JACOBS FAMILY FOUNDATION INC: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- JACOBS FAMILY FOUNDATION INC (EIN 80-0304018)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-08-08
- IRS object ID
- 201802209349100105
- Schema version
- 2017v2.3
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-08T12:02:12-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 232872380 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEONARD F POLK & CO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 WASHINGTON ROAD SUITE 407 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15228 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800304018 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACOBS FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JACO | BusinessNameControlTxt |
| Phone | 7244688232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6608 STATE ROUTE 22 | AddressLine1Txt |
| City | DELMONT | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15626 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRENCE S JACOBS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7244688232 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WARREN W KIPLING | PreparerPersonNm |
| PTIN | P00074045 | PTIN |
| Phone | 4125631141 | PhoneNum |
| Preparation | 2018-08-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | 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 | $1,184,384 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $200,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $7,181 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $7,181 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $7,181 | InterestOnSavingsAdjNetIncmAmt |
| Total Rev And Expnss | $207,181 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $7,181 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $7,181 | TotalAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $1,324 | AccountingFeesRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $377 | OtherProfFeesRevAndExpnssAmt |
| Taxes Rev And Expnss | $40 | TaxesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $1,741 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $103,150 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $103,150 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $104,891 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $103,150 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $102,290 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $7,181 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $7,181 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $120,884 | CashBOYAmt |
| Cash EOY | $226,445 | CashEOYAmt |
| Cash EOYFMV | $226,445 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $961,787 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $958,516 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $957,939 | SavAndTempCashInvstEOYFMVAmt |
| Total Assets BOY | $1,082,671 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,184,961 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,184,384 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $1,082,671 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,184,961 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,082,671 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,184,961 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,082,671 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,184,961 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,082,671 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $102,290 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,184,961 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,184,961 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $80,967 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,012,332 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.079981 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $73,470 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $994,590 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.073870 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $53,364 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $860,303 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.062029 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $32,150 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $706,002 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.045538 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $44,855 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $633,823 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.070769 | DistributionYr5Rt |
| Total Distribution | 0.332187 | TotalDistributionRt |
| Average Distribution | 0.066437 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,047,269 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $69,577 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $72 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $69,649 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $103,150 | 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 | $72 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $72 | SubtotalAmt |
| Tax Based On Investment Income | $72 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $72 | 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 | PA | 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 | TERRENCE S JACOBS | IndividualWithBooksNm |
| Phone | 7244688232 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6247 LOUISE COVE DRIVE | AddressLine1Txt |
| City | WINDERMERE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34786 | 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 |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| TERRENCE S JACOBS | ||||||||
| 6247 LOUISE COVE DRIVE | WINDERMERE | FL | 34786 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| DARRYL M JACOBS | ||||||||
| 4057 SABLE LOOP DRIVE | LAKE WALES | FL | 33859 | SECRETARY | 0.50 | $0 | $0 | $0 |
| DARRYL M JACOBS JR | ||||||||
| 6608 STATE ROUTE 22 | DELMONT | PA | 15626 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| MATHEW S JACOBS | ||||||||
| 6608 STATE ROUTE 22 | DELMONT | PA | 15626 | TREASURER | 1.00 | $0 | $0 | $0 |
| 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 | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,063,217 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,063,217 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,063,217 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $15,948 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,047,269 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $52,363 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $52,363 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $72 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $72 | TotalTaxAmt |
| Distributable Before Adj | $52,291 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $52,291 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $52,291 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $103,150 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $103,150 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $72 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $103,078 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $52,291 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $13,212 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr3 | $10,412 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $23,819 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $30,430 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $77,873 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $103,150 | QualifyingDistributionsAmt |
| Applied To Current Year | $52,291 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $50,859 | RemainingDistriFromCorpusAmt |
| Total Corpus | $128,732 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $13,212 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $115,520 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $10,412 | ExcessFromYear3Amt |
| Excess From Year2 | $23,819 | ExcessFromYear2Amt |
| Excess From Year1 | $30,430 | ExcessFromYear1Amt |
| Excess From Current Year | $50,859 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | TERRENCE S JACOBS | ContributingManagerNm |
| Contributing Manager | DARRYL M JACOBS | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (92 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ALLIANCE DEFENSE FREEDOM | |||||||
| 15100 N 90TH ST | SCOTTDALE | AZ | 852609898 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| ALZHEIMER'S ASSOCIATION | |||||||
| P O BOX 96011 | WASHINGTON | DC | 200906011 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| AMERICAN INST FOR CANCER RESEA | |||||||
| PO BOX 97167 | WASHINGTON | DC | 200777824 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| AMERICAN FAMILY ASSOCIATION | |||||||
| P O DRAWER 2440 | TUPELO | MS | 38803 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| CAMPAIGN SOLUTIONS EDONATION | |||||||
| 117 N SAINT ASAPH ST | ALEXANDRIA | VA | 22314 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| AMERICAN CANCER SOCIETY | |||||||
| P O BOX 896 | HERSHEY | PA | 170330896 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| AMERICAN BIBLE SOCIETY | |||||||
| P O BOX 96812 | WASHINGTON | DC | 200777683 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| AMERICAN CENTER FOR LAW & | |||||||
| P O BOX 90555 | WASHINGTON | DC | 200900555 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,000 |
| AMERICAN DIABETES ASSOCIATION | |||||||
| P O BOX 1833 | RAPID CITY | SD | 577099979 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| AMERICAN CIVIL RIGHTS UNION | |||||||
| P O BOX 96189 | WASHINGTON | DC | 200906189 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| AMERICAN HEART ASSOCIATION | |||||||
| PO BOX 78851 | PHOENIX | AZ | 850628851 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| ASPCA | |||||||
| P O BOX 96929 | WASHINGTON | DC | 200777127 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| BLINDED VETERANS ASSOCIATION | |||||||
| P O BOX 98081 | WASHINGTON | DC | 200908081 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| CARPENTER'S BUILDERS INC | |||||||
| PO BOX 537 | YOUNGWOOD | PA | 15697 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| CAMPUS CRUSADE FOR CHRIST | |||||||
| P O BOX 628222 | ORLANDO | FL | 328629841 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| CARE NET | |||||||
| 44180 RIVERSIDE PKY 200 | LANSDOWNE | VA | 20176 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,000 |
| CHILDREN'S HOSP OF PGH FOUNDATION | |||||||
| PO BOX 535240 | PITTSBURGH | PA | 152539926 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| CHRISTIAN APPALACHIAN PROJECT | |||||||
