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 01-01-2018 , and ending 12-31-2018
Name of foundation
THE GOLDSTEIN FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)C/O CHRIS W 2117 STATE ST STE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BETTENDORF, IA52722
A Employer identification number

42-1467354
B Telephone number (see instructions)

(563) 344-5202
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$13,010,229
J 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) 1,005,720
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 158,054 158,054  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -19,059
b Gross sales price for all assets on line 6a 30,338,361
7 Capital gain net income (from Part IV, line 2)... 0
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)....... 241,883 240,259  
12 Total. Add lines 1 through 11........ 1,386,598 398,313  
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)....... 7,500 5,625   1,875
c Other professional fees (attach schedule).... 173,958 93,019   80,939
17 Interest............... 6,578 6,578   0
18 Taxes (attach schedule) (see instructions)... 42,058 1,636   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 2,953 0   2,953
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 24,088 21,088   3,000
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 257,135 127,946   88,767
25 Contributions, gifts, grants paid....... 625,286 625,286
26 Total expenses and disbursements. Add lines 24 and 25 882,421 127,946   714,053
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 504,177
b Net investment income (if negative, enter -0-) 270,367
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    
2 Savings and temporary cash investments......... 505,618 393,298 393,298
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   91,531 0 0
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)....... 3,192,793 Click to see attachment4,175,721 4,437,127
c Investments—corporate bonds (attach schedule)....... 2,600,000 Click to see attachment2,700,000 2,401,350
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,386,722 Click to see attachment4,770,592 5,778,454
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) 10,776,666 12,039,611 13,010,229
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) Click to see attachment273,722 Click to see attachment1,649,535
23 Total liabilities (add lines 17 through 22)......... 273,722 1,649,535
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 10,502,944 10,390,076
30 Total net assets or fund balances (see instructions)..... 10,502,944 10,390,076
31 Total liabilities and net assets/fund balances (see instructions). 10,776,666 12,039,611
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
10,502,944
2
Enter amount from Part I, line 27a .....................
2
504,177
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
11,007,121
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
617,045
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
10,390,076
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 UBS #17614 - SEER CAPITAL PARTNERS OFFSHORE FUND      
b UBS #17614 - MILLENNIUM INTERNATIONAL HEDGEFOCUS FUND      
c UBS #17614 - NINETEEN77 GLOBAL MERGER ARBITRAGE      
d UBS #17616 - PUBLICLY TRADED SECURITIES      
e UBS #17617 - PUBLICLY TRADED SECURITIES      
UBS #17618 - PUBLICLY TRADED SECURITIES      
UBS #19001 - PUBLICLY TRADED SECURITIES      
UBS #19751 - REGULATED FUTURES CONTRACTS (REALIZED)      
UBS #21302 - PUBLICLY TRADED SECURITIES      
CEP IV DOLLAR FEEDER LP      
LANDMARK EQUITY PARTNERS XV LP      
(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 26,283   26,059 224
b 65,472   65,472 0
c 563,775   600,000 -36,225
d 2,268,266   2,302,488 -34,222
e 772,181   699,429 72,752
565,953   518,525 47,428
1,000,000   1,000,000 0
24,007,333   24,481,118 -473,785
1,069,098   714,108 354,990
      14,871
      34,908
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       224
b       0
c       -36,225
d       -34,222
e       72,752
      47,428
      0
      -473,785
      354,990
      14,871
      34,908
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 -19,059
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 697,989 11,577,947 0.060286
2016 569,787 10,474,906 0.054395
2015 568,368 10,887,585 0.052203
2014 524,696 10,574,776 0.049618
2013 513,210 9,977,232 0.051438
2
Total of line 1, column (d) .....................
2
0.267940
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
0.053588
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
12,443,670
5
Multiply line 4 by line 3......................
5
666,831
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,704
7
Add lines 5 and 6........................
7
669,535
8
Enter qualifying distributions from Part XII, line 4,.............
8
714,053
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 2,704
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 2,704
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 2,704
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 16,625
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 16,625
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 13,921
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet13,921 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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletIA
    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 addressbulletNONE
    14
    The books are in care ofbulletCHRIS WIEDENHOEFT Telephone no.bullet (563) 344-5202

    Located atbullet2117 STATE STREET SUITE 300BETTENDORFIA ZIP+4bullet52722
    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
     
