Civic Intelligence

Casey Feldman Memorial Foundation

990 • Fiscal year 2022 • EIN 27-0877433

Jan 01, 2022 to Dec 31, 2022 • Filed on Dec 12, 2023

One Logan Square 1600Philadelphia, PA 19103

(215) 285-9145

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

75th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2022 filings • NTEE B82 • <$500k nonprofits • Source year 2022

Liabilities / Revenue

75th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2022 filings • NTEE B82 • <$500k nonprofits • Source year 2022

Net Margin

43rd percentile

3.3%

Higher net margin than 43% of similar nonprofits.

2022 filings • NTEE B82 • <$500k nonprofits • Source year 2022

Top Officer Pay

95th percentile

$0

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2022 filings • NTEE B82 • <$500k nonprofits • Source year 2022

Asset Growth

36th percentile

-7.7%

Faster asset growth than 36% of similar nonprofits.

2022 filings • NTEE B82 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

73rd percentile

47%

Faster revenue growth than 73% of similar nonprofits.

2022 filings • NTEE B82 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$342,715

Down $28,676 (-7.7%) from 2021

Net Assets

Down

$342,715

Down $28,676 (-7.7%) from 2021

Liabilities

Flat

$0

Flat from 2021

Revenue

Up

$259,109

Up $82,845 (+47%) from 2021

Expenses

Up

$250,433

Up $154,958 (+162%) from 2021

Net Income

Down

$8,676

Down $72,113 (-89%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400K$300K$200K$100K$0Assets 2013: $177,227Liabilities 2013: $0Net Assets 2013: $177,2272013Assets 2019: $276,833Liabilities 2019: $0Net Assets 2019: $276,8332019Assets 2020: $295,588Liabilities 2020: $18,942Net Assets 2020: $276,6462020Assets 2021: $371,391Liabilities 2021: $0Net Assets 2021: $371,3912021Assets 2022: $342,715Liabilities 2022: $0Net Assets 2022: $342,7152022Assets 2023: $394,590Liabilities 2023: $0Net Assets 2023: $394,5902023Assets 2024: $369,682Liabilities 2024: $0Net Assets 2024: $369,6822024

Highlighted filing

2022

Assets$342,715
Liabilities$0
Net Assets$342,715

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KRevenue 2013: $180,393Expenses 2013: $98,930Net Income 2013: $81,4632013Revenue 2019: $233,927Expenses 2019: $180,956Net Income 2019: $52,9712019Revenue 2020: $105,636Expenses 2020: $105,823Net Income 2020: -$1872020Revenue 2021: $176,264Expenses 2021: $95,475Net Income 2021: $80,7892021Revenue 2022: $259,109Expenses 2022: $250,433Net Income 2022: $8,6762022Revenue 2023: $217,569Expenses 2023: $191,480Net Income 2023: $26,0892023Revenue 2024: $177,135Expenses 2024: $220,491Net Income 2024: -$43,3562024

Highlighted filing

2022

Revenue$259,109
Expenses$250,433
Net Income$8,676
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Dec 12, 2023
Return Version
2022v5.0
Gross Receipts
$371,959
Mission and Program Overview

Mission

The organization supports charitable, educational and literary pursuits and encourages volunteerism and good citizenship. It also works to make known the dangers of distracted driving and destructive decision making. Organization teams up and partners with charitable organizations, federal, state and local government bodies, schools, businesses and general public for purpose of bringing awareness to parents, teens, nation on the detriments associated with distracted driving and destructive decision making. Programs are in existence. Scholarships are awarded for the benefit of students that encourage community service, volunteerism, good citizenship and call attention to the dangers of distracted driving and decision making.

