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A TO Z IMPACT FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
A TO Z IMPACT FOUNDATION (EIN 47-1982106)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201733189349102613
Schema version
2016v3.1
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)
Return2017-11-14T15:53:46-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1One Hollow Ln Ste 212AddressLine1Txt
CityLake SuccessCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN471982106EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1A to Z Impact FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlATOZBusinessNameControlTxt
Phone8008391754PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN H MCKNIGHTPersonNm
Person TitlepresidentPersonTitleTxt
Phone8008391754PhoneNum
Signature2017-04-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey D HaskellPreparerPersonNm
PTINP01345770PTIN
Phone8008391754PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.187.244.114IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id06391520173185000027FederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0B775BB9C0E0C9DA339247063A24C50179569C8EAtSubmissionCreationDeviceId
At Submission Filing Device Id259C731B7C7CCB55DA46458F0098BC0D5A2501CBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,556,704FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$2,100,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$376InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$376InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$5,292DividendsRevAndExpnssAmt
Dividends Net Invst Incm$5,292DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$113,463NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$576,600GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$113,463CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$37,448OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$37,472OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$2,256,579TotalRevAndExpnssAmt
Total Net Invst Incm$156,603TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Oth Empl Slrs Wgs Rev And Expnss$79,547OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$79,547OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$13,330PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Dsbrs Chrtbl$13,330PensionEmplBnftDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$25,467OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$13,367OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$12,100OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$8,170TaxesRevAndExpnssAmt
Occupancy Rev And Expnss$10,786OccupancyRevAndExpnssAmt
Occupancy Dsbrs Chrtbl$10,786OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$13,398TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$13,398TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$55PrintingAndPubRevAndExpnssAmt
Printing And Pub Dsbrs Chrtbl$55PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$40,750OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$20,553OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$20,197OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$191,503TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$33,920TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$149,413TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$121,450ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$121,450ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$312,953TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$33,920TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$270,863TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,943,626ExcessRevenueOverExpensesAmt
Net Investment Income$122,683NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$70,310SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,924,521SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,924,521SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$157,496CorporateStockBOYAmt
Corporate Stock EOY$162,589CorporateStockEOYAmt
Corporate Stock EOYFMV$169,727CorporateStockEOYFMVAmt
Other Investments BOY$2,122,649OtherInvestmentsBOYAmt
Other Investments EOY$2,336,971OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,462,456OtherInvestmentsEOYFMVAmt
Other Assets BOY$130,000OtherAssetsBOYAmt
Total Assets BOY$2,480,455TotalAssetsBOYAmt
Total Assets EOY$4,424,081TotalAssetsEOYAmt
Total Assets EOYFMV$4,556,704TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$2,480,455RetainedEarningBOYAmt
Retained Earning EOY$4,424,081RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,480,455TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,424,081TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,480,455TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,424,081TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,480,455TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,943,626ExcessRevenueOverExpensesAmt
Subtotal$4,424,081SubtotalAmt
Tot Net Ast Or Fund Balances EOY$4,424,081TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDt
Publicly-traded Securities$183,100$177,787$5,313$5,313
Passthrough K1 Capital Gain/(Loss)$30,488
DEERFIELD INTERNATIONAL LIMITED$143,500$113,176$30,324$30,324P2015-01-012016-09-30
DEERFIELD INTERNATIONAL LIMITED$250,000$202,662$47,338$47,338P2015-01-012016-12-30
FieldValueIRS element (for citing)
Capital Gain Net Income$113,463CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$333,783AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,582,112NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.129267DistributionYr1Rt
Adjusted Qlfy Distri Yr2$1,000AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$315,077NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.003174DistributionYr2Rt
Adjusted Qlfy Distri Yr3$0AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$0NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.0DistributionYr3Rt
Adjusted Qlfy Distri Yr4$0AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$0NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.0DistributionYr4Rt
Adjusted Qlfy Distri Yr5$0AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$0NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.0DistributionYr5Rt
Total Distribution0.132441TotalDistributionRt
Average Distribution0.066221AverageDistributionRt
Net Vl Noncharitable Assets$3,168,842NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$209,844AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,227NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$211,071AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$270,863QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,227InvestmentIncomeExciseTaxAmt
Subtotal$1,227SubtotalAmt
Tax Based On Investment Income$1,227TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,400EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$4,400TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Overpayment$3,173OverpaymentAmt
Applied To ES Tax$3,173AppliedToESTaxAmt

