STRATEGY STUDIO / PUBLIC DATA EXPLORER

PEPIN FAMILY FOUNDATION INC: Form 990PF, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
PEPIN FAMILY FOUNDATION INC (EIN 20-1250899)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201513209349103271
Schema version
2014v5.0
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)
Return2015-11-16T15:48:46-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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 AMMON CPAPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8136266176PhoneNum
Signature2015-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN T LEE CPAPreparerPersonNm
PTINP00367156PTIN
Phone3527323872PhoneNum
Preparation2015-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$116,074FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$125,533ContriRcvdRevAndExpnssAmt
Other Income Rev And Expnss$44,200OtherIncomeRevAndExpnssAmt
Other Income Adj Net Incm$44,200OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$169,733TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Total Adj Net Incm$44,200TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$1,970AccountingFeesRevAndExpnssAmt
Other Expenses Rev And Expnss$89,136OtherExpensesRevAndExpnssAmt
Other Expenses Adj Net Incm$44,200OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$44,936OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$91,106TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$44,200TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$44,936TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$119,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$119,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$210,106TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$44,200TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$163,936TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$40,373ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$156,447CashBOYAmt
Cash EOY$116,074CashEOYAmt
Cash EOYFMV$116,074CashEOYFMVAmt
Total Assets BOY$156,447TotalAssetsBOYAmt
Total Assets EOY$116,074TotalAssetsEOYAmt
Total Assets EOYFMV$116,074TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$156,447RetainedEarningBOYAmt
Retained Earning EOY$116,074RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$156,447TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$116,074TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$156,447TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$116,074TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$156,447TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$40,373ExcessRevenueOverExpensesAmt
Subtotal$116,074SubtotalAmt
Tot Net Ast Or Fund Balances EOY$116,074TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$55,000AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$167,158NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.329030DistributionYr1Rt
Adjusted Qlfy Distri Yr2$29,745AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$193,183NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.153973DistributionYr2Rt
Adjusted Qlfy Distri Yr3$2,000AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$166,368NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.012022DistributionYr3Rt
Adjusted Qlfy Distri Yr4$1,100,000AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$222,049NetVlNoncharitableAssetsYr4Amt
Distribution Yr44.953862DistributionYr4Rt
Net Vl Noncharitable Assets Yr5$1,058,179NetVlNoncharitableAssetsYr5Amt
Total Distribution5.448887TotalDistributionRt
Average Distribution1.362222AverageDistributionRt
Net Vl Noncharitable Assets$143,953NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$196,096AdjNetVlNoncharitableAssetsAmt
Adj Nonchrtbl Net Invst Incm Pct$196,096AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$163,936QualifyingDistributionsAmt

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 RptYes (true)ActivitiesNotPreviouslyRptInd
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
Individual With BooksROBERT J AMMON CPAIndividualWithBooksNm
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$146,145AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$146,145TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$146,145AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,192CashDeemedCharitableAmt
Net Vl Noncharitable Assets$143,953NetVlNoncharitableAssetsAmt
Minimum Investment Return$7,198MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$7,198MinimumInvestmentReturnAmt
Distributable Before Adj$7,198DistributableBeforeAdjAmt
Distributable Before Ded$7,198DistributableBeforeDedAmt
Distributable As Adjusted$7,198DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$163,936ExpensesAndContributionsAmt
Qualifying Distributions$163,936QualifyingDistributionsAmt
Adjusted Qualifying Distri$163,936AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$7,198DistributableAsAdjustedAmt
Excess Distribution Cyov Yr4$1,083,446ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr2$20,086ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$46,642ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,150,174TotalExcessDistributionCyovAmt
Qualifying Distributions$163,936QualifyingDistributionsAmt
Applied To Current Year$7,198AppliedToCurrentYearAmt
Remaining Distri From Corpus$156,738RemainingDistriFromCorpusAmt
Total Corpus$1,306,912TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$1,306,912ExcessDistriCyovToNextYrAmt
Excess From Year4$1,083,446ExcessFromYear4Amt
Excess From Year2$20,086ExcessFromYear2Amt
Excess From Year1$46,642ExcessFromYear1Amt
Excess From Current Year$156,738ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
FLORIDA HOSP TAMPA FOUNDATION
3100 E FLETCHER AVENUETAMPAFL33613PCCARDIOVASCULAR RESEARCH & TREATMENT$65,000
BUDDY BASEBALL
PO BOX 290361TEMPLE TERRACEFL33687PCSPECIAL NEEDS CHILDREN$1,500
DAYSPRING ACADEMY FOR EDUCATION
9732 LITTLE ROADNEW PORT RICHEYFL34654PCSCHOOL FOR EDUCATION & FINE ARTS$2,500
PEPIN ACADEMY FOUNDATION
3916 E HILLSBOROUGH AVETAMPAFL33610PCSCHOOL FOR LEARNING DISABLED CHILDRE$50,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$119,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Net Income Loss From Special Evt NetIncomeLossFromSpecialEvtGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm-$44,936RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm-$44,936RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty-$44,936TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11ALineNumberTxt
Relationship StatementFUNDRAISER TO SUPPORT 501(C)(3) CHARITIESRelationshipStatementTxt

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 (4 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
FIFTH THIRD BANK
12001 E ADAMO DRIVETAMPAFL33605$13,800Yes (X)
ADVENTIST HEALTH SYSTEM
2900 HOPE WAYALTAMONTE SPRINGSFL32714$8,500Yes (X)
FRED MEYER
3711 GUISANDO DE AVILATAMPAFL33613$6,500Yes (X)
USF HEALTH
412901 BRUCE B DOWNS BLVDTAMPAFL33613$5,100Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$1,970Amt

Acty Not Previously Rpt Expln ActyNotPreviouslyRptExpln

FieldValueIRS element (for citing)
ExplanationTHE PRIMARY PURPOSE OF THE PEPIN FAMILY FOUNDATION, INC. IS TO PROVIDE FINANCIAL ASSISTANCE TO CERTAIN PUBLIC CHARITIES ORGANIZED UNDER INTERNAL REVENUE CODE 501(C)(3). THESE CHARITIES SUPPORT RESEARCH AND EDUCATION IN THE AREAS OF CANCER AND HEART DISEASE. THE FOUNDATION ALSO SUPPORTS PUBLIC CHARITIES ORGANIZED UNDER INTERNAL REVENUE CODE 501(C)(3) WHICH SUPPORT SCIENTIFIC, LITERARY, AND EDUCATIONAL PROGRAMS. BOTH OF THESE TYPES OF PUBLIC CHARITIES HAVE BEEN PREVIOUSLY DISCLOSED DURING REPORTING AND ARE DESCRIBED WITHIN THE ARTICLES OF INCORPORATION PROVIDED TO THE INTERNAL REVENUE SERVICE. FOR THE CONVENIENCE OF THE USERS, A DUPLICATE COPY OF THE ARTICLES OF INCORPORATION ARE ATTACHED TO THIS RETURN.ExplanationTxt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PEPIN HEART BALL
COOKING/FOOD FOR HEART BALL$33,400$16,562$16,838
AV PRODUCTION$8,754$4,341$4,413
EVENT PLANNER$10,000$4,959$5,041
AUCTION ITEM$6,930$3,436$3,494
DECORATIONS$15,207$7,541$7,666
ENTERTAINMENT$6,000$2,975$3,025
MISC. EVENT EXPENESES$8,845$4,386$4,459

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescPEPIN HEART BALLDesc
Revenue And Expenses Per Books$44,200RevenueAndExpensesPerBooksAmt
Adjusted Net Income$44,200AdjustedNetIncomeAmt