Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 01-01-2019 , and ending 12-31-2019
Name of foundation
NORTHWEST CHARITABLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)100 LIBERTY STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WARREN, PA16365
A Employer identification number

27-1403629
B Telephone number (see instructions)

(814) 728-7260
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$22,407,667
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 15 15  
4 Dividends and interest from securities... 953,723 953,723  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 953,738 953,738  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,318 1,318    
c Other professional fees (attach schedule).... 23,110 23,110    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 11,700      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 70     70
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 36,198 24,428   70
25 Contributions, gifts, grants paid....... 1,193,478 1,193,478
26 Total expenses and disbursements. Add lines 24 and 25 1,229,676 24,428   1,193,548
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -275,938
b Net investment income (if negative, enter -0-) 929,310
c Adjusted net income (if negative, enter -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
Assets 1 Cash—non-interest-bearing............. 82,306 755 755
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 12,775,650 Click to see attachment12,775,650 21,245,906
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,353,080 Click to see attachment1,158,693 1,161,006
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 14,211,036 13,935,098 22,407,667
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 14,211,036 13,935,098
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
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)..... 14,211,036 13,935,098
30 Total liabilities and net assets/fund balances (see instructions). 14,211,036 13,935,098
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
14,211,036
2
Enter amount from Part I, line 27a .....................
2
-275,938
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
13,935,098
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
13,935,098
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.)
1a
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018 1,252,220 23,203,065 0.053968
2017 1,313,007 23,086,162 0.056874
2016 975,848 21,271,415 0.045876
2015 1,007,263 18,712,325 0.053829
2014 872,356 19,334,235 0.045120
2
Total of line 1, column (d) .....................
2
0.255667
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
0.051133
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
22,811,518
5
Multiply line 4 by line 3......................
5
1,166,421
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
9,293
7
Add lines 5 and 6........................
7
1,175,714
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,193,548
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 Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 9,293
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 9,293
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 9,293
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 9,644
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 9,644
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 351
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet351 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
    bulletPA
    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 addressbulletN/A
    14
    The books are in care ofbulletT KAY EADIE Telephone no.bullet (814) 728-7260

    Located atbullet100 LIBERTY STREETWARRENPA ZIP+4bullet16365
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2019?.............
    1c
     
     
    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?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    T KAY EADIE SECRETARY
    1.00
    0 0 0
    100 LIBERTY STREET
    WARREN,PA16365
    WILLIAM W HARVEY JR VP/TREASURER
    1.00
    0 0 0
    100 LIBERTY STREET
    WARREN,PA16365
    JOHN P MEEGAN DIRECTOR
    1.00
    0 0 0
    100 LIBERTY STREET
    WARREN,PA16365
    PHILIP M TREDWAY DIRECTOR
    1.00
    0 0 0
    100 LIBERTY STREET
    WARREN,PA16365
    SONIA M PROBST DIRECTOR
    1.00
    0 0 0
    100 LIBERTY STREET
    WARREN,PA16365
    RONALD J SEIFFERT PRESIDENT
    1.00
    0 0 0
    100 LIBERTY STREET
    WARREN,PA16365
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    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.............bullet  
    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 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    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
    22,882,055
    b
    Average of monthly cash balances.......................
    1b
    276,847
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    23,158,902
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    23,158,902
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    347,384
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    22,811,518
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,140,576
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,140,576
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    9,293
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    9,293
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,131,283
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    1,131,283
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,131,283
    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
    1,193,548
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    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
    1,193,548
    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
    9,293
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,184,255
    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 1,131,283
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2019:
    a From 2014......  
    b From 2015......  
    c From 2016......  
    d From 2017...... 125,978
    e From 2018...... 109,603
    fTotal of lines 3a through e........ 235,581
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 1,193,548
    a Applied to 2018, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2019 distributable amount..... 1,131,283
    e Remaining amount distributed out of corpus 62,265
    5 Excess distributions carryover applied to 2019.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 297,846
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    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......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2018. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    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) .......
     
    8 Excess distributions carryover from 2014 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......
    297,846
    10 Analysis of line 9:
    a Excess from 2015....  
    b Excess from 2016....  
