STRATEGY STUDIO / PUBLIC DATA EXPLORER

PEPIN FAMILY FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PEPIN FAMILY FOUNDATION INC (EIN 20-1250899)
Tax period
2016-01-01 to 2016-12-31
Filed
2018-01-23
IRS object ID
201810239349100001
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2018-01-23T10:29:38-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Disaster ReliefIR-2017-150 HURRICANE IRMA LATE FILING RELIEFDisasterReliefTxt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN590548468PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PURVIS GRAY & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12347 SE 17TH STREETAddressLine1Txt
CityOCALACityNm
State AbbreviationFLStateAbbreviationCd
ZIP34471ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201250899EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEPIN FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPEPIBusinessNameControlTxt
Phone8136266176PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14121 NORTH 50TH STREETAddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33610ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT J AMMONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8136266176PhoneNum
Signature2017-12-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN T LEE CPAPreparerPersonNm
PTINP00367156PTIN
Phone3527323872PhoneNum
Preparation2017-12-12PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id9055BC76A8C3DDF55FD8A07F9833E33646F915C5AtSubmissionCreationDeviceId
At Submission Filing Device IdAF056C27A3B52BF14F072D7B09A2E8EB433174DEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Special ConditionIR2017150 HURRICANE IRMA LATE FILING RELIEFSpecialConditionDesc
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$141,051FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$15,000ContriRcvdRevAndExpnssAmt
Total Rev And Expnss$15,000TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Legal Fees Rev And Expnss$1,034LegalFeesRevAndExpnssAmt
Accounting Fees Rev And Expnss$4,350AccountingFeesRevAndExpnssAmt
Other Prof Fees Rev And Expnss$875OtherProfFeesRevAndExpnssAmt
Other Expenses Rev And Expnss$12OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$6,271TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$3,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$9,771TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$3,500TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$5,229ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$135,822CashBOYAmt
Cash EOY$141,051CashEOYAmt
Cash EOYFMV$141,051CashEOYFMVAmt
Total Assets BOY$135,822TotalAssetsBOYAmt
Total Assets EOY$141,051TotalAssetsEOYAmt
Total Assets EOYFMV$141,051TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$135,822RetainedEarningBOYAmt
Retained Earning EOY$141,051RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$135,822TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$141,051TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$135,822TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$141,051TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$135,822TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$5,229ExcessRevenueOverExpensesAmt
Subtotal$141,051SubtotalAmt
Tot Net Ast Or Fund Balances EOY$141,051TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$39,795AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$124,263NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.320248DistributionYr1Rt
Adjusted Qlfy Distri Yr2$163,936AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$143,953NetVlNoncharitableAssetsYr2Amt
Distribution Yr21.138816DistributionYr2Rt
Adjusted Qlfy Distri Yr3$55,000AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$167,158NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.329030DistributionYr3Rt
Adjusted Qlfy Distri Yr4$29,745AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$193,183NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.153973DistributionYr4Rt
Adjusted Qlfy Distri Yr5$2,000AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$166,368NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.012022DistributionYr5Rt
Total Distribution1.954089TotalDistributionRt
Average Distribution0.390818AverageDistributionRt
Net Vl Noncharitable Assets$129,777NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$50,719AdjNetVlNoncharitableAssetsAmt
Adj Nonchrtbl Net Invst Incm Pct$50,719AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$3,500QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateFLOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1ROBERT J AMMON CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8136266176PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line14121 NORTH 50TH STREETAddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33610ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnYes (true)FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

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
THOMAS A PEPIN
4121 NORTH 50TH STTAMPAFL33610PRESIDENT2.00$0$0$0
ROBERT J AMMON
4121 NORTH 50TH STTAMPAFL33610TREASURER2.00$0$0$0
RANDY GARCIA
4121 NORTH 50TH STTAMPAFL33610SECRETARY2.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$131,753AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$131,753TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$131,753AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,976CashDeemedCharitableAmt
Net Vl Noncharitable Assets$129,777NetVlNoncharitableAssetsAmt
Minimum Investment Return$6,489MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$6,489MinimumInvestmentReturnAmt
Distributable Before Adj$6,489DistributableBeforeAdjAmt
Distributable Before Ded$6,489DistributableBeforeDedAmt
Distributable As Adjusted$6,489DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$3,500ExpensesAndContributionsAmt
Qualifying Distributions$3,500QualifyingDistributionsAmt
Adjusted Qualifying Distri$3,500AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$6,489DistributableAsAdjustedAmt
Excess Distribution Cyov Yr4$20,086ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$46,642ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$156,738ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$33,582ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$257,048TotalExcessDistributionCyovAmt
Qualifying Distributions$3,500QualifyingDistributionsAmt
Applied To Current Year$3,500AppliedToCurrentYearAmt
Excess Distri Cyov App CY Corpus$2,989ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$2,989ExcessDistributionCyovAppCYAmt
Total Corpus$254,059TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$254,059ExcessDistriCyovToNextYrAmt
Excess From Year4$17,097ExcessFromYear4Amt
Excess From Year3$46,642ExcessFromYear3Amt
Excess From Year2$156,738ExcessFromYear2Amt
Excess From Year1$33,582ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (2 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BUDDY BASEBALL
PO BOX 290361TEMPLE TERRACEFL33687PCSPECIAL NEEDS CHILDREN$1,000
FLORIDA COUNCIL ON ECONOMIC EDUC
501 S DAKOTA AVE 1TAMPAFL33606PCEDUCATIONAL PROGRAMS$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$3,500TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1FLORIDA HOSP TAMPA FOUNDATIONBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line13100 E FLETCHER AVENUEAddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33613ZIPCd
FieldValueIRS element (for citing)
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeCARDIOVASCULAR RESEARCH & TREATMENTGrantOrContributionPurposeTxt
Amt$65,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$65,000TotalGrantOrContriApprvFutAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

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
MICHAEL PATRICIA POTTHOFF
11410 COUNTRY LAKE ESTATES DRCHESTERFIELDMO63005$5,000Yes (X)
LISA DEBARTLO MIGGS
2934 SOUTH GOLF VIEWTAMPAFL33629$10,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$4,350Amt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryINDIRECT LEGAL FEESCategoryTxt
Legal Fees$1,034LegalFeesAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
EXPENSES
BANK FEES$12

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT OTHER PROFESSIONAL FEESCategoryTxt
Amt$875Amt