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 StateDEOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd
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 PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Andrea Kaplan
Foundation Source 501 Silverside RdWilmingtonDE198091377VP / Dir1.0$0$0$0
Jeffrey Kaplan
Foundation Source 501 Silverside RdWilmingtonDE198091377Pres / Dir / Sec / Treas1.0$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonMICHAEL KAPLANPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 WALNUT ROADAddressLine1Txt
CityEAST ROACKAWAYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11518ZIPCd
FieldValueIRS element (for citing)
TitleEXECUTIVE DIRECTORTitleTxt
Average Hrs Per Wk Devoted To Pos40.0AverageHrsPerWkDevotedToPosRt
Compensation$79,547CompensationAmt
Employee Benefits$6,302EmployeeBenefitsAmt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$158,693AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$240,203AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$2,818,202FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,217,098TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,217,098AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$48,256CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,168,842NetVlNoncharitableAssetsAmt
Minimum Investment Return$158,442MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$158,442MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,227TaxBasedOnInvestmentIncomeAmt
Total Tax$1,227TotalTaxAmt
Distributable Before Adj$157,215DistributableBeforeAdjAmt
Recoveries Qualfied Distri$130,000RecoveriesQualfiedDistriAmt
Distributable Before Ded$287,215DistributableBeforeDedAmt
Distributable As Adjusted$287,215DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$270,863ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$270,863QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,227PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$269,636AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$287,215DistributableAsAdjustedAmt
Prior Year12014PriorYear1Yr
Prior Year22013PriorYear2Yr
Prior Year32012PriorYear3Yr
Excess Distribution Cyov Yr1$204,193ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$204,193TotalExcessDistributionCyovAmt
Qualifying Distributions$270,863QualifyingDistributionsAmt
Applied To Current Year$270,863AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$16,352ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$16,352ExcessDistributionCyovAppCYAmt
Total Corpus$187,841TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$187,841ExcessDistriCyovToNextYrAmt
Excess From Year1$187,841ExcessFromYear1Amt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (20 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ATAXIA TELANGIECTASIA CHILDRENS PROJECT INC
5300 W HILLSBORO BLVD STE 105COCONUT CREEKFL33073N/APCCharitable Event$500
COMPREHENSIVE DEVELOPMENT INC
240 2ND AVENEW YORKNY10003N/APCA to Z Impact Foundation College Scholarship Fund$5,000
COVENANT HOUSE CONNECTICUT INC
5 PENN PLZ 3RD FLNEW YORKNY10001N/APCCharitable Event$400
CROHNS & COLITIS FOUNDATION INC
733 3RD AVE STE 5NEW YORKNY10017N/APCCharitable Event$500
EAST HARLEM TUTORIAL PROGRAM INC
2050 2ND AVENEW YORKNY10029N/APCUnited Airlines NYC Half 2016 MICHELLE MCCARTHY'S FUNDRAISER: TEAM EHTP 2016 NYC HALF$1,000
GLOBAL CHILDREN
37 W 28TH ST FL 3NEW YORKNY10001N/APCCharitable Event$250
KURE IT INC
2201 DUPONT DR STE 700IRVINECA92612N/APCGeneral & Unrestricted$1,000
LEUKEMIA & LYMPHOMA SOCIETY INC
3 INTERNATIONAL DR STE 200RYE BROOKNY10573N/APCCharitable Event$500
LWALA COMMUNITY ALLIANCE INC
PO BOX 60688NASHVILLETN37206N/APCSystems Change Strategy - Phase 1$25,000
MEMORIAL SLOAN KETTERING CANCER CENTER
1275 YORK AVENEW YORKNY10065N/APCCharitable Event$250
MEMORIAL SLOAN KETTERING CANCER CENTER
1275 YORK AVENEW YORKNY10065N/APCCycle for Survival - Memorial Sloan Kettering Cancer Center$500
MOVEMBER FOUNDATION
PO BOX 1595CULVER CITYCA90232N/APCMovember Program$250
NYAYA HEALTH A NONPROFIT CORPORATION - POSSIBLE
30 BROAD ST 9TH FLNEW YORKNY10004N/APCGeneral & Unrestricted$25,500
ORGANIZATION FOR AUTISM RESEARCH INC
2000 14TH ST N STE 240ARLINGTONVA22201N/APCCharitable Event$500
PAD FOUNDATION
111 BROADWAY RM 1703NEW YORKNY10006N/APCMiguel Hennessy's Challenge Fund$1,000
THE LAND CONSERVANCY OF NEW JERSEY
19 BOONTON AVEBOONTONNJ07005N/APCGeneral & Unrestricted$300
THE PRASAD PROJECT INC
465 BRICKMAN RDHURLEYVILLENY12747N/APC#givingtuesday$1,000
THE WATER TRUST INC
81 PROSPECT STBROOKLYNNY11201N/APCGeneral & Unrestricted$55,000
NYU WINTHROP HOSPITAL
259 1ST STMINEOLANY11501N/APCCancer Center for Kid's 5K Run - Team Trotta$500
ZANMI BENI FOUNDATION INC
6201 RIVIERA DRCORAL GABLESFL33146N/APCGeneral & Unrestricted$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$121,450TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$376ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$5,292ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,083ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$113,463ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescK-1 Inc/LossDesc
Business525990BusinessCd
Unrelated Business Taxbl Incm-$24UnrelatedBusinessTaxblIncmAmt
Exclusion14ExclusionCd
Exclusion$36,389ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm-$24UnrelatedBusinessTaxblIncmAmt
Exclusion$156,603ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$156,579TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonKaplan JeffreyContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1195 Meadowview AvenueAddressLine1Txt
CityHewlettCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11557ZIPCd
FieldValueIRS element (for citing)
Total Contributions$2,100,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Depreciation Schedule DepreciationSchedule

