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
YES BEN DOVID FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)300 BLVD OF THE AMERICAS SUITE 105
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAKEWOOD, NJ08701
A Employer identification number

13-4120047
B Telephone number (see instructions)

(732) 380-4600
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$0
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) 316,179
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
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)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 316,179 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 5,945 0   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 5,945 0   0
25 Contributions, gifts, grants paid....... 832,294 832,294
26 Total expenses and disbursements. Add lines 24 and 25 838,239 0   832,294
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -522,060
b Net investment income (if negative, enter -0-) 0
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............. 475,888    
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).......      
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)..........      
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) 475,888 0 0
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment0 Click to see attachment46,172
23 Total liabilities (add lines 17 through 22)......... 0 46,172
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........... 475,888 -46,172
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)..... 475,888 -46,172
30 Total liabilities and net assets/fund balances (see instructions). 475,888 0
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
475,888
2
Enter amount from Part I, line 27a .....................
2
-522,060
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
-46,172
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
-46,172
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 581,737 23,270 24.999441
2017 533,984 96,966 5.506920
2016      
2015 929,608 5,257 176.832414
2014 207,742 3,764 55.191817
2
Total of line 1, column (d) .....................
2
262.530592
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
65.632648
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
62,948
5
Multiply line 4 by line 3......................
5
4,131,444
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
0
7
Add lines 5 and 6........................
7
4,131,444
8
Enter qualifying distributions from Part XII, line 4,.............
8
832,294
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 0
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 0
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 0
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet   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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    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 ofbulletEZRA BEYMAN Telephone no.bullet (212) 302-3400

    Located atbulletPO BOX 946LAKEWOODNJ ZIP+4bullet08701
    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
     
    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?.............
    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
    YAAKOV ARYEH BEYMAN DIRECTOR
    1.00
    0 0 0
    300 BLVD OF THE AMERICAS SUITE 105
    LAKEWOOD,NJ08701
    YITZCHOK BEYMAN DIRECTOR
    1.00
    0 0 0
    300 BLVD OF THE AMERICAS SUITE 105
    LAKEWOOD,NJ08701
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (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.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (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
    0
    b
    Average of monthly cash balances.......................
    1b
    63,907
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    63,907
    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
    63,907
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    959
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    62,948
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    3,147
    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
    3,147
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
     
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    3,147
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    3,147
    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
    3,147
    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
    832,294
    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
    832,294
    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
    832,294
    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 3,147
    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...... 207,554
    b From 2015......  
    c From 2016......  
    d From 2017......  
    e From 2018...... 580,573
    fTotal of lines 3a through e........ 788,127
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 832,294
    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..... 3,147
    e Remaining amount distributed out of corpus 829,147
    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).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,617,274
    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) ...
    207,554
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......
    1,409,720
    10 Analysis of line 9:
    a Excess from 2015....  
    b Excess from 2016....  
    c Excess from 2017....  
