SALEM HEALTH AND WELLNESS FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SALEM HEALTH AND WELLNESS FOUNDATION INC (EIN 01-0625542)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-07-05
- IRS object ID
- 202241869349100319
- Schema version
- 2021v4.0
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-07-05T10:13:46-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 222672100 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD T GHEYSENS JR CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13 SOUTH MAIN STREET | AddressLine1Txt |
| City | WOODSTOWN | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08098 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010625542 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Health and Wellness Foundation Inc | BusinessNameLine1Txt |
| Business Name Line2 | co Brenda L Goins Ex Director | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SALE | BusinessNameControlTxt |
| Phone | 8562994460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 91 S VIRGINIA AVE STE A | AddressLine1Txt |
| City | PENNS GROVE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08069 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa Hartsough RN | PersonNm |
| Person Title | Chairman | PersonTitleTxt |
| Signature | 2022-07-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Lisa Hartsough | PersonFirstNm |
| Person Last | RN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Edward T Gheysens Jr | PreparerPersonNm |
| PTIN | P00448729 | PTIN |
| Phone | 8567691166 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $61,462,295 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $536,239 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $752 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $752 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $1,035,380 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,035,380 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,316,277 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $4,310,030 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $1,316,277 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $2,422,892 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $2,422,892 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $5,311,540 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $4,775,301 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $138,607 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $6,930 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $131,095 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $69,242 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $3,462 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $65,488 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $37,544 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $1,877 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $33,912 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $89,427 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $1,298 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $80,187 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $29,715 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $11,873 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $17,842 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $135,595 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $90,595 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $45,000 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $84,805 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $20,037 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $30,283 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $1,504 | DeprecAndDpltnRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $1,671 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $1,671 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $687 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Dsbrs Chrtbl | $687 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $45,418 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $45,849 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $634,215 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $136,072 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $452,014 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $240,182 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $240,182 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $874,397 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $136,072 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $692,196 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $4,437,143 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $4,639,229 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $159,912 | CashBOYAmt |
| Cash EOY | $513,915 | CashEOYAmt |
| Cash EOYFMV | $513,915 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $40,031 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $40,383 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $40,383 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses BOY | $38,781 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $22,028 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $22,028 | PrepaidExpensesEOYFMVAmt |
| Corporate Stock BOY | $15,719,456 | CorporateStockBOYAmt |