    No
    ........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
    RICHARD A GOLDSTEIN VICE PRESIDENT/SECRETARY
    1.00
    0 0 0
    2117 STATE STREET SUITE 300
    BETTENDORF,IA52722
    ROBERT S GOLDSTEIN TREASURER
    1.00
    0 0 0
    2117 STATE STREET SUITE 300
    BETTENDORF,IA52722
    JEFFREY D GOLDSTEIN PRESIDENT
    1.00
    0 0 0
    2117 STATE STREET SUITE 300
    BETTENDORF,IA52722
    KATHY E GOLDSTEIN DIRECTOR
    1.00
    0 0 0
    2117 STATE STREET SUITE 300
    BETTENDORF,IA52722
    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  
    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  
    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
    12,290,880
    b
    Average of monthly cash balances.......................
    1b
    342,288
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    12,633,168
    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
    12,633,168
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    189,498
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    12,443,670
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    622,184
    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
    622,184
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    2,704
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
    105
    c
    Add lines 2a and 2b............................
    2c
    2,809
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    619,375
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    619,375
    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
    619,375
    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
    714,053
    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
    714,053
    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
    2,704
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    711,349
    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 7 619,375
    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......  
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017...... 98,124
    fTotal of lines 3a through e........ 98,124
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 714,053
    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..... 619,375
    e Remaining amount distributed out of corpus 94,678
    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 5 192,802
    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) ...
    0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    192,802
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017.... 98,124
    e Excess from 2018.... 94,678
    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).)
    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 e-mail address of the person to whom applications should be addressed:
    CHRIS WIEDENHOEFT
    2117 STATE STREET SUITE 300
    BETTENDORF,IA52722
    (563) 344-5119
    bThe form in which applications should be submitted and information and materials they should include:
    NO PARTICULAR FORM REQUIRED.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    DISTRIBUTIONS FOR CHARITABLE PURPOSES DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3).
    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
    AFFINIA HEALTHCARE
    1717 BIDDLE STREET
    ST LOUIS,MO63106
    NONE PC GENERAL FUND 25,000
    BEYOND HOUSING
    6506 WRIGHT WAY
    PINE LAWN,MO63121
    NONE PC GENERAL FUND 5,000
    BIG SUR LAND TRUST
    PO BOX 4071
    MONTEREY,CA93942
    NONE PC GENERAL FUND 1,500
    BROWARD HEALTH FOUNDATION
    1201 SOUTH ANDREWS AVENUE
    FT LAUDERDALE,FL33316
    NONE SO I GENERAL FUND 5,000
    CAMP RAINBOW FOUNDATION
    13990 OLIVE BLVD SUITE 203-3
    CHESTERFIELD,MO63017
    NONE PC GENERAL FUND 5,000
    COMMUNITY AND ECONOMIC DEVELOPMENT ASSOCIATION OF COOK COUNTY INC
    208 SOUTH LASALLE STREET SUITE 1900
    CHICAGO,IL60604
    NONE PC GENERAL FUND 3,000
    CROHN'S & COLITIS FOUNDATION
    9 LAKE BELLEVUE DR SUITE 203
    BELLEVUE,WA98005
    NONE PC GENERAL FUND 5,000
    CRUSADER COMMUNITY HEALTH FOUNDATION
    1200 WEST STATE STREET
    ROCKFORD,IL61102
    NONE PC GENERAL FUND 31,000
    DAVENPORT COMMUNITY SCHOOL DISTRICT (WEST HIGH SCHOOL)
    3505 WEST LOCUST STREET
    DAVENPORT,IA52804
    NONE PC WEST HIGH INSPIRE/STEM BOOSTERS 5,000
    DES MOINES AREA COMMUNITY COLLEGE FOUNDATION
    2006 SOUTH ANKENY BLVD
    ANKENY,IA50023
    NONE PC GENERAL FUND 22,000
    DYSTROPHIC EPIDERMOLYSIS BULLOSA RESEARCH ASSOCIATION OF AMERICA INC
    75 BROAD STREET SUITE 300
    NEW YORK,NY10004
    NONE PC BUTTERFLY WISHES FOR ELLIE 5,000
    FRIENDS OF SAINT PAUL COLLEGE
    235 MARSHALL AVENUE
    ST PAUL,MN55102
    NONE PC GENERAL FUND 24,700
