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          <RecipientPhoneNum>3217578022</RecipientPhoneNum>
          <FormAndInfoAndMaterialsTxt>THE MARGARET HEINS FOUNDATIONTHE MARGARET HEINS FOUNDATION FINAL GRANT APPLICATION FORM DATE_________________ PART I: ORGANIZATIONAL INFORMATION LEGAL NAME OF ORGANIZATION: ________________________________ ADDRESS: ________________________________________________ ________________________________________________ ________________________________________________ TAXPAYER ID: NO._________________________________________ GRANT TYPE: ___________ OPERATING ___________ CAPITAL GRANT TITLE: ______________________________________________ AMOUNT REQUESTED: _______________________________________ CONTACT PERSON: __________________________________________ TITLE: ___________________________________________________ PHONE: __________________________________________________ FAX: ____________________________________________________ PROJECTED USE OF FUNDING. (PLEASE LIST OBJECTIVES, TOTAL COST, PROJECTED COMPLETION OF PROJECT, AND OTHER PERTINENT INFORMATION. IF NECESSARY, ANOTHER PAGE MAY BE ATTACHED.)</FormAndInfoAndMaterialsTxt>
          <SubmissionDeadlinesTxt>APPLICATIONS ARE ACCEPTED AND REVIEWED ON AN ONGOING BASIS.</SubmissionDeadlinesTxt>
          <RestrictionsOnAwardsTxt>GRANTS MAY ONLY BE AWARDED TO SECTION 501(C)(3) ORGANIZATIONS THAT PROVIDE ASSISTANCE AND BENEFITS TO INDIVIDUALS RESIDING IN BREVARD COUNTY, FLORIDA.</RestrictionsOnAwardsTxt>
        </ApplicationSubmissionInfoGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>ANIMAL LOVE INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1567 WACKER AVE SE</AddressLine1>
            <City>PALM BAY</City>
            <State>FL</State>
            <ZIPCode>32909</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ANIMAL PROGRAM SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>BREVARD COUNTY LIBRARY SYSTEMS</BusinessNameLine1>
            <BusinessNameLine2>FOUNDATION INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>219 INDIAN RIVER DRIVE</AddressLine1>
            <City>COCOA</City>
            <State>FL</State>
            <ZIPCode>32922</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>LIBRARY CAFE PROJECT</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>BREVARD COUNTY SHERIFF'S OFFICE</BusinessNameLine1>
            <BusinessNameLine2>DBA BCSO PAL</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>700 PARK AVE</AddressLine1>
            <City>TITUSVILLE</City>
            <State>FL</State>
            <ZIPCode>32780</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>AT RISK CHILDREN'S PROGRAMS</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>BREVARD COUNTY SHERIFF'S OFFICE</BusinessNameLine1>
            <BusinessNameLine2>DBA BCSO PAL</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>700 PARK AVE</AddressLine1>
            <City>TITUSVILLE</City>
            <State>FL</State>
            <ZIPCode>32780</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>DISCRETIONARY FUNDS</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>BREVARD NEIGHBORHOOD DEVELOPMENT</BusinessNameLine1>
            <BusinessNameLine2>COALITION INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1151 MASTERSON ST</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32935</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>OUTREASH CENTER FOR CHILDREN</GrantOrContributionPurposeTxt>
          <Amt>3000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>BREVARD REGIONAL ARTS GROUP INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>625 E NEW HAVEN AVE</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32901</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>FELLER THEATRE ACADEMY STUDENTS</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>BREVARD RESCUE MISSION INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 204</AddressLine1>
            <City>COCOA</City>
            <State>FL</State>
            <ZIPCode>32923</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>FAMILY FINANCIAL LITERACY PROGRAM</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>BREVARD SCHOOLS FOUNDATION</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2700 JUDGE FRAN JAMIESON</AddressLine1>
            <AddressLine2>WAY</AddressLine2>
            <City>VIERA</City>
            <State>FL</State>
            <ZIPCode>32940</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CHILDREN SCHOLARSHIP PROJECT</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>BREVARD SYMPHONY ORCHESTRA INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1500 HIGHLAND AVE</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32935</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT ONGOING CHARITABLE PURPOSE</GrantOrContributionPurposeTxt>
          <Amt>3000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>CANINE COMPANIONS FOR</BusinessNameLine1>
            <BusinessNameLine2>INDEPENDENCE INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>8150 CLARCONA OCOEE RD</AddressLine1>
            <City>ORLANDO</City>
            <State>FL</State>
