PATTERSON-BARCLAY MEMORIAL FOUNDATION INC: Form 990PF, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PATTERSON-BARCLAY MEMORIAL FOUNDATION INC (EIN 58-0904580)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-08
- IRS object ID
- 201231309349101708
- 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
- General Explanation Attachment
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-08T14:58:59-00:00 | 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 | Foundation Source | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Walls Drive | AddressLine1 |
| City | Fairfield | City |
| State | CT | State |
| ZIP Code | 06824 | 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 | 580904580 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Patterson Barclay Memorial Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PATT | NameControl |
| Phone | 8008391754 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jack W Allen | Name |
| Title | Secretary | Title |
| Date Signed | 2012-04-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2012-04-30 | DatePrepared |
| 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 | 11412920 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 52 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 52 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 266582 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 266582 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 127901 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 2960982 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 127901 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 394535 | TotalRevenueAndExpenses |
| Total Net Investment Income | 394535 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 85199 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 85199 | CompOfcrDirTrstDsbrsChrtblPrps |
| Pension Empl Bnft Rev And Expnss | 14362 | PensionEmplBnftRevAndExpnss |
| Pension Empl Bnft Dsbrs Chrtbl Prps | 14362 | PensionEmplBnftDsbrsChrtblPrps |
| Other Prof Fees Rev And Expnss | 101615 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 97615 | OtherProfFeesNetInvstIncm |
| Other Prof Fees Dsbrs Chrtbl Prps | 4000 | OtherProfFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 6287 | TaxesRevAndExpnss |
| Occupancy Rev And Expnss | 317 | OccupancyRevAndExpnss |
| Occupancy Dsbrs Chrtbl Prps | 317 | OccupancyDsbrsChrtblPrps |
| Trav Conf Meeting Rev And Expnss | 3208 | TravConfMeetingRevAndExpnss |
| Trav Conf Meeting Dsbrs Chrtbl Prps | 3208 | TravConfMeetingDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 46444 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 80 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 46364 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 257432 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 97695 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 153450 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 392000 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 392000 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 649432 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 97695 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 545450 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -254897 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 296840 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 1820233 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 3835985 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 3835985 | SavingsAndTempCashInvstEOYFMV |
| Accounts Receivable | 350 | AccountsReceivable |
| Accounts Receivable EOY | 350 | AccountsReceivableEOY |
| Accounts Receivable EOYFMV | 350 | AccountsReceivableEOYFMV |
| Investments Corp Stock BOY | 8746381 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 6475382 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 7576585 | InvestmentsCorpStockEOYFMV |
| Total Assets BOY | 10566614 | TotalAssetsBOY |
| Total Assets EOY | 10311717 | TotalAssetsEOY |
| Total Assets EOYFMV | 11412920 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 10566614 | RetainedEarningsBOY |
| Retained Earnings EOY | 10311717 | RetainedEarningsEOY |
| Total Net Assets BOY | 10566614 | TotalNetAssetsBOY |
| Total Net Assets EOY | 10311717 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 10566614 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 10311717 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 10566614 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -254897 | ExcessOfRevenueOverExpenses |
| Subtotal | 10311717 | Subtotal |
| Total Net Assets Fund Balances EOY | 10311717 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | Publicly-traded Securities | DescriptionOfAsset |
| Gross Sales Price | 2960982 | GrossSalesPrice |
| Cost Or Other Basis | 2833081 | CostOrOtherBasis |