| PO BOX 55911 | LEXINGTON | KY | 405555911 | N/A | PUBLIC | OPERATING EXPENDITURE | $3,200 |
| CHILDRENS HOSP OF PGH FOUNDATION | |||||||
| P O BOX 535240 | PITTSBURGH | PA | 152539926 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| CITIZENS UNITED | |||||||
| P O BOX 96408 | WASHINGTON | DC | 200906408 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| COVENANT HOUSE | |||||||
| PO BOX 39282 | FT LAUDERDALE | FL | 333390282 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| COMMITTEE FOR CONSTRUCTIVE TOMMOROW | |||||||
| P O BOX 430 | ABINGDON | MD | 210090430 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| COMMONWEALTH FOUNDATION | |||||||
| 225 STATE ST 302 | HARRISBURG | PA | 17101 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,500 |
| CRU | |||||||
| P O BOX 628222 | ORLANDO | FL | 328629841 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,500 |
| DELMONT LIONS CLUB FOUNDATION | |||||||
| P O BOX 52 | DELMONT | PA | 156260052 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| DISABLED AMERICAN VETERANS | |||||||
| P O BOX 96648 | WASHINGTON | DC | 200906648 | N/A | PUBLIC | OPERATING EXPENDITURE | $750 |
| EASTERSEALS | |||||||
| PO BOX 621028 | ORLANDO | FL | 328621028 | N/A | PUBLIC | OPERATING EXPENDITURE | $300 |
| EPILEPSY FOUNDATION | |||||||
| P O BOX 1573 | WASHINGTON | DC | 200131573 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| FEED THE CHILDREN | |||||||
| P O BOX 97067 | WASHINGTON | DC | 200907067 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| FEEDING AMERICA | |||||||
| P O BOX 96749 | WASHINGTON | DC | 200777746 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| FOOD FOR THE POOR INC | |||||||
| 6401 LYONS ROAD | COCONUT CREEK | FL | 330979004 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| FOR THE TROOPS | |||||||
| P O BOX 96873 | WASHINGTON | DC | 200906873 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| FRIENDS TO FRIENDS | |||||||
| 6471 ITALY ROAD | EXPORT | PA | 15632 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| FREEDOM'S DEFENSE FUND | |||||||
| PO BOX 17460 | WASHINGTON | DC | 200410460 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| GUARDIAN ANGELS MEDICAL SVC DOGS | |||||||
| P O BOX 1569 | MERRIFIELD | VA | 221161569 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| HABITAT FOR HUMANITY INT'L | |||||||
| P O BOX 1167 | AMERICUS | GA | 317099951 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| THE HEARTLAND INSTITUTE | |||||||
| 3939 NORTH WILKE RD | ARLINGTON HEIGHTS | IL | 600049916 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| HELP HOSPITALIZED VETERANS | |||||||
| PO BOX 5025 | HAGERSTOWN | MD | 217415025 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| THE HERITAGE FOUNDATION | |||||||
| P O BOX 97057 | WASHINGTON | DC | 200907057 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| THE HUMANE SOCIETY OF THE | |||||||
| P O BOX 97015 | WASHINGTON | DC | 200777269 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| HUMANE SOCIETY OF INDIANA COUNTY | |||||||
| 191 AIRPORT ROAD | INDIANA | PA | 15701 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| JUDICIAL WATCH | |||||||
| P O BOX 96234 | WASHINGTON | DC | 200777480 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,500 |
| SUSAN G KOMEN | |||||||
| P O BOX 96216 | WASHINGTON | DC | 200906216 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| LAW ENFORCEMENT ACTION NETWORK | |||||||
| PO BOX 1490 | MERRIFIELD | VA | 221161490 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| THE LEUKEMIA & LYMPHOMA SOCIETY | |||||||
| 3507 E FRONTAGE RD 300 | TAMPA | FL | 33607 | N/A | PUBLIC | OPERATING EXPENDITURE | $5,750 |
| LEADERSHIP INSTITUTE | |||||||
| 1101 NORTH HIGHLAND ST | ARLINGTON | VA | 22201 | N/A | PUBLIC | OPERATING EXPENDITURE | $3,500 |
| LIGHT OF LIFE RESCUE MISSION | |||||||
| P O BOX 645427 | PITTSBURGH | PA | 152645252 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| THE LIGHTHOUSE FOUNDATION | |||||||
| BOX 366 | BAKERSTOWN | PA | 15007 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| LIBERTY GODPARENT HOME | |||||||
| ONE MOUNTAIN VIEW RD | LYNCHBURG | VA | 245029962 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| MARCH OF DIMES | |||||||
| P O BOX 2547 | DECATUR | IL | 625252547 | N/A | PUBLIC | OPERATING EXPENDITURE | $400 |
| MARINE TOYS FOR TOTS FOUNDATION | |||||||
| P O BOX 25845 | LEHIGH VALLEY | PA | 180025845 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| MACULAR DEGENERATION ASSOC | |||||||
| P O BOX 96162 | WASHINGTON | DC | 200906162 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| MOTHERS AGAINST DRUNK DRIVERS | |||||||
| P O BOX 758521 | TOPEKA | KS | 666758521 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| MOUNTAIN STATES LEGAL FOUNDATION | |||||||
| 2596 S LEWIS WAY | LAKEWOOD | CO | 802279944 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| MUSCULAR DYSTROPHY ASSOCIATION | |||||||
| 400 PENN CENTER BLVD | PITTSBURGH | PA | 15235 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| NATIONAL RIGHT TO WORK | |||||||
| 8001 BRADDOCK ROAD | SPRINGFIELD | VA | 221600002 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| NATIONAL RIFLE ASSOCIATION | |||||||
| P O BOX 420765 | PALM COAST | FL | 321428535 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| NATIONAL FOUNDATION FOR CANCER | |||||||
| P O BOX 96022 | WASHINGTON | DC | 200900622 | N/A | PUBLIC | OPERATING EXPENDITURE | $300 |