    d Excess from 2018.... 580,573
    e Excess from 2019.... 829,147
    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 e-mail address of the person to whom applications should be addressed:
    DEBBIE BEYMAN
    PO BOX 946
    LAKEWOOD,NJ087010946
    (732) 380-4600
    bThe form in which applications should be submitted and information and materials they should include:
    NONE
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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 TIME
    1310 48TH ST 406
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 260
    AGUDAS ISRAEL OF ST LOUIS
    8202 DELMAR BLVD
    ST LOUIS,MO63124
      PC CHARITABLE AND RELIGOUS 270
    AHAVAS CHESSED
    720 LEFFERTS AVE
    BROOKLYN,NY11203
      PC CHARITABLE AND RELIGOUS 620
    AHAVAS TORAH CHESED
    1655 E 24TH STREET
    BROOKLYN,NY11229
      PC CHARITABLE AND RELIGOUS 1,120
    AHAVAS TZDOKAH V'CHESED
    PO BOX 5397
    JERUSALEM   9103401
    IS
      PC CHARITABLE AND RELIGOUS 1,560
    AHAVAS YISRAEL
    306 ALBANY AVE
    BROOKLYN,NY11213
      PC CHARITABLE AND RELIGOUS 356
    ALEPH INSTITUTE
    7304 BEVERLY BLVD 153
    LOS ANGELES,CA90036
      PC CHARITABLE AND RELIGOUS 36,000
    AHAVAS TORAH
    2961 NOSTRAND AVE
    BROOKLYN,NY11229
      PC CHARITABLE AND RELIGOUS 320
    AMERICAN FRIENDS OF BE A MENSCH
    SUITE 1099
    BEVERLY HILLS,CA90036
      PC CHARITABLE AND RELIGOUS 260
    AMERICAN FRIENDS OF BETH JECHIEL TORAH
    2160 83RD STREET
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 480
    AMERICAN FRIENDS OF BINYAN OLAM
    8170 MCCORMICK BLVD STE 100
    SKOKIE,IL60078
      PC CHARITABLE AND RELIGOUS 200
    AMERICAN FRIENDS OF BNEI LEVI FOUNDATION
    45 CARASALJO DR
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    AMERICAN FRIENDS OF GATESHEAD BUILDING
    2 HARVEST CT
    JACKSON,NJ08527
      PC CHARITABLE AND RELIGOUS 1,000
    AMERICAN FRIENDS OF HEICHEL MOSHE
    303 W 91ST ST
    NEW YORK,NY10024
      PC CHARITABLE AND RELIGOUS 120
    AMERICAN FRIENDS OF MIR
    5227 NEW UTRECHT AVENUE
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 125
    AMERICAN FRIENDS OF MOZDOS NACHLAS SHIMON
    699 E 4TH ST
    BROOKLYN,NY11218
      PC CHARITABLE AND RELIGOUS 300
    AMERICAN FRIENDS OF RABINICAL COLLEGE
    510 2ND STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    AMERICAN FRIENDS OF RAMAT BET SHEMESH
    285 DEWEY AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 200
    AMERICAN FRIENDS OF RAMOT TORAH SCHOOL
    2229 85TH ST
    BROOKLYN,NY11214
      PC CHARITABLE AND RELIGOUS 500
    AMERICAN FRIENDS OF YESHIVA KOL BONAYICH
    31 BELMONT PL
    PASSAIC,NJ07055
      PC CHARITABLE AND RELIGOUS 120
    ATC FUND
    172 HADASSAH LANE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    ATERES MOSHE LELOV
    1830 50TH ST
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 120
    BAIS - ELIEZER CHESSED TZEDAKA FUND
    11 BROADWAY STE 1155
    NEW YORK,NY10004
      PC CHARITABLE AND RELIGOUS 120
    BAIS AARON
    41 CLEAR STREAM ROAD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 15,075
    BAIS DOVID
    261 RUTLEDGE ST
    BROOKLYN,NY11211
      PC CHARITABLE AND RELIGOUS 335
    BAIS MEDROSH ELYON
    7215 WARING AVE
    LOS ANGELES,CA90046
      PC CHARITABLE AND RELIGOUS 200
    BAIS MORDECHAI
    3054 BEDFORD AVE
    BROOKLYN,NY11210
      PC CHARITABLE AND RELIGOUS 75
    BAIS RIVKAH ROCHEL
    285 RIVER AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 5,200
    BAIS SARA
    6101 16TH AVE
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 200
    BAIS SHAINDEL
    685 RIVER AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 3,800
    BAIS YOSEF MEIR
    19 OLYMPIA LANE
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 2,000
    BAS MIKROH
    381 VIOLA ROAD
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 1,000
    BETH MEDRASH ELYON
    73 MAIN STREET
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 120
    BETH MEDRASH L'TORAH V'HORAH
    500C GRAND STREET APT 3H
    NEW YORK,NY11234
      PC CHARITABLE AND RELIGOUS 4,600
    BETH MEDROSH GOVOAH
    617 SIXTH STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 15,300
    BETH MEDROSH L'TORAH
    613 MADISON AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 320
    BETH MEDROSH OF KELMWOOD
    47 KELMWOOD AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    BETH MEDROSH OF WESTGATE
    100 ROPSHITZ CT
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 200
    BETH YOSEF TZVI
    2108 OCEAN PKWY
    BROOKLYN,NY11223
      PC CHARITABLE AND RELIGOUS 120
    BIKE 4 CHAI
    750 AIRPORT RD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 170
    BINYAN YERUSALEM
    ZEEV JABOTINSKY ST31
    JERUSALEM   9103401
    IS
      PC CHARITABLE AND RELIGOUS 200
    BMG STUDENT AID FUND
    617 SIXTH STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 150
    BNEI YECHIEL
    8 TRUMAN AVE
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 75
    BNOS BAIS YAAKOV
    613 BEACH 9TH ST
    FAR ROCKAWAY,NY11691
      PC CHARITABLE AND RELIGOUS 120
    BNOS ORCHOS CHAIM
    440 OBERLIN AVE S
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    BNOS YAAKOV
    2 KENT ROAD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 300
    CZR
    309 DEWEY AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 240
    CAMP HASC
    1563 49TH ST
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    CENTRAL FUND OF ISRAEL
    461 CENTRAL AVENUE
    CEDARHURST,NY11516
      PC CHARITABLE AND RELIGOUS 120
    CHAI LIFELINE
    76 TOVA DRIVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 150
    CHAIM V'CHESSED
    169 HEWES STREET 1D
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 120
    CHASODIM TOVIM
    PO BOX 1111
    SPRING VALLEY,NY11234
      PC CHARITABLE AND RELIGOUS 380
    CHESED OF LAKEWOOD
    825 FOREST AVENUE APT 23B
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 200
    CHEVRA LOMDEI TORAH
    617 5TH STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 75
    CHEVRA SHAS
    1569 45TH STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 1,520
    CHIZUK HATORAH
    1044 E 13TH STREET
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 200
    CHOFETZ CHAIM HERITAGE FOUNDATION
    361 SPOOK ROCK ROAD
    SUFFERN,NY11234
      PC CHARITABLE AND RELIGOUS 26,000
    CHOFETZ CHAIM KALLA FUND
    18 MOUNTAIN AVENUE
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 120
    CONG SUPPORTERS OF TORAH
    580 E 8TH ST
    BROOKLYN,NY11218
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION AHAVAS CHESSED
    1621 58TH STREET
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 530
    CONGREGATION AMRAM CHASIDA
    PO BOX 249
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 300
    CONGREGATION ATERT TZVI
    1449 50TH ST
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 260
    CONGREGATION AVODAH BRURAH
    1307 E 8TH ST
    E TH ST,NY11230
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION BAIS MORDECHAI
    3054 BEDFORD AVE
    BROOKLYN,NY11210
      PC CHARITABLE AND RELIGOUS 195
    CONGREGATION BAIS YISROEL
    205 RUTLEDGE ST
    BROOKLYN,NY11211
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION BETH MEDROSH OF MONSEY
    1 HARVEST COURT
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 57,972
    CONGREGATION BETH TEFILAH
    27 DOVER TERRACE
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 2,350
    CONGREGATION BNEI KEDOSHIM
    1859 49TH STREET
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 21,600
    CONGREGATION BNEI TORAH
    3514 FLATLANDS AVE
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 760
    CONGREGATION BNEI YAAKOV
    12 EMES LANE
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 3,026
    CONGREGATION BNEY YOSEF
    1616 OCEAN PARKWAY
    BROOKLYN,NY11223
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION CHANEN V'NOSEN
    6301 17TH AVENUE
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 50
    CONGREGATION CHASAM SOFER
    8-10 CLINTON STREET
    NEW YORK,NY11234
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION CHASAM SOPHER
    PO BOX 125
    NEW YORK,NY11234
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION CHASODIM TOVIM
    PO BOX 1111
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 1,650
    CONGREGATION CHAYE OLOM INC
    104 FRANCIS PL
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 75
    CONGREGATION DVAR SHMUEL
    972 45TH STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION EMUNAS YISROEL
    1559 41ST ST
    BROOKLYN,NY11218
      PC CHARITABLE AND RELIGOUS 200
    CONGREGATION EZRAS YISROEL
    4415 14TH AVENUE
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION FOREST GLEN
    1 GRASSMERE STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 44,900
    CONGREGATION IMREI YOSEF SPINKE
    12900 WOODSON ST
    LEAWOOD,KS66209
      PC CHARITABLE AND RELIGOUS 600
    CONGREGATION ISHAY YISROEL
    110 MILLER ROAD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    CONGREGATION KEREN HACHESED
    555 BEDFORD AVE BROOKLYN NY
    BROOKLYN,NY11211
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION MATAT MORDECHAI
    1840 52ND ST
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 240
    CONGREGATION MESIVTA OHEL TORAH
    8 JOSHUA CT
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 500
    CONGREGATION MISHKAN YECHEZKEL
    1575 50TH ST STE 4
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 200
    CONGREGATION MOSDOT BOTOSHAN
    1148 49TH ST
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION NER MOSHE
    18 11TH ST E
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION OHAVEI TORAH
    139 CAROL ST
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION OHEL YONAH
    522 DAHILL RD
    BROOKLYN,NY11218
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION OHR YECHEZKEL
    303 RIDGE AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 50
    CONGREGATION OLAM HACHESSED Z
    14 CLOVERDALE LN
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 50,000
    CONGREGATION OSEH CHAYIL
    24 CRESTVIEW TERRACE
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 1,260
    CONGREGATION SHAAREI TVUNAH
    54 BIRCH ST
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 105
    CONGREGATION SHTERENZER GEMACH
    904 51ST STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 2,660
    CONGREGATION TAHARAS YISROEL
    145 BERGEN AVE
    JERSEY CITY,NJ07305
      PC CHARITABLE AND RELIGOUS 200
    CONGREGATION TIFERES ACHIM
    1177 48TH ST
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 500
    CONGREGATION TIFERES NAFTALI
    129 EAST 7TH STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 50
    CONGREGATION TIFERES ROCHEL
    25 KEDMA DRIVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    CONGREGATION TOLDOS YITZCHOK
    178 MAPLE AVE
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION TOMCHEI TZEDAKAH
    625 FOREST AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    CONGREGATION TZEDAKAH VACHESED
    1457 43RD STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION TZEMACH DOVID
    9 MAPLE LEAF RD
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION YAD YEHUDA
    1043 53RD STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION ZICHRON ELAZAR
    112 CLIFTON AVE STE 110
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    CONGREGATION ZICHRON MOSHE
    7 WATERVIEW DRIVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 620
