expnss81751DividendsRevAndExpnss
Dividends Net Invst Incm81751DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss-37NetGainSaleAssetsRevAndExpnss
Gross Sales Price454210GrossSalesPrice
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Other Income Rev And Expnss837OtherIncomeRevAndExpnss
Other Income Net Invst Incm837OtherIncomeNetInvstIncm
Other Income Adj Net Incm0OtherIncomeAdjNetIncm
Total Revenue And Expenses82551TotalRevenueAndExpenses
Total Net Investment Income82588TotalNetInvestmentIncome
Total Adjusted Net Income0TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm0CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Taxes Rev And Expnss182TaxesRevAndExpnss
Taxes Net Invst Incm182TaxesNetInvstIncm
Taxes Adj Net Incm0TaxesAdjNetIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss6287OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm5282OtherExpensesNetInvstIncm
Other Expenses Adj Net Incm0OtherExpensesAdjNetIncm
Other Expenses Dsbrs Chrtbl Prps0OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss6469TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm5464TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm0TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss290362ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps290362ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss296831TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm5464TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm0TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps290362TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-214280ExcessOfRevenueOverExpenses
Net Investment Income77124NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY334708SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY186661SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV186661SavingsAndTempCashInvstEOYFMV
Investments Corp Stock BOY259173InvestmentsCorpStockBOY
Investments Corp Stock EOY362572InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV461758InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY1400519InvestmentsCorpBondsBOY
Investments Corp Bonds EOY1294982InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV1325711InvestmentsCorpBondsEOYFMV
Investments Other BOY62000InvestmentsOtherBOY
Investments Other EOY0InvestmentsOtherEOY
Investments Other EOYFMV0InvestmentsOtherEOYFMV
Other Assets BOY2077OtherAssetsBOY
Other Assets EOY0OtherAssetsEOY
Other Assets EOYFMV0OtherAssetsEOYFMV
Total Assets BOY2058477TotalAssetsBOY
Total Assets EOY1844215TotalAssetsEOY
Total Assets EOYFMV1974130TotalAssetsEOYFMV
Other Liabilities BOY0OtherLiabilitiesBOY
Other Liabilities EOY18OtherLiabilitiesEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY18TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY0CapitalStockBOY
Capital Stock EOY0CapitalStockEOY
Paid In Or Capital Surplus BOY0PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY0PaidInOrCapitalSurplusEOY
Retained Earnings BOY2058477RetainedEarningsBOY
Retained Earnings EOY1844197RetainedEarningsEOY
Total Net Assets BOY2058477TotalNetAssetsBOY
Total Net Assets EOY1844197TotalNetAssetsEOY
Total Liabilities Net Assets BOY2058477TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY1844215TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY2058477TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-214280ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal1844197Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY1844197TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (5 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
MERRILL LYNCHP3696369600
MERRILL LYNCHP152000151830170170
MERRILL LYNCHP1738173800
CHARLES SCHWABP23362122693766846684
CHARLES SCHWABP6315570046-6891-6891
FieldValueIRS element (for citing)
Capital Gain Net Income-37CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year199150QualifyingDistributionsYear1
Noncharitable Assets Year12159947NoncharitableAssetsYear1
Distribution Ratio Year10.045904DistributionRatioYear1
Qualifying Distributions Year260328QualifyingDistributionsYear2
Noncharitable Assets Year21969601NoncharitableAssetsYear2
Distribution Ratio Year20.030630DistributionRatioYear2
Qualifying Distributions Year366017QualifyingDistributionsYear3
Noncharitable Assets Year31979490NoncharitableAssetsYear3
Distribution Ratio Year30.033351DistributionRatioYear3
Qualifying Distributions Year467676QualifyingDistributionsYear4
Noncharitable Assets Year42143279NoncharitableAssetsYear4
Distribution Ratio Year40.031576DistributionRatioYear4
