ANDRE FAMILY FOUNDATION INC: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ANDRE FAMILY FOUNDATION INC (EIN 20-3966428)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-02
IRS object ID
201223079349100607
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)
Timestamp2012-11-02T14:36:18-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN721396621EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1215 BAYTREE DRIVEAddressLine1
CityMELBOURNECity
StateFLState
ZIP Code329402195ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN203966428EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE ANDRE FAMILY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlANDRNameControl
Phone3217252232Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1341 4TH AVENUEAddressLine1
CityINDIALANTICCity
StateFLState
ZIP Code32903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDWARD ANDREName
TitlePRESIDENTTitle
Phone3217252232Phone
Date Signed2012-10-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN E KIRKLAND CPAName
PTINP00124234PTIN
Phone3212550088Phone
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 EOY1168368FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss11680ContriReceivedRevAndExpnss
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss67InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm67InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss30262DividendsRevAndExpnss
Dividends Net Invst Incm30262DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss9216NetGainSaleAssetsRevAndExpnss
Gross Sales Price229244GrossSalesPrice
Capital Gain Net Incm Net Invst Incm9216CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses51225TotalRevenueAndExpenses
Total Net Investment Income39545TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Taxes Rev And Expnss2433TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss4506OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm4506OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps0OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss6939TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm4506TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss233050ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps233050ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss239989TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm4506TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps233050TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-188764ExcessOfRevenueOverExpenses
Net Investment Income35039NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY158967SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY125430SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV125430SavingsAndTempCashInvstEOYFMV
Investments Other BOY1275451InvestmentsOtherBOY
Investments Other EOY1042938InvestmentsOtherEOY
Investments Other EOYFMV1042938InvestmentsOtherEOYFMV
Total Assets BOY1434418TotalAssetsBOY
Total Assets EOY1168368TotalAssetsEOY
Total Assets EOYFMV1168368TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY1434418UnrestrictedBOY
Unrestricted EOY1168368UnrestrictedEOY
Total Net Assets BOY1434418TotalNetAssetsBOY
Total Net Assets EOY1168368TotalNetAssetsEOY
Total Liabilities Net Assets BOY1434418TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY1168368TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY1434418TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-188764ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal1245654Subtotal
Other Decreases77286OtherDecreases
Total Net Assets Fund Balances EOY1168368TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (2 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredDate SoldDateSoldGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
PUBLICLY TRADED SECURITIESP2011-12-2810659810428523132313
PUBLICLY TRADED SECURITIESP2012-05-1712264611574369036903
FieldValueIRS element (for citing)
Capital Gain Net Income9216CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1279714QualifyingDistributionsYear1
Noncharitable Assets Year11793914NoncharitableAssetsYear1
Distribution Ratio Year10.155924DistributionRatioYear1
Qualifying Distributions Year2416935QualifyingDistributionsYear2
Noncharitable Assets Year21632488NoncharitableAssetsYear2
