LEWIS J AND CLELIA M SERVENTI FAMILY FOUNDATION: Form 990PF, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LEWIS J AND CLELIA M SERVENTI FAMILY FOUNDATION (EIN 31-1585491)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-06-16
- IRS object ID
- 201131679349100003
- Schema version
- 2010v3.2
- 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
- Distribution From Corpus Election
- Gain Loss Sale Other Assets Sch
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-06-16T07:41:14-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHIAMPOU TRAVIS BESAW & KERSHNER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 BRYANT WOODS NORTH | AddressLine1 |
| City | AMHERST | City |
| State | NY | State |
| ZIP Code | 14228 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311585491 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE LEWIS J AND CLELIA M SERVENTI | BusinessNameLine1 |
| Business Name Line2 | FAMILY FOUNDATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LEWI | NameControl |
| Phone | 5852375292 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1982 SILVER LAKE RD | AddressLine1 |
| City | PERRY | City |
| State | NY | State |
| ZIP Code | 145300014 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ED RECHBERGER | Name |
| Title | VP/TREASURER | Title |
| Phone | 5852372213 | Phone |
| Date Signed | 2011-05-17 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHERYL JANKOWSKI | Name |
| Phone | 7166302400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 2354813 | 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 | 738 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 738 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 25487 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 25486 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 92330 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 842571 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 92683 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 118555 | TotalRevenueAndExpenses |
| Total Net Investment Income | 118907 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Taxes Rev And Expnss | 456 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 206 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 250 | TaxesDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 16959 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 16959 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 0 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 17415 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 17165 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 250 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 224400 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 224400 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 241815 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 17165 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 224650 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -123260 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 101742 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 208415 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 217735 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 217735 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 1976614 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 2137078 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 2137078 | InvestmentsCorpStockEOYFMV |
| Total Assets BOY | 2185029 | TotalAssetsBOY |
| Total Assets EOY | 2354813 | TotalAssetsEOY |
| Total Assets EOYFMV | 2354813 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 0 | CapitalStockBOY |
| Capital Stock EOY | 0 | CapitalStockEOY |
| Paid In Or Capital Surplus BOY | 0 | PaidInOrCapitalSurplusBOY |
| Paid In Or Capital Surplus EOY | 0 | PaidInOrCapitalSurplusEOY |
| Retained Earnings BOY | 2185029 | RetainedEarningsBOY |
| Retained Earnings EOY | 2354813 | RetainedEarningsEOY |
| Total Net Assets BOY | 2185029 | TotalNetAssetsBOY |
| Total Net Assets EOY | 2354813 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 2185029 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 2354813 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 2185029 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -123260 | ExcessOfRevenueOverExpenses |
| Other Increases | 293044 | OtherIncreases |
| Subtotal | 2354813 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 2354813 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (2 entries)
| Description Of AssetDescriptionOfAsset | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|
| GCI SHARES | 134130 | 59040 | 75090 | 75090 |
| MERRILL LYNCH | 708441 | 690848 | 17593 | 17593 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 92683 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 159658 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 1797658 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.088814 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 185390 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 2350725 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.078865 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 153431 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 2408423 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.063706 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 7948 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 1877783 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.004233 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 56375 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 1683501 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.033487 | DistributionRatioYear5 |
| Total Distribution Ratio | 0.269105 | TotalDistributionRatio |
| Average Distribution Ratio | 0.053821 | AverageDistributionRatio |
| Net Noncharitable Assets | 2137393 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 115037 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 1017 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 116054 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 224650 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 1017 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 1017 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 1017 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 164 | EstTaxPaymentsAndOverpayment |
| Tax Paid With Extension | 1113 | TaxPaidWithExtension |
| Total Credits And Payments | 1277 | TotalCreditsAndPayments |
| Overpayment | 260 | Overpayment |
| Amount Credited To Next Year | 260 | AmountCreditedToNextYear |
| Amount To Be Refunded | 0 | AmountToBeRefunded |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | NY | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | LEWIS J SERVENTI | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 5852375292 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1982 SILVER LAKE ROAD | AddressLine1 |
| City | PERRY | City |
| State | NY | State |
| ZIP Code | 14530 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
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 | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| LEWIS J SERVENTI | ||||||||
| 1982 SILVER LAKE ROAD | PERRY | NY | 145300014 | PRESIDENT | 10.00 | 0 | 0 | 0 |
| CLELIA M SERVENTI | ||||||||
| 1982 SILVER LAKE ROAD | PERRY | NY | 145300014 | V. PRESIDENT | 10.00 | 0 | 0 | 0 |
| DEBRA SERVENTI JONES | ||||||||
| 1998 PIPER WAY | KESWICK | VA | 22947 | DIRECTOR | 10.00 | 0 | 0 | 0 |
| MARY MICHELE RECHBERGER | ||||||||
| PO BOX 178 | PERRY | NY | 145300178 | DIRECTOR | 10.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 2001905 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 168037 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 2169942 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 2169942 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 32549 | CashDeemedCharitable |
| Net Noncharitable Assets | 2137393 | NetNoncharitableAssets |
| Minimum Investment Return | 106870 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 106870 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 1017 | TaxBasedOnInvestmentIncome |
| Total Tax | 1017 | TotalTax |
| Distributable Amount Before Adj | 105853 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 105853 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 105853 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 224650 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 224650 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 1017 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 223633 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 105853 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Excess Distri Carryover Year2 | 31383 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 159814 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 191197 | TotalExcessDistriCarryover |
| Qualifying Distributions | 224650 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 224650 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 0 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 0 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 105853 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 105853 | ExcessDistriCyovAppliedCY |
| Total Corpus | 309994 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 0 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 309994 | ExcessDistriCyovToNextYear |
| Excess From Year1 | 85344 | ExcessFromYear1 |
| Excess From Current Year | 224650 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | LEWIS J SERVENTI | ContributingManager |
| Contributing Manager | DEBRA SERVENTI JONES | ContributingManager |
| Contributing Manager | MARY MICHELE RECHBERGER | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (9 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| BOY SCOUTS OF AMERICA | |||||||
| 1325 WEST WALNUT HILL LANE | IRVING | TX | 75015 | N/A | EXEMPT | GENERAL FUNDS DONATION | $1,200 |
| GENESEE COMMUNITY COLLEGE | |||||||
| 11470 MAPLE RIDGE ROAD | MEDINA | NY | 14103 | N/A | EXEMPT | GENERAL FUNDS DONATION | $2,200 |
| GOLISANO CHILDREN'S HOSPITAL AT STRONG | |||||||
| 300 EAST RIVER ROAD PO BOX 278996 | ROCHESTER | NY | 14627 | N/A | EXEMPT | GENERAL FUNDS DONATION | $25,000 |
| MARTHA JEFFERSON HOSPITAL | |||||||
| 459 LOCUST AVE | CHARLOTTESVILLE | VA | 22902 | N/A | EXEMPT | GENERAL FUNDS DONATION | $45,000 |
| MERCY FLIGHT | |||||||
| 100 VILLA AVENUE | BUFFALO | NY | 14225 | N/A | EXEMPT | GENERAL FUNDS DONATION | $1,000 |
| ROSWELL PARK CANCER INSTITUTE | |||||||
| PO BOX 631 | BUFFALO | NY | 14240 | N/A | EXEMPT | GENERAL FUNDS DONATION | $50,000 |
| ST JUDES CHILDREN'S RESEARCH HOSPITAL | |||||||
| 501 ST JUDE PLACE | MEMPHIS | TN | 38105 | N/A | EXEMPT | GENERAL FUNDS DONATION | $10,000 |
| THE SALVATION ARMY | |||||||
| 46 BROAD STREET PO BOX 191 | TONAWANDA | NY | 14150 | N/A | EXEMPT | GENERAL FUNDS DONATION | $40,000 |
| WOMEN & CHILDREN'S HOSPITAL OF BUFFALO | |||||||
| 219 BRYANT STREET | BUFFALO | NY | 14222 | N/A | EXEMPT | GENERAL FUNDS DONATION | $50,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 224400 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $738 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $25,487 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $92,330 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $118,555 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 118555 | TotalPartXVIA |
Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps
Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps (3 entries)
| Line NumberLineNumber | Relationship StatementRelationshipStatement |
|---|---|
| 3 | INTEREST FROM INVESTMENTS DONATED |
| 4 | DIVIDENDS FROM INVESTMENTS DONATED |
| 8 | GAIN/(LOSS) ON SALE OF INVESTMENTS DONATED |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Distribution From Corpus Election DistributionFromCorpusElection
| Field | Value | IRS element (for citing) |
|---|---|---|
| Election | PURSUANT TO IRC SEC. 4942(H)(2) AND REG. 53.4942(A)-3(D)(2) , THE ABOVE REFERENCED FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF CORPUS. | Election |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAsset (2 entries)
| NameName | How AcquiredHowAcquired | Sales ExpenseSalesExpense | Total NetTotalNet |
|---|---|---|---|
| MARK WEST ENERGY PARTNERS K-1 | PURCHASED | 0 | -564 |
| OTHER INVESTMENT INCOME | PURCHASED | 0 | 211 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Stock | COMMON STOCK | NameOfStock |
| EOY Book Value | 2137078 | EOYBookValue |
| EOYFMV | 2137078 | EOYFMV |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MERRILL LYNCH AGENCY FEES | Description |
| Revenue And Expenses Per Books | 16959 | RevenueAndExpensesPerBooks |
| Net Investment Income | 16959 | NetInvestmentIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Other Increases Schedule OtherIncreasesSchedule
Other Increases OtherIncreases
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CHANGE IN VALUE OF INVESTMENTS | Description |
| Amount | $293,044 | Amount |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| NYS REGISTRATION FEE | $250 | 0 | 250 |
| FOREIGN TAXES PAID | $206 | 206 | 0 |
Comments