JACOBS FAMILY FOUNDATION INC: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JACOBS FAMILY FOUNDATION INC (EIN 80-0304018)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-08
IRS object ID: 201322209349100122
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
Compensation Explanation
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-08T12:39:32-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEONARD F POLK & CO PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	650 WASHINGTON ROAD SUITE 407	AddressLine1
City	PITTSBURGH	City
State	PA	State
ZIP Code	15228	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	800304018	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JACOBS FAMILY FOUNDATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	JACO	NameControl
Phone	7244688232	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6608 STATE ROUTE 22	AddressLine1
City	DELMONT	City
State	PA	State
ZIP Code	15626	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TERRENCE S JACOBS	Name
Title	TRUSTEE	Title
Phone	7244688232	Phone
Date Signed	2013-08-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LEONARD F POLK	Name
Phone	4125631141	Phone
Date Prepared	2013-08-08	DatePrepared

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	712629	FMVAssetsEOY
Method Of Accounting Accrual	X	MethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Received Rev And Expnss	100000	ContriReceivedRevAndExpnss
Interest On Savings Rev And Expnss	2419	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	2419	InterestOnSavingsNetInvstIncm
Interest On Savings Adj Net Incm	2419	InterestOnSavingsAdjNetIncm
Total Revenue And Expenses	102419	TotalRevenueAndExpenses
Total Net Investment Income	2419	TotalNetInvestmentIncome
Total Adjusted Net Income	2419	TotalAdjustedNetIncome
Taxes Rev And Expnss	81	TaxesRevAndExpnss
Tot Opr Expenses Rev And Expnss	81	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	0	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	0	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	44855	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	44855	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	44936	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	0	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	44855	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	57483	ExcessOfRevenueOverExpenses
Net Investment Income	2419	NetInvestmentIncome
Adjusted Net Income	2419	AdjustedNetIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	24017	CashBOY
Cash EOY	104081	CashEOY
Cash EOYFMV	104081	CashEOYFMV
Savings And Temp Cash Invst BOY	631129	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	608548	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	608548	SavingsAndTempCashInvstEOYFMV
Total Assets BOY	655146	TotalAssetsBOY
Total Assets EOY	712629	TotalAssetsEOY
Total Assets EOYFMV	712629	TotalAssetsEOYFMV
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Retained Earnings BOY	655146	RetainedEarningsBOY
Retained Earnings EOY	712629	RetainedEarningsEOY
Total Net Assets BOY	655146	TotalNetAssetsBOY
Total Net Assets EOY	712629	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	655146	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	712629	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	655146	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	57483	ExcessOfRevenueOverExpenses
Subtotal	712629	Subtotal
Total Net Assets Fund Balances EOY	712629	TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	false	LiableFor4942Tax
Qualifying Distributions Year1	66777	QualifyingDistributionsYear1
Noncharitable Assets Year1	491068	NoncharitableAssetsYear1
Distribution Ratio Year1	0.135983	DistributionRatioYear1
Qualifying Distributions Year2	47476	QualifyingDistributionsYear2
Noncharitable Assets Year2	351129	NoncharitableAssetsYear2
Distribution Ratio Year2	0.135210	DistributionRatioYear2
Qualifying Distributions Year3	41690	QualifyingDistributionsYear3
Noncharitable Assets Year3	194273	NoncharitableAssetsYear3
Distribution Ratio Year3	0.214595	DistributionRatioYear3
Noncharitable Assets Year4	65733	NoncharitableAssetsYear4
Total Distribution Ratio	0.485788	TotalDistributionRatio
Average Distribution Ratio	0.161929	AverageDistributionRatio
Net Noncharitable Assets	633823	NetNoncharitableAssets
Adjusted Noncharitable Assets	102634	AdjustedNoncharitableAssets
One Percent Net Investment Income	24	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	102658	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	44855	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Investment Income Excise Tax	48	InvestmentIncomeExciseTax
Subtotal	48	Subtotal
Tax Based On Investment Income	48	TaxBasedOnInvestmentIncome
Tax Due	48	TaxDue

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	false	LegislativePoliticalActivities
More Than100 Spent	false	MoreThan100Spent
Form1120 POL Filed	false	Form1120POLFiled
Activities Not Prev Reported	false	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	false	UnrelatedBusIncomeOver1000
Termination Etc	false	TerminationEtc
Requirements Of Sect508e	true	RequirementsOfSect508e
At Least5000 In Assets	true	AtLeast5000InAssets
States Filed With	PA	StatesFiledWith
Form990 PF Filed With AG	true	Form990PFFiledWithAG
Private Operating Foundation	false	PrivateOperatingFoundation
New Substantial Contributors	false	NewSubstantialContributors
Interest In Controlled Entity	false	InterestInControlledEntity
Applicable Insurance Contract	false	ApplicableInsuranceContract
Comply With Public Inspection Rqr	true	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress
Books In Care Of Person Name	TERRENCE S JACOBS	BooksInCareOfPersonName
Books In Care Of Phone Number	7244688232	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	6247 LOUISE COVE DRIVE	AddressLine1
City	WINDERMERE	City
State	FL	State
ZIP Code	34786	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	false	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	false	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	false	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	false	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	false	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	false	TransferAssetsToDsqflyPerson
Payment To Government Offical	false	PaymentToGovernmentOffical
Undistributed Income Prior Years	false	UndistributedIncomePriorYears
Business Holdings	false	BusinessHoldings
Jeopardy Investments	false	JeopardyInvestments
Uncorrected Jeopardy Investments	false	UncorrectedJeopardyInvestments
Influence Legislation	false	InfluenceLegislation
Influence Election	false	InfluenceElection
Grants To Individuals	false	GrantsToIndividuals
Grants To Organizations	false	GrantsToOrganizations
Noncharitable Purpose	false	NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract	false	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	false	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	false	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 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
TERRENCE S JACOBS
6247 LOUISE COVE DRIVE	WINDERMERE	FL	34786	PRESIDENT	1.00	0	0	0
DARRYL M JACOBS
6608 STATE ROUTE 22	DELMONT	PA	15626	SECRETARY	1.00	0	0	0
DARRYL M JACOBS JR
6608 STATE ROUTE 22	DELMONT	PA	15626	DIRECTOR	1.00	0	0	0
MATHEW S JACOBS
6608 STATE ROUTE 22	DELMONT	PA	15626	TREASURER	1.00	0	0	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Field	Value	IRS element (for citing)
Description1	N/A	Description1

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	0	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	643475	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	643475	TotalFMVOfUnusedAssets
Adj Total FMV Of Unused Assets	643475	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	9652	CashDeemedCharitable
Net Noncharitable Assets	633823	NetNoncharitableAssets
Minimum Investment Return	31691	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	31691	MinimumInvestmentReturn
Tax Based On Investment Income	48	TaxBasedOnInvestmentIncome
Total Tax	48	TotalTax
Distributable Amount Before Adj	31643	DistributableAmountBeforeAdj
Distributable Amount Before Ded	31643	DistributableAmountBeforeDed
Distributable Amount As Adjusted	31643	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	44855	ExpensesAndContributions
Qualifying Distributions	44855	QualifyingDistributions
Adj Qualifying Distributions	44855	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	31643	DistributableAmountAsAdjusted
Excess Distri Carryover Year3	31466	ExcessDistriCarryoverYear3
Excess Distri Carryover Year2	30004	ExcessDistriCarryoverYear2
Excess Distri Carryover Year1	42305	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	103775	TotalExcessDistriCarryover
Qualifying Distributions	44855	QualifyingDistributions
Applied To Current Year	31643	AppliedToCurrentYear
Remaining Distri From Corpus	13212	RemainingDistriFromCorpus
Total Corpus	116987	TotalCorpus
Undistributed Income CY	0	UndistributedIncomeCY
Excess Distri Cyov To Next Year	116987	ExcessDistriCyovToNextYear
Excess From Year3	31466	ExcessFromYear3
Excess From Year2	30004	ExcessFromYear2
Excess From Year1	42305	ExcessFromYear1
Excess From Current Year	13212	ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Contributing Manager	TERRENCE S JACOBS	ContributingManager
Contributing Manager	DARRYL M JACOBS	ContributingManager
Only Contributes To Preselected	X	OnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (71 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient RelationshipRecipientRelationship	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
ADOPTAPLATOON
PO BOX 5038	HAGERSTOWN	MD	21741	N/A	PUBLIC	OPERATING EXPENDITURES	$1,100
AFA RELIEF EFFORT
1501 LEE HIGHWAY	ARLINGTON	VA	22209	N/A	PUBLIC	OPERATING EXPENDITURES	$1,500
ALZHEIMER''S ASSOCIATION
PO BOX 96011	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$100
THE AMERICAN LEGION
PO BOX 21016	TULSA	OK	74121	N/A	PUBLIC	OPERATING EXPENDITURES	$50
AMERICAN CIVIL RIGHTS UNION
PO BOX 96189	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$300
AMERICAN BORDER PATROL
PO BOX 97346	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$100
AMERICAN HEART ASSOCIATION
PO BOX 78851	PHOENIX	AZ	85062	N/A	PUBLIC	OPERATING EXPENDITURES	$100
AMERICAN HEART ASSOCIATION
5545 N HIGH STREET	COLUMBUS	OH	43214	N/A	PUBLIC	OPERATING EXPENDITURES	$250
AMERICANS UNITED FOR LIFE
655 15TH STREET SUITE 41	WASHINGTON	DC	20005	N/A	PUBLIC	OPERATING EXPENDITURES	$2,500
AMERICAN HEART ASSOCIATION
5545 N HIGH STREET	COLUMBUS	OH	43214	N/A	PUBLIC	OPERATING EXPENDITURES	$100
AMERICAN CIVIL RIGHTS UNION
PO BOX 96189	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$100
AMERICAN HEART ASSOCIATION
444 LIBERTY AVE SUITE 13	PITTSBURGH	PA	15222	N/A	PUBLIC	OPERATING EXPENDITURES	$500
ARMSTRONG COUNTY FARM BUREAU
331 ARTHUR STREET	KITTANNING	PA	16201	N/A	PUBLIC	OPERATING EXPENDITURES	$500
THE ARMED FORCES AID CAMPAIGN
PO BOX 96303	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$50
CAMPUS CRUSADE FOR CHRIST
PO BOX 628222	ORLANDO	FL	32862	N/A	PUBLIC	OPERATING EXPENDITURES	$1,000
CHRISTIAN APPALACHIAN PROJECT
PO BOX 55911	LEXINGTON	KY	40555	N/A	PUBLIC	OPERATING EXPENDITURES	$550
CHILDREN'S CANCER RECOVERY
3710 INDIAN RIVER ROAD	CHESAPEAKE	VA	23325	N/A	PUBLIC	OPERATING EXPENDITURES	$1,000
CITIZENS UNITED FOUNDATION
PO BOX 96408	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$200
COALITION TO SALUTE AMERICA'S HEROE
PO BOX 96440	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$1,000
COMMONWEALTH FOUNDATION
225 STATE STREET SUITE 3	HARRISBURG	PA	17101	N/A	PUBLIC	OPERATING EXPENDITURES	$5,000
COMMITTEE FOR A CONSTRUCTIVE TOMORR
PO BOX 427	BERRYVILLE	VA	22661	N/A	PUBLIC	OPERATING EXPENDITURES	$1,000
DISABLED AMERICAN VETERANS
PO BOX 14301	CINCINNATI	OH	45250	N/A	PUBLIC	OPERATING EXPENDITURES	$125
FREEDOM ALLIANCE
22570 MARKEY CT SUITE 24	DULLES	VA	20166	N/A	PUBLIC	OPERATING EXPENDITURES	$250
THE FRANKLIN CENTER
127 S PEYTON ST SUITE 20	ALEXANDRIA	VA	22314	N/A	PUBLIC	OPERATING EXPENDITURES	$250
GOD'S WORD TO THE NATIONS
4136 PEPSI PLACE	CHANTILLY	VA	20151	N/A	PUBLIC	OPERATING EXPENDITURES	$100
BILLY GRAHAM EVANGELISTIC ASSOCIATI
1 BILLY GRAHAM PARKWAY	CHARLOTTE	NC	28201	N/A	PUBLIC	OPERATING EXPENDITURES	$1,500
GUIDING EYES FOR THE BLIND INC
PO BOX 709	YORKTOWN HGTS	NY	10598	N/A	PUBLIC	OPERATING EXPENDITURES	$100
HELP HOSPITALIZED VETERANS
PO BOX 99088	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$104
THE HERITAGE FOUNDATION
PO BOX 97057	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$250
INSTITUTE FOR ENERGY RESEARCH
1100 H STREET NW SUITE 4	WASHINGTON	DC	20005	N/A	PUBLIC	OPERATING EXPENDITURES	$250
JUVENILE DIABETES RESEARCH FOUNDATI
960 PENN AVE SUITE 100	PITTSBURGH	PA	15222	N/A	PUBLIC	OPERATING EXPENDITURES	$5,500
JUDICIAL WATCH
PO BOX 96234	WASHINGTON	DC	20077	N/A	PUBLIC	OPERATING EXPENDITURES	$100
LIGHT OF LIFE RESCUE MISSION
PO BOX 6823	PITTSBURGH	PA	15212	N/A	PUBLIC	OPERATING EXPENDITURES	$100
LIGONIER VALLEY YMCA
110 WEST CHURCH STREET	LIGONIER	PA	15658	N/A	PUBLIC	OPERATING EXPENDITURES	$150
LUPUS FOUNDATION OF PA
100 W STANTON SQUARE DR	PITTSBURGH	PA	15219	N/A	PUBLIC	OPERATING EXPENDITURES	$300
MAKE-A-WISH FOUNDATION OF WV
3711 MORGANTOWN IND PARK	MORGANTOWN	WV	26501	N/A	PUBLIC	OPERATING EXPENDITURES	$750
MARCH OF DIMES
PO BOX 2547	DECATUR	IL	62525	N/A	PUBLIC	OPERATING EXPENDITURES	$200
MERCY CHEFS INC
9 EARLY DRIVE	PORTSMOUTH	VA	23701	N/A	PUBLIC	OPERATING EXPENDITURES	$1,500
MEDIA RESEARCH CENTER
PO BOX 97040	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$500
MOODY BIBLE INSTITUTE
820 N LASALLE BLVD	CHICAGO	IL	60610	N/A	PUBLIC	OPERATING EXPENDITURES	$100
MOUNTAIN STATES LEGAL FOUNDATION
PO BOX 8748	PUEBLO	CO	81008	N/A	PUBLIC	OPERATING EXPENDITURES	$100
MOVE AMERICA FORWARD
PO BOX 96857	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$108
MSAA - DONOR RELATIONS CENTER
PO BOX 96219	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$100
MUSCULAR DYSTROPHY ASSOCIATION
400 PENN CTR BLVD SUITE	PITTSBURGH	PA	15235	N/A	PUBLIC	OPERATING EXPENDITURES	$2,500
NATIONAL LEGAL & POLICY CENTER
PO BOX 486	FRONT ROYAL	VA	22630	N/A	PUBLIC	OPERATING EXPENDITURES	$450
OPERATION FINALLY HOME
PO BOX 1218	MERRIFIELD	VA	22116	N/A	PUBLIC	OPERATING EXPENDITURES	$250
OPERATION CARE PACKAGE
PO BOX 96353	WASHINGTON	DC	20077	N/A	PUBLIC	OPERATING EXPENDITURES	$118
OPERATION HOMEFRONT INC
8930 FOURWINDS DR STE 34	SAN ANTONIO	TX	78239	N/A	PUBLIC	OPERATING EXPENDITURES	$250
PARALYZED VETERANS OF AMERICA
PO BOX 758532	TOPEKA	KS	66675	N/A	PUBLIC	OPERATING EXPENDITURES	$250
THE PITTSBURGH FOUNDATION
6002 DEER RUN DRIVE	TRAFFORD	PA	15085	N/A	PUBLIC	OPERATING EXPENDITURES	$100
PITCAIRN CAMP B
LAUREL HILL PARK RD	PITCAIRN	PA	15140	N/A	PUBLIC	OPERATING EXPENDITURES	$1,000
RADIO AMERICA
PO BOX 96848	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$250
THE SALVATION ARMY
PO BOX 607866	ORLANDO	FL	32860	N/A	PUBLIC	OPERATING EXPENDITURES	$150
THE SALVATION ARMY
100 WEST NORTH AVENUE	PITTSBURGH	PA	15212	N/A	PUBLIC	OPERATING EXPENDITURES	$1,500
THE PITTSBURGH FOUNDATION - SEARS C
6002 DEER RUN DRIVE	TRAFFORD	PA	15085	N/A	PUBLIC	OPERATING EXPENDITURES	$1,000
SHEKINAH RANCH
371 CRACKERJACK ROAD	MONONGEHELA	PA	15063	N/A	PUBLIC	OPERATING EXPENDITURES	$250
SOUTHEASTERN LEGAL FOUNDATION
PO BOX 96077	WASHINGTON	DC	20090	N/A	PUBLIC	OPERATING EXPENDITURES	$250
SPCA OF CENTRAL FLORIDA
2727 CONROY ROAD	ORLANDO	FL	32839	N/A	PUBLIC	OPERATING EXPENDITURES	$100
STELLA'S VOICE
PO BOX I23	RAMER	AL	36069	N/A	PUBLIC	OPERATING EXPENDITURES	$100
TEEN QUEST
293 RICH ROAD	SOMERSET	PA	15501	N/A	PUBLIC	OPERATING EXPENDITURES	$1,000
TEXAS CHILDREN'S CANCER CENTER
1919 S BRAESWOOD BLVD ST	HOUSTON	TX	77030	N/A	PUBLIC	OPERATING EXPENDITURES	$500
TROOPS NEED YOU
PO BOX 758531	TOPEKA	KS	66675	N/A	PUBLIC	OPERATING EXPENDITURES	$350
TROOPS FIRST FOUNDATION
535 MAIN STREET SUITE 21	LAUREL	MD	20707	N/A	PUBLIC	OPERATING EXPENDITURES	$3,000
THE USO
PO BOX 96860	WASHINGTON	DC	20077	N/A	PUBLIC	OPERATING EXPENDITURES	$200
UNITED STATES JUSTICE FOUNDATION
PO BOX 131728	HOUSTON	TX	77219	N/A	PUBLIC	OPERATING EXPENDITURES	$100
THE VOICE OF THE MARTYRS
PO BOX 443	BARTLESVILLE	OK	74005	N/A	PUBLIC	OPERATING EXPENDITURES	$250
WESTMORELAND COUNTY FOOD BANK
PO BOX 599	MURRYSVILLE	PA	15668	N/A	PUBLIC	OPERATING EXPENDITURES	$500
WOUNDED WARRIORS FAMILY SUPPORT
PO BOX 5050	HAGERSTOWN	MD	21741	N/A	PUBLIC	OPERATING EXPENDITURES	$250
WOUNDED WARRIORS PROJECT
PO BOX 758541	TOPEKS	KS	66675	N/A	PUBLIC	OPERATING EXPENDITURES	$100
WOMEN'S CHOICE NETWORK
PO BOX 15034	PITTSBURGH	PA	15237	N/A	PUBLIC	OPERATING EXPENDITURES	$500
YMCA OF INDIANA COUNTY
60 N BEN FRANKLIN ROAD	INDIANA	PA	15701	N/A	PUBLIC	OPERATING EXPENDITURES	$150

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	44855	TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Field	Value	IRS element (for citing)
Related Or Exempt Function Income	2419	RelatedOrExemptFunctionIncome

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Related Or Exempt Function Income	2419	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Part XVIA	2419	TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	false	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	false	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	false	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	false	RentalOfFacilitiesEtc
Reimbursement Arrangements	false	ReimbursementArrangements
Loans Or Loan Guarantees	false	LoansOrLoanGuarantees
Performance Of Services Etc	false	PerformanceOfServicesEtc
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	false	RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	X	Organization501c3ExemptPF
General Rule	X	GeneralRule

Contributor Info ContributorInfo (2 entries)

Contributor NumberContributorNumber	Contributor Name IndividualContributorNameIndividual	Address Line1ContributorAddressUS/AddressLine1	CityContributorAddressUS/City	StateContributorAddressUS/State	ZIP CodeContributorAddressUS/ZIPCode	Aggregate ContributionsAggregateContributions	Person Contribution TypePersonContributionType
1	TERRENCE S JACOBS	6247 LOUISE COVE DRIVE	WINDERMERE	FL	34786	50000	X
2	DARRYL M JACOBS	6608 STATE ROUTE 22	DELMONT	PA	15626	50000	X

Compensation Explanation CompensationExplanation

Compensation Compensation (4 entries)

TERRENCE S JACOBS
DARRYL M JACOBS
DARRYL M JACOBS JR
MATHEW S JACOBS

Taxes Schedule TaxesSchedule

Taxes Taxes

Field	Value	IRS element (for citing)
Category	FED EXCISE TAX ON INV. INCOME	Category
Amount	$81	Amount