-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
05-01-2019
, and ending
04-30-2020
Name of foundation
SYD & JAN M SILVERMAN FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
114 W 47TH ST NY8-114-07-07 AFT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
100361510
A Employer identification number
22-3125351
B
Telephone number (see instructions)
(888) 866-3275
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
4,169,578
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
73,210
73,210
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
139,189
b
Gross sales price for all assets on line 6a
401,573
7
Capital gain net income (from Part IV, line 2)
...
139,189
8
Net short-term capital gain
.........
0
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)
.......
82
12
Total.
Add lines 1 through 11
........
212,481
212,399
13
Compensation of officers, directors, trustees, etc.
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
2,500
0
0
2,500
c
Other professional fees (attach schedule)
....
41,664
24,999
16,666
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
6,522
1,142
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
209
209
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
50,895
26,141
0
19,375
25
Contributions, gifts, grants paid
.......
212,929
212,929
26
Total expenses and disbursements.
Add lines 24 and 25
263,824
26,141
0
232,304
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-51,343
b
Net investment income
(if negative, enter -0-)
186,258
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
1
9,888
9,888
2
Savings and temporary cash investments
.........
131,015
23,778
23,778
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
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)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
3,708,820
3,754,468
4,135,912
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
3,839,836
3,788,134
4,169,578
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
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
3,839,836
3,788,134
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
3,839,836
3,788,134
30
Total liabilities and net assets/fund balances
(see instructions)
.
3,839,836
3,788,134
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
3,839,836
2
Enter amount from Part I, line 27a
.....................
2
-51,343
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
3,788,493
5
Decreases not included in line 2 (itemize)
5
359
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
3,788,134
Form
990-PF
(2019)
Form 990-PF (2019)
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
188. ISHARES RUSSELL 1000 VALUE ETF
2016-01-21
2020-03-11
b
662. ISHARES RUSSELL 1000 VALUE ETF
2013-09-30
2020-03-11
c
549. ISHARES RUSSELL 1000 GROWTH
2013-09-30
2020-03-11
d
2. ISHARES US TECHNOLOGY ETF
2013-09-09
2020-03-11
e
14. ISHARES US TECHNOLOGY ETF
2013-07-11
2020-03-11
55. ISHARES US TECHNOLOGY ETF
2013-09-30
2020-03-11
108.42 MFS INTERNATIONAL VALUE FUND
2014-07-02
2020-03-11
157. SPDR GOLD TRUST
2018-09-20
2019-05-10
558. SPDR GOLD TRUST
2017-01-20
2019-05-10
15. SPDR GOLD TRUST
2018-10-03
2019-05-10
15. SPDR GOLD TRUST
2018-10-03
2019-06-11
558. SPDR GOLD TRUST
2017-01-20
2019-06-11
157. SPDR GOLD TRUST
2018-09-20
2019-06-11
157. SPDR GOLD TRUST
2018-09-20
2019-07-09
558. SPDR GOLD TRUST
2017-01-20
2019-07-09
15. SPDR GOLD TRUST
2018-10-03
2019-07-09
15. SPDR GOLD TRUST
2018-10-03
2019-08-13
558. SPDR GOLD TRUST
2017-01-20
2019-08-13
157. SPDR GOLD TRUST
2018-09-20
2019-08-13
157. SPDR GOLD TRUST
2018-09-20
2019-09-05
558. SPDR GOLD TRUST
2017-01-20
2019-09-05
15. SPDR GOLD TRUST
2018-10-03
2019-09-05
15. SPDR GOLD TRUST
2018-10-03
2019-10-10
558. SPDR GOLD TRUST
2017-01-20
2019-10-10
157. SPDR GOLD TRUST
2018-09-20
2019-10-10
157. SPDR GOLD TRUST
2018-09-20
2019-11-13
558. SPDR GOLD TRUST
2017-01-20
2019-11-13
15. SPDR GOLD TRUST
2018-10-03
2019-11-13
558. SPDR GOLD TRUST
2017-01-20
2019-12-10
15. SPDR GOLD TRUST
2018-10-03
2019-12-10
157. SPDR GOLD TRUST
2018-09-20
2019-12-10
45. VANGUARD DIVIDEND APPRECIATION ETF
2016-01-21
2020-03-11
1901. VANGUARD FTSE DEVELOPED MARKETS ETF
2017-01-20
2020-03-11
1504. VICTORYSHARES US 500 VOLATILITY WTD ETF
2017-01-20
2020-03-11
CAPITAL GAIN DIVIDENDS
P
(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
20,684
16,693
3,991
b
72,833
56,935
15,898
c
87,819
42,790
45,029
d
425
157
268
e
2,975
1,072
1,903
11,689
4,309
7,380
4,490
4,068
422
6
6
23
22
1
1
1
1
1
22
20
2
6
6
6
6
23
20
3
1
1
1
1
24
20
4
7
6
1
7
6
1
25
20
5
1
1
1
1
25
20
5
7
6
1
8
6
2
27
23
4
1
1
26
21
5
1
1
7
6
1
4,967
3,264
1,703
68,222
71,390
-3,168
70,386
61,484
8,902
56,826
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
3,991
b
15,898
c
45,029
d
268
e
1,903
7,380
422
1
2
3
4
1
1
5
5
1
2
4
5
1
1,703
-3,168
8,902
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
139,189
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
...................
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?
Yes
No
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))
2018
222,675
4,518,009
0.049286
2017
203,472
4,547,676
0.044742
2016
195,332
4,131,992
0.047273
2015
210,443
4,032,002
0.052193
2014
206,590
4,314,939
0.047878
2
Total
of line 1, column (d)
.....................
2
0.241372
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
0.048274
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
4,523,256
5
Multiply line 4 by line 3
......................
5
218,356
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,863
7
Add lines 5 and 6
........................
7
220,219
8
Enter qualifying distributions from Part XII, line 4
,.............
8
232,304
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
1,863
here
and 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
1,863
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
1,863
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
3,444
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
7
Total credits and payments. Add lines 6a through 6d
..............
7
3,444
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
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
1,581
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
1,581
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
DE
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 2019 or the taxable year beginning in 2019? 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
(2019)
Form 990-PF (2019)
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 address
14
The books are in care of
BANK OF AMERICA NA
Telephone no.
(888) 866-3275
Located at
114 WEST 47TH STREET NY8-114-07-07
NEW YORK
NY
ZIP+4
100361510
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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?
.................
Yes
No
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
MARK SILVERMAN
DIRECTOR
1
0
21 LAKEVIEW LANE
NEW CANAAN
,
CT
06840
MARIE SILVERMAN MARICH
DIRECTOR/SECRETARY
1
0
37 SAMMIS LANE
WHITE PLAINS
,
NY
10605
MATTHEW SILVERMAN
DIRECTOR
1
0
1514 STATE ROUTE 213
HIGH FALLS
,
NY
12440
MICHAEL SILVERMAN
DIRECTOR
1
0
10663 EAST TERRA DRIVE
SCOTTSDALE
,
AZ
85258
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
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
.............
0
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
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
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
4,447,806
b
Average of monthly cash balances
.......................
1b
144,332
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
4,592,138
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
4,592,138
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
68,882
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
4,523,256
6
Minimum investment return.
Enter 5% of line 5
..................
6
226,163
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
226,163
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,863
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,863
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
224,300
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
224,300
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
224,300
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
232,304
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
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
232,304
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
1,863
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
230,441
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
224,300
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
202,773
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
232,304
a
Applied to 2018, but not more than line 2a
202,773
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 2019 distributable amount
.....
29,531
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
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 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
194,769
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 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
MARK SILVERMAN PRESIDENT OF FDN
21 LAKEVIEW LANE
NEW CANAAN
,
CT
06840
(203) 861-5925
N/A
b
The form in which applications should be submitted and information and materials they should include:
DETAILED DESCRIPTION OF PROJECT OR ORGANIZATION
c
Any submission deadlines:
N/A
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
N/A
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
ST JOSEPH'S CHURCH
34 S CHESTNUT STREET
NEW PALTZ
,
NY
12561
N/A
PC
UNRESTRICTED GENERAL
500
PRESIDENT & TRUSTEES OF COLBY COLLEGE
4120 MAYFLOWER HI
WATERVILLE
,
ME
04901
N/A
PC
UNRESTRICTED GENERAL
2,000
WILLISTON NORTHAMPTON SCHOOL
19 PAYSON AVENUE
EASTHAMPTON
,
MA
01027
N/A
PC
UNRESTRICTED GENERAL
5,000
TRUSTEES OF DEERFIELD ACADEMY
PO BOX 87
DEERFIELD
,
MA
01342
N/A
PC
UNRESTRICTED GENERAL
1,000
BERKSHIRE SCHOOL INC
245 N UNDERMOUNTAIN ROAD
SHEFFIELD
,
MA
01257
N/A
PC
UNRESTRICTED GENERAL
1,000
PLANNED PARENTHOOD OF SOUTHERN
NEW ENGLAND INC
345 WHITNEY AVENUE
NEW HAVEN
,
CT
06511
N/A
PC
UNRESTRICTED GENERAL
1,750
RUMSEY HALL SCHOOL
201 ROMFORD ROAD
WASHINGTON DEPOT
,
CT
06794
N/A
PC
UNRESTRICTED GENERAL
1,000
GUNNERY INC
99 GREEN HILL ROAD
WASHINGTON
,
DC
06793
N/A
PC
UNRESTRICTED GENERAL
2,000
NEW CANAAN COUNTRY SCHOOL INC
PO BOX 997
NEW CANAAN
,
CT
06840
N/A
PC
UNRESTRICTED GENERAL
1,000
ST MARK'S EPISCOPAL CHURCH
111 OENOKE RIDGE
NEW CANAAN
,
CT
06840
N/A
PC
UNRESTRICTED GENERAL
4,000
BENNETT CANCER CENTER
1 HOSPITAL PLAZA
STAMFORD
,
CT
06904
N/A
PC
UNRESTRICTED GENERAL
3,000
TRINITY COLLEGE
300 SUMMIT STREET
HARTFORD
,
CT
06106
N/A
PC
UNRESTRICTED GENERAL
1,000
LOOMIS INSTITUTE
4 BATCHELDER ROAD
WINDSOR
,
CT
06095
N/A
PC
UNRESTRICTED GENERAL
1,000
NEW CANAAN COMMUNITY YOUNG MENS
CHRISTIAN ASSN INC
564 SOUTH AVENUE
NEW CANAAN
,
CT
06840
N/A
PC
UNRESTRICTED GENERAL
5,000
NEW CANAAN COMMUNITY FDN INC
111 CHERRY STREET
NEW CANAAN
,
CT
06840
N/A
PC
UNRESTRICTED GENERAL
3,500
KIDS IN CRISIS INC
1 SALEM ST
COS COB
,
CT
06807
N/A
PC
UNRESTRICTED GENERAL
5,000
VILLA MARIA EDUCATION CENTER INC
161 SKY MEADOW DRIVE
STANFORD
,
CT
06903
N/A
PC
UNRESTRICTED GENERAL
3,000
WHITE PLAINS PERFORMING ARTS CTR INC
11 CITY PLACE
WHITE PLAINS
,
NY
10601
N/A
PC
UNRESTRICTED GENERAL
3,000
PLANNED PARENTHOOD FEDERATION OF AMERICA
123 WILLIAM STREET
NEW YORK
,
NY
10038
N/A
PC
UNRESTRICTED GENERAL
500
FRESH AIR FUND
633 THIRD AVENUE 14TH FLOOR
NEW YORK
,
NY
10017
N/A
PC
