INTEGRA FOUNDATION INC: Form 990PF, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- INTEGRA FOUNDATION INC (EIN 52-2388679)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-08-22
- IRS object ID
- 202412359349100101
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-22T02:44:45-04:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522388679 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTEGRA FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Glen Coleman | InCareOfNm |
| Business Name Control | INTE | BusinessNameControlTxt |
| Foreign Phone | 6099362465 | ForeignPhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 CAMPUS RD | AddressLine1Txt |
| City | PRINCETON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 085406650 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeffery Mosebrook | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2024-08-22 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $699,443 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $0 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $0 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $0 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $0 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $0 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Incm Modifications Adj Net Incm | $0 | IncmModificationsAdjNetIncmAmt |
| Gross Sales Less Ret And Allwnc | $0 | GrossSalesLessRetAndAllwncAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Rev And Expnss | $0 | GrossProfitRevAndExpnssAmt |
| Gross Profit Adj Net Incm | $0 | GrossProfitAdjNetIncmAmt |
| Other Income Rev And Expnss | $0 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $0 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $0 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $0 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $0 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $0 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $0 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $0 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $0 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $0 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $0 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $0 | InterestNetInvstIncmAmt |
| Interest Adj Net Incm | $0 | InterestAdjNetIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $0 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $0 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $0 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $0 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $0 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $0 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $0 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $0 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $0 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $0 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $417,800 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $417,800 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $417,800 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $417,800 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$417,800 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,127,243 | CashBOYAmt |
| Cash EOY | $699,443 | CashEOYAmt |
| Cash EOYFMV | $699,443 | CashEOYFMVAmt |
| Rcvbl From Officers BOY | $0 | RcvblFromOfficersBOYAmt |
| Rcvbl From Officers EOY | $0 | RcvblFromOfficersEOYAmt |
| Other Nts And Loans Rcvbl BOY | $0 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $0 | OtherNtsAndLoansRcvblEOYAmt |
| US Government Obligations EOY | $0 | USGovernmentObligationsEOYAmt |
| Corporate Stock EOY | $0 | CorporateStockEOYAmt |
| Corporate Bonds EOY | $0 | CorporateBondsEOYAmt |
| Land Bldg Investments EOY | $0 | LandBldgInvestmentsEOYAmt |
| Other Investments EOY | $0 | OtherInvestmentsEOYAmt |
| Land EOY | $0 | LandEOYAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $0 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $1,127,243 | TotalAssetsBOYAmt |
| Total Assets EOY | $699,443 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $699,443 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $0 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $0 | AccountsPayableEOYAmt |
| Grants Payable BOY | $10,000 | GrantsPayableBOYAmt |
