STRATEGY STUDIO / PUBLIC DATA EXPLORER

MICHAEL J KOSLOSKI FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MICHAEL J KOSLOSKI FOUNDATION (EIN 22-6800804)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202223199349105667
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)
Return2022-11-15T13:45:38-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Line1250 PEHLE AVE SUITE 601AddressLine1Txt
CitySADDLE BROOKCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07663ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN226800804EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL J KOSLOSKI FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMICHBusinessNameControlTxt
Phone9737630314PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 BENJAMIN FRANKLIN DR UNIT 102AddressLine1Txt
CitySARASOTACityNm
State AbbreviationFLStateAbbreviationCd
ZIP34236ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFOTINI ALLTENIPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9737630314PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstFOTINIPersonFirstNm
Person LastALLTENIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTONY TORCHIAPreparerPersonNm
PTINP00287611PTIN
Phone2019050400PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$22,007,774FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$227,370ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$70,272InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$70,272InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$268,382DividendsRevAndExpnssAmt
Dividends Net Invst Incm$268,382DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$476,324NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,833,348GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$476,324CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$2,352OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$1,044,700TotalRevAndExpnssAmt
Total Net Invst Incm$814,978TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$120,270CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$24,054CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$96,216CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$48,875LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$24,438LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$24,437LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$16,058AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$8,029AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$8,029AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$106,259OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$106,259OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$6,480TaxesRevAndExpnssAmt
Taxes Net Invst Incm$6,480TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$4,385TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$4,385TravConfMeetingDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$302,327TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$169,260TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$133,067TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$549,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$549,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$851,327TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$169,260TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$682,067TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$193,373ExcessRevenueOverExpensesAmt
Net Investment Income$645,718NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,225,854CashBOYAmt
Cash EOY$709,286CashEOYAmt
Cash EOYFMV$709,286CashEOYFMVAmt
US Government Obligations BOY$1,640,712USGovernmentObligationsBOYAmt
US Government Obligations EOY$1,465,144USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$1,451,688USGovtObligationsEOYFMVAmt
Corporate Stock BOY$8,440,432CorporateStockBOYAmt
Corporate Stock EOY$8,258,776CorporateStockEOYAmt
Corporate Stock EOYFMV$12,326,914CorporateStockEOYFMVAmt
Corporate Bonds BOY$3,023,340CorporateBondsBOYAmt