    c Excess from 2017.... 125,978
    d Excess from 2018.... 109,603
    e Excess from 2019.... 62,265
    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....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 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.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (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)
    aPaid during the year
    A SAFE PLACE
    210 NORTH DRIVE
    WARREN,PA16365
      PC GOLF TOURNAMENT SPONSORSHIP 500
    ACES
    1001 STATE ST
    ERIE,PA16501
      PC PENNSYLVANIA BUSINESS WEEK SPONSORSH 2,400
    ACTIVE AGING INC
    1034 PARK AVE
    MEADVILLE,PA16335
      PC CAPITAL CAMPAIGN LEGACY SPONSORSHIP 5,000
    AFRICAN AMERICAN CHAMBER OF COMMERC
    KOPPERS BUILDING
    PITTSBURGH,PA15219
      PC PROGRAM FUNDING 3,000
    ALL STAR CHARITIES CLASSIC
    PO BOX 82
    BRADFORD,PA16701
      PC 2019 GAME DAY JERSEY SPONSORSHIP 6,000
    AMERICAN CANCER SOCIETY
    10501 EUCLID AVE
    CLEVELAND,OH44106
      PC LORAIN COUNTY LIFE SAVERS BALL SPONS 2,000
    AMERICAN RED CROSS LAKE ERIEHEARLA
    2929 WEST RIVER RD
    ELYRIA,OH44035
      PC DISASTER RELIEF EVENT FUNDING 3,000
    AMERICAN RED CROSS SOUTH CENTRAL PA
    724 S GEORGE ST
    YORK,PA17401
      PC AMERICAN RED CROSS HEROES BREAKFAST 5,000
    ANIMAL WELFARE COUNCIL FO THE ALLEG
    1380 SHAWVILLE HWY
    WOODLAND,PA16881
      PC OPERATING EXPENSES 2,500
    ARC HUMAN SERVICES INC
    470 JOHNSON RD
    WASHINGTON,PA15301
      PC PURCHASE & SUPPORT SYSTEM UPDATES 3 10,000
    ART IN THE WILDS
    214 CHEMICAL WORKS ROAD
    KANE,PA16735
      PC FESTIVAL SPONSORSHIP 1,000
    ASHTABULA KIWANIS CLUB
    PO BOX 963
    ASTABULA,OH44005
      PC MLK WEEKEND ORATORICAL CONTEST SPONS 1,000
    AUGUST WILSON CULTURAL CENTER
    980 LIBERTY AVE
    PITTSBURGH,PA15222
      PC SMALL BUSINESS RESOURCE FAIR/AW COMM 5,000
    AUXILIARY OF THE WARREN GENERAL HOS
    2 CRESCENT PARK
    WARREN,PA16365
      PC 2019 GALA SPONSORSHIP 1,000
    BACK TO BASIC OUTREACH MINISTRIES
    520 BROADWAY ST
    BUFFALO,NY14204
      PC PROGRAM FUNDING 1,000
    BISHOP SHEEN HOUSING FOUNDATION IN
    150 FRENCH ROAD
    ROCHESTER,NY14618
      PC CINCO DO MAYO WINE AND BREW GALA SPO 1,000
    BISON FUND
    284 DELAWARE AVE
    BUFFALO,NY14202
      PC CELEBRATION TABLE SPONSORSHIP 1,500
    BLACK ACHIEVERS INC
    395 E FERRY ST 1
    BUFFALO,NY14208
      PC 2019 GALA SPONSORSHIP 5,000
    BLESSING HOUSE
    5440 GROVE AVE
    LORAIN,OH44055
      PC ROCK A BYE BALL SPONSORSHIP 1,000
    BLESSING HOUSE
    5440 GROVE AVE
    LORAIN,OH44055
      PC BE PART OF THE HEART CAPITAL CAMPAIG 5,000
    BLUEPRINTS
    150 W BEAU ST SUITE 304
    WASHINGTON,PA15301
      PC AFI DEPOSIT PROGRAM SUPPORT 5,000
    BNMC
    640 ELLICOTT ST
    BUFFALO,NY14203
      PC COMMUNITY DAYS EVENT SPONSORSHIP 2,500
    BOYS AND GIRLS CLUB BUFFALO
    282 BABCOCK STREET
    BUFFALO,NY14210
      PC JR LAW ENFOREMENT DAY FUNDING 10,000
    BOYS AND GIRLS CLUBS OF LORAIN COUN
    4111 PEARL AVE
    LORAIN,OH44055
      PC PROGRAM FUNDING 1,000
    BOYS AND GIRLS CLUS OF THE NORTHTOW
    54 RIVERDALE AVE
    BUFFALO,NY14207
      PC BIDS FOR KIDS SPONSORSHIP 1,250
    BRADFORD AREA PUBLIC LIBRARY
    67 W WASHINGTON ST
    BRADFORD,PA16701
      PC YOUNG ADULT AUTHOR PROGRAM 2,000
    BRADFORD AREA CHRISTIAN ACADEMY
    25 CHAMBERS ST
    BRADFORD,PA16701
      PC FUNDRAISING CAMPAIGN SUPPORT 1,000
    BRADFORD CREATIVE AND PERFORMING AR
    PO BOX 153
    BRADFORD,PA16701
      PC 2019 SEASON PRESENTING SPONSOR 7,500
    BRADFORD EDUCATIONAL FOUNDATION
    300 CAMPUS DRIVE
    BRADFORD,PA16701
      PC ANNUAL SCHOLARSHIP SUPPORT 5,000
    BRADFORD HOSPITAL AUXILIARY
    116 INTERSTATE PKWY
    BRADFORD,PA16701
      PC DESIGNER PURSE FUNDRAISER 2,500
    BRADFORD HOSPITAL FOUNDATION
    116 INTERSTATE PKWY
    BRADFORD,PA16701
      PC 20198 SPRING SWING SPONSORSHIP 10,000
    BRIDGE BUILDERS COMMUNITY FOUNDATIO
    206 SENECA ST
    OIL CITY,PA16301
      PC 2019 WEEK OF GIVING SPONSOR 5,000
    BROTHERS OF MERCY FACILITIES FOUNDA
    4520 RANSOM RD
    CLARENCE,NY14031
      PC FACILITIES RENOVATIONS 7,500
    BUFFALO NIAGARA PARTNERSHIP
    257 W GENESEE ST
    BUFFALO,NY14202
      PC 2019 DIVERSITY & INCLUSION SYMPOSIUM 5,500
    BUFFALO PREP
    18 ACHESON ANNEX
    BUFFALO,NY14214
      PC ALUMNI PREP PROGRAM SUPPORT 5,000
    BUFFALO URBAN LEAGUE
    15 GENESEE ST
    BUFFALO,NY14203
      PC SCHOLARSHIP AND HOUSING PROGRAM SPON 14,800
    CAMERON COUNTY AMBULANCE SERVICE
    299 EAST 2ND STREET
    EMPORIUM,PA15834
      PC SERVICE ENHANCEMENT FUNDING 1,000
    CAMERON COUNTY COMMUNITY CHEST
    PO BOX 134
    EMPORIUM,PA15834
      PC 2019 ANNUAL CONTRIBUTION 2,500
    CAMERON COUNTY OUTDOOR YOUTH ACTIVI
    174 NICKLER RD
    EMPORIUM,PA15834
      PC PROGRAM SUPPORT 2,500
    CENTER FOR EMPLOYMENT OPPORTUNITIES
    170 FRANKLIN STREET
    BUFFALO,NY14202
      PC PROGRAM FUNDING 5,000
    CENTRAL PA INSTITUTE
    540 N HARRISON RD
    PLEASANT GAP,PA16823
      PC TECHNICAL PROGRAM FUNDING 2 OF 3 3,333
    CENTRE COUNTY HABITAT FOR HUMANITY
    1155 ZION ROAD
    BELLEFONTE,PA16823
      PC PROGRAM FUNDING 2,000
    CENTRE COUNTY UNITED WAY
    126 W PINE GROVE ROAD PO
    PINE GROVE MILLS,PA16868
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 5,000
    CGLI
    726 EXCHANGE ST
    BUFFALO,NY14212
      PC INNER CITY YOUTH PROGRAM FUNDING 2,500
    CHAUTAUQUA COUNTY HABITAT FOR HUMAN
    2 ACADEMY ST
    MAYVILLE,NY14757
      PC PROGRAM FUNDING 2,000
    CHIEF CORNPLANTER COUNCIL BSA
    316 FOURTH AVENUE
    WARREN,PA16365
      PC 2019 FRIENDS OF SCOUTING CAMPAIGN 1,000
    CHRIC
    2 ACADEMY ST
    MAYVILLE,NY14757
      PC PROGRAM FUNDING 1,000
    CHRISTIAN LIFE ACADEMY
    3973 STATE RTE 257
    SENECA,PA16346
      PC PROGRAM FUNDING 1,500
    CLEARFIELD AREA UNITED WAY
    18 N 2ND STREET SUITE 4
    CLEARFIELD,PA16830
      PC 2019 ANNUAL CAMPAIGN CONTRBUTION 4,000
    CLEARWATER CONSERVANCY OF CENTRAL P
    2555 N ATHERTON ST
    STATE COLLEGE,PA16803
      PC COMMUNITY GIVING (3 OF 3) 2,500
    CLINTON COUNTY UNITED WAY
    2975 EAGLE VALLEY RD
    MILL HILL,PA17751
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 1,500
    COMMONWEALTH CHARITABLE MANAGEMENT
    270 LAKE AVE
    MONTROSE,PA18801
      PC EVERFI ENGAGE 35,000
    COMMONWEALTH CHARITABLE MANAGEMENT
    270 LAKE AVE
    MONTROSE,PA18801
      PC 2019 ANNUAL EVERFI PAYMENT 212,500
    COMMUNITY BLOOD BANK
    2646 PEACH ST
    ERIE,PA16508
      PC SUMMER OF 72 CAMPAIGN SPONSORSHIP 2,000
    COMMUNITY FIRST FUND
    51 S DUKE STREET
    LANCASTER,PA17602
      PC PROJECT FINANCING 2,500
    COMMUNITY FOUNDATION OF GREATER BUF
    726 EXCHANGE STREET
    BUFFALO,NY14210
      PC EASTSIDE CORRIDOR ECOOMIC DEVELPMENT 20,000
    COMMUNITY FOUNDATION OF WARREN COUN
    310 2ND AVE
    WARREN,PA16365
      PC WARREN GIVES 5,000
    COMMUNITY HELP CENTRE
    410 S FRASER ST
    STATE COLLEGE,PA16801
      PC HOTLINE AND CRISIS SERVICES SUPPORT 1,500
    COMMUNITY SHELTER SERVICES INC
    655 WEST 16TH ST
    ERIE,PA16502
      PC PROGRAM FUNDING 2,000
    CULTURAL ALLIANCE OF YORK COUNTY
    14 W MARKET ST
    YORK,PA17401
      PC PROGRAM FUNDING (1 OF 2) 4,250
    DEVELOPING OWN OPPS FOR RESIDENTS D
    134 S HIGHLAND AVE
    PITTSBURGH,PA15206
      PC HOMEBUYER WORKSHOP SPONSORSHIP 750
    DUBOIS AREA UNITED WAY
    223 S JARED STREET
    DUBOIS,PA15801
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 1,500
