2024-08-29T13:34:23-05:00 2023-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2023-01-01 866320000 The Surplus Line Association of Arizona Foundation % Foundation Source SURP 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 JON SCOTT WADE TRUSTEE 8008391754 2024-08-26 true true Jeffrey D Haskell P01345770 8008391754 2023 2024-08-08 14:25:15Z X 8944551 X 2500000 26810 26810 16085 16085 -878 30000 0 128952 128952 2670969 171847 0 860 36934 300 36634 37794 300 36634 1590500 1590500 1628294 300 1627134 1042675 171547 1451610 2395276 2395276 11756 5878 4986 326251 302186 278505 6344256 6473208 6265784 8133873 9176548 8944551 0 0 X 8133873 9176548 8133873 9176548 8133873 9176548 8133873 1042675 9176548 9176548 Publicly-traded Securities 30000 30878 -878 -878 -878 2385 2385 2385 0 2400 2400 X 51 36 false false false false false false false true true AZ true false false false false true Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false false false false false false false false false false false false false false false false false false Marc Adler Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee, Sec, Treas 1.0 0 0 0 Ed Dresselhuys Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee, VP 1.0 0 0 0 Lanny Hair Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee 1.0 0 0 0 Erick L Johnson CPCU Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee 1.0 0 0 0 Konnie Keaschall-Kiser Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee, Pres 1.0 0 0 0 James Mann Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee 1.0 0 0 0 Teresa Quale Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee 1.0 0 0 0 J Scott Wede Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee, Exec Dir 1.0 0 0 0 Terri Edwards Foundation Source 501 Silverside Rd Wilmington DE 198091377 Trustee 1.0 0 0 0 290975 1645709 6265784 8202468 0 8202468 123037 8079431 403972 403972 2385 2385 401587 401587 401587 1627134 0 0 0 0 1627134 401587 2021 2020 2019 465393 453604 864895 814584 1184131 3782607 1627134 401587 1225547 5008154 0 465393 4542761 453604 864895 814584 1184131 1225547 NONE X 100 CLUB OF ARIZONA 333 N 44TH ST STE 100 PHOENIX AZ 85008 N/A PC General & Unrestricted 25000 ABILITY360 INC 5025 E WASHINGTON ST STE 200 PHOENIX AZ 85034 N/A PC General & Unrestricted 5000 AID TO WOMEN CENTER 1328 E APACHE BLVD TEMPE AZ 85281 N/A PC General & Unrestricted 5000 AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION 360 E CORONADO RD STE 140 PHOENIX AZ 85004 N/A PC General & Unrestricted 5000 ARIZONA ART ALLIANCE 4327 E LEWIS AVE PHOENIX AZ 85008 N/A PC General & Unrestricted 10000 ARIZONA COMMUNITY FOUNDATION 2201 E CAMELBACK RD STE 405B PHOENIX AZ 85016 N/A PC Phoenix Angel of Hope 3000 ARIZONA HUMANE SOCIETY 1521 W DOBBINS RD PHOENIX AZ 85041 N/A PC General & Unrestricted 10000 AUTISM SOCIETY OF GREATER PHOENIX PO BOX 10543 PHOENIX AZ 85064 N/A PC General & Unrestricted 5000 BARROW NEUROLOGICAL FOUNDATION 2910 N 3RD AVE STE 450 PHOENIX AZ 85013 N/A PC General & Unrestricted 10000 BOY SCOUTS OF AMERICA 8840 E CHAPARRAL RD STE 200 SCOTTSDALE AZ 85250 N/A PC Friends of Scouting 10000 COMMUNITY FOOD BANK INC 3003 S COUNTRY CLUB RD TUCSON AZ 85713 N/A PC General & Unrestricted 100000 CYSTIC FIBROSIS FOUNDATION 2777 E CAMELBACK RD STE 330 PHOENIX AZ 85016 N/A PC General & Unrestricted 5000 GOMPERS 6601 N 27TH AVE PHOENIX AZ 85017 N/A PC General & Unrestricted 10000 HACIENDA INC 1402 E S MOUNTAIN AVE PHOENIX AZ 85042 N/A PC General & Unrestricted 15000 HONORHEALTH FOUNDATION 8125 N HAYDEN RD SCOTTSDALE AZ 85258 N/A PC Desert Mission 100000 INSURANCE TRAINING