-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE PODIATRY FOUNDATION OF
PITTSBURGH
Number and street (or P.O. box number if mail is not delivered to street address)
1601 UNION AVENUE SUITE B
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSBURGH
,
PA
15065
A Employer identification number
25-1024331
B
Telephone number (see instructions)
(724) 226-0544
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
717,483
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
391
391
4
Dividends and interest from securities
...
19,456
16,350
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
16,251
b
Gross sales price for all assets on line 6a
57,483
7
Capital gain net income (from Part IV, line 2)
...
1,846
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
........
36,098
18,587
13
Compensation of officers, directors, trustees, etc.
12,000
6,000
6,000
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
4,500
4,500
c
Other professional fees (attach schedule)
....
17
Interest
...............
1
18
Taxes (attach schedule) (see instructions)
...
30
30
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
587
587
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
9,946
7,497
2,449
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
27,064
18,027
9,036
25
Contributions, gifts, grants paid
.......
42,500
77,900
26
Total expenses and disbursements.
Add lines 24 and 25
69,564
18,027
86,936
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-33,466
b
Net investment income
(if negative, enter -0-)
560
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
196,435
70,973
70,973
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
250
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
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
509,375
646,510
646,510
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
706,060
717,483
717,483
17
Accounts payable and accrued expenses
..........
4,500
18
Grants payable
.................
85,000
52,500
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
85,000
57,000
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
621,060
660,483
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
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)
.....
621,060
660,483
30
Total liabilities and net assets/fund balances
(see instructions)
.
706,060
717,483
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
621,060
2
Enter amount from Part I, line 27a
.....................
2
-33,466
3
Other increases not included in line 2 (itemize)
3
72,889
4
Add lines 1, 2, and 3
..........................
4
660,483
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
660,483
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
ACCO BRANDS CORP
P
2016-06-10
2019-04-26
b
APOGEE ENTERPRISES
P
2018-01-18
2019-03-08
c
BIG LOTS INC COM
P
2018-07-13
2019-08-13
d
CHEESECAKE FACTORY INC
P
2017-12-29
2019-01-03
e
HAIN CELESTIAL GROUP INC
P
2018-08-29
2019-11-12
KENNAMETAL INC
P
2018-05-21
2019-08-13
OWENS ILL INC COM NEW
P
2018-10-23
2019-10-30
PILGRIM'S PRIDE CORP-NEW
P
2018-09-14
2019-05-17
REV GROUP INC REG SHS
P
2019-06-07
2019-12-06
SKECHERS U S A INC CL A
P
2018-09-13
2019-07-30
SUPER MICRO COMPUTER INC
P
2018-08-23
2019-02-19
