TY 2015 Form 990 Schedule O

efile Public Visual Render ObjectId: 201732239349200863 - Submission: 2017-08-11 TIN: 13-7081032

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Staten Island Childrens
Campaign Charitable Trust

Employer identification number

13-7081032

Return Reference	Explanation
Grants and Similar Amounts Paid In Excess of $5,000.1	\| Donee's Name: Camelot Counseling \| Donee's Address: 4442 Arthur Kill Road Staten Island NY 10309 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.2	\| Donee's Name: Children's Aid Society \| Donee's Address: 304 Prospect Avenue Staten Island NY 10301 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.3	\| Donee's Name: Community Resources \| Donee's Address: 3450 Victory Boulevard Staten Island NY 10314 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.4	\| Donee's Name: Geller House \| Donee's Address: 77 Chicago Avenue Staten Island NY 10305 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.5	\| Donee's Name: Grace Foundation of New York \| Donee's Address: 460 Brielle Avenue Staten Island NY 10314 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.6	\| Donee's Name: Have a Heart Foundation of Staten Island \| Donee's Address: 112 Sheradan Avenue Staten Island NY 10314 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.7	\| Donee's Name: Jewish Community Center \| Donee's Address: 1466 Manor Road Staten Island NY 10314 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.8	\| Donee's Name: Mission of the Immaculate Virgin \| Donee's Address: 6581 Hylan Boulevard Staten Island NY 10309 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.9	\| Donee's Name: Project Hospitality \| Donee's Address: 100 Park Avenue Staten Island NY 10302 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.10	\| Donee's Name: Seamen's Society for Children & Families \| Donee's Address: 50 Bay Street Staten Island NY 10301 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.11	\| Donee's Name: Staten Island Children's Museum \| Donee's Address: 1000 Richmond Terrace Staten Island NY 10301 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.12	\| Donee's Name: Staten Island Mental Health Society \| Donee's Address: 669 Castleton Avenue Staten Island NY 10301 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.13	\| Donee's Name: United Activities Unlimited \| Donee's Address: 485 Clawson Street Staten Island NY 10305 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.14	\| Donee's Name: Universal Temple of the Arts \| Donee's Address: 425 Jersey Street Staten Island NY 10301 \| Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.15	\| Donee's Name: YMCA \| Donee's Address: 3939 Richmond Avenue Staten Island NY 10312 \| Cash Amount Given: $10000
Other Expenses.1	Entertainment-Venue $5969
Other Expenses.2	Dinner and Luncheons $1776
Other Expenses.3	Supplies $530
Other Expenses.4	Miscellaneous $183
Other Expenses.5	Taxes $100
Changes to Organizing or Governing Documents	This Resolution of the Trustees of the Staten Island Childrens Campaign Charitable Trust dated December 24, 2015, whereas on a September 21, 2015 conference call of the Trustees of the Staten Island Childrens Campaign Charitable Trust (Trust), the Trustees present did unanimously agree that the Trust should be terminated by December 31, 2015, or as soon thereafter as reasonably possible.
Resolution to Liquidate Assets and Terminate Trust	This Resolution of the Trustees of the Staten Island Childrens Campaign Charitable Trust dated December 24, 2015, whereas on a September 21, 2015 conference call of the Trustees of the Staten Island Childrens Campaign Charitable Trust (Trust), the Trustees present did unanimously agree that the Trust should be terminated by December 31, 2015, or as soon thereafter as reasonably possible.

Return Reference

Explanation

Grants and Similar Amounts Paid In Excess of $5,000.1

| Donee's Name: Camelot Counseling | Donee's Address: 4442 Arthur Kill Road Staten Island NY 10309 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.2

| Donee's Name: Children's Aid Society | Donee's Address: 304 Prospect Avenue Staten Island NY 10301 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.3

| Donee's Name: Community Resources | Donee's Address: 3450 Victory Boulevard Staten Island NY 10314 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.4

| Donee's Name: Geller House | Donee's Address: 77 Chicago Avenue Staten Island NY 10305 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.5

| Donee's Name: Grace Foundation of New York | Donee's Address: 460 Brielle Avenue Staten Island NY 10314 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.6

| Donee's Name: Have a Heart Foundation of Staten Island | Donee's Address: 112 Sheradan Avenue Staten Island NY 10314 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.7

| Donee's Name: Jewish Community Center | Donee's Address: 1466 Manor Road Staten Island NY 10314 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.8

| Donee's Name: Mission of the Immaculate Virgin | Donee's Address: 6581 Hylan Boulevard Staten Island NY 10309 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.9

| Donee's Name: Project Hospitality | Donee's Address: 100 Park Avenue Staten Island NY 10302 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.10

| Donee's Name: Seamen's Society for Children & Families | Donee's Address: 50 Bay Street Staten Island NY 10301 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.11

| Donee's Name: Staten Island Children's Museum | Donee's Address: 1000 Richmond Terrace Staten Island NY 10301 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.12

| Donee's Name: Staten Island Mental Health Society | Donee's Address: 669 Castleton Avenue Staten Island NY 10301 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.13

| Donee's Name: United Activities Unlimited | Donee's Address: 485 Clawson Street Staten Island NY 10305 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.14

| Donee's Name: Universal Temple of the Arts | Donee's Address: 425 Jersey Street Staten Island NY 10301 | Cash Amount Given: $10000

Grants and Similar Amounts Paid In Excess of $5,000.15

| Donee's Name: YMCA | Donee's Address: 3939 Richmond Avenue Staten Island NY 10312 | Cash Amount Given: $10000

Other Expenses.1

Entertainment-Venue $5969

Other Expenses.2

Dinner and Luncheons $1776

Other Expenses.3

Supplies $530

Other Expenses.4

Miscellaneous $183

Other Expenses.5

Taxes $100

Changes to Organizing or Governing Documents

This Resolution of the Trustees of the Staten Island Childrens Campaign Charitable Trust dated December 24, 2015, whereas on a September 21, 2015 conference call of the Trustees of the Staten Island Childrens Campaign Charitable Trust (Trust), the Trustees present did unanimously agree that the Trust should be terminated by December 31, 2015, or as soon thereafter as reasonably possible.

Resolution to Liquidate Assets and Terminate Trust

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Software ID:	15000324
Software Version:	2015v3.0