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
THE PROVIDENT BANK FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)250 MADISON AVENUE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MORRISTOWN, NJ07960
A Employer identification number

04-3739441
B Telephone number (see instructions)

(732) 590-9350
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$24,878,519J Accounting method:
MODIFIED CASH
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 103 103  
4 Dividends and interest from securities... 1,044,099 1,044,099  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 725,132
b Gross sales price for all assets on line 6a 2,489,294
7 Capital gain net income (from Part IV, line 2)... 725,132
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........ 1,769,334 1,769,334  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 141,136 0   141,136
14 Other employee salaries and wages...... 116,401 0   116,401
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 25,500 12,750   12,750
c Other professional fees (attach schedule).... Click to see attachment 132,688 43,998   88,690
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 21,375 0   0
19 Depreciation (attach schedule) and depletion... 6,895 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 62,650 0   62,650
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 506,645 56,748   421,627
25 Contributions, gifts, grants paid....... 1,307,230 1,307,230
26 Total expenses and disbursements. Add lines 24 and 25 1,813,875 56,748   1,728,857
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -44,541
b Net investment income (if negative, enter -0-) 1,712,586
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.............      
2 Savings and temporary cash investments......... 351,235 536,182 536,182
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.......... 18,465 18,465 18,465
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 24,306,922 Click to see attachment24,305,401 24,305,401
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 bullet100,269
Less: accumulated depreciation (attach schedule) bullet81,798 25,366 18,471 18,471
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 24,701,988 24,878,519 24,878,519
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 24,701,988 24,878,519
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)..... 24,701,988 24,878,519
30 Total liabilities and net assets/fund balances (see instructions). 24,701,988 24,878,519
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
24,701,988
2
Enter amount from Part I, line 27a .....................
2
-44,541
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
221,072
4
Add lines 1, 2, and 3 ..........................
4
24,878,519
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
24,878,519
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 PUBLICLY TRADED SECURITIES P    
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 2,489,294   1,764,162 725,132
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       725,132
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 2 725,132
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2018 1,510,614 26,383,854 0.057255
2017 1,469,976 27,315,919 0.053814
2016 1,345,496 23,591,318 0.057034
2015 1,312,548 21,992,241 0.059682
2014 1,361,436 21,310,095 0.063887
2
Total of line 1, column (d) .....................
2
0.291672
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
0.058334
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
24,923,128
5
Multiply line 4 by line 3......................
5
1,453,866
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
17,126
7
Add lines 5 and 6........................
7
1,470,992
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,728,857
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 17,126
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 17,126
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 17,126
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 17,000
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 17,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 126
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 .Click to see attachment
    8b
     
    No
    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 addressbulletWWW.THEPROVIDENTBANKFOUNDATION.ORG
    14
    The books are in care ofbulletGEORGE DAILEY JR THE FDN Telephone no.bullet (732) 590-9350

    Located atbullet100 WOOD AVENUE SOUTHISELINNJ ZIP+4bullet088302727
    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
     
    No
    ........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
    DR CARLOS HERNANDEZ PH D CHAIRMAN
    1.00     		0 0 0
    250 MADISON AVENUE
    MORRISTOWN,NJ07960
    CHRISTOPHER MARTIN PRESIDENT AND DIRECTOR
    2.00     		0 0 0
    250 MADISON AVENUE
    MORRISTOWN,NJ07960
    JOHN KUNTZ SECRETARY
    2.00     		0 0 0
    250 MADISON AVENUE
    MORRISTOWN,NJ07960
    GEORGE DAILEY JR SEE STMT 8 TREASURER
    5.00     		14,577 0 0
    250 MADISON AVENUE
    MORRISTOWN,NJ07960
    JANE KUREK SEE STMT 8 EXECUTIVE DIRECTOR
    37.50     		118,559 0 0
    250 MADISON AVENUE
    MORRISTOWN,NJ07960
    JEFFRIES SHEIN DIRECTOR
    1.00     		4,000 0 0
    250 MADISON AVENUE
    MORRISTOWN,NJ07960
    KAREN MCMULLEN DIRECTOR
    1.00     		4,000 0 0
    250 MADISON AVENUE
    MORRISTOWN,NJ07960
    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
    SAMANTHA PLOTINO FOUNDATION ASSOCIATE
    37.50     		72,104 0 0
    250 MADISON AVENUE
    MORRISTOWN,NJ07960
    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
    THE PROVIDENT BANKClick to see attachment SEE STATEMENT #8 338,553
    100 WOOD AVENUE SOUTH
    ISELIN,NJ08830
    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
    24,895,664
    b
    Average of monthly cash balances.......................