AND EDUCATION CENTER INC 333 E FLOWER ST PHOENIX AZ 85012 N/A PC General & Unrestricted 100000 JUVENILE DIABETES RESEARCH FOUNDATION INTERNATIONA 4343 E CAMELBACK ROAD STE 230 PHOENIX AZ 85018 N/A PC General & Unrestricted 5000 KITCHEN ON THE STREET INC 17423 N LINDGREN AVE SUN CITY AZ 85373 N/A PC General & Unrestricted 100000 MAKE A WISH FOUNDATION OF ARIZONA INC 2901 N 78TH ST SCOTTSDALE AZ 85251 N/A PC General & Unrestricted 10000 MAUI HUMANE SOCIETY INC PO BOX 1047 PUUNENE HI 96784 N/A PC Maui fire relief 10000 MIDWEST FOOD BANK NFP INC 2031 WAREHOUSE RD NORMAL IL 61761 N/A PC for the Mesa Arizona location 100000 NEW CITY BARRIO NUEVO PHOENIX 2030 W BASELINE RD NO 182-212 PHOENIX AZ 85041 N/A PC General & Unrestricted 5000 ORAL EDUCATIONAL OPPORTUNITIES FOR THE HEARING IMP 3426 E SHEA BLVD PHOENIX AZ 85028 N/A PC General & Unrestricted 15000 PAZ DE CRISTO COMMUNITY CENTER 424 W BROADWAY RD MESA AZ 85210 N/A PC General & Unrestricted 100000 PLUS FOUNDATION 5353 WAYZATA BLVD STE 600 MINNEAPOLIS MN 55416 N/A SO I General & Unrestricted 15000 SAMARITANS PURSE PO BOX 3000 BOONE NC 28607 N/A PC Maui, Hawaii fire relief 100000 SAMARITANS PURSE PO BOX 3000 BOONE NC 28607 N/A PC Mississippi Disaster Relief 100000 SHEMER ART CENTER AND MUSEUM ASSOCIATION INC SACAM 5005 E CAMELBACK RD PHOENIX AZ 85018 N/A PC General & Unrestricted 2500 SHRINERS HOSPITALS FOR CHILDREN - SALT LAKE CITY FAIRFAX ROAD AT VIRGINIA ST SALT LAKE CITY UT 84103 N/A PC General & Unrestricted 5000 SOJOURNER CENTER PO BOX 20156 PHOENIX AZ 85036 N/A PC General & Unrestricted 15000 SOUTHWEST DISTRICT KIWANIS FOUNDATION 5318 KINGS ROW NE ALBUQUERQUE AZ 87109 N/A PC General & Unrestricted 15000 SOUTHWEST HUMAN DEVELOPMENT 2850 N 24TH ST PHOENIX AZ 85008 N/A PC General & Unrestricted 5000 ST MARYS FOOD BANK ALLIANCE 2831 N 31ST AVE PHOENIX AZ 85009 N/A PC General & Unrestricted 100000 THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER PO BOX 4486 HOUSTON TX 77210 N/A GOV General & Unrestricted 10000 THE WSIA EDUCATION FOUNDATION 4131 N MULBERRY DR STE 200 KANSAS CITY MO 64116 N/A PC General & Unrestricted 350000 UNITED SERVICE ORGANIZATIONS INC PO BOX 96860 WASHINGTON DC 20077 N/A PC General & Unrestricted 10000 WASTE NOT INC 1700 N GRANITE REEF RD SCOTTSDALE AZ 85257 N/A PC Waste Not Phoenix operation 100000 1590500 14 26810 14 16085 18 -878 ANNUITY INCOME 01 128952 170969 170969 false false false false false false false false false false X X 1 The Surplus Line Association of Ari 15849 N 71st Street Suite 100 Scottsdale AZ 85254 2500000 X CATERPILLAR FINANCIAL SE MTN - 27118 25568 CITIGROUP INC - 5.500% - 09/13 28857 25119 GE CAPITAL CORP - 4.500% - 11/ 27075 24510 GENERAL ELECTRIC CAPITAL CORP 25722 23491 GENERAL ELECTRIC CO - 5.000% - 55230 49433 GOLDMAN SACHS GP INC - 5.950% 32164 30866 GOLDMAN SACHS GROUP INC - 3.50 11770 11163 GOLDMAN SACHS GRP INC MTN BE - 25249 22877 HANCOCK JOHN LIFE INS CO - 5.0 17689 16038 JPMORGAN CHASE & CO - 4.125% - 25267 24521 STATOIL ASA NT - 3.700% - 03/0 26045 24919 5878 4986 COLUMBUS LIFE # CM5108868A 1745179 1666648 INTEGRITY LIFE INSURANCE # 210 1117798 1073631 JACKSON NATIONAL LIFE # 100355 338332 338149 JACKSON NATIONAL LIFE # 100471 436360 436360 JACKSON NATIONAL LIFE # 100498 442523 422523 NEW YORK LIFE # 52132702 306672 306672 NORTH AMERICAN LIFE 8000460723 720550 720550 PENN MUTUAL ANNUITY 38973006 178075 163829 PRINCIPAL # 8944779 445629 430477 PRINCIPAL # 8951445 333197 310539 UNITED OF OMAHA # U01139674 408893 396406 Administrative Fees 36634 36634 Bank Charges 300 300 Net Annuity Income 128952 128952 990-PF Extension for 2022 860