-
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
01-01-2019
, and ending
12-31-2019
Name of foundation
CAERUS FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
3100 SANDERS ROAD SUITE 500
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NORTHBROOK
,
IL
60062
A Employer identification number
71-0935903
B
Telephone number (see instructions)
(847) 559-2000
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)
$
127,883,559
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
...
2,730,610
2,821,091
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
7,967,287
b
Gross sales price for all assets on line 6a
53,166,365
7
Capital gain net income (from Part IV, line 2)
...
7,753,720
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)
.......
628,063
669,915
0
12
Total.
Add lines 1 through 11
........
11,325,960
11,244,726
0
13
Compensation of officers, directors, trustees, etc.
0
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
17,765
17,765
0
0
b
Accounting fees (attach schedule)
.......
101,919
50,960
0
56,732
c
Other professional fees (attach schedule)
....
1,250,669
696,190
0
372,321
17
Interest
...............
14,748
19,649
0
0
18
Taxes (attach schedule) (see instructions)
...
421,636
65,089
0
0
19
Depreciation (attach schedule) and depletion
...
571
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
52,749
5,259
0
40,254
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
851,794
842,329
0
41,414
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
2,711,851
1,697,241
0
510,721
25
Contributions, gifts, grants paid
.......
27,790,199
14,742,219
26
Total expenses and disbursements.
Add lines 24 and 25
30,502,050
1,697,241
0
15,252,940
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-19,176,090
b
Net investment income
(if negative, enter -0-)
9,547,485
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
.............
285,663
827,722
827,722
2
Savings and temporary cash investments
.........
5,432,751
10,587,990
10,587,990
3
Accounts receivable
4,088,765
Less: allowance for doubtful accounts
69,263
4,088,765
4,088,765
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
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10,784
12,773
12,773
10a
Investments—U.S. and state government obligations (attach schedule)
4,288,557
1,020,011
1,020,011
b
Investments—corporate stock (attach schedule)
.......
34,773,071
35,413,494
35,413,494
c
Investments—corporate bonds (attach schedule)
.......
2,491,789
2,298,909
2,298,909
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
75,382,148
73,633,758
73,633,758
14
Land, buildings, and equipment: basis
2,855
Less: accumulated depreciation (attach schedule)
2,718
708
137
137
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
122,734,734
127,883,559
127,883,559
17
Accounts payable and accrued expenses
..........
335,133
242,285
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
)
96
13,324,544
23
Total liabilities
(add lines 17 through 22)
.........
335,229
13,566,829
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
........
122,399,505
114,316,730
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
0
0
29
Total net assets or fund balances
(see instructions)
.....
122,399,505
114,316,730
30
Total liabilities and net assets/fund balances
(see instructions)
.
122,734,734
127,883,559
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
122,399,505
2
Enter amount from Part I, line 27a
.....................
2
-19,176,090
3
Other increases not included in line 2 (itemize)
3
11,093,315
4
Add lines 1, 2, and 3
..........................
4
114,316,730
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
114,316,730
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
BIOTECHNOLOGY VALUE FUND II, LP LTCG
P
2019-12-31
2019-12-31
b
BIOTECHNOLOGY VALUE FUND II, LP STCG
P
2019-12-31
2019-12-31
c
FPA GLOBAL OPPORTUNITY FUND, LLC LTCG
P
2019-12-31
2019-12-31
d
FPA GLOBAL OPPORTUNITY FUND, LLC SEC 1256 GAIN (LOSS)
P
2019-12-31
2019-12-31
e
FPA GLOBAL OPPORTUNITY FUND, LLC STCG
P
2019-12-31
2019-12-31
FPA GLOBAL OPPORTUNITY FUND, LLC TAXABLE DISTRIBUTION
P
2019-12-31
2019-12-31
LOGAN STONE CAPITAL QP, LP LTCG
P
2019-12-31
2019-12-31
MARATHON PARTNERS, LP LTCG
P
2019-12-31
2019-12-31
MARATHON PARTNERS, LP STCG
P
2019-12-31
2019-12-31
MENDEN CAPITAL TAXABLE DISTRIBUTION
P
2019-12-31
2019-12-31
MENDON CAPITAL, LLC LTCG
P
2019-12-31
2019-12-31
MENDON GLOBAL LONG/SHORT FINANCIAL QP FUND LP LTCG
P
2019-12-31
2019-12-31
MENDON GLOBAL LONG/SHORT FINANCIAL QP FUND LP STCG
P
2019-12-31
2019-12-31
METHOD ONE, LLC LTCG
P
2019-12-31
2019-12-31
METHOD ONE, LLC STCG
P
2019-12-31
2019-12-31
PASSPORT- AA2 (II) SERIES 01 (SIDE POCKET) TAXABLE DISTRIBUTION
P
2019-12-31