UNITED STS STL CORP NEW
P
2018-08-23
2019-09-20
ACCO BRANDS CORP
P
2016-06-10
2019-10-23
APOGEE ENTERPRISES
P
2018-01-18
2019-07-03
BIG LOTS INC COM
P
2017-06-12
2019-05-20
COOPER TIRE RUBBER
P
2018-08-23
2019-10-03
HAIN CELESTIAL GROUP INC
P
2018-08-29
2019-10-21
LYDALL INC DEL COM 0.10
P
2019-05-17
2019-11-01
OWENS ILL INC COM NEW
P
2018-09-25
2019-10-30
PILGRIM'S PRIDE CORP-NEW
P
2018-09-14
2019-05-23
REV GROUP INC REG SHS
P
2019-03-08
2019-11-11
SKECHERS U S A INC CL A
P
2018-09-13
2019-10-29
SUPER MICRO COMPUTER INC
P
2018-08-23
2019-04-04
UNITED STS STL CORP NEW
P
2018-08-23
2019-09-20
AECOM
P
2018-12-13
2019-12-06
APOGEE ENTERPRISES
P
2018-01-18
2019-07-17
BIG LOTS INC COM
P
2017-06-12
2019-07-16
COOPER TIRE RUBBER
P
2018-05-18
2019-10-03
HAIN CELESTIAL GROUP INC
P
2018-04-19
2019-05-20
LYDALL INC DEL COM 0.10
P
2018-11-05
2019-11-01
OWENS ILL INC COM NEW
P
2018-08-28
2019-08-08
PILGRIM'S PRIDE CORP-NEW
P
2018-09-13
2019-05-17
REV GROUP INC REG SHS
P
2019-03-08
2019-12-04
SKECHERS U S A INC CL A
P
2018-08-07
2019-07-22
SUPER MICRO COMPUTER INC
P
2018-08-23
2019-03-08
UNITED STS STL CORP NEW
P
2018-08-23
2019-10-17
AECOM
P
2018-11-13
2019-10-22
ASTEC INDUSTRIES INC
P
2019-01-08
2019-10-30
BIG LOTS INC COM
P
2017-01-05
2019-05-13
COWEN INC NEW
P
2018-02-12
2019-04-26
HAIN CELESTIAL GROUP INC
P
2018-04-19
2019-05-24
LYDALL INC DEL COM 0.10
P
2018-04-18
2019-10-21
OWENS ILL INC COM NEW
P
2018-08-28
2019-10-30
PILGRIM'S PRIDE CORP-NEW
P
2018-09-06
2019-05-14
REV GROUP INC REG SHS
P
2019-03-08
2019-12-06
SKECHERS U S A INC CL A
P
2018-08-07
2019-07-30
SUPER MICRO COMPUTER INC
P
2017-10-30
2019-01-08
VENATOR MATERIALS PLC
P
2019-03-08
2019-08-13
AECOM
P
2018-11-13
2019-12-06
ASTEC INDUSTRIES INC
P
2019-01-03
2019-10-30
BIG LOTS INC COM
P
2017-01-05
2019-05-20
CYPRESS SEMICNDTR PV1CTS
P
2018-09-18
2019-06-04
HAIN CELESTIAL GROUP INC
P
2018-04-13
2019-05-20
LYDALL INC DEL COM 0.10
P
2018-04-18
2019-11-01
OWENS ILL INC COM NEW
P
2016-09-19
2019-04-26
PILGRIM'S PRIDE CORP-NEW
P
2018-09-06
2019-05-17
REV GROUP INC REG SHS
P
2018-09-14
2019-11-01
SKECHERS U S A INC CL A
P
2018-07-23
2019-07-22
SUPER MICRO COMPUTER INC
P
2017-10-30
2019-02-19
VENATOR MATERIALS PLC
P
2019-02-28
2019-08-13
AECOM
P
2018-02-16
2019-07-03
ATLAS AIR WORLDWIDE HLDS
P
2018-02-16
2019-10-03
BIG LOTS INC COM
P
2016-12-13
2019-04-12
CYPRESS SEMICNDTR PV1CTS
P
2018-09-13
2019-06-04
HAIN CELESTIAL GROUP INC
P
2018-03-25
2019-05-14
LYDALL INC DEL COM 0.10
P
2018-03-28
2019-10-21
OWENS ILL INC COM NEW
P
2016-09-19
2019-08-08
PILGRIM'S PRIDE CORP-NEW
P
2018-08-23
2019-04-26
REV GROUP INC REG SHS
P
2018-09-14
2019-11-11
SKECHERS U S A INC CL A
P
2018-07-13
2019-07-22
UNITED BKSHRS INC W.V.
P
2018-12-21
2019-10-23
VENATOR MATERIALS PLC
P
2019-02-13
2019-08-13
AECOM
P
2018-02-16
2019-09-10
ATLAS AIR WORLDWIDE HLDS
P
2018-02-16
2019-09-25
BIG LOTS INC COM
P
2016-12-13
2019-04-09
F N B CORP
P
2016-12-14
2019-09-25
HAIN CELESTIAL GROUP INC
P
2018-03-25
2019-05-20
LYDALL INC DEL COM 0.10
P
2018-03-01
2019-10-21
PBF ENERGY INC CL A
P
2017-06-01
2019-06-13
PILGRIM'S PRIDE CORP-NEW
P
2018-08-23
2019-05-14
REV GROUP INC REG SHS
P
2018-09-07
2019-10-21
SKECHERS U S A INC CL A
P
2018-05-31
2019-07-22
UNITED BKSHRS INC W.V.
P
2018-12-21
2019-10-28
VENATOR MATERIALS PLC
P
2018-07-13
2019-08-13
AECOM
P
2018-02-16
2019-09-24
ATLAS AIR WORLDWIDE HLDS
P
2018-02-16
2019-11-22
BIG LOTS INC COM
P
2016-12-13
2019-05-13
F N B CORP
P
2016-12-14
2019-10-21
HAIN CELESTIAL GROUP INC
P
2018-03-23
2019-05-14
MEDNAX INC
P
2018-11-29
2019-02-07
PBF ENERGY INC CL A
P
2017-05-09
2019-06-13
PILGRIM'S PRIDE CORP-NEW
P
2018-08-07
2019-04-26
REV GROUP INC REG SHS
P
2018-09-07
2019-11-01
SKECHERS U S A INC CL A
P
2018-05-18
2019-04-12
UNITED BKSHRS INC W.V.
P
2018-12-19
2019-10-23
AMERICAN EQUITY INVT
P
2017-05-10
2019-04-26
ATLAS AIR WORLDWIDE HLDS
P
2018-02-16
2019-11-01
BIG LOTS INC COM
P
2016-12-13
2019-04-26
GENTHERM INC
P
2018-01-09
2019-07-30
HAIN CELESTIAL GROUP INC
P
2018-03-15
2019-04-26
MODINE MFG CO
P
2018-10-03
2019-10-30
PILGRIM'S PRIDE CORP-NEW
P
2018-11-13
2019-11-19
RANGE RESOURCES CORP DEL
P
2018-09-26
2019-06-13
REV GROUP INC REG SHS
P
2018-07-23
2019-10-03
SKECHERS U S A INC CL A
P
2018-05-18
2019-07-22
UNITED BKSHRS INC W.V.
P
2018-12-17
2019-10-23
APOGEE ENTERPRISES
P
2018-02-18
2019-08-13
AVX CORP NEW
P
2019-06-04
2019-11-19
BIG LOTS INC COM
P
2016-09-19
2019-03-13
GREAT WESTN BANCORP INC
P
2017-11-13
2019-04-26
HAIN CELESTIAL GROUP INC
P
2018-03-15
2019-05-14
MODINE MFG CO
P
2018-09-18
2019-04-26
PILGRIM'S PRIDE CORP-NEW
P
2018-11-02
2019-09-10
RANGE RESOURCES CORP DEL
P
2018-09-18
2019-05-24
REV GROUP INC REG SHS
P
2018-07-23
2019-10-21
SKECHERS U S A INC CL A
P
2018-05-14
2019-03-08
UNITED STS STL CORP NEW
P
2019-05-17
2019-10-17
APOGEE ENTERPRISES
P
2018-02-18
2019-08-16
BANCORP (THE) BANK
P
2016-06-10
2019-09-10
BIG LOTS INC COM
P
2016-09-19
2019-03-27
GREAT WESTN BANCORP INC
P
2017-11-13
2019-04-26
HAIN CELESTIAL GROUP INC
P
2018-03-10
2019-04-26
MODINE MFG CO
P
2018-09-18
2019-10-30
PILGRIM'S PRIDE CORP-NEW
P
2018-11-02
2019-11-19
RANGE RESOURCES CORP DEL
P
2018-09-18
2019-06-13
SKECHERS U S A INC CL A
P
2019-08-28
2019-11-19
SKECHERS U S A INC CL A
P
2018-05-14
2019-04-12
UNITED STS STL CORP NEW
P
2018-12-19
2019-09-20
APOGEE ENTERPRISES
P
2018-02-18
2019-09-24
BANKUNITED INC
P
2017-11-06
2019-09-25
BIG LOTS INC COM
P
2016-09-19
2019-04-09
HAIN CELESTIAL GROUP INC
P
2018-09-26
2019-11-12
HAIN CELESTIAL GROUP INC
P
2018-03-08
2019-04-26
NORDSTROM INC
P
2019-09-24
2019-10-31
PILGRIM'S PRIDE CORP-NEW
P
2018-10-23
2019-07-30
RANGE RESOURCES CORP DEL
P
2018-08-27
2019-05-13
SKECHERS U S A INC CL A
P
2019-08-28
2019-11-22
SKECHERS U S A INC CL A
P
2018-04-26
2019-02-27
UNITED STS STL CORP NEW
P
2018-12-19
2019-10-17
APOGEE ENTERPRISES
P
2018-02-16
2019-07-17
BANKUNITED INC
P
2017-10-24
2019-09-25
BLOOMIN BRANDS INC
P
2016-11-30
2019-04-26
HAIN CELESTIAL GROUP INC
P
2018-08-29
2019-06-05
HAIN CELESTIAL GROUP INC
P
2018-02-28
2019-03-08
OFG BANCORP COM
P
2017-12-29
2019-03-08
PILGRIM'S PRIDE CORP-NEW
P
2018-09-18
2019-05-23
RANGE RESOURCES CORP DEL
P
2018-08-27
2019-05-24
SKECHERS U S A INC CL A
P
2019-05-17
2019-11-05
SKECHERS U S A INC CL A
P
2018-04-26
2019-03-08
UNITED STS STL CORP NEW
P
2018-11-23
2019-09-20
APOGEE ENTERPRISES
P
2018-02-16
2019-08-13
BIG LOTS INC COM
P
2018-09-04
2019-08-13
CHEESECAKE FACTORY INC
P
2018-01-09
2019-01-03
HAIN CELESTIAL GROUP INC
P
2018-08-29
2019-05-24
HAIN CELESTIAL GROUP INC
P
2018-02-28
2019-04-12
OFG BANCORP COM
P
2017-12-29
2019-04-26
PILGRIM'S PRIDE CORP-NEW
P
2018-09-18
2019-06-13
RANGE RESOURCES CORP DEL
P
2017-08-22
2019-04-05
SKECHERS U S A INC CL A
P
2019-05-17
2019-11-19
SKECHERS U S A INC CL A
P
2018-04-24
2019-02-27
UNITED STS STL CORP NEW
P
2018-09-18
2019-09-20
APOGEE ENTERPRISES
P
2018-02-10
2019-07-17
BIG LOTS INC COM
P
2018-07-13
2019-07-16
CHEESECAKE FACTORY INC
P
2018-01-09
2019-03-05
HAIN CELESTIAL GROUP INC
P
2018-08-29
2019-06-06
KENNAMETAL INC
P
2018-08-23
2019-08-13
OWENS ILL INC COM NEW
P
2018-11-13
2019-10-30
PILGRIM'S PRIDE CORP-NEW
P
2018-09-18
2019-07-30
RANGE RESOURCES CORP DEL
P
2017-08-22
2019-05-13
SKECHERS U S A INC CL A
P
2018-12-17
2019-11-05
SUPER MICRO COMPUTER INC
P
2018-08-23
2019-02-27
UNITED STS STL CORP NEW
P
2018-09-13
2019-09-20
(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
207
240
-33
b
139
178
-39
c
176
337
-161
d
726
830
-104
e
26
27
-1
267
362
-95
171
338
-167
233
150
83
354
320
34
191
133
58
623
517
106
112
112
415
438
-23
730
755
-25
286
454
-168
75
89
-14
355
438
-83
59
61
-2
290
669
-379
251
169
82
71
50
21
734
504
230
353
267
86
101
275
-174
380
260
120
123
133
-10
72
151
-79
350
355
-5
231
314
-83
353
578
-225
196
297
-101
523
345
178
219
171
48
355
259
96
252
217
35
104
313
-209
692
536
156
35
36
-1
242
350
-108
306
224
82
67
94
-27
23
49
-26
367
799
-432
500
340
160
157
120
37
115
86
29
473
601
-128
61
165
-104
380
284
96
525
474
51
32
50
-18
487
343
144
162
219
-57
137
346
-209
351
310
41
174
113
61
257
307
-50
1,342
907
435
583
581
2
81
223
-142
560
532
28
248
620
-372
230
335
-105
842
593
249
93
131
-38
138
283
-145
502
706
-204
135
92
43
242
261
-19
474
374
100
79
61
18
120
313
-193
531
497
34
512
1,183
-671
194
279
-85
230
314
-84
46
65
-19
277
582
-305
463
377
86
389
258
131
134
153
-19
553
415
138
482
366
116
46
349
-303
709
674
35
419
958
-539
173
279
-106
555
723
-168
186
260
-74
289
320
-31
317
285
32
539
358
181
244
264
-20
137
122
15
237
186
51
147
120
27
390
1,014
-624
456
670
-214
537
423
114
198
290
-92
127
167
-40
353
215
138
219
558
-339
43
65
-22
237
183
54
355
286
69
113
123
-10
371
389
-18
250
340
-90
171
171
210
290
-80
193
193
450
277
173
133
276
-143
231
310
-79
457
407
50
146
204
-58
394
449
-55
37
27
10
599
777
-178
68
76
-8
44
67
-23
127
168
-41
128
74
54
199
487
-288
163
120
43
103
87
16
45
81
-36
40
41
-1
267
265
2
1,125
1,408
-283
258
266
-8
176
268
-92
522
480
42
410
262
148
149
269
-120
317
240
77
340
291
49
208
406
-198
246
269
-23
33
35
-2
318
282
36
103
137
-34
84
145
-61
369
175
194
112
74
38
235
505
-270
541
400
141
33
29
4
380
888
-508
640
763
-123
287
550
-263
85
96
-11
202
247
-45
508
832
-324
178
83
95
483
334
149
214
357
-143
203
143
60
374
325
49
156
419
-263
41
41
72
126
-54
505
529
-24
60
82
-22
267
360
-93
145
279
-134
55
37
18
232
446
-214
116
68
48
155
133
22
246
637
-391
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
-33
b
-39
c
-161
d
-104
e
-1
-95
-167
83
34
58
106
-23
-25
-168
-14
-83
-2
-379
82
21
230
86
-174
120
-10
-79
-5
-83
-225
-101
178
48
96
35
-209
156
-1
-108
82
-27
-26
-432
160
37
29
-128
-104
96
51
-18
144
-57
-209
41
61
-50
435
2
-142
28
-372
-105
249
-38
-145
-204
43
-19
100
18
-193
34
-671
-85
-84
-19
-305
86
131
-19
138
116
-303
35
-539
-106
-168
-74
-31
32
181
-20
15
51
27
-624
-214
114
-92
-40
138
-339
-22
54
69
-10
-18
-90
-80
173
-143
-79
50
-58
-55
10
-178
-8
-23
-41
54
-288
43
16
-36
-1
2
-283
-8
-92
42
148
-120
77
49
-198
-23
-2
36
-34
-61
194
38
-270
141
4
-508
-123
-263
-11
-45
-324
95
149
-143
60
49
-263
-54
-24
-22
-93
-134
18
-214
48
22
-391
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
1,846
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
641
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
61,334
772,227
0.079425
2017
5,804
803,267
0.007225
2016
167,242
797,305
0.209759
2015
164,929
884,469
0.186472
2014
174,440
1,171,235
0.148937
2
Total
of line 1, column (d)
.....................
2
0.631818
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
0.126364
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
682,764
5
Multiply line 4 by line 3
......................
5
86,277
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
6
7
Add lines 5 and 6
........................
7
86,283
8
Enter qualifying distributions from Part XII, line 4
,.............
8
86,936
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
6
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
3
Add lines 1 and 2
...........................
3
6
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
6
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
6
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
PA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
PODIATRYPLACE.ORG
14
The books are in care of
DR NICKI NIGRO
Telephone no.
(724) 226-0544
Located at
1601 UNION AVENUE SUITE B
NATRONA HEIGHTS
PA
ZIP+4
15065
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
No
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
DR NICKI NIGRO
CEO/TREASURE
5.00
12,000
0
0
1601 UNION AVENUE SUITE B
NATRONA HEIGHTS
,
PA
15065
DR JEFFREY NIGRO
PRESIDENT
2.00
0
0
0
1601 UNION AVENUE SUITE B
NATRONA HEIGHTS
,
PA
15065
MICHAEL L SPARLIN
MEMBER
2.00
0
0
0
1601 UNION AVENUE SUITE B
NATRONA HEIGHTS
,
PA
15065
RACHEL BERGLUND
MEMBER
2.00
0
0
0
1601 UNION AVENUE SUITE B
NATRONA HEIGHTS
,
PA
15065
MARK HOFBAUER
MEMBER
2.00
0
0
0
1601 UNION AVENUE SUITE B
NATRONA HEIGHTS
,
PA
15065
RYAN MCMILLEN
MEMBER
000.00
0
0
0
1601 UNION AVE SUITE B
NATRONA HEIGHTS
,
PA
15065
RICK SCANLAN
MEMBER
000.00
0
0
0
1601 UNION AVE SUITE B
NATRONA HEIGHTS
,
PA
15065
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
...................
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
.............
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
TO PROVIDE EDUCATIONAL GRANTS FOR THE STUDY AND IMPROVEMENT IN THE FIELD OF PODIATRIC CARE - GRANTS AWARDED BUT NOT PAID DURING THIS PERIOD
81,936
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
N/A
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
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
661,911
b
Average of monthly cash balances
.......................
1b
30,786
c
Fair market value of all other assets (see instructions)
................
1c
464
d
Total
(add lines 1a, b, and c)
.........................
1d
693,161
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
3
Subtract line 2 from line 1d
.........................
3
693,161
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
10,397
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
682,764
6
Minimum investment return.
Enter 5% of line 5
..................
6
34,138
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
34,138
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
6
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
6
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
34,132
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
34,132
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
34,132
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
86,936
b
Program-related investments—total from Part IX-B
..................
1b
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
86,936
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
6
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
86,930
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
34,132
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
105,300
b
From 2015
......
121,804
c
From 2016
......
127,551
d
From 2017
......
127,551
e
From 2018
......
24,213
f
Total
of lines 3a through e
........
506,419
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
86,936
a
Applied to 2018, but not more than line 2a
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
34,132
e
Remaining amount distributed out of corpus
52,804
5
Excess distributions carryover applied to 2019.
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
559,223
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
105,300
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
453,923
10
Analysis of line 9:
a
Excess from 2015
....
121,804
b
Excess from 2016
....
127,551
c
Excess from 2017
....
127,551
d
Excess from 2018
....
24,213
e
Excess from 2019
....
52,804
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
DR NICKI NIGO
1601 UNION AVENUE SUITE B
NATRONA HEIGHTS
,
PA
15065
(724) 226-0544
b
The form in which applications should be submitted and information and materials they should include:
GRANT APPLICATION - SEE WWW.PODIATRYPLACE.ORG
c
Any submission deadlines:
VARIOUS - SEE WWW.PODIATRYPLACE.ORG
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
GRANTS ARE RESTRICTED TO FURTHERING THE STUDY OF PODIATRIC MEDICINE AND TO A SPECIFIC GEOGRAPHIC REGION.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
WESTERN PENNSYLVANIA HOSPITAL
4800 FRIENDSHIP AVENUE
PITTSBURGH
,
PA
15222
NONE
PC
EDUCATIONAL
24,000
GREATER PA EDUCATIONAL FOUNDATION
1163 COUNTRY CLUB ROAD
MONGAHELA
,
PA
15063
NONE
PC
CONTINUING MEDICAL EDUCATION
12,000
ALLEGHENY COUNTY FOOT & ANKLE SOCIE
955 RIVERMONT DRIVE
PITTSBURGH
,
PA
15207
NONE
GOV
CONTINUING MEDICAL EDUCATION
7,000
JONATHAN NIGRO
3200 GRAND AVENUE
DES MOINES
,
IA
50312
YES - SON
PC
SCHOLARSHIP
5,000
MARTHA KLINGBEIL
3200 GRAND AVENUE
DES MOINES
,
IA
50312
NONE
PC
SCHOLARSHIP
5,000
KEN KYSOR
6000 ROCKSIDE WOODS BLVD
INDEPENDENCE
,
OH
44131
NONE
I
EDUCATIONAL SCHOLARSHIP
1,000
RYAN SHERRY
1801 N BROAD ST
PHILADELPHIA
,
PA
19122
NONE
EDUCATIONAL
5,000
TACKSON TOWERS
1801 N BROAD ST
PHILADELPHIA
,
PA
19122
NONE
EDUCATIONAL
1,000
BRETT SATRICK
3333 GREEN BAY RD
NORTH CHICAGO
,
IL
60064
NONE
EDUCATIONAL
5,000
NUCGAEK SAVUSKY
3333 GREEN BAY RD
NORTH CHICAGO
,
IL
60064
NONE
EDUCATIONAL
5,000
TRAVIS MCLANGAN
408 LENOX COURT
GIBSONIA
,
PA
15044
NONE
N/A
EDUCATIONAL
2,900
AMERICAN COLLEGE OF FOOT AND ANKLE
8725 WEST HIGGINS RD
CHICAGO
,
IL
60631
NONE
PC
EDUCATIONAL
5,000
Total
.................................
3a
77,900
b
Approved for future payment
WESTERN PENNSYLVANIA HOSPITAL
4800 FRIENDSHIP AVENUE
PITTSBURGH
,
PA
15222
NONE
PC
EDUCATIONAL
12,000
GREATER PA EDUCATIONAL FOUNDATION
1163 COUNTRY CLUB ROAD
MONGAHELA
,
PA
15063
NONE
PC
CONTINUING MEDICAL EDUCATION
6,000
ALLEGHENY COUNTY FOOT & ANKLE SOCIE
955 RIVERMONT DRIVE
PITTSBURGH
,
PA
15207
NONE
GOV
CONTINUING MEDICAL EDUCATION
3,500
JONATHAN NIGRO
3200 GRAND AVENUE
DES MOINES
,
IA
50312
YES - SON
PC
SCHOLARSHIP
5,000
ANTHONY SMALDINO
3200 GRAND AVENUE
DES MOINES
,
IA
50312
NONE
PC
SCHOLARSHIP
3,000
MICHAEL SAVISKY
3333 GREEN BAY RD
NORTH CHICAGO
,
IL
60064
NONE
EDUCATIONAL
4,000
BRET SALRICK
3333 GREEN BAY RD
NORTH CHICAGO
,
IL
60064
NONE
EDUCATIONAL
4,000
HOLLY ZUCHERO
53 E 124TH ST
NEW YORK
,
NY
10035
NONE
EDUCATIONAL
5,000
RYAN SHERRY
1801 N BROAD ST
PHILADELPHIA
,
PA
19122
NONE
EDUCATIONAL
5,000
AMERICAN COLLEGE OF FOOT AND ANKLE
8725 WEST HIGGINS RD
CHICAGO
,
IL
60631
NONE
PC
EDUCATIONAL
-5,000
Total
.................................
3b
42,500
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
391
4
Dividends and interest from securities
....
14
19,456
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
16,251
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)
..
36,098
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
36,098
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description