| Grants Payable EOY | $0 | GrantsPayableEOYAmt |
| Deferred Revenue BOY | $0 | DeferredRevenueBOYAmt |
| Deferred Revenue EOY | $0 | DeferredRevenueEOYAmt |
| Loans From Officers BOY | $0 | LoansFromOfficersBOYAmt |
| Loans From Officers EOY | $0 | LoansFromOfficersEOYAmt |
| Mortgages And Notes Payable EOY | $0 | MortgagesAndNotesPayableEOYAmt |
| Other Liabilities BOY | $0 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $0 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $10,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $1,117,243 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $699,443 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,117,243 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $699,443 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,127,243 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $699,443 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,117,243 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$417,800 | ExcessRevenueOverExpensesAmt |
| Subtotal | $699,443 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $699,443 | TotNetAstOrFundBalancesEOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cap Gains Loss Tx Invst Incm Detail | CapGainsLossTxInvstIncmDetail |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Tax Due | $0 | TaxDueAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NJ | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | www.integra-foundation.org | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Integra LifeSciences Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6099362465 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 CAMPUS RD | AddressLine1Txt |
| City | PRINCETON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 085406650 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | Yes (true) | UndistributedIncomePYInd |
| Undistributed Income PY1 | 2019 | UndistributedIncomePY1Yr |
| Undistributed Income PY2 | 2020 | UndistributedIncomePY2Yr |
| Undistributed Income PY3 | 2021 | UndistributedIncomePY3Yr |
| Undistributed Income PY4 | 2022 | UndistributedIncomePY4Yr |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| Simon Archibald | ||||||||
| 1100 Campus Road | Princeton | NJ | 08540 | Trustee & President | 0.00 | $0 | $0 | $0 |
| Stuart Essig | ||||||||
| 1100 Campus Road | Princeton | NJ | 08540 | Trustee | 0.00 | $0 | $0 | $0 |
| Stuart Hart | ||||||||
| 1100 Campus Road | Princeton | NJ | 08540 | Trustee | 0.00 | $0 | $0 | $0 |
| Jessica Smith | ||||||||
| 1100 Campus Road | Princeton | NJ | 08540 | Trustee | 0.00 | $0 | $0 | $0 |
| Jeffery Mosebrook | ||||||||
| 1100 Campus Road | Princeton | NJ | 08540 | Treasurer | 0.00 | $0 | $0 | $0 |
| Gianna Sabella | ||||||||
| 1100 Campus Road | Princeton | NJ | 08540 | Executive Director & Corporate Secretary | 15.00 | $0 | $0 | $0 |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $895,847 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $895,847 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $895,847 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $13,438 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $882,409 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $44,120 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $44,120 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $0 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $0 | IncomeTaxAmt |
| Total Tax | $0 | TotalTaxAmt |
| Distributable Before Adj | $44,120 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $44,120 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $44,120 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $417,800 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $417,800 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $44,120 | DistributableAsAdjustedAmt |
| Prior Year1 | 2021 | PriorYear1Yr |
| Prior Year2 | 2020 | PriorYear2Yr |
| Prior Year3 | 2019 | PriorYear3Yr |
| Total For Prior Years | $1,174,206 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $407,832 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $405,253 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $421,757 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $347,196 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $349,680 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,931,718 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $417,800 | QualifyingDistributionsAmt |
