Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 06-01-2018 , and ending 05-31-2019
Name of foundation
HOWARD & ROBERTA GOSS CHARITABLE
FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)620 ORCHARD LANE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GLENCOE, IL60022
A Employer identification number

36-3370191
B Telephone number (see instructions)

(312) 427-2818
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$753,906J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 102,016
2 Check bullet.............
3 Interest on savings and temporary cash investments 3 3  
4 Dividends and interest from securities... 11,741 11,741  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,254
b Gross sales price for all assets on line 6a 221,452
7 Capital gain net income (from Part IV, line 2)... 1,254
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 115,014 12,998  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,411 1,705   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 437 437   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 3,524 3,509   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 7,372 5,651   0
25 Contributions, gifts, grants paid....... 98,863 98,863
26 Total expenses and disbursements. Add lines 24 and 25 106,235 5,651   98,863
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 8,779
b Net investment income (if negative, enter -0-) 7,347
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 37,985 25,004 25,004
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 721,076 Click to see attachment742,836 728,902
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 759,061 767,840 753,906
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 759,061 767,840
30 Total net assets or fund balances (see instructions)..... 759,061 767,840
31 Total liabilities and net assets/fund balances (see instructions). 759,061 767,840
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
759,061
2
Enter amount from Part I, line 27a .....................
2
8,779
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
767,840
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
767,840
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a SHORT-TERM PUBLICLY TRADED      
b LONG-TERM PUBLICLY TRADED      
c CAPITAL GAINS DIVIDENDS P    
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 124,779   152,351 -27,572
b 86,821   67,847 18,974
c 9,852     9,852
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       -27,572
b       18,974
c       9,852
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 1,254
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2017 105,791 766,817 0.137961
2016 94,843 696,734 0.136125
2015 108,618 688,399 0.157783
2014 114,196 745,975 0.153083
2013 108,275 742,314 0.145861
2
Total of line 1, column (d) .....................
2
0.730813
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.146163
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
728,572
5
Multiply line 4 by line 3......................
5
106,490
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
73
7
Add lines 5 and 6........................
7
106,563
8
Enter qualifying distributions from Part XII, line 4,.............
8
98,863
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 147
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 147
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 147
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 2,918
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,918
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,771
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet2,771 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletMORRISON MORRISON LTD Telephone no.bullet (312) 346-2141

    Located atbullet19 S LASALLE ST SUITE 1100CHICAGOIL ZIP+4bullet60603
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    HOWARD GOSS PRESIDENT/DIRECTOR
    1.00     		0 0 0
    620 ORCHARD LANE
    GLENCOE,IL60022
    ROBERTA GOSS DIRECTOR
    1.00     		0 0 0
    620 ORCHARD LANE
    GLENCOE,IL60022
    DAVID GOSS SEC/TREAS/DIRECTOR
    1.00     		0 0 0
    33 WEST HURON STREET UNIT 407
    CHICAGO,IL60654
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 NONE 0
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A 0
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    708,988
    b
    Average of monthly cash balances.......................
    1b
    30,679
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    739,667
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    739,667
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    11,095
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    728,572
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    36,429
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    36,429
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    147
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    147
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    36,282
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    36,282
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    36,282
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    98,863
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    98,863
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    98,863
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 36,282
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 72,957
    b From 2014...... 78,129
    c From 2015...... 75,364
    d From 2016...... 65,099
    e From 2017...... 69,732
    fTotal of lines 3a through e........ 361,281
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 98,863
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 36,282
    e Remaining amount distributed out of corpus 62,581
    5 Excess distributions carryover applied to 2018. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 423,862
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		72,957
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		350,905
    10 Analysis of line 9:
    a Excess from 2014.... 78,129
    b Excess from 2015.... 75,364
    c Excess from 2016.... 65,099
    d Excess from 2017.... 69,732
    e Excess from 2018.... 62,581
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    HOWARD GOSS
    ROBERTA GOSS
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    911 MEMORIAL MUSEUM
    180 GREENWICH ST
    NEW YORK,NY10007     		NONE PUBLIC CHARITABLE 36
    ADOPT A PLATOON
    118 COLORADO AVE
    RIO HONDO,TX78583     		NONE PUBLIC CHARITABLE 36
    ALZHEIMER ASSOCATION
    225 N MICHIGAN AVE
    CHICAGO,IL60601     		NONE PUBLIC CHARITABLE 300
    AMERICAN RED CROSS
    2200 W HARRISON ST
    CHICAGO,IL60612     		NONE PUBLIC CHARITABLE 100
    AMERICAN SOCIETY FOR YAD VASHEM
    500 FIFTH AVENUE 42ND FLOOR
    NEW YORK,NY101104299     		NONE PUBLIC CHARITABLE 100
    ANN & ROBERT H LURIE CHILDREN'S HOSPITAL FOUNDATION
    225 E CHICAGO AVE
    CHICAGO,IL60611     		NONE PUBLIC MEDICAL 100
    ART INSTITUTE OF CHICAGO
    111 S MICHIGAN AVENUE
    CHICAGO,IL60603     		NONE PUBLIC CHARITABLE 200
    B'NAI B'RITH YOUTH ORGANIZATION
    12500 NW MILITARY HIGHWAY
    SAN ANTONIO,TX78231     		NONE PUBLIC CHARITABLE 36
    B'NAI JEHOSHUA BETH ELOHIM SYNAGOGUE
    901 MILWAUKEE AVENUE
    GLENVIEW,IL60025     		NONE PUBLIC RELIGIOUS 4,255
    BETA GAMMA SIGMA INC
    125 WELDON PKWY
    MARYLAND HEIGHTS,MO63043     		NONE PUBLIC CHARITABLE 100
    BIRTHRIGHT ISRAEL FOUNDATION
    PO BOX 5892
    HICKSVILLE,NY11802     		NONE PUBLIC CHARITABLE 100
    BOYS & GIRLS CLUBS OF CHICAGO
    550 W VAN BUREN ST 350
    CHICAGO,IL60607     		NONE PUBLIC CHARITABLE 100
    CANCER WELLNESS CENTER
    215 REVERE DRIVE
    NORTHBROOK,IL60062     		NONE PUBLIC MEDICAL 975
    CHICAGO BOTANIC GARDEN
    1000 LAKE COOK ROAD
    GLENCOE,IL60022     		NONE PUBLIC CHARITABLE 250
    CHICAGO COALITION FOR THE HOMELESS
    70 E LAKE STREET
    CHICAGO,IL60601     		NONE PUBLIC CHARITABLE 36
    CHICAGO JEWISH HISTORICAL SOCIETY
    610 S MICHIGAN AVE
    CHICAGO,IL60605     		NONE PUBLIC CHARITABLE 65
    COALITION TO SALUTE AMERICAN HEROES
    12 GODFREY PLACE
    WILTON,CT06897     		NONE PUBLIC CHARITABLE 200
    COMPANIONS FOR HEROS
    620 SEA ISLAND ROAD SUITE 148
    ST SIMONS ISLAND,GA315221767     		NONE PUBLIC CHARITABLE 25
    DEPAUL UNIVERSITY
    1 E JACKSON STREET
    CHICAGO,IL60604     		NONE PUBLIC EDUCATIONAL 10,000
    DIGESTIVE HEALTH FOUNDATION
    251 E HURON ST
    CHICAGO,IL60611     		NONE PUBLIC CHARITABLE 50
    DISTINCTIVELY COLLEGE BOUND
    910 W VAN BUREN SUITE 315
    CHICAGO,IL60607     		NONE PUBLIC CHARITABLE 200
    FAMILY SERVICE OF GLENCOE
    675 VILLAGE COURT
    GLENCOE,IL60022     		NONE PUBLIC CHARITABLE 36
    FEED THE CHILDREN
    22365 ELKHART E BLVD
    ELKHART,IN46514     		NONE PUBLIC CHARITABLE 72
    FOOD FOR THE POOR INC
    6401 LYONS ROAD
    COCONUT CREEK,FL33073     		NONE PUBLIC CHARITABLE 36
    FRIENDS OF THE GLENCOE PUBLIC LIBRARY
    320 PARK AVENUE
    GLENCOE,IL60022     		NONE PUBLIC CHARITABLE 36
    FRIENDS OF THE ISRAEL DEFENSE FORCES
    350 FIFTH AVENUE
    NEW YORK,NY10118     		NONE PUBLIC PUBLIC SAFETY 1,500
    GVS GLAMORGAN VOLUNTARY SERVICES
    BARRY COMMUNITY ENTERPRISE CENTRE
    SKOMER RD
    BARRY,UNITED KINGDOMCF62 9DA
    UK     		NONE PUBLIC CHARITABLE 50
    HADASSAH
    40 WALL STREET
    NEW YORK,NY10005     		NONE PUBLIC CHARITABLE 1,300
    ILLINOIS HOLOCAUST MUSEUM & EDUCATION CENTER
    9603 WOODS DRIVE
    SKOKIE,IL60077     		NONE PUBLIC CHARITABLE 400
    JEWISH CHILD & FAMILY SERVICES - NORTH SHORE AUXILIARY
    216 W JACKSON 8TH FLOOR
    CHICAGO,IL60606     		NONE PUBLIC CHARITABLE 75
    JEWISH UNITED FUND
    30 S WELLS STREET
    CHICAGO,IL60606     		NONE PUBLIC CHARITABLE 46,932
    JEWISH WAR VETERANS
    1811 R STREET NW
    WASHINGTON,DC20009     		NONE PUBLIC CHARITABLE 36
    KELLOGG SCHOOL OF MANAGEMENT
    211 CAMPUS DRIVE
    EVANSTON,IL60208     		NONE PUBLIC CHARITABLE 200
    LEUKEMIA RESEARCH FOUNDATION
    3520 LAKE AVENUE SUITE 202
    WILMETTE,IL60091     		NONE PUBLIC MEDICAL 25
    MAKE-A-WISH FOUNDATION
    640 N LASALLE ST 280
    CHICAGO,IL60654     		NONE PUBLIC CHARITABLE 36
    MAOT CHITIM OF GREATER CHICAGO
    3710 COMMERCIAL AVE SUITE 7
    NORTHBROOK,IL60062     		NONE PUBLIC CHARITABLE 72
    MAYO CLINIC
    1216 SECOND ST SW
    ROCHESTER,MN55902     		NONE PUBLIC CHARITABLE 50
    MD ANDERSON CENTER
    1840 OLD SPANISH TRAIL
    HOUSTON,TX77054     		NONE PUBLIC CHARITABLE 100
    MEALS ON WHEELS
    314 W SUPERIOR ST 300
    CHICAGO,IL60654     		NONE PUBLIC CHARITABLE 36
    MEMORIAL SLOAN KETTERING CANCER CENTER
    1275 YORK AVENUE
    NEW YORK,NY10065     		NONE PUBLIC CHARITABLE 100
    NATIONAL OVARIAN CANCER COALITION
    1436 W RANDOLPH ST 201
    CHICAGO,IL60607     		NONE PUBLIC CHARITABLE 200
    NORTH SHORE CONGREGATION ISRAEL
    1185 SHERIDAN ROAD
    GLENCOE,IL60022     		NONE PUBLIC RELIGIOUS 7,350