2019-12-31
PUBLICLY TRADED SECURITIES
RMB FIXED INCOME OPPORTUNITIES QP, LLC LTCG
P
2019-12-31
2019-12-31
RMB FIXED INCOME OPPORTUNITIES QP, LLC SEC 1231 GAIN (LOSS)
P
2019-12-31
2019-12-31
RMB FIXED INCOME OPPORTUNITIES QP, LLC SEC 1256 GAIN (LOSS)
P
2019-12-31
2019-12-31
RMB FIXED INCOME OPPORTUNITIES QP, LLC STCG
P
2019-12-31
2019-12-31
RMB JAPAN OPPORTUNITIES FUND, LP LTCG
P
2019-12-31
2019-12-31
RMB JAPAN OPPORTUNITIES FUND, LP STCG
P
2019-12-31
2019-12-31
TWIN LAKE TOTAL RETURN PARTNERS QP, LP LTCG
P
2019-12-31
2019-12-31
TWIN LAKE TOTAL RETURN PARTNERS QP, LP STCG
P
2019-12-31
2019-12-31
Z CAPITAL LOAN OPPORTUNITY FUND, LP LTCG
P
2019-12-31
2019-12-31
Z CAPITAL LOAN OPPORTUNITY FUND, LP STCG
P
2019-12-31
2019-12-31
MARATHON PARTNERS, LP LOSS ON PARTNERSHIP DISPOSITION
P
2019-12-31
2019-12-31
CAPITAL GAINS 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
878,480
878,480
b
979,186
979,186
c
225,380
225,380
d
4,669
4,669
e
24,232
-24,232
1,464
1,464
2,901
2,901
527,717
527,717
20,648
-20,648
126
126
233,142
233,142
87,034
-87,034
255,236
-255,236
117,004
117,004
6,436
6,436
321,708
321,708
49,337,588
44,986,096
4,351,492
18,954
18,954
34
34
2,485
-2,485
27,516
27,516
14,171
-14,171
10,633
-10,633
4,724
4,724
11,050
-11,050
3,328
3,328
3,051
3,051
1,060
-1,060
472,957
472,957
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
878,480
b
979,186
c
225,380
d
4,669
e
-24,232
1,464
2,901
527,717
-20,648
126
233,142
-87,034
-255,236
117,004
6,436
321,708
4,351,492
18,954
34
-2,485
27,516
-14,171
-10,633
4,724
-11,050
3,328
3,051
-1,060
472,957
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
7,753,720
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
0
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
16,421,895
132,073,855
0.124339
2017
17,657,973
153,585,973
0.114971
2016
23,926,203
136,152,267
0.175731
2015
25,243,723
154,316,681
0.163584
2014
31,270,056
150,206,142
0.208181
2
Total
of line 1, column (d)
.....................
2
0.786806
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
0.157361
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
122,170,522
5
Multiply line 4 by line 3
......................
5
19,224,876
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
95,475
7
Add lines 5 and 6
........................
7
19,320,351
8
Enter qualifying distributions from Part XII, line 4
,.............
8
15,252,940
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
190,950
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
190,950
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
190,950
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
185,005
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
65,000
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
250,005
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
599
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
58,456
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
58,456
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
IL
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
WWW.CAERUSFOUNDATION.ORG
14
The books are in care of
CATHY WEREDA
Telephone no.
(847) 559-2000
Located at
3100 SANDERS ROAD SUITE 500
NORTHBROOK
IL
ZIP+4
60062
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
No
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
No
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
J THOMAS HURVIS
PRESIDENT/DIRECTOR
5.00
0
0
0
3100 SANDERS ROAD SUITE 500
NORTHBROOK
,
IL
60062
SARA H YOUNKIN
VP/DIRECTOR
20.00
0
0
0
3100 SANDERS ROAD SUITE 500
NORTHBROOK
,
IL
60062
CHRISTINA M HURVIS
SECRETARY/DIRECTOR
20.00
0
0
0
3100 SANDERS ROAD SUITE 500
NORTHBROOK
,
IL
60062
JAMES C BROWN UNTIL 102019
TREASURER
1.00
0
0
0
3100 SANDERS ROAD SUITE 500
NORTHBROOK
,
IL
60062
CATHY WEREDA EFF 102019
TREASURER
1.00
0
0
0
3100 SANDERS ROAD SUITE 500
NORTHBROOK
,
IL
60062
BRYON STANISLAW
ASSISTANT SECRETARY
1.00
0
0
0
3100 SANDERS ROAD SUITE 500
NORTHBROOK
,
IL
60062
CONNIE GIAMPAPA
ASSISTANT SECRETARY
1.00
0
0
0
3100 SANDERS ROAD SUITE 500
NORTHBROOK
,
IL
60062
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
OLD WORLD INDUSTRIES LLC
PROFESSIONAL FEES
765,375
3100 SANDERS ROAD
NORTHBROOK
,
IL
60062
RMB
INVESTMENT MGMT
220,104
115 S LASALLE STREET
CHICAGO
,
IL
60603
WELLS FARGO
INVESTMENT MGMT
145,998
10 S WACKER DRIVE
CHICAGO
,
IL
60606
JPMORGAN CHASE BANK
INVESTMENT MGMT
118,615
270 PARK AVENUE
NEW YORK
,
NY
10017
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
.........................
0
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
101,863,989
b
Average of monthly cash balances
.......................
1b
1,177,231
c
Fair market value of all other assets (see instructions)
................
1c
20,989,767
d
Total
(add lines 1a, b, and c)
.........................
1d
124,030,987
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
124,030,987
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,860,465
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
122,170,522
6
Minimum investment return.
Enter 5% of line 5
..................
6
6,108,526
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
6,108,526
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
190,950
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
43,074
c
Add lines 2a and 2b
............................
2c
234,024
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
5,874,502
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
5,874,502
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
5,874,502
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
15,252,940
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
15,252,940
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
15,252,940
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
5,874,502
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
15,791,390
d
From 2017
......
10,179,371
e
From 2018
......
25,970,761
f
Total
of lines 3a through e
........
51,941,522
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
15,252,940
a
Applied to 2018, 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 2019 distributable amount
.....
5,874,502
e
Remaining amount distributed out of corpus
9,378,438
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
61,319,960
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
..........
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 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
......
61,319,960
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
15,791,390
c
Excess from 2017
....
10,179,371
d
Excess from 2018
....
25,970,761
e
Excess from 2019
....
9,378,438
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).)
J THOMAS HURVIS
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 email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
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
826 VALENCIA
826 VALENCIA STREET
SAN FRANCISCO
,
CA
94110
PC
MISSION AND TENDERLOIN PROGRAMS
200,000
826CHI
1276 N MILWAUKEE AVENUE
CHICAGO
,
IL
60622
PC
ADVANCING OUR GROWTH: 826CHIS VOLUNTEER DEPARTMENT AND INAUGURAL TEACHING ARTIST MODEL
40,000
AIM HIGH
2030 HARRISON ST 3RD FLOOR
SAN FRANCISCO
,
CA
94110
PC
AIM HIGH SUMMER LEARNING PROGRAMNARROWING THE ACHIEVEMENT GAP IN SAN FRANCISCO
25,000
ALBANY PARK THEATER PROJECT
PO BOX 25072
CHICAGO
,
IL
60625
PC
SUSTAIN AND ENHANCE APTPS SCHOOLBASED PROGRAMS
50,000
AMERICA SCORES BAY AREA
C/O IMPACT HUB SF 1885 MISSION
STREET
SAN FRANCISCO
,
CA
94103
PC
SCORES 2020 INITIATIVE
50,000
AMERICA SCORES CHICAGO
600 WEST CERMAK RD 204
CHICAGO
,
IL
60616
PC
AMERICA SCORES CHICAGO: LITERACY IN ACTION PROGRAMMING
35,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
ASAP SUMMER PROGRAM 2019 & 2020
45,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
ASAP PROMISE SCHOLARS COHORT 7
44,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
ASAP'S APPLICATION FOR 6TH COHORT OF PROMISE SCHOLARS AND ADDITIONAL FUNDS FOR 3 COHORT #2 SCHOLARS
44,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
ASAP PROMISE SCHOLARS COHORT 8
44,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
ENHANCED MENTORING FOR PROMISE SCHOLARS 201920
20,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
ADDITIONAL SUPPORT FOR COHORT 4
9,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
ASAP'S APPLICATION FOR 5TH COHORT OF PROMISE SCHOLARS
44,000
BIG BROTHERS BIG SISTERS OF METROPOLITAN CHICAGO
560 W LAKE ST 5TH FLOOR
CHICAGO
,
IL
60661
PC
BIG BROTHERS BIG SISTERS GENERAL ANNUAL SUPPORT FOR MENTORING PROGRAMS
50,000
BIG BROTHERS BIG SISTERS OF METROPOLITAN CHICAGO
560 W LAKE ST 5TH FLOOR
CHICAGO
,
IL
60661
PC
BIG BROTHERS BIG SISTERS PROJECT 6
250,000
BIG CITY MOUNTAINEERS
710 10TH STREET STE 120
GOLDEN
,
CO
80401
PC
BIG CITY MOUNTAINEERS WISCONSIN EXPANSION
33,000
BLACK ENSEMBLE THEATER
4450 N CLARK STREET
CHICAGO
,
IL
60640
PC
BLACK ENSEMBLE THEATER EDUCATIONAL OUTREACH PROGRAMS
75,000
BOTTOM LINE INC
65 EAST WACKER PLACE SUITE 800
CHICAGO
,
IL
60601
PC
BOTTOM LINE CHICAGO SUCCESS PROGRAM EXPANSION
50,000
BUILD INC
5100 W HARRISON ST
CHICAGO
,
IL
60644
PC
BUILDS MENTAL HEALTH PROGRAM (MHP)
75,000
BUILD INC
5100 W HARRISON ST
CHICAGO
,
IL
60644
PC
BUILD ACADEMY
78,495
CHICAGO COMMONS ASSOCIATION
515 E 50TH STREET SUITE 200
CHICAGO
,
IL
60615
PC
GUADALUPANO FAMILY CENTER YOUTH AFTER SCHOOL PROGRAM
25,000
CHICAGO JAZZ PHILHARMONIC
1111 NORTH WELLS STREET SUITE 501
CHICAGO
,
IL
60610
PC
JAZZ ACADEMY 20192020
75,000
CHICAGO LIGHTS
126 E CHESTNUT STREET
CHICAGO
,
IL
60611
PC
CHICAGO LIGHTS 201920 TUTORING AND 2020 SUMMER DAY PROGRAMS
75,000
CHICAGO SCHOLARS
247 S STATE STREET SUITE 700
CHICAGO
,
IL
60604
PC
1:1 MATCH DURING ONSITE ADMISSIONS FORUM 10/23/18
83,132
CHICAGO SCHOLARS
247 S STATE STREET SUITE 700
CHICAGO
,
IL
60604
PC
1YEAR SUSTAIN AND GROWTH GRANT
500,000
CHICAGO SCHOLARS
247 S STATE STREET SUITE 700
CHICAGO
,
IL
60604
PC
1YEAR SUSTAIN AND GROWTH GRANT
257,750
CHICAGO SCHOLARS
247 S STATE STREET SUITE 700
CHICAGO
,
IL
60604
PC
1YEAR SUSTAIN AND GROWTH GRANT
242,250
CITY YEAR INC
36 SOUTH WABASH AVENUE SUITE 1300
CHICAGO
,
IL
60603
PC
CITY YEAR CHICAGOENGLEWOOD EXPANSION
425,000
COLLEGE BOUND OPPORTUNITIES
2033 N MILWAUKEE AVENUE SUITE 246
RIVERWOODS
,
IL
60015
PC
COLLEGE ACCESS & SUCCESS PROGRAM SUPPORT
40,000
COLLEGE BOUND OPPORTUNITIES
2033 N MILWAUKEE AVENUE SUITE 246
RIVERWOODS
,
IL
60015
PC
SUPPORT FOR 8 SCHOLARS IN CLASS OF 2020
50,000
COLLEGE BOUND OPPORTUNITIES
2033 N MILWAUKEE AVENUE SUITE 246
RIVERWOODS
,
IL
60015
PC
SUPPORT FOR 8 SCHOLARS IN THE CLASS OF 2021
50,000
COLLEGE POSSIBLE
215 W SUPERIOR ST SUITE 300
CHICAGO
,
IL
60654
PC
PROMISE SCHOLAR PROGRAM COHORT 1 (CLASS OF 2023)
44,000
DOCTORS WITHOUT BORDERS USA INC
40 RECTOR STREET 16TH FLOOR
NEW YORK
,
NY
10006
PC
GENERAL OPERATING SUPPORT GRANT
500,000
ENSEMBLE ESPANOL SPANISH DANCE THEATER
5500 N ST LOUIS AVE ROOM C609
CHICAGO
,
IL
60625
PC
GROWTH SUPPORT
69,424
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS COHORT 6
44,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
GENERAL OPERATING SUPPORT AND BEYOND THE COHORT
100,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: COHORT 5
44,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
FIRST GRADUATE PROMISE SCHOLARS COHORT 8
40,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
FIRST GRADUATE PROMISE SCHOLARS COHORT 7
40,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
COLLEGE SUCCESS POSITION AND PROMISE SCHOLARS PROGRAM ADMINISTRATIVE COSTS
83,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
201720 PROGRAM ENHANCEMENTS FOR SAN FRANCISCO PROMISE SCHOLARS PROGRAM
9,500
FOREFRONT
208 SOUTH LASALLE STREET SUITE 1540
CHICAGO
,
IL
60604
PC
CAPACITY BUILDING FOR PROFESSIONAL DEVELOPMENT AND RESEARCH
28,600
GATHERING WATERS WISCONSIN'S ALLIANCE FOR LAND TRUSTS
211 S PATERSON STREET SUITE 270
MADISON
MADISON
,
WI
53703
PC
GENERAL OPERATING GRANT
100,000
GATHERING WATERS WISCONSIN'S ALLIANCE FOR LAND TRUSTS
211 S PATERSON STREET SUITE 270
MADISON
,
WI
53703
PC
EXPANDED ADVOCACY & COMMUNICATIONS ACTIVITIES
