| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
| The Urciuoli Family Charitable Foun |
253 Bayberry Lane Franklin Lakes,NJ07417 |
2011-09-27 | 10,000 | To support grantees charitable mission of improving education. | 3,500 | Not to the knowledge of the grantor | 6/26/12 | None necessary |
| Identifier | Return Reference | Explanation |
|---|
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Administrative Fees | 12,599 | 12,599 | ||
| Premium Payment for Indemnification Insurance | 2,095 | 2,095 | ||
| State or Local Filing Fees | 25 | 25 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Excise Tax for 2011 | 13 |