AFRICK FAMILY FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AFRICK FAMILY FOUNDATION INC (EIN 65-0538688)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-30
- IRS object ID
- 201301509349100000
- Schema version
- 2012v2.1
- 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
- Form 990-PF
- Schedule B
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-30T06:40:14-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570381582 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOTT DAVIS LLCPLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CALHOUN ST STE 300 | AddressLine1 |
| City | CHARLESTON | City |
| State | SC | State |
| ZIP Code | 29201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650538688 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AFRICK FAMILY FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AFRI | NameControl |
| Phone | 5616376009 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16680 ECHO HOLLOW CIRCLE | AddressLine1 |
| City | DELRAY BEACH | City |
| State | FL | State |
| ZIP Code | 33484 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACK AFRICK | Name |
| Title | TRUSTEE | Title |
| Phone | 5616376009 | Phone |
| Date Signed | 2013-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | R THOMAS HARRELL | Name |
| PTIN | P00046618 | PTIN |
| Phone | 8032560002 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 986005 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 50048 | ContriReceivedRevAndExpnss |
| Dividends Rev And Expnss | 37532 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 37532 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | -2261 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 344752 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 0 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 85319 | TotalRevenueAndExpenses |
| Total Net Investment Income | 37532 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Other Prof Fees Rev And Expnss | 162 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 162 | OtherProfFeesNetInvstIncm |
| Other Prof Fees Dsbrs Chrtbl Prps | 0 | OtherProfFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 701 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 701 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 863 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 863 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 0 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 107770 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 107770 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 108633 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 863 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 107770 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -23314 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 36669 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | 15103 | CashBOY |
| Cash EOY | 104356 | CashEOY |
| Cash EOYFMV | 104356 | CashEOYFMV |
| Investments Corp Stock BOY | 250000 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 250000 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 250000 | InvestmentsCorpStockEOYFMV |
| Investments Corp Bonds BOY | 707051 | InvestmentsCorpBondsBOY |
| Investments Corp Bonds EOY | 596984 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 631649 | InvestmentsCorpBondsEOYFMV |
| Total Assets BOY | 972154 | TotalAssetsBOY |
| Total Assets EOY | 951340 | TotalAssetsEOY |
| Total Assets EOYFMV | 986005 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 0 | CapitalStockBOY |
| Capital Stock EOY | 0 | CapitalStockEOY |
| Paid In Or Capital Surplus BOY | 0 | PaidInOrCapitalSurplusBOY |
| Paid In Or Capital Surplus EOY | 0 | PaidInOrCapitalSurplusEOY |
| Retained Earnings BOY | 972154 | RetainedEarningsBOY |
| Retained Earnings EOY | 951340 | RetainedEarningsEOY |
| Total Net Assets BOY | 972154 | TotalNetAssetsBOY |
| Total Net Assets EOY | 951340 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 972154 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 951340 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 972154 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -23314 | ExcessOfRevenueOverExpenses |
| Other Increases | 2500 | OtherIncreases |
| Subtotal | 951340 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 951340 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (7 entries)
| Description Of AssetDescriptionOfAsset | How AcquiredHowAcquired | Date AcquiredDateAcquired | Date SoldDateSold | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses |
|---|---|---|---|---|---|---|---|
| GE CAPITAL INTERNOTES - 65,000 UNITS | P | 2004-10-05 | 2012-12-15 | 65000 | 67037 | -2037 | -2037 |
| GOLDMAN SACHS GROUP INC - 50,000 UNITS | P | 2011-06-08 | 2012-09-14 | 50000 | 50000 | 0 | 0 |
| MORGAN STANLEY STEP-UP - 100,000 UNITS | P | 2010-06-10 | 2012-12-11 | 100000 | 100005 | -5 | -5 |