    CONGREGATION ZICHRON REFOEL
    309 DEWEY AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 60
    CONGREGATION ZICHRON YISROEL
    121 E 9TH ST
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 200
    CONGREGATION ZICHRON YOCHANAN
    12 MAPLE LEAF ROAD
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 120
    DALLAS AREA TORAH ASSOCIATION
    4020 COLGATE AVE
    DALLAS,TX75225
      PC CHARITABLE AND RELIGOUS 120
    DRESS WITH DIGNITY
    18 COMMONWEALTH DRIVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 260
    EDIBLE LEFTOVERS INC
    29 ROSS AVE
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 120
    EDUCATION OPPORTUNITY FUND INC
    PO BOX 786
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    EIN OD MILVADO
    311 8TH STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 240
    EMEK HALACHA
    4905 12TH AVE BROOKLYN NY
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 360
    EZER LANITZRACH
    1148 49TH STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 150
    EZRAS ACHIM
    5 ORSHAVA CT UNIT 101
    MONROE,NY10950
      PC CHARITABLE AND RELIGOUS 500
    FRIENDS OF TIFERET TZION
    13 WASHINGTON AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 1,000
    GMACH CHASDEI YITZCHOK
    5109 18TH AVE
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 120
    HACHNASAS ORCHIM OF LAKEWOOD
    116 LANCEWOOD CT
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 825
    HACHNOSAS ORCHIM
    2 DR FRANK RD
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 120
    HAICHUD HATORANI SDEROT
    1365 E 9TH ST
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 200
    INTEGRITY CARE
    101 W JACKSON ST
    DUBLIN,GA31021
      PC CHARITABLE AND RELIGOUS 200
    KEDUSHAS AHARON
    33 LINCOLN AVE
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 200
    KEDUSHAS PINCHAS
    C/O P HOROWITZ 1310 48TH
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    KEREN ORAH
    1339 52ND ST
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 620
    KEREN SHLOMO
    4401 14TH AVE
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 500
    KEREN ZICHRON DOVID
    45 DECATUR AVE
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 260
    KHAL ADAS TAYMON
    16 ALBERT DRIVE
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 120
    KHAL BNEI TORAH
    1028 E 29TH ST
    BROOKLYN,NY11210
      PC CHARITABLE AND RELIGOUS 260
    KHAL NEVE YAAKOV
    115 BENJAMIN STREET
    TOMS RIVER,NJ08755
      PC CHARITABLE AND RELIGOUS 120
    KHAL YAHADUT TAIMON
    29 DANA ROAD
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 120
    KNESES BAIS YISROEL
    805 FOREST AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    KNESET MORDECHAI
    25 FREEDOM DR
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 150
    KNESET YEHUDA
    848 EAST 13TH STREET
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 75
    KOLLEL HALACHA VHORAAH
    100 FREEMAN RD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    KOLLEL KNESES YISROEL
    237 COURTNEY ROAD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    KOLLEL MORASHA KEHILAS YAAKOV
    121 WEST MAPLE AVENUE
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 37,100
    KOLLEL RACHMISTRIVKA - MONSEY
    6 HORIZON COURT 202
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 510
    KOLLEL SHABBOS KODESH
    1351 E 10TH ST
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 120
    KOLLEL TORAS CHAIM
    6766 108TH ST APT D6
    FOREST HILLS,NY11234
      PC CHARITABLE AND RELIGOUS 1,200
    KOLLEL ZICHRON MENACHEM
    252 BLAUVELT ROAD
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 5,360
    KOLLEL ZICHRON SCHNUER
    150 REMSEN AVE
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 500
    KOLLEL ZICHRON YISROEL
    1657 45TH ST
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 5,000