    1b
    407,004
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    25,302,668
    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
    25,302,668
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    379,540
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    24,923,128
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,246,156
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,246,156
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    17,126
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    17,126
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,229,030
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,229,030
    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
    1,229,030
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,728,857
    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
    1,728,857
    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
    17,126
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,711,731
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2018     		(c)
    2018     		(d)
    2019
    1 Distributable amount for 2019 from Part XI, line 7 1,229,030
    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...... 318,097
    b From 2015...... 238,633
    c From 2016...... 183,285
    d From 2017...... 79,686
    e From 2018...... 210,296
    fTotal of lines 3a through e........ 1,029,997
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 1,728,857
    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..... 1,229,030
    e Remaining amount distributed out of corpus 499,827
    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 1,529,824
    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) ...     		318,097
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......     		1,211,727
    10 Analysis of line 9:
    a Excess from 2015.... 238,633
    b Excess from 2016.... 183,285
    c Excess from 2017.... 79,686
    d Excess from 2018.... 210,296
    e Excess from 2019.... 499,827
    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:
    SAMANTHA PLOTINO EXECUTIVE DIRECTOR
    THE PROVIDENT BANK FOUNDATION 250
    MADISON AVE
    MORRISTOWN,NJ07960
    (862) 260-3990
    SAMANTHA.PLOTINO@PROVIDENT.BANK
    bThe form in which applications should be submitted and information and materials they should include:
    IF YOUR ORGANIZATION IS SEEKING A GRANT, THE BEST PLACE TO START IS TO REVIEW PBF GRANT GUIDELINES. PLEASE REFER TO WWW.THEPROVIDENTBANKFOUNDATION.ORG FOR INFORMATION. IF YOU HAVE QUESTIONS, CONTACT THE PBF OFFICE AT FOUNDATION@PROVIDENT.BANK TO SCHEDULE A TIME TO REVIEW YOUR QUESTIONS. AFTER REVIEWING THE GUIDELINES, APPLICATION LINKS CAN BE ACCESSED THROUGH THE APPLICATION SECTION OF THE ABOVE REFERENCED WEBSITE.
    cAny submission deadlines:
    PLEASE REFER TO DETAILS INDICATED ON WWW.THEPROVIDENTBANKFOUNDATION.ORG IN THE APPLICATION SECTION.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ORGANIZATIONS SEEKING FUNDING FROM THE PROVIDENT BANK FOUNDATION MUST BE CERTIFIED AS A TAX EXEMPT PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CLASSIFIED AS NOT A PRIVATE FOUNDATION" UNDER SECTION 509(A)(1) OR 509(A)(2). PBF SEEKS GRANTEE ORGANIZATIONS THAT SHOW PASSION FOR THEIR MISSION AND MEET HIGH STANDARDS OF GOVERNANCE, ACCOUNTABILITY, AND FISCAL MANAGEMENT.
    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
    180 TURNING LIVES AROUND INC
