2023-11-10T18:00:46-06:00 2022-12-31 990 2022-01-01 812947066 BUSHY PARK FOUNDATION TRUST BUSH 4043755496 3713 PINE STREET JACKSONVILLE FL 322059418 BRYAN CLONTZ TRUSTEE 4043755496 2023-06-30 BRYAN CLONTZ XXX-XX-XXXX 0 2022 2023-04-26 12:10:37Z BRYAN CLONTZ 3713 PINE STREET JACKSONVILLE FL 322059418 332404 0 X www.dechomai.org X 2016 FL BUSHY PARK FOUNDATION TRUST IS A TYPE I SUPPORTING ORGANIZATION, FURTHERING THE CHARITABLE PURPOSES OF DECHOMAI FOUNDATION, INC., EIN 06-1676688 3 3 0 0 230000 0 59 36 -20597 102368 -20538 332404 5000 5000 0 0 0 0 20574 22219 25574 27219 -46112 305185 2725275 2919900 20928 40368 2704347 2879532 BUSHY NBSP;PARK NBSP;FOUNDATION NBSP;TRUST NBSP;IS NBSP;A NBSP;TYPE NBSP;I NBSP;SUPPORTING NBSP;ORGANIZATION NBSP;FURTHERING NBSP;THE NBSP;CHARITABLE NBSP;PURPOSES NBSP;OF NBSP;DECHOMAI NBSP;FOUNDATION NBSP;INC NBSP;EIN NBSP;06-1676688 0 0 25363 5000 95499 MANAGEMENT OF INVESTMENTS FOR BENEFIT OF SUPPORTED ORGANIZATION. 25363 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 AF 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X X BRYAN CLONTZ 4043755496 3713 PINE STREET JACKSONVILLE FL 322059418 GEORGE KINGSTON TRUSTEE 001.00 X 0 0 0 WALTER ROWE TRUSTEE 001.00 X 0 0 0 BRYAN CLONTZ TRUSTEE AND SECRETARY 005.00 025.00 X X 0 0 0 0 0 0 230000 230000 36 36 95499 95499 95499 95499 ADMINISTRATIVE FEES 900099 6869 6869 6869 332404 6869 0 95535 5000 5000 1856 1856 14332 14332 6031 6031 27219 25363 1856 0 570275 67078 5000 2150000 2852822 2725275 2919900 16869 10000 4059 30368 20928 40368 X 2704347 2879532 0 0 0 0 0 0 0 0 2704347 2879532 2725275 2919900 305185 -125000 -5000 X 1 1 1 0 X X 1 DECHOMAI FOUNDATION IN 061676688 7 1 5000 0 1 5000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 REAL PROPERTY 2852822 2852822 Florida Sales Tax 6057 Refundable Security Deposit 5500 Assessment and Insurance Charge Pay 13811 Intercompany Payable Due to DAT 5000 30368 PART VI, SECTION A, LINE 7A THE TRUSTEES OF BUSHY PARK FOUNDATION TRUST ARE APPOINTED BY THE BOARD OF DIRECTORS OF THE SUPPORTED ORGANIZATION, DECHOMAI FOUNDATION, INC., EIN 06-1676688. PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES. THE ORGANIZATION ACTS THROUGH ITS BOARD OF TRUSTEES AS A WHOLE. PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED INTERNALLY BASED ON AN INDEPENDENT REVIEW OF FINANCIAL INFORMATION. AFTER A DRAFT HAS BEEN REVIEWED BY THE BOARD SECRETARY, THE RETURN IS CIRCULATED AMONG THE TRUSTEES FOR REVIEW PRIOR TO FILING A FINAL RETURN WITH IRS. PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL OFFICERS AND TRUSTEES TO ANNUALLY COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE. THE BOARD CHAIR IS RESPONSIBLE FOR REVIEWING THE SIGNED STATEMENTS AND ENSURING THAT INTERESTED PERSONS ARE IN COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. SHOULD ANY POTENTIAL CONFLICTS OF INTEREST BE DISCLOSED, THE BOARD MEMBER OR OFFICER WOULD BE ASKED TO REFRAIN FROM PARTICIPATING IN ANY DELIBERATION OR DECISION WITH REGARD TO MATTERS AFFECTED BY THE RELATIONSHIP. BUSHY PARK FOUNDATION TRUST HAS NO EMPLOYEES. PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO POSTED TO GUIDESTAR.ORG. DECHOMAI FOUNDATION INC 3713 PINE STREET JACKSONVILLE FL 32205 061676688 NATIONAL DONOR ADVISED FUND FL 501(C)(3) 7 NOT APPLICABLE 0 DECHOMAI ASSET TRUST 3713 PINE STREET JACKSONVILLE FL 32205 260724606 TYPE I SUPPORTING ORG TO DFI NV 501(C)(3) 12A DECHOMAI FOUNDATION INC 1 NATIONAL GIFT ANNUITY FOUNDATION 3713 PINE STREET JACKSONVILLE FL 32205 942833444 TYPE I SUPPORTING ORG TO DFI CA 501(C)(3) 12A DECHOMAI FOUNDATION INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 DECHOMAI FOUNDATION INC R 6869