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SALEM HEALTH AND WELLNESS FOUNDATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SALEM HEALTH AND WELLNESS FOUNDATION INC (EIN 01-0625542)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-07-11
IRS object ID
202311929349100106
Schema version
2022v5.0
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)
Return2023-07-11T06:38:10-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222672100PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EDWARD T GHEYSENS JR CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line113 SOUTH MAIN STREETAddressLine1Txt
CityWOODSTOWNCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08098ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010625542EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Salem Health and Wellness Foundation IncBusinessNameLine1Txt
Business Name Line2co Paul S DiLorenzo Ex DirectorBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSALEBusinessNameControlTxt
Phone8562994460PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line191 S VIRGINIA AVE STE AAddressLine1Txt
CityPENNS GROVECityNm
State AbbreviationNJStateAbbreviationCd
ZIP08069ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRalph ThomasPersonNm
Person TitleChairmanPersonTitleTxt
Signature2023-07-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRalphPersonFirstNm
Person LastThomasPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD T GHEYSENS JRPreparerPersonNm
PTINP00448729PTIN
Phone8567691166PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$34,348,113FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$557,079ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$4InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$4InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$672,090DividendsRevAndExpnssAmt
Dividends Net Invst Incm$672,090DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$778,694NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$4,062,412GrossSalesPriceAmt
Other Income Rev And Expnss$501,130OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$501,130OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$951,609TotalRevAndExpnssAmt
Total Net Invst Incm$1,173,224TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$142,577CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$7,129CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$135,161CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$66,952OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$3,348OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$64,238OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$36,127PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$1,807PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$40,366PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$74,401LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$1,112LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$83,284LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$30,330AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$12,498AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$17,832AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$144,874OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$82,874OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$62,000OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$33,548TaxesRevAndExpnssAmt
Taxes Net Invst Incm$18,909TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$94,591TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$2,624DeprecAndDpltnRevAndExpnssAmt
Trav Conf Meeting Rev And Expnss$7,647TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$7,647TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$729PrintingAndPubRevAndExpnssAmt
Printing And Pub Dsbrs Chrtbl$729PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$49,023OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$49,488OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$588,832TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$127,677TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$555,336TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$865,924ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$865,924ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,454,756TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$127,677TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$1,421,260TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$503,147ExcessRevenueOverExpensesAmt
Net Investment Income$1,045,547NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$513,915CashBOYAmt
Cash EOY$44,755CashEOYAmt
Cash EOYFMV$44,755CashEOYFMVAmt
Sav And Temp Cash Invst BOY$40,383SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,694,436SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,694,436SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$22,028PrepaidExpensesBOYAmt