    ORT AMERICA
    75 MAIDEN LANE 10TH FLOOR
    NEW YORK,NY10038     		NONE PUBLIC CHARITABLE 72
    PARALYZED VETERANS OF AMERICA
    2122 W TAYLOR ST
    CHICAGO,IL60612     		NONE PUBLIC CHARITABLE 36
    RAVINIA FESTIVAL ASSOCIATION
    418 SHERIDAN ROAD
    HIGHLAND PARK,IL60035     		NONE PUBLIC CHARITABLE 10,000
    ROLFE PANCREATIC CANCER FOUNDATION
    4809 N RAVENSWOOD AVE 326
    CHICAGO,IL60640     		NONE PUBLIC MEDICAL 100
    RONALD MCDONALD HOUSE CHARITIES
    26345 NETWORK PLACE
    CHICAGO,IL60673     		NONE PUBLIC CHARITABLE 50
    SALVATION ARMY
    5040 N PULASKI ROAD
    CHICAGO,IL60630     		NONE PUBLIC CHARITABLE 100
    SHIRLEY RYAN ABILITY LAB
    355 E ERIE ST
    CHICAGO,IL60611     		NONE PUBLIC CHARITABLE 3,000
    SHRINERS HOSPITAL FOR CHILDREN FOUNDATION
    2900 N ROCKY POINT DRIVE
    TAMPA,FL33607     		NONE PUBLIC MEDICAL 50
    SIMON WIESENTHAL CENTER
    1399 S ROXBURY DRIVE
    LOS ANGELES,CA90035     		NONE PUBLIC CHARITABLE 250
    SPANISH RIVER CONCERTS
    PO BOX 831
    WESTFORD,MA01886     		NONE PUBLIC CHARITABLE 200
    SPECIAL OLYMPICS
    1133 19TH STREET
    WASHINGTON,DC20036     		NONE PUBLIC CHARITABLE 86
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105     		NONE PUBLIC MEDICAL 50
    TELSHE YESHIVA
    3535 W FOSTER AVE
    CHICAGO,IL60625     		NONE PUBLIC CHARITABLE 36
    THE ADLER PLANETARIUM
    1300 S LAKESHORE DRIVE
    CHICAGO,IL60605     		NONE PUBLIC CHARITABLE 2,500
    THE ISRAEL PROJECT
    PO BOX 27999
    WASHINGTON,DC20038     		NONE PUBLIC CHARITABLE 250
    THE NATIONAL WORLD WAR II MUSEUM
    945 MAGAZINE ST
    NEW ORLEANS,LA70130     		NONE PUBLIC CHARITABLE 36
    THE SELFHELP HOME OF CHICAGO
    908 W ARGYLE ST
    CHICAGO,IL60640     		NONE PUBLIC CHARITABLE 250
    TRUSTBRIDGE HOSPICE FOUNDATION
    5300 EAST AVENUE
    WEST PALM BEACH,FL33407     		NONE PUBLIC MEDICAL 25
    UNITED SERVICE ORGANIZATIONS
    333 S WABASH AVE
    CHICAGO,IL60604     		NONE PUBLIC CHARITABLE 100
    UNITED STATES HOLOCAUST MEMORIAL MUSEUM
    595 ELM STREET
    HIGHLAND PARK,IL60035     		NONE PUBLIC CHARITABLE 5,000
    UNIVERSITY OF CHICAGO MEDICINE
    5841 S MARYLAND AVE
    CHICAGO,IL60637     		NONE PUBLIC MEDICAL 100
    UNIVERSITY OF WISCONSIN HILLEL FOUNDATION
    611 LANGDON ST
    MADISON,WI53703     		NONE PUBLIC EDUCATIONAL 180
    US SKI & SKATEBOARD
    1 VICTORY LANE BOX 100
    PARK CITY,UT84060     		NONE PUBLIC CHARITABLE 50
    VACULITIS FOUNDATION
    PO BOX 28660
    KANSAS CITY,MO64188     		NONE PUBLIC CHARITABLE 100
    VAIL MOUNTAIN RESCUE GROUP
    1055 EDWARDS VILLAGE BLVD
    EDWARDS,CO81632     		NONE PUBLIC CHARITABLE 100
    VIETNAM VETERANS MEMORIAL FUND
    2600 VIRGINIA AVENUE NW SUITE 104
    WASHINGTON,DC20037     		NONE PUBLIC CHARITABLE 36
    WORLD JEWISH CONGRESS
    501 MADISON AVENUE
    NEW YORK,NY10022     		NONE PUBLIC PUBLIC SAFETY 100
    WOUNDED WARRIOR PROJECT
    230 W MONROE ST 200
    CHICAGO,IL60606     		NONE PUBLIC CHARITABLE 50
    WTTW CHANNEL 11
    5400 N ST LOUIS
    CHICAGO,IL60625     		NONE PUBLIC CHARITABLE 50
    Total .................................bullet 3a 98,863
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 3  
    4 Dividends and interest from securities....     14 11,741  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 1,254  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 12,998 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    12,998
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    HOWARD & ROBERTA GOSS CHARITABLE
    FOUNDATION INC
    Employer identification number

    36-3370191
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    HOWARD & ROBERTA GOSS CHARITABLE
    FOUNDATION INC         		Employer identification number
    36-3370191
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    HOWARD S GOSS  
    620 ORCHARD LANE
     
    GLENCOE, IL60022

    		$ 9,570


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    HOWARD S GOSS  
    620 ORCHARD LANE
     
    GLENCOE, IL60022

    		$ 20,777


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    HOWARD S GOSS  
    620 ORCHARD LANE
     
    GLENCOE, IL60022

    		$ 20,691


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    ROBERTA J GOSS  
    620 ORCHARD LANE
     
    GLENCOE, IL60022

    		$ 19,139


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
    ROBERTA J GOSS  
    620 ORCHARD LANE
     
    GLENCOE, IL60022

    		$ 8,606


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
    ROBERTA J GOSS  
    620 ORCHARD LANE
     
    GLENCOE, IL60022

    		$ 23,233


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    HOWARD & ROBERTA GOSS CHARITABLE
    FOUNDATION INC         		Employer identification number

    36-3370191
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 5 SH AMAZON.COM INC $ 9,570 2019-04-24
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    2
    		 100 SH APPLE INC $ 20,777 2019-04-24
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    3
    		 100 SH HOME DEPOT INC $ 20,691 2019-04-24
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    4
    		 10 SH AMAZON.COM INC $ 19,139 2019-04-24
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    5
    		 64 SH SPLUNK INC $ 8,606 2019-04-24
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    6
    		 144 SH VISA INC $ 23,233 2019-04-24
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    HOWARD & ROBERTA GOSS CHARITABLE
    FOUNDATION INC         		Employer identification number

    36-3370191
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    HOWARD & ROBERTA GOSS CHARITABLE
     
    FOUNDATION INC
    EIN:
    36-3370191
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING AND TAX RETURN PREPARATION 3,411 1,705   0

    TY 2018 InvestmentsOtherSchedule2
    Name:
    HOWARD & ROBERTA GOSS CHARITABLE
     
    FOUNDATION INC
    EIN:
    36-3370191
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    2,808.561 SH HARTFORD MUTUAL FUNDS AT COST 39,523 41,033
    1,297.909 SH OAKMARK INTL FUND INSTL AT COST 38,649 27,788
    1,090.223 SH BOSTON PARTNERS LONG/SHORT RESH FUND INSTLCL AT COST 18,065 16,026
    1,291 SH VANGUARD FTSE DEVELOPED MARKETS AT COST 53,179 51,433
    1,087.637 SH THE MERGER FD AT COST 17,620 18,131
    1,393.922 SH HARDING LOEVNER FDS INC INTL EQUITY AT COST 32,869 29,523
    1,211.893 SH NEUBERGER BERMAN LONG SHORT FUND INSTL CL AT COST 17,153 16,954
    126 SH ISHARES RUSSELL 2000 ETF AT COST 20,967 18,378
    167 SH VANGUARD S&P 500 ETF AT COST 37,513 42,229
    1,866.715 SH BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO CL I AT COST 18,640 18,256
    2,653.461 SH NATIXIS LOOMIS SAYLES GROWTH FUND CL Y AT COST 41,709 43,013
    348 SH ISHARE S&P 100 ETF AT COST 43,670 42,477
    859 SH ISHARES RUSSELL MID-CAP ETF AT COST 39,595 45,123
    1,593.063 SH MFS MID CAP VALUE FUND AT COST 34,915 35,509
    1,749.266 SH BAIRD MIDCAP FUND AT COST 32,577 36,875
    471.114 SH CONESTOGA SMALL CAP FUND AT COST 24,027 26,331
    5,627.652 SH CREDIT SUISSE COMMODITY-RETURN STRATEGY FUND CL I AT COST 28,757 25,099
    768.534 SH ABBEY CAPITAL FUTURES STRATEGY FUND CL 1 AT COST 9,225 8,692
    789.945 SH WELLS FARGO SPECIAL SMALL CAP VALUE FUND INSTL CL AT COST 26,208 25,049
    396 SH VANGUARD FTSE EMERGING MKTS ETF AT COST 15,786 16,093
    710.176 SH LEGG MASON BW ABSOLUTE RETURN OPPORTUNITIES FUND CL AT COST 8,640 8,068
    1,660.033 SH DIAMOND HILLS FDS LARGE CAP AT COST 41,534 43,177
    15 SH AMAZON .COM INC AT COST 28,709 26,626
    100 SH APPLE INC AT COST 20,776 17,507
    100 SH HOME DEPOT INC AT COST 20,691 18,985
    64 SH SPLUNK INC AT COST 8,606 7,295
    144 SH VISA INC AT COST 23,233 23,232

    TY 2018 OtherExpensesSchedule
    Name:
    HOWARD & ROBERTA GOSS CHARITABLE
     
    FOUNDATION INC
    EIN:
    36-3370191
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    IL ANNUAL FEES 15 0   0
    MANAGEMENT FEES 3,509 3,509   0


    TY 2018 TaxesSchedule
    Name:
    HOWARD & ROBERTA GOSS CHARITABLE
     
    FOUNDATION INC
    EIN:
    36-3370191
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES PAID 437 437   0