Corporate Bonds EOY$3,621,530CorporateBondsEOYAmt
Corporate Bonds EOYFMV$3,655,878CorporateBondsEOYFMVAmt
Other Investments BOY$3,055,715OtherInvestmentsBOYAmt
Other Investments EOY$3,522,320OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,861,638OtherInvestmentsEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$2,370OtherAssetsEOYAmt
Other Assets EOYFMV$2,370OtherAssetsEOYFMVAmt
Total Assets BOY$17,386,053TotalAssetsBOYAmt
Total Assets EOY$17,579,426TotalAssetsEOYAmt
Total Assets EOYFMV$22,007,774TotalAssetsEOYFMVAmt
Other Liabilities BOY$245,358OtherLiabilitiesBOYAmt
Other Liabilities EOY$245,358OtherLiabilitiesEOYAmt
Total Liabilities BOY$245,358TotalLiabilitiesBOYAmt
Total Liabilities EOY$245,358TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$17,140,695CapitalStockBOYAmt
Capital Stock EOY$17,334,068CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$17,140,695TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$17,334,068TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$17,386,053TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$17,579,426TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$17,140,695TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$193,373ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$17,334,068SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$17,334,068TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (134 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
AMGEN INC2020-10-202021-10-13$4,075$4,611-$536-$536
AMGEN INC2021-07-062021-10-13$5,094$6,105-$1,011-$1,011
GLAXOSMITHKLINE PLC - ADR2020-09-222021-09-09$1,972$1,858$114$114
GOLDMAN SACHS GROUP INC2020-12-092021-04-01$1,301$964$337$337
ISHARES MBS ETF2020-03-092021-02-17$65,832$66,129-$297-$297
ELI LILLY & CO COM2020-07-172021-07-06$5,857$4,164$1,693$1,693
NEXTERA ENERGY INC2021-05-212021-12-06$1,323$1,123$200$200
ORGANON & CO2020-07-172021-06-14$136$172-$36-$36
ORGANON & CO2020-07-172021-06-28$15$19-$4-$4
TOKYO ELECTRON LTD-UNSP ADR2020-09-242021-04-19$114$66$48$48
TOKYO ELECTRON LTD-UNSP ADR2020-09-252021-04-19$228$131$97$97
TOKYO ELECTRON LTD-UNSP ADR2020-09-292021-04-19$914$522$392$392
AT&T INC2017-12-232021-04-08$5,997$7,804-$1,807-$1,807
AT&T INC2018-05-032021-04-08$1,649$1,749-$100-$100
AT&T INC2018-05-242021-04-08$3,299$3,596-$297-$297
AT&T INC2018-05-312021-04-08$3,299$3,553-$254-$254
AT&T INC2018-06-152021-04-08$3,598$3,896-$298-$298
AT&T INC2018-07-112021-04-08$3,149$3,362-$213-$213
AT&T INC2018-07-172021-04-08$7,946$8,427-$481-$481
AT&T INC2019-01-102021-04-08$4,048$4,090-$42-$42
AT&T INC2019-01-242021-04-08$4,048$4,121-$73-$73
AT&T INC2019-12-272021-04-08$150$196-$46-$46
AMGEN INC2020-01-092021-05-21$3,027$2,865$162$162
AMGEN INC2020-09-142021-10-13$16,302$19,693-$3,391-$3,391
APPLE INC2018-05-242021-02-10$7,438$2,586$4,852$4,852
AUTOHOME INC-ADR2019-12-102021-02-18$7,988$4,206$3,782$3,782
BASF AKTIENGESELLSCHAFT - LVL 1 ADR2020-01-092021-04-01$1,020$904$116$116
BB&T CORPORATION 2.050% 5/10/212018-03-122021-04-09$10,902$10,821$81$81
BB&T CORPORATION 2.050% 5/10/212018-05-082021-04-09$6,937$6,881$56$56
BB&T CORPORATION 2.050% 5/10/212018-08-282021-04-09$6,937$6,890$47$47
BB&T CORPORATION 2.050% 5/10/212019-06-102021-04-09$3,964$3,964$0$0
BB&T CORPORATION 2.050% 5/10/212019-06-132021-04-09$4,955$4,955$0$0
BB&T CORPORATION 2.050% 5/10/212019-12-112021-04-09$35,679$35,706-$27-$27
BANK OF AMERICA CORP2020-01-092021-06-22$4,596$4,067$529$529
BANK OF MONTREAL 2.350% 9/11/222019-01-222021-07-08$25,468$24,522$946$946
BANK OF MONTREAL 2.350% 9/11/222019-06-122021-07-08$8,150$7,934$216$216
BANK OF MONTREAL 2.350% 9/11/222019-12-112021-07-08$37,692$37,151$541$541
BANK OF NY MELLON CO 2.500% 4/15/212018-03-222021-03-15$9,943$9,943$0$0
BANK OF NY MELLON CO 2.500% 4/15/212018-05-012021-03-15$7,955$7,955$0$0
BANK OF NY MELLON CO 2.500% 4/15/212018-08-212021-03-15$6,960$6,960$0$0
BANK OF NY MELLON CO 2.500% 4/15/212019-06-102021-03-15$3,977$3,988-$11-$11
BANK OF NY MELLON CO 2.500% 4/15/212019-06-142021-03-15$3,977$3,992-$15-$15