Prepaid Expenses EOY$85,067PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$85,067PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$17,610,542CorporateStockBOYAmt
Corporate Stock EOY$11,712,145CorporateStockEOYAmt
Corporate Stock EOYFMV$11,712,145CorporateStockEOYFMVAmt
Corporate Bonds BOY$5,332,735CorporateBondsBOYAmt
Corporate Bonds EOY$7,585,788CorporateBondsEOYAmt
Corporate Bonds EOYFMV$7,585,788CorporateBondsEOYFMVAmt
Other Investments BOY$144,636OtherInvestmentsBOYAmt
Land Bldg Equip Cost Or Other Bss$66,250LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,542LandBldgEquipAccumDeprecAmt
Land BOY$20,007LandBOYAmt
Land EOY$20,708LandEOYAmt
Land EOYFMV$22,000LandEOYFMVAmt
Other Assets BOY$37,778,056OtherAssetsBOYAmt
Other Assets EOY$13,203,922OtherAssetsEOYAmt
Other Assets EOYFMV$13,203,922OtherAssetsEOYFMVAmt
Total Assets BOY$61,462,302TotalAssetsBOYAmt
Total Assets EOY$34,346,821TotalAssetsEOYAmt
Total Assets EOYFMV$34,348,113TotalAssetsEOYFMVAmt
Accounts Payable BOY$76,045AccountsPayableBOYAmt
Accounts Payable EOY$47,559AccountsPayableEOYAmt
Total Liabilities BOY$76,045TotalLiabilitiesBOYAmt
Total Liabilities EOY$47,559TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$48,619,283NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$24,049,411NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$12,766,974DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$10,249,851DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$61,386,257TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$34,299,262TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$61,462,302TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$34,346,821TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$61,386,257TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$503,147ExcessRevenueOverExpensesAmt
Other Increases$2,379OtherIncreasesAmt
Subtotal$60,885,489SubtotalAmt
Other Decreases$26,586,227OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$34,299,262TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyBroker Held Publicly Traded SecuritiesPropertyDesc
How AcquiredPHowAcquiredCd
Acquired2001-12-01AcquiredDt
Sold2022-12-31SoldDt
Gross Sales Price$4,062,412GrossSalesPriceAmt
Cost Or Other Basis$4,841,106CostOrOtherBasisAmt
Gain Or Loss-$778,694GainOrLossAmt
Gains Minus Excess Or Losses-$778,694GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income-$778,694CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$14,533InvestmentIncomeExciseTaxAmt
Subtotal$14,533SubtotalAmt
Tax Based On Investment Income$14,533TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$80,000EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$80,000TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Overpayment$65,467OverpaymentAmt
Applied To ES Tax$65,467AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNJOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website Addresswww.salemwellnessfoundation.orgWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Paul S DiLorenzoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8562994460PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line191 S Virginia AveAddressLine1Txt
CityCarneys PointCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08069ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmt
Kathleen Lockbaum
58 Pennsville Pedricktown RdPedricktownNJ08067Trustee1.00$0
Ann Marie Healy Herdman
67 E Lake RdWoodstownNJ08098Trustee1.00$0
Benjamin Griffith
6 Van Meter TerraceSalemNJ08079Trustee1.00$0
Daniel J Delaney
37 South Locust AveSalemNJ08079Trustee1.00$0
Ralph Thomas
309 State StElmerNJ08318Chair1.00$0
Stephen Krough
13 Klessel AvePennsvilleNJ08070Vice Chair1.00$0
Brenda L Goins
627 Quinton RdSalemNJ08079Executive Dir.40.00$104,332$6,419
Dorothy Haefner
409 Welchville RoadSalemNJ08079Secretary1.00$0
Lynee R Saunders
140A Walnut StreetSalemNJ08079Trustee1.00$0
Paul DiLorenzo
710 Stradone RdBala CynwydPA19004Executive Dir.40.00$38,245
Jeanette Jackson
13 Dixie DrPenns GroveNJ08069Trustee1.00$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonJUDITH A FOLEYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line186 Kansas RoadAddressLine1Txt
CityPennsvilleCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08070ZIPCd
FieldValueIRS element (for citing)
TitleEXEC. ASSISTANTTitleTxt
Average Hrs Per Wk Devoted To Pos40.00AverageHrsPerWkDevotedToPosRt
Compensation$66,952CompensationAmt
Employee Benefits$3,600EmployeeBenefitsAmt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
SEI Private Trust Company
1 Freedom Valley DrOaksPA19456Investment Management$82,874
The Burd Group
1531 Pine St Suite 3PhiladelphiaPA19102Consultant$62,000
Drinker Biddle & Reath LLP
600 Campus DriveFlorham ParkNJ079321047Legal Fees$67,343

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1Support - Contribution to Grantmakers in Health to support their mission - Health Philanthrophy - $ 2,000Description1Txt
Expenses1$2,000Expenses1Amt
Description2Preventative Care: 1. Grant to Stand Up for Salem - To Support Their 10K Run (Cow Run) - $ 3,000 2. Grant to Bancroft - Initial Funding for New Program - $ 50,000 3. Grant to Salem County Department of Health - to support Health screening Program for Salem County Residnets - $ 9,000 4. Grant to Rutgers University Foundation - to support a Grow Healthy program for residents of Salem County, NJ - $ 55,000 5. Grant to Nonprofit Development Center of NJ - To Support Their first Salem County Meeeting of Non-Profit Community - $ 2,500 6. Grant to Habitat for Humanity - For Re-usable Metal Wheel Chair Ramps - $ 20,000 7. Grant to Penns Grove Community Housing Corp - Support Their Summer Basketball Camp - $ 3,000 8. Grant to NCADD Hudson - Partners In Prevention - Support for a Program focusing on Anti-Smnoking & Drug use Program in Local Salem County Schools - $ 50,000 9. Grant to Salem High School - To Fund Teen Prevention Education Program (TEEN PEP) - A Sexual Health Program - $ 13,200 10.Description2Txt
Expenses2$268,700Expenses2Amt
Description3Matching Gift Program - The Salem Health and Wellness Foundation provides general operating support to Salem County 501(C)(3) non-profit organizations offering services that fall within the Foundation's charitable purposes, via the matching gift program. In 2022, this program supported 9 Salem County non-profit organizations.Description3Txt
Expenses3$169,751Expenses3Amt
Description4Live Healthy Salem County Initiative - To assist a county wide group of community residents, nonprofits, stakeholders,and service providers coming together to address the health needs of Salem County Residents. The mission of Live Healthy Salem County is to inspire residents to live healthy, productive lives by enhancing opportunities that lead to a sustainable culture of wellness.Description4Txt
Expenses4$3,023Expenses4Amt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$20,267,080AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$547,739AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$20,814,819TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$20,814,819AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$312,222CashDeemedCharitableAmt
Net Vl Noncharitable Assets$20,502,597NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,025,130MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,025,130MinimumInvestmentReturnAmt
Tax Based On Investment Income$14,533TaxBasedOnInvestmentIncomeAmt
Total Tax$14,533TotalTaxAmt
Distributable Before Adj$1,010,597DistributableBeforeAdjAmt
Recoveries Qualfied Distri$1,502,379RecoveriesQualfiedDistriAmt
Distributable Before Ded$2,512,976DistributableBeforeDedAmt
Distributable As Adjusted$2,512,976DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,421,260ExpensesAndContributionsAmt
Qualifying Distributions$1,421,260QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$2,512,976DistributableAsAdjustedAmt
Excess Distribution Cyov Yr3$22,679,634ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$14,374,244ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$37,053,878TotalExcessDistributionCyovAmt
Qualifying Distributions$1,421,260QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,421,260AppliedToCurrentYearAmt
Excess Distri Cyov App CY Corpus$1,091,716ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$1,091,716ExcessDistributionCyovAppCYAmt
Total Corpus$35,962,162TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$35,962,162ExcessDistriCyovToNextYrAmt
Excess From Year3$21,587,918ExcessFromYear3Amt
Excess From Year2$14,374,244ExcessFromYear2Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (23 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
Grantmakers In Health
1100 Connecticut Ave NW Ste 1200WashingtonDC20036NonePCTo support mission related work$2,000
NCADD Hudson-Ptrs in Prevention
110B Meadowlands Pkw Ste 301SeacaucusNJ07094NonePCSupport for a program focusing on Anti-Smoking and Drug Use Program in local schools in Salem County$50,000
Salem High school
219 Walnut StreetSalemNJ08079NoneGOVSupport for the teen PEP Program, educating teens on the prevention of teen pregnancy, healthy teen relationships and avoidance of STD's$13,200
Salem County Dept Of Health
110 Fifth St Ste 400SalemNJ08079NoneGOVSupport for health screenings for all Salem County Residents$9,000
Meals on Wheels
90 Market StSalemNJ08079NonePCSupport to help Meals on Wheels keep Salem County residents off their waiting list$20,000
Salem Community College Foundation
460 Hollywood AvePenns GroveNJ08069NonePCNursing and allied health scholarships for Salem County Residents$30,000
Ranch Hope Inc
PO Box 325AllowayNJ08001NonePCMatching gift program to support their ongoing programs$20,000
Habitat for Humanity Salem
416 S Pennsville-Auburn RdCarneys PointNJ08069NonePCMatching Gift Program to Support their ongoing programs$20,000
Cornerstone Womens Resource Ctr
PO Box 63SalemNJ08079NonePCMatching Gift Program to support their ongoing programs$20,000
Appel Farm Arts Music Ctr
457 Shirley Rd PO Box 888ElmerNJ08318NonePCMatching Gift Program to Support their ongoing programs$20,000
Pennsville Visiting Nurse Assoc
14 N BroadwayPennsvilleNJ08070NonePCMatching gift program to support their ongoing programs$20,000
Shadow Equestrian Inc
1907 Monroeville RdMonroevilleNJ08343NonePCMatching gift program to support their ongoing programs$20,000
The Arc of Salem County
150 Salem-Woodstown RdSalemNJ08079NonePCMatching gift program to support their ongoing programs$9,751
Penns Grove Middle School
351 E Maple AvePenns GroveNJ08069NoneGOVTo Support the after School physical activity/Sports Program$3,000
Rutgers University Foundation
335 George St Ste 4000New BrunswickNJ08901NonePCTo Support Grow Healty Program.$55,000
Stand Up For Salem
219 E BroadwaySalemNJ08079NonePCFunding for this program supports a 10K run - Cow Run$3,000
Habitat for Humanity
416 S Pennsville-Auburn RdCarneys PointNJ08069NonePCFor Re-usable metal wheel chair ramps program for Salem County Residents$20,000
Bancroft
1255 Caldwell RdCherry HillNJ08034NonePCInitial Funding for New Program at Bancroft in Woodstown, NJ$50,000
Nonprofit Development Center of NJ
230 Kings Highway East Suite 120HaddonfieldNJ08033NonePCSupport for their first Salem County Meeting/Non-Profit Training Session$2,500
Penns Grove Community Housing Corp
40 South BroadwayPenns GroveNJ08069NonePCSupport for Summer Basketball Camp$3,000
Revive South Jersey
31 West Commerce StBridgetonNJ08302NonePCStart up Syupport for PAL Services for Youth in Salem City$30,000
Salem Community College Foundation
460 Hollywood AveCarneys PointNJ08069NonePCMatching Gift to Support their ongoing nursing programs$20,000
Salem Medical Center
310 Woodstown RdSalemNJ08079NonePCTo support the Purchase and revitalization of the Local Hospital$425,473
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$865,924TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$4ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$672,090ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm-$778,694RelatedOrExemptFunctionIncmAmt

