2019-11-13T09:27:51-06:00 2018-12-31 593530905 BRETT HENDEE PA ATTORNEYS AT LAW 1700 SOUTH MACDILL AVE SUITE 200 TAMPA FL 336295218 990PF 2018-01-01 593773382 CHRIS T SULLIVAN FOUNDATION INC CHRI 8133217781 1511 N WESTSHORE BLVD SUITE 750 TAMPA FL 33607 CHRIS T SULLIVAN PRESIDENT 8133217781 2019-11-12 1 BRETT HENDEE P00237330 8132581177 70.110.77.58 2019-11-12 14:54:28 ES P D303F8F5968474B372CDCF4F0E0DC35CF1C1AAED 7BF16ECE4B51DF12B9D60AFCB9978CF5E1DCA0B5 2018 2020-03-31 21:24:44Z X 9216644 X 45000 201457 200613 517 2085838 20726 7204 2859 254178 224198 18000 0 18000 4911 2455 2456 61464 0 61464 29643 29643 0 4354 1144 31 9928 0 9928 101732 39460 62272 230032 72702 154151 759909 759909 989941 72702 914060 -735763 151496 420 9420 9420 7365 7365 7365 7365 3901850 3901850 7143405 2252471 0 0 52680 2056454 2056454 6214786 5975089 9216644 710593 0 710593 X 0 0 0 0 6214786 5264496 6214786 5264496 6214786 5975089 6214786 -735763 0 5479023 214527 5264496 MERIDIAN HORIZON FUND, L.P. P -2126 -2126 MERIDIAN HORIZON FUND, L.P. P 21395 21395 MERIDIAN HORIZON FUND, L.P. P 2014-04-21 2018-12-31 2053367 2051910 1457 1457 20726 0 869574 9782461 0.088891 1163273 9120026 0.127552 1076944 9817733 0.109694 2496078 12465892 0.200233 358307 12853538 0.027876 0.554246 0.110849 10244164 1135555 1515 1137070 914060 3030 0 3030 0 3030 22046 0 0 22046 0 19016 19016 0 0 0 0 0 0 0 0 0 1 1 0 1 1 FL 1 0 0 0 0 1 CTSFOUNDATION.ORG AVA FORNEY 8133217775 1511 N WESTSHORE BLVD SUITE 750 TAMPA FL 33607 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHRIS T SULLIVAN 1511 N WESTSHORE BLVD SUITE 750 TAMPA FL 33607 PRESIDENT/DIRECTOR 2.00 0 0 0 ALEXANDER L SULLIVAN 1511 N WESTSHORE BLVD SUITE 750 TAMPA FL 33607 VICE PRES/DIRECTOR 0.10 0 0 0 ASHLEY M SULLIVAN 1511 N WESTSHORE BLVD SUITE 750 TAMPA FL 33607 SECRETARY/DIRECTOR 0.10 0 0 0 PATRICIA THOMPSON 1511 N WESTSHORE BLVD SUITE 750 TAMPA FL 33607 EXECUTIVE DIRECTOR 7.50 18000 0 0 NONE 0 WAYNE COOK 208 S BRADFORD AVE TAMPA FL 33609 CONSULTING 61464 0 0 8325322 11025 2063819 10400166 0 0 10400166 156002 10244164 512208 512208 3030 702 3732 508476 0 508476 0 508476 914060 0 914060 0 914060 508476 0 0 1921529 586057 707272 386410 3601268 914060 0 0 0 508476 405584 0 0 4006852 0 0 0 0 0 0 0 4006852 1921529 586057 707272 386410 405584 CHRIS T SULLIVAN X A KID'S PLACE 1715 LITHIA PINECREST RD BRANDON FL 33511 N/A PC TO MEET THE NEEDS OF FOSTER CHILDREN 3000 ART INTERNATIONAL TRAINING AND RESESARCH INC 1511 N WESTSHORE BLVD SUITE 750 TAMPA FL 33607 N/A PC TO SUPPORT ACCELERATED RESOLUTION THERAPY FOR THOSE WHO SUFFER FROM PTS AND OTHER PSYCHOLOGICAL TRAUMAS 32000 BIG BEND HOSPICE FOUNDATION INC 1723 MAHAN CENTER BLVD TALLAHASSEE FL 323085428 N/A PC TO PROVIDE COMPASSIONATE CARE TO INDIVIDUALS WITH A LIFE LIMITING ILLNESS 200 BLUEGRASS LAND CONSERVANCY 380 S MILL STREET SUITE 205 LEXINGTON KY 40508 N/A PC TO PRESERVE THE SCENIC FARMLAND AND NATURAL RESOURCES IN THE BLUEGRASS REGION 500 CIGAR FAMILY CHARITABLE FOUNDATION PO BOX 2030 TAMPA FL 33601 N/A PC SUPPORT FOR DELIVERING CONSISTENT IMPROVEMENT UPON THE LIVES OF FAMILIIES IN THE DOMINICAN REPUBLIC 2000 COPPERHEAD CHARITIES INC 36750 US HWY 19 NORTH PALM HARBOR FL 34684 N/A PC TO SUPPORT VARIOUS LOCAL CAHRITIES 2040 DIAMOND DERBY INC 1700 SPRING DRIVE LOUISVILLE KY 40205 N/A PC SUPPORT THE BARNSTABLE BROWN DIABETES & OBESITY CENTER AT THE UNIV OF KENTUCKY 28000 DRUG FREE AMERICA FOUNDATION INC 5999 CENTRAL AVENUE SUITE 301 ST PETERSBURG FL 33710 N/A PC SUPPORT FOR THE FIGHT AGAINST THE GROWING OPIOD EPIDEMIC 5000 FARA ENERGY BALL PO BOX 26454 TAMPA FL 336236454 N/A PC FUNDING FOR A CURE FOR FRIEDREICH'S ATAXIA 58460 FIRST BAPTIST CHURCH COLLEGE HILL 3838 NORTH 29TH STREET TAMPA FL 33610 N/A PC TO SUPPORT THE CHURCH 500 FLORIDA COUNCIL ON ECONOMIC EDUCATION 501 S DAKOTA AVE STE 1 TAMPA FL 33606 N/A PC TO PREPARE FLORIDA'S YOUNG PEOPLE FOR PERSONAL AND FINANCIAL SUCCESS 2500 FRAMEWORKS OF TAMPA BAY INC 402 EAST OAK AVENUE TAMPA FL 33602 N/A PC TO TEACH YOUTH TO MANAGE EMOTIONS, DEVELOP HEALTHY RELATIONSHIPS & MAKE GOOD DECISIONS 10000 GARY KOCH INVITATIONAL PRO-AM 1511 N WESTSHORE BLVD SUITE 750 TAMPA FL 336074505 N/A PC TO HELP RAISE MONEY FOR LOCAL CHARITIES 5947 GENERAL TOMMY FRANKS LEADERSHIP INSTITUTE AND MUSEUM 507 S MAIN STREET HOBART OK 73651 N/A PC TO ADVANCE THE UNDERSTANDING OF HISTORICAL EVENTS AND ENCOURAGE LEADERSHIP DEVELOPMENT 5000 GOLD SHIELD FOUNDATION INC PO BOX 271791 TAMPA FL 33688 N/A PC TO SUPPORT FINANCIAL ASSISTANCE FOR FAMILIES OF FALLEN HEROES 100 HORATIO ALGER ASSOCIATION 99 CANAL CENTER PLAZA STE 320 ALEXANDRIA VA 22314 N/A PC SUPPORT FOR NEED BASED SCHOLARSHIPS 115000 HOSPICE CARE PLUS 208 KIDD DRIVE BEREA KY 40403 N/A PC TO HELP INDIVIDUALS WITH LIFE LIMITING ILLNESS 200 JUDEO CHRISTIAN HEALTH CLINIC INC 4118 N MACDILL AVE TAMPA FL 33607 N/A PC TO HELP CLINIC PROVIDE FREE QUALITY HEALTHCARE FOR MEDICALLY INDIGENT 2500 LOWRY PARK ZOOLOGICAL SOCIETY OF TAMPA INC 1101 W SLIGH AVE TAMPA FL 336045958 N/A PC TO SUPPORT THE RESCUE, REHABILITATION AND CARE FOR ANIMALS 4550 MERCY HOME FOR BOYS & GIRLS 1140 W JACKSON BLVD CHICAGO IL 60607 N/A PC TO PROVIDE A SAFE PLACE FOR KIDS IN CRISIS TO HEAL 5000 MOFFITT CANCER CENTER FOUNDATION 12902 MAGNOLIA DRIVE TAMPA FL 336129416 N/A PC TO SUPPORT CANCER RESEARCH AND TREATMENT 14442 MONTEREY PENINSULA FOUNDATION ONE LOWER RAGSDALE DR BLDG 3 STE 100 MONTEREY CA 93940 N/A PC TO ASSIST IN IMPROVING THE QUALITY OF LIFE ON THE MONTEREY PENINSULA 46500 NAPLES CHILDREN & EDUCATION FOUNDATION 999 VANDERBILT BEACH ROAD SUITE 300 NAPLES FL 34108 N/A PC TO HELP IMPROVE THE LIVES OF UNDERPRIVILEGED AND AT-RISK CHILDREN 30250 NATIONAL PEDIATRIC CANCER FOUNDATION 550 W EXECUTIVE DR STE 200 TAMPA FL 33609 N/A PC TO SUPPORT RESEARCH TO ELIMINATE CHILHOOD CANCER 100 NAVAL POSTGRADUATE SCHOOL FOUNDATION PO BOX 8626 MONTEREY CA 939438626 N/A PC TO HELP SUPPORT INURED VETERANS, MILITARY MEMBERS AND THEIR FAMILIES 30200 ONE COMMUNITY NOW 1540 LITTLE ROAD TRINITY FL 34655 N/A PC STAND DOWN - SUPPORT FOR HOMELESS AND AT-RISK VETERANS 5000 PEBBLE BEACH COMPANY FOUNDATION PO BOX 1767 PEBBLE BEACH CA 93953 N/A PC TO SUPPORT MEANINGFUL WAYS TO IMPACT THE EDUCATIONAL NEEDS OF MONTERY COUNTY YOUTH 1300 PEDIATRIC CANCER FOUNDATION 550 W EXECUTIVE DR STE 300 TAMPA FL 33607 N/A PC TO SUPPORT PEDIATRIC CANCER RESEARCH 5000 POSITIVE COACHING ALLIANCE 1001 N RENGSTORFF AVE STE 100 MOUTAIN VIEW CA 94043 N/A PC TO SUPPORT YOUTH SPORTS IN DEVELOPING BETTER ATHLETES AND BETTER PEOPLE 10000 SCHOOLS FOR HAITI PO BOX 273848 TAMPA FL 33688 N/A PC TO TEACH DISCIPLESHIP, DEVLOPMENT AND DIVERSITY IN HAITI SCHOOLS 5000 SECOND STRIDE 7204 HIGHWAY 329 CRESTWOOD KY 40014 N/A PC TO SUPPORT THE CARE OF RETIRED THOROUGHBRED RACEHORSES 2250 SPECIAL OLYMPICS FLORIDA 1915 DON WICKHAM DR CLERMONT FL 34711 N/A PC TO SUPPORT SPORTS TRAINING AND COMPETITION TO THOSE WITH INTELLECTUAL DISABILITIES 250 SPECIAL OPERATIONS WARRIOR FOUNDATION 1137 MARBELLA PLAZA DRIVE TAMPA FL 33619 N/A PC TO SUPPORT WOUNDED VETERANS AND THEIR FAMILIES 4800 STARTING RIGHT NOW 5328 PRIMOSE LAKE CIRCLE STE A TAMPA FL 33647 N/A PC TO AID HOMELESS UNACCOMPANIED YOUTH 25000 ST PETERSBURG FREE CLINIC 863 3RD AVE NORTH ST PETERSBURG FL 337012703 N/A PC TO SUPPORT MENTAL HEALTH TRAINING 1500 TAMPA METROPOLITAN AREA YMCA 7910 WILLIE BLACK DR TAMPA FL 33610 N/A PC TO SUPPORT THE FIRST TEE PROGRAM IN TAMPA BAY FOR YOUTH TO LEARN GOLF & VALUES 33334 THE MICHAEL J FOX FOUNDATION GRAND CENTRAL STATION PO BOX 4777 NEW YORK NY 10163 N/A PC TO SUPPORT PARKINSON'S RESEARCH 27500 THE PEPIN ACADEMIES FOUNDATION 9304 CAMDEN FIELD PKWY RIVERVIEW FL 33578 N/A SOUNK TO SUPPORT PEPIN ADACEMIES PUBLIC, TUITION FREE CHARTER SCHOOLS FOR STUDENTS WITH LEARNING DISABILITIES. 2000 THE V FOUNDATION 14600 WESTON PARKWAY CARY NC 27513 N/A PC TO HELP FUND CANCER RESEARCH 4550 VETERAN'S ALTERNATIVE 1750 ARCADIA ROAD HOLIDAY FL 34690 N/A PC TO HELP PROVIDE ALTERNATIVE MODALITIES TO IMPROVE THE QUALITY OF LIFE FOR MILITARY AND VETERANS 228436 759909 0 14 201457 18 517 MERIDIAN HORIZON FUND, L.P. 523000 4345 SECTION 965(A) INCOME INCLUSION 2507 SECTION 951A GILTI 352 4345 201974 2859 209178 11D FROM K-1 - MERIDIAN HORIZON FUND LP - SECTION 965(A) INCOME INCLUSION 11E FROM K-1 - MERIDIAN HORIZON FUND LP - SECTION 951(A) GILTI INCOME 0 0 0 0 0 0 0 0 0 0 X X 1 MIKE MEZACK 14707 WATERCHASE BLVD TAMPA FL 33626 15000 X 2 C TODD ALLEY 184 BALTIC CIRCLE TAMPA FL 33606 15000 X 3 JAMES CHADWICK 972 WEEDON DRIVE NE ST PETERSBURG FL 33702 15000 X VEHICLE 2013-12 PURCHASED 2018-11 32471 52680 0 -20209 399,296 BLOOMIN' BRANDS, INC. 3901850 7143405 LEGAL & PROFESSIONAL FEES 4911 2455 2456 CHRIS T SULLIVAN PRESIDENT 710593 710593 2017-06 2017-06 ZERO INTEREST - PAYABLE ON DEMAND 0.000000000000 NONE SHORT TERM LOAN TO FACILITATE CHARITABLE CONTRIBUTIONS AND EXPENSES CASH 710593 VEHICLE 52680 0 0 DISTRIBUTION RECEIVABLE 2053367 2053367 RECEIVABLE - WC 3087 3087 UNREALIZED LOSS ON INVESTMENTS 214527 INTERNET & WEB 728 0 728 MERIDIAN HORIZON FUND - INVESTMENT EXPENSES 37996 37996 0 MERIDIAN HORIZON FUND - 965 (C) DEDUCTION 1450 1450 0 MERIDIAN HORIZON FUND - MISCELLANEOUS EXPENSE 14 14 0 MISCELLANEOUS EXPENSE RELATED TO CHARITIES 61544 0 61544 MERIDIAN HORIZON FUND, L.P. 4345 4345 SECTION 965(A) INCOME INCLUSION 2507 2507 2507 SECTION 951A GILTI 352 352 352 CONSULTING FEES 61464 0 61464 TAXES & LICENSES 61 30 31 FOREIGN TAX PAID 1114 1114 0 FEDERAL INCOME TAXES 3179 0 0