    EAGLE'S NEST LEADERSHIP CORPORATION
    1129 PENNSYLVANIA AVE
    ERIE,PA16503
      PC PROGRAM FUNDING 2,500
    EL CENTRO
    2800 PEARL AVENUE
    LORAIN,OH44055
      PC ANNUAL GALA SPONSORSHIP 5,000
    ELLWOOD CITY UNITED FUND
    PO BOX 174
    ELLWOOD CITY,PA16117
      PC ANNUAL CAMPAIGN CONTRIBUTION 500
    ERIE DAWN
    2549 WEST 8TH STREET
    ERIE,PA16505
      PC SILVER LEVEL SPONSORSHIP SPRING INT 2,500
    ERIE LIONS CLUB
    2545 WEST 26TH STREET
    ERIE,PA16505
      PC SAVE AN EYE FUND 2,500
    EXCHANGE CLUB OF BRADFORD
    679 W WASHINGTON ST
    BRADFORD,PA16701
      PC ANNUAL BOWLING EXPO SPONSORSHIP 2,500
    FAMILY SERVICES OF NW PA
    5100 PEACH ST
    ERIE,PA16509
      PC ANNUAL MEETING SUPPORTING SPONSOR 2,000
    FAMILY SERVICES OF WARREN COUNTY
    589 HOSPITAL DRIVE SUITE
    WARREN,PA16365
      PC SIDEWALK CHALK COMPETITION SPONSORSH 2,000
    FIREFISH ARTS INC
    520 BROADWAY
    LORAIN,OH44052
      PC FIRE FISH FESTIVAL SPONSORSHIP 2,500
    FIRST UNITED METHODIST CHURCH
    23 CHAMBER ST
    BRADFORD,PA16701
      PC LIVE 2 LEAD EVENT SPONSORSHIP 1,000
    FLOWER CITY HABITAT FOR HUMANITY
    755 CULVER RD
    ROCHESTER,NY14609
      PC PROGRAM FUNDING 2,000
    FOUNDATION FOR FREE ENTERPRISE
    3076 W 12TH ST
    ERIE,PA16505
      PC PENNSYLVANIA FREE ENTERPRISE WEEK SP 2,500
    FRENCH CREEK FAMILY YMCA
    2010 RECREATION LANE
    AVON,OH44011
      PC REIGNITE FAMILY PROGRAM SPONSORSHIP 3,000
    FRUIT BELT COALITION
    150 MAPLE STREET
    BUFFALO,NY14204
      PC CHRISTMAS IN THE CITY SPONSORSHIP 1,000
    FULTON THEATRE
    12 N PRINCE ST
    LANCASTER,PA17608
      PC CAPITAL CAMPAIGN MULTIYEAR 1 OF 5 5,350
    GIRL SCOUTS OF WNY
    3332 WALDEN AVE STE 106
    BUFFALO,NY14043
      PC PROGRAM FUNDING 2,500
    GROVE CITY AREA UNITED WAY
    119 S BROAD ST
    GROVE CITY,PA16127
      PC ANNUAL CAMPAIGN CONTRIBUTION 1,000
    GUARDIAN ANGEL CENTER INC
    616 SUNSET RD
    ST MARYS,PA15857
      PC EXPANSION PROJECT FUNDING 1 OF 3 5,000
    GUTHRIE MEMORIAL LIBRARY
    2 LIBRARY PLACE
    HANOVER,PA17331
      PC HANOVERS PUBLIC LIBRARY 2 OF 2 5,000
    HABITAT FOR HUMANITY GREATER CENTRE
    1155 ZION ROAD
    BELLEFONTE,PA16823
      PC PROGRAM FUNDING 3,000
    HEADWATERS CHARITABLE TRUST
    434 STATE STREET SUITE 1
    CURWENSVILLE,PA16833
      PC GREEN JOB CREATION PROJECT (1 OF 3) 5,000
    HEARTS OF PATRIOTS
    101 DENISON AVE
    ELYRIA,OH44035
      PC PTSD PILOT EDUCATIONAL PROGRAM 500
    HERSHEY FOOD BANK & COMM OUTREACH
    120 EAST DERRY ROAD
    HERSHEY,PA17033
      PC PROGRAM FUNDING 2 OF 2 2,500
    HOME
    1542 MAIN STREET
    BUFFALO,NY14209
      PC ANNUAL CELEBRATION SPONSORSHIP 3,000
    HOOKTOWN HOLIDAY INC
    PO BOX 1751
    WARREN,PA16365
      PC ANNUAL HOLIDAY SUPPORT 500
    HOPE INITATIVE CDC INC
    506 W BROAD ST
    ROCHESTER,NY14608
      PC PROGRAM FUNDING 2,500
    HOUSE OF HOPE
    PO BOX 881
    WARREN,PA16365
      PC PROGRAM SUPPORT 1,500
    HOUSING ALLIANCE OF PA
    309 FLORENCE AVENUE SUIT
    JENKINTOWN,PA17044
      PC 2019 HOMES WITHIN REACH CONFERENCE S 2,250
    HOUSING TRANSITIONS INC
    217 EAST NITTANY AVENUE
    STATE COLLEGE,PA16801
      PC THE CENTRE HOUSE SHELTER FUNDING 2,000
    HUNTINGDON'S DISEASE SOCIETY OF AME
    26171 OSBORN ROAD
    COLUMBIA STATION,OH44028
      PC PROGRAM SPONSORSHIP 1,000
    HUNTINGDON COUNTY UNITED WAY
    1200 SUSQUEHANNA AVE
    HUNTINGDON,PA16652
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 1,500
    IMANI SUMMER ACADEMY
    2150 E HILLS DR
    PITTSBURGH,PA15221
      PC ACADEMY PROGRAM FUNDING 15,000
    IROQUOIS SCHOOL DISTRICT FOUNDATION
    800 TYNDALL AVE
    ERIE,PA16511
      PC SUPPLEMENTAL EDUCATION OPPORTUNITIES 5,000