| Applied To Current Year | $44,120 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $373,680 | RemainingDistriFromCorpusAmt |
| Total Corpus | $2,305,398 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $1,174,206 | PriorYearUndistributedIncmAmt |
| Taxable1 | $1,174,206 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $407,832 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,897,566 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $405,253 | ExcessFromYear4Amt |
| Excess From Year3 | $421,757 | ExcessFromYear3Amt |
| Excess From Year2 | $347,196 | ExcessFromYear2Amt |
| Excess From Year1 | $349,680 | ExcessFromYear1Amt |
| Excess From Current Year | $373,680 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (67 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | Address Line2RecipientUSAddress/AddressLine2Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line1RecipientForeignAddress/AddressLine1Txt | CityRecipientForeignAddress/CityNm | Province Or StateRecipientForeignAddress/ProvinceOrStateNm | CountryRecipientForeignAddress/CountryCd | Foreign PostalRecipientForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Direct Relief | |||||||||||||
| 6100 Wallace Becknell Rd | N/A | Santa Barbara | CA | 93117 | None | PC | Contribution provided | $25,000 | |||||
| Americares Foundation | |||||||||||||
| 88 Hamilton Avenue | N/A | Stamford | CT | 06903 | None | PC | Contribution provided | $25,000 | |||||
| Princess Nora's Warrior Foundation | |||||||||||||
| 2728 Malvern Ave | N/A | Hot Springs | AR | 71901 | None | PC | Contribution provided | $1,000 | |||||
| Neurosurgery Research and Education Foundation | |||||||||||||
| 5550 Meadowbrook Dr | N/A | Rolling Meadows | IL | 60008 | None | PC | Contribution provided | $2,500 | |||||
| Americares Foundation | |||||||||||||
| 88 Hamilton Avenue | N/A | Stamford | CT | 06903 | None | PC | Contribution provided | $10,000 | |||||
| Direct Relief | |||||||||||||
| 6100 Wallace Becknell Rd | N/A | Santa Barbara | CA | 93117 | None | PC | Contribution provided | $10,000 | |||||
| American Society for Neural Therapy and Repair | |||||||||||||
| 30446 USF Holly Drive | N/A | Tampa | FL | 33620 | None | PC | Contribution provided | $5,000 | |||||
| Future Neurosurgeons Foundation Inc | |||||||||||||
| 3745 W Chipmunk Road | N/A | Prescot | AZ | 86305 | None | PC | Contribution provided | $5,000 | |||||
| ThinkFirst Foundation | |||||||||||||
| 1801 N Mill Street Suite F | N/A | Naperville | IL | 60563 | None | PC | Contribution provided | $6,000 | |||||
| Sisters Network | |||||||||||||
| 9668 Westheimer Rd | N/A | Houston | TX | 77063 | None | PC | Contribution provided | $5,000 | |||||
| Case Western Reserve University | |||||||||||||
| 2109 Adelbert Road | N/A | Cleveland | OH | 44106 | None | PC | Contribution provided | $7,000 | |||||
| Emmanuel Cancer Foundation | |||||||||||||
| 77 Brant Ave Suite 304 | N/A | Clark | NJ | 07066 | None | PC | Contribution provided | $1,000 | |||||
| Burn Prevention Foundation | |||||||||||||
| 236 N 17th Street | N/A | Allentown | PA | 18104 | None | PC | Contribution provided | $1,000 | |||||
| National Children's Cancer Society | |||||||||||||
| 500 N Broadway Ste 1850 | N/A | St Louis | MO | 63102 | None | PC | Contribution provided | $1,000 | |||||
| Dental Lifeline Network | |||||||||||||
| 1800 15th Street Suite 100 | N/A | Denver | CO | 80202 | None | PC | Contribution provided | $10,000 | |||||
| Neurocritical Care Society | |||||||||||||
| 330 N Wabash 2000 | N/A | Chicago | IL | 60611 | None | PC | Contribution provided | $20,000 | |||||
| Ohana One International Surgical Aid | |||||||||||||
| 555 W 5th St 35th Floor | N/A | Los Angeles | CA | 90013 | None | PC | Contribution provided | $2,000 | |||||
| Center for Excellence in Education | |||||||||||||
| 8201 Greensboro Dr 215 | N/A | McLean | VA | 22102 | None | PC | Contribution provided | $3,500 | |||||
| Emory University School of Medicine | |||||||||||||
| 201 Dowman Drive | N/A | Atlanta | GA | 30322 | None | PC | Contribution provided | $2,500 | |||||
| Solidarity Bridge | |||||||||||||