| Gain Or Loss | 127901 | GainOrLoss |
| Gains Minus Excess Or Losses | 127901 | GainsMinusExcessOrLosses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 127901 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 447657 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 10026992 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.044645 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 515838 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 9270036 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.055646 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 267089 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 11281968 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 000.023674 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 401937 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 13102155 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 000.030677 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 591800 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 11967557 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 000.049450 | DistributionRatioYear5 |
| Total Distribution Ratio | 000.204092 | TotalDistributionRatio |
| Average Distribution Ratio | 000.040818 | AverageDistributionRatio |
| Net Noncharitable Assets | 10905717 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 445150 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 2968 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 448118 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 545450 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 2968 | InvestmentIncomeExciseTax |
| Subtotal | 2968 | Subtotal |
| Tax Based On Investment Income | 2968 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 5400 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 5400 | TotalCreditsAndPayments |
| Tax Paid Original Return | 5400 | TaxPaidOriginalReturn |
| Form2220 Attached | X | Form2220Attached |
| Overpayment | 2432 | Overpayment |
| Amount Credited To Next Year | 2432 | 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 |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | false | PrivateOperatingFoundation |
| New Substantial Contributors | false | NewSubstantialContributors |
| Interest In Controlled Entity | false | InterestInControlledEntity |
| Applicable Insurance Contract | false | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | true | ComplyWithPublicInspectionRqr |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 8008391754 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | 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 | true | 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 |
| Business Holdings | false | BusinessHoldings |
| 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 |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
| Proceeds Or Net Income | true | ProceedsOrNetIncome |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc |
|---|---|---|---|---|---|---|---|
| Hugh Allen | |||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Trustee | 001.00 | 0 | |
| Jack W Allen | |||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Vice President / Trustee | 001.00 | 0 | |
| Lee Allen | |||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | President / Trustee | 001.00 | 0 | |
| Laurell L Millirons | |||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Executive Director / Secretary / Treasurer / Trustee | 040.00 | 85943 | 7844 |
Compensation Of Hghst Paid Cntrct CompensationOfHghstPaidCntrct
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Oppenheimer & Co | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Broad St | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 10004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Service | Investment Management | TypeOfService |
| Compensation | 97695 | Compensation |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 7340839 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 3730955 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 11071794 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 11071794 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 166077 | CashDeemedCharitable |
| Net Noncharitable Assets | 10905717 | NetNoncharitableAssets |
| Minimum Investment Return | 545286 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 545286 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 2968 | TaxBasedOnInvestmentIncome |
| Total Tax | 2968 | TotalTax |
| Distributable Amount Before Adj | 542318 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 542318 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 542318 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 545450 | ExpensesAndContributions |
| Qualifying Distributions | 545450 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 2968 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 542482 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 542318 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 493860 | UndistributedIncomePriorYear |
| Qualifying Distributions | 545450 | QualifyingDistributions |
| Applied To Year1 | 493860 | AppliedToYear1 |
| Applied To Current Year | 51590 | AppliedToCurrentYear |
| Undistributed Income CY | 490728 | UndistributedIncomeCY |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (49 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| 12STONE CHURCH INC | |||||||
| 1322 BUFORD DR | LAWRENCEVILLE | GA | 30043 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| ALPHA TAU OMEGA FOUNDATION | |||||||
| 32 E WASHINGTON ST STE 1350 | INDIANAPOLIS | IN | 46204 | N/A | 509(a)(1) | Alpha Zeta Educational Endowment Scholarship | $10,000 |
| APPALACHIAN ST UNIV FINANCIAL SERVI | |||||||
| ASU BOX 32059 | BOONE | NC | 28608 | N/A | 509(a)(1) | Jack and Julie Allen Scholarship | $20,000 |
| ATLANTA COMMUNITY FOOD BANK INC | |||||||
| 732 JOSEPH E LOWERY BLVD NW | ATLANTA | GA | 30318 | N/A | 509(a)(1) | General Unrestricted | $20,000 |
| ATLANTA UNION MISSION CORPORATION | |||||||
| PO BOX 1807 | ATLANTA | GA | 30301 | N/A | 509(a)(1) | Support of Homelessness Services | $10,000 |
| ATLANTA YOUTH ACADEMIES INC | |||||||
| PO BOX 18237 | ATLANTA | GA | 30316 | N/A | 509(a)(1) | General Unrestricted | $10,000 |
| CALVARY CHAPEL OF VENICE | |||||||
| 594 N QUINCY RD | VENICE | FL | 34293 | N/A | 509(a)(1) | Special Needs Fund | $10,000 |
| CAMP SUNSHINE INC | |||||||
| 1850 CLAIRMONT RD | DECATUR | GA | 30033 | N/A | 509(a)(1) | Camp Sunshines Year Round Programs for Children with Cancer | $5,000 |
| CANINE ASSISTANTS INC | |||||||
| 3160 FRANCIS RD | ALPHARETTA | GA | 30004 | N/A | 509(a)(1) | Sponsorship and Training Of One Dog | $20,000 |
| CASA OF FORSYTH COUNTY INC | |||||||
| 875 LANIER 400 PKWY STE 201 BOX 7 | CUMMING | GA | 30040 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| CASA OF FORSYTH COUNTY INC | |||||||
| 875 LANIER 400 PKWY STE 201 BOX 7 | CUMMING | GA | 30040 | N/A | 509(a)(1) | Provide Suitcases to the Children in Need | $1,000 |
| CHILDSPRING INTERNATIONAL INC | |||||||
| 1328 PEACHTREE ST NE | ATLANTA | GA | 30309 | N/A | 509(a)(1) | Internship Program | $5,000 |
| COAL MOUNTAIN BAPTIST CHURCH OF FOR | |||||||
| 3220 DAHLONEGA HWY | CUMMING | GA | 30040 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| CROSSBRIDGE FAMILY MINISTRIES INC | |||||||
| 1177 GREGORIE FERRY RD | MOUNT PLEASANT | SC | 29466 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| CUMMING FIRST UNITED METHODIST CHUR | |||||||
| 770 CANTON HWY | CUMMING | GA | 30028 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| DRUID HILLS PRESBYTERIAN CHURCH FOU | |||||||
| 1026 PONCE DE LEON AVE NE | ATLANTA | GA | 30306 | N/A | 509(a)(1) | Night Shelter Program | $15,000 |
| EAST COBB LIONS CLUB FOUNDATION | |||||||
| PO BOX 6325 | MARIETTA | GA | 30065 | N/A | 509(a)(2) | General Unrestricted | $1,000 |
| FAMILIES OF CHILDREN UNDER STRESS I | |||||||
| 3825 PRESIDENTIAL PKWY STE 103 | ATLANTA | GA | 30340 | N/A | 509(a)(1) | Camp Hollywood Where Everyones a Star | $10,000 |
| FIRST BAPTIST CUMMING | |||||||
| 1597 SAWNEE DR | CUMMING | GA | 30040 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| FORSYTH COUNTY FAMILY HAVEN INC | |||||||
| PO BOX 1160 | CUMMING | GA | 30028 | N/A | 509(a)(1) | Supportive Services Project | $5,000 |
| FREEDOM ALLIANCE | |||||||
| 22570 MARKEY CT STE 240 | DULLES | VA | 20166 | N/A | 509(a)(1) | Freedom Alliance Scholarship Fund Support our Troops | $20,000 |
| GENESIS SHELTER INC | |||||||
| 173 BLVD NE | ATLANTA | GA | 30312 | N/A | 509(a)(1) | General Unrestricted | $10,000 |
| GEORGIA LIONS LIGHTHOUSE FOUNDATION | |||||||
| 1775 CLAIRMONT RD | DECATUR | GA | 30033 | N/A | 509(a)(2) | General Unrestricted | $5,000 |
| GEORGIA MOUNTAIN FOOD BANK | |||||||
| PO BOX 233 | GAINESVILLE | GA | 30503 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| GOOD NEWS CLINICS INC | |||||||
| 810 PINE ST | GAINESVILLE | GA | 30501 | N/A | 509(a)(1) | Electronic Medical Records Project | $15,000 |
| HIGHTOWER BAPTIST ASSOCIATION | |||||||
| 5975 PKWY N BLVD STE A | CUMMING | GA | 30040 | N/A | 509(a)(1) | General Unrestricted | $12,000 |
| HISTORIC OAKLAND FOUNDATION | |||||||
| 248 OAKLAND AVE SE | ATLANTA | GA | 30312 | N/A | 509(a)(1) | Restoration Project | $10,000 |
| HOLY FAMILY CATHOLIC CHURCH | |||||||
| 3401 LOWER ROSWELL RD | MARIETTA | GA | 30068 | N/A | 509(a)(1) | Habitat for Humanity | $2,500 |
| LAGRANGE COLLEGE | |||||||
| 601 BROAD ST | LAGRANGE | GA | 30240 | N/A | 509(a)(1) | Laurell Allen Scholarship | $5,000 |
| LIGHTHOUSE CHURCH | |||||||
| 1177 GREGORIE FERRY RD | MT PLEASANT | SC | 29466 | N/A | 509(a)(1) | Preschool Continuing Education | $5,000 |
| LIGHTHOUSE CHURCH | |||||||
| 1177 GREGORIE FERRY RD | MT PLEASANT | SC | 29466 | N/A | 509(a)(1) | Teacher Training Fund | $5,000 |
| MENTOR ME - NORTH GEORGIA INC | |||||||
| 210 DAHLONEGA ST STE 203 | CUMMING | GA | 30040 | N/A | 509(a)(1) | Continued REACH Expansion Project | $2,000 |
| MH | |||||||
| 4455 UPLAND COURT | CUMMING | GA | 30040 | NONE | N/A | Hardship Assistance Grant | $2,500 |
| NORTH CONGREGATIONAL CHURCH UNITED | |||||||
| PO BOX 307 | NEW HARTFORD | CT | 06057 | N/A | 509(a)(1) | Special Needs Project | $12,000 |
| PARKVIEW BAPTIST CHURCH | |||||||
| 5435 BELLE TERRE PKWY | Palm Coast | FL | 32137 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| PHI MU FOUNDATION | |||||||
| 400 WESTPARK DR | PEACHTREE CITY | GA | 30269 | N/A | 509(a)(1) | Kappa Phi Chapter Scholarship | $5,000 |
| PKD FOUNDATION | |||||||
| 8330 WARD PKWY STE 510 | KANSAS CITY | MO | 64114 | N/A | 509(a)(1) | General Unrestricted | $25,000 |
| PLACE OF FORSYTH COUNTY INC | |||||||
| 2550 THE PL CIR | CUMMING | GA | 30040 | N/A | 509(a)(1) | Survival Needs Program Support | $5,000 |
| RICHMONT GRADUATE UNIVERSITY | |||||||
| 1815 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | N/A | 509(a)(1) | Trauma Specialization Project | $5,000 |
| SAINTS RAPHAEL NICHOLAS IRENE GR | |||||||
| 3074 BETHELVIEW RD | CUMMING | GA | 30040 | N/A | 509(a)(1) | General Unrestricted | $2,000 |
| SHRINERS HOSPITALS FOR CHILDREN | |||||||
| 2900 N ROCKY POINT DR | TAMPA | FL | 33607 | N/A | 509(a)(1) | General Unrestricted | $3,000 |
| SPECIAL OLYMPICS GEORGIA INC | |||||||
| 4000 DEKALB TECHNOLOGY PKWY BLDG 40 | ATLANTA | GA | 30340 | N/A | 509(a)(1) | Support of Camp Inspire | $5,000 |
| SW | |||||||
| 712 SEMINOLE RD | LAGRANGE | GA | 30240 | NONE | N/A | Hardship Assistance Grant | $5,000 |
| SUSAN G KOMEN BREAST CANCER FOUNDAT | |||||||
| 5005 LBJ FWY STE 250 | DALLAS | TX | 75244 | N/A | 509(a)(2) | General Unrestricted | $4,000 |
| SR | |||||||
| 152 ODOM RD | SENOIA | GA | 30276 | NONE | N/A | Hardship Assistance Grant | $5,000 |
| THE CORPORATION OF MERCER UNIVERSIT | |||||||
| 1400 COLEMAN AVE | MACON | GA | 31207 | N/A | 509(a)(1) | Mercer Press Division | $5,000 |
| THE SALVATION ARMY | |||||||
| 1424 NE EXPRESS WAY | ATLANTA | GA | 30329 | N/A | 509(a)(1) | Red Shield Shelter Family Program | $20,000 |
| WELLSTAR FOUNDATION INC | |||||||
| 805 SANDY PLAINS RD | MARIETTA | GA | 30066 | N/A | 509(a)(1) | Matching Grant from an Anonymous Foundation | $10,000 |
| WWP INC - WOUNDED WARRIOR PROJECT I | |||||||
| 4899 BELFORT RD STE 300 | JACKSONVILLE | FL | 32256 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 392000 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $52 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $266,582 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $127,901 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $394,535 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 394535 | 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 |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (16 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| 15925 shares of ALTRIA GROUP INC MO | 188820 | 472176 |
| 19484 shares of ATT CORP COM NEW T | 481523 | 589196 |
| 8356 shares of BECTON DICKINSON CO BDX | 325626 | 624361 |
| 16715 shares of BRISTOL-MYERS SQUIBB CO BMY | 559509 | 589037 |
| 2632 shares of CHEVRONTEXACO CORP CVX | 284202 | 280045 |
| 16640 shares of CISCO SYSTEMS INC CSCO | 347676 | 300851 |
| 28895 shares of DUKE ENERGY CO DUK | 604693 | 635691 |
| 3979 shares of EXXON MOBIL CORP XOM | 159638 | 337260 |
| 5262 shares of H.J. HEINZ COMPANY HNZ | 277879 | 284358 |
| 10595 shares of HEWLETT PACKARD CO HPQ | 280604 | 272927 |
| 25460 shares of INTEL CORP INTC | 637808 | 617405 |
| 18315 shares of MICROSOFT CORPORATION MSFT | 502619 | 475457 |
| 23270 shares of PFIZER INC. PFE | 748529 | 503563 |
| 7400 shares of PHILIP MORRIS INTL PM | 169509 | 580752 |
| 13395 shares of VERIZON COMMUNICATIONS VZ | 422395 | 537407 |
| 17225 shares of XCEL ENERGY INC XEL | 484352 | 476099 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (7 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|
| Administrative Fees | 40315 | 40315 | |
| Administrative SetUp Fee | 3000 | 3000 | |
| Bank Charges | 80 | 80 | |
| Equipment Purchase and Maintenance | 1580 | 1580 | |
| Office Supplies | 526 | 526 | |
| Payroll Processing Fees | 754 | 754 | |
| Postage | 189 | 189 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| Investment Management Services | $97,615 | 97615 | |
| Philanthropic Consultant | $4,000 | 4000 |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| Estimated Tax for 2011 | $5,400 | 0 | 0 | 0 |
| Excise Tax for 2010 | $887 | 0 | 0 | 0 |
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