Distribution Ratio Year20.255399DistributionRatioYear2
Qualifying Distributions Year3330839QualifyingDistributionsYear3
Noncharitable Assets Year31573416NoncharitableAssetsYear3
Distribution Ratio Year30.210268DistributionRatioYear3
Qualifying Distributions Year4250941QualifyingDistributionsYear4
Noncharitable Assets Year41565702NoncharitableAssetsYear4
Distribution Ratio Year40.160274DistributionRatioYear4
Qualifying Distributions Year5121968QualifyingDistributionsYear5
Noncharitable Assets Year51105555NoncharitableAssetsYear5
Distribution Ratio Year50.110323DistributionRatioYear5
Total Distribution Ratio0.892188TotalDistributionRatio
Average Distribution Ratio0.178438AverageDistributionRatio
Net Noncharitable Assets1243381NetNoncharitableAssets
Adjusted Noncharitable Assets221866AdjustedNoncharitableAssets
One Percent Net Investment Income350OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One222216AdjNonchrtblAssetsAndOnePct
Qualifying Distributions233050QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax350InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal350Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income350TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment1160EstTaxPaymentsAndOverpayment
Total Credits And Payments1160TotalCreditsAndPayments
Overpayment810Overpayment
Amount Credited To Next Year810AmountCreditedToNextYear
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 WithFLStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors1NewSubstantialContributors
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 Line1EDWARD A ANDREBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number3217252232BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1341 4TH AVENUEAddressLine1
CityINDIALANTICCity
StateFLState
ZIP Code32903ZIPCode
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 (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
JEANNE M ANDRE
341 4TH AVENUEINDIALANTICFL32903PRESIDENT1.50000
EDWARD A ANDRE
341 4TH AVENUEINDIALANTICFL32903VICE-PRESIDENT1.50000
JESSICA L ANDRE
341 4TH AVENUEINDIALANTICFL32903DIRECTOR1.50000
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 Securities1158473AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances103843AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets1262316TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets1262316AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable18935CashDeemedCharitable
Net Noncharitable Assets1243381NetNoncharitableAssets
Minimum Investment Return62169MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return62169MinimumInvestmentReturn
Tax Based On Investment Income350TaxBasedOnInvestmentIncome
Total Tax350TotalTax
Distributable Amount Before Adj61819DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded61819DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted61819DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions233050ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions233050QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm350OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions232700AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted61819DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year567754ExcessDistriCarryoverYear5
Excess Distri Carryover Year4173774ExcessDistriCarryoverYear4
Excess Distri Carryover Year3252890ExcessDistriCarryoverYear3
Excess Distri Carryover Year2335761ExcessDistriCarryoverYear2
Excess Distri Carryover Year1192280ExcessDistriCarryoverYear1
Total Excess Distri Carryover1022459TotalExcessDistriCarryover
Qualifying Distributions233050QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year61819AppliedToCurrentYear
Remaining Distri From Corpus171231RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus1193690TotalCorpus
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 Year567754ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year1125936ExcessDistriCyovToNextYear
Excess From Year4173774ExcessFromYear4
Excess From Year3252890ExcessFromYear3
Excess From Year2335761ExcessFromYear2
Excess From Year1192280ExcessFromYear1
Excess From Current Year171231ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerJEANNE M ANDREContributingManager
Contributing ManagerEDWARD A ANDREContributingManager

