STRATEGY STUDIO / PUBLIC DATA EXPLORER

MICHAEL J KOSLOSKI FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MICHAEL J KOSLOSKI FOUNDATION (EIN 22-6800804)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-11
IRS object ID
202142849349100619
Schema version
2020v4.1
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)
Return2021-10-11T13:42:54-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN223203841PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROTENBERG MERILBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 PEHLE AVENUE - SUITE 601AddressLine1Txt
CitySADDLE BROOKCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07663ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

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 Line15 ANN STREETAddressLine1Txt
CityVERONACityNm
State AbbreviationNJStateAbbreviationCd
ZIP07044ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFOTINI ALLTENIPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9737630314PhoneNum
Signature2021-09-01SignatureDt
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
Phone2014878383PhoneNum
Preparation2021-08-31PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$20,253,511FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$359,321ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$81,977InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$81,977InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$270,039DividendsRevAndExpnssAmt
Dividends Net Invst Incm$270,025DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$34,127NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,170,646GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$34,127CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$6,030OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$751,494TotalRevAndExpnssAmt
Total Net Invst Incm$386,129TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$40,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$4,000CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$16,000CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$42,675LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$21,338LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$21,337LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$8,707AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,354AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$4,353AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$96,179OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$96,179OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$7,148TaxesRevAndExpnssAmt
Taxes Net Invst Incm$7,148TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$194,709TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$133,019TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$41,690TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$597,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$597,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$792,209TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$133,019TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$639,190TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$40,715ExcessRevenueOverExpensesAmt
Net Investment Income$253,110NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$489,104CashBOYAmt
Cash EOY$1,225,854CashEOYAmt
Cash EOYFMV$1,225,854CashEOYFMVAmt
US Government Obligations BOY$1,395,799USGovernmentObligationsBOYAmt
US Government Obligations EOY$1,640,712USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$1,677,631USGovtObligationsEOYFMVAmt
Corporate Stock BOY$7,368,126CorporateStockBOYAmt
Corporate Stock EOY$8,440,432CorporateStockEOYAmt
Corporate Stock EOYFMV$11,048,724CorporateStockEOYFMVAmt
Corporate Bonds BOY$2,627,775CorporateBondsBOYAmt
Corporate Bonds EOY$3,023,340CorporateBondsEOYAmt
Corporate Bonds EOYFMV$3,186,991CorporateBondsEOYFMVAmt
Other Investments BOY$5,245,048OtherInvestmentsBOYAmt
Other Investments EOY$3,055,715OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,114,311OtherInvestmentsEOYFMVAmt
Other Assets BOY$55,558OtherAssetsBOYAmt
Other Assets EOY$0OtherAssetsEOYAmt
Other Assets EOYFMV$0OtherAssetsEOYFMVAmt
Total Assets BOY$17,181,410TotalAssetsBOYAmt
Total Assets EOY$17,386,053TotalAssetsEOYAmt