80,000
GATHERING WATERS WISCONSIN'S ALLIANCE FOR LAND TRUSTS
211 S PATERSON STREET SUITE 270
MADISON
,
WI
53703
PC
EXPANDED ADVOCACY & COMMUNICATIONS ACTIVITIES
40,000
GIRL SCOUTS OF GREATER CHICAGO AND NORTHWEST INDIANA
20 S CLARK STREET SUITE 200
CHICAGO
,
IL
60603
PC
GIRLSPACE CHICAGO
45,000
GLOBAL HEALTH CORPS
ONE PENN PLAZA SUITE 6271
NEW YORK
,
NY
10001
PC
SUPPORT FOR GHC FELLOWSHIPS AND STRATEGIC GROWTH
205,000
HEIFER INTERNATIONAL
1 WORLD AVENUE
LITTLE ROCK
,
AR
72202
PC
GENERAL OPERATING SUPPORT 2018
100,000
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STREET
CHICAGO
,
IL
60626
PC
HACC COHORT SEVEN
44,000
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STREET
CHICAGO
,
IL
60626
PC
PROMISE SCHOLARS COHORT SIX
44,000
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STREET
CHICAGO
,
IL
60626
PC
COHORT 5: PROMISE SCHOLARS PROGRAM
59,090
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STREET
CHICAGO
,
IL
60626
PC
COHORT EIGHT
44,000
INGENUITY INC CHICAGO
440 N WELLS SUITE 505
CHICAGO
,
IL
60654
PC
GENERAL OPERATING SUPPORT
10,000
JAMESTOWN COMMUNITY CENTER
2929 19TH STREET
SAN FRANCISCO
,
CA
94110
PC
JAMESTOWN SUMMER CAMPS 2018 AND 2019
60,000
JOE GOODE PERFORMANCE GROUP
499 ALABAMA ST 150
SAN FRANCISCO
,
CA
94110
PC
INSPIRED BODIES YOUTH DANCE THEATER PROGRAM 20192020
30,000
LAKELAND UNIVERSITY
W3718 SOUTH DRIVE
PLYMOUTH
,
WI
53073
PC
HURVIS SCHOLARS CLASS OF 2021
30,000
LAKELAND UNIVERSITY
W3718 SOUTH DRIVE
PLYMOUTH
,
WI
53073
PC
HURVIS SCHOLARS CLASS OF 2022
30,000
LAKELAND UNIVERSITY
W3718 SOUTH DRIVE
PLYMOUTH
,
WI
53073
PC
HURVIS SCHOLARS CLASS OF 2023
30,000
LAKELAND UNIVERSITY
W3718 SOUTH DRIVE
PLYMOUTH
,
WI
53073
PC
FUNDING FOR 2 HURVIS SCHOLARSHIPS CLASS OF 2020
26,000
MADISON AUDUBON SOCIETY
1400 E WASHINGTON STE 170
MADISON
,
WI
53703
PC
MADISON AUDUBON'S EDUCATION PROGRAM: EMPOWERING KIDS THROUGH DISCOVERY!
60,000
MAG AMERICA
1776 K STREET NW SUITE 350
WASHINGTON
,
DC
20006
PC
IMPROVING LIVES AND LIVELIHOODS IN CAMBODIA THROUGH LANDMINE AND CLUSTER MUNITION CLEARANCE
1,019,186
MERIT SCHOOL OF MUSIC
38 S PEORIA STREET
CHICAGO
,
IL
60607
PC
MERIT TUITIONFREE CONSERVATORY SOLO VOICE PROGRAM
130,000
METROSQUASH
6100 S COTTAGE GROVE AVENUE
CHICAGO
,
IL
606372528
PC
METROSQUASH SUMMER 2019 REQUEST
22,000
METROSQUASH
6100 S COTTAGE GROVE AVENUE
CHICAGO
,
IL
606372528
PC
COLLEGE SUPPORT FOR 20192020 SCHOOL YEAR
40,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
MISSION GRADUATES PROMISE SCHOLARS COHORT 7
44,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: COHORT 6
44,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PARENT PARTNER PROGRAM SUPPORT
60,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS COHORT 8
44,000
MISSION GRADUATES
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
ADDITIONAL SUPPORT FOR COHORT 2
10,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: COHORT 5
44,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
MISSION GRADUATES GENERAL OPERATING SUPPORT
75,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS PROGRAM MANAGEMENT
175,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
HURVIS SCHOLAR #6
12,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
HURVIS SCHOLAR #5
12,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
HURVIS SCHOLAR #7
12,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
HURVIS SCHOLAR #4
10,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
PROJECT CONNECT RENEWAL
100,000
MUTTVILLE
PO BOX 410207
SAN FRANCISCO
,
CA
94141
PC
MUTTVILLE'S SENIORS FOR SENIORS PROGRAM & HUMANE EDUCATION PROGRAM
30,000
NATIONAL AUDUBON SOCIETY
225 VARICK ST 7TH FL
NEW YORK
,
NY
10014
PC
STRENGTHENING NETWORK MOMENTUN FOR CONSERVATION WINS TODAY, IN 2021, & BEYOND
963,072
NATIONAL FISH AND WILDLIFE FOUNDATION
8011 34TH AVE SOUTH SUITE 242
BLOOMINGTON
,
MN
55425
PC
PIONEERING A WISCONSIN GREAT LAKES FUNDING COLLABORATION
400,000
NATURAL RESOURCES FOUNDATION OF WISCONSIN
PO BOX 2317
MADISON
,
WI
53701
PC
WISCONSIN STATE NATURAL AREA RESTORATION AND CONSERVATION EDUCATION PROJECT
140,000
NORTHWOODS LAND TRUST INC
PO BOX 321
EAGLE RIVER
,
WI
54521
PC
NORTHWOODS CONSERVATION EASEMENTS PROJECT
25,000
ONE MILLION DEGREES
180 N WABASH SUITE 310
CHICAGO
,
IL
60601
PC
COMMUNITY COLLEGE PROGRAM ENHANCEMENT
150,000
ONE MILLION DEGREES
180 N WABASH SUITE 310
CHICAGO
,
IL
60601
PC
ACCELERATING COMMUNITY COLLEGE STUDENTS CAREER PATHWAYS TO ECONOMIC MOBILITY
350,000
PARTNERS IN HEALTH
800 BOYLSTON STREET SUITE 300
BOSTON
,
MA
02199
PC
MATERNAL AND CHILD HEALTH AT MIREBALAIS HOSPITAL IN HAITI, FY20
100,000
PARTNERS IN HEALTH
800 BOYLSTON STREET SUITE 300
BOSTON
,
MA
02199
PC
CLOSING THE GAP ON MATERNAL HEALTH IN SIERRA LEONE: SEWAFE HEALTH CENTER
50,552
PAWS CHICAGO
1997 NORTH CLYBOURN AVENUE
CHICAGO
,
IL
60614
PC
PAWS FOR LIFE COMMUNITY OUTREACH PROGRAM
75,000
PROJECT EDUCATION PLUS
HOLY FAMILY LUTHERAN CHURCH 542 W
HOBBIE ST
CHICAGO
,
IL
60610
PC
SCHOLARSHIP PROGRAM '19'20
20,000
ROOM TO READ
465 CALIFORNIA STREET SUITE 1000
SAN FRANCISCO
,
CA
94104
PC
CREATING OPPORTUNITY THROUGH EDUCATION
400,000
SCHOLARMATCH
849 VALENCIA STREET
SAN FRANCISCO
,
CA
94110
PC
PROGRAM SUPPORT AND FINANCE STAFFING FOR SCHOLARMATCH
100,000
SKYART
3026 E 91ST STREET
CHICAGO
,
IL
60617
PC
SKYART TEEN PROGRAM SUPPORT
100,000
SMART
1061 MARKET STREET MEZZANIE
SAN FANCISCO
,
CA
94103
PC
GENERAL OPERATING SUPPORT '19'20
20,000
STORYCATCHERS THEATRE
544 W OAK STREET 1005
CHICAGO
,
IL
60610
PC
STORYCATCHERS PARTNERSHIP WITH THE CHICAGO POLICE DEPARTMENT
52,000
THE ANTICRUELTY SOCIETY
157 WEST GRAND AVENUE
CHICAGO
,
IL
60654
PC
CAERUS GRANT APPLICATION OUTREACH PROGRAMS
50,000
THE CHICAGO HIGH SCHOOL FOR THE ARTS
2714 W AUGUSTA BLVD
CHICAGO
,
IL
60622
PC
201920 CHIARTS OUTREACH PROGRAMMING: NOVICE ARTS ACCESS
100,000
THE HALO TRUST USA INC
1730 RHODE ISLAND AVENUE NW SUITE
206
WASHINGTON
,
DC
20036
PC
1:1 MATCHING FUNDS TO ACHIEVE FULL MINE CLEARANCE IN KOSOVO AND NAGORNO KARABAKH
520,497
THE HALO TRUST USA INC
1730 RHODE ISLAND AVENUE NW SUITE
206
WASHINGTON
,
DC
20036
PC
1:1 MATCHING FUNDS TO ACHIEVE FULL MINE CLEARANCE IN KOSOVO AND NAGORNO KARABAKH
36,177
THE HALO TRUST USA INC
1730 RHODE ISLAND AVENUE NW SUITE
206
WASHINGTON
,
DC
20036
PC
HALO ANGOLA AND TRAINING
50,000
THE HALO TRUST USA INC
1730 RHODE ISLAND AVENUE NW SUITE
206
WASHINGTON
,
DC
20036
PC
1:1 MATCHING FUNDS TO ACHIEVE FULL MINE CLEARANCE IN KOSOVO AND NAGORNO KARABAKH
1,837,692
THE PEOPLE'S MUSIC SCHOOL
931 W EASTWOOD AVENUE
CHICAGO
,
IL
60640
PC
THE PEOPLE'S MUSIC SCHOOL SOUTH SIDE PROGRAMS '19'21
250,000
THE RESURRECTION PROJECT
1818 S PAULINA
CHICAGO
,
IL
60608
PC
CAPACITY BUILDING SUPPORT FOR TRP: BEYOND PILSEN
1,500,000
TRICITY FAMILY SERVICES
1120 RANDALL COURT
GENEVA
,
IL
60134
PC
WILDERNESS CHALLENGE PROGRAM, CHICK CHAT AND CORE
20,000
TUTORING CHICAGO
2145 NORTH HALSTED
CHICAGO
,
IL
60614
PC
FIVE YEAR EXPANSION INITIATIVE
309,802
TUTORING CHICAGO
2145 NORTH HALSTED
CHICAGO
,
IL
60614
PC
FY20/FY21 GENERAL OPERATING SUPPORT
50,000
UP ON TOP
1187 FRANKLIN STREET
SAN FRANCISCO
,
CA
94109
PC
UP ON TOP AFTERSCHOOL & SUMMER PROGRAM ('19/'20)
30,000
YOUTH SERVICES OF GLENVIEWNORTHBROOK
3080 WEST LAKE AVENUE
GLENVIEW
,
IL
60026
PC
AFTERSCHOOL PROGRAMMING 2018
35,000
Total
.................................