Conducts progrms on dangers of and to end distracted driving; promotes students to be community volunteers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$168,965$208,824▲ $39,859
Savings and Temporary Cash Investments$68,141$76,742▲ $8,601
Cash and Non-Interest-Bearing Accounts$127,988$52,746▼ $75,242
Intangible Assets$2,964$2,737▼ $227
Land, Buildings, and Equipment, Net$3,333$1,666▼ $1,667
Total Assets$371,391$342,715▼ $28,676
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$371,391$342,715▼ $28,676
Total Net Assets Fund Balance$371,391$342,715▼ $28,676
Total Liabilities and Net Assets / Fund Balance$371,391$342,715▼ $28,676

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$1,666$26,742$28,408
Compensation and Service Providers

Board Members and Trustees

NameTitle
Joel D FeldmanPresident/director
Brooke BurdgeDirector
Janine Repka GuzzoneDirector
Kelsey ButlerDirector
Matthew ThorntonDirector
Dianne L AndersonSecretary/director
Brett FeldmanTreasurer/director
Revenue and Support

Revenue Composition

Contributions and Grants
$217,478
Program Service Revenue
$0
Investment Income
$41,631
Other Revenue
$0
All Other Contributions
$217,478
Change in Net Assets
$8,676
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$142,833
Grants and Similar Amounts Paid$107,600
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$107,600--$107,600
Information Technology$14,850--$14,850
Advertising$13,000--$13,000
All Other Expenses$7,991$2,778-$10,769
Travel$5,893--$5,893
Other Expenses$6,750$4,050-$4,050
Depreciation Depletion-$1,894-$1,894
Insurance-$1,863-$1,863
Office Expenses$1,191$387-$1,578
Total Functional Expenses$239,461$10,972$0$250,433
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
BRIGHAM AND WOMEN'S HARVARD MEDICAL SCHOOLBoston, MA501(c)(3)Behavioral Research$75,000
Crave Student Arts IncHarriman, NY501(c)(3)Sponsor 2022 All American Film Festival$20,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

There are two related organization members related as follows: dianne l. Anderson is the spouse of joel d. Feldman. Brett feldman is the son.

Form 990, Part VI, Section A, Line 8B

There are no separate committees.

Form 990, Part VI, Section B, Line 11B

Organizations form 990 is emailed to the governing body for review and discussion during an organization virtual meeting.

Form 990, Part VI, Section B, Line 12C

In the event of a conflict of interest the individual(s)will make known such conflict of interest to the foundation president for review and discussion with the foundation board. The board will instruct the member to abstain from the vote.

Form 990, Part VI, Section C, Line 19

The governing documents, conflict of interest policy and financial statement is made available upon request. The form 990 is placed on the foundation website.

Form 990, Part VII Contact Addresses for Officers, Directors, Etc

Joel d. Feldman - 32 brighton place, swedesboro, nj 08085. Dianne l. Anderson - 32 brighton place, swedesboro, nj 08085. Brett feldman - 1158 quince avenue, boulder, co 80304. Kelsey butler - 155 w 60th street, new york, ny 10023. Janine repka guzzone - 160 east 48th street, new york, ny 10017. Matthew thornton - 2290 galloway rd., apt d-3, bensalem, pa 19020. Brooke burdge - 33 waverly street #1, jersey city, nj 07306.

Filing and Contact Details

Filer

Filer Name
Casey Feldman Memorial Foundation
EIN
27-0877433
Phone
2152859145
Address
ONE LOGAN SQUARE 1600, PHILADELPHIA, PA 19103

Signing Officer

Name
Dianne L Anderson Esq
Title
Secretary
Phone
2152859145
Signed
2023-12-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dianne L Anderson Esq
Formed
2009
Legal Domicile
Pa
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Disanto Priest & Co
Address
117 METRO CENTER BOULEVARD 3000, WARWICK, RI 02886
Preparer
Raymond P Marchak CPA
Phone
4019212000
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The selection of a cpa is performed by the foundation's officers. The cpa compiles the financial statements for the year end to meet foundation's regulatory and financial requirements from information supplied by officers. In advance of the board meeting, drafts of the form 990 and compiled financials are circulated to board members. This circulation in advance, provides board members with adequate review and comment time and, at the upcoming board meeting allows for a quality discussion and comment period. A board meetiing of directors with officers present takes place. The financials and form 990 are openly presented, discussed and all comments entertained and addressed. After discussion and satisfactory resolution of all comments, a vote is taken on financial acceptance.

