STRATEGY STUDIO / PUBLIC DATA EXPLORER

FITELSON TRUST FBO SUNY DOWNSTATE MEDICAL CENTER: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FITELSON TRUST FBO SUNY DOWNSTATE MEDICAL CENTER (EIN 81-0696140)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-04-09
IRS object ID
202210999349100606
Schema version
2021v4.1
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

FieldValueIRS element (for citing)
Return2022-04-09T15:00:35-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12100 ONE PPG PLACEAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810696140EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FITELSON FBO SUNY DOWNSTATE MEDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFITEBusinessNameControlTxt
Phone4127627070PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALL P8YB3502LAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPNC BANK N A BYPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone4127627070PhoneNum
Signature2022-03-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIC W COURSEYPreparerPersonNm
PTINP00387963PTIN
Phone8445222059PhoneNum
Preparation2022-03-30PreparationDt

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$6,868,184FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$151,241DividendsRevAndExpnssAmt
Dividends Net Invst Incm$149,715DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$308,994NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,241,627GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$308,994CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$460,235TotalRevAndExpnssAmt
Total Net Invst Incm$458,709TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$61,798CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$49,438CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$12,360CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$4,802TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,388TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$66,600TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$50,826TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$12,360TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$399,863ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$399,863ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$466,463TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$50,826TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$412,223TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$6,228ExcessRevenueOverExpensesAmt
Net Investment Income$407,883NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$280,978SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$223,083SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$223,083SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Bonds BOY$99,023CorporateBondsBOYAmt
Other Investments BOY$5,208,242OtherInvestmentsBOYAmt
Other Investments EOY$5,353,155OtherInvestmentsEOYAmt
Other Investments EOYFMV$6,645,101OtherInvestmentsEOYFMVAmt
Total Assets BOY$5,588,243TotalAssetsBOYAmt
Total Assets EOY$5,576,238TotalAssetsEOYAmt
Total Assets EOYFMV$6,868,184TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$5,588,243CapitalStockBOYAmt
Capital Stock EOY$5,576,238CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$5,588,243TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$5,576,238TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$5,588,243TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$5,576,238TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$5,588,243TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$6,228ExcessRevenueOverExpensesAmt
Other Increases$6,632OtherIncreasesAmt
Subtotal$5,588,647SubtotalAmt
Other Decreases$12,409OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$5,576,238TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (96 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
50000. APPLE INC UNSC2018-12-202021-01-27$50,360$49,779$581$581
637.755 BLACKROCK LOW DURATION BOND PORTFOLIO CL INSTL2014-07-012021-01-27$6,231$6,250-$19-$19
5000.219 BLACKROCK LOW DURATION BOND PORTFOLIO CL INSTL2013-07-152021-01-27$48,852$47,497$1,355$1,355
50000. WALT DISNEY COMPANY/THE UNSC2018-12-202021-01-27$50,027$49,244$783$783
1125. ISHARES TR RUSSELL MIDCAP INDEX FD2019-01-102021-01-27$78,220$54,942$23,278$23,278
117. ISHARES TR RUSSELL 20002019-01-102021-01-27$24,507$16,780$7,727$7,727