3a
14,742,219
b
Approved for future payment
826 VALENCIA
826 VALENCIA STREET
SAN FRANCISCO
,
CA
94110
PC
GENERAL PROGRAM SUPPORT IN THE TENDERLOIN AND MISSION LOCATIONS
200,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
PROMISE SCHOLARS: SIXTH COHORT (CLASS OF 2021)
44,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
PROMISE SCHOLARS: SEVENTH COHORT (CLASS OF 2022)
88,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
PROMISE SCHOLARS: EIGHTH COHORT (CLASS OF 2023)
132,000
ATHLETIC SCHOLARS ADVANCEMENT PROGRAM (ASAP)
MISSION HIGH SCHOOL 3750 18TH
STREET ROOM 408
SAN FRANCISCO
,
CA
94114
PC
SUMMER PROGRAMS IN 2019 & 2020
45,000
AUDUBON GREAT LAKES
17 N STATE STREET SUITE 1650
CHICAGO
,
IL
60602
PC
DEEPENING WILD INDIGO COMMUNITY CONSERVATION LEADERSHIP IN CHICAGO AND LAKE COUNTY
90,000
BIG BROTHERS BIG SISTERS OF METROPOLITAN CHICAGO
560 W LAKE ST 5TH FLOOR
CHICAGO
,
IL
60661
PC
PROJECT 6
250,000
BUILD INC
5100 W HARRISON ST
CHICAGO
,
IL
60644
PC
BUILD ACADEMY
90,832
COLLEGE BOUND OPPORTUNITIES
2033 N MILWAUKEE AVENUE SUITE 246
RIVERWOODS
,
IL
60015
PC
SUPPORT FOR 8 SCHOLARS FROM HIGH SCHOOL THROUGH COLLEGE GRADUATION (CLASS OF 2021)
50,000
COLLEGE BOUND OPPORTUNITIES
2033 N MILWAUKEE AVENUE SUITE 246
RIVERWOODS
,
IL
60015
PC
GENERAL PROGRAM SUPPORT
40,000
COLLEGE POSSIBLE
215 W SUPERIOR ST SUITE 300
CHICAGO
,
IL
60654
PC
PROMISE SCHOLARS: FIRST COHORT (CLASS OF 2023)
132,000
COLLEGE POSSIBLE
215 W SUPERIOR ST SUITE 300
CHICAGO
,
IL
60654
PC
FUNDING FOR NEW SCHOOL PARTNER
100,000
DOCTORS WITHOUT BORDERS USA INC
40 RECTOR STREET 16TH FLOOR
NEW YORK
,
NY
10006
PC
5 YEARS OF GENERAL OPERATING SUPPORT, IN THE AMOUNT OF $500,000 PER YEAR
500,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: SIXTH COHORT (CLASS OF 2021)
44,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: SEVENTH COHORT (CLASS OF 2022)
80,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: EIGHTH COHORT (CLASS OF 2023)
120,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
COLLEGE SUCCESS PROGRAM
55,000
FIRST GRADUATE
2973 16TH STREET SUITE 400
SAN FRANCISCO
,
CA
94103
PC
GENERAL OPERATING
100,000
FRIENDS OF THE FOREST PRESERVES
411 S WELLS ST SUITE 300
CHICAGO
,
IL
60607
PC
NORTH BRANCH CONSERVATION CORPS
200,000
GIRL SCOUTS OF GREATER CHICAGO AND NORTHWEST INDIANA
20 S CLARK STREET SUITE 200
CHICAGO
,
IL
60603
PC
GIRLSPACE PROGRAM
45,000
GLOBAL HEALTH CORPS
ONE PENN PLAZA SUITE 6271
NEW YORK
,
NY
10001
PC
3-YEAR SUPPORT FOR GHC FELLOWSHIP PROGRAM AND STRATEGIC GROWTH
125,000
GLOBAL STRATEGIES
828 SAN PABLO AVENUE SUITE 260
ALBANY
,
CA
94706
PC
SUPPORTING CORE HEALTH CARE PROGRAMS
1,200,000
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STREET
CHICAGO
,
IL
60626
PC
PROMISE SCHOLARS: SIXTH COHORT (CLASS OF 2021)
44,000
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STREET
CHICAGO
,
IL
60626
PC
PROMISE SCHOLARS: SEVENTH COHORT (CLASS OF 2022)
88,000
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STREET
CHICAGO
,
IL
60626
PC
PROMISE SCHOLARS: EIGHTH COHORT (CLASS OF 2023)
132,000
JOE GOODE PERFORMANCE GROUP
499 ALABAMA ST 150
SAN FRANCISCO
,
CA
94110
PC
"INSPIRED BODIES" YOUTH DANCE PROGRAMS
20,000
LAKELAND UNIVERSITY
W3718 SOUTH DRIVE
PLYMOUTH
,
WI
53073
PC
2 HURVIS SCHOLARS (CLASS OF 2021)
30,000
LAKELAND UNIVERSITY
W3718 SOUTH DRIVE
PLYMOUTH
,
WI
53073
PC
2 HURVIS SCHOLARS (CLASS OF 2022)
60,000
LAKELAND UNIVERSITY
W3718 SOUTH DRIVE
PLYMOUTH
,
WI
53073
PC
2 HURVIS SCHOLARS (CLASS OF 2023)
90,000
LAKELAND UNIVERSITY
W3718 SOUTH DRIVE
PLYMOUTH
,
WI
53073
PC
2 HURVIS SCHOLARS (CLASS OF 2024)
120,000
MADISON AUDUBON SOCIETY
1400 E WASHINGTON STE 170
MADISON
,
WI
53703
PC
EDUCATION PROGRAMS
60,000
MAG AMERICA
1776 K STREET NW SUITE 350
WASHINGTON
,
DC
20006
PC
LANDMINE CLEARANCE IN CAMBODIA
965,918
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: SIXTH COHORT (CLASS OF 2021)
44,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: SEVENTH COHORT (CLASS OF 2022)
88,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLARS: EIGHTH COHORT (CLASS OF 2023)
132,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PARENT PARTNER PROGRAM
60,000
MISSION GRADUATES
3040 16TH STREET
SAN FRANCISCO
,
CA
94103
PC
PROMISE SCHOLAR STAFFING AND MANAGEMENT
539,716
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
1 HURVIS SCHOLAR (CLASS OF 2021)
12,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
1 HURVIS SCHOLAR (CLASS OF 2022)
24,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
1 HURVIS SCHOLAR (CLASS OF 2023)
36,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE WARDE 206A
CEDAR RAPIDS
,
IA
52402
PC
1 HURVIS SCHOLAR (CLASS OF 2024)
48,000
MUTTVILLE
PO BOX 410207
SAN FRANCISCO
,
CA
94141
PC
SENIORS FOR SENIORS PROGRAM AND HUMANE EDUCATION PROGRAMS
30,000
NATIONAL AUDUBON SOCIETY
225 VARICK ST 7TH FL
NEW YORK
,
NY
10014
PC
CONSERVATION ADVOCACY, POLICY AND GRASSROOTS PROJECTS NATIONALLY AND IN THE GREAT LAKES REGION
2,036,928
NATIONAL FISH AND WILDLIFE FOUNDATION
8011 34TH AVE SOUTH SUITE 242
BLOOMINGTON
,
MN
55425
PC
WISCONSIN GREAT LAKES FUNDING COLLABORATIVE
800,000
NATURAL RESOURCES FOUNDATION OF WISCONSIN
PO BOX 2317
MADISON
,
WI
53701
PC
RESTORATION PROJECTS, EDUCATION PROJECTS AND ADMINISTRATION COSTS OUTRIGHT FUNDS
102,000
NATURAL RESOURCES FOUNDATION OF WISCONSIN
PO BOX 2317
MADISON
,
WI
53701
PC
1:1 MATCHING GRANT FOR EDUCATION PROGRAMS
38,000
NORTHWOODS LAND TRUST
PO BOX 321
EAGLE RIVER
,
WI
54521
PC
SACK LAKE HEMLOCKS CONSERVATION PROJECT
100,000
NORTHWOODS LAND TRUST
PO BOX 321
EAGLE RIVER
,
WI
54521
PC
NORTHWOODS LAKE SHORELINE PROTECTION PROJECT
100,000
ONE MILLION DEGREES
180 N WABASH SUITE 310
CHICAGO
,
IL
60601
PC
SOUTH SIDE PROGRAMS
350,000
PARTNERS IN HEALTH
800 BOYLSTON STREET SUITE 300
BOSTON
,
MA
02199
PC
SEWAFE HEALTH CENTER IN KONO DISTRICT, SIERRA LEONE
300,077
SCHOLARMATCH
849 VALENCIA STREET
SAN FRANCISCO
,
CA
94110
PC
FINANCE DIRECTOR SUPPORT AND PROGRAM SUPPORT
100,000
SKYART
3026 E 91ST STREET
CHICAGO
,
IL
60617
PC
EXPANSION OF PROJECT 3RD SPACE TEEN PROGRAMS
100,000
THE HALO TRUST USA INC
1730 RHODE ISLAND AVENUE NW SUITE
206
WASHINGTON
,
DC
20036
PC
FULL MINE CLEARANCE IN KOSOVO AND NAGORNO KARABAKH: UP TO $7 MILLION AS A 1:1 MATCH
876,509
THE PEOPLE'S MUSIC SCHOOL
931 W EASTWOOD AVENUE
CHICAGO
,
IL
60640
PC
SOUTH SIDE YOUTH ORCHESTRA AND BAND PROGRAMS
250,000
THE RESURRECTION PROJECT
1818 S PAULINA
CHICAGO
,
IL
60608
PC
GENERAL OPERATING SUPPORT
1,500,000
UP ON TOP
1187 FRANKLIN STREET
SAN FRANCISCO
,
CA
94109
PC
AFTER-SCHOOL AND SUMMER PROGRAM SUPPORT
30,000
UP ON TOP
1187 FRANKLIN STREET
SAN FRANCISCO
,
CA
94109
PC
1:1 MATCHING GRANT
10,000
Total
.................................
3b
13,047,980
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
....
01
2,730,610
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
............
532000
266,191
18
7,701,096
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
INCOME FROM PASS-THROUGH INVESTMENTS
532000
-35,048
01
663,111
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
231,143
11,094,817
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
11,325,960
(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