VICA FOUNDATION: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- VICA FOUNDATION (EIN 27-2178283)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-03-19
- IRS object ID
- 202040799349100304
- Schema version
- 2019v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-03-19T12:58:35-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 060885645 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRODEUR & COMPANY CPAS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 164 | AddressLine1Txt |
| City | OLD SAYBROOK | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06475 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272178283 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VICA FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | C/O TIMOTHY CROWLEY TRUSTEE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VICA | BusinessNameControlTxt |
| Phone | 2033189333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1089 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 064432684 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY CROWLEY | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 2033189333 | PhoneNum |
| Signature | 2020-03-06 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DONALD S BRODEUR JR | PreparerPersonNm |
| PTIN | P00447959 | PTIN |
| Phone | 8603884627 | PhoneNum |
| Preparation | 2020-03-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $257,430 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $199,449 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $14 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $14 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $1,274 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,274 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $2,539 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $216,703 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $201,987 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $203,276 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $203,275 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $1,505 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,505 | AccountingFeesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $434 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $440 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $1,939 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,945 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $95,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $95,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $96,939 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,945 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $95,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $106,337 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $201,330 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $39,859 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $146,196 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $257,430 | SavAndTempCashInvstEOYFMVAmt |
| Total Assets BOY | $39,859 | TotalAssetsBOYAmt |
| Total Assets EOY | $146,196 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $257,430 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $39,859 | RetainedEarningBOYAmt |
| Retained Earning EOY | $146,196 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $39,859 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $146,196 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $39,859 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $146,196 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $39,859 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $106,337 | ExcessRevenueOverExpensesAmt |
| Subtotal | $146,196 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $146,196 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| NOVO NORDISK | D | 2019-10-25 | 2019-11-01 | $202,671 | $1 | $202,670 | $202,670 |
| MS 043 | P | 2019-02-01 | $13,344 | $14,045 | -$701 | -$701 | |
| MS 043 | P | 2019-02-01 | $674 | $670 | $4 | $4 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $201,987 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $202,670 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $70,000 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $67,410 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 1.038422 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $69,800 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $43,799 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 1.593644 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $57,000 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $39,471 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 1.444098 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $17,000 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $59,602 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.285225 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $17,000 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $76,238 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.222986 | DistributionYr5Rt |
| Total Distribution | 4.584375 | TotalDistributionRt |
| Average Distribution | 0.916875 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $88,754 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $81,376 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,013 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $83,389 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $95,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $2,013 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,013 | SubtotalAmt |
| Tax Based On Investment Income | $2,013 | TaxBasedOnInvestmentIncomeAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $77 | EsPenaltyAmt |
| Tax Due | $2,090 | TaxDueAmt |
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 | CT | 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 | N/A | WebsiteAddressTxt |
| Individual With Books | TIMOTHY W CROWLEY | IndividualWithBooksNm |
| Phone | 2039807292 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1089 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06443 | 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 |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY CROWLEY | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1089 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 064432684 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 000.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $0 | CompensationAmt |
| Employee Benefit Program | $0 | EmployeeBenefitProgramAmt |
| Expense Account Other Allwnc | $0 | ExpenseAccountOtherAllwncAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $44,535 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $45,571 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $90,106 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $90,106 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,352 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $88,754 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $4,438 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $4,438 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,013 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,013 | TotalTaxAmt |
| Distributable Before Adj | $2,425 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $2,425 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $2,425 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $95,000 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $95,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $2,013 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $92,987 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $2,425 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $13,206 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $14,035 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $55,026 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $67,610 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $66,629 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $216,506 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $95,000 | QualifyingDistributionsAmt |
| Applied To Current Year | $2,425 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $92,575 | RemainingDistriFromCorpusAmt |
| Total Corpus | $309,081 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $13,206 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $295,875 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $14,035 | ExcessFromYear4Amt |
| Excess From Year3 | $55,026 | ExcessFromYear3Amt |
| Excess From Year2 | $67,610 | ExcessFromYear2Amt |
| Excess From Year1 | $66,629 | ExcessFromYear1Amt |
| Excess From Current Year | $92,575 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | CARL PEDERSEN | ContributingManagerNm |
| Contributing Manager | VIBEKE PEDERSEN | ContributingManagerNm |
| 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 Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| DEMOCRACY NOW | |||||||
| 207 W 25TH ST FLOOR 1 | NEW YORK | NY | 10001 | PUBLIC CHARI | GENERAL SUPPORT | $5,000 | |
| EQUAL JUSTICE INITIATIVE | |||||||
| 122 COMMERCE STREET | MONTGOMERY | AL | 36104 | PUBLIC CHARI | GENERAL SUPPORT | $5,000 | |
| INTERNATIONAL RESCUE COMMITTEE | |||||||
| 122 EAST 42ND STREET | NEW YORK | NY | 10168 | PUBLIC CHARI | GENERAL SUPPORT | $5,000 | |
| LEWISBORO LAND TRUST | |||||||
| PO BOX 496 | SOUTH SALEM | NY | 10590 | PUBLIC CHARI | GENERAL SUPPORT | $10,000 | |
| MARIE STOPES INTERNATIONAL | |||||||
| PO BOX 35528 | WASHINGTON | DC | 20033 | PUBLIC CHARI | GENERAL SUPPORT | $5,000 | |
| FEEDING WESTCHESTER | |||||||
| 200 CLEARBROOK ROAD | ELMSFORD | NY | 10523 | PUBLIC CHARI | GENERAL SUPPORT | $20,000 | |
| PLANNED PARENTHOOD | |||||||
| 434 WEST 33RD STREET | NEW YORK | NY | 10001 | PUBLIC CHARI | GENERAL SUPPORT | $10,000 | |
| REMOTE AREA MEDICAL | |||||||
| 2200 STOCK CREEK BLVD | ROCKFORD | TN | 37853 | PUBLIC CHARI | GENERAL SUPPORT | $5,000 | |
| SOIL | |||||||
| 124 CHURCH ROAD | NEW YORK | NY | 13460 | PUBLIC CHARI | GENERAL SUPPORT | $5,000 | SHERBURNE |
| SOUTHERN POVERTY LAW CENTER | |||||||
| 400 WASHINGTON AVENUE | MONTGOMERY | AL | 361044344 | PUBLIC CHARI | GENERAL SUPPORT | $5,000 | |
| WESTCHESTER LAND TRUST | |||||||
| 403 HARRIS RD | BEDFORD HILLS | NY | 10507 | PUBLIC CHARI | GENERAL SUPPORT | $5,000 | |
| FISTULA FOUNDATION | |||||||
| 1922 THE ALAMEDA STE 302 | SAN JOSE | CA | 95126 | PUBLIC CHARI | GENERAL FUND | $5,000 | |
| LEWISBORO VOLUNTEER AMBULANCE CORP | |||||||
| POST OFFICE BOX 41 | SOUTH SALEM | NY | 105900041 | PUBLIC CHARI | GENERAL FUND | $10,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $95,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $14 | RelatedOrExemptFunctionIncmAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $1,274 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $2,539 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $3,827 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $3,827 | 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 (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Noncash ContributionNoncashContributionInd |
|---|---|---|---|---|---|---|
| CARL PEDERSEN | ||||||
| 1 | 373 MOUNT HOLLY ROAD | KATONAH | NY | 10536 | $99,725 | Yes (X) |
| VIBEKE JENSEN | ||||||
| 2 | 373 MOUNT HOLLY ROAD | KATONAH | NY | 10536 | $99,724 | Yes (X) |
Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | 1850 SHARES NOVONORDISK (NVO) | $99,725 | 2019-11-25 |
| 2 | 1850 SHARES NOVONORDISK | $99,724 | 2019-10-25 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEE | CategoryTxt |
| Amt | $1,505 | Amt |
| Net Investment Income | $1,505 | NetInvestmentIncomeAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXPENSES | ||
| ADVISORY FEES MSSB 43 | $421 | $427 |
| OTHER | $13 | $13 |