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IRS990/Desc0A) KINDERGARTEN, LOWER, MIDDLE AND HIGH SCHOOL DISTRACTED DRIVING PROGRAM:THE CASEY FELDMAN MEMORIAL FOUNDATION, THROUGH ITS CAMPAIGN/WEBSITE ENDDD.ORG (END DISTRACTED DRIVING) CONTINUES TO PROVIDE IN PERSON AND VIRTUAL PRESENTATIONS TO LOWER, MIDDLE AND HIGH SCHOOL STUDENTS, FACULTY, COMMITTEES, BOARDS AND PARENTS ON THE DANGERS OF DISTRACTED DRIVING. ALSO, PRESENTATIONS ARE PRESENTED TO BUSINESSES AND GENERAL PUBLIC.THE FOUNDATION DEVELOPED 3RD THRU 5TH GRADE LESSON PLANS THAT ARE PROVIDED TO TEACHERS FOR IN CLASS ROOM PRESENTATION TO THEIR STUDENTS.PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE PROVIDING PRESENTATIONS TO MORE THAN 500,000 STUDENTS, PAPER PUBLISHED BY US DOT(NHTSA) CONFIRMING THE EFFECTIVENESS OF THE PRESENTATIONS, SELECTION AND APPOINTMENT OF PRESIDENT TO NTSB NATIONAL DISTRACTED DRIVING COALITION STEERING COMMITTEE AND COORDINATION OF FIRST NATIONAL "DO NOT DISTURB WHILE DRIVING" DAY OCTOBER 2022.
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IRS990/MissionDesc0THE ORGANIZATION SUPPORTS CHARITABLE, EDUCATIONAL AND LITERARY PURSUITS AND ENCOURAGES VOLUNTEERISM AND GOOD CITIZENSHIP. IT ALSO WORKS TO MAKE KNOWN THE DANGERS OF DISTRACTED DRIVING AND DESTRUCTIVE DECISION MAKING. ORGANIZATION TEAMS UP AND PARTNERS WITH CHARITABLE ORGANIZATIONS, FEDERAL, STATE AND LOCAL GOVERNMENT BODIES, SCHOOLS, BUSINESSES AND GENERAL PUBLIC FOR PURPOSE OF BRINGING AWARENESS TO PARENTS, TEENS, NATION ON THE DETRIMENTS ASSOCIATED WITH DISTRACTED DRIVING AND DESTRUCTIVE DECISION MAKING. PROGRAMS ARE IN EXISTENCE. SCHOLARSHIPS ARE AWARDED FOR THE BENEFIT OF STUDENTS THAT ENCOURAGE COMMUNITY SERVICE, VOLUNTEERISM, GOOD CITIZENSHIP, CALL ATTENTION TO THE DANGERS OF DISTRACTED DRIVING AND DECISION MAKING.
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IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0176264
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt08676
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0174160
IRS990/SavingsAndTempCashInvstGrp/BOYAmt068141
IRS990/SavingsAndTempCashInvstGrp/EOYAmt076742
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0154187
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IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt012375
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt04172
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt03899
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt02996
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt029025
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt03592
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IRS990ScheduleA/PublicSupportPY170Pct00.63190
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IRS990ScheduleA/SubstantialContributorsTotAmt0282207
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0217478
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0101464
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0222533
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0154187
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0859551
IRS990ScheduleA/TotalSupportAmt0888576
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt026742
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IRS990ScheduleI/RecipientTable/CashGrantAmt175000
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IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt10
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0SPONSOR 2022 ALL AMERICAN FILM FESTIVAL
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt1BEHAVIORAL RESEARCH
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0CRAVE STUDENT ARTS INC
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1BRIGHAM AND WOMEN'S HARVARD MEDICAL SCHOOL
IRS990ScheduleI/RecipientTable/RecipientEIN0830995556
IRS990ScheduleI/RecipientTable/RecipientEIN1042312909
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt097 TALBOT ROAD
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt1263 HUNTINGTON AVE 318
IRS990ScheduleI/RecipientTable/USAddress/CityNm0HARRIMAN
IRS990ScheduleI/RecipientTable/USAddress/CityNm1BOSTON
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IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd1MA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd010926
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION MONITORS THE USE OF FUNDS THROUGH OFFICERS AND MEMBERS THAT SERVE ON THE BOARD. ADDITIONALLY, THE FOUNDATION ISSUES SCHOLARSHIP AWARDS DIRECT TO THE EDUCATION INSTITUTION AND REQUEST ACKNOWLEDGEMENT ON THE USE OF THE FUND AND CHARITABLE EVENT.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, SCHEDULE I, PART I, LINE 2:
IRS990ScheduleI/TotalOtherOrgCnt02
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THERE ARE TWO RELATED ORGANIZATION MEMBERS RELATED AS FOLLOWS: DIANNE L. ANDERSON IS THE SPOUSE OF JOEL D. FELDMAN. BRETT FELDMAN IS THE SON.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THERE ARE NO SEPARATE COMMITTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ORGANIZATIONS FORM 990 IS EMAILED TO THE GOVERNING BODY FOR REVIEW AND DISCUSSION DURING AN ORGANIZATION VIRTUAL MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3IN THE EVENT OF A CONFLICT OF INTEREST THE INDIVIDUAL(S)WILL MAKE KNOWN SUCH CONFLICT OF INTEREST TO THE FOUNDATION PRESIDENT FOR REVIEW AND DISCUSSION WITH THE FOUNDATION BOARD. THE BOARD WILL INSTRUCT THE MEMBER TO ABSTAIN FROM THE VOTE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENT IS MADE AVAILABLE UPON REQUEST. THE FORM 990 IS PLACED ON THE FOUNDATION WEBSITE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5JOEL D. FELDMAN - 32 BRIGHTON PLACE, SWEDESBORO, NJ 08085. DIANNE L. ANDERSON - 32 BRIGHTON PLACE, SWEDESBORO, NJ 08085. BRETT FELDMAN - 1158 QUINCE AVENUE, BOULDER, CO 80304. KELSEY BUTLER - 155 W 60TH STREET, NEW YORK, NY 10023. JANINE REPKA GUZZONE - 160 EAST 48TH STREET, NEW YORK, NY 10017. MATTHEW THORNTON - 2290 GALLOWAY RD., APT D-3, BENSALEM, PA 19020. BROOKE BURDGE - 33 WAVERLY STREET #1, JERSEY CITY, NJ 07306.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE SELECTION OF A CPA IS PERFORMED BY THE FOUNDATION'S OFFICERS. THE CPA COMPILES THE FINANCIAL STATEMENTS FOR THE YEAR END TO MEET FOUNDATION'S REGULATORY AND FINANCIAL REQUIREMENTS FROM INFORMATION SUPPLIED BY OFFICERS. IN ADVANCE OF THE BOARD MEETING, DRAFTS OF THE FORM 990 AND COMPILED FINANCIALS ARE CIRCULATED TO BOARD MEMBERS. THIS CIRCULATION IN ADVANCE, PROVIDES BOARD MEMBERS WITH ADEQUATE REVIEW AND COMMENT TIME AND, AT THE UPCOMING BOARD MEETING ALLOWS FOR A QUALITY DISCUSSION AND COMMENT PERIOD. A BOARD MEETIING OF DIRECTORS WITH OFFICERS PRESENT TAKES PLACE. THE FINANCIALS AND FORM 990 ARE OPENLY PRESENTED, DISCUSSED AND ALL COMMENTS ENTERTAINED AND ADDRESSED. AFTER DISCUSSION AND SATISFACTORY RESOLUTION OF ALL COMMENTS, A VOTE IS TAKEN ON FINANCIAL ACCEPTANCE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII, LINE 2C:
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IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalLiabilitiesBOYAmt00
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IRS990/TotalOtherCompensationAmt00
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IRS990/VotingMembersGoverningBodyCnt06
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IRS990/WebsiteAddressTxt0CASEYFELDMANMEMORIALFOUNDATION.ORG
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0DIANNE L ANDERSON ESQ
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY
ReturnHeader/BusinessOfficerGrp/PhoneNum02152859145
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-12-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CASEY FELDMAN MEMORIAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0CASE
ReturnHeader/Filer/EIN0270877433
ReturnHeader/Filer/PhoneNum02152859145
ReturnHeader/Filer/USAddress/AddressLine1Txt0ONE LOGAN SQUARE 1600
ReturnHeader/Filer/USAddress/CityNm0PHILADELPHIA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
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ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0571139864
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DISANTO PRIEST & CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0117 METRO CENTER BOULEVARD 3000
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WARWICK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0RI

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