    JAMESTOWN RENAISSANCE
    301 E SECOND ST
    JAMESTOWN,NY14701
      PC PROGRAM FUNDING 2,000
    JEFFERSON DEFREES FAMILY CENTER
    207 SECOND AVE
    WARREN,PA16365
      PC TOUCH A TRUCK EVENT SPONSORSHIP 2,500
    JEFFERSON DEFREES FAMILY CENTER
    207 SECOND AVE
    WARREN,PA16365
      PC TOUCH A TRUCK EXCAVATOR LEVEL SPONSO 1,000
    JEFFERSON EDUCATIONAL SOCIETY
    3207 STATE ST
    ERIE,PA16508
      PC GLOBAL SUMMIT SPONSORSHIP 2,500
    JOHNSTOWN AREA REGIONAL INDUSTRIES
    245 MARKET ST
    JOHNSTOWN,PA15901
      PC SKILL TRAINING PROGRAM SUPPORT 1,000
    JUBILEE MINISTRIES
    235 S 12 ST
    LEBANON,PA17042
      PC DIGITAL SIGN PROJECT SPONSORSHIP (1 7,500
    JUNETEENTH FESTIVAL INC
    1517 GENESEE ST
    BUFFALO,NY14211
      PC JUNETEENTH FESTIVAL SPONSORSHIP 5,000
    JUNIOR ACHIEVEMENT
    275 OAK ST
    BUFFALO,NY14203
      PC JA STOCK MARKET CHALLENGE 2 OF 3 20,000
    JUNIOR ACHIEVEMENT OF WNY
    6255 SHERIDAN DR
    WILLIAMSVILLE,NY14221
      PC BOWLATHAN SPONSORSHIP 670
    LAKEWOOD MEMORIAL LIBRARY
    12 WEST SUMMIT STREET
    LAKEWOOD,NY14750
      PC OPERATIONAL FUNDING 1,500
    LANCASTER SCIENCE FACTORY
    454 NEW HOLLAND AVENUE
    LANCASTER,PA17602
      PC PROGRAM FUNDING 2,500
    LCADA
    2115 W PARK DR
    LORAIN,OH44053
      PC PEARLS OF WISDOM ANNUAL BENEFIT AND 2,500
    LORAIN COUNTY COMM COLLEGE FOUNDATI
    1005 ABBE ROAD NORTH CC22
    ELYRIA,OH44035
      PC ROY AND BOBBI CHURCH LEADERSHIP INST 3,000
    LORAIN COUNTY HEALTH & DENTISTRY
    1205 BROADWAY
    LORAIN,OH44052
      PC NURSING STATION SPONSORSHIP 4 OF 4 5,000
    LORAIN COUNTY MANUFACTURING COUNCIL
    36341 BEHM DRIVE
    RIDGEVILLE,OH44039
      PC PROGRAM FUNDING 3,000
    LORAIN JEWISH WELFARE FUND
    26 NORTH CEDAR ST
    OBERLIN,OH44074
      PC ABI HOLOCAUST PROGRAM FUND SUPPORT 1,000
    LYCOMING COUNTY HABITAT FOR HUMANIT
    335 ROSE ST
    WILLIAMSPORT,PA17701
      PC PROGRAM FUNDING 2,000
    LYCOMING COUNTY UNITED WAY
    1 W THRID ST SUITE 208
    WILLIAMSPORT,PA17701
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 1,500
    MAIN STREET LORAIN
    201 W 5TH ST
    LORAIN,OH44052
      PC MAIN STREET LORAIN WELCOM CENTER TIT 3,600
    MCKEAN COUNTY COMMUNITY FOUNDATION
    PO BOX 708
    BRADFORD,PA16701
      PC START-UP ADMINISTRATIVE START UP FUN 5,000
    MCKEAN COUNTY HABITAT FOR HUMANITY
    54 EAST CORYDON ST
    BRADFORD,PA16701
      PC PROGRAM FUNDING 2,000
    MERCY HEALTH FOUNDATION LORAIN
    360 CLEVELAND AVE
    AMHERST,OH44001
      PC COMMUNITY OUTREACH/WOMEN'S HEALTH CE 10,000
    MOUNT NITTANY HEALTH
    1800 E PARK AVENUE
    STATE COLLEGE,PA16803
      PC OPEN STREETS PROGRAM PARTNERSHIP (2 3,333
    MOVE LORAIN COUNTY
    642 BORADWAY
    LORAIN,OH44052
      PC PROGRAM FUNDING 2,500
    MT OLIVE DEVELOPMENT CORP
    701 E DELAVAN AVE
    BUFFALO,NY14215
      PC BACK TO BACKPACKS FUNDING 1,000
    NEIGHBORHOOD ALLIANCE
    1536 E 30TH ST
    LORAIN,OH44055
      PC OPERATING EXPENSES 500
    NEIGHBORHOOD ALLIANCE
    1536 E 30TH ST
    LORAIN,OH44055
      PC PROGRAM FUNDING 3,500
    NET POSITIVE
    298 NORTHHAMPTON ST
    BUFFALO,NY14208
      PC PROGRAM FUNDING 2,500
    NIAGARA FALLS MEMORIAL MEDICAL CTR
    621 10TH ST
    NIAGARA FALLS,NY14301
      PC THE PREMIER GALA SPONSORSHIP 3,500
    NORTH COAST COMMUNITY HOMES
    14221 BROADWAY AVE
    GARFIELD HEIGHTS,OH44125
      PC SAFETY RENOVATIONS 1,000
    NORTH SIDE LEADERSHIP DEVELOPMENT C
    592 FOBES AVE
    PITTSBURGH,PA15219
      PC ANNUAL MWDBE CONFERENCE SPONSORSHIP 500
    NORTHERN PENNSYLVANIA REGIONAL COLL
    119 MARKET ST
    WARREN,PA16365
      PC SCHOLARSHIP FUNDING (1 OF 2) 5,000
    NORTHLAND PUBLIC LIBRARY FOUNDATION
    300 CUMBERLAND RD
    PITTSBURGH,PA15237
      PC GARDEN WALL NAMING RIGHTS 3 OF 3 5,000
    NORTHLAND WORKFORCE TRAINING CENTER
    683 NORTHLAND AVE
    BUFFALO,NY14211
      PC GOLD LEVEL SPONSORSHIP - AWARDS CELE 5,000
    NUEVA LUZ URBAN RESOURCE CENTER
    2226 W 89TH ST
    CLEVELAND,OH44102
      PC NOCHE DE LUZ SPONSORSHIP 1,000
    OBERLIN EARLY CHILDHOOD CENTER
    23 ERIC NORD WAY
    OBERLIN,OH44074
      PC ON TRACK FOR KINDERGARTEN LITERACY K 5,000
    OPEN BUFFALO
    1327 JEFFERSON ST
    BUFFALO,NY14208
      PC PROGRAM FUNDING 2,500
    PA WILDS CENTER
    5311 ROUTE 957
    RUSSELL,PA16345
      PC MEDIA LAB PROJECT FUNDING 5,000
    PAPPY MARTIN LEGACY JAZZ COLLECTIVE
    136 MERCER ST
    BUFFALO,NY14214
      PC PLATINUM LEVEL FESTIVAL SPONSORSHIP 2,500
    PARTNER 4 WORK
    650 SMITHFIELD ST
    PITTSBURGH,PA15222
      PC BANKWORK COHORT FUNDING 10,000
    PENN HIGHLANDS HEALTHCARE
    100 HOSPITAL AVENUE
    DUBOIS,PA15801
      PC MASTER FACILITIES PLAN 2 OF 3 10,000
    PENNYSYLVANIA STATE SHOTGUNNING ASS
    405 MONASTERY ROAD
    ELYSBURG,PA17824
      PC ELYSBURG FACILITIES EXPANSION 2,500
    PINE VALLEY CAMP
    504 CHAPEL DR
    ELLWOOD CITY,PA16117
      PC CAPITAL CAMPAIGN 3 OF 3 7,500
    PITTSBURGH COMMUNITY REINVESTMENT G
    1901 CENTRE AVENUE
    PITTSBURGH,PA15219
      PC COMMUNITY DEVELPMENT SUMMIT SPONSORS 2,500
    POTTER COUNTY EDUCATION COUNCIL
    PO BOX 95
    SPRING CREEK,PA16436
      PC GOVERNMENT OUTREACH PROGRAM FUNDING 2,500
    POTTER COUNTY EDUCATION COUNCIL
    5 WATER ST
    COUDERSPORT,PA16915
      PC SENIORS 2 SENIORS TECHNOLOGY COURSE 1,000
    POTTER COUNTY HABITAT FOR HUMANITY
    1423 E 2ND ST
    COUDERSPORT,PA16915
      PC PROGRAM FUNDING 2,000
    PROVIDENCE HEIGHTS ALPHA SCHOOL
    9000 BABCOCK BLVD
    ALLISON PARK,PA15101
      PC GALA SPONSORSHIP 5,000
    PUSH BUFFALO
    429 PLYMOUTH AVE
    BUFFALO,NY14213
      PC BUILDING BLOCKS BREAKFAST SPONSORSHI 2,500
    RESOURCE COUNCIL OF WNY INC
    347 EAST FERRY ST
    BUFFALO,NY14208
      PC AFTER-SCHOOL PROGRAM FUNDING (1 OF 4 5,000
    RESOURCE COUNCIL OF WNY INC
    347 EAST FERRY ST
    BUFFALO,NY14208
      PC PREPAYMENT OF 2020 COMMITTMENT 2 OF 5,000
    RESPONSIVE TO OUR COMMUNITY
    PO BOX 11255
    SYRACUSE,NY13218
      PC AFFORDABLE HOUSING PROGRAM SPONSORSH 3,000
    RONALD MCDONALD CHARITIES OF CENTRA
    745 W GOVERNOR RD
    HERSHEY,PA17033
      PC PROGRAM FUNDING (1 OF 2) 2,500
    RUSSIAN ORTHODOX CHURCH OF THE NATI
    109 GERMAN ST
    ERIE,PA16507
      PC BARYNYA FESTIVAL SPONSORSHIP 2,500
    SALVATION ARMY LEBANON CORPS
    1031 GUILFORD ST
    LEBANON,PA17046
      PC PROGRAM FUNDING (1 OF 2) 1,000
    SAY YES BUFFALO
    712 MAIN ST
    BUFFALO,NY14202
      PC PROGRAM FUNDING 5,000
    SECOND HARVEST FOOD BANK
    1507 GRIMM DR
    ERIE,PA16501
      PC EMPTY BOWLS EVENT SPONSORSHIP 2,000
    SECOND HARVEST FOOD BK OF NCENTRAL
    5510 BAUMHART RD
    LORAIN,OH44053
      PC HARVEST FOR HUNGER MATCHING FUNDS 5,000
    SHEFFIELD AREA ECUMENICAL FOOD PANT
    PO BOX 721
    SHEFFIELD,PA16347
      PC FOOD DISTRIBUTION PROGRAM FUNDING 2,500
    SMALL BUSINESS JUMP START
    206 SENECA ST
    OIL CITY,PA16301
      PC ENTREPRENEUR PROGRAM SPONSORSHIP 1,000
    SMALL BUSINESS JUMP START
    206 SENECA ST
    OIL CITY,PA16301
      PC PROGRAM FUNDING 1,000
    SOUL TO SOLE
    PO BOX 541
    AVON,OH44011
      PC PROGRAM FUNDING 1,500
    SPECIAL OLYMPICS OF WARREN COUNTY
    PO BOX 752
    WARREN,PA16365
      PC GOLF TOURNAMENT SPONSORSHIP 3,000
    SPECIAL OLYMPICS PENNSYLVANIA INC
    200 CEDAR RIDGE DR 214
    PITTSBURGH,PA15205
      PC BEAVER STADIUM RUN 3 OF 3 2,000
    SPIRITUS CHRISTI PRISON OUTREACH I
    934 CULVER RD
    ROCHESTER,NY14609
      PC SNEAKER BALL SPONSORSHIP 1,000
    ST CHRISTOPHERS CATHOLIC SCHOOL
    2660 NIAGARA FALLS BLVD
    TONAWANDA,NY14150
      PC ANNUAL GALA SPONSORSHIP 1,000
    ST LEO SCHOOL
    125 DEPOT ST
    RIDGWAY,PA15853
      PC CLASSICAL ACADEMY ENDOWMENT FUNDING 7,500
    ST MARTIN'S CENTER
    1701 PARADE STREET
    ERIE,PA16503
      PC CELESTIAL SOIREE SPONSORSHIP 5,000
    ST MARYS UNITED WAY
    44 SOUTH STREET
    ST MARYS,PA15857
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 1,800
    STRUTHERS LIBRARY THEATRE
    302 WEST THIRD AVE
    WARREN,PA16365
      PC RETIRE THE DEBT CAMPAIGN 5,000
    STRUTHERS LIBRARY THEATRE
    302 WEST THIRD AVE
    WARREN,PA16365
      PC EVENT SPONSOR - FOGHAT 25,000
    T3 SPORTS FOUNDATION
    1965 RECREATION LANE
    AVON,OH44011
      PC T3 PERFORMANCE 5K RUN 2,500
    THE DOWNTOWN COMMUNITY DEVELOPMENT
    100 FIFTH AVE
    PITTSBURGH,PA15222
      PC PROGRAM FUNDING 1,000
    THE ERIE COMMUNITY FOUNDATION
    459 WEST 6TH STREET
    ERIE,PA16507
      PC ERIE GIVES 10,000
    THE ERIE DOWNTOWN DEVELOPMENT CORP
    100 STATE ST STE 700
    ERIE,PA16057
      PC DOWNTOWN REDEVELOPMENT/REVITALIZATIO 25,000
    THE JARED BOX PROJECT
    129 FENWICK DRIVE
    PORT MATILDA,PA16870
      PC PROJECT SUPPLIES 1,000
    THE LEARNING CENTER
    90 JACKSON AVE
    BRADFORD,PA16701
      PC PROGRAM FUNDING 1,271
    THE MARY LEE TUCKER FUND INC
    2500 WEST ERIE AVE
    LORAIN,OH44052
      PC WINTER SEASON CLOTHING PURCHASE 5,000
    THE ROUSE
    701 ROUSE AVE
    YOUNGSVILLE,PA16731
      PC SEPTEMBER SWING GOLF OUTING 5,000
    THE SALVATION ARMY
    311 BEECH STREET
    WARREN,PA16365
      PC ANNUAL RED KETTLE KICK-OFF BREAKFAST 1,000
    THE USA YOUTH FLY FISHING TEAM
    PO BOX 751
    STATE COLLEGE,PA16804
      PC TEAM PROGRAM FUNDING 2,000
    UNITED FUND OF CORRY
    PO BOX 145
    CORRY,PA16407
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 700
    UNITED FUND OF WARREN COUNTY
    308 MARKET STREET PO BOX
    WARREN,PA16365
      PC ADDITIONAL 2018 CAMPAIGN CONTRIBUTIO 4,000
    UNITED FUND OF WARREN COUNTY
    308 MARKET STREET PO BOX
    WARREN,PA16365
      PC EMPLOYEE MATCH - ANNUAL CAMPAIGN CON 60,000
    UNITED WAY BRADFORD AREA
    161 MAIN STREET PO BOX 5
    BRADFORD,PA16701
      PC ANNUAL PIG ROAST/CLAM BAKE 2,000
    UNITED WAY BRADFORD AREA
    161 MAIN STREET PO BOX 5
    BRADFORD,PA16701
      PC ANNUAL CAMPAIGN CONTRIBUTION 4,350
    UNITED WAY OF CRAWFORD COUNTY
    415 CHESTNUT ST
    MEADVILLE,PA16335
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 3,000
    UNITED WAY OF ERIE COUNTY
    420 W 6TH STREET SUITE 20
    ERIE,PA16507
      PC ERIE FREE TAX PROGRAM SPONSORSHIP 2,500
    UNITED WAY OF ERIE COUNTY
    420 W 6TH STREET SUITE 20
    ERIE,PA16507
      PC ANNUAL CAMPAIGN CONTRIBUTION 16,163
    UNITED WAY OF GREATER BUFFALO
    742 DELAWARE AVE
    BUFFALO,NY14209
      PC ANNUAL CAMPAIGN CONTRIBUTION 10,000
    UNITED WAY OF GREATER LORAIN COUNTY
    642 BROADWAY AVE
    LORAIN,OH44052
      PC ANNUAL CAMPAIGN CONTRIBUTION 6,000
    UNITED WAY OF GREATER NIAGARA
    41 MAIN STREET 7
    LOCKPORT,NY14094
      PC ANNUAL CAMPAIGN CONTRIBUTION 5,000
    UNITED WAY OF GREATER ROCHESTER
    75 COLLEGE AVE
    ROCHESTER,NY14607
      PC ANNUAL CAMPAIGN CONTRIBUTION 5,000
    UNITED WAY OF MIFFLIN-JUNIATA
    13 EAST THIRD STREET
    LEWISTOWN,PA17044
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 1,500
    UNITED WAY OF SOUTHERN CHAUTAUQUA C
    413 NORTH MAIN STREET
    JAMESTOWN,NY14701
      PC ANNUAL CAMPAIGN CONTRIBUTION 12,500
    UNITED WAY OF SOUTWEST PA
    1250 PENNSYLVANIA AVE
    PITTSBURGH,PA15230
      PC ANNUAL CAMPAIGN COMPANY MATCH 20,100
    UNITED WAY OF THE LAUREL HIGHLANDS
    422 MAIN STREET STE 203
    JOHNSTOWN,PA15901