| NATIONAL CANCER RESEARCH CENTER | |||||||
| PO BOX 8915 | TOPEKA | KS | 666089935 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| NATIONAL PRO-LIFE ALLIANCE | |||||||
| 4521 WINDSOR ARMS CT | ANNANDALE | VA | 220035751 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| NATL FEDERATION OF THE BLIND | |||||||
| P O BOX 7482 | BALTIMORE | MD | 212279908 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| OPERATION SMILE | |||||||
| P O BOX 5017 | HAGERSTOWN | MD | 217419716 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| PARALYZED VETERANS OF AMERICA | |||||||
| P O BOX 758532 | TOPEKA | KS | 666759910 | N/A | PUBLIC | OPERATING EXPENDITURE | $750 |
| PITTSBURGH CULTURAL TRUST | |||||||
| 803 LIBERTY AVENUE | PITTSBURGH | PA | 152223703 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| PITCAIRN CAMP B | |||||||
| 213 CENTER AVENUE | PITCAIRN | PA | 15140 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,000 |
| PRISON FELLOWSHIP | |||||||
| P O BOX 1550 | MERRIFIELD | VA | 221169880 | N/A | PUBLIC | OPERATING EXPENDITURE | $850 |
| SAMARITAN'S PURSE | |||||||
| P O BOX 3000 | BOONE | NC | 28607 | N/A | PUBLIC | OPERATING EXPENDITURE | $5,000 |
| SALEM TOWNSHIP BUREAU OF FIRE | |||||||
| P O BOX 1604 | GREENSBURG | PA | 156011604 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| THE SALVATION ARMY | |||||||
| P O BOX 236 | PITTSBURGH | PA | 15230 | N/A | PUBLIC | OPERATING EXPENDITURE | $11,500 |
| THE SALVATION ARMY OF WESTERN PA | |||||||
| 700 NORTH BELL AVE | CARNEGIE | PA | 15106 | N/A | PUBLIC | OPERATING EXPENDITURE | $13,500 |
| SECOND HARVEST FOOD BANK | |||||||
| 411 MERCY DRIVE | ORLANDO | FL | 328051019 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| SHRINERS HOSPITALS FOR CHILDREN | |||||||
| 3551 NORTH BROAD ST | PHILADELPHIA | PA | 19140 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| SHEKINAH RANCH | |||||||
| 371 CRACKERJACK RD | MONONGEHELA | PA | 15063 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| SMILE TRAIN | |||||||
| P O BOX 96231 | WASHINGTON | DC | 200777377 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,100 |
| SPECIAL OLYMPICS FLORIDA | |||||||
| P O BOX 120128 | CLERMONT | FL | 347120128 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| WESLEY FAMILY SVCS OF W PA | |||||||
| 3230 WILLIAM PITT HWY | PITTSBURGH | PA | 15238 | N/A | PUBLIC | OPERATING EXPENDITURE | $150 |
| ST JOSEPH'S INDIAN SCHOOL | |||||||
| PO BOX 300 | CHAMBERLAIN | SD | 573259919 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| STUDENTS FOR LIFE OF AMERICA | |||||||
| 4755 JEFFERSON DAVIS HWY | FREDERICKSBURG | VA | 22408 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| ST JUDE CHILDREN'S RESEARCH HOSP | |||||||
| P O BOX 50 | MEMPHIS | TN | 381019929 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,250 |
| SUSAN B ANTHONY LIST | |||||||
| 1707 L STREET NW 550 | WASHINGTON | DC | 20036 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| TEEN QUEST | |||||||
| 293 RICH ROAD | SOMERSET | PA | 15501 | N/A | PUBLIC | OPERATING EXPENDITURE | $5,000 |
| TROOPS FIRST FOUNDATION | |||||||
| 535 MAIN STREET 211 | LAUREL | MD | 20707 | N/A | PUBLIC | OPERATING EXPENDITURE | $5,000 |
| THE USO | |||||||
| P O BOX 96860 | WASHINGTON | DC | 200777677 | N/A | PUBLIC | OPERATING EXPENDITURE | $650 |
| VETERANS OF FOREIGN WARS | |||||||
| P O BOX 8958 | TOPEKA | KS | 666088958 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,250 |
| VIETNAM VETERANS OF AMERICA | |||||||
| 8719 COLESVILLE RD 100 | SILVER SPRING | MD | 209109901 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| WESTMORELAND ARTSHERITAGE FESTIVAL | |||||||
| 252 TWIN LAKES RD | LATROBE | PA | 15650 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| WESTMORELAND CTY FOOD BANK INC | |||||||
| P O BOX 599 | MURRYSVILLE | PA | 156680599 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| WESTMORELAND MUSEUM OF AMERICAN ART | |||||||
| 221 NORTH MAIN ST | GREENSBURG | PA | 15601 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| WESTMORELAND CULTURAL TRUST | |||||||
| 102 N MAIN ST 232 | GREENSBURG | PA | 15601 | N/A | PUBLIC | OPERATING EXPENDITURE | $5,100 |
| WESTMORELAND CTY FOOD BANK | |||||||
| 100 DEVONSHIRE DR | DELMONT | PA | 156261607 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| WOUNDED WARRIOR PROJECT | |||||||
| PO BOX 758541 | TOPEKA | KS | 666758541 | N/A | PUBLIC | OPERATING EXPENDITURE | $750 |
| WOMEN'S CHOICE NETWORK | |||||||
| P O BOX 15034 | PITTSBURGH | PA | 15237 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $103,150 | 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 | $7,181 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $7,181 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $7,181 | 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 | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| TERRENCE S JACOBS | ||||||
| 1 | 6247 LOUISE COVE DRIVE | WINDERMERE | FL | 34786 | $100,000 | Yes (X) |
| DARRYL M JACOBS | ||||||
| 2 | 4057 SABLE LOOP DRIVE | LAKE WALES | FL | 33859 | $100,000 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE | CategoryTxt |
| Amt | $1,324 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ADVISORY FEES | CategoryTxt |
| Amt | $377 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FED EXCISE TAX ON INV. INCOME | CategoryTxt |
| Amt | $40 | Amt |