| 1703 Darrow Avenue Unit 1 | N/A | Evanston | IL | 60202 | None | PC | Contribution provided | $2,000 | |||||
| Kessler Foundation | |||||||||||||
| 120 Eagle Rock Ave 100 | N/A | East Hanover | NJ | 07936 | None | PC | Contribution provided | $2,500 | |||||
| American Foundation for Surgery of the Hand | |||||||||||||
| 822 W Washington Blvd 2nd Fl | N/A | Chicago | IL | 60607 | None | PC | Contribution provided | $6,700 | |||||
| Orphan Grain Train | |||||||||||||
| 621 East West Blvd | N/A | Millersville | MD | 21108 | None | PC | Contribution provided | $1,000 | |||||
| The College of New Jersey Foundation | |||||||||||||
| 2000 Pennington Road | N/A | Ewing | NJ | 08628 | None | PC | Contribution provided | $7,850 | |||||
| Childrens Home Society of New Jersey | |||||||||||||
| 635 South Clinton Avenue | N/A | Trenton | NJ | 08611 | None | PC | Contribution provided | $2,000 | |||||
| All Star Code | |||||||||||||
| 276 5th Avenue Suite 704 734 | N/A | New York | NY | 10001 | None | PC | Contribution provided | $5,000 | |||||
| National Military Family Association | |||||||||||||
| 3601 Eisenhower Ave 425 | N/A | Alexandria | VA | 22304 | None | PC | Contribution provided | $5,000 | |||||
| University of Alberta | |||||||||||||
| None | PC | Contribution provided | $5,000 | 3rd Floor Administration Building | Edmonton | Alberta | CA | T6G 2M7 | |||||
| Acoustic Neuroma Association | |||||||||||||
| 600 Peachtree Parkway 108 | N/A | Cumming | GA | 30041 | None | PC | Contribution provided | $2,500 | |||||
| Special Olympics of NJ | |||||||||||||
| 1 Eunice Kennedy Shriver Way | N/A | Lawrenceville | NJ | 08648 | None | PC | Contribution provided | $2,500 | |||||
| Firefighters for Healing | |||||||||||||
| PO Box 374 | N/A | Champlin | MN | 55316 | None | PC | Contribution provided | $3,000 | |||||
| Fighting Childrens Cancer Foundation | |||||||||||||
| 55 Lane Road Suite 300 | N/A | Fairfield | NJ | 07004 | None | PC | Contribution provided | $5,000 | |||||
| National Brain Tumor Society | |||||||||||||
| 55 Chapel Street 200 | N/A | Newton | MA | 02458 | None | PC | Contribution provided | $5,000 | |||||
| Physicians for Peace | |||||||||||||
| 521 West 21st St G2103 | N/A | Norfolk | VA | 23517 | None | PC | Contribution provided | $5,000 | |||||
| Plastic Surgery Foundation | |||||||||||||
| 444 E Algonquin Rd | N/A | Arlington Heights | IL | 60005 | None | PC | Contribution provided | $10,000 | |||||
| AORN Foundation | |||||||||||||
| 2170 S Parker Road 400 | N/A | Denver | CO | 80231 | None | PC | Contribution provided | $10,000 | |||||
| Push to Walk | |||||||||||||
| 100 Bauer Drive | N/A | Oakland | NJ | 07436 | None | PC | Contribution provided | $1,000 | |||||
| Kaserem Futures | |||||||||||||
| 2146 Brown Pelican Ln | N/A | Charleston | SC | 29412 | None | PC | Contribution provided | $500 | |||||
| Burn Institute | |||||||||||||
| 8825 Aero Drive 200 | N/A | San Diego | CA | 92123 | None | PC | Contribution provided | $4,000 | |||||
| MedTech and BioTech Veterans Program Inc | |||||||||||||
| 10 Villa Rd | N/A | South Hamilton | MA | 01982 | None | PC | Contribution provided | $5,000 | |||||
| World Pediatric Project | |||||||||||||
| 7201 Glen Forest Dr Ste 304 | N/A | Richmond | VA | 23226 | None | PC | Contribution provided | $3,000 | |||||
| Grossman Burn Foundation | |||||||||||||
| 23679 Calabasas Rd Suite 270 | N/A | Calabasas | CA | 91302 | None | PC | Contribution provided | $5,000 | |||||
| Neurosurgery Foundation at Goodman Campbell | |||||||||||||
| 13345 N Illinois St | N/A | Carmel | IN | 46032 | None | PC | Contribution provided | $1,000 | |||||
| University of Maryland Medical System Foundation | |||||||||||||
| 110 South Paca Street 9th Floor | N/A | Baltimore | MD | 21201 | None | PC | Contribution provided | $5,000 | |||||
| Brain Injury Alliance of NJ | |||||||||||||
| 825 Georges Road 2nd Fl | N/A | New Brunswick | NJ | 08902 | None | PC | Contribution provided | $2,000 | |||||
| Princeton Community Housing | |||||||||||||
| One Monument Drive Lower Level | N/A | Princeton | NJ | 08540 | None | PC | Contribution provided | $2,500 | |||||
| Direct Relief | |||||||||||||
| 6100 Wallace Becknell Rd | N/A | Santa Barbara | CA | 93117 | None | PC | Contribution provided | $15,000 | |||||
| Americares Foundation | |||||||||||||