UNRESTRICTED GENERAL
500
NATIONAL KIDNEY FOUNDATION INC
30 EAST 33RD STREET
NEW YORK
,
NY
10016
N/A
PC
UNRESTRICTED GENERAL
1,000
WESTCHESTER JEWISH COMMUNITY SVCS INC
845 NORTH BROADWAY
WHITE PLAINS
,
NY
10603
N/A
PC
UNRESTRICTED GENERAL
1,683
ST VINCENT'S HOSPITAL
275 NORTH STREET
HARRISON
,
NY
10528
N/A
PC
UNRESTRICTED GENERAL
5,000
WHITE PLAINS HOSPITAL MEDICAL CENTER
41 EAST POST ROAD
WHITE PLAINS
,
NY
10601
N/A
PC
UNRESTRICTED GENERAL
4,500
CARDINAL MCCLOSKEY SCHOOL AND HOME FOR
CHILDREN INC
115 EAST STEVENS AVE STE LL5
VALHALLA
,
NY
10595
N/A
PC
UNRESTRICTED GENERAL
3,000
IONA PREP SCHOOL
173 STRATTON ROAD
NEW ROCHELLE
,
NY
10804
N/A
PC
UNRESTRICTED GENERAL
1,000
OUR LADY OF SORROWS PARISH WHITE PLAINS
920 MAMARONECK AVENUE
WHITE PLAINS
,
NY
10605
N/A
PC
UNRESTRICTED GENERAL
4,000
AMERICAN CANCER SOCIETY INC
250 WILLIAMS STREET NW STE 400
ATLANTA
,
GA
30303
N/A
PC
UNRESTRICTED GENERAL
1,000
MEMORIAL SLOAN KETTERING CANCER CTR
1275 YORK AVENUE
NEW YORK
,
NY
10017
N/A
PC
UNRESTRICTED GENERAL
1,000
AMERICAN PARKINSON DISEASE ASSOC
135 PARKINSON AVE
STATEN ISLAND
,
NY
10305
N/A
PC
UNRESTRICTED GENERAL
500
CORPORATION FOR PUBLIC BROADCASTING
401 NINTH STREET NW
WASHINGTON
,
DC
20004
N/A
PC
UNRESTRICTED GENERAL
1,000
MEALS ON WHEELS OF WHITE PLAINS INC
311 NORTH STREET STE 307
WHITE PLAINS
,
NY
10605
N/A
PC
UNRESTRICTED GENERAL
2,000
ALZHEIMER'S DISEASE AND RELATED
DISORDERS ASSN INC
225 NORTH MICHIGAN AVENUE STE 1700
CHICAGO
,
IL
60601
N/A
PC
UNRESTRICTED GENERAL
3,500
CARDINAL'S APPEAL
1101 FIRST AVENUE 14TH FLOOR
NEW YORK
,
NY
10022
N/A
PC
UNRESTRICTED GENERAL
500
WHITE PLAINS HISTORICAL SOCIETY
60 PARK AVENUE
WHITE PLAINS
,
NY
10603
N/A
PC
UNRESTRICTED GENERAL
1,000
VETERANS SUPPORT FDN FBO VIETNAM
VETERANS OF AMERICA
366 UNION AVENUE
WEST HAVEN
,
CT
06516
N/A
PC
UNRESTRICTED GENERAL
500
GREEN CHIMNEYS CHILDREN'S SERVICES INC
400 DOANSBURG ROAD CALLER BOX 719
BREWSTER
,
NY
10509
N/A
PC
UNRESTRICTED GENERAL
1,000
NYU - STERN - HASKINS
25 WEST 4TH STREET 4TH FL
NEW YORK
,
NY
10003
N/A
PC
UNRESTRICTED GENERAL
500
WESTCHESTER GOLF ASSOC
49 KNOLLWOOD ROAD
ELMSFORD
,
NY
10523
N/A
PC
UNRESTRICTED GENERAL
750
WHITE PLAINS BEAUTIFICATION FDN INC
PO BOX 1614
WHITE PLAINS
,
NY
10602
N/A
PC
UNRESTRICTED GENERAL
5,000
YMCA OF KINGSTON AND ULSTER COUNTY
507 BROADWAY
KINGSTON
,
NY
12401
N/A
PC
UNRESTRICTED GENERAL
500
ST PETER'S PARISH
1017 KEATON AVE
ROSENDALE
,
NY
12472
N/A
PC
UNRESTRICTED GENERAL
1,000
CARDINAL HAYES HOME FOR CHILDREN
ST JOSEPH DRIVE
MILLBROOK
,
NY
12545
N/A
PC
UNRESTRICTED GENERAL
3,000
ULSTER COUNTY SPCA
20 WEIDY ROAD
KINGSTON
,
NY
12401
N/A
PC
UNRESTRICTED GENERAL
500
ULSTER COUNTY HISTORICAL SOCIETY
PO BOX 279
STONE RIDGE
,
NY
12484
N/A
PC
UNRESTRICTED GENERAL
1,000
FAMILY OF WOODSTOCK INC
PO BOX 3516
KINGSTON
,
NY
12402
N/A
PC
UNRESTRICTED GENERAL
1,000
MOHONK PRESERVE INC
PO BOX 715
NEW PALTZ
,
NY
12561
N/A
PC
UNRESTRICTED GENERAL
500
CHILD LIGHT INC FBO LEDERMAN
CHILDREN'S CENTER
3007 ROUTE 213 EAST
STONE RIDGE
,
NY
12484
N/A
PC
UNRESTRICTED GENERAL
1,000
KINGSTON SELF-HELP CENTER INC
17 ST JAMES STREET
KINGSTON
,
NY
12401
N/A
PC
UNRESTRICTED GENERAL
2,500
HIGH MEADOW SCHOOL INC
PO BOX 552
STONE RIDGE
,
NY
12484
N/A
PC
UNRESTRICTED GENERAL
500
ULSTER COUNTY HABITAT FOR HUMANITY
PO BOX 2554
KINGSTON
,
NY
12402
N/A
PC
UNRESTRICTED GENERAL
500
ULSTER COMMUNITY COLLEGE FOUNDATION INC
491 COTTEKILL ROAD
STONE RIDGE
,
NY
12484
N/A
PC
UNRESTRICTED GENERAL
574
CATSKILL ANIMAL SANCTUARY INC
316 OLD STAGE ROAD
SAUGERTIES
,
NY
12477
N/A
PC
UNRESTRICTED GENERAL
1,000
COLGATE UNIVERSITY
13 OAK DRIVE
HAMILTON
,
NY
13346
N/A
PC
UNRESTRICTED GENERAL
2,000
ST LAWRENCE UNIVERSITY
23 ROMODA DRIVE
CANTON
,
NY
13617
N/A
PC
UNRESTRICTED GENERAL
3,000
ST AGNES CHURCH
6 HILLCREST AVE
LAKE PLACID
,
NY
12946
N/A
PC
UNRESTRICTED GENERAL
500
INTERNATIONAL MOTOR RACING RESEARCH CTR
610 S DECATUR STREET
WATKINS GLEN
,
NY
14891
N/A
PC
UNRESTRICTED GENERAL
2,000
VOICES OF SEPTEMBER 11
161 CHERRY STREET
NEW CANAAN
,
CT
06840
N/A
PC
UNRESTRICTED GENERAL
4,000
AUTISM SPEAKS
1 E 33RD ST 4TH FL
NEW YORK
,
NY
10016
N/A
PC
UNRESTRICTED GENERAL
500
SQUASH HAVEN INC
70 TOWER PARKWAY
NEW HAVEN
,
CT
06511
N/A
PC
UNRESTRICTED GENERAL
1,500
LIFELINE NEW YORK
845 3RD AVE FL 15
NEW YORK
,
NY
10022
N/A
PC
UNRESTRICTED GENERAL
1,000
REGIONAL FOOD BANK OF NE NY INC
965 ALBANY-SHAKER ROAD
LATHAM
,
NY
12110
N/A
PC
UNRESTRICTED GENERAL
500
RONDOUT VALLEY ANIMALS
4628 ROUTE 209
ACCORD
,
NY
12404
N/A
PC
UNRESTRICTED GENERAL
500
VILLANOVA UNIVERSITY
800 E LANCASTER AVENUE
VILLANOVA
,
PA
19085
N/A
PC
UNRESTRICTED GENERAL
1,000
COMMUNITY FOUNDATIONS OF THE HUDSON
VALLEY
80 WASHINGTON STREET STE 201
POUGHKEEPSIE
,
NY
12601
N/A
PC
UNRESTRICTED GENERAL
2,000
NEW CANAAN EMS
182 SOUTH AVENUE
NEW CANAAN
,
CT
06840
N/A
PC
UNRESTRICTED GENERAL
1,000
AMERICAN CIVIL LIBERTIES UNION FDN
99 CHAUNCY STREET STE 310
BOSTON
,
MA
02111
N/A
PC
UNRESTRICTED GENERAL
500
MACULAR DEGENERATION RESEARCH
22512 GATEWAY CENTER DR
CLARKSBURG
,
MD
20871
N/A
PC
UNRESTRICTED GENERAL
500
ST MARY'S FOOD BANK ALLIANCE
2831 N 31ST AVENUE
PHOENIX
,
AZ
85009
N/A
PC
UNRESTRICTED GENERAL
3,863
PITTSBURGH VINTAGE GRAND PRIX ASSN INC
1000 GAMMA DRIVE STE 106
PITTSBURGH
,
PA
15238
N/A
PC
UNRESTRICTED GENERAL
3,000
CATHOLICS COME HOME INC
560 WEST CROSSVILLE ROAD STE 101
ROSWELL
,
GA
30075
N/A
PC
UNRESTRICTED GENERAL
500
RIVERS OF RECOVERY INC
PO BOX 22326
EAGAN
,
MN
55122
N/A
PC
UNRESTRICTED GENERAL
3,000
WNET
825 EIGHTH AVENUE 14TH FLOOR
NEW YORK
,
NY
10019
N/A
PC
UNRESTRICTED GENERAL
500
MARY'S SHELTER OF THE TREASURE COAST INC
1033 SE 14TH STREET
STUART
,
FL
34996
N/A
PC
UNRESTRICTED GENERAL
1,000
HOME FUR GOOD ANIMAL RESCUE AND
PLACEMENT
10220 NORTH 32ND STREET
PHOENIX
,
AZ
85028
N/A
PC
UNRESTRICTED GENERAL
3,000
HOMELESS YOUTH CONNECTION
9950 W VAN BUREN STREET NO 114
AVONDALE
,
AZ
85323
N/A
PC
UNRESTRICTED GENERAL
4,000
WOMANS CLUB OF WHITE PLAINS FDN INC
305 RIDGEWAY
WHITE PLAINS
,
NY
10605
N/A
PC
UNRESTRICTED GENERAL
3,000
SPECTRUM DESIGNS
382 MAIN STREET
PORT WASHINGTON
,
NY
11050
N/A
PC
UNRESTRICTED GENERAL
5,000
STONE RIDGE LIBRARY FDN INC
PO BOX 188
STONE RIDGE
,
NY
12484
N/A
PC
UNRESTRICTED GENERAL
8,000
KAPPA KAPPA GAMMA FDN
530 E TOWN ST
COLUMBUS
,
OH
43017
N/A
PC
UNRESTRICTED GENERAL
1,000
BRADLEY UNIVERSITY
1501 WEST BRADLEY AVENUE
PEORIA
,
IL
61625
N/A
PC
UNRESTRICTED GENERAL
1,000
SOUTHERN CONNECTICUT ALLIANCE
15 EASTWOOD ROAD
NORWALK
,
CT
06851
N/A
PC
UNRESTRICTED GENERAL
1,700
PAWS FOR PURPLE HEARTS
5860 LABATH AVENUE STE A
ROHNERT PARK
,
CA
94951
N/A
PC
UNRESTRICTED GENERAL
500
FUTURE 5 INC
135 ATLANTIC ST
STAMFORD
,
CT
06901
N/A
PC
UNRESTRICTED GENERAL
1,500
HUMAN SERVICES CAMPUS INC
1125 W JACKSON STREET
PHOENIX
,
AZ
85007
N/A
PC
UNRESTRICTED GENERAL
3,000
PROJECT SLEEP
PO BOX 70206
LOS ANGELES
,
CA
90070
N/A
PC
UNRESTRICTED GENERAL
3,000
FURNISHING DIGNITY
PO BOX 51209
PHOENIX
,
AZ
85076
N/A
PC
UNRESTRICTED GENERAL
2,000
DAUGHTERS OF LIBERTY'S LEGACY INC
4 GROVE ROAD
WHITE PLAINS
,
NY
10603
N/A
PC
UNRESTRICTED GENERAL
1,000
SAINT CECILIA CATHOLIC COMMUNITY
555 NORTH COMMERCIAL ROAD STE 01
PALM SPRINGS
,
CA
92262
N/A
PC
UNRESTRICTED GENERAL
2,000
MARBLETOWN FIRST AID UNIT INC
PO BOX 323 30 SCHOOL HILL ROAD
HIGH FALLS
,
NY
12440
N/A
PC
UNRESTRICTED GENERAL
500
SOUTH EAST EUROPEAN FILM FESTIVAL
7119 W SUNSET BLVD STE 306
LOS ANGELES
,
CA
90046
N/A
PC
UNRESTRICTED GENERAL
1,000
SPECIAL OLYMPICS NEW YORK INC
1133 19TH STREET NW
WASHINGTON
,
DC
20036
N/A
PC
UNRESTRICTED GENERAL
500
NATIONAL PUBLIC RADIO INC
1111 NORTH CAPITOL STREET NW
WASHINGTON
,
DC
20002
N/A
PC
UNRESTRICTED GENERAL
2,000
OPEN SPACE INSTITUTE INC
1350 BROADWAY STE 201
NEW YORK
,
NY
10018
N/A
PC
UNRESTRICTED GENERAL
1,000
NATIONAL PARK FOUNDATION
1110 VERMONT AVE NW STE 200
WASHINGTON
,
DC
20005
N/A
PC
UNRESTRICTED GENERAL
500
AMERICAN INDIAN COLLEGE FUND
8333 GREENWOOD BLVD
DENVER
,
CO
80221
N/A
PC
UNRESTRICTED GENERAL
500
WORLD WILDLIFE FUND INC
1250 24TH STREET NW
WASHINGTON
,
DC
20037
N/A
PC
UNRESTRICTED GENERAL
500
AMERICAN NATIONAL RED CROSS
431 EAST CARY STREET
RICHMOND
,
VA
23219
N/A
PC
UNRESTRICTED GENERAL
500
NATURE CONSERVANCY INC
4245 N FAIRFAX DRIVE STE 100
ARLINGTON
,
VA
22203
N/A
PC
UNRESTRICTED GENERAL
500
ROANOKE COLLEGE
221 COLLEGE LANE
SALEM
,
VA
24153
N/A
PC
UNRESTRICTED GENERAL
1,000
ETERNAL WORD TELEVISION NETWORK INC
5817 OLD LEEDS ROAD
IRONDALE
,
AL
35210
N/A
PC
UNRESTRICTED GENERAL
1,000
ROSENDALE THEATRE COLLECTIVE
PO BOX 545
ROSENDALE
,
NY
12472
N/A
PC
UNRESTRICTED GENERAL
500
GREENS LEDGE LIGHT PRESERVATION SOCIETY
INC
101 ROWYTON AVE 2ND FLOOR
NORWALK
,
CT
06853
N/A
PC
UNRESTRICTED GENERAL
3,000
PERCY GRAINGER AMERICA INC
7 CROMWELL PL
WHITE PLAINS
,
NY
10601
N/A
PC
UNRESTRICTED GENERAL
1,000
GENERATION JUSTICE
3900 CAMELBACK RD NO 300
PHOENIX
,
AZ
85018
N/A
PC
UNRESTRICTED GENERAL
3,000
HORTUS CONCLUSUS
76 MILL ROAD
STONE RIDGE
,
NY
12484
N/A
PC
UNRESTRICTED GENERAL
500
ARTS COUNCIL
1625 N CENTRAL AVENUE
PHOENIX
,
AZ
85004
N/A
PC
UNRESTRICTED GENERAL
2,000
HOSPICE OF THE VALLEY
1510 EAST FLOWER STREET
PHOENIX
,
AZ
85014
N/A
PC
UNRESTRICTED GENERAL
3,000
MAKE-A-WISH FOUNDATION OF AMERICA
4742 N 24TH STREET STE 400
PHOENIX
,
AZ
85016
N/A
PC
UNRESTRICTED GENERAL
500
CENTRAL ARIZONA SHELTER SERVICES INC
PO BOX 18250
PHOENIX
,
AZ
85005
N/A
PC
UNRESTRICTED GENERAL
5,000
ARIZONA FOOD BANK
340 E CORONADO RD
PHOENIX
,
AZ
85004
N/A
PC
UNRESTRICTED GENERAL
2,500
WASTE NOT INC
1700 N GRANITE REEF ROAD
SCOTTSDALE
,
AZ
85257
N/A
PC
UNRESTRICTED GENERAL
3,000
SOUTHWEST CENTER FOR HIVAIDS INC
1101 NORTH CENTRAL AVENUE STE 200
PHOENIX
,
AZ
85004
N/A
PC
UNRESTRICTED GENERAL
3,000
FRIENDS OF EIGHT
555 N CENTRAL AVENUE STE 500
PHOENIX
,
AZ
85004
N/A
PC
UNRESTRICTED GENERAL
2,000
SPCA
PO BOX 1230
WASHINGTON
,
DC
10116
N/A
PC
UNRESTRICTED GENERAL
500
GUIDE DOGS FOR THE BLIND INC
350 LOS RANCHITOS ROAD
SAN RAFAEL
,
CA
94903
N/A
PC
UNRESTRICTED GENERAL
500
MADD
511 E JOHN CARPENTER FWY 700
IRVING
,
TX
75062
N/A
PC
UNRESTRICTED GENERAL
609
LIBERTY WILDLIFE INC
PO BOX 14345
SCOTTSDALE
,
AZ
85267
N/A
PC
UNRESTRICTED GENERAL
3,000
PRIESTS FOR LIFE
5211 S WASHINGTON AVENUE
TITUSVILLE
,
FL
32780
N/A
PC
UNRESTRICTED GENERAL
1,000
Total
.................................
3a
212,929
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees 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
73,210
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
139,189
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FEDERAL TAX REFUND
1
82
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
212,481
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
212,481
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description