| BK OF AMER CORP STEP UP - 75,000 UNITS | P | 2010-09-13 | 2012-09-17 | 75000 | 75000 | 0 | 0 |
| ECOLAB INC - 850 UNITS | P | 2012-01-10 | 2012-01-11 | 49829 | 50048 | -219 | -219 |
| LEHMAN BROS HLDGS INC | P | 3009 | 3009 | 0 | 0 | ||
| ESCROW LEHMAN BROS HOLDINGS | P | 1914 | 1914 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -2261 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 49108 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 916510 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | .053582 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 51135 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 948710 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | .053900 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 71800 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 939977 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | .076385 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 55876 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 964845 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | .057912 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 48913 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 1041626 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | .046958 | DistributionRatioYear5 |
| Total Distribution Ratio | .288737 | TotalDistributionRatio |
| Average Distribution Ratio | .057747 | AverageDistributionRatio |
| Net Noncharitable Assets | 941716 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 54381 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 367 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 54748 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 107770 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 367 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 367 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 367 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 760 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 760 | TotalCreditsAndPayments |
| Overpayment | 393 | Overpayment |
| Amount Credited To Next Year | 393 | AmountCreditedToNextYear |
| Amount To Be Refunded | 0 | AmountToBeRefunded |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | FL | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | JACK AFRICK | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 5616376009 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16680 ECHO HOLLOW CIRCLE | AddressLine1 |
| City | DELRAY BEACH | City |
| State | FL | State |
| ZIP Code | 33484 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| JACK AFRICK | ||||||||
| 16680 ECHO HOLLOW CIRCLE FL 33484 | DELRAY BEACH | FL | 33484 | TRUSTEE | 0.00 | 0 | 0 | 0 |
| EVELYN AFRICK | ||||||||
| 16680 ECHO HOLLOW CIRCLE FL 33484 | DELRAY BEACH | FL | 33484 | PRESIDENT | 0.00 | 0 | 0 | 0 |
| HON LANCE AFRICK | ||||||||
| 34 FOREST OAKS DRIVE | NEW ORLEANS | LA | 70131 | TRUSTEE | 0.00 | 0 | 0 | 0 |
| DIANE R AFRICK | ||||||||
| 34 FOREST OAKS DRIVE | NEW ORLEANS | LA | 70131 | TREASURER | 0.00 | 0 | 0 | 0 |
| STEVEN BRIAN AFRICK | ||||||||
| 2750 STIRRUP LANE | WESTON | FL | 33331 | SECRETARY | 0.00 | 0 | 0 | 0 |
| NANCI J AFRICK | ||||||||
| 2750 STIRRUP LANE | WESTON | FL | 33331 | TRUSTEE | 0.00 | 0 | 0 | 0 |
| PAMELA BETH AFRICK | ||||||||
| 43 ROYAL PALM DRIVE | FORT LAUDERDALE | FL | 33301 | TRUSTEE | 0.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 896327 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 59730 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 956057 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 956057 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 14341 | CashDeemedCharitable |
| Net Noncharitable Assets | 941716 | NetNoncharitableAssets |
| Minimum Investment Return | 47086 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 47086 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 367 | TaxBasedOnInvestmentIncome |
| Total Tax | 367 | TotalTax |
| Distributable Amount Before Adj | 46719 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 2500 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 49219 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 49219 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 107770 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 107770 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 367 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 107403 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 49219 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 37957 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Total Excess Distri Carryover | 0 | TotalExcessDistriCarryover |
| Qualifying Distributions | 107770 | QualifyingDistributions |
| Applied To Year1 | 37957 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 49219 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 20594 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 20594 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 0 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 20594 | ExcessDistriCyovToNextYear |
| Excess From Current Year | 20594 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (18 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| AMERICAN DIABETES ASSOCIATION | |||||||
| 2100 N FLORIDA MANGO RD | WEST PALM BEACH | FL | 33409 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $100 |
| NATIONAL DIABETES FUND | |||||||
| PO BOX 96673 | WASHINGTON | DC | 20090 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $50 |
| BOCA REGIONAL HOSPITAL | |||||||
| 800 MEADOWS RD | BOCA RATON | FL | 33486 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $7,500 |
| CENTER FOR NUTRITIONAL RESEARCH CHARITABLE TRUST | |||||||
| 241 PERKINS STREET STE D602 | JAMAICA PLAIN | MA | 02130 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $50,000 |
| GREATER BOCA RATON CANCER | |||||||
| 1192 E NEWPORT CENTER DR 230 | DEERFIELD BEACH | FL | 33442 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $1,095 |
| HOLOCOUST MUSEUM | |||||||
| 100 RAOUL WALLENBERG PLACE SW | WASHINGTON | DC | 20024 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $5,000 |
| JEWISH FAMILY SERVICES | |||||||
| 735 NE 125TH ST | NORTH MIAMI | FL | 33161 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $2,500 |
| JEWISH FEDERATION OF PALM BEACH | |||||||
| 9901 DONNA KLEIN BLVD | BOCA RATON | FL | 33428 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $24,055 |
| MILLER SCHOOL OF MEDICINE | |||||||
| PO BOX 114025 | GAINESVILLE | FL | 32611 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $5,000 |
| JDRF | |||||||
| 26 BROADWAY | NEW YORK | NY | 10004 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $50 |
| FLORIDA FIRE & EMERGENCY SERVICES FOUNDATION | |||||||
| 880 AIRPORT RD 110 | ORMUND BEACH | FL | 32174 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $20 |
| SAINT ANDREWS VILLAGE | |||||||
| 4100 S BISCAYNE DR | NORTH PORT | FL | 34287 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $5,000 |
| SOS CHILDRENS VILLAGE | |||||||
| 3681 NW 59TH PLACE | COCONUT CREEK | FL | 33073 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $100 |
| THE PAP CORPS | |||||||
| 3848 FAU BLVD STE 305 | BOCA RATON | FL | 33431 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $2,900 |
| TEMPLE DOR DORIM | |||||||
| 2360 GLADES CIRCLE | WESTON | FL | 33327 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $2,000 |
| TOURO SYNAGOGUE | |||||||
| 85 TOURO ST | NEWPORT | RI | 02840 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $2,250 |
| THE JEWISH HOME FOR THE ELDERLY | |||||||
| 175 JEFFERSON STREET | FAIRFIELD | CT | 06825 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $100 |
| SIMON WEISENTHAL CENTER | |||||||
| 1399 SOUTH ROXBURY DRIVE | LOS ANGELES | CA | 90035 | CHARITABLE | PUBLIC CHARITY | CHARITABLE | $50 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 107770 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $37,532 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 03 | ExclusionCode |
| Exclusion | -$2,261 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $35,271 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 35271 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 1 | ContributorNumber |
| Contributor Name Individual | JACK AFRICK | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16680 ECHO HOLLOW CIRCLE | AddressLine1 |
| City | DELRAY BEACH | City |
| State | FL | State |
| ZIP Code | 33484 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 50048 | AggregateContributions |
| Noncash Contribution Type | X | NoncashContributionType |
Noncash Property NoncashProperty
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number From Part I | 1 | ContributorNumberFromPartI |
| Noncash Property Description | 850 UNITS OF ECOLAB INC | NoncashPropertyDescription |
| Fair Market Value | 50048 | FairMarketValue |
| Date Received | 2012-01-10 | DateReceived |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Bond | CORPORATE BONDS | NameOfBond |
| EOY Book Value | 596984 | EOYBookValue |
| EOYFMV | 631649 | EOYFMV |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Stock | CORPORATE STOCK | NameOfStock |
| EOY Book Value | 250000 | EOYBookValue |
| EOYFMV | 250000 | EOYFMV |
Other Increases Schedule OtherIncreasesSchedule
Other Increases OtherIncreases
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RECOVERY OF CONTRIBUTIONS FOR YEAR 2011 | Description |
| Amount | $2,500 | Amount |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| ANNUAL BROKERAGE FEE | $150 | 150 | 0 |
| OTHER INVESTMENT FEES | $12 | 12 | 0 |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | 2012 ESTIMATED FEDERAL EXCISE TAX | Category |
| Amount | $701 | Amount |
| Net Investment Income | 701 | NetInvestmentIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |