STRATEGY STUDIO / PUBLIC DATA EXPLORER

JACKSON FAMILY CHARITABLE TR: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
JACKSON FAMILY CHARITABLE TR (EIN 87-6407256)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202313189349105196
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)
Return2023-11-14T16:57:03-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1730 THIRD AVENUE 11TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10017ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN876407256EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACKSON FAMILY CHARITABLE TRUSTBusinessNameLine1Txt
Business Name Line2JACK CHEHEBAR TRUSTEEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJACKBusinessNameControlTxt
Phone2129975100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12184 E 3RD STAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11223ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGABRIEL J CHEHEBARPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2129975100PhoneNum
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGABRIELPersonFirstNm
Person LastCHEHEBARPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY ANN MENDELPreparerPersonNm
PTINP00551302PTIN
Phone2124855500PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
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$192,258FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$200,000ContriRcvdRevAndExpnssAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$200,000TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$0TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$205,141ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$205,141ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$205,141TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$205,141TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$5,141ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$197,399SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$192,258SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$192,258SavAndTempCashInvstEOYFMVAmt
Total Assets BOY$197,399TotalAssetsBOYAmt
Total Assets EOY$192,258TotalAssetsEOYAmt
Total Assets EOYFMV$192,258TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$197,399RetainedEarningBOYAmt
Retained Earning EOY$192,258RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$197,399TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$192,258TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$197,399TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$192,258TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$197,399TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$5,141ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$192,258SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$192,258TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$0TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksGABRIEL J CHEHEBARIndividualWithBooksNm
Phone2129975100PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12184 E 3RD STAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11223ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JACK CHEHEBAR
433 AVENUE TBROOKLYNNY11223TRUSTEE2.00$0$0$0
GABRIEL J CHEHEBAR
2184 EAST 3RD STREETBROOKLYNNY11223TRUSTEE2.00$0$0$0
ISAAC J CHEHEBAR
2111 EAST 3RD STREETBROOKLYNNY11223TRUSTEE2.00$0$0$0
ELLIOT J CHEHEBAR
2035 EAST 3RD STREETBROOKLYNNY11223TRUSTEE2.00$0$0$0
REUBEN J CHEHEBAR
433 AVENUE TBROOKLYNNY11223TRUSTEE2.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$170,013AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$170,013TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$170,013AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,550CashDeemedCharitableAmt
Net Vl Noncharitable Assets$167,463NetVlNoncharitableAssetsAmt
Minimum Investment Return$8,373MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$8,373MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$8,373DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$8,373DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$8,373DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$205,141ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$205,141QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$8,373DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr1$8,063ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$8,063TotalExcessDistributionCyovAmt
Qualifying Distributions$205,141QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$8,373AppliedToCurrentYearAmt
Remaining Distri From Corpus$196,768RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$204,831TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$204,831ExcessDistriCyovToNextYrAmt
Excess From Year1$8,063ExcessFromYear1Amt
Excess From Current Year$196,768ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (24 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
DEBORACH HOSPITAL FOUNDATION
212 TRENTON ROADNEW JERSEYNJ08015NONEPCGENERAL OPERATING SUPPORT$2,600
BET YAAKOV OROT SARA
1123 AVENUE NBROOKLYNNY11230NONEPCGENERAL OPERATING SUPPORT$5,600
YDE SCHOOL
325 AVENUE YBROOKLYNNY11223NONEPCGENERAL OPERATING SUPPORT$5,200
BNOB MALKA ACADEMY
71-02 113TH STREETFOREST HILLSNY11375NONEPCGENERAL OPERATING SUPPORT$2,000
BARKAI FOUNDATION
1945 MCDONALD AVEBROOKLYNNY11227NONEPCGENERAL OPERATING SUPPORT$5,200
MISASKIM
5805 16TH AVENUEBROOKLYNNY11204NONEPCGENERAL OPERATING SUPPORT$1,200
SEPHARDIC CONGRESS OF LONG BRANCH
213 LENOX AVELONG BRANCHNJ07740NONEPCGENERAL OPERATING SUPPORT$1,800
YESHIVA GEDOLAH BAIS YISROEL
4 SOLOND RDMONSEYNY10952NONEPCGENERAL OPERATING SUPPORT$1,800
THE SAFE FOUNDATION
255 AVENUE WBROOKLYNNY11223NONEPCGENERAL OPERATING SUPPORT$12,400
MMC FOUNDATION
300 SECOND AVENUELONG BRANCHNJ07740NONEPCGENERAL OPERATING SUPPORT$10,000
MAGEN DAVID YESHIVA
2170 MCDONALD AVEBROOKLYNNY11223NONEPCGENERAL OPERATING SUPPORT$10,000
DEAL LEARNING PROGRAM
201 ROSELD AVENUEDEALNJ07723NONEPCGENERAL OPERATING SUPPORT$1,000
KEREN EZER L'NEFESH
2 SKILLMAN ST 310BROOKLYNNY11205NONEPCGENERAL OPERATING SUPPORT$5,000
THANK ISRAELI SOLDIERS
PO BOX 644735PITTSBURGHPA15264NONEPCGENERAL OPERATING SUPPORT$5,200
SHALSHELET
1101 EAST 7TH STBROOKLYNNY11230NONEPCGENERAL OPERATING SUPPORT$1,800
SYNGAUGE OF DEAL
128 NORWOOD AVEDEALNJ07723NONEPCGENERAL OPERATING SUPPORT$5,200
CARMEI HAIR
1002 QUENTIN RD SUITE3002ABROOKLYNNY11223NONEPCGENERAL OPERATING SUPPORT$1,040
OHEL YAACOB CONGREGATION
4 OCEAN AVE N PO BOX 243DEALNJ07723NONEPCGENERAL OPERATING SUPPORT$5,400
AUDITORY ORAL FOUNDATION
3321 AVENUE MBROOKLYNNY11210NONEPCGENERAL OPERATING SUPPORT$501
LEMAHN ACHAI ACADEMY
4405 13TH AVENUEBROOKLYNNY11219NONEPCGENERAL OPERATING SUPPORT$2,600
MAGEN ABRAHAM YESHIVA
1781 OCEAN PKWYBROOKLYNNY11223NONEPCGENERAL OPERATING SUPPORT$100,000
MISHKAN TORAH
1801 OCEAN PARKWAYBROOKLYNNY11223NONEPCGENERAL OPERATING SUPPORT$5,000
LEV-AVI
PO BOX 72DEALNJ07723NONEPCGENERAL OPERATING SUPPORT$2,600
FRIENDS OF UNITED HATZALAH
442 5TH AVE SUITE 1866NEW YORKNY10018NONEPCGENERAL OPERATING SUPPORT$12,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$205,141TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$0ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$0TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1JACK CHEHEBAR CHARITABLE TRUSTBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1433 AVENUE TAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11223ZIPCd
FieldValueIRS element (for citing)
Total Contributions$200,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonJACK CHEHEBAR CHARITABLE TRUSTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1433 AVENUE TAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11223ZIPCd