| 88 Hamilton Avenue | N/A | Stamford | CT | 06903 | None | PC | Contribution provided | $15,000 | |||||
| Princeton Committee of UNCF | |||||||||||||
| 60 Park Place Suite 406 | N/A | Newark | NJ | 07102 | None | PC | Contribution provided | $17,250 | |||||
| Children's Burn Foundation | |||||||||||||
| 5000 Van Nuys Blvd 210 | N/A | Sherman Oaks | CA | 91403 | None | PC | Contribution provided | $10,000 | |||||
| Children's Brain Tumor Foundation | |||||||||||||
| 1460 Broadway 8th Floor | N/A | New York | NY | 10036 | None | PC | Contribution provided | $10,000 | |||||
| Society of Neurological Surgeons | |||||||||||||
| 10 N Martingale Rd | N/A | Schaumburg | IL | 60173 | None | PC | Contribution provided | $5,000 | |||||
| Tigerlily Foundation | |||||||||||||
| 42020 Village Center Plaza | N/A | Stoneridge | VA | 20105 | None | PC | Contribution provided | $3,000 | |||||
| Pediatric Brain Tumor Foundation | |||||||||||||
| 6065 Roswell Rd NE Ste 505 | N/A | Atlanta | GA | 30328 | None | PC | Contribution provided | $5,000 | |||||
| Americares Foundation | |||||||||||||
| 88 Hamilton Avenue | N/A | Stamford | CT | 06903 | None | PC | Contribution provided | $20,000 | |||||
| American Diabetes Association | |||||||||||||
| 2451 Crystal Drive | N/A | Arlington | VA | 22202 | None | PC | Contribution provided | $5,000 | |||||
| Alisa Ann Ruch Burn Foundation | |||||||||||||
| 50 N Hill Ave Suite 305 | N/A | Pasadena | CA | 91106 | None | PC | Contribution provided | $2,500 | |||||
| Agnes Marshall Walker Foundation | |||||||||||||
| 8735 West Higgins Rd 300 | N/A | Chicago | IL | 60631 | None | PC | Contribution provided | $20,000 | |||||
| Drexel University | |||||||||||||
| 3141 Chestnut Street | N/A | Philadelphia | PA | 19104 | None | PC | Contribution provided | $2,500 | |||||
| Students 2 Science | |||||||||||||
| 66 Deforest Avenue | N/A | East Hanover | NJ | 07963 | None | PC | Contribution provided | $1,000 | |||||
| ICAN International Cancer Advocacy Network | |||||||||||||
| 27 West Morten Avenue | N/A | Phoenix | AZ | 85021 | None | PC | Contribution provided | $2,500 | |||||
| Corporate Angels Network | |||||||||||||
| 1 Loop Road | N/A | White Plains | NY | 10604 | None | PC | Contribution provided | $2,500 | |||||
| Chapel York US Foundation | |||||||||||||
| 1350 6th Ave Floor 2 Suite 266 | N/A | New York | NY | 10019 | None | PC | Contribution provided | $9,000 | |||||
| University of Texas Foundation | |||||||||||||
| 9011 Mountain Ridge Dr Suite 150 | N/A | Austin | TX | 78759 | None | PC | Contribution provided | $2,000 | |||||
| Brain and Spine Group | |||||||||||||
| 1579 N Altadena Dr | N/A | Pasadena | CA | 91107 | None | PC | Contribution provided | $15,000 | |||||
| The Latin American Legal Defense and Education Fund | |||||||||||||
| 714 716 S Clinton Avenue | N/A | Trenton | NJ | 08611 | None | PC | Contribution provided | $1,000 | |||||
| Neurosurgery Outreach Foundation | |||||||||||||
| 3545 St Johns Bluff Rd South | Suite 118 | Jacksonville | FL | 32224 | No Relationship | PC | Contribution provided | $3,000 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $417,800 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Program Service Revenue Dtl ProgramServiceRevenueDtl (7 entries)
| Unrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmt | ExclusionExclusionAmt | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt |
|---|---|---|
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
Membership Dues And Assmnt MembershipDuesAndAssmntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Net Rental Income Personal Prop NetRentalIncomePersonalPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Net Income Loss From Special Evt NetIncomeLossFromSpecialEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Gross Profit Loss Sls Of Invntry GrossProfitLossSlsOfInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
Other Revenue Described OtherRevenueDescribedGrp (5 entries)
| Unrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmt | ExclusionExclusionAmt | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt |
|---|---|---|
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
| $0 | $0 | $0 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $0 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |