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
LITTLER MENDELSON FOUNDATION INC
ATTN TAX MANAGER
Number and street (or P.O. box number if mail is not delivered to street address)2301 MCGEE STREET SUITE 800
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
KANSAS CITY, MO64108
A Employer identification number

91-1814913
B Telephone number (see instructions)

(816) 772-0600
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$331,681
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 395,297
2 Check bullet.............
3 Interest on savings and temporary cash investments 8 8  
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 395,305 8 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 0 0 0 0
25 Contributions, gifts, grants paid....... 459,349 459,349
26 Total expenses and disbursements. Add lines 24 and 25 459,349 0 0 459,349
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -64,044
b Net investment income (if negative, enter -0-) 8
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2019)
Form 990-PF (2019)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 375,485 331,681 331,681
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 375,485 331,681 331,681
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...........    
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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 375,485 331,681
29 Total net assets or fund balances (see instructions)..... 375,485 331,681
30 Total liabilities and net assets/fund balances (see instructions). 375,485 331,681
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
375,485
2
Enter amount from Part I, line 27a .....................
2
-64,044
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
20,240
4
Add lines 1, 2, and 3 ..........................
4
331,681
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
331,681
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.)
1a
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018 712,515 587,959 1.211845
2017 688,336 615,378 1.118558
2016 594,693 556,120 1.069361
2015 594,586 478,695 1.242098
2014 656,814 390,186 1.683336
2
Total of line 1, column (d) .....................
2
6.325198
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
1.265040
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
546,355
5
Multiply line 4 by line 3......................
5
691,161
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
0
7
Add lines 5 and 6........................
7
691,161
8
Enter qualifying distributions from Part XII, line 4,.............
8
459,349
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2019)
Form 990-PF (2019)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 0
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletLITTLER MENDELSON PC Telephone no.bullet (816) 772-0600

    Located atbullet2301 MCGEE STREET SUITE 800KANSAS CITYMO ZIP+4bullet64108
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2019?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2019?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2019 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2019.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
    4b
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
    No
    .........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). Click to see attachment
    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
    TOM BENDER PRESIDENT/CO-CEO
    1.00
    0 0 0
    THREE PKWY 1601 CHERRY STSUITE 1400
    PHILADELPHIA,PA19102
    JEREMY ROTH PRESIDENT/CO-CEO
    1.00
    0 0 0
    501 WEST BROADWAY SUITE 900
    SAN DIEGO,CA92101
    THOMAS BURNS CFO
    1.00
    0 0 0
    2301 MCGEE STREET SUITE 800
    KANSAS CITY,MO64108
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    554,675
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    554,675
    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
    554,675
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    8,320
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    546,355
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    27,318
    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
    27,318
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
     
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    27,318
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    20,240
    5
    Add lines 3 and 4............................
    5
    47,558
    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
    47,558
    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
    459,349
    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
    459,349
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    459,349
    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 47,558
    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...... 637,312
    b From 2015...... 570,660
    c From 2016...... 566,898
    d From 2017...... 657,579
    e From 2018...... 683,119
    fTotal of lines 3a through e........ 3,115,568
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 459,349
    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..... 47,558
    e Remaining amount distributed out of corpus 411,791
    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 3,527,359
    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) ...
    637,312
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......
    2,890,047
    10 Analysis of line 9:
    a Excess from 2015.... 570,660
    b Excess from 2016.... 566,898
    c Excess from 2017.... 657,579
    d Excess from 2018.... 683,119
    e Excess from 2019.... 411,791
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2019, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2019 (b) 2018 (c) 2017 (d) 2016
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    1MILLION PROJECT FOUNDATION
    6550 SPRING PARKWAY
    OVERLAND PARK,KS66251
      PC GENERAL SUPPORT 4,000
    ABA FUND FOR JUSTICE & EDUCATION
    321 N CLARK STREET
    CHICAGO,IL60654
      SO I GENERAL SUPPORT 8,850
    ABCD INC
    5775 NORTH GLEN PARK ROAD
    GLENDALE,WI53209
      PC GENERAL SUPPORT 1,400
    ACCESS TO JUSTICE FUND
    306 TOWNSEND STREET
    LANSING,MI48933
      PC GENERAL SUPPORT 2,000
    AISLING IRISH COMMUNITY CENTER INC
    45 HEMLOCK DRIVE
    CONGERS,NY10920
      PC GENERAL SUPPORT 500
    AKAL FOUNDATION INC
    7 INFINITY LOOP
    ESPANOLA,NM87532
      PC GENERAL SUPPORT 5,000
    ALAMEDA LITTLE LEAGUE
    2857 SEA VIEW PARKWAY
    ALAMEDA,CA94502
      PC GENERAL SUPPORT 550
    ALEX'S LEMONADE STAND FOUNDATION
    111 PRESIDENTIAL BOULEVARD SUITE
    203
    BALA CYNWYD,PA19004
      PC GENERAL SUPPORT 50
    ALL STARS PROJECT INC
    543 WEST 42ND STREET
    NEW YORK,NY10036
      PC GENERAL SUPPORT 2,610
    AMERICAN CANCER SOCIETY
    250 WILLIAMS STREET SUITE 4B
    ATLANTA,GA30303
      PC GENERAL SUPPORT 300
    AMERICAN HEART ASSOCIATION
    300 SOUTH RIVERSIDE PLAZA SUITE
    1200
    CHICAGO,IL60606
      PC GENERAL SUPPORT 2,500
    AMERICAN HEART ASSOCIATION
    PO BOX 4002012
    DES MOINES,IA50340
      PC GENERAL SUPPORT 6,000
    AMERICAN HEART ASSOCIATION
    1617 JOHN FKENNEDY BOULEVARD SUITE
    700
    PHILADELPHIA,PA19103
      PC GENERAL SUPPORT 6,300
    AMERICAN HEART ASSOCIATION
    PO BOX 4002903
    DES MOINES,IA50340
      PC GENERAL SUPPORT 1,500
    AMERICAN HEART ASSOCIATION
    6800 W 93RD STREET
    OVERLAND PARK,KS66212
      PC GENERAL SUPPORT 1,000
    AMERICAN HEART ASSOCIATION
    4601 N FAIRFAX DRIVE 700
    ARLINGTON,VA22203
      PC GENERAL SUPPORT 7,000
    AMERICAN HEART ASSOCIATION
    PO BOX 742030
    LOS ANGELES,CA90017
      PC GENERAL SUPPORT 500
    AMERICAN HOUSE FOUNDATION
    6755 TELEGRAPH ROAD SUITE 330
    BLOOMFIELD HILLS,MI48301
      PC GENERAL SUPPORT 2,340
    AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES
    501 STREET JUDE PLACE
    MEMPHIS,TN38105
      PC GENERAL SUPPORT 100
    AMERICAN RED CROSS
    2005 LAKEWOOD DRIVE
    BOONE,IL50036
      PC GENERAL SUPPORT 1,000
    ANTI-DEFAMATION LEAGUE
    605 THIRD AVENUE
    NEW YORK,NY10158
      PC GENERAL SUPPORT 3,952
    ASIAN LAW ALLIANCE
    991 W HEDDING STREET SUITE 202
    SAN JOSE,CA95126
      PC GENERAL SUPPORT 1,750
    ASSOCIATION OF WOMEN ATTORNEYS FOUNDATION
    1929 ALLEN PARKWAY 10TH FLOOR
    HOUSTON,TX77019
      PC GENERAL SUPPORT 6,010
    AUSTIN BAR FOUNDATION
    816 CONGRESS AVENUE SUITE 700
    AUSTIN,TX78701
      PC GENERAL SUPPORT 2,000
    AUSTIN DIAPER BANK
    8711 BURNET ROAD SUITE B34
    AUSTIN,TX78757
      PC GENERAL SUPPORT 2,000
    AUTISM SPEAKS
    1060 STATE ROAD 1446
    PRINCETON,NJ08540
      PC GENERAL SUPPORT 2,000
    BADSCF
    460 BRANNAN STREET SUITE 77650
    SAN FRANCISCO,CA94107
      PC GENERAL SUPPORT 500
    BETHANY HOUSE OF NORTHERN VIRGINIA
    6601 LITTLE RIVER TURNPIKE SUITE
    110
    ALEXANDRIA,VA22312
      PC GENERAL SUPPORT 500
    BIG BROTHERS BIG SISTERS OF CENTRAL CALIFORNIA
    4047 N FRESNO STREET
    FRESNO,CA93726
      PC GENERAL SUPPORT 1,500
    BISHOP WICKE HEALTH AND REHABILITATION CENTER
    584 LONG HILL AVENUE
    SHELTON,CT06484
      PC GENERAL SUPPORT 100
    BJ'S RESTAURANT FOUNDATION
    7755 CENTER AVENUE SUITE 300
    HUNTINGTON BEACH,CA92647
      PC GENERAL SUPPORT 2,400
    BLACK TIE DINNER
    3824 CEDAR SPRINGS 335
    DALLAS,TX75219
      PC GENERAL SUPPORT 8,600
    BLANCHARD VALLEY HEALTH FOUNDATION
    1900 S MAIN STREET
    FINDLAY,OH45840
      PC GENERAL SUPPORT 500
    BLUEGRASS CHAPTER OF THE AMERICAN RED CROSS
    1450 NEWTON PIKE
    LEXINGTON,KY40511
      PC GENERAL SUPPORT 1,000
    BOY SCOUTS OF AMERICA
    1001 DAVIS STREET
    SAN LEANDRO,CA94577
      PC GENERAL SUPPORT 1,000
    BOYS AND GIRLS CLUB OF SNOHOMISH COUNTY
    9502 19TH AVENUE SE SUITE F
    EVERETT,WA98208
      PC GENERAL SUPPORT 750
    BREAST CANCER RESEARCH FOUNDATION
    25 WEST 43RD STREET SUITE 609
    NEW YORK,NY10036
      PC GENERAL SUPPORT 2,500
    CALIFORNIA RURAL LEGAL ASSISTANCE
    1430 FRANKLIN STREET SUITE 103
    OAKLAND,CA94612
      PC GENERAL SUPPORT 1,160
    CAMPAIGN FOR JUSTICE
    ONE MAIN STREET
    ROCHESTER,NY14614
      PC GENERAL SUPPORT 500
    CANINE COMPANIONS FOR INDEPENDENCE INC
    PO BOX 446
    SANTA ROSA,CA95402
      PC GENERAL SUPPORT 150
    CAREER WARDROBE
    1822 SPRING GARDEN STREET 3RD FLOOR
    PHILADELPHIA,PA19130
      PC GENERAL SUPPORT 2,575
    CASA ITALIA
    3800 WEST DIVISION STREET
    STONE PARK,IL60165
      PC GENERAL SUPPORT 250
    CATHOLIC CHARITIES SAN FRANCISCO
    990 EDDY STREET
    SAN FRANCISCO,CA94109
      PC GENERAL SUPPORT 2,300
    CENTER FOR DISASTER PHILANTHROPY
    ONE THOMAS CIRCLE NW SUITE 700
    WASHINGTON,DC20005
      PC GENERAL SUPPORT 1,000
    CENTER FOR YOUTH DEVELOPMENT THROUGH LAW
    2300 CLAYTON ROAD SUITE 520
    CONCORD,CA94520
      PC GENERAL SUPPORT 850
    CHAMPIONS OF THE COMMUNITY
    6189 MEMORIAL DRIVE
    DUBLIN,OH43017
      PC GENERAL SUPPORT 12,800
    CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA
    1910 MAGNOLIA AVENUE
    LOS ANGELES,CA90007
      PC GENERAL SUPPORT 1,000
    CHILDREN'S NATIONAL MEDICAL CENTER
    111 MICHIGAN AVENUE NW
    WASHINGTON,DC20010
      SO II GENERAL SUPPORT 1,000
    CHILDREN'S SCIENCE CENTER
    3949 PENDER DRIVE
    FAIRFAX,VA22030
      PC GENERAL SUPPORT 333
    CHRISTEL HOUSE INTERNATIONAL INC
    10 W MARKET STREET SUITE 1990
    INDIANAPOLIS,IN46204
      PC GENERAL SUPPORT 750
    CHRISTMAS IN THE PARK
    171 BRANHAM LANE SUITE 10-234
    SAN JOSE,CA95136
      PC GENERAL SUPPORT 2,000
    CN EMPLOYEES AND PENSIONERS' COMMUNITY FUND
    935 RUE DE LA GAUCHETIERE QUEST
    FLOOR 2
    MONTREAL,QUEBECH3B 2M9
    CA
      NC GENERAL SUPPORT 8,000
    COMMUNITY LEGAL SERVICES
    1424 CHESTNUT STREET
    PHILADELPHIA,PA19102
      PC GENERAL SUPPORT 500
    COORDINATED ADVICE AND REFERRAL PROGRAM FOR LEGAL SVCS
    17 NORTH STATE STREET SUITE 1850
    CHICAGO,IL60602
      PC GENERAL SUPPORT 7,500
    COURT APPOINTED SPECIAL ADVOCATES OF FRANKLIN COUNTY
    373 S HIGH STREET 15TH FLOOR
    COLUMBUS,OH43215
      PC GENERAL SUPPORT 2,250
    CROHN'S AND COLITIS FOUNDATION
    733 THIRD AVENUE SUITE 510
    NEW YORK,NY10017
      PC GENERAL SUPPORT 400
    DALLAS HISPANIC LAW FOUNDATION
    2250 LAKESIDE BOULEVARD
    RICHARDSON,TX75082
      PC GENERAL SUPPORT 1,430
    DENVER KIDS INC
    1860 LINCOLN STREET 9TH FLOOR
    DENVER,CO80203
      PC GENERAL SUPPORT 1,000
    DRESS FOR SUCCESS SOUTHERN NEVADA
    PO BOX 94194
    LAS VEGAS,NV89193
      PC GENERAL SUPPORT 4,060
    EASTER SEALS MIDWEST
    11933 WESTLINE INDUSTRIAL DRIVE
    ST LOUIS,MO63146
      PC GENERAL SUPPORT 400
    EMMANUEL CENTER
    604 ST PAUL AVENUE
    MEMPHIS,TN38126
      PC GENERAL SUPPORT 1,625
    EQUAL RIGHTS ADVOCATES
    1170 MARKET STREET SUITE 700
    SAN FRANCISCO,CA94102
      PC GENERAL SUPPORT 2,500
    FIT
    1931 STELLA LAKE DRIVE
    LAS VEGAS,NV89106
      PC GENERAL SUPPORT 3,750
    FRIARS OF THE ATONEMENT
    40 FRANCISCAN WAY
    GARRISON,NY10524
      PC GENERAL SUPPORT 1,000
    FRIENDS OF KAREN INC
    366 UNDERHILL AVENUE
    YORKTOWN HEIGHTS,NY10598
      PC GENERAL SUPPORT 100
    FRIENDS OF THE LOS ANGELES COUNTY LAW LIBRARY
    301 WEST FIRST STREET
    LOS ANGELES,CA90012
      PC GENERAL SUPPORT 3,050
    GIANTS COMMUNITY FUND
    24 WILLIE MAYS PLAZA
    SAN FRANCISCO,CA94107
      PC GENERAL SUPPORT 3,870
    GIFFORDS LAW CENTER TO PREVENT GUN VIOLENCE
    268 BUSH STREET SUITE 555
    SAN FRANCISCO,CA94104
      PC GENERAL SUPPORT 4,250
    GOODWILL SOUTHERN CALIFORNIA
    342 N SAN FERNANDO ROAD
    LOS ANGELES,CA90031
      PC GENERAL SUPPORT 250
    GRACE GIVING FOUNDATION INC
    4466 LAKESHORE COURT
    BRIGHTON,MI48116
      PC GENERAL SUPPORT 1,000
    GREATER PITTSBURGH COMMUNITY FOOD BANK
    PO BOX 99608
    PITTSBURGH,PA15233
      PC GENERAL SUPPORT 1,500
    GROUNDWORK GROUP
    PO BOX 713685
    CINCINNATI,OH45271
      PC GENERAL SUPPORT 5,000
    HEARTLAND ALLIANCE FOR HUMAN NEEDS AND HUMAN RIGHTS
    208 SOUTH LASALLE STREET SUITE 1300
    CHICAGO,IL60604
      PC GENERAL SUPPORT 9,600
    HELPUSADOPTORG
    PO BOX 787
    NEW YORK,NY10150
      PC GENERAL SUPPORT 1,000
    HICKORY GROVE CHRISTIAN SCHOOL
    7200 E WT HARRIS BOULEVARD
    CHARLOTTE,NC28215
      PC GENERAL SUPPORT 500
    HIGLEY SCHOOL DISTRICT
    2935 S RECKER ROAD
    GILBERT,AZ85295
      PC GENERAL SUPPORT 2,500
    HIS HOUSE CHILDREN'S HOME
    20000 NW 47 AVENUE
    MIAMI GARDENS,FL33055
      PC GENERAL SUPPORT 1,000
    HOME START
    5005 TEXAS STREET
    SAN DIEGO,CA92108
      PC GENERAL SUPPORT 1,250
    HOMEAID NORTHERN VIRGINIA
    3684 CENTERVIEW DRIVE SUITE 110-B
    CHANTILLY,VA20151
      PC GENERAL SUPPORT 333
    HOMEWARD TRAILS ANIMAL RESCUE
    11116 FAIRFAX STATION ROAD
    FAIRFAX STATION,CA22039
      PC GENERAL SUPPORT 450
    HOPE SERVICES
    30 LAS COLINAS LANE
    SAN JOSE,CA95119
      PC GENERAL SUPPORT 1,000
    HOSPICE OF SOUTHERN MAINE
    180 US ROUTE 1
    SCARBOROUGH,ME04074
      PC GENERAL SUPPORT 1,500
    HUDSON RIVER HEALTHCARE FOUNDATION
    55 SOUTH BROADWAY
    TARRYTOWN,NY10591
      PC GENERAL SUPPORT 1,500
    HUNTINGTON HOSPITAL
    100 W CALIFORNIA BOULEVARD
    PASADENA,CA91105
      PC GENERAL SUPPORT 3,000
    ILLINOIS INSTITUTE OF TECHNOLOGY CHICAGO-KENT COLLEGE OF LAW
    565 WEST ADAMS STREET
    CHICAGO,IL60661
      PC GENERAL SUPPORT 5,000
    INSURANCE INDUSTRY CHARITABLE FOUNDATION
    1325 SIXTH AVENUE 27TH FLOOR
    NEW YORK,NY10019
      PC GENERAL SUPPORT 3,000
    ISLAND HARVEST
    15 GRUMMAN ROAD W SUITE 1450
    BETHPAGE,NY11714
      PC GENERAL SUPPORT 1,350
    JACKSON COUNTY CASA
    2544 HOLMES
    KANSAS CITY,MO64108
      PC GENERAL SUPPORT 800
    JAMES LENOX HOUSE ASSOCIATION
    49 EAST 73RD STREET
    NEW YORK,NY10021
      SO III FI GENERAL SUPPORT 500
    JDRF
    60 WALNUT STREET
    WELLESLEY HILLS,MA02481
      PC GENERAL SUPPORT 5,000
    JDRF INTERNATIONAL
    26 BROADWAY 15TH FLOOR
    NEW YORK,NY10004
      PC GENERAL SUPPORT 750
    JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES
    135 WEST 50TH STREET
    NEW YORK,NY10020
      PC GENERAL SUPPORT 1,000
    JEWISH COMMUNITY CENTER OF SF
    3200 CALIFORNIA STREET
    SAN FRANCISCO,CA94118
      PC GENERAL SUPPORT 1,500
    JEWISH FAMILY SERVICES INC
    1300 NORTH JACKSON STREET
    MILWAUKEE,WI53202
      PC GENERAL SUPPORT 780
    JUMPSTART FOR YOUNG CHILDREN
    505 EIGHTH AVENUE SUITE 30
    NEW YORK,NY10018
      PC GENERAL SUPPORT 250
    JUST THE BEGINNING - A PIPELINE ORGANIZATION
    70 WEST MADISON STREET SUITE 2900
    CHICAGO,IL60602
      PC GENERAL SUPPORT 1,000
    JUSTICE AND DIVERSITY CENTER
    301 BATTERY STREET 3RD FLOOR
    SAN FRANCISCO,CA94111
      PC GENERAL SUPPORT 2,000
    KANSAS CITY RESCUE MISSION
    1520 CHERRY STREET
    KANSAS CITY,MO64108
      PC GENERAL SUPPORT 500
    KING COUNTY SEXUAL ASSAULT RESOURCE CENTER
    PO BOX 300
    RENTON,WA98057
      PC GENERAL SUPPORT 2,500
    KUEA
    1535 W 15TH STREET
    LAWRENCE,KS66045
      PC GENERAL SUPPORT 300
    LASSEN PARK FOUNDATION
    PO BOX 33
    ANDERSON,CA96007
      PC GENERAL SUPPORT 750
    LAUSANNE COLLEGIATE SCHOOL
    8102 MEADOW GLEN DRIVE
    GERMANTOWN,TN38138
      PC GENERAL SUPPORT 1,000
    LEGAL AID FOUNDATION OF COLORADO
    1120 LINCOLN STREET 701
    DENVER,CO80203
      PC GENERAL SUPPORT 2,500
    LEGAL AID OF WESTERN MISSOURI
    4001 BLUE PARKWAY SUITE 300
    KANSAS CITY,MO64130
      PC GENERAL SUPPORT 1,000
    LEGAL SERVICES NYC
    40 WORTH STREET SUITE 606
    NEW YORK,NY10013
      PC GENERAL SUPPORT 7,000
    LEGAL SERVICES OF GREATER MIAMI
    4343 WEST FLAGLER STREET SUITE 100
    MIAMI,FL33134
      PC GENERAL SUPPORT 650
    LEUKEMIA & LYMPHOMA SOCIETY
    3 INTERNATIONAL DRIVE SUITE 200
    RYE BROOK,NY10573
      PC GENERAL SUPPORT 1,100
    LI COMMUNITY HOSPITAL HEALTH CARE SERVICES FOUNDATION
    101 HOSPITAL ROAD
    PATCHOGUE,NY11772
      PC GENERAL SUPPORT 295
    LIVEONNY FOUNDATION
    460 WEST 34TH STREET 15TH FLOOR
    NEW YORK,NY10001
      PC GENERAL SUPPORT 3,000
    MARINE CORPS SCHOLARSHIP FOUNDATION
    1430 DECISION STREET
    VISTA,CA92081
      PC GENERAL SUPPORT 3,500
    MECKLENBURG BAR FOUNDATION
    2850 ZEBULON AVENUE
    CHARLOTTE,NC28208
      PC GENERAL SUPPORT 430
    MEDSTAR HEALTH INC
    10980 GRANTCHESTER WAY
    COLUMBIA,MD21044
      SO III FI GENERAL SUPPORT 7,500
    MEMORIAL SLOAN-KETTERING CANCER CENTER
    PO BOX 27432
    NEW YORK,NY10087
      PC GENERAL SUPPORT 500
    MEMPHIS AREA LEGAL SERVICES
    100 PEABODY PLACE SUITE 1300
    MEMPHIS,TN38103
      PC GENERAL SUPPORT 3,375
    MENTAL HEALTH ADVOCACY SERVICES
    3255 WILSHIRE BOULEVARD SUITE 902
    LOS ANGELES,CA90010
      PC GENERAL SUPPORT 500
    MIAMI BRIDGE YOUTH & FAMILY SERVICES
    2810 NW SOUTH RIVER DRIVE
    MIAMI,FL33125
      PC GENERAL SUPPORT 500
    MICHIGAN PARALYZED VETERANS OF AMERICA
    40550 GRAND RIVER AVENUE
    NOVI,MI48375
      PC GENERAL SUPPORT 732
    MINNESOTA INDEPENDENCE COLLEGE & COMMUNITY
    7501 LOGAN AVENUE S 2A
    RICHFIELD,MN55423
      PC GENERAL SUPPORT 1,000
    MIRACLE CORNERS OF THE WORLD
    102 EAST 30TH STREET LOWER LEVEL
    NEW YORK,NY10016
      PC GENERAL SUPPORT 250
    MOMENTUM FOR MENTAL HEALTH
    438 N WHITE ROAD
    SAN JOSE,CA95127
      PC GENERAL SUPPORT 700
    MONTEFIORE MEDICAL CENTER
    111 EAST 210TH STREET
    BRONX,NY10467
      PC GENERAL SUPPORT 2,120
    MOSAIC FAMILY SERVICES
    12225 GREENVILLE AVENUE SUITE 800
    DALLAS,TX75243
      PC GENERAL SUPPORT 1,850
    MUSCULAR DYSTROPHY ASSOCIATION
    783 OLD HICKORY BOULEVARD SUITE
    300W
    BRENTWOOD,TN37027
      PC GENERAL SUPPORT 250
    NAPIER-LOOBY BAR FOUNDATION
    901 BROADWAY
    NASHVILLE,TN37202
      PC GENERAL SUPPORT 1,000
    NATIONAL ASSOCIATION FOR URBAN DEBATE LEAGUES
    200 S MICHIGAN AVENUE SUITE 1040
    CHICAGO,IL60604
      PC GENERAL SUPPORT 7,500
    NEW YORK PUBLIC RADIO
    160 VARICK STREET
    NEW YORK,NY10013
      PC GENERAL SUPPORT 750
    NORTH CATHOLIC HIGH SCHOOL
    1617 ROUTE 228
    CRANBERRY TOWNSHIP,PA16066
      PC GENERAL SUPPORT 200
    NORTHERN STAR SCOUTING
    6202 BLOOMINGTON ROAD
    FORT SNELLING,MN55111
      PC GENERAL SUPPORT 2,500
    NOYES HOME FOR CHILDREN
    801 N NOYES BOULEVARD
    ST JOSEPH,MO64506
      PC GENERAL SUPPORT 100
    NQAPIA
    217 WEST 18TH STREET BOX 1277
    NEW YORK,NY10011
      PC GENERAL SUPPORT 250
    NU TAU LAMBDA COMMUNITY SERVICE CORPORATION
    PO BOX 6486
    ANAHEIM,CA92816
      PC GENERAL SUPPORT 1,000
    OLIVEWOOD GARDENS & LEARNING CENTER
    2525 N AVENUE
    NATIONAL CITY,CA91950
      SO I GENERAL SUPPORT 1,250
    ONEJUSTICE
    433 CALIFORNIA STREET SUITE 815
    SAN FRANCISCO,CA94104
      PC GENERAL SUPPORT 1,000
    OPEN DOOR LEGAL
    4634 3RD STREET
    SAN FRANCISCO,CA94124
      PC GENERAL SUPPORT 1,908
    ORANGE COUNTY CHILD ABUSE PREVENTION CENTER
    2390 E ORANGEWOOD AVENUE SUITE 300
    ANAHEIM,CA92806
      PC GENERAL SUPPORT 1,000
    OUR LADY OF HOPE CATHOLIC SCHOOL AND PTO
    46633 ALGONKIAN PARKWAY
    POTOMAC FALLS,VA20165
      PC GENERAL SUPPORT 250
    PAN MASS CHALLENGE
    38 GLEN RIDA
    WINCHESTER,MA01890
      PC GENERAL SUPPORT 500
    PANDA CARES FOUNDATION INC
    1683 WALNUT GROVE AVENUE
    ROSEMEAD,CA91770
      PC GENERAL SUPPORT 17,134
    PARTNERS FOR WOMEN AND JUSTICE
    650 BLOOMFIELD AVENUE SUITE 209
    BLOOMFIELD,NJ07003
      PC GENERAL SUPPORT 3,580
    PATHWAYS HOME HEALTH & HOSPICE
    585 NORTH MARY AVENUE
    SUNNYVALE,CA94085
      PC GENERAL SUPPORT 1,000
    PEDAL IT OUT
    3536 VALEVIEW DRIVE
    OAKTON,VA22124
      PC GENERAL SUPPORT 500
    PENNSYLVANIA INNOCENCE PROJECT
    914 FIFTH AVENUE
    PITTSBURGH,PA15219
      PC GENERAL SUPPORT 2,290
    PERRY PRIEST PTO
    1700 OTTER CREEK ROAD
    NASHVILLE,TN37220
      PC GENERAL SUPPORT 1,000
    PHILADELPHIA BAR FOUNDATION
    1101 MARKET STREET 11TH FLOOR
    PHILADELPHIA,PA19107
      PC GENERAL SUPPORT 1,000
    PHILADELPHIA VIP
    1500 WALNUT STREET SUITE 400
    PHILADELPHIA,PA19102
      PC GENERAL SUPPORT 250
    POWERMYLEARNING INC
    520 8TH AVENUE 10TH FLOOR
    NEW YORK,NY10018
      PC GENERAL SUPPORT 500
    PRO BONO INSTITUTE OF ATLANTA
    999 PEACHTREE STREET NE SUITE 2300
    ATLANTA,GA30309
      PC GENERAL SUPPORT 5,000
    PRO BONO PARTNERSHIP
    215 PARK AVENUE SOUTH SUITE 2014
    NEW YORK,NY10003
      PC GENERAL SUPPORT 250
    PRO BONO PROJECT SILICON VALLEY
    25 NORTH 14TH STREET SUITE 506
    SAN JOSE,CA95112
      PC GENERAL SUPPORT 600
    PROJECT VIC INTERNATIONAL
    83 RIDGE TERRACE
    NEPTUNE CITY,NJ07753
      PC GENERAL SUPPORT 1,000
    QUALITY OF LIFE FOUNDATION FOR METRO DALLAS
    500 N AKARD STREET SUITE 2600
    DALLAS,TX75201
      PC GENERAL SUPPORT 1,500
    RANSOM EVERGLADES SCHOOL
    3575 MAIN HIGHWAY
    COCONUT GROVE,FL33133
      PC GENERAL SUPPORT 1,000
    RISING FOR JUSTICE
    4340 CONNECTICUT AVENUE NW SUITE
    214
    WASHINGTON,DC20008
      PC GENERAL SUPPORT 2,500
    RITE AID FOUNDATION
    30 HUNTER LANE
    CAMP HILL,PA17011
      PC GENERAL SUPPORT 10,000
    ROBERT MORRIS UNIVERSITY
    6001 UNIVERSITY BOULEVARD
    MOON TOWNSHIP,PA15108
      PC GENERAL SUPPORT 5,000
    ROOM TO GROW NATIONAL INC
    7 WEST 30TH STREET FLOOR 3
    NEW YORK,NY10001
      PC GENERAL SUPPORT 2,000
    RUN FOR JAIME FOUNDATION
    3623 EAGLE AVENUE
    KEY WEST,FL33040
      PC GENERAL SUPPORT 250
    SAINT THOMAS MORE
    268 PARK STREET
    NEW HAVEN,CT06511
      PC GENERAL SUPPORT 100
    SAN DIEGO LA RAZA LAWYERS ASSOCIATION SCHOLARSHIP FUND
    600 B STREET SUITE 1420
    SAN DIEGO,CA92101
      PC GENERAL SUPPORT 1,000
    SAN DIEGO NORTH EDUCATIONAL FOUNDATION
    10875 RANCHO BERNARDO ROAD SUITE
    104
    SAN DIEGO,CA92127
      PC GENERAL SUPPORT 4,000
    SAN FRANCISCO CAMPUS FOR JEWISH LIVING
    302 SILVER AVENUE
    SAN FRANCISCO,CA94112
      PC GENERAL SUPPORT 1,250
    SAN FRANCISCO SPCA
    201 ALABAMA STREET
    SAN FRANCISCO,CA94103
      PC GENERAL SUPPORT 2,000
    SANTA CLARA LAW - KGACLC
    1030 THE ALAMEDA
    SAN JOSE,CA95126
      PC GENERAL SUPPORT 4,350
    SILENT VICTIMS OF CRIME
    5825 SW 68TH STREET SUITE 300
    SOUTH MIAMI,FL33143
      PC GENERAL SUPPORT 1,000
    SPECIAL OLYMPICS FLORIDA
    155 S MIAMI AVENUE SUITE 200
    MIAMI,FL33130
      PC GENERAL SUPPORT 3,500
    SPECIAL OLYMPICS NEW YORK
    504 BALLTOWN ROAD
    SCHENECTADY,NY12304
      PC GENERAL SUPPORT 500
    SPECIAL OLYMPICS NORTHERN CALIFORNIA NEVADA
    3480 BUSKIRK AVENUE 340
    PLEASANT HILL,CA94523
      PC GENERAL SUPPORT 5,000
    SPECIAL OLYMPICS PA
    2570 BOULEVARD OF THE GENERALS
    SUITE 124
    NORRISTOWN,PA19403
      PC GENERAL SUPPORT 100
    SPRUCE FOUNDATION
    PO BOX 2377
    PHILADELPHIA,PA19103
      PC GENERAL SUPPORT 2,500
    ST ANDREW LEGAL CLINIC
    807 NE ALBERTA STREET
    PORTLAND,OR97211
      PC GENERAL SUPPORT 2,500
    ST JOHN'S UNIVERSITY
    8000 UTOPIA PARKWAY
    QUEENS,NY11439
      PC GENERAL SUPPORT 2,400
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105
      PC GENERAL SUPPORT 150
    ST PAUL URBAN TENNIS
    1675 5TH STREET EAST
    ST PAUL,MN55106
      PC GENERAL SUPPORT 1,000
    STARLIGHT THEATRE ASSOCIATION OF KANSAS CITY INC
    4600 STARLIGHT ROAD
    KANSAS CITY,MO64132
      PC GENERAL SUPPORT 4,000
    STREET LAW INC
    1010 WAYNE AVENUE SUITE 870
    SILVER SPRING,MD20910
      PC GENERAL SUPPORT 5,000
    SUICIDE & CRISIS CENTER
    2808 SWISS AVENUE
    DALLAS,TX752045991
      PC GENERAL SUPPORT 1,750
    TEMPLE BETH AMI NURSERY SCHOOL
    14330 TRAVILAH ROAD
    ROCKVILLE,MD20850
      PC GENERAL SUPPORT 1,000
    TEXAS APPLESEED
    1607 SHOAL CREEK BOULEVARD SUITE
    201
    AUSTIN,TX78701
      PC GENERAL SUPPORT 5,000
    THE AMERICAN CANCER SOCIETY
    7027 ALBERT PICK ROAD SUITE 104
    GREENSBORO,NC27409
      PC GENERAL SUPPORT 2,000
    THE ASSOCIATION OF BLACK WOMEN ATTORNEYS
    1001 AVENUE OF THE AMERICAS FLOOR
    11
    NEW YORK,NY10018
      PC GENERAL SUPPORT 4,500
    THE ATLANTA COMMUNITY FOOD BANK
    732 JOSEPH E LOWERY BOULEVARD NW
    ATLANTA,GA30318
      PC GENERAL SUPPORT 1,000
    THE BLUE CARD INC
    171 MADISON AVENUE SUITE 1405
    NEW YORK,NY10016
      PC GENERAL SUPPORT 500
    THE BRIDGE
    290 LENOX AVENUE 3RD FLOOR
    NEW YORK,NY10027
      PC GENERAL SUPPORT 600
    THE BURTON FOUNDATION FOR LEGAL ACHIEVEMENT INC
    245 PARK AVENUE 39TH FLOOR
    NEW YORK,NY10167
      PC GENERAL SUPPORT 5,750
    THE CENTER FOR YOUTH SERVICES INC
    905 MONROE AVENUE
    ROCHESTER,NY14620
      PC GENERAL SUPPORT 1,000
    THE CLEVELAND ORCHESTRA
    11001 EUCLID AVENUE
    CLEVELAND,OH44106
      PC GENERAL SUPPORT 6,200
    THE DISTRICT OF COLUMBIA BAR FOUNDATION
    80 M STREET SE SUITE 100
    WASHINGTON,DC20003
      PC GENERAL SUPPORT 240
    THE FOUNDATION OF THE LAWYERS ASSOCIATION OF KANSAS CITY
    427 WEST 12 STREET
    KANSAS CITY,MO64105
      PC GENERAL SUPPORT 200
    THE FUND FOR LEGAL AID
    430 FIRST AVENUE N 300
    MINNEAPOLIS,MN55401
      PC GENERAL SUPPORT 1,953
    THE HEAT AND WARMTH FUND
    1411 THIRD STREET SUITE A
    PORT HURON,MI48060
      PC GENERAL SUPPORT 2,000
    THE LIFESPACE FOUNDATION
    4201 CORPORATE DRIVE
    WEST DES MOINES,IA50266
      SO I GENERAL SUPPORT 1,000
    OHIO PUBLIC INTEREST LAW FOUNDATION
    104 DRINKO HALL 55 WEST 12TH AVENUE
    COLUMBUS,OH43210
      PC GENERAL SUPPORT 750
    THE SALVATION ARMY
    180 EAST OCEAN BOULEVARD 9TH FLOOR
    LONG BEACH,CA90802
      PC GENERAL SUPPORT 2,000
    THE SHADE TREE
    1 WEST OWENS AVENUE
    NORTH LAS VEGAS,NV89030
      PC GENERAL SUPPORT 1,500
    THE YMCA OF SAN FRANCISCO
    50 CALIFORNIA STREET SUITE 650
    SAN FRANCISCO,CA94111
      PC GENERAL SUPPORT 1,000
    THOMAS P O'SULLIVAN IV FOUNDATION
    7815 MOHAWK DRIVE
    PRAIRIE VILLAGE,KS66208
      PC GENERAL SUPPORT 2,500
    TOM HOMANN LGBT LAW FOUNDATION
    2358 UNIVERSITY AVENUE PMB 137
    SAN DIEGO,CA92104
      PC GENERAL SUPPORT 1,000
    TOWER CANCER RESEARCH FOUNDATION
    8767 WILSHIRE BOULEVARD SUITE 401
    BEVERLY HILLS,CA90211
      PC GENERAL SUPPORT 1,000
    TRANSGENDER LAW CENTER
    PO BOX 70976
    OAKLAND,CA94612
      PC GENERAL SUPPORT 700
    TWINWEST CHAMBER OF COMMERCE FOUNDATION
    10700 OLD COUNTY ROAD 15 SUITE 170
    PLYMOUTH,MN55441
      PC GENERAL SUPPORT 1,500
    UNITED CEREBRAL PALSY ASSOCIATION OF NASSAU COUNTY
    380 WASHINGTON AVENUE
    ROOSEVELT,NY11575
      PC GENERAL SUPPORT 500
    UNITED CEREBRAL PALSY OF CENTRAL FLORIDA
    3305 S ORANGE AVENUE
    ORLANDO,FL32806
      PC GENERAL SUPPORT 1,000
    UNITED WAY OF NORTHERN CALIFORNIA
    2280 BENTON DRIVE BUILDING B
    REDDING,CA96003
      PC GENERAL SUPPORT 1,000
    UNIVERSITY OF CINCINNATI FOUNDATION
    PO BOX 19970
    CINCINNATI,OH45219
      PC GENERAL SUPPORT 1,000
    UNIVERSITY OF MICHIGAN
    701 S STATE STREET 4TH FLOOR
    ANN ARBOR,MI48109
      PC GENERAL SUPPORT 300
    VALLEY PRESBYTERIAN HOSPITAL FOUNDATION
    15107 VANOWEN STREET
    VAN NUYS,CA91405
      PC GENERAL SUPPORT 1,500
    VETERANS COMMUNITY PROJECT
    8900 TROOST AVENUE
    KANSAS CITY,MO64131
      PC GENERAL SUPPORT 500
    VOLUNTEERS OF AMERICA SOUTHWEST
    3530 CAMINO DEL RIO NORTH SUITE 300
    SAN DIEGO,CA92108
      PC GENERAL SUPPORT 500
    WEBSTER CHILD CARE CENTER
    624 LOHMANN FOREST LANE
    WEBSTER GROVES,MO63119
      PC GENERAL SUPPORT 500
    WHIRLPOOL COLLECTIVE IMPACT FUND
    2000 NORTH M-63
    BENTON HARBOR,MI49022
      PC GENERAL SUPPORT 5,000
    WILDLIFE CONSERVATION SOCIETY
    2300 SOUTHERN BOULEVARD
    BRONX,NY10460
      PC GENERAL SUPPORT 1,250
    WILLIAM F RYAN COMMUNITY HEALTH CENTER
    110 W 97TH STREET
    NEW YORK,NY10025
      PC GENERAL SUPPORT 7,500
    WISH EDUCATION FOUNDATION
    24343 MAGIC MOUNTAIN PARKWAY
    VALENCIA,CA91355
      PC GENERAL SUPPORT 2,430
    WOMEN'S CANCER RESOURCE CENTER
    2908 ELLSWORTH STREET
    BERKELEY,CA94705
      PC GENERAL SUPPORT 1,000
    WOMEN'S FOUNDATION OF COLORADO
    1901 EAST ASBURY AVENUE
    DENVER,CO80210
      PC GENERAL SUPPORT 2,550
    WOMEN'S RESOURCE CENTER TO END VIOLENCE
    PO BOX 171
    DECATUR,GA30031
      PC GENERAL SUPPORT 2,500
    YALESVILLE LITTLE LEAGUE
    26 EDGEWOOD DRIVE
    WALLINGFORD,CT06492
      PC GENERAL SUPPORT 150
    YMCA
    1915 N DR MARTIN LUTHER KING JR
    DRIVE
    MILWAUKE,WI53212
      PC GENERAL SUPPORT 850
    YMCA OF GREATER PROVIDENCE
    21 PEACE STREET 6TH FLOOR
    PROVIDENCE,RI02907
      PC GENERAL SUPPORT 500
    YMCA OF METROPOLITAN WASHINGTON
    1112 16TH STREET NW SUITE 240
    WASHINGTON,DC20036
      PC GENERAL SUPPORT 334
    YOUTH ON COURSE
    3200 LOPEZ ROAD
    PEBBLE BEACH,CA93953
      PC GENERAL SUPPORT 500
    YULA
    9760 W PICO BOULEVARD
    LOS ANGELES,CA90035
      PC GENERAL SUPPORT 1,500
    YULA BOYS HIGH SCHOOL
    9760 W PICO BOULEVARD
    LOS ANGELES,CA90035
      PC GENERAL SUPPORT 2,400
    YWCA
    1608 WOODMONT BOULEVARD
    NASHVILLE,TN37215
      PC GENERAL SUPPORT 500
    Total .................................bullet 3a 459,349
    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 8  
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
             
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 8 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    8
    (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