    KUPAT TZEDAKAH PESACH TIKVAH
    18 MIDDLETON ST
    BROOKLYN,NY11206
      PC CHARITABLE AND RELIGOUS 120
    LAKEWOOD CHEDER SCHOOL
    725 VASSAR AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 1,120
    LEV L'TALMID
    6 13TH STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    LEZION BERINA
    1436 42ND STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    LINKS
    1200 MASSACHUSETTS AVE NW
    WASHINGTON,DC20005
      PC CHARITABLE AND RELIGOUS 1,000
    MAGEN AVRAHAM
    2066 E 9TH ST
    BROOKLYN,NY11223
      PC CHARITABLE AND RELIGOUS 50
    MEKOR HATORAH
    180 SIMS AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 1,800
    MEOROS ROCHEL LEAH
    PO BOX 268
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 360
    MESAMCHE LEV
    1364 53RD ST
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    MESIVTA AHAVAS HATORAH
    28 TRUMAN AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 1,000
    MESIVTA OF CLIFTON
    338 DELAWANNA AVENUE
    CLIFTON,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    MESIVTA OF LAKEWOOD
    PO BOX 1398
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 3,000
    MESIVTHA TIFERETH JERUSALEM
    145 E BROADWAY
    NEW YORK,NY10002
      PC CHARITABLE AND RELIGOUS 10,000
    MINYAN SHELONU
    145 OCEAN AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    MISSOURI TORAH INSTITUTE
    1809 CLARKSON RD
    CHESTERFIELD,MO63017
      PC CHARITABLE AND RELIGOUS 620
    MKOR HACHINUCH
    1300 ELLIOT ST
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    MOSDOS BUTOSHAN
    1148 49TH STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 440
    MOSDOS TORAH V'YIRAH
    PO BOX 2340
    MONROE,NY10949
      PC CHARITABLE AND RELIGOUS 60
    NEFESH YEHUDI
    7603 QUAIL DR SW
    HUNTSVILLE,AL35802
      PC CHARITABLE AND RELIGOUS 120
    NETIVOT
    511 RYDERS LN
    EAST BRUNSWICK,NJ08816
      PC CHARITABLE AND RELIGOUS 50
    NOAM SHABBOS
    4 BRIARCLIFF DRIVE
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 300
    OHR NOSSON
    40 12TH STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    OHR YECHEZKEL
    1712 57TH ST
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 75
    OHR YOSEF
    1417A E 9TH ST
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 120
    ORACH CHAIM
    1002 AVENUE M
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 500
    OUR PLACE
    1815 AVE M
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 1,000
    PEF
    630 THIRD AVENUE 15TH FLOOR
    NEW YORK,NY10017
      PC CHARITABLE AND RELIGOUS 120
    PEARL BLAU LEARNING CENTER
    233 CAREY STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 700
    P'EYLIM LEV L'ACHIM
    1034 EAST 12TH STREET
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 120
    PROJECT CHAZON
    731 MONTAUK CT
    BROOKLYN,NY11235
      PC CHARITABLE AND RELIGOUS 250
    RABBI JACOB JOSEPH SCHOOL
    1 PLAINFIELD AVENUE
    EDISON,NJ08701
      PC CHARITABLE AND RELIGOUS 1,000
    RAV CHESED
    183 WILSON AVENUE 213
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 120
    RBS KUPAT TZEDAKA
    22 YOUMANS DRIVE
    SPRING VALLEY,NY10977
      PC CHARITABLE AND RELIGOUS 120
    REB SHAMSON RAPHAEL HIRSCH
    100 BENNETT AVE
    NEW YORK,NY10033
      PC CHARITABLE AND RELIGOUS 200
    REB SHAYALA'S KITCHEN
    46 MAIN ST
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 3,600
    REFUIT MEDICAL
    1577 CARROLL STREET
    BROOKLYN,NY11213
      PC CHARITABLE AND RELIGOUS 120
    RESHET HAKOLLELIM SHAS YIDEN
    1274 49TH ST STE 562
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 2,000
    SAR SHALOM
    11025 106TH ST
    LARGO,FL33773
      PC CHARITABLE AND RELIGOUS 180
    SHALOM TORAH CENTERS
    152 JAMES STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 5,000
    SHALSHELES BAIS YAAKOV
    1681 42ND ST
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 120
    SHELUCHEI MITZVAH
    326 3RD STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    SHTERENZER GEMACH
    904 51ST STREET
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 1,360
    SINAI ACADEMY
    2025 79TH ST
    BROOKLYN,NY11214
      PC CHARITABLE AND RELIGOUS 120
    STAM GEMILAS CHESED FUND
    615 FOREST AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 280
    STERN FAMILY FUND
    300 CADMAN PLAZA WEST ONE PIERREPON
    PLAZA 12TH FLOOR
    BROOKLYN,NY11201
      PC CHARITABLE AND RELIGOUS 120
    SUFFERN GROUP CHESED DIVISION
    18 MOUNTAIN AVENUE
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 50,000
    TACHZIT
    611 MONMOUTH AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 150
    TALMUD TORAH OF LAKEWOOD
    44 ASPEN COURT
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 320
    TEHILAS CHAYA SARA
    1115 CROSS ST
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    THE BENSALEM KOLLEL & OUTREACH CENTER
    2446 BRISTOL RD
    BENSALEM,PA19020
      PC CHARITABLE AND RELIGOUS 500
    THE DONORS FUND
    328 3RD STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 91,750
    THE MINCHAS ASHER FOUNDATION
    CO ORLINSKY 586 SUNDERLAND RD
    TEANECK,NJ07666
      PC CHARITABLE AND RELIGOUS 1,000
    TIFERES DEVORA L'KALLAH
    25 13TH ST
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 1,000
    TOMCHE SHABBOS OF ROCKLAND
    78 COLLEGE RD
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 350
    TOMCHEI TORAH
    1372 47TH ST
    BROOKLYN,NY08701
      PC CHARITABLE AND RELIGOUS 240
    TOMCHEI TZEDAKAH
    16 BRIDGEWOOD AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 800
    TORAH CENTER OF AMERICA
    44 BENNETT AVE APT 5B
    NEW YORK,NY10033
      PC CHARITABLE AND RELIGOUS 460
    TORAH COMMUNICATIONS CENTER
    1618 43RD ST
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 195
    TORAH PREP SCHOOL
    609 NORTH AND SOUTH ROAD
    ST LOUIS,MO63130
      PC CHARITABLE AND RELIGOUS 120
    TORAH TEMIMAH
    555 OCEAN PKWY
    BROOKLYN,NY11218
      PC CHARITABLE AND RELIGOUS 120
    TORAH UMESORAH
    620 FOSTER AVE
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 12,000
    TORAS AHARON
    500 SUMMER AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 75
    TORAS CHESSED
    421 6TH ST
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 154
    TORAS MITZYON
    1230 BEACH 12TH STREET
    FAR ROCKAWAY,NY11691
      PC CHARITABLE AND RELIGOUS 300
    TZADIK TZEMACH
    186 ROSS ST
    BROOKLYN,NY11211
      PC CHARITABLE AND RELIGOUS 120
    TZEMACH TZADIK
    571 WYTHE AVE APT 7A
    BROOKLYN,NY11249
      PC CHARITABLE AND RELIGOUS 260
    TZUR FOUNDATION
    418 CLINTON AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 260
    VAAD HARABBANIM
    221 REGENT DR
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 60
    YAD ELIEZER
    12 POLANSKY STREET
    JERUSALEM   9103401
    IS
      PC CHARITABLE AND RELIGOUS 440
    YAD TOMECH
    1520 39TH STREET SUITE 517
    BROOKLYN,NY11218
      PC CHARITABLE AND RELIGOUS 120
    YESHIVA BAER AVROHOM
    349 EAST 5TH STREET
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 120
    YESHIVA BAIS ISAAC ZVI
    1019 46TH ST
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 300
    YESHIVA BAIS MIKROH
    221 VIOLA RD
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 2,000
    YESHIVA BNEI SHIMON YISROEL
    215 HEWES ST
    BROOKLYN,NY11211
      PC CHARITABLE AND RELIGOUS 500
    YESHIVA CHERNOBYL
    4114 12TH AVE
    BROOKLYN,NY11219
      PC CHARITABLE AND RELIGOUS 120
    YESHIVA CHOFETZ CHAIM
    82 HIGHVIEW ROAD
    SUFFERN,NY11234
      PC CHARITABLE AND RELIGOUS 30,000
    YESHIVA EVEN YISROEL
    66 NEIMANN RD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 240
    YESHIVA HIGH SCHOOL OF CLEVELAND
    3596 SEVERN ROAD
    CLEVELAND HEIGHTS,OH44118
      PC CHARITABLE AND RELIGOUS 2,720
    YESHIVA INSTITUTE DIVREI SHMUEL
    2 PHYLLIS TER
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 1,000
    YESHIVA KEREN HATORAH
    1083 BROOK RD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    YESHIVA K'TANA OF LAKEWOOD
    120 SECOND STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 1,000
    YESHIVA ME'ON HATORAH
    PO BOX 428
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 60
    YESHIVA NOVAMINSK ALUMNI
    6020 17TH AVE
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 120
    YESHIVA OF STATEN ISLAND
    1870 DRUMGOOLE RD E
    STATEN ISLAND,NY10309
      PC CHARITABLE AND RELIGOUS 120
    YESHIVA OHEL TORAH
    6301 17TH AV
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 200
    YESHIVA OHR HAMIER
    10 WEST MAPLE AVENUE
    MONSEY,NY11234
      PC CHARITABLE AND RELIGOUS 10,000
    YESHIVA OHR HATORAH
    501 PROSPECT ST 121
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 5,650
    YESHIVA OHR YITZCHOK
    1214 E 15TH ST 2
    BROOKLYN,NY11230
      PC CHARITABLE AND RELIGOUS 260
    YESHIVA ORCHOS CHAIM
    410 OBERLIN AVE S
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 200
    YESHIVA SHAGAS ARYEH
    975 CROSS STREET
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 26
    YESHIVA SOUTH LAKEWOOD
    715 MARLIN AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    YESHIVA TAL CHAIM
    1801 50TH ST D9
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 260
    YESHIVA TIFERES NAFTOLI
    8998 NJ-18
    OLD BRIDGE,NJ08857
      PC CHARITABLE AND RELIGOUS 150
    YESHIVA TIFERES SHMUEL
    10 MEADOWBROOK LANE
    MONSEY,NY10952
      PC CHARITABLE AND RELIGOUS 1,000
    YESHIVA TORAS CHAIM
    999 RIDGE AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 1,000
    YESHIVA TORAS MENACHEM
    1990 SWARTHMORE AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    YESHIVA ZICHRON MEILECH
    510 DAHILL RD
    BROOKLYN,NY11218
      PC CHARITABLE AND RELIGOUS 320
    YESHIVAS CHACHMAS SHLOMO
    9 WASHINGTON AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    YESHIVAS DIVREI CHANOCH
    1636 49TH STREET
    BROOKLYN,NY11204
      PC CHARITABLE AND RELIGOUS 120
    YESHIVAS MEOR EYNAYIM
    167 DIVISION AVE STE 1006
    BROOKLYN,NY11211
      PC CHARITABLE AND RELIGOUS 120
    YESHIVAS NEFESH HACHAIM
    76 DRAKE RD
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    YESHIVAS OHR AVROHOM CHAIM
    655 PRINCETON AVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 120
    YOUNG ISRAEL OF QUEENS VALLEY
    141-55 77TH AVE
    FLUSHING,NY11367
      PC CHARITABLE AND RELIGOUS 120
    ZICHRON MATTEL
    24 GRASSMERE ST
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 10,000
    ZICHRON MENACHEM INC
    3054 BEDFORD AVE
    BROOKLYN,NY11234
      PC CHARITABLE AND RELIGOUS 1,170
    ZICHRON MOSHE
    130 THE CIR
    PASSAIC,NJ07055
      PC CHARITABLE AND RELIGOUS 120
    ZICHRON RAFAEL
    309 DEWEY AVENUE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 260
    ZICHRON SIMA
    910 HEARTHSTONE DRIVE
    LAKEWOOD,NJ08701
      PC CHARITABLE AND RELIGOUS 500
    YAD LAZOR
    22 WEST 38TH STREET 12TH FLOOR
    NEW YORK,NY10018
      PC CHARITABLE AND RELIGOUS 185,000
    Total .................................bullet 3a 832,294
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ...........
             
    4 Dividends and interest from securities....          
    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).. 0 0 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    0
    (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


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    Special Condition Description