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameJEANNE M ANDRERecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1341 4TH AVENUEAddressLine1
CityINDIALANTICCity
StateFLState
ZIP Code32903ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number3217252232RecipientPhoneNumber
Form And Info And MaterialsCOMPLETION OF THE ANDRE FAMILY FOUNDATION STRUCTURED GRANT APPLICATION FORMFormAndInfoAndMaterials
Submission DeadlinesONGOINGSubmissionDeadlines
Restrictions On AwardsSEC 501(C)(3) ORGANIZATIONSRestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (24 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
AUBURN FUND AUF
317 SOUTH COLLEGE STREETAUBURN UNIVERSITYAL368495153N/APUBLIC CHARITYCHARITABLE$1,000
BOYS AND GIRLS CLUB
801 N MAGNOLIA AVENUEORLANDOFL32803N/APUBLIC CHARITYCHARITABLE$5,000
CAMPUS CRUSADE FOR CHRIST INTERNATIONAL
P O BOX 628222ORLANDOFL328628222N/APUBLIC CHARITYCHARITABLE$8,000
CANCER CARE FOUNDATION
1430 S PINE STMELBOURNEFL32901N/APUBLIC CHARITYCHARITABLE$22,000
CHILDREN'S HOME SOCIETY OF FLORIDA BREVARD DIVISION
3270 SUNTREE BLVD STE 100MELBOURNEFL32940N/APUBLIC CHARITYCHARITABLE$1,000
EASTMINSTER PRESBYTERIAN CHURCH
PO BOX 33866INDIALANTICFL32903N/APUBLIC CHARITYCHARITABLE$12,000
FELLOWSHIP OF CHRISTIAN ATHLETES
8701 LEEDS ROADKANSAS CITYMO641291680N/APUBLIC CHARITYCHARITABLE$49,000
GENESIS HOUSE
PO BOX 2044MELBOURNEFL32902N/APUBLIC CHARITYCHARITABLE$5,000
GLOBAL MISSIONS INC
PO BOX 33866INDIALANTICFL32903N/APUBLIC CHARITYCHARITABLE$5,000
GREAT COMMISSION FOUNDATION OF CAMPUS CRUSADE FOR CHRIST
100 LAKE HART DRORLANDOFL32832N/APUBLIC CHARITYCHARITABLE$10,000
HEALTH FIRST FOUNDATION
3462 N HARBOR CITY BLVDMELBOURNEFL32935N/APUBLIC CHARITYCHARITABLE$20,000
HELPING HANDS MINISTIES
2621 QUINCE LANEMCALLENTX78501N/APUBLIC CHARITYCHARITABLE$5,000
INTERNATIONAL COOPERATING MINISTRIES
606 ABERDEEN ROADHAMPTONVA23661N/APUBLIC CHARITYCHARITABLE$44,000
NANA'S HOUSE
2730 OSAGEST LOUISMO63118N/APUBLIC CHARITYCHARITABLE$2,000
NATIONAL CHRISTIAN FOUNDATION
11625 RAINWATER DRIVE SUITE 500ALPHARETTAGA30009N/APUBLIC CHARITYCHARITABLE$1,000
PREGNANCY RESOURCES
165 N BABCOCK STREETMELBOURNEFL32935N/APUBLIC CHARITYCHARITABLE$3,000
SPACE COAST OVARIAN CANCER ALLIANCE
1855 W SR 434LONGWOODFL32750N/APUBLIC CHARITYCHARITABLE$6,000
SUZY GREENE MEMORIAL FUND PLAY FOR THE PINK FOUNDATION
175 E 74TH ST 17BNEW YORKNY10021N/APUBLIC CHARITYCHARITABLE$2,000
THE MASTERS WORKSHOP
2525 LIPSCOMB STMELBOURNEFL32901N/APUBLIC CHARITYCHARITABLE$5,000
HEART FOR ORPHANS
PO BOX 6295WILLIAMSBURGVA23188N/APUBLIC CHARITYCHARITABLE$3,000
FIRST BAPTIST OF MELBOURNE
3301 DAIRY ROADMELBOURNEFL32904N/APUBLIC CHARITYCHARITABLE$2,400
INTERNATIONAL HEALTH CARE FOUNDATION
102 N LOCUSTSEARCYAR72143N/APUBLIC CHARITYCHARITABLE$1,000
RADIUS CAMPS
204 EMERALD DR NINDIAN HARBOUR BEACHFL32937N/APUBLIC CHARITYCHARITABLE$20,000
ROLLING READERS SPACE COAST INC
1948 PINEAPPLE AVENUEMELBOURNEFL32935N/APUBLIC CHARITYCHARITABLE$650
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year233050TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$67ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$30,262ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$9,216ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$39,545ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA39545TotalPartXVIA

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

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (2 entries)

Category Or ItemCategoryOrItemListed At Cost Or FMVListedAtCostOrFMVBook ValueBookValueEOYFMVEOYFMV
FIDELITY INVESTMENTSFMV00
SCHWAB INVESTMENTSFMV10429381042938

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases OtherDecreases

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAINDescription
Amount$77,286Amount

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
MANAGEMENT FEES444144410
BANK CHARGES65650

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor SubstantialContributor

FieldValueIRS element (for citing)
Person NameEDWARD JEANNE ANDREPersonName

US Address USAddress

FieldValueIRS element (for citing)
Address Line1341 4TH AVENUEAddressLine1
CityINDIALANTICCity
StateFLState
ZIP Code32903ZIPCode

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
FEDERAL$2,29700
ANNUAL FILING FEE$13600

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