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SMITH-JACOBS FAM FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SMITH-JACOBS FAM FOUNDATION (EIN 30-6267239)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-08
IRS object ID
202203129349101465
Schema version
2021v4.2
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)
Return2022-11-08T10:14:51-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Heinz Jolles & Berry LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110375 Centurion Parkway N Ste 115AddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32256ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN306267239EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Smith-Jacobs Family FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DAVID A SMITHInCareOfNm
Business Name ControlSMITBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15321 Hala CourtAddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32224ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID SMITHPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9049453105PhoneNum
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastSMITHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMIE M JOLLESPreparerPersonNm
PTINP00293744PTIN
Phone9046522230PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
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$223,609FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$5DividendsRevAndExpnssAmt
Net Gain Sale Ast Rev And Expnss$12,072NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$184,051GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$104,945CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$12,077TotalRevAndExpnssAmt
Total Net Invst Incm$104,945TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$1,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$750AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$650TaxesRevAndExpnssAmt
Taxes Net Invst Incm$650TaxesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$2,150TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,400TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$47,593ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$47,593ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$49,743TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,400TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$47,593TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$37,666ExcessRevenueOverExpensesAmt
Net Investment Income$103,545NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$2,437SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$112,212SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$112,212SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$289,130CorporateStockBOYAmt
Corporate Stock EOY$111,397CorporateStockEOYAmt
Corporate Stock EOYFMV$111,397CorporateStockEOYFMVAmt
Total Assets BOY$291,567TotalAssetsBOYAmt
Total Assets EOY$223,609TotalAssetsEOYAmt
Total Assets EOYFMV$223,609TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$291,567NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$223,609NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$291,567TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$223,609TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$291,567TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$223,609TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$291,567TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$37,666ExcessRevenueOverExpensesAmt
Subtotal$253,901SubtotalAmt
Other Decreases$30,292OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$223,609TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
200 SHS PAYCOM SOFTWARE INCP2016-05-032021-10-06$100,189$7,770$92,419$92,419
300 SHS SAREPTA THERAPEUTICS INCP$22,668$43,166-$20,498-$20,498
500 SHS CRISPR THERAPEUTICS AGP2018-04-192021-04-20$61,194$28,170$33,024$33,024
FieldValueIRS element (for citing)
Capital Gain Net Income$104,945CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,439InvestmentIncomeExciseTaxAmt
Subtotal$1,439SubtotalAmt
Tax Based On Investment Income$1,439TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$342EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$2,600ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$2,942TotalPaymentsAndCreditsAmt
Overpayment$1,503OverpaymentAmt
Applied To ES Tax$1,503AppliedToESTaxAmt

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 StateFLOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1DAVID A SMITHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9049453105PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line15321 HALA COURTAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32224ZIPCd
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
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
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
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID A SMITH
5321 Hala CourtJacksonvilleFL32224TRUSTEE1.0$0$0$0
MARY JANE JACOBS
5321 Hala CourtJacksonvilleFL32224TRUSTEE0$0$0$0
RYAN A SMITH
5321 Hala CourtJacksonvilleFL32224TRUSTEE0$0$0$0
ALEX K JACOBS
5321 Hala CourtJacksonvilleFL32224TRUSTEE0$0$0$0
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$188,750AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$61,080AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$249,830TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$249,830AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$3,747CashDeemedCharitableAmt
Net Vl Noncharitable Assets$246,083NetVlNoncharitableAssetsAmt
Minimum Investment Return$12,304MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$12,304MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,439TaxBasedOnInvestmentIncomeAmt
Total Tax$1,439TotalTaxAmt
Distributable Before Adj$10,865DistributableBeforeAdjAmt
Distributable Before Ded$10,865DistributableBeforeDedAmt
Distributable As Adjusted$10,865DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$47,593ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$47,593QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$10,865DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12019PriorYear1Yr
Prior Year22018PriorYear2Yr
Prior Year32017PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$8,327ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr3$9,868ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$6,416ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$4,459ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$29,070TotalExcessDistributionCyovAmt
Qualifying Distributions$47,593QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$10,865AppliedToCurrentYearAmt
Remaining Distri From Corpus$36,728RemainingDistriFromCorpusAmt
Total Corpus$65,798TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$8,327ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$57,471ExcessDistriCyovToNextYrAmt
Excess From Year3$9,868ExcessFromYear3Amt
Excess From Year2$6,416ExcessFromYear2Amt
Excess From Year1$4,459ExcessFromYear1Amt
Excess From Current Year$36,728ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (3 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
PERC
2048 ANALYSIS DR STE ABOZEMANMT59718N/APCGENERAL FUND$20,093
FRIENDS OF THE ENVIRONMENT INC
301 W ATLANTIC AVE SUITE 0-5DELRAY BEACHFL33444N/APCGENERAL FUND$5,000
THE HARVEY BERNHARDT FOUNDATION
PO BOX 51341JACKSONVILLE BEACHFL32240N/APCGENERAL FUND$22,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$47,593TotalGrantOrContriPdDurYrAmt

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$5ExclusionAmt
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$12,072ExclusionAmt
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$12,077ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$12,077TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$1,500Amt
Net Investment Income$750NetInvestmentIncomeAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockUBS FINANCIAL SERVICESStockNm
EOY Book Value$111,397EOYBookValueAmt
EOYFMV$111,397EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSDesc
Amt$30,292Amt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (4 entries)

DescDesc
ENERGY TRANSFER PARTNERS LP
ENTERPRISE PRODUCTS PARTNERS LP
ROSE ROCK MIDSTREAM PARTNERS LP
ENERGY TRANSFER PARTNERS LP - RENTAL

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXCategoryTxt
Amt$650Amt
Net Investment Income$650NetInvestmentIncomeAmt