            <ZIPCode>32818</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SERVICE DOG FOR A CHILD IN LBREVARD</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>CLUB ESTEEM INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>3316 MONROE ST</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32901</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT ONGOING CHARITABLE PURPOSES</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>COMMUNITY FOUNDATION FOR BREVARD IN</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1361 BEDFORD DR 102</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32940</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT ONGOING CHARITABLE PURPOSES</GrantOrContributionPurposeTxt>
          <Amt>3000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>CROSSWINDS YOUTH SERVICES INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1407 DIXON BLVD</AddressLine1>
            <City>COCOA</City>
            <State>FL</State>
            <ZIPCode>32922</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>YOUTH PROGRAMS IN BREVARD FL</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>CROSSWINDS YOUTH SERVICES INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1407 DIXON BLVD</AddressLine1>
            <City>COCOA</City>
            <State>FL</State>
            <ZIPCode>32922</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>DISCRETIONARY FUNDS</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>FAMILY COUNSELING CENTER OF BREVARD</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>840 BREVARD AVE</AddressLine1>
            <City>ROCKLEDGE</City>
            <State>FL</State>
            <ZIPCode>32955</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>AT-RISK CHILDREN SERVICES</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>FAMILY PROMISE OF BREVARD INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 56266</AddressLine1>
            <City>ROCKLEDGE</City>
            <State>FL</State>
            <ZIPCode>32956</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>FUNDING FOR 15-PERSON PASSENGER VAN</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>HABITAT FOR HUMANITY OF</BusinessNameLine1>
            <BusinessNameLine2>BREVARD COUNTY INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>7815 ELLIS RD</AddressLine1>
            <City>WEST MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32904</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>REHAB OF HABITAT HOUSE</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1350 S HICKORY STREET</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32901</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>MARGARET HEINS CENTER AT HOSPITAL</GrantOrContributionPurposeTxt>
          <Amt>5000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>HOLY TRINITY EPISCOPAL ACADEMY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>50 W STRAWBRIDGE AVE</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32901</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT ONGOING CHARITABLE PURPOSE</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>LINKS OF HOPE INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1535 COGSWELL ST</AddressLine1>
            <City>ROCKLEDGE</City>
            <State>FL</State>
            <ZIPCode>32955</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CLASSES FOR INMATES AND TEEN ANGER</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>MELBOURNE MUNICIPAL BAND</BusinessNameLine1>
            <BusinessNameLine2>ASSOCIATION INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1924 MELODY LN</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32901</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ARTS &amp; EDUCATION RESOURCES PROGRAM</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>NEW HORIZONS SERVICE DOGS INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1590 LAUREL PARKCT</AddressLine1>
            <City>ORANGE CITY</City>
            <State>FL</State>
            <ZIPCode>32763</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SERVICE DOG FOR BREVARD RESIDENT</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>NORTH BREVARD CHARITIES SHARING</BusinessNameLine1>
            <BusinessNameLine2>CENTER INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>4475 HOPKINS AVE</AddressLine1>
            <City>TITUSVILLE</City>
            <State>FL</State>
            <ZIPCode>32780</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT HEALING HOMES PROGRAM</GrantOrContributionPurposeTxt>
          <Amt>4500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>PROVIDING AUTISM LINKS &amp; SUPPORT IN</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>12424 RESEARCH PARKWAY</AddressLine1>
            <City>ORLANDO</City>
            <State>FL</State>
            <ZIPCode>32826</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT CAMP 2 CAN FOR TEENS</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>SEA TURTLE CONSERVANCY INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>4424 NW 13TH ST</AddressLine1>
            <AddressLine2>SUITE B-11</AddressLine2>
            <City>GAINESVILLE</City>
            <State>FL</State>