980. ISHARES TR S&P SMLCAP 6002019-05-172021-01-27$98,674$75,480$23,194$23,194
1753.771 T ROWE PRICE REAL ESTATE FUND FD 1222016-04-012021-01-27$27,955$50,000-$22,045-$22,045
168.521 HARDING LOEVNER INTERNATIONAL EQUITY PORTFOLIO2019-10-182021-01-29$4,754$3,741$1,013$1,013
23. INVESCO QQQ TRUST ETF2020-07-202021-01-29$7,345$6,063$1,282$1,282
214. ISHARES CORE MSCI EMERGING MARKETS2020-01-162021-01-29$13,769$11,788$1,981$1,981
63.941 T ROWE PRICE GROWTH STOCK FUND2019-10-182021-01-29$6,218$4,367$1,851$1,851
370.09 TOUCHSTONE SM CAP VAL-INST2019-10-182021-01-29$9,930$8,827$1,103$1,103
475.695 TRANSAMERICA SM CAP GROW-I22020-01-032021-01-29$3,886$3,258$628$628
786.053 TRIBUTARY SMALL COMPANY FD INST PLUS FD 17052019-04-042021-01-29$23,566$22,772$794$794
498.469 DELAWARE VALUE FUND-R62020-01-162021-08-31$12,387$11,300$1,087$1,087
339. FIDELITY REAL ESTATE ETF ETF2021-01-292021-08-31$10,980$8,719$2,261$2,261
563. FIDELITY REAL ESTATE ETF ETF2020-07-202021-08-31$18,235$13,036$5,199$5,199
70. ISHARES TR S&P 500 INDEX FD2020-01-162021-08-31$31,767$23,195$8,572$8,572
1. ISHARES TR S&P 500 INDEX FD2021-01-292021-08-31$454$377$77$77
5. ISHARES CORE MSCI EAFE ETF ETF2021-01-292021-08-31$384$347$37$37
11214.311 LAZARD GLOBAL LISTED INFRASTRUCTURE PORTFOLIO2018-09-262021-08-31$183,690$171,017$12,673$12,673
1801.482 LAZARD GLOBAL LISTED INFRASTRUCTURE PORTFOLIO2021-01-292021-08-31$29,508$25,491$4,017$4,017
1132. MADISON MID CAP FUND-R62020-01-162021-08-31$16,674$13,788$2,886$2,886
229.644 T ROWE PR GROWTH STOCK-I2019-10-182021-08-31$27,006$15,628$11,378$11,378
67.607 PRINCIPAL MIDCAP FUND-R62021-01-292021-08-31$2,889$2,334$555$555
419.356 PRINCIPAL MIDCAP FUND-R62019-10-242021-08-31$17,919$13,298$4,621$4,621
752.677 TRANSAMERICA SM CAP GROW-I22019-10-242021-08-31$7,218$5,068$2,150$2,150
300.88 TRIBUTARY SMALL COMPANY FD INST PLUS FD 17052019-04-042021-08-31$10,937$8,410$2,527$2,527
86. WISDOMTREE U.S. QUALITY DIVI ETF2021-01-292021-08-31$5,356$4,637$719$719
110. WISDOMTREE U.S. QUALITY DIVI ETF2020-07-202021-08-31$6,851$5,194$1,657$1,657
8849.433 LAZARD GLOBAL LISTED INFRASTRUCTURE PORTFOLIO2016-11-282021-09-17$143,272$124,271$19,001$19,001
54.414 CAMBIAR INTL EQUITY FUND-INS2021-08-312021-09-24$1,555$1,566-$11-$11
3. ISHARES CORE MSCI EAFE ETF ETF2021-01-292021-09-24$229$208$21$21
14. ISHARES CORE MSCI EAFE ETF ETF2019-04-042021-09-24$1,070$867$203$203
.103 NUANCE MID CAP VALUE-Z2021-08-312021-09-24$2$2
30.842 PRINCIPAL MIDCAP FUND-R62019-10-242021-09-24$1,322$951$371$371
628.292 PGIM HIGH YIELD FUND CLASS R62020-01-162021-09-24$3,518$3,518
210. FIDELITY REAL ESTATE ETF ETF2021-09-242021-12-28$7,174$6,611$563$563
145. FIDELITY REAL ESTATE ETF ETF2020-07-202021-12-28$4,953$3,358$1,595$1,595
41. INVESCO QQQ TRUST ETF2021-08-312021-12-28$16,494$15,579$915$915
39. ISHARES TR S&P 500 INDEX FD2021-09-242021-12-28$18,709$17,333$1,376$1,376
404.736 MADISON MID CAP FUND-R62021-09-242021-12-28$6,128$5,854$274$274
63.16 MADISON MID CAP FUND-R62020-01-162021-12-28$956$769$187$187
510.284 MADISON MID CAP FUND-R62021-01-292021-12-28$7,726$6,195$1,531$1,531
216.218 TOUCHSTONE SM CAP VAL-INST2021-08-312021-12-28$7,576$7,135$441$441
101. WISDOMTREE U.S. QUALITY DIVI ETF2020-07-202021-12-28$6,651$4,769$1,882$1,882
120. WISDOMTREE U.S. QUALITY DIVI ETF2021-09-242021-12-28$7,902$7,270$632$632
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
CAPITAL GAIN DIVIDENDS$176,072P
FieldValueIRS element (for citing)
Capital Gain Net Income$308,994CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$5,670InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$5,670SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$5,670TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,068EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$4,068TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$1,602TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

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 StatePAOrgReportOrRegisterStateCd
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 AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1PNC BANK NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4127627070PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALLAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
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