| Corporate Stock EOY | $17,610,542 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $17,610,542 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $3,386,437 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $5,332,735 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $5,332,735 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $1,316,744 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $144,636 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $144,636 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $62,925 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $42,918 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $10,787 | LandBOYAmt |
| Land EOY | $20,007 | LandEOYAmt |
| Land EOYFMV | $20,000 | LandEOYFMVAmt |
| Other Assets BOY | $36,827,945 | OtherAssetsBOYAmt |
| Other Assets EOY | $37,778,056 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $37,778,056 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $57,500,093 | TotalAssetsBOYAmt |
| Total Assets EOY | $61,462,302 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $61,462,295 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $47,591 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $76,045 | AccountsPayableEOYAmt |
| Grants Payable BOY | $10,000 | GrantsPayableBOYAmt |
| Total Liabilities BOY | $57,591 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $76,045 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $45,242,447 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $48,619,283 | NoDonorRstrNetAssestsEOYAmt |
| Donor Rstr Net Assets BOY | $12,200,055 | DonorRstrNetAssetsBOYAmt |
| Donor Rstr Net Assets EOY | $12,766,974 | DonorRstrNetAssetsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $57,442,502 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $61,386,257 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $57,500,093 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $61,462,302 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $57,442,502 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $4,437,143 | ExcessRevenueOverExpensesAmt |
| Other Increases | $585,940 | OtherIncreasesAmt |
| Subtotal | $62,465,585 | SubtotalAmt |
| Other Decreases | $1,079,328 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $61,386,257 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (12 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | DepreciationDepreciationAmt |
|---|---|---|---|---|---|---|---|---|
| Broker Held Publicly Traded Securities | P | 2001-12-01 | 2021-12-31 | $4,310,030 | $2,993,753 | $1,316,277 | $1,316,277 | |
| Computer Equipment | P | 2003-10-20 | 2021-01-31 | $9,417 | $9,417 | |||
| Savin Printer | P | 2003-09-29 | 2021-01-31 | $9,933 | $9,933 | |||
| Envlope Feeder for HP | P | 2003-12-17 | 2021-01-31 | $87 | $87 | |||
| HP Laser Jet 4 Printer | P | 2003-12-05 | 2021-01-31 | $550 | $550 | |||
| Quickbooks Pro | P | 2003-08-20 | 2021-01-31 | $566 | $566 | |||
| Software License | P | 2003-08-23 | 2021-01-31 | $1,200 | $1,200 | |||
| CDRW/DVD Burner | P | 2004-02-26 | 2021-01-31 | $159 | $159 | |||
| 256 MB Memory | P | 2005-03-16 | 2021-01-31 | $64 | $64 | |||
| Smartdraw Software | P | 2006-03-06 | 2021-01-31 | $197 | $197 | |||
| Xerox Copier | P | 2010-12-22 | 2021-12-21 | $12,233 | $12,233 | |||
| Refrigerator-Lowes | P | 2010-12-27 | 2021-04-29 | $417 | $417 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $1,316,277 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $64,485 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $64,485 | SubtotalAmt |
| Tax Based On Investment Income | $64,485 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $60,000 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $35,000 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $95,000 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $348 | EsPenaltyAmt |
| Overpayment | $30,167 | OverpaymentAmt |
| Applied To ES Tax | $30,167 | AppliedToESTaxAmt |
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 |
| 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.salemwellnessfoundation.org | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brenda Goins | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8562994460 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 91 S Virginia Ave | AddressLine1Txt |
| City | Carneys Point | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08069 | 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 |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| 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 (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt |
|---|---|---|---|---|---|---|---|
| Lori Dilks | |||||||
| 6 Nicholas Drive | Pennsville | NJ | 08070 | Treasurer | 1.00 | $0 | |
| Lisa Hartsough | |||||||
| 211 Hayes Street | Carneys Point | NJ | 08069 | Chair | 1.00 | $0 | |
| Benjamin Griffith | |||||||
| 6 Van Meter Terrace | Salem | NJ | 08079 | Trustee | 1.00 | $0 | |
| William J Allen III | |||||||
| 10 Walker Dr | New Castle | DE | 19720 | Trustee | 1.00 | $0 | |
| Ralph Thomas | |||||||
| 309 State St | Elmer | NJ | 08318 | Vice Chair | 1.00 | $0 | |
| Stephen Krough | |||||||
| 13 Klessel Ave | Pennsville | NJ | 08070 | Trustee | 1.00 | $0 | |
| Brenda L Goins | |||||||
| 627 Quinton Rd | Salem | NJ | 08079 | Executive Dir. | 40.00 | $138,607 | $8,281 |
| Dorothy Haefner | |||||||
| 409 Welchville Road | Salem | NJ | 08079 | Secretary | 1.00 | $0 | |
| Lynee R Saunders | |||||||