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (80 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ALASKA AIR GROUP INC$1,524$2,235
ALLIANT CORP$1,522$1,490
ALTRIA GROUP INC$1,537$1,555
AMER INTERNATIONAL GROUP INC$1,365$1,660
AMERICAN ELECTRIC POWER INC$1,507$1,511
AT&T, INC$1,649$2,113
BROADCOM LIMITED$1,618$2,333
CENTERPOINT ENERGY$1,646$1,963
CENTURYLINK INC$1,712$1,199
CF INDUSTRIES HOLDINGS, INC$1,817$1,000
CHEVRON CORP$1,651$1,909
CHUBB LIMITED$1,509$1,585
CINCINNATI FINANCIAL CORP$1,494$1,688
CITIGROUP INC$1,561$1,616
CME GROUP, INC$1,456$1,760
COMCAST CORP$1,505$1,519
CONSTELLATION BRANDS INC$1,640$1,541
CROWN CASTLE INTL$1,574$1,417
D R HORTON$1,509$1,421
DELTA AIR LINES INC$1,562$1,662
DIGITAL RLTY TR INC$1,547$1,572
DOLLAR GENERAL CORP$1,573$1,264
DOMINION RESOURCES INC$1,518$1,532
DUKE ENERGY CO$1,521$1,413
ENTERGY CORP$1,644$1,596
EQUINIX, INC$1,288$1,451
EQUITY RESIDENTIAL PPTYS TR$1,581$1,507
EXELON CORPORATION$1,523$1,505
EXPEDIA INC$1,337$1,369
EXTRA SPACE STORAGE$3,075$2,832
FIRST ENERGY CORP$1,623$1,438
FORD MOTOR COMPANY$3,152$2,619
FRONTIER COMMUNICATIONS CORP$1,669$808
GARMIN LTD$1,611$1,636
GENERAL MOTORS$1,599$1,608
GLOBAL PAYMENTS INC$1,487$1,389
H&R BLOCK INC$1,528$1,439
HORMEL FOODS CP$1,376$1,088
HOST HOTELS & RESORTS INC$1,592$1,458
INTERNATIONAL PAPER CO$1,504$1,698
IRON MOUNTAIN$1,647$1,443
ISHARES TR DJ SEL DIVIDEND INX$33,583$35,957
KIMCO RLTY CORP$1,506$1,484
KRAFT HEINZ CO$1,532$1,572
KROGER CO$1,484$1,363
LYONDELLBASELL INDUSTRIES NV$1,536$1,663
MACERICH CO$2,830$2,713
MARATHON PETROLEUM CORP$1,573$1,718
MARRIOTT INTERNATIONAL INC. CL$1,523$1,488
MATTELL INC$1,655$1,815
NASDAQ OMX GROUP$1,568$1,846
NAVIENT CORPORATION$30$32
NEWELL RUBBERMAID INC$1,547$1,479
NIKE INC-CL B$1,513$1,326
OCCIDENTAL PETROLEUM CORP$1,621$1,576
ONEOK INC$1,695$2,201
PHILIP MORRIS INTL$1,686$1,955
PITNEY BOWES INC$1,539$1,289
POWERSHARES QQQ NASDAQ 100$1,521$1,668
PPG INDUSTRIES INC$1,613$1,539
PPL CORPORATION$1,525$1,710
PUBLIC STORAGE INC$1,522$1,565
RAYTHEON CO$1,600$1,562
REALTY INCOME CORP$1,545$1,615
REYNOLDS AMERICAN INC$1,545$1,898
ROSS STORES, INC$1,532$2,052
SEAGATE TECHNOLOGY$1,618$1,125
SELECT SECTOR SPDR UTILITIES$1,556$1,520
SKYWORKS SOLUTIONS, INC$1,595$1,364
SOUTHERN CO$1,654$1,816
SPECTRA ENERGY CORP-W/I$1,625$1,968
STAPLES INC$1,564$1,487
TYSON FOODS INC CL A$1,572$2,512
VALERO ENERGY CORP$3,140$3,445
VERIZON COMMUNICATIONS$1,630$1,771
VULCAN MATERIALS CO$1,545$2,276
WEC ENERGY GROUP, INC$1,548$1,642
WESTROCK COMPANY$1,411$1,475
WEYERHAEUSER CO$3,042$3,451
ZIONS BANCORP$1,512$2,947

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
DEERFIELD INTERNATIONAL LIMITE$1,184,162$1,460,761
DEERFIELD SPECIAL SITUATIONS F$1,151,809$1,000,695
OFFICE SECURITY DEPOSIT$1,000$1,000

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (11 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Administrative Fees$18,135$18,135
Bank Charges$360$360
Cell Phone Plan$1,100$1,100
Computers/Electronic Devices$108$108
Equipment Maintenance$33$33
Insurance Premiums$33$33
K-1 Exp DEERFIELD SPECIAL SITU$20,193$20,193
DIGITAL SUBSCRIPTION FEES$70$70
Office Supplies$56$56
Payroll Processing Fees$637$637
State or Local Filing Fees$25$25

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
K-1 Inc/Loss DEERFIELD SPECIAL SITUATIONS FUND L.P$36,365$36,389
Interest Income from Notes$1,083$1,083

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Investment Management Services$1,982$1,982
Philanthropic Consulting Srvcs$14,835$9,385$5,450
AGENCY FEE FOR MRI$2,000$2,000
Website Development$6,650$6,650

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmt
990-PF Estimated Tax for 2016$3,100
990-PF Extension for 2015$5,070