    GARFIELD JAZZ FOUNDATION
    8617 43RD AVENUE NE
    SEATTLE,WA98115
    NONE PC GENERAL FUND 2,500
    GOLDRINGWOLDENBERG INSTITUTE OF SOUTHERN JEWISH LIFE
    PO BOX 16528
    JACKSON,MS39236
    NONE PC GENERAL FUND 10,000
    GREATER MILWAUKEE FOUNDATION
    101 WEST PLEASANT STREET SUITE 210
    MILWAUKEE,WI53212
    NONE PC VIOLENCE PREVENTION FUND 20,000
    ILLINOIS CENTRAL COLLEGE EDUCATIONAL FOUNDATION
    1 COLLEGE DRIVE
    EAST PEORIA,IL61635
    NONE PC TRUCK DRIVER TRAINING PROGRAM FUND 22,500
    IOWA JOBS FOR AMERICA'S GRADUATES
    1111 9TH STREET SUITE 268
    DES MOINES,IA50314
    NONE PC GENERAL FUND 35,000
    ISRAEL CANCER RESEARCH FUND
    52 VANDERBILT AVENUE SUITE 1510
    NEW YORK,NY10017
    NONE PC GENERAL FUND 2,336
    JEWISH FAMILY & CHILDREN'S SERVICE
    10950 SCHUETZ ROAD
    ST LOUIS,MO63146
    NONE PC GENERAL FUND 1,500
    JEWISH FEDERATION OF LAS VEGAS
    2317 RENAISSANCE DRIVE
    LAS VEGAS,NV89119
    NONE PC GENERAL FUND 1,500
    JEWISH FEDERATION OF ST LOUIS
    12 MILLSTONE CAMPUS DRIVE
    ST LOUIS,MO63146
    NONE PC CEMETERY RESTORATION & GENERAL FUND 70,000
    JEWISH FEDERATION OF THE QUAD CITIES
    2715 30TH STREET
    ROCK ISLAND,IL61201
    NONE PC GENERAL FUND & NAACP LEGAL DEFENCE FUND 38,000
    JUNIOR ACHIEVEMENT - ROCK MOUNTAIN INC
    1445 MARKET STREET SUITE 200
    DENVER,CO80202
    NONE PC GENERAL FUND 3,000
    JUNIOR LEAGUE OF LAS VEGAS
    861 BRIDGER AVENUE
    LAS VEGAS,NV89101
    NONE PC GENERAL FUND 1,500
    LIFT FOR LIFE ACADEMY
    1731 SOUTH BROADWAY
    ST LOUIS,MO63104
    NONE PC GENERAL FUND 2,500
    MERCY HEALTH FOUNDATION
    615 SOUTH NEW BALLAS ROAD
    ST LOUIS,MO63141
    NONE PC CHILD LIFE ENDOWMENT 3,000
    MILWAUKEE AREA TECHNICAL COLLEGE FOUNDATION INC
    700 WEST STATE STREET ROOM S214
    MILWAUKEE,WI53233
    NONE PC GOLDSTEIN/ALTER TRUCK DRIVING SCHOLARSHIP PROGRAM 28,250
    MISSOURI BAPTIST HEALTHCARE FOUNDATION
    3015 NORTH BALLAS ROAD
    ST LOUIS,MO63131
    NONE PC GENERAL FUND 1,500
    MOUNT SINAI MEDICAL CENTER FOUNDATION
    4300 ALTON ROAD SUITE 100
    MIAMI BEACH,FL33140
    NONE PC GENERAL FUND 7,500
    MULTIPLE MYELOMA RESEARCH FOUNDATION INC
    383 MAIN AVENUE N 5TH FLOOR
    NORWALK,CT06851
    NONE PC GENERAL FUND 5,000
    NATIONAL ORGANIZATION FOR ALBINISM AND HYPOPIGMENTATION
    POBOX 959
    EAST HAMPSTEAD,NH038260959
    NONE PC GENERAL FUND 3,750
    NURSES FOR NEWBORNS
    7259 LANSDOWNE AVENUE SUITE 100
    ST LOUIS,MO63119
    NONE PC GENERAL FUND 20,000
    PARENTS AS TEACHERS
    2228 BALL DRIVE
    ST LOUIS,MO63146
    NONE PC SHOW ME STRONG FAMILIES' 10,000
    PLANNED PARENTHOOD FEDERATION OF AMERICA
    123 WILLIAM STREET 10TH FLOOR
    NEW YORK,NY10038
    NONE PC GENERAL FUND 5,000
    READ TO ME PROJECT
    32 LIVE OAK LANE
    CARMEL VALLEY,CA93924
    NONE PC GENERAL FUND 1,500
    RIVER MUSIC EXPERIENCE
    129 NORTH MAIN STREET
    DAVENPORT,IA52801
    NONE PC GENERAL FUND 6,500
    ROOSEVELT JAZZ BOOSTER CLUB
    1037 NE 65TH STREET 205
    SEATTLE,WA98115
    NONE PC GENERAL FUND 2,500
    SOUTHSIDE EARLY CHILDHOOD CENTER
    2101 SOUTH JEFFERSON AVENUE
    ST LOUIS,MO63104
    NONE PC GENERAL FUND 20,000
    ST JOHN'S NORTHWESTERN MILITARY ACADEMY
    1101 GENESEE STREET
    DELAFIELD,WI53018
    NONE PC GENERAL FUND 1,500
    ST LOUIS CHILDREN'S HOSPITAL FOUNDATION
    1001 HIGHLANDS PLAZA DRIVE WEST
    SUITE 160
    ST LOUIS,MO63110
    NONE PC GENERAL FUND 56,250
    ST LOUIS COMMUNITY FOUNDATION
    2 OAK KNOLL PARK
    ST LOUIS,MO63105
    NONE PC STL YOUTH JOBS FUND 12,500
    THE FOUNDATION FOR BARNES-JEWISH HOSPITAL
    1001 HIGHLANDS PLAZA DRIVE SUITE
    140
    ST LOUIS,MO63110
    NONE PC GENERAL FUND 50,000
    THE ROOTS OF MUSIC
    828 ROYAL STREET 521
    NEW ORLEANS,LA70116
    NONE PC GENERAL FUND 5,000
    THE STATE UNIVERSITY OF IOWA FOUNDATION
    1 WEST PARK ROAD
    IOWA CITY,IA52242
    NONE GOV UNIV OF IA STEAD FAMILY CHILDREN'S HOSPITAL BUILDING FUND 20,000
    TULANE UNIVERSITY
    1555 POYDRAS STREET SUITE 1000
    NEW ORLEANS,LA70112
    NONE PC BERNARD GOLDSTEIN SCHOLARSHIP IN BUSINESS 5,000
    WASHINGTON UNIVERSITY IN ST LOUIS FOUNDATION
    CAMPUS BOX 1082 1 BROOKINGS DRIVE
    ST LOUIS,MO63130
    NONE PC GENERAL FUND 5,000
    WESTERN ILLINOIS UNIVERSITY FOUNDATION
    1 UNIVERSITY CIRCLE
    MACOMB,IL61455
    NONE PC WIU QC CAMPUS PROJECT WORKFORCE DEVELOPMENT INTERNSHIP 5,000
    WINGS OF HOPE
    18370 WINGS OF HOPE BLVD
    ST LOUIS,MO63005
    NONE PC MEDICAL RELIEF & AIR TRANSPORT PROGRAM 3,000
    Total .................................bullet 3a 625,286
    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 ...........
             
    4 Dividends and interest from securities....     14 158,054  
    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.....     14 241,883  
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 -19,059  
    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).. 0 380,878 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    380,878
    (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
    THE GOLDSTEIN FAMILY FOUNDATION
     
    Employer identification number

    42-1467354
    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
    THE GOLDSTEIN FAMILY FOUNDATION
     
    Employer identification number
    42-1467354
    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
    GOLDSTEIN GROUP INC
     
    2117 STATE STREET SUITE 300
     
    BETTENDORF, IA52722

    $ 1,005,720


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (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
    THE GOLDSTEIN FAMILY FOUNDATION
     
    Employer identification number

    42-1467354
    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
    VARIOUS COMMON STOCKS $ 1,005,720 2018-04-30
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    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
    THE GOLDSTEIN FAMILY FOUNDATION
     
    Employer identification number

    42-1467354
    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:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    RSM US LLP 7,500 5,625   1,875

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BARCLAYS BANK PLC 12/17/2021 600,000 541,200
    CREDIT SUISSE AG 05/18/2020 500,000 476,000
    CREDIT SUISSE AG 09/10/2021 500,000 407,000
    DEUTSCHE BANK AG 02/04/2020 250,000 230,250
    GS FINANCE CORP 03/10/2022 500,000 437,000
    HSBC USA INC 10/13/2020 250,000 223,750
    MORGAN STANLEY FINANCE 07/22/2020 100,000 86,150

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ACCENTURE 108,422 131,703
    ADOBE SYSTEMS 36,025 71,492
    ADVANCE AUTO PARTS 14,899 19,053
    AKAMAI TECHNOLOGIES 37,199 30,112
    ALPHABET (A) 117,609 125,395
    AMERICAN TOWER 36,767 46,666
    AMERICAN WATER WORKS CO 33,804 37,942
    AMERIPRISE FINANCIAL 42,897 40,496
    ARISTA NETWORKS 28,495 44,247
    BLACKROCK 92,103 89,170
    BOOZ ALLEN HAMILTON HOLDING 20,906 18,479
    CBOE GLOBAL MARKETS 25,064 27,784
    CENTENE 24,879 40,470
    CHEVRON 84,018 81,484
    CHUBB 49,389 47,409
    CITIZENS FINANCIAL GROUP 36,103 29,789
    COCA COLA 85,018 86,935
    COMCAST 128,865 120,912
    CRANE 37,560 39,194
    DANAHER 44,419 57,438
    DIAGEO 42,864 52,324
    ECOLAB 41,128 49,362
    EPAM SYSTEMS 35,149 47,332
    FACEBOOK 46,338 47,323
    FORTINET 14,397 27,538
    HEALTH CARE SERVICES GROUP 63,762 63,806
    HOME DEPOT 111,861 133,160
    HONEYWELL INTERNATIONAL 50,499 55,623
    HUDSON 22,036 17,716
    HUNTINGTON INGALLS INDUSTRIES 54,412 48,148
    IAC INTERACCTIVECORP 19,805 20,500
    INTEL 86,738 107,047
    INTERCONTINENTALEXCHANGE GROUP 27,387 35,028
    INTERNATIONAL FLAVORS & FRAGRNCS 31,259 33,030
    JAZZ PHARMACEUTICALS 48,026 36,320
    JOHNSON & JOHNSON 122,273 112,919
    JPMORGAN CHASE & CO 100,319 88,737
    KANSAS CITY SOUTHERN 40,720 36,080
    LAUDER ESTEE COS 23,343 20,946
    LENNOX INTERNATIONAL 31,061 33,267
    LINDE 37,930 36,201
    LOCKHEED MARTIN 54,751 57,605
    LOGITECH INTERNATIONAL 41,545 29,685
    LOWES COMPANIES 34,599 39,715
    MARSH & MCLENNAN COMPANIES 48,812 58,297
    MASIMO 19,764 20,186
    MCCORMICK & CO 20,663 27,709
    MCDONALD'S 55,382 74,047
    MEDTRONIC 113,598 126,343
    MICROSOFT 252,735 279,013
    MINDBODY 24,493 21,076
    MONDELEZ INTERNATIONAL 53,524 46,235
    NEXTERA ENERGY 34,375 44,672
    NORTHERN TRUST 50,124 46,560
    NOVARTIS 50,181 55,691
    O'REILLY AUTOMOTIVE 32,183 43,386
    PARKER HANNIFIN 37,664 31,319
    RED HAT 56,774 109,599
    REPUBLIC SERVICES 39,504 38,712
    ROCKWELL AUTOMATION 60,404 63,051
    SCHLUMBERGER 65,194 35,070
    SEALED AIR 37,553 29,544
    SERVICE CORP INTERNATIONAL 31,337 37,603
    SS&C TECHNOLOGIES HOLDINGS 43,943 40,013
    SUNCOR ENERGY 69,276 61,674
    SUNTRUST BANKS 78,360 60,175
    SUPERNUS PHARMACEUTICALS 23,679 15,879
    TAKE-TWO INTERACTIVE SOFTWARE 42,372 36,750
    TECHNIPFMC 33,978 19,619
    TEXAS INSTRUMENTS 44,607 60,669
    THERMO FISHER SCIENTIFIC 39,794 57,290
    TJX COMPANIES 33,675 39,371
    UNION PACIFIC 34,084 44,372
    UNITED TECHNOLOGIES 92,458 88,911
    UNITEDHEALTH GROUP 90,522 90,181
    V F 27,909 35,813
    VISA 70,340 92,226
    WALT DISNEY CO 67,310 69,408
    ZAYO GROUP HOLDINGS 32,507 21,081

    TY 2018 InvestmentsOtherSchedule2
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BLACKSTONE REAL ESTATE INCOME TRUST AT COST 903,820 990,676
    CALL CBOE S&P 500 INDEX (LONG OPTIONS) AT COST 91,710 231,715
    CARLYLE GLOBAL INFRASTRUCTURE OPPORTUNITY AT COST 5,231 51,138
    CEP IV DOLLAR FEEDER AT COST 487,762 582,236
    CREDIT SUISSE SECURITIZED PRODUCTS FUND AT COST 461,986 773,125
    CREDIT SUISSE STRATEGIC PARTNERS PB OFFSHORE FEEDER VI AT COST 167,382 491,424
    ISHARES 1-3 YEAR TREAS BOND ETF AT COST 84,336 84,540
    ISHARES 20+ YEAR TREAS BOND ETF AT COST 108,854 111,425
    ISHARES 3-7 YEAR TREAS BOND ETF AT COST 112,248 113,630
    ISHARES 7-10 YEAR TREAS BOND ETF AT COST 46,997 48,036
    ISHARES BROAD USD INVT GRADE CORPORATE BOND ETF AT COST 540,810 527,964
    ISHARES IBOXX USD INVT GRADE CORPORATE BOND ETF AT COST 174,100 176,338
    ISHARES JP MORGAN USD EMERGING MARKETS BOND ETF AT COST 181,506 171,140
    ISHARES MBS ETF AT COST 151,121 152,161
    ISHARES US TREASURY BOND ETF AT COST 148,249 149,108
    LANDMARK EQUITY PARTNERS XV LP AT COST 214,200 222,339
    PUT CBOE S&P 500 INDEX (LONG OPTIONS) AT COST 719,000 744,505
    SPDR BLOOMBERG BARCLAYS HIGH YIELD BOND ETF AT COST 108,877 101,744
    VANECK VECTORS JP MORGAN EM LOCAL CURRENCY BOND ETF AT COST 52,403 45,210
    ISRAEL STATE 2ND LIBOR FLOATING RATE ISSUE DOLLAR FUND AT COST 10,000 10,000

    TY 2018 OtherDecreasesSchedule
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Description Amount
    CY UNREALIZED LOSS ON REGULATED FUTURES CONTRACTS 208,382
    FMV > BASIS ON STOCK CONTRIBUTION 408,663


    TY 2018 OtherExpensesSchedule
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR FEES 29 29   0
    OTHER PORTFOLIO DEDUCTIONS 21,059 21,059   0
    DUES 3,000 0   3,000


    TY 2018 OtherIncomeSchedule2
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    LANDMARK EQUITY PARTNERS XV LP - K-1 INCOME 6,840 6,823 6,840
    LANDMARK EQUITY PARTNERS XV LP - RECLASS TO UBTI   -812  
    UBS #19001 - OTHER INCOME 245,202 245,202 245,202
    CEP IV DOLLAR FEEDER LP - K-1 INCOME 236 236 236
    CEP IV DOLLAR FEEDER LP - RECLASS TO UBTI   -795  
    CARLYLE GLOBAL INFRASTRUCTURE OPPORTUNITY - K-1 INCOME -10,395 -10,395 -10,395


    TY 2018 OtherLiabilitiesSchedule
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Description Beginning of Year - Book Value End of Year - Book Value
    PUT/CALL SHORT SALE/OPTIONS (UBS #19751) 261,373 1,649,535
    INVESTMENT - CARLYLE GLOBAL INFRASTRUCTURE OPPORTUNITY 12,349 0


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISSION BRIDGE PHILANTHROPY - CONSULTING FEES 80,939 0   80,939
    UBS - ADVISOR FEES 93,019 93,019   0


    TY 2018 TaxesSchedule
    Name:
    THE GOLDSTEIN FAMILY FOUNDATION
    EIN:
    42-1467354
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX PAID ON DIVIDENDS (BROKER) 1,626 1,626   0
    FOREIGN TAX PAID ON DIVIDENDS (K-1) 10 10   0
    FEDERAL EXCISE TAX (990-PF) 40,000 0   0
    FEDERAL UBI TAX (990-T) 257 0   0
    IOWA UBI TAX (IA1120) 165 0   0