    1 BETHANY ROAD BUILDING 3 STE 42
    HAZLET,NJ07730     		NONE PC MONMOUTH COUNTY FAMILY JUSTICE CENTER 20,000
    200 CLUB OF MIDDLESEX COUNTY
    PO BOX 387
    WOODBRIDGE,NJ07095     		NONE PC 200 CLUB OF MIDDLESEX COUNTY 2,500
    ABILITIES OF NORTHWEST JERSEY INC
    264 STATE ROUTE 31
    WASHINGTON,NJ07882     		NONE PC MUSIC & ART ENRICHMENT PROGRAM 15,000
    ADLER APHASIA CENTER
    60 WEST HUNTER AVENUE
    MAYWOOD,NJ076071006     		NONE PC INCREASING ACCESS TO LONG-TERM APHASIA REHABILITATION IN NJ: SUPPORTING THE ADLER LIFE SKILLS PROGRAM AND A NEW ADLER APHASIA CENTER IN TOMS RIVER 10,000
    AFFORDABLE HOUSING ALLIANCE
    59 BROAD STREET
    EATONTOWN,NJ07724     		NONE PC HOUSING COUNSELING AND EDUCATION 10,000
    ALGONQUIN ARTS THEATRE
    PO BOX 677
    MANASQUAN,NJ08736     		NONE PC ALGONQUIN ARTS TEEN NIGHT 2,000
    ALLENTOWN AREA ECUMENICAL FOOD BANK
    245 N 6TH ST
    ALLENTOWN,PA18102     		NONE PC FEEDING THE HUNGRY OF THE LEHIGH VALLEY 3,000
    ALLENTOWN SYMPHONY ASSOCIATION INC
    23 NORTH 6TH STREET
    ALLENTOWN,PA181011431     		NONE PC EL SISTEMA LEHIGH VALLEY 2019-2020 7,500
    ARTS UNBOUND
    544 FREEMAN ST
    ORANGE,NJ07050     		NONE PC ARTIST DEVELOPMENT AND COACHING PROGRAM 3,000
    BIG BROTHERS BIG SISTERS OF COASTAL & NORTHERN NEW JERSEY
    305 BOND STREET 2ND FLOOR
    ASBURY PARK,NJ077127010     		NONE PC MENTOR MAKER SPONSORSHIP 7,500
    BOYS & GIRLS CLUB OF ALLENTOWN
    720 N SIXTH STREET
    ALLENTOWN,PA181021608     		NONE PC ISTATION - CUMBERLAND GARDENS CLUBHOUSE 3,000
    BRIDGE INC
    860 BLOOMFIELD AVE
    WEST CALDWELL,NJ070067106     		NONE PC PEACE MODEL PROGRAM 15,000
    CASA OF MORRIS AND SUSSEX COUNTIES
    18 CATTANO AVENUE
    MORRISTOWN,NJ079606846     		NONE PC FOSTERING FUTURES (FF) PROGRAM 7,500
    CENTER FOR GREAT EXPECTATIONS
    19 DELLWOOD LANE
    SOMERSET,NJ08873     		NONE PC ADULT WOMEN & CHILDREN 20,000
    CENTER FOR HOPE AND SAFETY
    12 OVERLOOK AVE
    ROCHELLE PARK,NJ076623226     		NONE PC CHILDREN'S SERVICES PROGRAM 3,000
    CENTER FOR HUMANISTIC CHANGE INC
    555 UNION BLVD SUITE 7
    ALLENTOWN,PA18109     		NONE PC PROJECT SUCCESS/CROSSROADS MENTORING PROGRAM BETHLEHEM AND EASTON 25,000
    CENTER FOR NON PROFIT CORPORATIONS
    3635 QUAKERBRIDGE ROAD SUITE 35
    MERCERVILLE,NJ08619     		NONE PC CONNECT, SPARK, ACT - 2019 NEW JERSEY NON-PROFIT CONFERENCE 3,000
    CENTER FOR VISION LOSS
    845 WEST WYOMING ST
    ALLENTOWN,PA181033991     		NONE PC ESCORTED TRANSPORTATION FOR PEOPLE WITH SEVERE VISION LOSS 3,000
    CENTRAL JERSEY HOUSING RESOURCE CENTER
    600 FIRST AVENUE SUITE 3
    RARITAN,NJ088691346     		NONE PC HOUSING RESOURCE CENTER PROGRAMS 3,000
    CLARA MAASS FOUNDATION
    1 CLARA MAASS DRIVE
    BELLEVILLE,NJ071093550     		NONE PC CENTER OF EXCELLENCE FOR LATINO HEALTH (CELH) 15,000
    CODEY FUND FOR MENTAL HEALTH
    300 EXECUTIVE DRIVE SUITE 360
    WEST ORANGE,NJ07052     		NONE PC WORKSHOPS FOR PARA-PROFESSIONALS TO RECOGNIZE POSSIBLE MENTAL HEALTH ISSUES IN STUDENTS 1,500
    COMMUNITY ACCESS UNLIMITED
    80 WEST GRAND STREET
    ELIZABETH,NJ072021471     		NONE PC COMMUNITY AND CIVIC ENGAGEMENT 15,000
    COMMUNITY ACTION SERVICE CENTER DBA RISE
    PO BOX 88 116 N MAIN ST
    HIGHTSTOWN,NJ085200088     		NONE PC RISE FOOD PANTRY 2,000
    COMMUNITY HOPE INC
    959 ROUTE 46 EAST SUITE 402
    PARSIPPANY,NJ070543409     		NONE PC VETERANS MENTAL HEALTH INITIATIVE 25,000
    COMMUNITY MEDICAL CENTER FOUNDATION
    99 HIGHWAY ROUTE 37 WEST
    TOMS RIVER,NJ087556423     		NONE PC FAMILY CAREGIVERS SUPPORT PROGRAM 2,500
    CONNECTION FOR WOMEN AND FAMILIES INC
    79 MAPLE ST
    SUMMIT,NJ079012517     		NONE PC PATHWAYS COOKS 10,000
    CORNERSTONE FAMILY PROGRAMS
    80 WASHINGTON STREET
    MORRISTOWN,NJ079606817     		NONE PC TEEN PATHWAYS TO BRIGHTER FUTURES 10,000
    COUNCIL OF NEW JERSEY GRANTMAKERS
    111 WEST STATE STREET
    TRENTON,NJ086081101     		NONE PC THE COUNCIL OF NEW JERSEY GRANTMAKERS 2019 ANNUAL MEETING AND HOLIDAY LUNCHEON 2,500
    COURT APPOINTED SPECIAL ADVOCATES OF NEW JERSEY INC
    77 CHURCH STREET
    NEW BRUNSWICK,NJ089011242     		NONE PC CASA OF NEW JERSEY'S 2ND ANNUAL STATEWIDE CONFERENCE - BUILDING ADVOCACY SKILLS FOR CHILDREN'S RESILIENCY, TRANSITION, AND HOPE 3,000
    COVENANT HOUSE NEW JERSEY
    330 WASHINGTON STREET
    NEWARK,NJ071022630     		NONE PC RIGHTS OF PASSAGE (ROP) II PROGRAM - ASBURY PARK 7,500
    CPC BEHAVIORAL HEALTHCARE INC
    10 INDUSTRIAL WAY EAST SUITE 108
    EATONTOWN,NJ077243332     		NONE PC CAREMANAG-E SOLUTION 14,400
    DAYTOP NEW JERSEY
    362 SUNSET RD
    SKILLMAN,NJ08558     		NONE PC DAYTOP NEW JERSEY AT CRAWFORD HOUSE 10,000
    DIABETES FOUNDATION INC
    411 HACKENSACK AVENUE 7TH FLOOR
    HACKENSACK,NJ076016328     		NONE PC MEDICATION ASSISTANCE AND PATIENT RESOURCE ADVOCACY SUPPORT 5,000
    DREAMCATCHER REPERTORY THEATRE
    OAKES CENTER 120 MORRIS AVENUE
    SUMMIT,NJ07901     		NONE PC NUESTROS VECINOS (OUR NEIGHBORS) 2,500
    EAST BRUNSWICK EDUCATION FOUNDATION INC
    760 ROUTE 18
    EAST BRUNSWICK,NJ088161405     		NONE PC CURRICULUM SUPPORT FOR TEACHERS 2,000
    ELIZABETH COALITION TO HOUSE THE HOMELESS
    118 DIVISION STREET
    ELIZABETH,NJ07201     		NONE PC BERNICE'S PLACE 7,500
    ELIZABETH DEVELOPMENT COMPANY
    205 FIRST STREET
    ELIZABETH,NJ07206     		NONE PC WORKFORCE DEVELOPMENT AND EDUCATION PROGRAM 10,000
    ENGLEWOOD HEALTH FOUNDATION
    350 ENGLE STREET
    ENGLEWOOD,NJ076311808     		NONE PC COMMUNITY-HEALTH TRAINING PROGRAM 7,500
    FAIRLEIGH DICKINSON UNIVERSITY
    1000 RIVER ROAD H-DH3-13
    TEANECK,NJ07666     		NONE PC PRE-COLLEGIATE STEM DISCOVERY PROGRAM 15,000
    FAMILY PROMISE OF HUNTERDON COUNTY INC
    10 EAST MAIN STREET
    FLEMINGTON,NJ088221208     		NONE PC SHELTERING FAMILIES IN HUNTERDON COUNTY 2,500
    FAMILY PROMISE OF MORRIS COUNTY
    PO BOX 1494
    MORRISTOWN,NJ079621494     		NONE PC OUTREACH PROGRAMS 10,000
    FAMILY SERVICE ASSOCIATION OF BUCKS COUNTY
    4 CORNERSTONE DRIVE
    LANGHORNE,PA190471314     		NONE PC FAMILY SERVICE CALL CENTER 15,000
    FIRST NIGHT MORRIS
    PO BOX 9009
    MORRISTOWN,NJ079639009     		NONE PC FIRST NIGHT MORRIS 2020 2,500
    FLEMINGTON FOOD PANTRY
    154 ROUTE 31 NORTH
    FLEMINGTON,NJ08822     		NONE PC NUTRITION AND HEALTH PROGRAM 5,000
    FORWARD EVER SUSTAINABLE BUSINESS ALLIANCE
    8 E KINNEY ST
    NEWARK,NJ071023508     		NONE PC SHOP NEWARK 1,500
    FOUNDATION FOR MORRISTOWN MEDICAL CENTER
    100 MADISON AVE PO BOX 1956
    MORRISTOWN,NJ079621956     		NONE PC WAMMC COUNTRY BLUEGRASS BASH 2,500
    GEORGE STREET PLAYHOUSE
    PO BOX 194
    NEW BRUNSWICK,NJ089030194     		NONE PC CREATIVE DRAMATICS AT IRVING PRIMARY SCHOOL 15,000
    GIRL SCOUTS OF NORTHERN NEW JERSEY
    95 NEWARK POMPTON TURNPIKE
    RIVERDALE,NJ07457     		NONE PC NEW JERSEY GIRL SCOUTS VOLUNTEER COLLABORATIVE (NJGSVC) 25,000
    GLASSROOTS
    10 BLEEKER ST
    NEWARK,NJ071021903     		NONE PC GLASSROOTS OUT-OF-SCHOOL PROGRAMS 15,000
    GOOD GRIEF INC
    38 ELM STREET
    MORRISTOWN,NJ079604110     		NONE PC IN COMMUNITY - JERSEY CITY 10,000
    GREATER VALLEY YMCA
    1524 WEST LINDEN STREET SUITE 209
    ALLENTOWN,PA181024285     		NONE PC DIABETES PREVENTION PROGRAM (DPP) 10,000
    HABCORE INC
    PO BOX 2361
    RED BANK,NJ07701     		NONE PC STRENGTHENING FAMILIES PROJECT 15,000
    HERITAGE CONSERVANCY
    85 OLD DUBLIN PIKE
    DOYLESTOWN,PA189012468     		NONE PC YOUNG FRIENDS PROFESSIONAL ENRICHMENT PROGRAM 2,000
    HOMESHARING
    120 FINDERNE AVE
    BRIDGEWATER,NJ088073670     		NONE PC SHARED AFFORDABLE HOUSING 2,000
    HOUSING PARTNERSHIP
    2 EAST BLACKWELL STREET SUITE 12
    DOVER,NJ078014645     		NONE PC FINANCIAL LITERACY/HOMEBUYER EDUCATION/FINANCIAL COACHING 2,500
    HUDSON COUNTY CHAMBER FOUNDATION INC
    150 HUDSON STREET SUITE 100
    JERSEY CITY,NJ07311     		NONE PC #HUDSONGIVES 5,000
    HUDSON COUNTY COMMUNITY COLLEGE FOUNDATION
    70 SIP AVENUE 4TH FLOOR
    JERSEY CITY,NJ07306     		NONE PC HCCC FOUNDATION CULTURES & DIVERSITY-A GALA DINING EXPERIENCE 2,000
    HUNTERDON HELPLINE
    PO BOX 246
    FLEMINGTON,NJ08822     		NONE PC SENIOR & DISABILITY SERVICES 10,000
    INTERFAITH HOSPITALITY NETWORK OF OCEAN COUNTY
    407 LEXINGTON AVENUE
    TOMS RIVER,NJ08753     		NONE PC HELPING HOMELESS FAMILIES WITH CHILDREN 2,000
    JEWISH FAMILY & CHILDREN'S SERVICES OF NORTHERN NEW JERSEY
    1485 TEANECK ROAD
    TEANECK,NJ076663626     		NONE PC THE ART OF AGING 2,000
    JEWISH FAMILY SERVICE & CHILDRENS CENTER OF CLIFTON-PASSAIC INC
    110 MAIN AVENUE
    PASSAIC,NJ07055     		NONE PC WINDS CAFE 5,000
    JEWISH FAMILY SERVICE OF SOMERSET HUNTERDON & WARREN COUNTIES
    150A WEST HIGH STREET
    SOMERVILLE,NJ088761854     		NONE PC SENIOR SERVICE CASE MANAGEMENT AND COUNSELLING PROGRAM 5,000
    JEWISH VOCATIONAL SERVICE OF METROWEST
    354 EISENHOWER PARKWAY PLAZA 1
    SUITE 2150
    LIVINGSTON,NJ070520000     		NONE PC INFORMATION TECHNOLOGY TO SUPPORT EXPANDED VOCATIONAL REHABILITATION SERVICES 20,000
    JFK MEDICAL CENTER FOUNDATION
    80 JAMES STREET
    EDISON,NJ08820     		NONE PC PLAINFIELD HEALTH CONNECTIONS 7,500
    KEEPING BABIES SAFE
    16 MOUNT BETHEL ROAD 245
    WARREN,NJ070595604     		NONE PC PROJECT SAFE CRIB 1,000
    KENNEDY DANCERS INC
    79 CENTRAL AVENUE
    JERSEY CITY,NJ073062124     		NONE PC COMMUNITY ENRICHMENT PROGRAM 2,500
    KIDZ CAN CORPORATION
    PO BOX 267
    ROCKY HILL,NJ08553     		NONE PC HIGHWAY TO HOPE 5,000
    LADACIN NETWORK
    1703 KNEELEY BOULEVARD
    WANAMASSA,NJ077127622     		NONE PC GET HEALTHY, GET MOVING 23,225
    LAKELAND HILLS FAMILY YMCA
    100 FANNY ROAD
    MOUNTAIN LAKES,NJ070461021     		NONE PC WELLNESS PROGRAMMING FOR INDIVIDUALS WITH DEVELOPMENTAL CHALLENGES 2,500
    LAUGHING AT MY NIGHTMARE INC
    2732 LAFAYETTE AVE
    BETHLEHEM,PA180174028     		NONE PC NO MORE NIGHTMARES - ADAPTIVE EQUIPMENT 3,000
    LEHIGH CARBON COMMUNITY COLLEGE FOUNDATION
    4525 EDUCATION PARK DRIVE
    SCHNECKSVILLE,PA180782502     		NONE PC SUCCESS, ENGAGEMENT, EDUCATION AND DETERMINATION (SEED) PROGRAM SCHOLARSHIPS FOR STUDENTS WITH EXCEPTIONALITIES 15,000
    LITERACY VOLUNTEERS OF MORRIS COUNTY
    16 ELM STREET
    MORRISTOWN,NJ07960     		NONE PC OPERATING SUPPORT FOR ADULT LITERACY PROGRAM 2,500
    LITERACY VOLUNTEERS OF SOMERSET COUNTY
    120 FINDERNE AVE - BOX 7
    BRIDGEWATER,NJ088073670     		NONE PC BEGINNER ENGLISH AS A SECOND LANGUAGE (ESL) FOR SPANISH SPEAKERS 1,500
    LUNCH BREAK
    121 DRS JAMES PARKER BLVD
    RED BANK,NJ077010902     		NONE PC CLIENT CHOICE PANTRY 15,000
    MADISON AREA YMCA
    111 KINGS ROAD
    MADISON,NJ079402122     		NONE PC LIVESTRONG AT THE YMCA CANCER SURVIVOR'S PROGRAM 10,000
    MAKE-A-WISH NEW JERSEY
    1384 PERRINEVILLE ROAD
    MONROE TOWNSHIP,NJ08831     		NONE PC WISH GRANTING 15,000
    MEALS ON WHEELS OF THE GREATER LEHIGH VALLEY
    4240 FRITCH DRIVE
    BETHLEHEM,PA180209344     		NONE PC MEAL SUBSIDY PROGRAM - ALLENTOWN, BETHLEHEM AND EASTON 5,000
    MENTAL HEALTH ASSOCIATION OF MONMOUTH COUNTY INC
    119 AVENUE AT THE COMMON SUITE 5
    SHREWSBURY,NJ077024586     		NONE PC RED BANK RESOURCE NETWORK (RBRN) 2,500
    MERCY CENTER
    1106 MAIN ST
    ASBURY PARK,NJ077125925     		NONE PC EMERGENCY SERVICES PROGRAM 2,500
    MIDDLE EARTH
    PO BOX 8045
    BRIDGEWATER,NJ088078045     		NONE PC STUDENT AMBASSADORS PROGRAM 10,000
    MIDDLESEX COUNTY COLLEGE FOUNDATION
    2600 WOODBRIDGE AVENUE
    EDISON,NJ08818     		NONE PC MISSION PARTNER 2019-2020 10,000
    MIDLAND FOUNDATION
    PO BOX 5026
    NORTH BRANCH,NJ088765026     		NONE PC MIDLAND AFTER SCHOOL PROGRAM 3,000
    MONMOUTH ARTS
    105 MONMOUTH STREET
    RED BANK,NJ077011108     		NONE PC SIGNS OF HOPE - RED BANK 1,500
    MORRIS ARTS
    14 MAPLE AVENUE SUITE 301
    MORRISTOWN,NJ07882     		NONE PC ARTS IN EDUCATION (MORRISTOWN, DOVER, MORRIS PLAINS AND MADISON) 5,000
    MORRIS HABITAT FOR HUMANITY
    274 SOUTH SALEM STREET
    RANDOLPH,NJ07869     		NONE PC NEIGHBORHOOD REVITALIZATION/AGING IN PLACE PROGRAM 10,000
    MORRIS HABITAT FOR HUMANITY
    274 SOUTH SALEM STREET
    RANDOLPH,NJ07869     		NONE PC 15TH ANNUAL HEARTS & HAMMERS GALA 10,000
    NETWORK OF VICTIM ASSISTANCE (NOVA)
    2370 YORK ROAD SUITE B1
    JAMISON,PA18929     		NONE PC PERSONAL EMPOWERMENT PROGRAMS (PEP) FOR ADULTS WITH DISABILITIES- VIOLENCE PREVENTION 16,505
    NEW CITY KIDS
    240 FAIRMOUNT AVENUE
    JERSEY CITY,NJ073063354     		NONE PC AFTER SCHOOL CENTER AT JCPS #22 10,000
    NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION
    PO BOX 6976
    PATERSON,NJ07509     		NONE PC MAKE THE GRADE ACADEMY AT CLIFTON HIGH SCHOOL 10,000
    NEW JERSEY INSTITUTE FOR DISABILITIES INC
    10A OAK DRIVE - ROOSEVELT PARK
    EDISON,NJ08837     		NONE PC ALIANZA 10,000
    NEWARK BETH ISRAEL MEDICAL CENTER
    201 LYONS AVENUE
    NEWARK,NJ071122027     		NONE PC ONCOLOGY NUTRITION FOR NEWARK BETH ISRAEL MEDICAL CENTERS AMBULATORY PATIENTS 15,000
    NEWBRIDGE SERVICES INC
    7 INDUSTRIAL ROAD
    PEQUANNOCK,NJ074401901     		NONE PC NEWBRIDGE JOBS PLUS- TECHNOLOGY INITIATIVE 15,000
    NORTHERN NEW JERSEY COUNCIL BOY SCOUTS OF AMERICA
    25 RAMAPO VALLEY ROAD
    OAKLAND,NJ074361709     		NONE PC SCOUTREACH - SUPPORTING BOY SCOUTS OF AMERICA PROGRAMS IN HARD TO SERVE NEIGHBORHOODS 10,000
    OAK VIEW HOME & SCHOOL ASSOCIATION
    150 GARRABRANT AVENUE
    BLOOMFIELD,NJ070034510     		NONE PC PLAYGROUND RENOVATION 1,000
    OCEAN COUNTY COLLEGE FOUNDATION
    PO BOX 2001
    TOMS RIVER,NJ087542001     		NONE PC BROOKS GIBBS SOCIAL-EMOTIONAL DEVELOPMENT 4,100
    OCEAN MEDICAL CENTER FOUNDATION
    4900 ROUTE 33
    NEPTUNE,NJ07753     		NONE PC COMFORTING KIDS IN CRISIS 10,000
    PALISADES EMERGENCY RESIDENCE CORPORATION (PERC)
    108 36TH STREET
    UNION CITY,NJ07087     		NONE PC EMERGENCY SHELTER 5,000
    PASSAIC COUNTY COMMUNITY COLLEGE FOUNDATION
    1 COLLEGE BLVD
    PATERSON,NJ075051179     		NONE PC OPEN EDUCATION RESOURCES PROJECT 10,000
    POTENTIAL INC
    170 PHEASANT RUN SUITE 100
    NEWTOWN,PA189401877     		NONE PC END THE WAITLIST BY INCREASING ACCESS TO QUALITY AUTISM TREATMENT 7,500
    PREFERRED BEHAVIORAL HEALTH GROUP
    PO BOX 2036
    LAKEWOOD,NJ08701     		NONE PC DRIVING TO A BETTER FUTURE 10,000
    PRESCHOOL ADVANTAGE INC
    25 LINDSLEY DRIVE SUITE 307
    MORRISTOWN,NJ079604456     		NONE PC HIGH QUALITY EARLY EDUCATION FOR DISADVANTAGED CHILDREN 3,000
    PREVENTION RESOURCES INC
    4 WALTER FORAN BLVD SUITE 410
    FLEMINGTON,NJ08822     		NONE PC LEAP - LAW ENFORCEMENT ADOLESCENT PROGRAM 2,000
    PRINCETON HEALTHCARE SYSTEM FOUNDATION INC
    5 PLAINSBORO ROAD SUITE 365
    PLAINSBORO,NJ085361913     		NONE PC BRISTOL-MYERS SQUIBB COMMUNITY HEALTH CENTER: DIABETES CARE PROGRAM 10,000
    PROJECT LITERACY OF GREATER BERGEN COUNTY
    355 MAIN STREET
    HACKENSACK,NJ07601     		NONE PC BASIC ADULT EDUCATION AND LITERACY TUTORING 3,500
    PROJECT OF EASTON INC
    320 FERRY ST
    EASTON,PA180424539     		NONE PC LITERACY PROGRAM FOR ADULTS AND FAMILIES 10,000
    PUERTO RICAN ASSOCIATION FOR HUMAN DEVELOPMENT INC
    100 FIRST STREET
    PERTH AMBOY,NJ088614645     		NONE PC SENIOR SERVICES CENTER 20,000
    RARITAN VALLEY HABITAT FOR HUMANITY
    PO BOX 6275
    BRIDGEWATER,NJ088070275     		NONE PC HOME SAFETY & REPAIR PROGRAM A BRUSH WITH KINDNESS 7,500
    REACH OUT AND READ NEW JERSEY
    2 ORCHARD DRIVE
    BASKING RIDGE,NJ07920     		NONE PC LEYENDO JUNTOS (READING TOGETHER) EARLY LITERACY SUPPORT FOR SPANISH-SPEAKING FAMILIES 7,500
    RISING TIDE CAPITAL
    384 MARTIN LUTHER KING DRIVE
    JERSEY CITY,NJ073053715     		NONE PC COMMUNITY BUSINESS ACADEMY AND BUSINESS ACCELERATION SERVICES 15,000
    SAFESOUND SOMERSET
    427 HOMESTEAD RD
    HILLSBOROUGH,NJ08844     		NONE PC 2020 SPEAK TEEN LEADERSHIP CONFERENCE 5,000
    SAINT PETER'S UNIVERSITY
    2641 JOHN F KENNEDY BOULEVARD
    JERSEY CITY,NJ073065943     		NONE PC URBAN SOCIAL IMPACT INCUBATOR 100,000
    SANAR WELLNESS INSTITUTE
    PO BOX 32353
    NEWARK,NJ07102     		NONE PC BUILDING HEALING RELATIONSHIPS: ADDRESSING TRAUMA WITHIN THE NJ CHILD WELFARE SYSTEM 15,000
    SHORE HOUSE
    279 BROADWAY SUITE 400
    LONG BRANCH,NJ07740     		NONE PC MODEL OF EXCELLENCE 2,500
    SIERRA HOUSE
    134 EVERGREEN PLACE SUITE 103
    EAST ORANGE,NJ070182011     		NONE PC THE SIERRA HOUSE TRANSITIONAL PROGRAM 10,000
    SOUTH ORANGE PERFORMING ARTS CENTER (SOPAC)
    ONE SOPAC WAY
    SOUTH ORANGE,NJ070794402     		NONE PC SOPAC ARTS EDUCATION PROGRAM 10,000
    STATE THEATRE CENTER FOR THE ARTS INC
    453 NORTHAMPTON ST
    EASTON,PA180423515     		NONE PC 2019 FREDDY AWARDS CEREMONY 5,000
    TEACH FOR AMERICA INC
    50 PARK PLACE 2ND FLOOR
    NEWARK,NJ07102     		NONE PC EXPANDING THE RECRUITMENT, TRAINING, & PLACEMENT OF EXCEPTIONAL EDUCATION LEADERS IN NEWARK 7,500
    TEAM WALKER
    373 COMMUNIPAW AVE
    JERSEY CITY,NJ073043723     		NONE PC TEAM WALKER'S 18TH ANNUAL EVENING OF DREAMS 2,500
    THE CENTER FOR CONTEMPORARY ART
    2020 BURNT MILLS ROAD
    BEDMINSTER,NJ07921     		NONE PC ART FOR CHILDREN WITH AUTISM SPECTRUM DISORDER AND OTHER SPECIAL NEEDS 2,000
    THE SHAKESPEARE THEATRE OF NEW JERSEY
    3 VREELAND ROAD
    FLORHAM PARK,NJ07932     		NONE PC SHAKESPEARE THEATRE OF NEW JERSEY STUDENT MATINEE SERIES 25,000
    THOMAS EDISON STATE UNIVERSITY FOUNDATION INC
    111 WEST STATE STREET
    TRENTON,NJ086081101     		NONE PC A SOLUTION-BASED APPROACH TO ONLINE CIVIC LEARNING AND COMMUNITY ENGAGEMENT 100,000
    TRANSOPTIONS
    2 RIDGEDALE AVE
    CEDAR KNOLLS,NJ079271119     		NONE PC JUNIOR SOLAR SPRINTS 5,000
    TRINITAS HEALTH FOUNDATION
    PO BOX 259
    ELIZABETH,NJ07207     		NONE PC GROUP THERAPY ROOM UPGRADES 10,000
    TWILIGHT WISH FOUNDATION
    PO BOX 1042
    DOYLESTOWN,PA18901     		NONE PC SIMPLE NEEDS WISH GRANTING PROGRAM 2,000
    UNION CITY MUSIC PROJECT
    340B MOUNTAIN ROAD
    UNION CITY,NJ07087     		NONE PC TEACHING MORE AT-RISK HUDSON COUNTY CHILDREN AND YOUTH THROUGH UCMP'S 2020 AFTER SCHOOL ORCHESTRAL MUSIC EDUCATION PROGRAM 3,000
    UNION COUNTY COLLEGE FOUNDATION
    1033 SPRINGFIELD AVENUE
    CRANFORD,NJ070161528     		NONE PC UNION COUNTY COLLEGE ACADEMIC LEARNING CENTER (ALC) TUTORING AND ONLINE INSTRUCTIONAL OFFERINGS; PURCHASE OF LECTURE CAPTURE DEVICE. 3,500
    UNITED CEREBRAL PALSY OF HUDSON COUNTY INC
    721 BROADWAY
    BAYONNE,NJ070024786     		NONE PC PEDIATRIC MEDICAL DAY CARE 5,000
    UNITED WAY OF CENTRAL JERSEY
    32 FORD AVE
    MILLTOWN,NJ088501532     		NONE PC VITA - PERTH AMBOY 10,000
    UNITED WAY OF ESSEX AND WEST HUDSON
    60 PARK PLACE STE 1400
    NEWARK,NJ07102     		NONE PC NEWARK WATER FUND 1,000
    VISION LOSS ALLIANCE OF NEW JERSEY INC
    150 MORRIS AVENUE
    DENVILLE,NJ078342204     		NONE PC THE LEARNING LAB: SUPPORTING INDEPENDENCE, COMMUNICATION, & WELL-BEING FOR PEOPLE WITH VISION LOSS THROUGH TECHNOLOGY 15,000
    VOLUNTEER CENTER OF THE LEHIGH VALLEY
    2158 AVENUE C SUITE 201
    BETHLEHEM,PA180172148     		NONE PC 10TH ANNIVERSARY VOLUNTEER CHALLENGE 2,500
    VOLUNTEERS OF AMERICA PENNSYLVANIA INC
    730 WEST UNION STREET
    ALLENTOWN,PA18101     		NONE PC CHILDRENS CENTER 7,500
    YMCA OF METUCHEN EDISON WOODBRIDGE & SOUTH AMBOY
    483 MIDDLESEX AVENUE
    METUCHEN,NJ088401419     		NONE PC FULL S.T.E.A.M. AHEAD 10,000
    YMCA OF MONTCLAIR
    25 PARK STREET
    MONTCLAIR,NJ070423407     		NONE PC CREATION OF A UNIVERSAL PLAYGROUND 10,000
    YOGI BERRA MUSEUM & LEARNING CENTER
    8 YOGI BERRA DR
    LITTLE FALLS,NJ07424     		NONE PC DISCOVER GREATNESS: AN ILLUSTRATED HISTORY OF NEGRO LEAGUES BASEBALL 10,000
    YOUTH CONSULTATION SERVICE INC
    25 EAST SALEM STREET 3RD FLOOR
    HACKENSACK,NJ07601     		NONE PC YCS INSTITUTE FOR INFANT & PRESCHOOL MENTAL HEALTH OUTPATIENT CLINIC 20,000
    YWCA BETHLEHEM
    3895 ADLER PLACE BUILDING A SUITE
    180
    BETHLEHEM,PA18017     		NONE PC YES! YWCA EMPOWERMENT SERIES 10,000
    YWCA UNION COUNTY
    1131 E JERSEY STREET
    ELIZABETH,NJ07201     		NONE PC COMMUNITY SUPPORT SERVICES 5,000
    Total .................................bullet 3a 1,307,230
    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 ...........     		    14 103  
    4 Dividends and interest from securities....     14 1,044,099  
    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 ............     		    18 725,132  
    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 1,769,334 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,769,334
    (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