Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
THE CAMPISI FAMILY FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 90037
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAKELAND, FL33804
A Employer identification number

46-1629018
B Telephone number (see instructions)

(863) 687-8000
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$8,825,009J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,597,963
2 Check bullet.............
3 Interest on savings and temporary cash investments 1 1  
4 Dividends and interest from securities... 190,846 190,846  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 21,127
b Gross sales price for all assets on line 6a 38,201
7 Capital gain net income (from Part IV, line 2)... 21,127
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment -1,935 0 0
12 Total. Add lines 1 through 11........ 1,808,002 211,974 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 28,000 0 0 28,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,000 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment -40 -40 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 31,960 -40 0 28,000
25 Contributions, gifts, grants paid....... 416,168 416,168
26 Total expenses and disbursements. Add lines 24 and 25 448,128 -40 0 444,168
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,359,874
b Net investment income (if negative, enter -0-) 212,014
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 75,325    
2 Savings and temporary cash investments.........   63,790 63,790
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 3,198,443 Click to see attachment3,749,967 8,254,086
c Investments—corporate bonds (attach schedule)....... 393,519 Click to see attachment406,847 485,349
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 36,361 Click to see attachment36,269 21,784
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,703,648 4,256,873 8,825,009
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 3,703,648 4,256,873
30 Total net assets or fund balances (see instructions)..... 3,703,648 4,256,873
31 Total liabilities and net assets/fund balances (see instructions). 3,703,648 4,256,873
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
3,703,648
2
Enter amount from Part I, line 27a .....................
2
1,359,874
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
5,063,522
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
806,649
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
4,256,873
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES P    
b PUBLICLY TRADED SECURITIES P    
c CAPITAL GAIN - BUCKEYE PARTNERS K-1 P    
d CAPITAL GAIN - ENERGY EQUITY PARTNERS K-1 P    
e CAPITAL GAINS DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 877   611 266
b 15,319   16,463 -1,144
c 370     370
d 1     1
e 21,634     21,634
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       266
b       -1,144
c       370
d       1
e       21,634
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 21,127
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3 266
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2017      
2016      
2015      
2014      
2013      
2
Total of line 1, column (d) .....................
2
 
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
 
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
 
5
Multiply line 4 by line 3......................
5
 
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
 
7
Add lines 5 and 6........................
7
 
8
Enter qualifying distributions from Part XII, line 4,.............
8
 
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 4,240
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 4,240
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,240
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 4,748
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 4,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,748
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 4,508
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet4,508 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletFL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletSALVADOR V CAMPISI Telephone no.bullet (863) 687-8000

    Located atbulletPO BOX 90037LAKELANDFL ZIP+4bullet33804
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    SALVADOR V CAMPISI SR DIRECTOR/CHAIRMAN
    1.00     		4,000 0 0
    PO BOX 90037
    LAKELAND,FL33804
    SALVADOR V CAMPISI JR DIRECTOR/PRESIDENT
    1.00     		4,000 0 0
    PO BOX 90037
    LAKELAND,FL33804
    JEAN M CAMPISI DIRECTOR/VICE PRESIDENT
    1.00     		4,000 0 0
    PO BOX 90037
    LAKELAND,FL33804
    ANNE MARIE GREENHOW DIRECTOR
    1.00     		4,000 0 0
    PO BOX 90037
    LAKELAND,FL33804
    VIRGINIA ANN HARRISON DIRECTOR
    1.00     		4,000 0 0
    PO BOX 90037
    LAKELAND,FL33804
    JEANNE M JAYNE DIRECTOR
    1.00     		4,000 0 0
    PO BOX 90037
    LAKELAND,FL33804
    RENEE L CAMPISI DIRECTOR
    1.00     		4,000 0 0
    PO BOX 90037
    LAKELAND,FL33804
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    8,568,806
    b
    Average of monthly cash balances.......................
    1b
    27,465
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,596,271
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    8,596,271
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    128,944
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    8,467,327
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    423,366
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    423,366
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    4,240
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,240
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    419,126
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    419,126
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    419,126
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    444,168
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    444,168
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    444,168
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 419,126
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014...... 218,237
    c From 2015...... 100,509
    d From 2016......  
    e From 2017...... 54,288
    fTotal of lines 3a through e........ 373,034
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 444,168
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 419,126
    e Remaining amount distributed out of corpus 25,042
    5 Excess distributions carryover applied to 2018. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 398,076
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		398,076
    10 Analysis of line 9:
    a Excess from 2014.... 218,237
    b Excess from 2015.... 100,509
    c Excess from 2016....  
    d Excess from 2017.... 54,288
    e Excess from 2018.... 25,042
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    SALVADOR V CAMPISI SR
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ALL SAINTS EPISCOPAL CHURCH
    202 S MASSACHUSETTS AVE
    LAKELAND,FL33801     		NONE PC FUNDS PAID TO SUPPORT THE CHURCH'S GENERAL OPERATING NEEDS. 25,000
    BOYS TOWN
    975 OKLAHOMA STREET
    OVIEDO,FL32765     		NONE PC TO PROVIDE FUNDS FOR CHRISTMAS TIME ACTIVITIES FOR THE BOYS LIVING AT THE BOYS TOWN HOME DURING THE CHRISTMAS HOLIDAY SEASON. 1,000
    CHURCH OF THE RESURRECTION
    333 TERRACE WAY
    LAKELAND,FL33813     		NONE PC FUNDS PAID TO SUPPORT THE CHURCH'S GENERAL OPERATING NEEDS. 50,000
    CHURCH OF THE RESURECTION - DESIGNATED FOR THE POOR PEOPLE DIOCESE OF PERU
    333 TERRACE WAY
    LAKELAND,FL33813     		NONE PC DONATION TO GO TO THE DIOCESES OF PERU TO FUND THE NEEDS OF THE POOR PEOPLE OF PERU. 5,000
    ETERNAL WORD TELEVISION NETWORK
    5817 OLS LEEDS ROAD
    IRONDALE,AL35210     		NONE PC THE CONTRIBUTION WILL BE USED TO HELP PAY THE OPERATIONAL COSTS OF THE TELEVISION NETWORK SO THAT IS IS ABLE TO PRESENT AROUND-THE-CLOCK CATHOLIC-THEMED PROGRAMMING. 5,000
    FLORIDA SOUTHERN COLLEGE
    111 LAKE HOLLINGSWORTH DRIVE
    LAKELAND,FL338015698     		NONE PC CONTRIBUTIONS TOWARDS THE CONSTRUCTION OF THE BECKER BUSINESS BUILDING AT FLORIDA SOUTHERN COLLEGE. 100,000
    FRANCISCAN MISSION ASSOCIATES
    274-280 WEST LINCOLN AVE
    MOUNT VERNON,NY10551     		NONE PC TO HELP SUPPORT THE MISSIONS PROGRAMS OF REBUILDING HOMES DESTROYED BY NATURAL DISASTERS, BUILDING CHAPELS AND SCHOOLS, FOOD PROGRAMS, SOUP KITCHENS, ORPHANAGES, ETC 10,000
    CHAPTERS HEALTH FOUNDATION INC
    12470 TELECOM DRIVE STE 300 W
    TEMPLE TERRACE,FL33637     		NONE PC FUNDS DONATED TO LIGHTS OF REMEMBRANCE MEMORIAL TO HELP COVER PATIENT'S HOSPICE MEDICAL CARE COSTS. 1,000
    IDOLSASIDE MINISTRIES
    214 ORANGE STREET SUITE D
    AUBURNDALE,FL33826     		NONE PC FUNDS TO COVER COSTS TO MAINTAIN AND RUN OUTDOOR RETREAT CAMPS FOR AT RISK AND FATHERLESS YOUTHS. 7,500
    KNIGHTS OF COLUMBUS
    3720 OLD HIGHWAY 37
    LAKELAND,FL33813     		NONE PC FUNDS DONATED TO BE USED FOR ONE OF THE DESIGNATED KNIGHTS OF COLUMBUS MISSIONS SUCH AIDE FOR DISASTER VICTUMS, REFUGEE RELIEF, OR ACADEMIC SCHOLARSHIPS. 5,000
    LAKELAND REGIONAL HEALTH FOUNDATION
    1324 LAKELAND HILLS BLVD
    LAKELAND,FL33805     		NONE SO I CONTRIBUTION TO THE HOLLIS CANCER CENTER TO PROVIDE TREATMENT FOR CANCER PATIENTS, CANCER-RELATED EDUCATIONAL PROGRAMS, COUSELING SERVICES FOR PATIENTS, CONDUCTING RESEARCH & CLINICAL TRIALS FOR NEW TREATMENT OPTIONS AND MAINTAINING A CANCER REGISTRY FOR LIFE-LONG PATIENT FOLLOW-UP. 96,668
    LIGHTHOUSE MINISTRIES INC
    215 E MAGNOLIA ST
    LAKELAND,FL33801     		NONE PC TO PROVIDE FUNDS TO COVER SOME OF THE COSTS TO RUN THE HOMELESS SHELTERS FOR MEN AND FOR WOMEN. 1,000
    MARYKNOLL FATHERS & BROTHERS
    PO BOX 301
    MARYKNOLL,NY105450301     		NONE PC FOR SUPPORT IN MISSIONARY WORK PROVIDING CLEAN WATER, SHLETER, EDUCATION, FOOD & MEDICAL CARE IN UNDERDEVELOPED COUNTRIES. 1,000
    MISSONARY SISTERS OF THE HOLY ROSARY
    741 POLO ROAD
    BRYN MAWR,PA19010     		NONE PC TO PROVIDE FUNDS FOR THE HOUSING AND LIVING EXPENSES OF THE RETIRED SISTERS LIVING AT THE MISSON HOME AND HELP TO COVER THE EXPENSES OF THE HOME'S MINISTRY PROGRAMS. 5,000
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    2701 MAITLAND CTR PKWY STE 100
    MAITLAND,FL32751     		NONE PC FUNDS DONATED TOWARDS RESEARCH PROJECTS AND TOWARDS THE EXPENSES OF PROFESSIONAL COUNSELING FOR PEOOPLE WITH MS AND THEIR FAMILIES. 500
    NOAH'S ARK CENTRAL FL
    500 INSPIRATION DRIVE
    LAKELAND,FL33805     		NONE PC FUNDS TO COVER COSTS TO PROVIDE INDEPENDENT & SUPPORTED-LIVING HOMES AND EMPLOYMENT RESOURCES AND ACTIVITIES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. 10,000
    OPTIONS FOR WOMEN PREGNANCY CLINIC
    4435 FLORIDA NATIONAL DRIVE
    LAKELAND,FL33803     		NONE PC TO PROVIDE MEDICAL TREATMENTS AND COUNSELING FOR PREGNANT WOMEN. 10,000
    PACE CENTER FOR GIRLS
    213 TYLER AVENUE
    LAKELAND,FL33801     		NONE PC FUNDS TO HELP COVER THE COSTS TO RUN THE PACE CENTER FOR AT RISK GIRLS SUCH AS TEACHERS SALARY, BOOKS AND SUPPLIES, ETC. 10,000
    PARKER STREET MINISTRIES
    719 N MASSACHUSETTS AVE
    LAKELAND,FL33801     		NONE PC FUNDS DONATED TO COVER COSTS FOR SERVICES OFFERED TO THE RESIDENTS OF PARKER STREET NEIGHBORHOODS TO INCLUDE AFTER SCHOOL ACADEMIC ENRICHMENT PROGRAM, SUMMER-BRIDGE CAMP, HOME REPAIR WORK, HOSTING NEIGHBORHOOD FAMILY ACTIVITIES THROUGHOUT THE YEAR, ETC. 10,000
    PRIESTS OF THE SACRED HEART- SACRED HEART MONASTERY
    PO BOX 900
    HALES CORNERS,WI531300900     		NONE PC TO HELP PROVIDE CARE AND FOOD FOR THE POOR & NEEDY, TO EDUCATE SEMINARIANS TO SERVE THE CHURCH AND TO PAY FOR THE HOUSING AND CARE FOR THE RETIRED PRIESTS. 10,000
    RESURRECTION CATHOLIC SCHOOL
    3720 OLD HIGHWAY 37
    LAKELAND,FL33813     		NONE PC CONTRIBUTION TO BE APPLIED TO FINANCIAL ASSISTANCE OFFERRED BY THE SCHOOL TO ELIGIBLE STUDENTS AND THEIR FAMILIES TO HELP COVER THE COST OF THE SCHOOL TUITION. 10,000
    SANTA FE CATHOLIC HIGH SCHOOL
    3110 HIGHWAY 92E
    LAKELAND,FL33801     		NONE PC TO HELP PAY FOR RESOURCES FOR ACADEMIC PROGRAMS, SCHOLARSHIP SUPPORT, EQUIPMENT, COMPUTERS AND LIBRARY RESOURCES. 10,000
    SISTERS OF ST FRANCIS OF ASSISI
    3221 S LAKE DR
    ST FRANCIS,WI532353799     		NONE PC TOWARDS THE CONSTRUCTION COSTS OF BUILDING A NEW CONVENT. 10,000
    SOCIETY TO ST VINCENT DE PAUL INC
    PO BOX 7248
    LAKELAND,FL33807     		NONE PC TO PROVIDE FINANCIAL & SPIRITUAL HELP TO THE POOR AND NEEDY IN THE LOCAL COMMUNITY. 10,000
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN381051942     		NONE PC THE CONTRIBUTION WAS USED TO PAY FOR THE COST OF MEDICAL TREATMENTS, TRAVEL, HOUSING AND FOOD FOR THE CHILDREN THAT ARE PATIENTS AT ST. JUDE'S RESEARCH HOSPITAL. 5,000
    VOLUNTEERS IN SERVICE TO THE ELDERLY (VISTE)
    1232 E MAGNOLIA STREET
    LAKELAND,FL33801     		NONE PC THE CONTRIBUTION PROVIDED FUNDS FOR TRANSPORTATION COSTS, PROVIDING HOT MEALS, AND PURCHASING SUPPLIES FOR BUILDING WHEELCHAIR RAMPS FOR THE ELDERLY IN THE LAKELAND, BARTOW, MULBERRY AND FT. MEADE COMMUNITIES. 7,500
    Total .................................bullet 3a 416,168
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 1  
    4 Dividends and interest from securities....     14 190,846  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....     14 0  
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 21,127  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 211,974 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    211,974
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    THE CAMPISI FAMILY FOUNDATION INC
     
    Employer identification number

    46-1629018
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    THE CAMPISI FAMILY FOUNDATION INC
          		Employer identification number
    46-1629018
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    SALVADOR V CAMPISI SR  
    PO BOX 90037
     
    LAKELAND, FL33084

    		$ 1,597,963


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    THE CAMPISI FAMILY FOUNDATION INC
          		Employer identification number

    46-1629018
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 VARIOUS STOCKS $ 1,141,963 2018-08-28
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    THE CAMPISI FAMILY FOUNDATION INC
          		Employer identification number

    46-1629018
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    THE CAMPISI FAMILY FOUNDATION INC
    EIN:
    46-1629018
    Name of Bond End of Year Book Value End of Year Fair Market Value
    SCHWAB US DIVIDEND 186,051 235,030
    SCHWAB US SMALL CAP ETF 22,359 26,178
    VANGUARD FTSE EUROPE 20,150 17,365
    VANGUARD S&P 500 ETF 115,073 137,745
    VANGUARD SMALL CAP VALUE 21,920 25,580
    VANGUARD TOTAL WORLD 41,294 43,451

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    THE CAMPISI FAMILY FOUNDATION INC
    EIN:
    46-1629018
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M COMPANY 4,880 7,021
    ACCENTURE PLC 60,009 240,704
    AGNC INVESTMENT C 154,389 129,235
    AMERICAN SOFTWARE 88,125 136,843
    ARISTA NETWORKS 36,806 105,350
    AT & T INC 198,217 253,209
    BB&T CORPORATION 4,998 6,274
    BED BATH & BEYOND 82,966 35,302
    BRISTOL - MYERS SQUIBB 84,974 162,401
    CISCO SYSTEMS INC 30,190 68,657
    CORNING INC 21,389 72,993
    CREE INC 80,905 85,550
    DARDEN RESTAURANTS 12,125 70,388
    DAVITA INC 15,925 51,460
    DIAGEO PLC 110,669 181,154
    DOWDUPONT INC 108,335 216,705
    EATON VANCE FLOATING RATE 50,979 42,869
    EATON VANCE TAX MAN GL D 266,517 276,168
    EDWARDS LIFESCIENCES 85,329 306,340
    EQUITY COMMONWEALTH 27,828 39,013
    EVERSOURCE ENERGY 6,122 9,092
    FORTINET INC 75,238 281,720
    GENERAL ELECTRIC CO 190,652 100,593
    HOME DEPOT INC 129,553 661,494
    ILLINOIS TOOL WORKS 4,835 7,433
    INTEL CORPORATION 5,366 9,813
    JOHNSON & JOHNSON 127,812 422,262
    JP MORGAN CHASE & CO 6,807 10,820
    LEGGETT & PLATT INC 4,994 5,845
    LOCKHEED MARTIN CORP 5,204 9,148
    MAIN STREET CAPITAL 21,793 21,118
    MASTERCARD INC 60,303 151,106
    MICROSOFT CORP 362,132 1,337,360
    MONDELEZ INTL 13,516 61,693
    NESTLE SA ORD F 4,311 4,867
    OMNICOM GROUP IN 4,713 4,869
    ORACLE CORPORATION 41,017 118,420
    PEPSICO INCORPORATED 57,729 114,789
    PFIZER INCORPORATED 239,070 411,542
    PROSPECT CAPITAL CO 152,990 99,564
    RAYTHEON COMPANY 5,091 7,791
    REGIONS FINANCIAL CO 143,810 245,886
    SCHWAB HEALTH CARE FUND 101,751 138,788
    STARBUCKS CORP 59,906 371,886
    TAIWAN SEMICONDUCTR F 9,704 36,910
    TEXAS INSTRUMENTS 5,513 9,590
    UNITED TECHNOLOGIES 6,394 6,444
    VANGUARD DIV GROWTH FD 190,170 199,804
    VERIZON COMMUNICATION 4,912 5,552
    VISA INC 78,150 540,992
    WALT DISNEY CO 99,885 349,655
    WASTE MANAGEMENT INC 4,969 9,604

    TY 2018 InvestmentsOtherSchedule2
    Name:
    THE CAMPISI FAMILY FOUNDATION INC
    EIN:
    46-1629018
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BUCKEYE PARTNERS UTS LP AT COST 14,338 6,429
    ENERGY TRANSFERS PARTNERS LP AT COST 10,782 7,609
    WILLIAMS COMPANIES AT COST 11,149 7,746

    TY 2018 OtherDecreasesSchedule
    Name:
    THE CAMPISI FAMILY FOUNDATION INC
    EIN:
    46-1629018
    Description Amount
    UNREALIZED GAINS/LOSSES ON INVESTMENTS 806,649


    TY 2018 OtherExpensesSchedule
    Name:
    THE CAMPISI FAMILY FOUNDATION INC
    EIN:
    46-1629018
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    REFUND OF PRIOR YEAR BANK FEES -40 -40 0 0


    TY 2018 OtherIncomeSchedule2
    Name:
    THE CAMPISI FAMILY FOUNDATION INC
    EIN:
    46-1629018
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    INCOME FROM BUCKEYE PARTNERS LP K-1 -349 0 0
    INCOME FROM WILLIAMS PARTNERS K-1 -257 0 0
    INCOME FROM ENERGY TRANSFER OPERATING PARTNERS K-1 -654 0 0
    INCOME FROM ENERGY TRANSFER PARTNERS K-1 -675 0 0


    TY 2018 TaxesSchedule
    Name:
    THE CAMPISI FAMILY FOUNDATION INC
    EIN:
    46-1629018
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 4,000 0 0 0