| 140A Walnut Street | Salem | NJ | 08079 | Trustee | 1.00 | $0 | |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUDITH A FOLEY | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 86 Kansas Road | AddressLine1Txt |
| City | Pennsville | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08070 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | EXEC. ASSISTANT | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 40.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $69,242 | CompensationAmt |
| Employee Benefits | $3,900 | EmployeeBenefitsAmt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SEI Private Trust Company | |||||
| 1 Freedom Valley Dr | Oaks | PA | 19456 | Investment Management | $90,595 |
| Drinker Biddle & Reath LLP | |||||
| 600 Campus Drive | Florham Park | NJ | 079321047 | Legal Fees | $86,262 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | Support - Contribution to Candid (formerly Foundation Center and GuideStar)to support their mission-related work in 2021 - $ 3,700 | Description1Txt |
| Expenses1 | $3,700 | Expenses1Amt |
| Description2 | Preventative Care: 1. Grant to Salem County Office on Aging to be used to support medical transportation services for the elderly and disabled - $ 13,350 2. Grant to Stand Up for Salem to support a community 10K run - $ 2,500 3. Grant to Salem County Department of Health to support community Health screenings - $ 20,000 4. Grant to Rutgers University Foundation to support a comprehensive family and community health sciences extension program for residents of Salem County, NJ - $ 55,000 | Description2Txt |
| Expenses2 | $90,850 | Expenses2Amt |
| Description3 | Matching 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 2021, this program supported 8 Salem County non-profit organizations. | Description3Txt |
| Expenses3 | $145,582 | Expenses3Amt |
| Description4 | Live 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 | $11,444 | Expenses4Amt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $22,113,668 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $375,983 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $22,489,651 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $22,489,651 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $337,345 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $22,152,306 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,107,615 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,107,615 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $64,485 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $64,485 | TotalTaxAmt |
| Distributable Before Adj | $1,043,130 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $19,021 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,062,151 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $1,062,151 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $692,196 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $692,196 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,062,151 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr2 | $23,049,589 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $14,374,244 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $37,423,833 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $692,196 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $692,196 | AppliedToCurrentYearAmt |
| Excess Distri Cyov App CY Corpus | $369,955 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $369,955 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $37,053,878 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $37,053,878 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $22,679,634 | ExcessFromYear2Amt |
| Excess From Year1 | $14,374,244 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| Candid | |||||||
| 32 Old Ship 24th Floor | New York | NY | 10005 | None | PC | To Support Mission Related Work | $3,750 |
| Salem County Dept Of Health | |||||||
| 110 Fifth St Ste 400 | Salem | NJ | 08079 | None | GOV | Support for health screenings for all Salem County Residents | $20,000 |
| Meals on Wheels | |||||||
| 90 Market St | Salem | NJ | 08079 | None | PC | Support to help Meals on Wheels keep Salem County residents off their waiting list | $20,000 |
| Salem Community College Foundation | |||||||
| 460 Hollywood Ave | Penns Grove | NJ | 08069 | None | PC | Nursing and allied health scholarships for Salem County Residents | $20,000 |
| Ranch Hope Inc | |||||||
| PO Box 325 | Alloway | NJ | 08001 | None | PC | Matching gift program to support their ongoing programs | $20,000 |
| Habitat for Humanity Salem | |||||||
| 416 S Pennsville-Auburn Rd | Carneys Point | NJ | 08069 | None | PC | Matching Gift Program to Support their ongoing programs | $20,000 |
| Cornerstone Womens Resource Ctr | |||||||
| PO Box 63 | Salem | NJ | 08079 | None | PC | Matching Gift Program to support their ongoing programs | $20,000 |
| Appel Farm Arts Music Ctr | |||||||
| 457 Shirley Rd PO Box 888 | Elmer | NJ | 08318 | None | PC | Matching Gift Program to Support their ongoing programs | $20,000 |
| Pennsville Visiting Nurse Assoc | |||||||
| 14 N Broadway | Pennsville | NJ | 08070 | None | PC | Matching gift program to support their ongoing programs | $20,000 |
| The Arc of Salem County | |||||||
| 150 Salem-Woodstown Rd | Salem | NJ | 08079 | None | PC | Matching gift program to support their ongoing programs | $5,582 |
| Salem County Office on Aging | |||||||
| 110 Fifth St 900 | Salem | NJ | 08079 | None | GOV | Funds for Salem County rural health related transportation program | $13,350 |
| Rutgers University Foundation | |||||||
| 335 George St Ste 4000 | New Brunswick | NJ | 08901 | None | PC | To fund a position to conduct a comprehensive family and community health sciences extension program for residents of Salem County, NJ | $55,000 |
| Stand Up For Salem | |||||||
| 219 E Broadway | Salem | NJ | 08079 | None | PC | Funding for this program supports a 10K run | $2,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $240,182 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $752 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,035,380 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $1,316,277 | RelatedOrExemptFunctionIncmAmt |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| Interest - N/R SMC (PRI) | 14 | $742,139 |
| L.T. Capital Gain Distrib | 18 | $1,680,753 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $3,459,024 | ExclusionAmt |
| Related Or Exempt Function Incm | $1,316,277 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $4,775,301 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| Morris Fox Charitable Trust | ||||||
| 1 | Wells Fargo 100 N Main St | WinstonSalem | NC | 271014047 | $30,000 | Yes (X) |
| Estate of J Evan Hitchner | ||||||
| 2 | Wells Fargo 100 N Main St | WinstonSalem | NC | 271014047 | $484,000 | Yes (X) |
| Eleanor Rumsey Charitable Trust | ||||||
| 3 | Wells Fargo 100 N Main St | WinstonSalem | NC | 271014047 | $9,200 | Yes (X) |
| Albert M Parvin Trust | ||||||
| 4 | PNC 116 Allegheny Ctr | Pittsburgh | PA | 152125333 | $7,934 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Audit, Payroll, & Tax Preparation | CategoryTxt |
| Amt | $29,715 | Amt |
| Net Investment Income | $11,873 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $17,842 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (14 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt |
|---|---|---|---|---|---|---|
| 15' Conference table | 2011-01-25 | $3,537 | $3,511 | SL | 10.0000 | $26 |
| 20 Conference Chairs | 2011-01-25 | $4,738 | $4,700 | SL | 10.0000 | $38 |
| Constr-New Office | 2006-08-01 | $10,090 | $3,733 | SL | 39.0000 | $259 |
| Exterior Sign Above Door | 2013-06-05 | $675 | $515 | SL | 10.0000 | $68 |
| LG 22" LCD Monitor | 2016-02-19 | $199 | $193 | SL | 5.0000 | $6 |
| 5 Apple IPAD Mini's | 2016-04-04 | $1,162 | $1,102 | SL | 5.0000 | $60 |
| 1 Apple IPAD Mini | 2016-05-11 | $243 | $228 | SL | 5.0000 | $15 |
| Lenova ThinkPad Laptop | 2016-09-13 | $529 | $459 | SL | 5.0000 | $70 |
| Grant Camera/Projector | 2016-10-14 | $793 | $676 | SL | 5.0000 | $117 |
| 31 LED Light Fixtures | 2017-07-19 | $3,565 | $1,220 | SL | 10.0000 | $357 |
| High Back Desk Chair | 2018-01-16 | $240 | $140 | SL | 5.0000 | $48 |
| Zoom Equipment | 2020-08-17 | $1,600 | $107 | SL | 5.0000 | $320 |
| Refrig 18 CF - Lowes | 2021-04-29 | $629 | SL | 10.0000 | $42 | |
| HP PC | 2021-09-09 | $1,172 | SL | 5.0000 | $78 |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | Fixed Income | BondNm |
| EOY Book Value | $5,332,735 | EOYBookValueAmt |
| EOYFMV | $5,332,735 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| Domestic Equities | $9,841,145 | $9,841,145 |
| International Equities | $7,769,397 | $7,769,397 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| SEI Core Property Fund, LP | FMV | ||
| SEI Core Property Fund Escrow Asset | FMV | $144,636 | $144,636 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|---|
| Furniture and Fixtures | $15,735 | $15,683 | $52 | |
| Machinery and Equipment | $31,863 | $19,994 | $11,869 | $20,000 |
| Improvements | $15,327 | $7,241 | $8,086 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Legal Fees | CategoryTxt |
| Legal Fees | $89,427 | LegalFeesAmt |
| Net Investment Income | $1,298 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $80,187 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (4 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| Beneficial Interests - in Perpetual Tr | $12,114,149 | $12,681,068 | $12,681,068 |
| Interest Income Receivable | $61,520 | $284,059 | $284,059 |
| Investment Income Receivable | $9,030 | $11,515 | $11,515 |
| Notes Receivable - SMC | $108,063 | $301,414 | $301,414 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| 403 B Plan Administration Expense | $1,150 | $1,150 |
| Dues & Memberships | $1,167 | $1,186 |
| Equipment Maintenance | $1,852 | $1,852 |
| Grant Expenses | $11,444 | $6,784 |
| Insurance | $11,952 | $12,862 |
| Internet Access Fees | $1,178 | $1,178 |
| Marketing | $650 | $650 |
| Miscellaneous Expenses | $4,300 | $3,951 |
| Office Expenses | $3,075 | $3,075 |
| Online Grantmakeing Software | $4,340 | $9,000 |
| Telephone | $2,701 | $2,701 |
| Website Hosting | $1,609 | $1,460 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Interest - N/R SMC (PRI) | $742,139 | $742,139 |
| L.T. Capital Gain Distrib | $1,680,753 | $1,680,753 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Increase in FMV of Perpetual Trusts | $566,919 |
| Recovery of prior year grants | $19,021 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| Investment Mangement Fees | $90,595 | $90,595 | $0 | $0 |
| Program Consultants | $45,000 | $0 | $0 | $45,000 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Excise Tax Expense - Form 990-PF | $64,485 | $30,000 | |
| Foreign Taxes W/H on Dividends | $20,037 | $20,037 | |
| NJ State Filing Fees | $283 | $283 |