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TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
08-01-2019
, and ending
07-31-2020
Name of foundation
TATIANA PIANKOVA FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
DEGAETANO CARR 36 E 81ST ST No
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
10028
A Employer identification number
13-3142090
B
Telephone number (see instructions)
(212) 935-7100
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
9,906,784
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
999
999
4
Dividends and interest from securities
...
200,094
200,094
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
686,168
b
Gross sales price for all assets on line 6a
7,779,599
7
Capital gain net income (from Part IV, line 2)
...
686,168
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
........
887,261
887,261
13
Compensation of officers, directors, trustees, etc.
96,000
57,600
38,400
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
14,180
7,090
7,090
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
11,067
0
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
160
0
160
23
Other expenses (attach schedule)
.......
62,006
30,879
31,128
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
183,413
95,569
76,778
25
Contributions, gifts, grants paid
.......
405,000
405,000
26
Total expenses and disbursements.
Add lines 24 and 25
588,413
95,569
481,778
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
298,848
b
Net investment income
(if negative, enter -0-)
791,692
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
1
Cash—non-interest-bearing
.............
159,682
35,150
35,150
2
Savings and temporary cash investments
.........
1,301,775
1,301,775
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
7,773,151
4,251,119
5,893,820
c
Investments—corporate bonds (attach schedule)
.......
0
2,643,637
2,676,039
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
7,932,833
8,231,681
9,906,784
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
7,932,833
8,231,681
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
0
0
29
Total net assets or fund balances
(see instructions)
.....
7,932,833
8,231,681
30
Total liabilities and net assets/fund balances
(see instructions)
.
7,932,833
8,231,681
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
7,932,833
2
Enter amount from Part I, line 27a
.....................
2
298,848
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
8,231,681
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
8,231,681
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
1 SHS Accenture PLC-CL A
2014-01-15
2020-06-04
b
1 SHS Accenture PLC-CL A
2014-01-16
2020-06-04
c
2 SHS Accenture PLC-CL A
2014-01-16
2020-06-04
d
2 SHS Accenture PLC-CL A
2014-01-17
2020-06-04
e
3 SHS Accenture PLC-CL A
2014-04-22
2020-06-04
5 SHS Accenture PLC-CL A
2014-01-16
2020-06-04
5 SHS Accenture PLC-CL A
2014-01-16
2020-06-04
8 SHS Accenture PLC-CL A
2014-01-15
2020-06-04
19 SHS Accenture PLC-CL A
2014-01-15
2020-06-04
25 SHS Accenture PLC-CL A
2014-04-22
2020-06-04
29 SHS Accenture PLC-CL A
2014-04-03
2020-06-04
54 SHS Alexion Pharmaceutilles Inc.
2019-03-14
2019-11-07
1 SHS Allegion PLC
2015-10-26
2019-11-07
1 SHS Allegion PLC
2015-10-29
2019-11-07
1 SHS Allegion PLC
2015-10-30
2019-11-07
1 SHS Allegion PLC
2015-10-30
2019-11-07
1 SHS Allegion PLC
2015-10-30
2019-11-07
1 SHS Allegion PLC
2015-11-10
2019-11-07
1 SHS Allegion PLC
2016-05-04
2019-11-07
2 SHS Allegion PLC
2015-10-29
2019-11-07
2 SHS Allegion PLC
2015-10-29
2019-11-07
2 SHS Allegion PLC
2015-10-29
2019-11-07
2 SHS Allegion PLC
2015-10-30
2019-11-07
2 SHS Allegion PLC
2016-05-05
2019-11-07
3 SHS Allegion PLC
2015-10-28
2019-11-07
3 SHS Allegion PLC
2016-04-29
2019-11-07
5 SHS Allegion PLC
2015-10-27
2019-11-07
5 SHS Allegion PLC
2016-04-28
2019-11-07
6 SHS Allegion PLC
2015-11-05
2019-11-07
6 SHS Allegion PLC
2015-11-06
2019-11-07
6 SHS Allegion PLC
2015-11-18
2019-11-07
6 SHS Allegion PLC
2016-05-03
2019-11-07
8 SHS Allegion PLC
2015-10-27
2019-11-07
8 SHS Allegion PLC
2015-11-03
2019-11-07
9 SHS Allegion PLC
2015-11-04
2019-11-07
9 SHS Allegion PLC
2015-11-19
2019-11-07
15 SHS Allegion PLC
2016-05-17
2019-11-07
4 SHS American Express Co.
2019-05-16
2019-11-07
5 SHS American Express Co.
2019-05-16
2019-11-07
6 SHS American Express Co.
2019-05-16
2019-11-07
8 SHS American Express Co.
2019-05-16
2019-11-07
14 SHS American Express Co.
2018-07-23
2019-11-07
15 SHS American Express Co.
2018-07-20
2019-11-07
18 SHS American Express Co.
2018-07-23
2019-11-07
19 SHS American Express Co.
2018-07-20
2019-11-07
22 SHS American Express Co.
2019-05-15
2019-11-07
30 SHS American Express Co.
2019-05-16
2019-11-07
36 SHS American Express Co.
2019-06-10
2019-11-07
80 SHS Bank of America Corp.
2013-04-19
2020-07-16
182 SHS Bank of America Corp.
2013-04-18
2020-07-16
574 SHS Bank of America Corp.
2013-03-14
2020-07-16
16000 SHS Barclays Select MLP ENT
2019-12-27
2020-05-26
11 SHS Berkshire Hathaway Inc.-CL B
2018-09-11
2019-11-07
17 SHS Berkshire Hathaway Inc.-CL B
2017-08-17
2019-11-07
25 SHS Berkshire Hathaway Inc.-CL B
2018-10-15
2019-11-07
66 SHS Berkshire Hathaway Inc.-CL B
2017-04-20
2019-11-07
51 SHS Boeing Co.
2019-11-07
2020-05-22
136 SHS Boston Scientific Corp.
2016-09-15
2020-06-04
380 SHS Boston Scientific Corp.
2016-12-05
2020-06-04
1 SHS Broadcom LTD
2014-07-01
2020-07-16
3 SHS Broadcom LTD
2014-07-01
2020-07-16
5 SHS Broadcom LTD
2014-07-01
2020-07-16
5 SHS Broadcom LTD
2014-07-01
2020-07-16
6 SHS Broadcom LTD
2014-07-01
2020-07-16
6 SHS Broadcom LTD
2014-07-01
2020-07-16
6 SHS Broadcom LTD
2014-07-01
2020-07-16
11 SHS Broadcom LTD
2014-07-01
2020-07-16
19 SHS Broadcom LTD
2014-07-01
2020-07-16
20 SHS Broadcom LTD
2014-07-01
2020-07-16
21 SHS Broadcom LTD
2014-07-01
2020-07-16
1 SHS Carrier Global Corp
2017-12-05
2020-07-08
1 SHS Carrier Global Corp
2017-12-05
2020-07-08
1 SHS Carrier Global Corp
2017-12-06
2020-07-08
1 SHS Carrier Global Corp
2017-12-06
2020-07-08
1 SHS Carrier Global Corp
2017-12-06
2020-07-08
1 SHS Carrier Global Corp
2017-12-08
2020-07-08
1 SHS Carrier Global Corp
2017-12-11
2020-07-08
1 SHS Carrier Global Corp
2017-12-11
2020-07-08
2 SHS Carrier Global Corp
2017-12-05
2020-07-08
2 SHS Carrier Global Corp
2017-12-07
2020-07-08
2 SHS Carrier Global Corp
2017-12-08
2020-07-08
2 SHS Carrier Global Corp
2017-12-08
2020-07-08
2 SHS Carrier Global Corp
2017-12-11
2020-07-08
3 SHS Carrier Global Corp
2017-12-05
2020-07-08
3 SHS Carrier Global Corp
2017-12-07
2020-07-08
3 SHS Carrier Global Corp
2017-12-07
2020-07-08
5 SHS Carrier Global Corp
2017-12-08
2020-07-08
5 SHS Carrier Global Corp
2017-12-11
2020-07-08
6 SHS Carrier Global Corp
2017-12-06
2020-07-08
7 SHS Carrier Global Corp
2017-12-07
2020-07-08
18 SHS Carrier Global Corp
2017-12-05
2020-07-08
170 SHS Carrier Global Corp
2019-11-07
2020-07-08
13 SHS Celgene Corporation
2019-05-16
2019-11-07
20 SHS Celgene Corporation
2016-10-28
2019-11-07
32 SHS Celgene Corporation
2019-05-17
2019-11-07
54 SHS Celgene Corporation
2019-03-14
2019-11-07
59 SHS Celgene Corporation
2019-05-16
2019-11-07
61 SHS Celgene Corporation
2012-11-21
2019-11-07
64 SHS Celgene Corporation
2019-05-01
2019-11-07
6 SHS Charter Communications Inc. - A
2018-04-17
2020-06-04
7 SHS Charter Communications Inc. - A
2016-12-15
2020-06-04
12 SHS Charter Communications Inc. - A
2016-12-15
2020-06-04
34 SHS Charter Communications Inc. - A