      PC 2019 ANNUAL CAMPAIGN CONTRIBUTION 5,000
    UNITED WAY OF THE TITUSVILLE REGION
    208 W SPRING ST
    TITUSVILLE,PA16354
      PC ANNUAL CAMPAIGN CONTRIBUTION 1,800
    UNITED WAY OF VENANGO COUNTY
    1999 ALLEGHENY AVENUE
    RENO,PA16343
      PC ANNUAL CAMPAIGN CONTRIBUTION 3,500
    UNIVERSITY OF PITTSBURGH BRADFORD
    300 CAMPUS DRIVE
    BRADFORD,PA16701
      PC ANNUAL SCHOLARSHIP SUPPORT 5,000
    VARIETY CLUB OF BUFFALO
    6114 BROADWAY
    LANCASTER,NY14086
      PC 2019 VARIETY TELETHON SPONSORSHIP 15,000
    VARIETY CLUB OF BUFFALO
    6114 BROADWAY
    LANCASTER,NY14086
      PC TELETHON SPONSORSHIP 5,000
    VETERANS MIRACLE CENTER
    1573 WEST 39TH ST
    ERIE,PA16509
      PC GOOD 360 PROGRAM SUPPORT 2,500
    VOICES FOR INDEPENDENCE
    1432 WILKINS RD
    ERIE,PA16505
      PC ANNUAL GOLF OUTING SPONSORSHIP 3,500
    WARREN AREA STUDENT UNION INC
    330 HICKORY STREET
    WARREN,PA16365
      PC HEATING SYSTEM REPLACEMENT 1,500
    WARREN COUNTY 4TH OF JULY ORGANIZAT
    PO BOX 434
    WARREN,PA16365
      PC 2019 4TH OF JULY CELEBRATION 3,000
    WARREN COUNTY 4TH OF JULY ORGANIZAT
    PO BOX 434
    WARREN,PA16365
      PC 2020 CELEBRATION FUNDING 2,000
    WARREN COUNTY DEVELOPMENT ASSOCIATI
    308 MARKET STREET
    WARREN,PA16365
      PC 300 SECOND AVE. PROJECT FUNDING 10,000
    WARREN COUNTY FAIR ASSOCIATION
    PO BOX 230
    PITTSFIELD,PA16340
      PC MOTORSPORTS ARENA NAMING RIGHTS (3 O 15,500
    WARREN COUNTY YMCA
    212 LEXINGTON AVENUE
    WARREN,PA16365
      PC CAPITAL CAMPAIGN 3 OF 3 30,000
    WARREN GENERAL HOSPITAL
    2 CRESCENT PARK WEST
    WARREN,PA16365
      PC 2019 SUMMER SIZZLER GOLF OUTING SPON 5,000
    WEST LAMPETER TOWNSHIP COMM FOUND
    852 VILLAGE ROAD
    LAMPSTER,PA17537
      PC VILLAGE PARK REVITALIZATION 2 OF 3 10,000
    WESTMINSTER ECONOMIC DEVELOP INITIA
    436 GRANT ST
    BUFFALO,NY14213
      PC WINTERFEST 2020 SPONSORSHIP 2,500
    WOMENSAFE INC
    12041 RAVENNA ROAD
    CHARDON,OH44024
      PC PROGRAM FUNDING 1,000
    YMCA OF CENTRE COUNTY
    125 WEST HIGH STREET
    BELLEFONTE,PA16823
      PC PICKLEBALL COURT FUNDING 2,808
    YMCA OF CENTRE COUNTY
    677 W WHITEHALL RD
    STATE COLLEGE,PA16801
      PC AQUATIC EQUIPMENT FUNDING 2 OF 2 2,500
    YMCA OF CORRY
    906 NORTH CENTER STREET
    CORRY,PA16407
      PC CAPITAL CAMPAIGN 1 OF 3 5,000
    YMCA OF FRANKLIN GROVE CITY
    111 W PARK ST
    FRANKLIN,PA16323
      PC BUILDING RENOVATIONS 3 OF 3 10,000
    YMCA OF GREATER ERIE
    31 WEST 10TH STREET
    ERIE,PA16501
      PC ANNUAL CAMPAIGN SPONSORSHIP 2,500
    YMCA OF THE TWIN TIERS
    1020 REED STREET
    OLEAN,NY14760
      PC ANNUAL CONTRIBUTION 2,500
    YORK COUNTY HABITAT FOR HUMANITY
    33 S SEWARD ST
    YORK,PA17404
      PC PROGRAM FUNDING 2,000
    YWCA - BRADFORD
    24 W CORYDON ST
    BRADFORD,PA16701
      PC SWIG & SWINE EVENT SPONSORSHIP 2,500
    Total .................................bullet 3a 1,193,478
    bApproved for future payment
    Total .................................bullet 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.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
        14 15  
    4 Dividends and interest from securities....     14 953,723  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
             
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   953,738  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    953,738
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (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? ...........
    b
    If "Yes," complete the following schedule.

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


    Phone no.
    Form 990-PF (2019)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description