Total Assets EOYFMV$20,253,511TotalAssetsEOYFMVAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$245,358OtherLiabilitiesEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$245,358TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$17,181,410CapitalStockBOYAmt
Capital Stock EOY$17,140,695CapitalStockEOYAmt
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$17,181,410TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$17,140,695TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$17,181,410TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$17,386,053TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$17,181,410TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$40,715ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$17,140,695SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$17,140,695TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (101 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
AT&T INCP2020-01-092020-09-22$12,625$17,756-$5,131-$5,131
INVESCO BAL RSK COMM STR-R6 #5011P2019-06-252020-03-03$36,515$40,000-$3,485-$3,485
ANHEUSER-BUSCH INBEV SPN ADRP2020-01-092020-04-08$2,742$4,639-$1,897-$1,897
BANK N S HALIFAXP2020-01-092020-11-16$2,082$2,436-$354-$354
BRITISH AMERICAN TOBACCO P.L.C - ADRP2020-01-092020-03-19$612$904-$292-$292
BROADCOM INCP2019-12-272020-12-10$6,163$4,752$1,411$1,411
CDW CORP/DEP2019-12-102020-12-04$20,602$21,012-$410-$410
CVS HEALTH CORPORATIONP2019-12-272020-03-16$11,520$14,267-$2,747-$2,747
CVS HEALTH CORP 2.125%P2019-06-132020-03-04$7,065$6,858$207$207
CVS HEALTH CORP 4.1%P2020-03-042020-08-25$68,757$66,541$2,216$2,216
CITIGROUP INC.P2019-12-272020-08-25$4,098$6,393-$2,295-$2,295
COHEN & STEERS INSTL RLTY SHRS 1263P2020-01-212020-12-15$88,875$99,845-$10,970-$10,970
COMPASS GROUP PLC ADRP2020-01-092020-02-04$3,015$3,077-$62-$62
CONAGRA BRANDS INC 3.800%P2020-05-062020-10-19$67,301$67,163$138$138
EOG RESOURCES, INCP2019-12-272020-04-23$3,554$6,669-$3,115-$3,115
ELECTRONIC ARTS INCP2019-12-272020-05-28$4,207$3,808$399$399
EXXON MOBIL CORPORATIONP2020-01-092020-02-04$2,622$2,964-$342-$342
FERGUSON NEWCO PLC-ADRP2020-01-092020-09-22$3,104$3,169-$65-$65
GILEAD SCIENCES INCP2020-01-092020-03-09$10,511$10,275$236$236
ING GROEP N.Y. - ADRP2020-01-092020-11-16$2,110$2,919-$809-$809
JPMORGAN CHASE & COP2020-01-092020-03-09$868$1,237-$369-$369
JAPAN TOBACCO INC-UNSPON ADRP2020-01-092020-02-04$1,733$1,829-$96-$96
PHILIPS ELECTRONICS - NY SHR ADRP2020-01-092020-07-27$17$16$1$1
LVMH MOET HENNESSY LJNSP ADR - ADRP2020-01-092020-12-09$1,441$1,131$310$310
LOWES COS INCP2020-01-092020-06-08$1,696$1,591$105$105
MARKETAXESS HLDGS INCP2019-12-102020-05-20$15,970$12,571$3,399$3,399
MICROSOFT CORPP2019-12-272020-03-16$10,646$10,347$299$299
MONDELEZ INTERNATIONAL INCP2019-12-272020-04-01$7,928$8,846-$918-$918
NFL DOCOMO, INC. - ADRP2020-02-042020-04-23$4,320$3,406$914$914
NEXTERA ENERGY INCP2020-01-092020-02-04$1,486$1,461$25$25
OLD DOMINION FREIGHT LINES INCP2019-12-102020-04-15$22,184$15,953$6,231$6,231
PFIZER INCP2020-01-092020-12-09$4,349$3,818$531$531
QUALCOMM INCP2020-01-092020-02-04$3,268$2,253$1,015$1,015
RAYTHEON TECHNOLOGIES CORPP2019-12-272020-04-29$13$19-$6-$6
RECKITT BENCKIS/S ADRP2020-01-092020-06-08$3,100$2,914$186$186
ROCHE HOLDINGS LTD - ADRP2020-01-092020-06-08$1,964$1,885$79$79
ROYAL DUTCH SHELL PLC ADRP2020-01-092020-03-19$1,900$4,445-$2,545-$2,545
SHERWIN-WILLIAMS CO 2.750% 6101/22P2019-06-102020-03-16$3,003$3,000$3$3
SIEMENS ENERGY AG (DEEMED RECEIVED)P2020-09-282020-11-24$296$294$2$2
SNAP ON INCP2020-01-092020-11-16$1,394$1,324$70$70
SPIRIT AEROSYTSEMS HOLD-CL AP2019-12-272020-11-03$2,841$10,591-$7,750-$7,750
SUNCOR ENERGY INC NEW FP2020-02-032020-04-01$2,077$4,228-$2,151-$2,151
TJX COMPANIES INCP2019-12-272020-12-10$9,881$11,003-$1,122-$1,122
TARGET CORPP2020-12-272020-12-10$5,185$3,874$1,311$1,311
TORONTO DOMINION BK ONT COM NEWP2019-12-272020-08-25$5,353$6,168-$815-$815
E-TRACS ALERIAN MLP INFRASTRUCTU ETNP2019-06-242020-01-09$35,945$39,870-$3,925-$3,925
US TREASURY NOTE 2.1 25%P2019-11-202020-05-04$158,078$150,292$7,786$7,786
US TREASURY NOTE 2.750%P2019-12-112020-04-24$107,602$104,989$2,613$2,613
US TREASURY NOTE 2.000%P2019-03-252020-03-03$148,693$145,316$3,377$3,377
VEOLIA ENVIRONNEMENTADRP2020-01-092020-03-09$2,656$2,749-$93-$93
VERIZON COMMUNICATIONSP2020-01-092020-03-09$990$1,066-$76-$76
VIATRIS INCP2020-01-092020-11-20$234$210$24$24
WABCO HOLDINGS INCP2019-12-102020-03-13$12,356$12,422-$66-$66
EATON CORP PLCP2019-12-272020-03-03$5,272$5,242$30$30
CORE LABORATORIES N V COMP2019-12-102020-03-11$309$1,159-$850-$850
FLEX LTDP2019-12-272020-10-26$1,540$1,402$138$138
ACE INA HOLDING 2.300%P2018-04-302020-11-03$33,000$32,752$248$248
INVESCO BAL RSK COMM STR-R6 #5011P2016-02-222020-03-03$101,645$115,446-$13,801-$13,801
APPLE INCP2018-05-242020-09-14$16,813$6,818$9,995$9,995
BLACKROCK INCP2018-05-242020-05-06$4,787$5,389-$602-$602
BOEING COP2018-05-242020-08-25$4,343$8,946-$4,603-$4,603
CME GROUP INCP2018-05-032020-10-26$16,701$17,328-$627-$627
CVS HEALTH CORPORATIONP2017-12-232020-05-06$7,284$8,402-$1,118-$1,118
CVS HEALTH CORP 2.125%P2018-03-072020-03-04$20,187$19,385$802$802
COGNIZANT TECH SOLUTIONS CRP COMP2018-07-112020-07-17$5,536$7,428-$1,892-$1,892
COHEN & STEERS INSTL RLTY SHRS 1263P2018-08-082020-12-15$379,905$414,337-$34,432-$34,432
EOG RESOURCES, INCP2018-05-032020-04-23$9,995$25,137-$15,142-$15,142
ELECTRONIC ARTS INCP2017-02-142020-04-23$4,598$4,222$376$376
AMER ENDS EUROPAC GROW-F3716P2017-04-052020-12-15$50,000$36,587$13,413$13,413
GILEAD SCIENCES INCP2018-07-112020-05-06$13,406$14,543-$1,137-$1,137
HAIN CELESTIAL GROUP INCP2018-05-032020-05-28$9,129$8,030$1,099$1,099
HOME DEPOT INCP2017-12-232020-03-03$29,838$24,228$5,610$5,610
JPMORGAN CHASE & COP1928-06-152020-03-16$3,591$4,420-$829-$829
ELI LILLY & CO COMP2018-06-152020-03-16$4,052$2,600$1,452$1,452
MONDELEZ INTERNATIONAL INCP2018-10-032020-05-06$504$435$69$69
NIKE INCP2018-07-112020-09-14$15,966$9,622$6,344$6,344
PNC FINANCIAL SERVICE GROUPP2018-05-032020-04-01$15,355$24,767-$9,412-$9,412
T ROWE PR T/F HI YLD-I #239P2017-12-232020-01-03$35,647$34,696$951$951
BOSTON P LNGISHRT RES-INS 7015P2018-05-042020-12-15$218,169$245,000-$26,831-$26,831
SHERWIN-WILLIAMS CO 2.750% 6/01/22P2018-05-012020-03-16$8,347$7,795$552$552
SPIRIT AEROSYTSEMS HOLD-CL AP2018-05-032020-11-03$3,430$14,628-$11,198-$11,198
SUNCOR ENERGY INC NEW FP2018-07-172020-04-01$816$2,259-$1,443-$1,443
TJX COMPANIES INCP2018-05-032020-05-28$13,724$11,374$2,350$2,350
THERMO FISHER SCIENTIFIC INCP2019-01-242020-03-03$9,636$6,912$2,724$2,724
TRAVELERS COS INC 3.900%P2018-03-222020-11-01$10,000$10,253-$253-$253
E-TRACS ALERIAN MLP INFRASTRUCTU ETNP2015-12-182020-01-09$40,579$46,299-$5,720-$5,720
UNION PACIFIC CORPP2018-05-312020-04-01$9,116$7,765$1,351$1,351
UNITED PARCEL SERVICE-CL 8P2017-12-232020-08-25$15,333$11,077$4,256$4,256
US BANCORPP2018-03-142020-12-29$33,000$32,340$660$660
US TREASURY NOTE 2.750%P2018-08-222020-04-24$86,081$80,159$5,922$5,922
US TREASURY NOTE 1.750%P2018-03-072020-03-04$20,540$19,255$1,285$1,285
US TREASURY NOTE 3.625%P2018-03-072020-04-23$32,910$32,913-$3-$3
VANGUARD SHORT TERM BOND ETFP2008-11-132020-07-02$199,265$121,601$77,664$77,664
ZOETIS INCP2018-05-032020-02-03$24,397$15,162$9,235$9,235
EATON CORP PLCP2018-05-242020-03-03$26,569$24,165$2,404$2,404
TE CONNECTIVITY LTDP2018-05-242020-09-14$5,473$5,344$129$129
FLEX LTDP2018-05-032020-10-26$18,201$18,872-$671-$671
NEW YORK LIFE INSURANCE ANNUITYP2017-10-102020-10-15$477,313$422,745$54,568$54,568
NEW YORK LIFE INSURANCE BASIS ADJP2017-10-102020-10-15$210,715-$210,715-$210,715
NY LIFE - TO 82-2959949 AS NOMINEEP2017-10-102020-10-15$78,073$78,073$78,073
CAPITAL GAINS DIVIDENDSP$112,724$112,724$112,724
FieldValueIRS element (for citing)
Capital Gain Net Income$34,127CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,518InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,518SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,518TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$46,680EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$46,680TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$43,162OverpaymentAmt
Applied To ES Tax$43,162AppliedToESTaxAmt
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 Line15 ANN STREETAddressLine1Txt
CityVERONACityNm
State AbbreviationNJStateAbbreviationCd
ZIP07044ZIPCd
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 (3 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
5 ANN STREETVERONANJ07044CO-TRUSTEE2.00$0$0$0
KRISTI ALLTENI
5 ANN STREETVERONANJ07044CO-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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
WELLS FARGO
101 N INDEPENDENCE MALL E 6TH FLOORPHILADELPHIAPA19106INVESTMENT MANAGEMENT$96,179
SELESNER & POLIFRON PA
225 MILLBURN AVEMILLBURNNJ07041ATTORNEY$42,675
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$18,229,240AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$564,654AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$18,793,894TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$18,793,894AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$281,908CashDeemedCharitableAmt
Net Vl Noncharitable Assets$18,511,986NetVlNoncharitableAssetsAmt
Minimum Investment Return$925,599MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$925,599MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,518TaxBasedOnInvestmentIncomeAmt
Total Tax$3,518TotalTaxAmt
Distributable Before Adj$922,081DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$922,081DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$922,081DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$639,190ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$639,190QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$639,190AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$922,081DistributableAsAdjustedAmt
Undistributed Income PY$330,392UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$639,190QualifyingDistributionsAmt
Applied To Year1$330,392AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$308,798AppliedToCurrentYearAmt
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$613,283UndistributedIncomeCYAmt
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 (7 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CAPUCHIN FRANCISCAN PROVINCE OF THE SACRED STIGMATA OF ST FRANCIS
319 36TH STREETUNION CITYNJ07087NONEPCCHARITABLE$10,000
FOUNDATION FOR MORRISTOWN MEDICAL CENTER INC
475 SOUTH STREETMORRISTOWNNJ07960NONEPCCHARITABLE$25,000
RUTGERS UNIVERSITY FOUNDATION
335 GEORGE ST 4000NEW BRUNSWICKNJ08901NONEPCCHARITABLE$37,500
SAINT BARNABAS HEALTH CARE CENTER
95 OLD SHORT HILLS ROADLIVINGSTONNJ07039NONEPCCHARITABLE$425,000
SEEING EYE INC
WASHINGTON VALLEY ROADMORRISTOWNNJ07960NONEPCCHARITABLE$50,000
OVERLOOK HOSPITAL FOUNDATION
46 BEAUVOIR AVESUMMITNJ07901NONEPCCHARITABLE$25,000
TRINITAS HOSPITAL FOUNDATION
225 WILLIAMSON STELIZABETHNJ07202NONEPCCHARITABLE$25,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$597,500TotalGrantOrContriPdDurYrAmt
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$81,977ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$270,039ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$6,030ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$34,127ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$392,173ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$392,173TotalIncomeProducingActyAmt

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$159,321Yes (X)
MICHAEL GOLDBERG
242 CHELSEA DRLIVINGTONNJ07039$200,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$8,707Amt
Net Investment Income$4,354NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,353DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CORPORATE BONDS$1,578,485$1,634,204
BOND FUNDS - WELLS FARGO$1,444,855$1,552,787

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockSTOCKSStockNm
EOY Book Value$8,440,432EOYBookValueAmt
EOYFMV$11,048,724EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$1,640,712USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$1,677,631USGovtObligationsEOYFMVAmt
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$1,013,390$1,013,390
REAL ESTATE INVESTMENT- WELLS FARGOAT COST$568,704$590,547
ALTERNATIVE INVESTMENTS - WELLS FARGOAT COST$1,473,621$1,510,374

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL AND PROFESSIONAL FEESCategoryTxt
Legal Fees$42,675LegalFeesAmt
Net Investment Income$21,338NetInvestmentIncomeAmt
Disbursements Charitable Prps$21,337DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDUE FROM KOSLOSKI FAMILY FOUNDATIONDesc
BOY Book Value$55,558BOYBookValueAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescWELLS FARGO 3300Desc
Revenue And Expenses Per Books$6,030RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$6,030AdjustedNetIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO KOSLOSKI FAMILY FOUNDATIONDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$245,358EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$96,179Amt
Net Investment Income$96,179NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXES - WELLS FARGOCategoryTxt
Amt$7,148Amt
Net Investment Income$7,148NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt