Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 8,182 | 10,284 | 1,749 | 31,205 | 5,000 | 56,420 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 8,182 | 10,284 | 1,749 | 31,205 | 5,000 | 56,420 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 56,420 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 8,182 | 10,284 | 1,749 | 31,205 | 5,000 | 56,420 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,375 | 2,395 | 2,650 | 2,893 | 7,811 | 18,124 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 2,375 | 2,395 | 2,650 | 2,893 | 7,811 | 18,124 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 10,557 | 12,679 | 4,399 | 34,098 | 12,811 | 74,544 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| Form 990-EZ, Part I, Line 4 - Other Investment Income | Description: DIVIDENDS. Amount: 7,811. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: SPECIAL OLYMPICS NEW JERSEY SNOW BOWL. Grantee Address: 1 EUNICE KENNEDY SHRIVER WAY LAWRENCEVILLE, NJ 08648. Grantee Relationship: NONE. Amount Given: 2,380. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: RIDGE RUNNERS. Grantee Address: 3 HAMPTON COURT BASKING RIDGE, NJ 07920. Grantee Relationship: NONE. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: SOMERVILLE ELKS. Grantee Address: 375 UNION AVENUE BRIDGEWATER, NJ 08807. Grantee Relationship: NONE. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: HENRY SNYDER FOUNDATION. Grantee Address: PO BOX 503 BASKING RIDGE, NJ 07920. Grantee Relationship: NONE. Amount Given: 750. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: LIBERTY CORNER FIRE COMPANY. Grantee Address: 95 CHURCH STREET LIBERTY CORNER, NJ 07938. Grantee Relationship: NONE. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: EDUCATIONAL. Grantee Name: UNIVERSITY OF DELAWARE. Grantee Address: 210 S. COLLEGE AVENUE NEWARK, DE 19716. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: ADOPT A SOLDIER PLATOON INC. Grantee Address: PO BOX 111 FAIRLAWN, NJ 07410. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: MICHAEL J. WIELGUS FOUNDATION. Grantee Address: 109 WILSHIRE DRIVE CRANFORD, NJ 07016. Grantee Relationship: NONE. Amount Given: 1,100. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: CALIFON FIRE COMPANY. Grantee Address: 41 MAIN STREET CALIFON, NJ 07830. Grantee Relationship: NONE. Amount Given: 750. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: FELLOWSHIP DEACONRY. Grantee Address: 3575 VALLEY ROAD BASKING RIDGE, NJ 07920. Grantee Relationship: NONE. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: EDUCATIONAL. Grantee Name: THE COLLEGE OF NEW JERSEY. Grantee Address: 2000 PENNINGTON ROAD EWING TOWNSHIP, NJ 08618. Grantee Relationship: NONE. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: EDUCATIONAL. Grantee Name: GETTYSBURG COLLEGE. Grantee Address: 300 NORTH WASHINGTON STREET GETTYSBURG, PA 17325. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: RIDGE BASEBALL CLUB. Grantee Address: PO BOX 98 BASKING RIDGE, NJ 07920. Grantee Relationship: NONE. Amount Given: 375. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: NJ WOMEN IN LAW ENFORCEMENT. Grantee Address: 3817 CROSSWICKS HAMILTON SQUARE ROAD HAMILTON, NJ 08691. Grantee Relationship: NONE. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: HEARTWORKS. Grantee Address: 101 SOUTH FINLEY AVENUE BASKING RIDGE, NJ 07920. Grantee Relationship: NONE. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: ROSELLE PARK PBA LOCAL 27. Grantee Address: PO BOX 173 ROSELLE PARK, NJ 07204. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: CYSTIC FIBROSIS FOUNDATION. Grantee Address: 4550 MONTGOMERY AVENUE BETHESDA, MD 20814. Grantee Relationship: NONE. Amount Given: 250. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: BOUND BROOK PBA LOCAL 280. Grantee Address: PO BOX 381 BOUND BROOK, NJ 08805. Grantee Relationship: NONE. Amount Given: 350. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: SPECIAL OLYMPICS NEW JERSEY TORCH RUN. Grantee Address: 1 EUNICE KENNEDY SHRIVER WAY LAWRENCEVILLE, NJ 08648. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: SOMERVILE PBA LOCAL 147. Grantee Address: PO BOX 158 SOMERVILLE, NJ 08876. Grantee Relationship: NONE. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: EDUCATIONAL. Grantee Name: SOUTHERN METHODIST UNIVERSITY. Grantee Address: 6425 BOAZ LANE DALLAS, TX 75205. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: BRIDGEWATER PBA LOCAL #174. Grantee Address: PO BOX 6664 BRIDGEWATER, NJ 08807. Grantee Relationship: NONE. Amount Given: 900. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: EDUCATIONAL. Grantee Name: FLORIDA STATE UNIVERSITY. Grantee Address: 222 S. COPELAND STREET TALLAHASSEE, FL 32306. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: EDUCATIONAL. Grantee Name: RUTGERS UNIVERSITY. Grantee Address: 57 US HIGHWAY 1 NEW BRUNSWICK, NJ 08901. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: BERNARDS PARENTS OF EXCEPTIONAL CHILDREN. Grantee Address: 5 LYONS MALL PO BOX 160 BASKING RIDGE, NJ 07920. Grantee Relationship: NONE. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: NJ STATE POLICE PBA TOY DRIVE. Grantee Address: 158 MAIN STREET WOODBRIDGE, NJ 07095. Grantee Relationship: NONE. Amount Given: 250. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: ALPINE LEARNING GROUP. Grantee Address: 777 PARAMUS ROAD PARAMUS, NJ 07652. Grantee Relationship: NONE. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: CHARITABLE. Grantee Name: CNY MEMORIAL STAIR CLIMB. Grantee Address: PO BOX 420 WHITESBORO, NY 13492. Grantee Relationship: NONE. Amount Given: 250. Total included on Form 990-EZ, line 10: 25,855. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: FILING FEES. Amount: 360. Description: FUND RAISING. Amount: 100. Description: OFFICE EXPENSES. Amount: 1,500. Total to Form 990-EZ, line 16: 1,960. |
| Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets | Description: Unrealized Gain on Temporary Investments. Amount: 58,055. |
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| Software Version: |