FieldValueIRS element (for citing)
PersonPNC BANK NAPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1116 ALLEGHENY CENTER MALLAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15212ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos12AverageHrsPerWkDevotedToPosRt
Compensation$61,798CompensationAmt
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
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$6,560,636AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$6,560,636TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$6,560,636AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$98,410CashDeemedCharitableAmt
Net Vl Noncharitable Assets$6,462,226NetVlNoncharitableAssetsAmt
Minimum Investment Return$323,111MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$323,111MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,670TaxBasedOnInvestmentIncomeAmt
Total Tax$5,670TotalTaxAmt
Distributable Before Adj$317,441DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$317,441DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$317,441DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$412,223ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$412,223QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$317,441DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$16,894ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$162,742ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$128,328ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$160,887ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$468,851TotalExcessDistributionCyovAmt
Qualifying Distributions$412,223QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$317,441AppliedToCurrentYearAmt
Remaining Distri From Corpus$94,782RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$563,633TotalCorpusAmt
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$563,633ExcessDistriCyovToNextYrAmt
Excess From Year4$16,894ExcessFromYear4Amt
Excess From Year3$162,742ExcessFromYear3Amt
Excess From Year2$128,328ExcessFromYear2Amt
Excess From Year1$160,887ExcessFromYear1Amt
Excess From Current Year$94,782ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SUNY DOWNSTATE MEDICAL CENTERBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1450 CLARKSON AVEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP112032012ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL SUPPORTGrantOrContributionPurposeTxt
Amt$399,863Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$399,863TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$151,241ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$308,994ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$460,235ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$460,235TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

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

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (43 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
68278803 BARON SMALL CAP FUND
258620798 DOUBLELINE FLEXIBLE
316092857 FIDELITY REAL ESTATEAT COST$143,517$215,195
412295107 HARDING LOEVNER INTEAT COST$175,487$211,688
464287176 ISHARES TIPS BOND ETAT COST$26,786$30,491
464287200 ISHARES CORE S&P 500AT COST$249,292$394,471
464287234 ISHARES MSCI EMERGINAT COST$29,505$40,594
464287465 ISHARES MSCI EAFE ETAT COST$125,417$160,665
464287499 ISHARES RUSSELL MID-AT COST$165,536$385,000
464287655 ISHARES RUSSELL 2000AT COST$115,936$205,989
464287804 ISHARES CORE S&P SMA
552746364 MFS EMERGING MKTS DEAT COST$133,638$132,274
557492485 MADISON MID CAP FUNDAT COST$158,173$203,090
741479109 T ROWE PRICE GROWTH
779919109 T ROWE PRICE REAL ES
922031828 VANGUARD INTM TERM TAT COST$200,712$198,066
922908553 VANGUARD REAL ESTATEAT COST$83,278$175,523
957663503 WESTERN ASSET CORE P
46090E103 INVESCO QQQ TRUST ETAT COST$180,939$260,592
00769G543 CAMBIAR INTL EQUITYAT COST$233,831$235,038
09252M883 BLACKROCK TOTAL RETUAT COST$310,102$314,112
09260B382 BLACKROCK STRATEGICAT COST$89,678$93,381
09260B465 BLACKROCK LOW DURATIAT COST$106,352$105,861
24610C840 DELAWARE VALUE FUND-AT COST$477,653$478,488
31428Q747 FEDERATED HERMES ULT
46432F842 ISHARES CORE MSCI EAAT COST$88,685$105,392
46434G103 ISHARES CORE MSCI EMAT COST$214,144$237,884
52106N459 LAZARD GLOBAL LISTED
56167N712 NUANCE MID CAP VALUEAT COST$97,161$106,312
74256W584 PRINCIPAL MIDCAP FUNAT COST$144,557$212,256
74440Y884 PGIM HIGH YIELD FUNDAT COST$182,715$183,063
77958B105 T ROWE PRICE INSTITU
89155T797 TOUCHSTONE SM CAP VAAT COST$101,015$131,811
89355J656 TRANSAMERICA SM CAPAT COST$125,862$157,132
89609H704 TRIBUTARY SMALL COMPAT COST$132,068$158,276
92204A876 VANGUARD UTILITIES EAT COST$50,194$70,067
97717X669 WISDOMTREE U.S. QUALAT COST$190,013$265,021
068278803 BARON SMALL CAP FUNDAT COST$37,500$76,042
258620533 DOUBLELINE FLEXIBLEAT COST$266,406$263,552
31428Q713 FEDERATED TOTAL RETUAT COST$102,588$103,263
741479406 T ROWE PR GROWTH STOAT COST$248,316$364,372
77958B402 T ROWE PRICE INSTITUAT COST$106,593$105,751
957663669 WESTERN ASSET CORE PAT COST$259,506$264,389

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (4 entries)

DescDescAmtAmt
PRIOR YEAR ROC ADJUSTMENT$4,133
2021 TRANSACTIONS POSTED IN 2022$8,252
WASH SALES ADJUSTMENT$19
ADJUSTMENT TO INCOME$5

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
COST BASIS ADJUSTMENT$20
2020 TRANSACTIONS POSTED IN 2021$6,612

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL ESTIMATES - PRINCIPAL$3,414$0$0
FOREIGN TAXES ON QUALIFIED FOR$1,164$1,164$0
FOREIGN TAXES ON NONQUALIFIED$224$224$0