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
Interest - N/R - CHA Ptrs, LLC14$7,890
L.T. Capital Gain Distrib18$493,240

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$1,173,224ExclusionAmt
Related Or Exempt Function Incm-$778,694RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$394,530TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (5 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
Morris Fox Charitable Trust
1Po Box 95021HendersonNV890095021$30,000Yes (X)
Estate of J Evan Hitchner
2PO Box 95021HendersonNV890095021$484,000Yes (X)
Eleanor Rumsey Charitable Trust
3PO Box 95021HendersonNV890095021$10,500Yes (X)
Albert M Parvin Trust
4PNC PO Box 91309ClevelandOH44101$21,602Yes (X)
Robert Wood Johnson Foundation
550 College Road EastPrincetonNJ085416614$6,500Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryAudit, Payroll, & Tax PreparationCategoryTxt
Amt$30,330Amt
Net Investment Income$12,498NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$17,832DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (8 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmt
Constr-New Office2006-08-01$10,090$3,992SL39.0000$259
Exterior Sign Above Door2013-06-05$675$583SL10.0000$68
31 LED Light Fixtures2017-07-19$3,565$1,577SL10.0000$357
High Back Desk Chair2018-01-16$240$188SL5.0000$48
Zoom Equipment2020-08-17$1,600$427SL5.0000$320
Refrig 18 CF - Lowes2021-04-29$629$42SL10.0000$63
HP PC2021-09-09$1,172$78SL5.0000$234
Xerox Copier2021-12-21$8,923SL7.0000$1,275

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondFixed IncomeBondNm
EOY Book Value$7,585,788EOYBookValueAmt
EOYFMV$7,585,788EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
Domestic Equities$7,692,321$7,692,321
International Equities$4,019,824$4,019,824

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (3 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmtEOYFMVEOYFMVAmt
Furniture and Fixtures$15,735$15,731$4
Machinery and Equipment$35,188$21,954$13,234$22,000
Improvements$15,327$7,857$7,470

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLegal FeesCategoryTxt
Legal Fees$74,401LegalFeesAmt
Net Investment Income$1,112NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$83,284DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (5 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
Beneficial Interests - in Perpetual Tr$12,681,068$10,163,945$10,163,945
Interest Income Receivable$284,059$7,890$7,890
Investment Income Receivable$11,515$21,810$21,810
Miscelaneous Receivable$10,277
Miscellaneous Receivable$10,277

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
Decrease In Value of Perpetual Trusts$2,517,123
Non-Cash Grant of Previous Year PRI - SMC$20,000,000

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
403 B Plan Administration Expense$1,150$1,150
Communications$11,234$11,234
Dues & Memberships$1,607$1,699
Equipment Maintenance$1,893$1,807
Grant Expenses$3,023$7,683
Insurance$12,587$12,590
Internet Access Fees$1,330$1,330
Marketing$250$250
Miscellaneous Expenses$2,126$2,474
Office Expenses$7,625$3,343
Telephone$2,683$2,683
Website Hosting$3,515$3,245

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
Interest - N/R - CHA Ptrs, LLC$7,890$7,890
L.T. Capital Gain Distrib$493,240$493,240

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescRecovery of prior year grantsDesc
Amt$2,379Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Investment Mangement Fees$82,874$82,874$0$0
Program Consultants$62,000$0$0$62,000

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Excise Tax Expense - Form 990-PF$14,356$94,308
Foreign Taxes W/H on Dividends$18,909$18,909
NJ State Filing Fees$283$283