2016-03-30
2020-06-04
135 SHS Chubb Ltd.
2013-03-14
2020-07-16
7 SHS Coca-Cola Co. The
2018-04-17
2020-07-16
11 SHS Coca-Cola Co. The
2018-04-18
2020-07-16
19 SHS Coca-Cola Co. The
2018-04-18
2020-07-16
86 SHS Coca-Cola Co. The
2018-04-17
2020-07-16
128 SHS Coca-Cola Co. The
2018-04-17
2020-07-16
21 SHS Corteva Inc.
2019-06-27
2019-11-07
35 SHS Corteva Inc.
2019-06-27
2019-11-07
36 SHS Corteva Inc.
2019-06-27
2019-11-07
43 SHS Corteva Inc.
2019-06-28
2019-11-07
181 SHS Corteva Inc.
2019-11-07
2 SHS Diamondback Energy Inc.
2019-01-08
2019-11-07
3 SHS Diamondback Energy Inc.
2019-01-08
2019-11-07
4 SHS Diamondback Energy Inc.
2019-01-07
2019-11-07
9 SHS Diamondback Energy Inc.
2016-05-15
2019-11-07
9 SHS Diamondback Energy Inc.
2019-01-08
2019-11-07
9 SHS Diamondback Energy Inc.
2019-01-08
2019-11-07
11 SHS Diamondback Energy Inc.
2019-01-07
2019-11-07
51 SHS Diamondback Energy Inc.
2017-05-15
2019-11-07
181 SHS Dupont De Nemours Inc.
2020-05-22
2813.073 SHS Edgewood Growth Fund
2010-06-28
2020-07-16
2 SHS Electronic Arts Inc.
2018-11-27
2019-11-07
2 SHS Electronic Arts Inc.
2018-11-30
2019-11-07
3 SHS Electronic Arts Inc.
2018-11-27
2019-11-07
6 SHS Electronic Arts Inc.
2018-11-29
2019-11-07
11 SHS Electronic Arts Inc.
2018-11-27
2019-11-07
11 SHS Electronic Arts Inc.
2018-11-30
2019-11-07
22 SHS Electronic Arts Inc.
2019-01-29
2019-11-07
42 SHS Electronic Arts Inc.
2018-11-27
2019-11-07
69 SHS Electronic Arts Inc.
2018-09-20
2019-11-07
2 SHS Eli Lilly & Co.
2015-06-11
2019-11-07
2 SHS Eli Lilly & Co.
2015-06-15
2019-11-07
2 SHS Eli Lilly & Co.
2015-06-16
2019-11-07
2 SHS Eli Lilly & Co.
2015-06-17
2019-11-07
3 SHS Eli Lilly & Co.
2015-06-04
2019-11-07
3 SHS Eli Lilly & Co.
2015-06-08
2019-11-07
3 SHS Eli Lilly & Co.
2015-06-09
2019-11-07
4 SHS Eli Lilly & Co.
2016-04-08
2019-11-07
7 SHS Eli Lilly & Co.
2015-06-05
2019-11-07
7 SHS Eli Lilly & Co.
2015-06-08
2019-11-07
7 SHS Eli Lilly & Co.
2015-07-02
2019-11-07
8 SHS Eli Lilly & Co.
2015-06-04
2019-11-07
9 SHS Eli Lilly & Co.
2015-06-10
2019-11-07
9 SHS Eli Lilly & Co.
2015-06-12
2019-11-07
11 SHS Eli Lilly & Co.
2015-06-12
2019-11-07
14 SHS Eli Lilly & Co.
2015-07-02
2019-11-07
16 SHS Eli Lilly & Co.
2016-04-07
2019-11-07
16 SHS Eli Lilly & Co.
2016-04-07
2019-11-07
43 SHS Eli Lilly & Co.
2016-12-16
2019-11-07
1 SHS EOG Resources Inc.
2016-05-19
2020-05-22
5 SHS EOG Resources Inc.
2016-05-24
2020-05-22
7 SHS EOG Resources Inc.
2016-05-19
2020-05-22
18 SHS EOG Resources Inc.
2016-05-24
2020-05-22
21 SHS EOG Resources Inc.
2016-05-20
2020-05-22
24 SHS EOG Resources Inc.
2016-05-23
2020-05-22
24 SHS EOG Resources Inc.
2016-05-25
2020-05-22
31 SHS EOG Resources Inc.
2016-05-02
2020-05-22
33 SHS EOG Resources Inc.
2016-08-05
2020-05-22
54 SHS EOG Resources Inc.
2016-03-07
2020-05-22
1 SHS Facebook Inc. A
2014-07-25
2019-11-07
31 SHS Facebook Inc. A
2014-10-13
2019-11-07
60 SHS Facebook Inc. A
2014-07-25
2019-11-07
1083.326 SHS Fidelity 500 Index FD-AI
2018-02-08
2020-05-26
1333.05 SHS Fidelity 500 Index FD-AI
2018-02-13
2020-05-26
1501.666 SHS Fidelity 500 Index FD-AI
2019-01-04
2020-05-26
1 SHS General Dynamics Corp.
2016-08-15
2019-11-07
1 SHS General Dynamics Corp.
2016-08-17
2019-11-07
2 SHS General Dynamics Corp.
2016-08-17
2019-11-07
2 SHS General Dynamics Corp.
2016-08-23
2019-11-07
2 SHS General Dynamics Corp.
2016-08-24
2019-11-07
2 SHS General Dynamics Corp.
2017-02-10
2019-11-07
3 SHS General Dynamics Corp.
2016-08-22
2019-11-07
3 SHS General Dynamics Corp.
2016-08-25
2019-11-07
4 SHS General Dynamics Corp.
2016-08-10
2019-11-07
4 SHS General Dynamics Corp.
2016-08-18
2019-11-07
5 SHS General Dynamics Corp.
2016-08-12
2019-11-07
5 SHS General Dynamics Corp.
2016-08-16
2019-11-07
5 SHS General Dynamics Corp.
2016-08-19
2019-11-07
5 SHS General Dynamics Corp.
2016-08-23
2019-11-07
6 SHS General Dynamics Corp.
2016-08-15
2019-11-07
8 SHS General Dynamics Corp.
2016-08-11
2019-11-07
28 SHS General Dynamics Corp.
2018-12-13
2019-11-07
319 SHS Ishares Barclays 7-10 Year Treasury Bond Fund
2019-02-14
2019-11-07
594 SHS Ishares Barclays 7-10 Year Treasury Bond Fund
2019-02-14
2019-11-07
318 SHS Ishares Barclays MBS Bond Fund
2019-02-12
2019-11-12
579 SHS Ishares Barclays MBS Bond Fund
2019-02-12
2019-11-12
363 SHS Ishares Core MSCI EAFE ETF
2018-01-25
2020-05-26
1976 SHS Ishares Core MSCI EAFE ETF
2017-06-29
2020-05-26
3584 SHS Ishares Core MSCI EAFE ETF
2017-06-28
2020-05-26
333 SHS JPMorgan Betabuilders Canada ETF
2018-10-26
2020-05-26
3750 SHS JPMorgan Betabuilders Canada ETF
2019-04-08
2020-05-26
3984 SHS JPMorgan Betabuilders Canada ETF
2018-10-26
2020-05-26
4095 SHS JPMorgan Betabuilders Canada ETF
2018-08-17
2020-05-26
5611 SHS JPMorgan Betabuilders Japan - ETF
2018-07-31
2019-12-27
1858.044 SHS JPMorgan GL RES ENH IDX-R6
2013-04-15
2020-06-26
7473.813 SHS JPMorgan GL RES ENH IDX-R6
2015-09-02
2020-06-26
8554.055 SHS JPMorgan GL RES ENH IDX-R6
2013-06-18
2020-06-26
9142.297 SHS JPMorgan GL RES ENH IDX-R6
2013-07-31
2020-06-26
2 SHS Keycorp
2016-03-17
2020-05-22
2 SHS Keycorp