Qualifying Distributions Year565975QualifyingDistributionsYear5
Noncharitable Assets Year52083937NoncharitableAssetsYear5
Distribution Ratio Year50.031659DistributionRatioYear5
Total Distribution Ratio0.173120TotalDistributionRatio
Average Distribution Ratio0.034624AverageDistributionRatio
Net Noncharitable Assets2314647NetNoncharitableAssets
Adjusted Noncharitable Assets80142AdjustedNoncharitableAssets
One Percent Net Investment Income771OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One80913AdjNonchrtblAssetsAndOnePct
Qualifying Distributions290362QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax771InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal771Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income771TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment1029EstTaxPaymentsAndOverpayment
Tax Paid With Extension500TaxPaidWithExtension
Total Credits And Payments1529TotalCreditsAndPayments
Overpayment758Overpayment
Amount Credited To Next Year758AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithCTStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1NEIL MELLENBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number2033665876BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1460 COE AVENUEAddressLine1
CityEAST HAVENCity
StateCTState
ZIP Code06512ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
DIANE MELLEN
30 SHADY LANEMONROECT06468PRESIDENT0.00000
NEIL MELLEN
30 SHADY LANEMONROECT06468SECRETARY/TREASURER0.00000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities1828526AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances521369AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets2349895TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets2349895AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable35248CashDeemedCharitable
Net Noncharitable Assets2314647NetNoncharitableAssets
Minimum Investment Return115732MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return115732MinimumInvestmentReturn
Tax Based On Investment Income771TaxBasedOnInvestmentIncome
Total Tax771TotalTax
Distributable Amount Before Adj114961DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded114961DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted114961DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions290362ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions290362QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm771OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions289591AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted114961DistributableAmountAsAdjusted
Undistributed Income Prior Year107106UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Total Excess Distri Carryover0TotalExcessDistriCarryover
Qualifying Distributions290362QualifyingDistributions
Applied To Year1107106AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year114961AppliedToCurrentYear
Remaining Distri From Corpus68295RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus68295TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year50ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year68295ExcessDistriCyovToNextYear
Excess From Current Year68295ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (60 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
OPERATION SMILE
6435 TIDEWATER DRIVENORFOLKVA23509501(C)(3)CHARITABLE CONTRIBUTION$20,000
CONGREGATION BETH EL
1200 FAIRFIELD WOODS ROADFAIRFIELDCT06825501(C)(3)CHARITABLE CONTRIBUTION$130,000
NATIONAL MULTIPLE SCLEROSIS
103 JFK PARKWAYSHORT HILLSNJ07078501(C)(3)CHARITABLE CONTRIBUTION$5,500
BRIDGEPORT RESCUE MISSION
1088 FAIRFIELD AVENUEBRIDGEPORTCT06605501(C)(3)CHARITABLE CONTRIBUTION$700
AMERICAN INDIAN COLLEGE FUND
8333 GREENWOOD BLVDDENVERCO80221501(C)(3)CHARITABLE CONTRIBUTION$500
CONNECTICUT BURNS CARE FOUNDATION
601 BOSTON POST ROADMILFORDCT06460501(C)(3)CHARITABLE CONTRIBUTION$1,000
HABITAT FOR HUMANITY
121 HABITAT STREETAMERICUSGA31709501(C)(3)CHARITABLE CONTRIBUTION$500
INTERNATIONAL HEARING DOG INC
5901 EAST 89TH STREETHENDERSONCO80640501(C)(3)CHARITABLE CONTRIBUTION$1,000
JEWISH FAMILY SERVICES
2370 PARK AVENUEBRIDGEPORTCT06604501(C)(3)CHARITABLE CONTRIBUTION$500
KEVIN'S COMMUNITY CENTER
153 SOUTH MAIN STREETNEWTOWNCT06470501(C)(3)CHARITABLE CONTRIBUTION$1,000
LUIS MUNOZ MARIN SCHOOL
479 HELEN STREETBRIDGEPORTCT06610501(C)(3)CHARITABLE CONTRIBUTION$2,000
OPEN DOOR SHELTER INC
4 MERRITT STREETSO NORWALKCT06856501(C)(3)CHARITABLE CONTRIBUTION$300
SAVE THE SOUND
142 TEMPLE STREETNRW HAVENCT06510501(C)(3)CHARITABLE CONTRIBUTION$500
ST VINCENT'S MEDICAL CENTER
2800 MAIN STREETBRIDGEPORTCT06606501(C)(3)CHARITABLE CONTRIBUTION$1,500
SUMMITT LAND CONSERVANCY
PO BOX 1775PARK CITYUT84060501(C)(3)CHARITABLE CONTRIBUTION$500
UNITED NEGRO COLLEGE FUND
120 WALL STREETNEW YORKNY10005501(C)(3)CHARITABLE CONTRIBUTION$750
MONROE CT POLICE DEPARTMENT
7 FAN HILL ROADMONROECT06468501(C)(3)CHARITABLE CONTRIBUTION$2,000
WEBER STATE UNIVERSITY
4018 UNIVERSITY CIRCLEOGDENUT84408501(C)(3)CHARITABLE CONTRIBUTION$2,500
AZ GOLDEN RESCUE
5814 W DEL LAGOGLENDALEAZ85308501(C)(3)CHARITABLE CONTRIBUTION$1,000
4 PAWS FOR ABILITY
253 DAYTON AVENUEZXENIAOH45385501(C)(3)CHARITABLE CONTRIBUTION$1,000
ADOPT-A-NATIVE ELDER PROGRAM
PO BOX 3401PARK CITYUT84060501(C)(3)CHARITABLE CONTRIBUTION$500
AMERICAN CIVIL LIBERTIES UNION
355 N 300 WSALT LAKE CITYUT84103501(C)(3)CHARITABLE CONTRIBUTION$500
ARTS KIDS INC
PO BOX 980365PARK CITYUT84098501(C)(3)CHARITABLE CONTRIBUTION$750
BEST FRIENDS ANIMAL SOCIETY
5001 ANGEL CANYON ROADKANABUT84741501(C)(3)CHARITABLE CONTRIBUTION$500
CLOTHING CHILDREN IN NEED INC
30 SHADY LANEMONROECT06468501(C)(3)CHARITABLE CONTRIBUTION$1,000
CONNECTICUT HOSPICE
100 DOUBLE BEACH ROADBRANFORDCT06405501(C)(3)CHARITABLE CONTRIBUTION$1,000
DAUGHTERS OF CHARITY
1490 NORTH AVENUEBRIDGEPORTCT06604501(C)(3)CHARITABLE CONTRIBUTION$700
DELANCY STREET FOUNDATION
600 EMBARCADEROSAN FRANCISCOCA94107501(C)(3)CHARITABLE CONTRIBUTION$1,500
GRACE INSTITUTE
1233 SECOND AVENUENEW YORKNY10065501(C)(3)CHARITABLE CONTRIBUTION$500
HEAL UTAH
68 SOUTH MAIN STREETSALT LAKE CITYUT84101501(C)(3)CHARITABLE CONTRIBUTION$3,500
HOME FOR THE BRAVE
655 PARK AVENUEBRIDGEPORTCT06604501(C)(3)CHARITABLE CONTRIBUTION$1,000
HOME ALLIANCE
1775 W 1500 SOUTHSALT LAKE CITYUT84104501(C)(3)CHARITABLE CONTRIBUTION$2,000
HOPE LINE
4749 MAIN STREETBRIDGEPORTCT06606501(C)(3)CHARITABLE CONTRIBUTION$500
INNOCENCE PROJECT
100 5TH AVENUENEW YORKNY10011501(C)(3)CHARITABLE CONTRIBUTION$10,000
JEWISH HOME FOR THE ELDERLY
175 JEFFERSON STREETFAIRFIELDCT06825501(C)(3)CHARITABLE CONTRIBUTION$500
MOTHERS AGAINST DRUNK DRIVING
371 FOXON ROAD 1EAST HAVENCT06513501(C)(3)CHARITABLE CONTRIBUTION$300
MEALS ON WHEELS
475 CLINTON AVENUEBRIDGEPORTCT06605501(C)(3)CHARITABLE CONTRIBUTION$1,000
MERTON HOUSE
43 MADISON AVENUEBRIDGEPORTCT06604501(C)(3)CHARITABLE CONTRIBUTION$1,000
MONROE VOLUNTEER FIRE DEPT
7 FAN HILL ROADMONROECT06468501(C)(3)CHARITABLE CONTRIBUTION$100
MONROE FOOD PANTRY
7 FAN HILL ROADMONROECT06468501(C)(3)CHARITABLE CONTRIBUTION$500
MS RESEARCH CENTER OF NY
521 WEST 57TH STREETNEW YORKNY10019501(C)(3)CHARITABLE CONTRIBUTION$47,500
NATIONAL SHINGLES FOUNDATION
603 WEST 115TH STREETNEW YORKNY10025501(C)(3)CHARITABLE CONTRIBUTION$1,250
NEUROPATHY ASSOCIATION
60 EAST 42ND STREETNEW YORKNY10165501(C)(3)CHARITABLE CONTRIBUTION$2,500
NEW YORK SCHOOL FOR THE DEAF
555 KNOLLWOOD ROADWHITE PLAINSNY10603501(C)(3)CHARITABLE CONTRIBUTION$1,500
PARK CITY MEDICAL CENTER FOUNDATION
900 ROUND VALLEY DRIVEPARK CITYUT84060501(C)(3)CHARITABLE CONTRIBUTION$25,000
PARK CITY PERFORMING ARTS FOUNDATION
PO BOX 1297PARK CITYUT84060501(C)(3)CHARITABLE CONTRIBUTION$1,000
PEOPLE'S HEALTH CLINIC
PO BOX 681558PARK CITYUT84068501(C)(3)CHARITABLE CONTRIBUTION$500
PLANNED PARENTHOOD OF PARK CITY
PO BOX 682188PARK CITYUT84060501(C)(3)CHARITABLE CONTRIBUTION$700
PROJECT WARMTH
7 FAN HILL ROADMONROECT06468501(C)(3)CHARITABLE CONTRIBUTION$500
AUTISM SPEAKS
980-990 WASHINGTON STREETDEDHAMMA02026501(C)(3)CHARITABLE CONTRIBUTION$1,000
SUSAN G KOMEN FOUNDATION
26 FARRELL STREETSAN FRANCISCOCA94108501(C)(3)CHARITABLE CONTRIBUTION$1,500
AFTER THE FINISH LINE
10153 RIVERSIDE DRIVETOLUCA LAKECA91602501(C)(3)CHARITABLE CONTRIBUTION$1,000
SALVATION ARMY
1313 CONNECTICUT AVENUEBRIDGEPORTCT06607501(C)(3)CHARITABLE CONTRIBUTION$250
CONNECTICUT BEARDSLEY ZOO
1875 NOBLE AVENUEBRIDGEPORTCT06608501(C)(3)CHARITABLE CONTRIBUTION$1,700
ONE STEP AT A TIME
C/O THE ZIMMERMAN GROUP PO BOX 28HIGHWOODIL60040501(C)(3)CHARITABLE CONTRIBUTION$1,000
SHANTI PURI FOUNDATION
2011 CREST DRIVEENCINITASCA92024501(C)(3)CHARITABLE CONTRIBUTION$1,000
VZV RESEARCH FOUNDATION
1202 LEXINGTON AVENUE SUITE 204NEW YORKNY10028501(C)(3)CHARITABLE CONTRIBUTION$500
CAMP WONDER
712 BANCROFT ROAD 511WALNUT CREEKCA94598501(C)(3)CHARITABLE CONTRIBUTION$1,000
YESHIVA UNIVERSITY
500 WEST 185TH STREETNEW YORKNY10033501(C)(3)CHARITABLE CONTRIBUTION$250
NORTH END COMMUNITY CENTER
855 MAIN STREETBRIDGEPORTCT06606501(C)(3)CHARITABLE CONTRIBUTION$612
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year290362TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$81,751ExclusionAmount

Other Investment Income Part VII OtherInvestmentIncomePartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$837ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion-$37ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$82,551ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA82551TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Applied To Prior Year Election AppliedToPriorYearElection

FieldValueIRS element (for citing)
ElectionTHE FOUNDATION HEREBY ELELCTS TO APPLY ANY REMAINING AMOUNT OF UNDISTRIBUTED INCOME AFTER REDUCING THE 2009 UNDISTRIBUTED INCOME AS A DISTRIBUTION OF THE PRIOR YEAR'S UNDISTRIBUTED INCOME.Election

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (2 entries)

Name Of BondNameOfBondEOY Book ValueEOYBookValueEOYFMVEOYFMV
CORPORATE BONDS - ML793131819993
CORPORATE BONDS - CHAS SCHWAB501851505718

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

FieldValueIRS element (for citing)
Name Of StockEQUITIES - CHAS SCHWABNameOfStock
EOY Book Value362572EOYBookValue
EOYFMV461758EOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther

FieldValueIRS element (for citing)
Category Or ItemCERTIFICATES OF DEPOSIT - MLCategoryOrItem
Listed At Cost Or FMVFMVListedAtCostOrFMV
Book Value0BookValue
EOYFMV0EOYFMV

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionACCRUED INTEREST PAIDDescription
BOY Book Value2077BOYBookValue
EOY Book Value0EOYBookValue

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
INVESTMENT MGMT. FEES5282528200
BANK CHARGES159000
OFFICE EXPENSE846000

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Revenue And Expenses Per Books837RevenueAndExpensesPerBooks
Net Investment Income837NetInvestmentIncome

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO BROKERDescription
BOY Book Value0BOYBookValue
EOY Book Value18EOYBookValue

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryFOREIGN TAX WITHHELDCategory
Amount$182Amount
Net Investment Income182NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

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