            <ZIPCode>32609</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TURTLES MIGRATION ED PROGRAMS</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>SOUTH BREVARD SHARING CENTER INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>17 E HIBISCUS BLVD</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32901</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>FOSTERING CONNECTIONS PROGRAM</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>SOUTH BREVARD WOMEN'S CENTER INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1425 AURORA RD</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32901</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT ORGANIZATIONS COUNSELING SER</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>SPACE COAST EARLY INTERVENTION</BusinessNameLine1>
            <BusinessNameLine2>CENTER INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>3790 DAIRY RD</AddressLine1>
            <City>MELBOURNE</City>
            <State>FL</State>
            <ZIPCode>32904</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>GROW UP HEALTHY NUTRITIONAL ED PROG</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>SURFSIDE PLAYERS INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>300 RAMP RD</AddressLine1>
            <City>COCOA BEACH</City>
            <State>FL</State>
            <ZIPCode>32931</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT ONGOING CHARITABLE PURPOSE</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>THE HISTORIC COCOA VILLAGE</BusinessNameLine1>
            <BusinessNameLine2>PLAYHOUSE INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>300 BREVARD AVE</AddressLine1>
            <City>COCOA</City>
            <State>FL</State>
            <ZIPCode>32922</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CHILDRENS THEATRE PROGRAM</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>THE HISTORIC COCOA VILLAGE</BusinessNameLine1>
            <BusinessNameLine2>PLAYHOUSE INC</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>300 BREVARD AVE</AddressLine1>
            <City>COCOA</City>
            <State>FL</State>
            <ZIPCode>32922</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT ONGOING CHARITABLE PURPOSE</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>THEODORE ROOSEVELT ELEMENTARY</BusinessNameLine1>
            <BusinessNameLine2>SCHOOL</BusinessNameLine2>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1400 MINUTEMEN CSWY</AddressLine1>
            <City>COCOA BEACH</City>
            <State>FL</State>
            <ZIPCode>32931</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT ONGOING CHARITABLE PURPOSES</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1>WHEELCHAIRS 4 KIDS INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1406 STONEHAVEN WAY</AddressLine1>
            <City>TARPON SPRINGS</City>
            <State>FL</State>
            <ZIPCode>34689</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>501(C)(3)</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>WHEELCHAIRS FOR DISABLED CHILDREN</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>71500</TotalGrantOrContriPdDurYrAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <IntOnSavAndTempCashInvstGrp>
          <ExclusionCd>14</ExclusionCd>
          <ExclusionAmt>8210</ExclusionAmt>
        </IntOnSavAndTempCashInvstGrp>
        <DivAndIntFromSecPartVIIGrp>
          <ExclusionCd>14</ExclusionCd>
          <ExclusionAmt>33155</ExclusionAmt>
        </DivAndIntFromSecPartVIIGrp>
        <GainSalesAstOthThanInvntryGrp>
          <ExclusionCd>18</ExclusionCd>
          <ExclusionAmt>64669</ExclusionAmt>
        </GainSalesAstOthThanInvntryGrp>
        <OtherRevenueDescribedGrp>
          <Desc>MISCELLANEOUS RECEIPTS</Desc>
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        <OtherRevenueDescribedGrp>
          <Desc>OTHER INCOME</Desc>
          <ExclusionCd>14</ExclusionCd>
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        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
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        <NetInvestmentIncomeAmt>925</NetInvestmentIncomeAmt>
        <DisbursementsCharitablePrpsAmt>925</DisbursementsCharitablePrpsAmt>
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        <PersonNm>RONALD E BRAY</PersonNm>
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        <PersonNm>CHARLES I NASH</PersonNm>
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      <CompensationExplanationGrp>
        <PersonNm>LAWRENCE F GARRISON</PersonNm>
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      <CompensationExplanationGrp>
        <PersonNm>CARL D CODDINGTON</PersonNm>
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      <CompensationExplanationGrp>
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        <EOYFMVAmt>58229</EOYFMVAmt>
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        <DisbursementsCharitablePrpsAmt>303</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
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        <RevenueAndExpensesPerBooksAmt>969</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>484</NetInvestmentIncomeAmt>
        <DisbursementsCharitablePrpsAmt>485</DisbursementsCharitablePrpsAmt>
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        <NetInvestmentIncomeAmt>730</NetInvestmentIncomeAmt>
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      <OtherIncomeDetail>
        <Desc>OTHER INCOME</Desc>
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      <TaxesDetail>
        <CategoryTxt>FEDERAL EXCISE TAXES (NET OF REF</CategoryTxt>
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