WAYNE EISENBAUM CHARITABLE FOUNDATION: Form 990PF, tax year 2011
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- Organization
- WAYNE EISENBAUM CHARITABLE FOUNDATION (EIN 20-6973232)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-15
- IRS object ID
- 201222289349100102
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Substantial Contributors Sch
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T05:48:22-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shein Cohen Palmer & CoLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 Tower Lane | AddressLine1 |
| City | Avon | City |
| State | CT | State |
| ZIP Code | 06001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 206973232 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IRMAR FOUNDATION | BusinessNameLine1 |
| Business Name Line2 | CO WAYNE EISENBAUM | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | IRMA | NameControl |
| Phone | 8605610121 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 CROMWELL PLACE | AddressLine1 |
| City | OLD SAYBROOK | City |
| State | CT | State |
| ZIP Code | 06475 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WAYNE EISENBAUM | Name |
| Title | Trustee | Title |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jerry Cohen CPA | Name |
| Phone | 8606771000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 101504 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 200000 | ContriReceivedRevAndExpnss |
| Dividends Rev And Expnss | 244 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 244 | DividendsNetInvstIncm |
| Dividends Adj Net Incm | 244 | DividendsAdjNetIncm |
| Total Revenue And Expenses | 200244 | TotalRevenueAndExpenses |
| Total Net Investment Income | 244 | TotalNetInvestmentIncome |
| Total Adjusted Net Income | 244 | TotalAdjustedNetIncome |
| Accounting Fees Rev And Expnss | 960 | AccountingFeesRevAndExpnss |
| Accounting Fees Adj Net Incm | 960 | AccountingFeesAdjNetIncm |
| Other Expenses Rev And Expnss | 83 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 68 | OtherExpensesNetInvstIncm |
| Other Expenses Adj Net Incm | 15 | OtherExpensesAdjNetIncm |
| Tot Opr Expenses Rev And Expnss | 1043 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 68 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Adj Net Incm | 975 | TotOprExpensesAdjNetIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 0 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 110000 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 110000 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 111043 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 68 | TotalExpensesNetInvstIncm |
| Total Expenses Adj Net Incm | 975 | TotalExpensesAdjNetIncm |
| Total Expenses Dsbrs Chrtbl Prps | 110000 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 89201 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 176 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | 11838 | CashBOY |
| Cash EOY | 863 | CashEOY |
| Cash EOYFMV | 863 | CashEOYFMV |
| Savings And Temp Cash Invst BOY | 644 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 100641 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 100641 | SavingsAndTempCashInvstEOYFMV |
| Investments Other BOY | 6664 | InvestmentsOtherBOY |
| Investments Other EOY | 6162 | InvestmentsOtherEOY |
| Total Assets BOY | 19146 | TotalAssetsBOY |
| Total Assets EOY | 107666 | TotalAssetsEOY |
| Total Assets EOYFMV | 101504 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 19146 | UnrestrictedBOY |
| Unrestricted EOY | 107666 | UnrestrictedEOY |
| Total Net Assets BOY | 19146 | TotalNetAssetsBOY |
| Total Net Assets EOY | 107666 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 19146 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 107666 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 19146 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 89201 | ExcessOfRevenueOverExpenses |
| Subtotal | 108347 | Subtotal |
| Other Decreases | 681 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 107666 | TotalNetAssetsFundBalancesEOY |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 4 | InvestmentIncomeExciseTax |
| Subtotal | 4 | Subtotal |
| Tax Based On Investment Income | 4 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 125 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 125 | TotalCreditsAndPayments |
| Overpayment | 121 | Overpayment |
| Amount Credited To Next Year | 121 | AmountCreditedToNextYear |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | false | LegislativePoliticalActivities |
| More Than100 Spent | false | MoreThan100Spent |
| Form1120 POL Filed | false | Form1120POLFiled |
| Activities Not Prev Reported | false | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | false | UnrelatedBusIncomeOver1000 |
| Form990 T Filed | false | Form990TFiled |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| States Filed With | FL | StatesFiledWith |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | false | PrivateOperatingFoundation |
| New Substantial Contributors | true | NewSubstantialContributors |
| Interest In Controlled Entity | false | InterestInControlledEntity |
| Applicable Insurance Contract | false | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | true | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNE EISENBAUM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 8605610121 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 CROMWELL PLACE | AddressLine1 |
| City | OLD SAYBROOK | City |
| State | CT | State |
| ZIP Code | 06475 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | false | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | false | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | false | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | false | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | false | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | false | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | false | PaymentToGovernmentOffical |
| Acts Fail To Qualify As Exceptions | false | ActsFailToQualifyAsExceptions |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| Undistr Income4942a2 Not Applied | false | UndistrIncome4942a2NotApplied |
| Business Holdings | false | BusinessHoldings |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Jeopardy Investments | false | JeopardyInvestments |
| Uncorrected Jeopardy Investments | false | UncorrectedJeopardyInvestments |
| Influence Legislation | false | InfluenceLegislation |
| Influence Election | false | InfluenceElection |
| Grants To Individuals | false | GrantsToIndividuals |
| Grants To Organizations | false | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| Tr Fail To Qualify As Exceptions | false | TrFailToQualifyAsExceptions |
| Maint Expend Responsibility | false | MaintExpendResponsibility |
| Rcv Funds To Pay Prsnl Bnft Contract | false | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
| Proceeds Or Net Income | false | ProceedsOrNetIncome |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person Name | WAYNE EISENBAUM | PersonName |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 45 CROMWELL PLACE | AddressLine1 |
| City | OLD SAYBROOK | City |
| State | CT | State |
| ZIP Code | 06475 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | Chairman | Title |
| Avg Hours Per Wk Devoted To Position | 2.00 | AvgHoursPerWkDevotedToPosition |
| Compensation | 0 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 6635 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 25607 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 32242 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Adj Total FMV Of Unused Assets | 32242 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 484 | CashDeemedCharitable |
| Net Noncharitable Assets | 31758 | NetNoncharitableAssets |
| Minimum Investment Return | 1588 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 1588 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 4 | TaxBasedOnInvestmentIncome |
| Total Tax | 4 | TotalTax |
| Distributable Amount Before Adj | 1584 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 1584 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 1584 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 110000 | ExpensesAndContributions |
| Qualifying Distributions | 110000 | QualifyingDistributions |
| Adj Qualifying Distributions | 110000 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 1584 | DistributableAmountAsAdjusted |
| Excess Distri Carryover Year5 | 25844 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 165000 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 73977 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 59531 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 97173 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 421525 | TotalExcessDistriCarryover |
| Qualifying Distributions | 110000 | QualifyingDistributions |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 1584 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 108416 | RemainingDistriFromCorpus |
| Total Corpus | 529941 | TotalCorpus |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Excess Distri Cyov From Year5 | 25844 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 504097 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 165000 | ExcessFromYear4 |
| Excess From Year3 | 73977 | ExcessFromYear3 |
| Excess From Year2 | 59531 | ExcessFromYear2 |
| Excess From Year1 | 97173 | ExcessFromYear1 |
| Excess From Current Year | 108416 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | WAYNE EISENBAUM | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (10 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| ASPCA | |||||||
| PO BOX 96333 | WASHINGTON | DC | 20090 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING MEDICAL TREATMENT AND CARE TO ANIMALS IN NEED | $2,500 |
| WOUNDED WARRIOR PROGRAM | |||||||
| 4899 BELFORD RD SUITE 30 | JACKSONVILLE | FL | 32256 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN AIDING INJURED SERVICE MEMBERS | $20,000 |
| SUSAN B ANTHONY PROJECT | |||||||
| 179 WATER STREET | TORRINGTON | CT | 06790 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING SUPPORTTO THOSE IN NEED | $5,000 |
| THE SMILE TRAIN - DEPT NPPR | |||||||
| PO BOX 96231 | WASHINGTON | DC | 20090 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING MEDICAL TREATMENT AND RESEARCH TO THOSE IN NEED | $2,500 |
| ST JUDE CHILDRENS RESEARCH HOSPITAL | |||||||
| 501 ST JUDE PLACE | MEMPHIS | TN | 38105 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING MEDICAL TREATMENT AND RESEARCH TO THOSE IN NEED | $5,000 |
| LARC | |||||||
| 314 MAIN STREET | TORRINGTON | CT | 06790 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING ASSISTANCE TO THOSE WITH DISABILITIES | $10,000 |
| OSYFS FOUNDATION - HEAT | |||||||
| PO BOX 1096 | OLD SAYBROOK | CT | 06475 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING HEATING FUEL TO THOSE IN NEED | $5,000 |
| OPERATION FUEL INC | |||||||
| ONE REGENCY DR SUITE 311 | BLOOMFIELD | CT | 06002 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING HEATING FUEL TO THOSE IN NEED | $20,000 |
| FOODSHARE INC | |||||||
| 450 WOODLAND AVE | BLOOMFIELD | CT | 06002 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING FOOD TO PEOPLE IN NEED | $20,000 |
| SHORELINE SOUP KITCHENS | |||||||
| PO BOX 804 | ESSEX | CT | 06426 | NONE | 501(c)(3) | TO ASSIST RECIPIENT IN PROVIDING FOOD TO PEOPLE IN NEED | $20,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 110000 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $244 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $244 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 244 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | false | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | false | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | false | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | false | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | false | ReimbursementArrangements |
| Loans Or Loan Guarantees | false | LoansOrLoanGuarantees |
| Performance Of Services Etc | false | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | false | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 1 | ContributorNumber |
| Contributor Name Individual | WAYNE EISENBAUM | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20281 EAST COUNTRY CLUB DR | AddressLine1 |
| City | AVENTURA | City |
| State | FL | State |
| ZIP Code | 33180 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 200000 | AggregateContributions |
| Person Contribution Type | X | PersonContributionType |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | Category |
| Amount | $960 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 960 | AdjustedNetIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases OtherDecreases
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | UNREALIZED LOSS ON INVESTMENTS | Description |
| Amount | $681 | Amount |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome |
|---|---|---|---|
| INVESTMENT EXPENSE | 68 | 68 | |
| BANK FEES | 15 | 15 |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor SubstantialContributor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person Name | WAYNE EISENBAUM | PersonName |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20281 EAST COUNTRY CLUB DR | AddressLine1 |
| City | AVENTURA | City |
| State | FL | State |
| ZIP Code | 33180 | ZIPCode |
Comments