BANK OF NY MELLON CO 2.500% 4/15/212019-12-112021-03-15$36,791$37,064-$273-$273
BLACKSTONE INC2020-05-282021-08-30$6,267$2,827$3,440$3,440
BLACKSTONE INC2020-05-282021-10-21$3,973$1,696$2,277$2,277
BLACKSTONE INC2020-08-252021-10-21$7,285$2,873$4,412$4,412
BLACKSTONE INC2020-05-062021-12-22$3,873$1,500$2,373$2,373
BLACKSTONE INC2020-08-252021-12-22$3,873$1,562$2,311$2,311
BROADCOM INC2019-12-272021-02-10$7,051$4,752$2,299$2,299
BROADCOM INC2019-12-272021-04-08$7,221$4,752$2,469$2,469
CISCO SYSTEMS INC2020-01-092021-03-01$690$709-$19-$19
CISCO SYSTEMS INC2020-02-042021-03-01$1,380$1,421-$41-$41
CISCO SYSTEMS INC2018-05-242021-08-30$1,180$871$309$309
CISCO SYSTEMS INC2019-01-242021-08-30$5,607$4,322$1,285$1,285
CISCO SYSTEMS INC2020-01-092021-09-09$2,396$1,937$459$459
DEUTSCHE BOERSE AG ADR2020-11-162021-12-06$1,195$1,239-$44-$44
DODGE & COX STOCK FUND 1452017-12-232021-03-25$93,014$72,500$20,514$20,514
DUKE ENERGY HOLDING CORP. COM2020-01-092021-05-21$1,638$1,447$191$191
EV GLBL MACR ABS RTRN-R6 #10712018-05-042021-12-23$168,367$175,000-$6,633-$6,633
EV GLBL MACR ABS RTRN-R6 #10712018-07-022021-12-23$170,843$175,000-$4,157-$4,157
EV GLBL MACR ABS RTRN-R6 #10712020-01-272021-12-23$24,242$25,000-$758-$758
EV GLBL MACR ABS RTRN-R6 #10712020-03-032021-12-23$197,709$200,000-$2,291-$2,291
FED HOME LN MTG CORP 0.375% 4/20/232020-04-242021-07-08$179,646$178,730$916$916
FED HERM STRAT VAL DVD-R6 2512011-01-112021-03-25$121,304$96,999$24,305$24,305
FED HERM STRAT VAL DVD-R6 2512017-12-232021-03-25$14,093$15,855-$1,762-$1,762
FIRST HAWAIIAN INC2019-12-102021-05-28$760$772-$12-$12
FIRST HAWAIIAN INC2020-01-292021-05-28$1,351$1,404-$53-$53
GOLDMAN SACHS GROUP INC2020-11-162021-12-17$1,560$888$672$672
GOLDMAN SACHS GROUP INC2020-12-092021-12-17$390$241$149$149
GOLDMAN SACHS GROUP 3.000% 4/26/222018-03-122021-01-28$11,020$10,884$136$136
GOLDMAN SACHS GROUP 3.000% 4/26/222018-04-302021-01-28$7,013$6,917$96$96
GOLDMAN SACHS GROUP 3.000% 4/26/222018-08-212021-01-28$7,013$6,934$79$79
GOLDMAN SACHS GROUP 3.000% 4/26/222019-06-102021-01-28$4,007$4,004$3$3
GOLDMAN SACHS GROUP 3.000% 4/26/222019-12-112021-01-28$41,073$41,281-$208-$208
HONEYWELL INTERNATIONAL INC2020-01-092021-09-09$1,795$1,430$365$365
ISHARES CORE S&P SMALL-CAP ETF2014-08-202021-02-11$49,008$25,207$23,801$23,801
ISHARES CORE S&P SMALL-CAP ETF2018-03-122021-02-11$31,823$23,993$7,830$7,830
ISHARES CORE S&P SMALL-CAP ETF2018-07-022021-02-11$31,823$25,073$6,750$6,750
ISHARES CORE S&P SMALL-CAP ETF2018-07-172021-02-11$120,717$98,027$22,690$22,690
ISHARES MBS ETF2019-07-102021-02-17$96,004$93,860$2,144$2,144
ISHARES MBS ETF2019-12-112021-02-17$90,518$88,884$1,634$1,634
PHILIPS ELECTRONICS - NY SHR ADR2020-01-092021-12-06$2,254$3,212-$958-$958
LVMH MOET HENNESSY UNSP ADR - ADR2020-01-092021-06-22$1,294$754$540$540
LAM RESEARCH CORP COM2019-01-242021-02-10$7,947$2,406$5,541$5,541
ELI LILLY & CO COM2018-06-152021-07-06$1,171$433$738$738
LOWES COS INC2020-01-092021-03-01$2,440$1,835$605$605
LOWES COS INC2020-01-092021-04-19$1,238$734$504$504
LOWES COS INC2020-03-092021-12-06$1,010$390$620$620
MANULIFE FINANCIAL CORP2017-12-232021-02-10$6,385$6,927-$542-$542
MANULIFE FINANCIAL CORP2019-12-272021-02-10$4,741$4,939-$198-$198
MICROSOFT CORP2020-01-092021-09-23$3,283$1,780$1,503$1,503
MICROSOFT CORP2018-07-172021-12-22$2,978$957$2,021$2,021
MICROSOFT CORP2019-12-272021-12-22$13,565$6,518$7,047$7,047
MOTOROLA SOLUTIONS, INC.2020-04-082021-09-23$2,169$1,302$867$867
MOTOROLA SOLUTIONS, INC.2020-04-082021-12-17$1,294$724$570$570
NIKE INC CL B2018-05-242021-12-22$824$361$463$463
NIKE INC CL B2018-06-152021-12-22$6,595$3,016$3,579$3,579
ORGANON & CO2020-01-092021-06-07$172$231-$59-$59
ORGANON & CO2020-03-102021-06-07$19$23-$4-$4
ORGANON & CO2017-12-232021-06-14$452$404$48$48
ORGANON & CO2018-05-032021-06-14$90$81$9$9
ORGANON & CO2018-05-242021-06-14$166$155$11$11
ORGANON & CO2018-05-312021-06-14$151$142$9$9
ORGANON & CO2018-06-152021-06-14$90$88$2$2
ORGANON & CO2019-01-242021-06-14$181$209-$28-$28
ORGANON & CO2020-03-102021-06-28$9$11-$2-$2
POOL CORPORATION2019-12-102021-02-12$19,618$12,038$7,580$7,580
RESTAURANT BRANDS INTERN2020-02-042021-12-06$1,156$1,233-$77-$77
SNAP ON INC2020-01-092021-04-19$942$662$280$280
SNAP ON INC2020-01-092021-09-23$1,492$1,158$334$334
SYSCO CORP2020-04-012021-04-08$5,210$2,671$2,539$2,539
TELEDYNE TECHNOLOGIES INC2019-12-102021-05-10$8,723$6,893$1,830$1,830
TELEDYNE TECHNOLOGIES INC2019-12-102021-10-06$3,430$2,757$673$673
TELEDYNE TECHNOLOGIES INC2019-12-102021-10-07$4,324$3,447$877$877
US TREASURY NOTE 2.625% 12/15/212019-06-052021-07-08$15,168$15,053$115$115
US TREASURY NOTE 2.625% 12/15/212019-12-112021-07-08$25,279$25,475-$196-$196
US TREASURY NOTE 2.625% 12/15/212020-03-092021-07-08$141,565$145,688-$4,123-$4,123
US TREASURY NOTE 2.125% 9/30/212018-03-072021-02-03$57,403$56,372$1,031$1,031
US TREASURY NOTE 2.125% 9/30/212018-04-302021-02-03$35,247$34,546$701$701
US TREASURY NOTE 2.125% 9/30/212019-12-112021-02-03$53,375$53,079$296$296
US TREASURY NOTE 1.750% 9/30/222018-03-072021-07-08$23,172$22,325$847$847
US TREASURY NOTE 1.750% 9/30/222018-04-302021-07-08$27,201$26,141$1,060$1,060
US TREASURY NOTE 1.750% 9/30/222018-08-212021-07-08$25,187$24,256$931$931
US TREASURY NOTE 1.750% 9/30/222019-12-112021-07-08$50,373$49,486$887$887
UNITEDHEALTH GROUP INC2019-12-272021-07-06$14,275$10,360$3,915$3,915
VERIZON COMMUNICATIONS2020-01-092021-06-22$1,699$1,777-$78-$78
WALGREENS BOOTS ALLI 3.800% 11/18/242019-11-042021-04-26$27,483$26,447$1,036$1,036
GARMIN LTD2020-05-282021-08-30$8,018$4,094$3,924$3,924
TE CONNECTIVITY LTD2018-05-242021-04-08$3,925$2,833$1,092$1,092
TE CONNECTIVITY LTD2018-05-312021-04-08$1,308$934$374$374
FLEX LTD2019-02-142021-11-19$6,873$3,945$2,928$2,928
FLEX LTD2019-12-272021-11-19$14,639$10,448$4,191$4,191
FLEX LTD2020-07-172021-11-19$7,766$4,778$2,988$2,988
CAPITAL GAINS DIVIDENDS$294,555$294,555$294,555P
FieldValueIRS element (for citing)
Capital Gain Net Income$476,324CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$8,975InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$8,975SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$8,975TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$43,162EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$43,162TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$34,187OverpaymentAmt
Applied To ES Tax$34,187AppliedToESTaxAmt
Refund$0RefundAmt

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 StateNJOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9737630314PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11 BENJAMIN FRANKLIN DR UNIT 102AddressLine1Txt
CitySARASOTACityNm
State AbbreviationFLStateAbbreviationCd
ZIP34236ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SUSAN HEAD
90 PARK AVENUE APT 426FLORHAM PARKNJ07932ADVISOR2.00$20,000$0$0
FOTINI ALLTENI
1 BENJAMIN FRANKLIN DRIVESARASOTAFL34236CO-TRUSTEE2.00$60,270$0$0
KRISTI ALLTENI
1 BENJAMIN FRANKLIN DRIVESARASOTAFL34236CO-TRUSTEE2.00$20,000$0$0
BRITNEY ALLTENI
1 BENJAMIN FRANKLIN DRIVESARASOTAFL34236CO-TRUSTEE2.00$20,000$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLS FARGOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 N INDEPENDENCE MALL E 6TH FLOORAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19106ZIPCd
FieldValueIRS element (for citing)
Service TypeINVESTMENT MANAGEMENTServiceTypeTxt
Compensation$106,259CompensationAmt
FieldValueIRS element (for citing)
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$20,161,888AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$967,570AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$1,185FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$21,130,643TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$21,130,643AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$316,960CashDeemedCharitableAmt
Net Vl Noncharitable Assets$20,813,683NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,040,684MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,040,684MinimumInvestmentReturnAmt
Tax Based On Investment Income$8,975TaxBasedOnInvestmentIncomeAmt
Total Tax$8,975TotalTaxAmt
Distributable Before Adj$1,031,709DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,031,709DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,031,709DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$682,067ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$682,067QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,031,709DistributableAsAdjustedAmt
Undistributed Income PY$613,283UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$682,067QualifyingDistributionsAmt
Applied To Year1$613,283AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$68,784AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$962,925UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
FOUNDATION FOR MORRISTOWN MEDICAL CENTER INC
475 SOUTH STREETMORRISTOWNNJ07960NONEPCCHARITABLE$50,000
OVERLOOK HOSPITAL FOUNDATION
46 BEAUVOIR AVESUMMITNJ07901NONEPCCHARITABLE$50,000
RUTGERS UNIVERSITY FOUNDATION
335 GEORGE ST 4000NEW BRUNSWICKNJ08901NONEPCCHARITABLE$37,500
SAINT BARNABAS HEALTH CARE CENTER
95 OLD SHORT HILLS ROADLIVINGSTONNJ07039NONEPCCHARITABLE$300,000
SEEING EYE INC
WASHINGTON VALLEY ROADMORRISTOWNNJ07960NONEPCCHARITABLE$50,000
TRINITAS HOSPITAL FOUNDATION
225 WILLIAMSON STELIZABETHNJ07202NONEPCCHARITABLE$25,000
ST LAWRENCE HEALTH
330 MONROE AVENUE SUITE 400ROCHESTERNY14607NONEPCCHARITABLE$10,000
ICAHN SCHOOL OF MEDICINE FOUNDATION
ONE GUSTAVE L LEVY PLACE BOX 1049NEW YORKNY10029NONEPCCHARITABLE$25,000
AAWO FL CHAPTER
PO BOX 1881NEW YORKNY10021NONEPCCHARITABLE$1,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$549,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$70,272ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$268,382ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,352ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$476,324ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$817,330ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$817,330TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number1LineNumberTxt
Relationship StatementNOT APPLICABLERelationshipStatementTxt

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 (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
ESTATE OF HELENE KOSLOSKI
15 ANN STVERONANJ07044$27,370Yes (X)
DIANE M GOLDBERG ESTATE
242 CHELSEA DRLIVINGSTONNJ07039$200,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$16,058Amt
Net Investment Income$8,029NetInvestmentIncomeAmt
Disbursements Charitable Prps$8,029DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CORPORATE BONDS$1,897,553$1,885,638
BOND FUNDS - WELLS FARGO$1,723,977$1,770,240

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockSTOCKSStockNm
EOY Book Value$8,258,776EOYBookValueAmt
EOYFMV$12,326,914EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$1,465,144USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$1,451,688USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MONEY MARKET - WELLS FARGOAT COST$1,748,413$1,748,413
REAL ESTATE INVESTMENT- WELLS FARGOAT COST$875,743$1,162,562
ALTERNATIVE INVESTMENTS - WELLS FARGOAT COST$898,164$950,663

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL AND PROFESSIONAL FEESCategoryTxt
Legal Fees$48,875LegalFeesAmt
Net Investment Income$24,438NetInvestmentIncomeAmt
Disbursements Charitable Prps$24,437DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescOTHER ASSETSDesc
EOY Book Value$2,370EOYBookValueAmt
EOYFMV$2,370EOYFMVAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescWELLS FARGO 3300Desc
Revenue And Expenses Per Books$2,352RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO KOSLOSKI FAMILY FOUNDATIONDesc
BOY Book Value$245,358BOYBookValueAmt
EOY Book Value$245,358EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$106,259Amt
Net Investment Income$106,259NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXES - WELLS FARGOCategoryTxt
Amt$6,480Amt
Net Investment Income$6,480NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt