Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
 
Number and street (or P.O. box number if mail is not delivered to street address)17 PACIFIC STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST AUGUSTINE, FL32084
A Employer identification number

59-6137514
B Telephone number (see instructions)

(904) 819-1799
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$6,670,412J 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) 15,000
2 Check right arrow.............
3 Interest on savings and temporary cash investments 4 4  
4 Dividends and interest from securities... 227,614 227,614  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment
List of Attached Documents:
// Content
238,163
b Gross sales price for all assets on line 6a 1,090,614
7 Capital gain net income (from Part IV, line 2)... 238,163
8 Net short-term capital gain......... 1,927
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
0 0  
12 Total. Add lines 1 through 11........ 480,781 465,781 1,927
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0      
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
23,542 11,771 0 11,771
c Other professional fees (attach schedule).... 0      
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
6,298 443 0 71
19 Depreciation (attach schedule) and depletion... 0    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
37,917 37,426 0 491
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 67,757 49,640 0 12,333
25 Contributions, gifts, grants paid....... 281,734 281,734
26 Total expenses and disbursements. Add lines 24 and 25 349,491 49,640 0 294,067
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 131,290
b Net investment income (if negative, enter -0-) 416,141
c Adjusted net income (if negative, enter -0-)... 1,927
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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.............      
2 Savings and temporary cash investments......... 26,314 32,325 32,325
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....   0  
7 Other notes and loans receivable (attach schedule) right arrow  
Less: allowance for doubtful accounts right arrow     0  
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 392,144 0 0
b Investments—corporate stock (attach schedule)....... 1,766,751 Click to see attachment
List of Attached Documents:
// Content
1,224,489 		4,864,409
c Investments—corporate bonds (attach schedule)....... 610,997 Click to see attachment
List of Attached Documents:
// Content
909,659 		921,120
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 83,956 Click to see attachment
List of Attached Documents:
// Content
845,196 		845,196
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow     0  
15 Other assets (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
7,281 		Click to see attachment
List of Attached Documents:
// Content
7,362 		Click to see attachment
List of Attached Documents:
// Content
7,362
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,887,443 3,019,031 6,670,412
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
0 		Click to see attachment
List of Attached Documents:
// Content
298
23 Total liabilities (add lines 17 through 22)......... 0 298
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here right arrow
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 2,887,443 3,018,733
29 Total net assets or fund balances (see instructions)..... 2,887,443 3,018,733
30 Total liabilities and net assets/fund balances (see instructions). 2,887,443 3,019,031
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
2,887,443
2
Enter amount from Part I, line 27a .....................
2
131,290
3
Other increases not included in line 2 (itemize) right arrow
3
 
4
Add lines 1, 2, and 3 ..........................
4
3,018,733
5
Decreases not included in line 2 (itemize) right arrow
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,018,733
Form 990-PF (2023)
Form 990-PF (2023)
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 CAPITAL GAIN DISTRIBUTIONS P 2022-01-01 2023-12-31
b 1 SH-BROADCOM P 2022-10-21 2023-06-26
c 2 SH-BROADCOM P 2022-12-22 2023-06-26
d 4 SH-CIGNA P 2022-11-23 2023-04-25
e 5 SH-CIGNA P 2022-12-22 2023-04-25
27 SH-CISCO SYSTEMS P 2023-07-18 2023-12-20
7 SH-CUMMINS P 2022-12-22 2023-12-08
15 SH-ELECTRONIC ARTS P 2022-09-28 2023-08-29
18 SH-ELECTRONIC ARTS P 2022-09-27 2023-09-12
2 SH-ELECTRONIC ARTS P 2022-09-28 2023-09-12
12 SH-JP MORGAN P 2022-10-21 2023-05-09
1 SH-JOHNSON & JOHNSON P 2022-06-21 2023-03-01
2 SH-JOHNSON & JOHNSON P 2022-07-14 2023-03-01
6 SH-JOHNSON & JOHNSON P 2022-10-21 2023-03-01
2 SH-KLA P 2022-11-23 2023-06-26
3 SH-KLA P 2022-11-23 2023-10-10
1 SH-LAM P 2023-01-17 2023-06-26
2 SH-LAM P 2023-01-18 2023-06-26
1 SH-LAM P 2023-01-17 2023-06-27
2 SH-LAM P 2023-01-17 2023-08-16
5 SH-MERCK P 2022-03-30 2023-01-17
15 SH-MERCK P 2022-04-13 2023-01-17
14 SH-NIKE P 2023-06-07 2023-10-10
2 SH-NORTHROP P 2022-10-21 2023-06-26
24 SH-PHILIP MORRIS P 2023-01-17 2023-11-08
35 SH-US BANCORP P 2022-09-27 2023-03-20
27 SH-US BANCORP P 2022-10-21 2023-03-20
14 SH-VERIZON P 2022-10-21 2023-08-29
3 SH-WASTE MANAGEMENT P 2022-10-21 2023-06-26
8 SH-EATON CORP P 2023-05-10 2023-12-20
2 SH-BROADCOM P 2019-05-14 2023-06-26
5 SH-BROADCOM P 2019-08-20 2023-11-08
5 SH-BROADCOM P 2019-10-01 2023-12-08
16 SH-CIGNA P 2022-10-13 2023-12-08
4 SH-CIGNA P 2022-11-23 2023-12-08
28 SH-CISCO SYSTEMS P 2022-11-23 2023-12-20
14 SH-CONOCO P 2018-11-27 2023-02-14
8 SH-CONOCO P 2019-03-25 2023-02-14
18 SH-CROWN P 2015-08-14 2023-06-26
6 SH-CROWN P 2021-11-09 2023-06-26
10 SH-CROWN P 2015-08-14 2023-06-27
13 SH-DEERE P 2019-04-30 2023-04-25
1 SH-DEERE P 2019-11-26 2023-04-25
7 SH-DEERE P 2019-04-30 2023-04-26
150 SH-ISHARES SELECT DIV P 2014-07-25 2023-10-30
505 SH-ISHARES SELECT DIV P 2021-01-22 2023-10-30
2 SH-JP MORGAN P 2019-06-25 2023-05-09
9 SH-JP MORGAN P 2021-09-01 2023-05-09
5 SH-JP MORGAN P 2021-09-09 2023-05-09
4 SH-JOHNSON & JOHNSON P 2013-07-29 2023-03-01
12 SH-JOHNSON & JOHNSON P 2020-03-20 2023-03-01
2 SH-KLA P 2017-10-10 2023-10-10
2 SH-LAM P 2022-03-26 2023-06-26
2 SH-LAM P 2018-11-13 2023-08-16
19 SH-ELI LILLY P 2018-04-03 2023-06-17
6 SH-MARSH P 2013-07-29 2023-12-08
5 SH-MARSH P 2022-10-21 2023-12-08
3 SH-MERCK P 2013-07-29 2023-01-17
15 SH-NEXTERA P 2013-07-29 2023-10-10
17 SH-NEXTERA P 2022-06-07 2023-10-10
2 SH-NORTHERN TRUST P 2019-11-12 2023-06-07
18 SH-NORTHERN TRUST P 2019-11-13 2023-06-07
1 SH-NORTHERN TRUST P 2019-11-13 2023-06-08
1 SH-NORTHERN TRUST P 2019-11-14 2023-06-08
6 SH-NORTHERN TRUST P 2019-11-14 2023-06-26
3 SH-NORTHERN TRUST P 2019-11-14 2023-06-27
8 SH-NORTHERN TRUST P 2020-02-04 2023-06-27
21 SH-NORTHERN TRUST P 2020-04-07 2023-06-27
12 SH-NORTHERN TRUST P 2020-04-08 2023-06-27
1 SH-NORTHERN TRUST P 2020-05-13 2023-06-27
11 SH-NORTHERN TRUST P 2020-05-13 2023-06-28
1 SH-NORTHROP P 2021-12-22 2023-06-26
1 SH-NORTHROP P 2021-12-21 2023-06-27
4 SH-NORTHROP P 2021-12-22 2023-06-27
13 SH-PEPSICO P 2015-03-26 2023-01-17
2 SH-PHILIP MORRIS P 2021-09-01 2023-11-08
6 SH-PHILIP MORRIS P 2022-08-02 2023-11-08
333 SH-SPDR BLOOMBERG BARCLAYS HIGH P 2015-12-28 2023-06-13
14 SH-TARGET P 2020-04-06 2023-01-31
18 SH-TARGET P 2019-07-23 2023-06-26
5 SH-TARGET P 2020-04-06 2023-06-26
21 SH-TARGET P 2019-07-23 2023-06-27
25 SH-TEXAS INSTRUMENTS P 2013-05-30 2023-04-25
150 SH-US BANCORP P 2013-07-29 2023-03-20
39 SH-US BANCORP P 2018-06-26 2023-03-20
1 SH-US BANCORP P 2019-10-27 2023-03-20
18 SH-US BANCORP P 2020-03-17 2023-03-20
22 SH-US BANCORP P 2020-03-18 2023-03-20
25 SH-US BANCORP P 2020-05-13 2023-03-20
22 SH-US BANCORP P 2020-11-24 2023-03-20
9 SH-US BANCORP P 2021-02-10 2023-03-20
24 SH-US BANCORP P 2021-02-26 2023-03-20
4 SH-UNITED PARCEL P 2021-06-23 2023-08-16
7 SH-UNITED PARCEL P 2021-11-09 2023-08-16
2 SH-UNITEDHEALTH GROUP P 2019-11-12 2023-01-31
1 SH-UNITEDHEALTH GROUP P 2021-09-01 2023-01-31
800 SH-VANGUARD FTSE DEV MARKET P 2017-06-20 2023-01-24
385 SH-VANGUARD FTSE DEV MARKET P 2013-03-21 2023-10-30
330 SH-VANGUARD FTSE DEV MARKET P 2013-03-25 2023-10-30
890 SH-VANGUARD FTSE DEV MARKET P 2013-03-26 2023-10-30
490 SH-VANGUARD FTSE DEV MARKET P 2013-07-29 2023-10-30
655 SH-VANGUARD FTSE DEV MARKET P 2014-02-03 2023-10-30
500 SH-VANGUARD FTSE DEV MARKET P 2014-12-26 2023-10-30
750 SH-VANGUARD FTSE DEV MARKET P 2015-05-01 2023-10-30
500 SH-VANGUARD FTSE EMERGING MARKET P 2015-04-27 2023-01-24
3950 SH-VANGUARD FTSE EMERGING MARKET P 2014-12-26 2023-10-30
50 SH-VANGUARD FTSE EMERGING MARKET P 2015-04-27 2023-10-30
72 SH-VERIZON P 2019-10-29 2023-07-18
5 SH-VERIZON P 2019-12-10 2023-07-18
2 SH-VERIZON P 2019-12-11 2023-07-18
12 SH-VERIZON P 2020-11-24 2023-07-18
34 SH-VERIZON P 2019-10-29 2023-08-29
43 SH-VERIZON P 2020-02-04 2023-08-29
15 SH-VERIZON P 2022-02-02 2023-08-29
2 SH-WASTE P 2013-07-29 2023-06-26
8 SH-WASTE P 2013-07-29 2023-06-27
8 SH-WASTE P 2013-07-29 2023-12-08
25 SH-EXCEL ENERGY P 2018-08-07 2023-09-12
13 SH-EXCEL ENERGY P 2018-08-21 2023-09-12
4 SH-EXCEL ENERGY P 2019-04-30 2023-09-12
29 SH-EXCEL ENERGY P 2018-08-07 2023-09-26
14 SH-EXCEL ENERGY P 2018-08-08 2023-09-26
3 SH-MEDTRONIC P 2018-09-04 2023-10-24
12 SH-MEDTRONIC P 2019-08-06 2023-10-24
5 SH-MEDTRONIC P 2019-08-20 2023-10-24
4 SH-MEDTRONIC P 2019-12-10 2023-10-24
3 SH-MEDTRONIC P 2019-12-11 2023-10-24
2 SH-MEDTRONIC P 2021-09-28 2023-10-24
3 SH-MEDTRONIC P 2021-10-06 2023-10-24
11 SH-MEDTRONIC P 2021-10-27 2023-10-24
13 SH-TRANE TECH P 2016-11-15 2023-01-31
100 SH-ISHARES SELECT P 2010-10-29 2023-10-30
1000 SH-ISHARES SELECT P 2011-08-04 2023-10-30
960 SH-ISHARES SELECT P 2011-09-22 2023-10-30
290 SH-ISHARES SELECT P 2011-12-12 2023-10-30
200 SH-ISHARES TR RUSSELL 2000 P 2008-11-03 2023-01-24
350 SH-ISHARES TR IBOXX P 2008-12-19 2023-06-13
325 SH-ISHARES TR IBOXX P 2009-02-06 2023-06-13
325 SH-ISHARES TR IBOXX P 2009-03-25 2023-06-13
255 SH-ISHARES TR IBOXX P 2011-11-28 2023-06-13
245 SH-ISHARES TR IBOXX P 2011-12-05 2023-06-13
100 SH-SPDR S&P MIDCAP 400 P 2008-11-03 2023-01-24
115 SH-SNAP ON INC D 2021-02-16 2023-10-30
(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 33 0 0 33
b 826 0 437 389
c 1,652 0 1,105 547
d 1,013 0 1,279 -266
e 1,266 0 1,659 -393
1,356 0 1,380 -24
1,614 0 1,673 -59
1,813 0 1,761 52
2,188 0 2,069 119
243 0 235 8
1,637 0 1,436 201
152 0 174 -22
304 0 361 -57
913 0 1,001 -88
921 0 774 147
1,415 0 1,161 254
623 0 471 152
1,245 0 958 287
624 0 471 153
1,297 0 942 355
554 0 411 143
1,660 0 1,289 371
1,381 0 1,502 -121
896 0 1,033 -137
2,175 0 2,427 -252
1,209 0 1,428 -219
933 0 1,096 -163
484 0 497 -13
500 0 477 23
1,901 0 1,361 540
1,652 0 603 1,049
4,512 0 1,420 3,092
4,567 0 1,376 3,191
4,079 0 4,744 -665
1,020 0 1,279 -259
1,406 0 1,367 39
1,598 0 914 684
913 0 536 377
1,995 0 1,367 628
665 0 1,061 -396
1,109 0 759 350
4,931 0 2,153 2,778
379 0 177 202
2,623 0 1,160 1,463
15,590 0 11,314 4,276
52,487 0 50,156 2,331
273 0 218 55
1,228 0 1,442 -214
682 0 854 -172
608 0 372 236
1,825 0 1,473 352
943 0 208 735
1,246 0 1,075 171
1,297 0 287 1,010
8,374 0 1,456 6,918
1,169 0 251 918
974 0 767 207
332 0 139 193
755 0 320 435
856 0 1,347 -491
152 0 213 -61
1,366 0 1,899 -533
74 0 105 -31
74 0 105 -31
431 0 633 -202
216 0 316 -100
577 0 805 -228
1,515 0 1,743 -228
866 0 998 -132
72 0 70 2
790 0 770 20
448 0 380 68
448 0 379 69
1,794 0 1,521 273
2,288 0 1,244 1,044
181 0 206 -25
544 0 591 -47
30,600 0 33,899 -3,299
2,404 0 1,357 1,047
2,420 0 1,586 834
672 0 485 187
2,800 0 1,851 949
4,253 0 912 3,341
5,183 0 5,606 -423
1,348 0 1,955 -607
35 0 58 -23
622 0 599 23
760 0 718 42
864 0 745 119
760 0 992 -232
311 0 453 -142
829 0 1,212 -383
685 0 816 -131
1,198 0 1,464 -266
995 0 510 485
498 0 418 80
36,389 0 33,348 3,041
16,183 0 14,143 2,040
13,872 0 12,138 1,734
37,411 0 32,423 4,988
20,597 0 18,326 2,271
27,533 0 25,886 1,647
21,017 0 19,393 1,624
31,526 0 31,249 277
21,401 0 22,448 -1,047
150,435 0 158,715 -8,280
1,904 0 2,245 -341
2,319 0 4,335 -2,016
161 0 306 -145
65 0 123 -58
387 0 727 -340
1,174 0 2,047 -873
1,485 0 2,509 -1,024
518 0 807 -289
333 0 84 249
1,341 0 336 1,005
1,372 0 336 1,036
1,433 0 1,179 254
745 0 621 124
229 0 224 5
1,693 0 1,368 325
817 0 660 157
217 0 286 -69
867 0 1,206 -339
361 0 546 -185
289 0 446 -157
217 0 335 -118
145 0 253 -108
217 0 377 -160
795 0 1,349 -554
2,327 0 763 1,564
10,394 0 4,810 5,584
103,935 0 49,460 54,475
99,778 0 45,668 54,110
30,141 0 15,076 15,065
37,505 0 10,707 26,798
26,218 0 24,744 1,474
24,345 0 23,650 695
24,345 0 22,747 1,598
19,102 0 21,467 -2,365
18,353 0 21,414 -3,061
47,258 0 10,292 36,966
29,476 0 21,802 7,674
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 0 0 0 33
b 0 0 0 389
c 0 0 0 547
d 0 0 0 -266
e 0 0 0 -393
0 0 0 -24
0 0 0 -59
0 0 0 52
0 0 0 119
0 0 0 8
0 0 0 201
0 0 0 -22
0 0 0 -57
0 0 0 -88
0 0 0 147
0 0 0 254
0 0 0 152
0 0 0 287
0 0 0 153
0 0 0 355
0 0 0 143
0 0 0 371
0 0 0 -121
0 0 0 -137
0 0 0 -252
0 0 0 -219
0 0 0 -163
0 0 0 -13
0 0 0 23
0 0 0 540
0 0 0 1,049
0 0 0 3,092
0 0 0 3,191
0 0 0 -665
0 0 0 -259
0 0 0 39
0 0 0 684
0 0 0 377
0 0 0 628
0 0 0 -396
0 0 0 350
0 0 0 2,778
0 0 0 202
0 0 0 1,463
0 0 0 4,276
0 0 0 2,331
0 0 0 55
0 0 0 -214
0 0 0 -172
0 0 0 236
0 0 0 352
0 0 0 735
0 0 0 171
0 0 0 1,010
0 0 0 6,918
0 0 0 918
0 0 0 207
0 0 0 193
0 0 0 435
0 0 0 -491
0 0 0 -61
0 0 0 -533
0 0 0 -31
0 0 0 -31
0 0 0 -202
0 0 0 -100
0 0 0 -228
0 0 0 -228
0 0 0 -132
0 0 0 2
0 0 0 20
0 0 0 68
0 0 0 69
0 0 0 273
0 0 0 1,044
0 0 0 -25
0 0 0 -47
0 0 0 -3,299
0 0 0 1,047
0 0 0 834
0 0 0 187
0 0 0 949
0 0 0 3,341
0 0 0 -423
0 0 0 -607
0 0 0 -23
0 0 0 23
0 0 0 42
0 0 0 119
0 0 0 -232
0 0 0 -142
0 0 0 -383
0 0 0 -131
0 0 0 -266
0 0 0 485
0 0 0 80
0 0 0 3,041
0 0 0 2,040
0 0 0 1,734
0 0 0 4,988
0 0 0 2,271
0 0 0 1,647
0 0 0 1,624
0 0 0 277
0 0 0 -1,047
0 0 0 -8,280
0 0 0 -341
0 0 0 -2,016
0 0 0 -145
0 0 0 -58
0 0 0 -340
0 0 0 -873
0 0 0 -1,024
0 0 0 -289
0 0 0 249
0 0 0 1,005
0 0 0 1,036
0 0 0 254
0 0 0 124
0 0 0 5
0 0 0 325
0 0 0 157
0 0 0 -69
0 0 0 -339
0 0 0 -185
0 0 0 -157
0 0 0 -118
0 0 0 -108
0 0 0 -160
0 0 0 -554
0 0 0 1,564
0 0 0 5,584
0 0 0 54,475
0 0 0 54,110
0 0 0 15,065
0 0 0 26,798
0 0 0 1,474
0 0 0 695
0 0 0 1,598
0 0 0 -2,365
0 0 0 -3,061
0 0 0 36,966
0 0 0 7,674
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 2 238,163
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 1,927
Part V
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 right arrow and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions) 1 5,784
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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 5,784
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 5,784
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 5,486
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld .......... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Tax Paid with the Original Return: 5486 7 5,486
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9 298
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10  
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow0 Refundedright arrow 11  
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
Part VI-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 the instructions
for the 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. right arrow$   (2) On foundation managers.right arrow$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$  
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:
round bullet By language in the governing instrument, or
round bullet 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 XIV..................................
7
Yes
 
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
right arrowFL
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 2023 or the taxable year beginning in 2023? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
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
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 addressright arrowN/A
14
The books are in care ofright arrowBRADLEY K DAVIS CPA-DAVIS & DAVIS-CPAs PA Telephone no.right arrow (904) 819-1799

Located atright arrow17 PACIFIC STSUITE AST AUGUSTINEFL ZIP+4right arrow32084
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-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? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
 
No
(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)? ......................
1a(5)
 
No
(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.) ...............
1a(6)
 
No
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
 
 
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
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 2023? .............
1d
 
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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
 
No
c
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
right arrow20, 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? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2023 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 2023.) .....................
3b
 
No
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
Page 6
Part VI-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))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
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
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
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? .................
5d
 
 
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? .............................
6a
 
No
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?
7a
 
No
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? .........................
8
 
 
Part VII
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
Darrell Poli Trustee
0.40 		0 0 0
150 Riberia Street
St Augustine,FL32084
Bradley K Davis Sec/Treas-Trustee
168.00 		23,542 0 0
34 Bay View Drive
St Augustine,FL32084
Joseph Boles Jr Vice President-Trustee
0.40 		0 0 0
19 Riberia Street
St Augustine,FL32084
Michael Sanders President-Trustee
0.50 		0 0 0
946 Deer Hammock Circle
Saint Augustine,FL32080
John D Bailey Jr Trustee
0.40 		0 0 0
820 Summer Bay Drive
St Augustine,FL32080
Todd Batenhorst Trustee
0.40 		0 0 0
PO Box 4514
Saint Augustine,FL320854514
John Prioleau Trustee
0.40 		0 0 0
245 Rivershore Lane
Saint Augustine,FL32084
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...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 7
Part VII
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.............right arrow0
Part VIII-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 FLAGLER HEALTH CARE FOUNDATION MEDICAL CARE FOR INDIGENT AFRICAN-AMERICANS IN ST. JOHNS COUNTY, FL 52,640
2 ST. JOHNS HOUSING PARTNERSHIP, INC. ASSIST WITH REPAIRS TO HOUSING USED BY INDIGENT AFRICAN-AMERICANS LIVING IN ST. JOHNS COUNTY, FL 55,000
3 YOUNG LIFE ST. AUGUSTINE ASSIST WITH TUTORING, COUNSELING, AND MENTORING SERVICES FOR INDIGENT AFRICAN-AMERICANS LIVING IN ST. JOHNS COUNTY, FL 48,997
4 ST. JOHNS COUNTY COUNCIL ON AGING PROVIDE MEALS AND RELATED SENIOR SERVICE CARE FOR INDIGENT AFRICAN-AMERICANS LIVING IN ST. JOHNS COUNTY, FL 41,600
Part VIII-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.........................right arrow  
Form 990-PF (2023)
Form 990-PF (2023)
Page 8
Part IX
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
6,749,094
b
Average of monthly cash balances.......................
1b
25,180
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
6,774,274
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
 
3
Subtract line 2 from line 1d.........................
3
6,774,274
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
101,614
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
6,672,660
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
333,633
Part X
Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
1
Minimum investment return from Part IX, line 6..................
1
333,633
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
5,784
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
5,784
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
327,849
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
327,849
6
Deduction from distributable amount (see instructions).................
6
 
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
7
327,849
Part XI
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
294,067
b
Program-related investments—total from Part VIII-B..................
1b
 
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 XII, line 4. .......
4
294,067
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2022 		(c)
2022 		(d)
2023
1 Distributable amount for 2023 from Part X, line 7 327,849
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:2021, 2020, 2019 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 378,301
b From 2019...... 331,972
c From 2020...... 320,221
d From 2021...... 330,649
e From 2022...... 255,400
f Total of lines 3a through e ........ 1,616,543
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 294,067
a Applied to 2022, 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 2023 distributable amount.....  
e Remaining amount distributed out of corpus 294,067
5 Excess distributions carryover applied to 2023. 40,933  
(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 1,869,677
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 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		327,849
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) ....... 		 
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ... 		337,368
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		1,532,309
10 Analysis of line 9:
a Excess from 2019.... 331,972
b Excess from 2020.... 320,221
c Excess from 2021.... 330,649
d Excess from 2022.... 255,400
e Excess from 2023.... 294,067
Form 990-PF (2023)
Form 990-PF (2023)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
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 IX, 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 XIV
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).)
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 right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
BRADLEY K DAVIS
17 PACIFIC STREET SUITE A
SAINT AUGUSTINE,FL32084
(904) 819-1799
bThe form in which applications should be submitted and information and materials they should include:
DESCRIBE BENEFITS TO INDIGENT AFRICAN-AMERICAN RESIDENTS OF ST. JOHNS COUNTY, FL.
cAny submission deadlines:
SEPTEMBER 15th FOR FOLLOWING CALENDAR YEAR.
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
MUST BENEFIT INDIGENT AFRICAN-AMERICANS RESIDING IN ST JOHNS COUNTY, FL.
Form 990-PF (2023)
Form 990-PF (2023)
Page 11
Part XIV
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

St Johns Housing Partnership Inc

PO Box 1086
St Augustine,FL32085 		  501(c)(3) Repairs tohousing units 55,000

St Joseph Academy

155 SR 207
St Augustine,FL32084 		  501(c)(3) Scholarships foryouth 0

Flagler College Inc

74 King St
St Augustine,FL32084 		  501(c)(3) Scholarships for youth 15,000

Flagler Health Care Foundation Inc

400 Health Park Blvd
St Augustine,FL32086 		  501(c)(3) Health care forindigent patients 52,640

St Johns County Council on Aging

180 Marine St
St Augustine,FL32084 		  501 (c)(3) Meals on Wheels-for indigents 41,600

Safety Shelter of St Johns County Inc

2450 Old Moultrie Road Suite 202
St Augustine,FL32086 		  501 (c)(3) Assistance for victims of domestic violence 25,000

Young Life St Augustine

PO Box 9012
St Augustine,FL32085 		  501 (c)(3) Provide tutoring, mentoring, etc. to indigent youth 48,997

Good Samaritan Health Centers Inc

268 Herbert Street
St Augustine,FL32084 		  501 (c)(3) Provide medical and dentalservices 40,000

St Johns County Education Foundation

1 Christopher Street
St Augustine,FL32084 		  501 (c)(3) Provide educationalassistance to indigent youth. 3,497
Total .................................right arrow 3a 281,734
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2023)
Form 990-PF (2023)
Page 12
Part XV-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 4  
4 Dividends and interest from securities ....     14 227,614  
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 .....          
8 Gain or (loss) from sales of assets other than
inventory ............ 		    18 238,163  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aMISCELLANEOUS 		    14 0  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   465,781  
13Total. Add line 12, columns (b), (d), and (e)..................
13
465,781
(See worksheet in line 13 instructions to verify calculations.)
Part XV-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 XV-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 (2023)
Form 990-PF (2023)
Page 13
Part XVI
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.
right arrow right arrow
May the IRS discuss this return
with the preparer shown below?
See instructions.
Signature of officer or trustee Date Title
Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  
Part VI Line 7 - Tax Paid with the Original Return: 5,486


Form 990PF - Special Condition Description:
Special Condition Description
Schedule B
(Form 990)
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
2023
Name of the organization
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
 
Employer identification number

59-6137514
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) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
  		Employer identification number
59-6137514
Part I
Contributors
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
ST JOHNS COUNTY WELWARE FEDERATION
 
19 RIBERIA STREET
 
SAINT AUGUSTINE, FL32084

$ 15,000


(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) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
  		Employer identification number

59-6137514
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
 
$    
(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) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
  		Employer identification number

59-6137514
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) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
DAVIS & DAVIS-CERTIFIED PUBLIC ACCTS, PA COMPILATION/BOOKKEEPING/TAX PREPARATION,ETC. 23,542 11,771 0 11,771

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2023 GainLossSaleOtherAssetsSch
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
SALES OF INVESTMENTS   Purchased    
BANK OF AMERICA NA 		1,090,581 852,451     238,130  
CAPITAL GAIN DISTRIBUTIONS   Purchased    
BANK OF AMERICA NA 		33 0     33  

TY 2023 GeneralExplanationAttachment
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Identifier Return Reference Explanation
  OBJECT AND PURPOSE INTERPRETATION CHANGE- BUCKINGHAM SMITH BENEVOLENT ASSOCATION FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM

TY 2023 InvestmentsCorpBondsSchedule
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Name of Bond End of Year Book Value End of Year Fair Market Value
Cohen & Steers-18,839.795 SH 257,629 221,933
Pimco Income Fund-17,600.972 SH 205,448 186,922
US Treasury Bond-Due August 15, 2043 446,582 512,265

TY 2023 InvestmentsCorpStockSchedule
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Name of Stock End of Year Book Value End of Year Fair Market Value
Abbott Labs-96 SH 9,492 10,567
Abbvie Inc-142 SH 16,391 22,006
Accenture PLC-44 SH 8,349 15,440
Ameren Corp-77 SH 4,626 5,570
American Electric Power-79 SH 4,497 6,416
Analog Devices, Inc.-88 SH 11,602 17,473
AT&T Inc.-704 SH 10,392 11,813
AT&T Inc.-5175 SH 114,529 86,836
Automatic Data Processing Inc-37 SH 2,333 8,620
Avalonbay Cmntys Inc-26 SH 5,902 4,868
Avery Dennison Corp-30 SH 4,077 6,065
Bank New York Mellon-153 SH 7,078 7,964
Becton Dickinson-48 SH 12,043 11,704
Blackrock Inc-14 SH 4,261 11,365
Blackstone Inc-38 SH 2,788 4,975
Bristol Myers Squibb-145 SH 8,295 7,440
Broadcom LTD-21 SH 3,881 23,441
Booz Allen Hamilton-37 SH 3,442 4,733
Chevron-7,125 SH 22,767 1,062,765
Chubb Corp-73 SH 7,937 16,498
Cisco System Inc-408 SH 11,702 20,612
CME Group Inc-63 SH 7,913 13,268
CMS Energy Corp-70 SH 1,898 4,065
Cola Cola Com-221 SH 12,183 13,024
Comcast Corp-531 SH 15,200 23,284
Conocophillips-72 SH 5,760 8,357
Cummins Inc-28 SH 4,644 6,708
DTE Energy Co-31 SH 2,308 3,418
Eaton Corp PLC-58 SH 5,957 13,968
Elevance Health-29 SH 13,756 13,675
Entergy Corp New-63 SH 6,814 6,375
EOG Res Inc-113 SH 8,001 13,667
Eversource Energy-57 SH 2,798 3,518
Exxon Mobil-13,965 SH 121,461 1,396,221
General Mills-76 SH 4,942 4,951
Genuine Parts-32 SH 5,289 4,432
Home Depot-72 SH 5,409 24,952
Honeywell Intl Inc-87 SH 8,400 18,245
Illinois Tools Works Inc.-30 SH 7,412 7,858
International Business Machs-101 SH 13,138 16,519
International Business Machs-795 SH 96,382 130,022
Invesco QQQ Trust-500 SH 27,742 204,760
Ishares Russell 2000 Index Fund-1,800 SH 82,182 361,278
JP Morgan Chase & Co-252 SH 16,889 42,865
Johnson & Johnson-179 SH 18,479 28,056
KLA-Tencor Corp-29 SH 2,878 16,858
LAM Research Corp-20 SH 2,846 15,665
Linde PLC Reg-33 SH 9,395 13,553
Lockheed Martin Corp-24 SH 5,586 10,878
Marsh & Mclennan Cos Inc-86 SH 3,591 16,294
McDonalds Corp-57 SH 9,870 16,901
Medtronic PLC-123 SH 9,618 10,133
Merck & Co Inc-173 SH 8,463 18,860
Microchip Technology-148 SH 10,222 13,347
Microsoft Corp-105 SH 8,761 39,484
Mondelez Intl Inc-165 SH 8,869 11,951
Morgan Stanley-137 SH 13,098 12,775
Nextera Energy Inc-76 SH 1,624 4,616
Nike Inc-39 SH 3,591 4,234
Northern Grumman Corp-28 SH 10,066 13,108
Packaging Corp Amer-22 SH 2,368 3,584
Parker Hannifin Corp-40 SH 6,921 18,428
Pepsico Inc-53 SH 5,561 9,001
Philip Morris Intl-110 SH 9,195 10,349
PNC Financial Services Group-113 SH 11,190 17,498
PPG Industries Inc-66 SH 9,271 9,870
Procter & Gamble Co-152 SH 15,484 22,274
Prologis Inc.-40 SH 4,800 5,332
Public Storage Inc.-17 SH 4,918 5,185
Southern Company-127 SH 8,732 8,905
SPDR S&P Midcap 400-1,200 SH 102,588 608,856
Texas Instruments Inc-49 SH 1,789 8,353
Trane Tech Pub-46 SH 3,567 11,219
Union Pac Corp-90 SH 11,890 22,106
United Parcel Svc Inc-88 SH 12,556 13,836
Unitedhealth Group Inc-33 SH 7,274 17,374
Valero Energy Corp-83 SH 7,691 10,790
Verizon Communication Inc.-1,121 SH 65,882 42,262
Visa Inc.-62 SH 14,362 16,142
Walmart Stores Inc-129 SH 15,480 20,337
Waste Management-49 SH 2,056 8,776
WEC Energy Group-65 SH 2,821 5,471
WELLS FARGO & CO-389 SH 18,274 19,147

TY 2023 InvestmentsOtherSchedule2
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
Bank of America - Money Market Funds   845,196 845,196

TY 2023 OtherAssetsSchedule
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
FEDERAL INCOME TAX DEPOSIT 2,461 0 0
DUE FROM BANK OF AMERICA N.A. 3,456 7,362 7,362
DUE FROM ST. JOSEPH ACADEMY 1,364 0 0


TY 2023 OtherExpensesSchedule
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BANK CHARGES 32,682 32,682 0 0
D & O INSURANCE 809 405 0 404
INTEREST EXPENSE (INVESTMENT US TREASURY BILLS) 4,251 4,251 0 0
MEALS-MEETINGS 175 88 0 87


TY 2023 OtherIncomeSchedule2
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
MISCELLANEOUS 0 0  


TY 2023 OtherLiabilitiesSchedule
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Description Beginning of Year - Book Value End of Year - Book Value
EXCISE TAXES PAYABLE 0 298


TY 2023 TaxesSchedule
Name:
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
EIN:
59-6137514
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
LICENSES & TAXES 6,298 443 0 71