2016-03-18
2020-05-22
2 SHS Keycorp
2016-04-18
2020-05-22
4 SHS Keycorp
2016-03-10
2020-05-22
10 SHS Keycorp
2016-03-24
2020-05-22
12 SHS Keycorp
2016-03-04
2020-05-22
15 SHS Keycorp
2016-02-29
2020-05-22
21 SHS Keycorp
2016-03-08
2020-05-22
22 SHS Keycorp
2016-04-15
2020-05-22
24 SHS Keycorp
2016-02-29
2020-05-22
29 SHS Keycorp
2016-03-15
2020-05-22
30 SHS Keycorp
2018-10-08
2020-05-22
88 SHS Keycorp
2016-03-02
2020-05-22
178 SHS Keycorp
2018-10-19
2020-05-22
279 SHS Keycorp
2016-03-01
2020-05-22
550 SHS Kinder Morgan Inc.
2019-11-07
2020-05-22
46 SHS Lowes Companies Inc.
2013-03-14
2020-07-16
100 SHS Lowes Companies Inc.
2012-11-21
2020-07-16
3 SHS Marathon Petroleum Corp.
2018-03-13
2019-11-07
9 SHS Marathon Petroleum Corp.
2018-09-20
2019-11-07
21 SHS Marathon Petroleum Corp.
2018-03-13
2019-11-07
39 SHS Marathon Petroleum Corp.
2018-12-03
2019-11-07
51 SHS Marathon Petroleum Corp.
2018-05-16
2019-11-07
63 SHS Marathon Petroleum Corp.
2018-07-30
2019-11-07
74 SHS Marathon Petroleum Corp.
2018-03-13
2019-11-07
106 SHS Marathon Petroleum Corp.
2019-04-25
2019-11-07
142 SHS MasterCard Inc.- Class A
2012-10-23
2020-07-16
60 SHS McDonals's Corp.
2019-06-10
2020-07-16
4 SHS Merck & Co. Inc.
2016-08-08
2020-05-22
6 SHS Merck & Co. Inc.
2016-08-05
2020-05-22
83 SHS Merck & Co. Inc.
2016-08-12
2020-05-22
88 SHS Merck & Co. Inc.
2019-03-14
2020-05-22
108 SHS Merck & Co. Inc.
2016-08-05
2020-05-22
19082.567 SHS Metropolitan West T/R BD-PLN
2013-12-20
2019-11-07
4580.142 SHS MFS Intl Intrinsic Value-R6
2012-10-19
2020-05-26
56 SHS Morgan Stanley
2015-12-02
2020-05-22
74 SHS Morgan Stanley
2013-11-12
2020-05-22
74 SHS Morgan Stanley
2016-02-25
2020-05-22
167 SHS Morgan Stanley
2013-03-14
2020-05-22
215 SHS Morgan Stanley
2013-04-19
2020-05-22
15 SHS Netflix Inc.
2019-05-16
2019-11-07
28 SHS Netflix Inc.
2018-09-13
2019-11-07
4 SHS Nisource Inc.
2015-03-20
2019-11-07
5 SHS Nisource Inc.
2014-01-15
2019-11-07
7 SHS Nisource Inc.
2015-03-20
2019-11-07
8 SHS Nisource Inc.
2014-01-15
2019-11-07
8 SHS Nisource Inc.
2014-01-15
2019-11-07
8 SHS Nisource Inc.
2015-01-14
2019-11-07
10 SHS Nisource Inc.
2014-01-16
2019-11-07
13 SHS Nisource Inc.
2015-03-18
2019-11-07
16 SHS Nisource Inc.
2014-01-14
2019-11-07
26 SHS Nisource Inc.
2015-03-17
2019-11-07
38 SHS Nisource Inc.
2015-12-02
2019-11-07
48 SHS Nisource Inc.
2015-01-14
2019-11-07
58 SHS Nisource Inc.
2013-10-17
2019-11-07
71 SHS Nisource Inc.
2013-03-14
2019-11-07
2 SHS Norfolk Southern Corp.
2017-11-24
2019-11-07
3 SHS Norfolk Southern Corp.
2018-05-01
2019-11-07
6 SHS Norfolk Southern Corp.
2018-05-09
2019-11-07
7 SHS Norfolk Southern Corp.
2018-05-01
2019-11-07
7 SHS Norfolk Southern Corp.
2018-05-17
2019-11-07
8 SHS Norfolk Southern Corp.
2017-02-01
2019-11-07
8 SHS Norfolk Southern Corp.
2017-11-27
2019-11-07
8 SHS Norfolk Southern Corp.
2018-05-17
2019-11-07
9 SHS Norfolk Southern Corp.
2017-01-31
2019-11-07
10 SHS Norfolk Southern Corp.
2017-01-30
2019-11-07
11 SHS Norfolk Southern Corp.
2017-02-02
2019-11-07
14 SHS Norfolk Southern Corp.
2017-11-24
2019-11-07
14 SHS Norfolk Southern Corp.
2018-03-13
2019-11-07
21 SHS Norfolk Southern Corp.
2018-03-13
2019-11-07
2 SHS Northrop Grumman Corp.
2017-10-12
2019-11-07
5 SHS Northrop Grumman Corp.
2016-09-15
2019-11-07
5 SHS Northrop Grumman Corp.
2017-09-15
2019-11-07
5 SHS Northrop Grumman Corp.
2017-10-12
2019-11-07
11 SHS Northrop Grumman Corp.
2019-05-20
2019-11-07
18 SHS Northrop Grumman Corp.
2017-09-26
2019-11-07
19 SHS Northrop Grumman Corp.
2016-09-16
2019-11-07
18 SHS Nvidia Corp.
2018-10-08
2019-11-07
22 SHS Nvidia Corp.
2018-06-14
2019-11-07
43 SHS Nvidia Corp.
2017-10-05
2019-11-07
1 SHS NXP Semiconductors NV
2019-02-20
2019-11-07
6 SHS NXP Semiconductors NV
2019-02-20
2019-11-07
11 SHS NXP Semiconductors NV
2019-02-20
2019-11-07
12 SHS NXP Semiconductors NV
2019-02-21
2019-11-07
16 SHS NXP Semiconductors NV
2019-02-20
2019-11-07
18 SHS NXP Semiconductors NV
2019-02-19
2019-11-07
46 SHS NXP Semiconductors NV
2019-02-19
2019-11-07
189 SHS Occidental Petrol Co.
2019-11-07
2020-05-22
7 SHS O'Reilly Automotive Inc.
2017-05-04
2020-07-16
9 SHS O'Reilly Automotive Inc.
2017-05-04
2020-07-16
9 SHS O'Reilly Automotive Inc.
2017-05-05
2020-07-16
5 SHS Paypal Holdings Inc.
2018-07-30
2019-11-07
22 SHS Paypal Holdings Inc.
2018-10-08
2019-11-07
73 SHS Paypal Holdings Inc.
2019-01-23
2019-11-07
92 SHS Paypal Holdings Inc.
2018-01-30
2019-11-07
5 SHS Pfizer Inc.
2015-04-08
2020-07-16
14 SHS Pfizer Inc.
2015-07-27
2020-07-16
33 SHS Pfizer Inc.
2015-04-08
2020-07-16
58 SHS Pfizer Inc.
2015-04-08
2020-07-16
61 SHS Pfizer Inc.
2015-07-27
2020-07-16
79 SHS Pfizer Inc.
2018-11-01
2020-07-16
84 SHS Pfizer Inc.
2015-06-04
2020-07-16
112 SHS Pfizer Inc.
2015-04-02
2020-07-16
115 SHS Pfizer Inc.
2016-11-09
2020-07-16
144 SHS Pfizer Inc.
2017-01-03
2020-07-16
96 SHS Philip Morris International
2018-10-24
2019-11-07
2 SHS Procter & Gamble Co.
2019-06-05
2020-05-22
157 SHS Procter & Gamble Co.
2019-06-05
2020-05-22
SHS Raytheon Technologies Co.
2019-12-07
2020-04-06
2 SHS Ross Stores Inc.
2018-12-11
2020-05-22
2 SHS Ross Stores Inc.
2018-12-17
2020-05-22
2 SHS Ross Stores Inc.
2018-12-17
2020-05-22
3 SHS Ross Stores Inc.
2018-12-17
2020-05-22
3 SHS Ross Stores Inc.
2018-12-19
2020-05-22
5 SHS Ross Stores Inc.
2018-12-17
2020-05-22
17 SHS Ross Stores Inc.
2018-12-18
2020-05-22
36 SHS Ross Stores Inc.
2018-12-11
2020-05-22
66 SHS Ross Stores Inc.
2018-12-11
2020-05-22
1 SHS Salesforce.com
2018-04-19
2019-11-07
1 SHS Salesforce.com
2018-04-23
2019-11-07
1 SHS Salesforce.com
2018-04-23
2019-11-07
1 SHS Salesforce.com
2018-04-23
2019-11-07
1 SHS Salesforce.com
2018-04-23
2019-11-07
2 SHS Salesforce.com
2018-04-18
2019-11-07
2 SHS Salesforce.com
2018-04-19
2019-11-07
2 SHS Salesforce.com
2018-04-19
2019-11-07
3 SHS Salesforce.com
2018-04-18
2019-11-07
3 SHS Salesforce.com
2018-04-20
2019-11-07
6 SHS Salesforce.com
2018-04-17
2019-11-07
6 SHS Salesforce.com
2018-04-18
2019-11-07
6 SHS Salesforce.com
2018-04-20
2019-11-07
9 SHS Salesforce.com
2018-04-19
2019-11-07
10 SHS Salesforce.com
2018-04-17
2019-11-07
25 SHS Salesforce.com
2018-04-17
2019-11-07
35 SHS Salesforce.com
2018-10-08
2019-11-07
1000000 SHS Sch Treas Obligations MMF Investors Shares: SNOXX
2019-10-21
2019-12-27
273 SHS SPDR S&P 500 ETF Trust
2016-07-26
2020-07-16
383 SHS SPDR S&P 500 ETF Trust
2015-01-29
2020-07-16
398 SHS SPDR S&P 500 ETF Trust
2017-06-28
2020-07-16
533 SHS SPDR S&P 500 ETF Trust
2015-02-20
2020-07-16
1 SHS Stanley Black & Decker Inc.
2015-11-09
2019-11-07
1 SHS Stanley Black & Decker Inc.
2015-11-13
2019-11-07
1 SHS Stanley Black & Decker Inc.
2015-11-16
2019-11-07
1 SHS Stanley Black & Decker Inc.
2015-11-16
2019-11-07
2 SHS Stanley Black & Decker Inc.
2015-11-09
2019-11-07
2 SHS Stanley Black & Decker Inc.
2015-11-10
2019-11-07
2 SHS Stanley Black & Decker Inc.
2015-11-12
2019-11-07
2 SHS Stanley Black & Decker Inc.
2015-11-18
2019-11-07
3 SHS Stanley Black & Decker Inc.
2015-11-17
2019-11-07
5 SHS Stanley Black & Decker Inc.
2015-11-12
2019-11-07
8 SHS Stanley Black & Decker Inc.
2016-02-11
2019-11-07
9 SHS Stanley Black & Decker Inc.
2015-11-16
2019-11-07
10 SHS Stanley Black & Decker Inc.
2016-02-11
2019-11-07
11 SHS Stanley Black & Decker Inc.
2016-02-12
2019-11-07
11 SHS Stanley Black & Decker Inc.
2016-02-12
2019-11-07
21 SHS Stanley Black & Decker Inc.
2016-02-17
2019-11-07
23 SHS Stanley Black & Decker Inc.
2016-02-11
2019-11-07
300 SHS Vanguard Short-Term Bond ETF
2019-03-07
2019-11-07
916 SHS Vanguard Short-Term Bond ETF
2019-03-07
2019-11-07
80505.758 SHS Vanguard Total Bond Market Index Fund-ADM
2018-10-02
2019-12-27
2670.876 SHS Vanguard Total Intl BND-Adm
2018-01-24
2019-12-27
8207.934 SHS Vanguard Total Intl BND-Adm
2019-02-12
2019-12-27
18764.284 SHS Vanguard Total Intl BND-Adm
2017-04-19
2019-12-27
1 SHS Vertex Pharmaceuticals Inc.
2014-03-14
2019-11-07
13 SHS Vertex Pharmaceuticals Inc.
2014-03-14
2019-11-07
18 SHS Vertex Pharmaceuticals Inc.
2013-03-14
2019-11-07
20 SHS Vertex Pharmaceuticals Inc.
2014-09-09
2019-11-07
14.5 SHS Waste Connections Inc.
2016-08-10
2019-11-07
25.5 SHS Waste Connections Inc.
2016-07-25
2019-11-07
84 SHS Waste Connections Inc.
2016-07-26
2019-11-07
95 SHS Wells Fargo BK N A
2019-11-07
2020-05-22
269 SHS Wells Fargo BK N A
2012-09-24
2020-05-22
4 SHS WEX Inc.
2016-06-01
2020-05-22
8 SHS WEX Inc.
2016-05-31
2020-05-22
10 SHS WEX Inc.
2016-05-27
2020-05-22
16 SHS WEX Inc.
2016-05-03
2020-05-22
18 SHS WEX Inc.
2016-05-02
2020-05-22
1 SHS Yum Brands Inc.
2018-11-29
2019-11-07
1 SHS Yum Brands Inc.
2018-11-29
2019-11-07
3 SHS Yum Brands Inc.
2018-11-29
2019-11-07
3 SHS Yum Brands Inc.
2018-11-30
2019-11-07
6 SHS Yum Brands Inc.
2018-11-30
2019-11-07
8 SHS Yum Brands Inc.
2018-11-30
2019-11-07
9 SHS Yum Brands Inc.
2018-11-29
2019-11-07
10 SHS Yum Brands Inc.
2018-11-29
2019-11-07
17 SHS Yum Brands Inc.
2018-11-29
2019-11-07
19 SHS Yum Brands Inc.
2018-11-30
2019-11-07
1 SHS Zimmer Biomet Holding Inc.
2017-11-16
2020-05-22
1 SHS Zimmer Biomet Holding Inc.
2017-11-16
2020-05-22
1 SHS Zimmer Biomet Holding Inc.
2017-11-17
2020-05-22
2 SHS Zimmer Biomet Holding Inc.
2017-11-17
2020-05-22
3 SHS Zimmer Biomet Holding Inc.
2017-11-15
2020-05-22
3 SHS Zimmer Biomet Holding Inc.
2017-11-15
2020-05-22
4 SHS Zimmer Biomet Holding Inc.
2017-11-15
2020-05-22
4 SHS Zimmer Biomet Holding Inc.
2017-11-15
2020-05-22
4 SHS Zimmer Biomet Holding Inc.
2018-11-01
2020-05-22
4 SHS Zimmer Biomet Holding Inc.
2018-11-01
2020-05-22
5 SHS Zimmer Biomet Holding Inc.
2017-11-15
2020-05-22
5 SHS Zimmer Biomet Holding Inc.
2017-11-17
2020-05-22
5 SHS Zimmer Biomet Holding Inc.
2018-04-30
2020-05-22
7 SHS Zimmer Biomet Holding Inc.
2018-04-30
2020-05-22
7 SHS Zimmer Biomet Holding Inc.
2018-04-30
2020-05-22
10 SHS Zimmer Biomet Holding Inc.
2018-04-30
2020-05-22
12 SHS Zimmer Biomet Holding Inc.
2018-04-30
2020-05-22
14 SHS Zimmer Biomet Holding Inc.
2017-11-14
2020-05-22
20 SHS Zimmer Biomet Holding Inc.
2018-11-01
2020-05-22
24 SHS Zimmer Biomet Holding Inc.
2017-11-22
2020-05-22
46 SHS Zimmer Biomet Holding Inc.
2017-11-14
2020-05-22
7 SHS APTIV PLC
2017-05-18
2019-08-14
78 SHS APTIV PLC
2017-05-18
2019-08-14
4 SHS APTIV PLC
2018-04-30
2019-08-14
9 SHS APTIV PLC
2018-04-30
2019-08-14
10 SHS APTIV PLC
2018-04-30
2019-08-14
20 SHS APTIV PLC
2018-05-01
2019-08-14
9479.536 SHS Six Circle Ultra Short Duration Fund
2018-10-29
2019-08-16
21444.068 SHS Six Circles International Unconstrained Equity Fund
2018-10-26
2019-08-15
15540.053 SHS Six Circles International Unconstrained Equity Fund
2019-04-08
2019-08-15
39869.748 SHS Six Circles U.S. Unconstrained Equity Fund
2018-10-26
2019-08-16
28571.429 SHS Six Circles U.S.Unconstrained Equity Fund
2019-04-08
2019-08-16
27 SHS SVB Financial Group
2015-02-05
2009-08-14
3 SHS SVB Financial Group
2015-02-06
2019-08-14
12 SHS SVB Financial Group
2015-02-06
2019-08-14
Capital Gains Dividends
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
203
84
119
b
203
84
119
c
406
167
239
d
406
169
237
e
609
240
369
1,015
419
596
1,015
420
595
1,624
672
952
3,857
1,579
2,278
5,076
1,993
3,083
5,888
2,290
3,598
5,822
7,273
-1,451
115
64
51
115
64
51
115
65
50
115
65
50
115
65
50
115
63
52
115
65
50
230
128
102
230
128
102
230
130
100
230
131
99
230
130
100
345
194
151
345
195
150
575
321
254
575
328
247
690
385
305
690
385
305
690
395
295
690
394
296
920
512
408
920
525
395
1,036
584
452
1,036
595
441
1,726
993
733
485
474
11
606
600
6
728
710
18
970
945
25
1,698
1,402
296
1,819
1,545
274
2,183
1,801
382
2,304
1,956
348
2,668
2,589
79
3,638
3,589
49
4,366
4,427
-61
1,924
933
991
4,376
2,070
2,306
13,801
6,997
6,804
192,956
284,640
-91,684
2,447
2,354
93
3,781
3,014
767
5,561
5,127
434
14,681
10,892
3,789
7,014
18,226
-11,212
5,077
3,178
1,899
14,187
7,849
6,338
311
36
275
934
105
829
1,557
171
1,386
1,557
182
1,375
1,869
203
1,666
1,869
207
1,662
1,869
209
1,660
3,426
380
3,046
5,917
655
5,262
6,229
680
5,549
6,540
731
5,809
24
23
1
24
23
1
24
23
1
24
23
1
24
23
1
24
23
1
24
23
1
24
23
1
48
45
3
48
46
2
48
46
2
48
46
2
48
46
2
71
68
3
71
69
2
71
69
2
119
115
4
119
115
4
143
136
7
167
160
7
428
405
23
4,044
4,721
-677
1,415
1,249
166
2,177
2,166
11
3,484
3,050
434
5,879
4,724
1,155
6,423
5,644
779
6,641
2,293
4,348
6,968
6,088
880
3,231
1,836
1,395
3,769
2,037
1,732
6,462
3,495
2,967
18,308
6,575
11,733
18,344
12,000
6,344
326
312
14
512
491
21
884
846
38
3,999
3,829
170
5,953
5,703
250
549
624
-75
916
1,037
-121
942
1,070
-128
1,125
1,269
-144
4,736
5,441
-705
151
208
-57
226
313
-87
302
409
-107
678
937
-259
678
945
-267
678
947
-269
829
1,129
-300
3,844
5,291
-1,447
8,815
15,594
-6,779
128,374
26,021
102,353
194
170
24
194
171
23
291
253
38
582
510
72
1,068
935
133
1,068
928
140
2,135
1,911
224
4,076
3,567
509
6,697
7,844
-1,147
225
167
58
225
168
57
225
169
56
225
167
58
338
234
104
338
235
103
338
236
102
451
298
153
789
545
244
789
551
238
789
598
191
901
624
277
1,014
742
272
1,014
760
254
1,239
927
312
1,577
1,198
379
1,803
1,186
617
1,803
1,191
612
4,844
3,128
1,716
52
80
-28
259
409
-150
363
560
-197
933
1,485
-552
1,089
1,696
-607
1,244
1,949
-705
1,244
1,989
-745
1,607
2,565
-958
1,711
2,979
-1,268
2,799
3,906
-1,107
190
75
115
5,892
2,314
3,578
11,404
4,519
6,885
112,651
101,681
10,970
138,619
123,987
14,632
156,152
132,132
24,020
183
153
30
183
152
31
366
306
60
366
305
61
366
305
61
366
368
-2
548
457
91
548
457
91
731
603
128
731
612
119
914
757
157
914
764
150
914
760
154
914
761
153
1,097
920
177
1,463
1,209
254
5,119
4,811
308
35,202
33,340
1,862
65,549
62,083
3,466
34,249
33,413
836
62,359
60,849
1,510
20,070
25,513
-5,443
109,252
120,670
-11,418
198,157
219,800
-21,643
7,273
7,485
-212
81,898
91,885
-9,987
87,009
89,518
-2,509
89,433
101,628
-12,195
138,421
137,835
586
36,826
28,372
8,454
148,129
131,763
16,366
169,540
137,036
32,504
181,198
149,202
31,996
21
22
-1
21
23
-2
21
24
-3
43
44
-1
107
112
-5
129
140
-11
161
159
2
225
234
-9
236
257
-21
257
253
4
311
321
-10
322
614
-292
944
978
-34
1,909
3,178
-1,269
2,992
2,996
-4
8,440
11,009
-2,569
6,561
1,805
4,756
14,264
3,417
10,847
198
212
-14
594
722
-128
1,386
1,484
-98
2,573
2,526
47
3,365
3,995
-630
4,157
5,058
-901
4,883
5,198
-315
6,994
6,462
532
42,642
6,536
36,106
11,454
12,067
-613
305
250
55
457
373
84
6,323
5,251
1,072
6,704
7,165
-461
8,228
6,826
1,402
197,108
189,737
7,371
199,450
123,255
76,195
2,245
1,953
292
2,967
2,202
765
2,967
1,809
1,158
6,695
3,826
2,869
8,619
4,417
4,202
4,335
5,424
-1,089
8,092
10,379
-2,287
107
63
44
133
60
73
187
109
78
213
95
118
213
96
117
213
122
91
267
121
146
347
198
149
427
192
235
694
392
302
1,014
728
286
1,281
740
541
1,548
650
898
1,895
723
1,172
391
258
133
587
450
137
1,174
901
273
1,370
1,051
319
1,370
1,051
319
1,566
956
610
1,566
1,031
535
1,566
1,201
365
1,761
1,064
697
1,957
1,192
765
2,153
1,313
840
2,740
1,805
935
2,740
2,022
718
4,110
3,042
1,068
686
586
100
1,715
1,059
656
1,715
1,052
663
1,715
1,465
250
3,773
3,445
328
6,175
5,065
1,110
6,518
4,013
2,505
3,743
4,829
-1,086
4,574
5,738
-1,164
8,941
7,703
1,238
117
94
23
703
566
137
1,288
1,034
254
1,405
1,127
278
1,874
1,505
369
2,108
1,670
438
5,388
4,257
1,131
2,666
7,372
-4,706
3,027
1,754
1,273
3,892
2,246
1,646
3,892
2,270
1,622
502
447
55
2,208
1,810
398
7,327
6,600
727
9,234
7,822
1,412
177
173
4
495
480
15
1,167
1,143
24
2,051
2,011
40
2,158
2,088
70
2,794
3,364
-570
2,971
2,891
80
3,961
3,859
102
4,067
3,708
359
5,093
4,750
343
7,907
8,549
-642
225
213
12
17,651
16,758
893
45
73
-28
187
160
27
187
156
31
187
157
30
280
235
45
280
240
40
467
392
75
1,587
1,348
239
3,362
2,902
460
6,163
5,321
842
159
123
36
159
124
35
159
124
35
160
124
36
160
124
36
319
239
80
319
243
76
319
247
72
478
359
119
478
372
106
957
716
241
957
717
240
957
747
210
1,435
1,101
334
1,595
1,193
402
3,987
2,981
1,006
5,582
5,298
284
1,000,000
1,000,000
0
87,222
59,120
28,102
122,366
77,359
45,007
127,158
96,863
30,295
170,290
112,620
57,670
159
106
53
159
105
54
159
105
54
159
105
54
318
213
105
318
213
105
318
210
108
318
213
105
477
315
162
795
530
265
1,272
719
553
1,431
943
488
1,590
895
695
1,749
1,007
742
1,749
1,011
738
3,339
1,955
1,384
3,657
2,073
1,584
24,145
23,709
436
73,723
72,403
1,320
891,184
834,040
57,144
60,574
57,905
2,669
186,152
180,000
6,152
425,564
408,311
17,253
196
79
117
2,542
1,024
1,518
3,519
951
2,568
3,910
1,866
2,044
1,298
764
534
2,282
1,257
1,025
7,517
4,158
3,359
2,289
5,125
-2,836
6,482
9,437
-2,955
554
360
194
1,108
739
369
1,385
921
464
2,216
1,457
759
2,493
1,695
798
100
89
11
100
92
8
299
266
33
299
272
27
597
544
53
796
734
62
896
827
69
995
918
77
1,692
1,517
175
1,891
1,733
158
123
111
12
123
111
12
123
111
12
246
222
24
370
332
38
370
334
36
493
442
51
493
443
50
493
452
41
493
452
41
616
555
61
616
556
60
616
568
48
862
794
68
862
795
67
1,232
1,123
109
1,478
1,376
102
1,725
1,548
177
2,464
2,292
172
2,957
2,692
265
5,667
5,093
574
557
498
59
6,205
5,553
652
318
345
-27
716
784
-68
795
870
-75
1,591
1,741
-150
94,890
94,890
0
193,640
189,780
3,860
140,327
147,475
-7,148
403,482
379,560
23,922
289,143
294,000
-4,857
5,101
3,248
1,853
567
380
187
2,267
1,515
752
52,977
52,977
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
119
b
119
c
239
d
237
e
369
596
595
952
2,278
3,083
3,598
-1,451
51
51
50
50
50
52
50
102
102
100
99
100
151
150
254
247
305
305
295
296
408
395
452
441
733
11
6
18
25
296
274
382
348
79
49
-61
991
2,306
6,804
-91,684
93
767
434
3,789
-11,212
1,899
6,338
275
829
1,386
1,375
1,666
1,662
1,660
3,046
5,262
5,549
5,809
1
1
1
1
1
1
1
1
3
2
2
2
2
3
2
2
4
4
7
7
23
-677
166
11
434
1,155
779
4,348
880
1,395
1,732
2,967
11,733
6,344
14
21
38
170
250
-75
-121
-128
-144
-705
-57
-87
-107
-259
-267
-269
-300
-1,447
-6,779
102,353
24
23
38
72
133
140
224
509
-1,147
58
57
56
58
104
103
102
153
244
238
191
277
272
254
312
379
617
612
1,716
-28
-150
-197
-552
-607
-705
-745
-958
-1,268
-1,107
115
3,578
6,885
10,970
14,632
24,020
30
31
60
61
61
-2
91
91
128
119
157
150
154
153
177
254
308
1,862
3,466
836
1,510
-5,443
-11,418
-21,643
-212
-9,987
-2,509
-12,195
586
8,454
16,366
32,504
31,996
-1
-2
-3
-1
-5
-11
2
-9
-21
4
-10
-292
-34
-1,269
-4
-2,569
4,756
10,847
-14
-128
-98
47
-630
-901
-315
532
36,106
-613
55
84
1,072
-461
1,402
7,371
76,195
292
765
1,158
2,869
4,202
-1,089
-2,287
44
73
78
118
117
91
146
149
235
302
286
541
898
1,172
133
137
273
319
319
610
535
365
697
765
840
935
718
1,068
100
656
663
250
328
1,110
2,505
-1,086
-1,164
1,238
23
137
254
278
369
438
1,131
-4,706
1,273
1,646
1,622
55
398
727
1,412
4
15
24
40
70
-570
80
102
359
343
-642
12
893
-28
27
31
30
45
40
75
239
460
842
36
35
35
36
36
80
76
72
119
106
241
240
210
334
402
1,006
284
0
28,102
45,007
30,295
57,670
53
54
54
54
105
105
108
105
162
265
553
488
695
742
738
1,384
1,584
436
1,320
57,144
2,669
6,152
17,253
117
1,518
2,568
2,044
534
1,025
3,359
-2,836
-2,955
194
369
464
759
798
11
8
33
27
53
62
69
77
175
158
12
12
12
24
38
36
51
50
41
41
61
60
48
68
67
109
102
177
172
265
574
59
652
-27
-68
-75
-150
0
3,860
-7,148
23,922
-4,857
1,853
187
752
52,977
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
686,168
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
489,761
9,754,607
0.050208
2017
459,693
10,042,275
0.045776
2016
454,993
9,309,706
0.048873
2015
435,208
8,905,246
0.048871
2014
418,562
9,658,890
0.043334
2
Total
of line 1, column (d)
.....................
2
0.237062
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
0.047412
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
9,750,598
5
Multiply line 4 by line 3
......................
5
462,295
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7,917
7
Add lines 5 and 6
........................
7
470,212
8
Enter qualifying distributions from Part XII, line 4
,.............
8
481,778
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
7,917
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
7,917
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
7,917
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
5,440
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
5,440
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
2,477
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
Refunded
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
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)
NY
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
DEGAETANO CARR ATTN PAMELA J C
Telephone no.
(212) 935-7100
Located at
36 EAST 81ST STREET SUITE 1M
NEW YORK
NY
ZIP+4
10028
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
PETER F DEGAETANO
VICE PRES., SECRETARY & DI
3.00
24,000
0
0
36 EAST 81ST STREET SUITE 1M
NEW YORK
,
NY
10028
PAMELA J DEGAETANO CARR
VICE PRES., TREASURER & DI
3.00
24,000
0
0
36 EAST 81ST STREET SUITE 1M
NEW YORK
,
NY
10028
PAUL DEGAETANO
VICE PRES., ASST. TRES. &
3.00
24,000
0
0
36 EAST 81ST STREET SUITE 1M
NEW YORK
,
NY
10028
RAYMOND L VANDENBERG
PRESIDENT & DIRECTOR
3.00
24,000
0
0
277 WEST END AVENUE APT 4B
NEW YORK
,
NY
10023
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
8,889,399
b
Average of monthly cash balances
.......................
1b
1,009,685
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
9,899,084
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
9,899,084
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
148,486
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
9,750,598
6
Minimum investment return.
Enter 5% of line 5
..................
6
487,530
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
487,530
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
7,917
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
7,917
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
479,613
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
479,613
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
479,613
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
481,778
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
481,778
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
7,917
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
473,861
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
479,613
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
404,796
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
481,778
a
Applied to 2018, but not more than line 2a
404,796
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
.....
76,982
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
402,631
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
PAMELA J CARR ESQ
36 EAST 81ST STREET SUITE 1M
NEW YORK
,
NY
10028
(212) 936-7100
b
The form in which applications should be submitted and information and materials they should include:
LETTER OUTLINING PURPOSES AND REQUIREMENTS OF THE ORGANIZATION
c
Any submission deadlines:
NONE
d
Any 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)
a
Paid during the year
Actors Fund of America The
729 Seventh Avenue 10th floor
New York
,
NY
10019
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
15,000
El del Museo Barrio
1230 Fifth Avenue at 104th Street
New York
,
NY
10029
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
15,000
Ballet Hispanico of New York
167 West 89th Street
New York
,
NY
10024
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
15,000
Ballet Theatre Foundation Inc (ALSO KNOWN AS AMERICAN BALLET THEATRE)
890 Broadway
New York
,
NY
10003
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
125,000
Dance Theatre of Harlem Inc
466 West 152nd Street
New York
,
NY
100311814
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
15,000
Elaine Kaufman Center - Lucy Moses for Music & Dance
129 W 67th Street
New York
,
NY
10023
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
15,000
Joyce Theatre Foundation Inc
175 Eighth Avenue
New York
,
NY
10011
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
15,000
Kunhardt Film Foundation Inc
48 Wheeler Ave 3rd FL
Pleasabtville
,
NY
10570
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
15,000
Lincoln Center Corporate Fund
70 Lincoln Center Plaza
New York
,
NY
10023
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
50,000
St Bartholomew's Conservancy Inc
485 Madison Avenue 7th Floor
New York
,
NY
10022
EXEMPT
GENERAL PURPOSE - CHARITABLE CONTRIBUTION
125,000
Total
.................................
3a
405,000
b
Approved for future payment
Total
.................................
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
999
4
Dividends and interest from securities
....
14
200,094
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
686,168
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
887,261
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
887,261
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description