-
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
Caplin Foundation
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)
Foundation Source 501 Silverside Rd
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington
,
DE
198091377
A Employer identification number
52-6078981
B
Telephone number (see instructions)
(800) 839-1754
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
9,351,590
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)
2,810,782
2
Check
.............
3
Interest on savings and temporary cash investments
7,999
7,999
4
Dividends and interest from securities
...
75,770
75,770
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
-7,068
b
Gross sales price for all assets on line 6a
483,822
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)
.......
11,765
12
Total.
Add lines 1 through 11
........
2,899,248
83,769
13
Compensation of officers, directors, trustees, etc.
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
500
0
0
500
c
Other professional fees (attach schedule)
....
16,819
16,819
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
4,364
268
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
1,569
1,569
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
24,384
632
23,752
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
47,636
17,719
0
25,821
25
Contributions, gifts, grants paid
.......
234,350
234,350
26
Total expenses and disbursements.
Add lines 24 and 25
281,986
17,719
0
260,171
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
2,617,262
b
Net investment income
(if negative, enter -0-)
66,050
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
.........
634,978
567,455
567,455
3
Accounts receivable
3,829
Less: allowance for doubtful accounts
4,996
3,829
3,829
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
1,056,422
3,742,374
8,780,306
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)
..........
0
0
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)
1,696,396
4,313,658
9,351,590
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
1,696,396
4,313,658
29
Total net assets or fund balances
(see instructions)
.....
1,696,396
4,313,658
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,696,396
4,313,658
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
1,696,396
2
Enter amount from Part I, line 27a
.....................
2
2,617,262
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
4,313,658
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
4,313,658
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
Publicly-traded Securities
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
483,822
490,404
-6,582
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
-6,582
b
c
d
e
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
-6,582
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
275,945
5,029,728
0.054863
2017
151,420
4,579,590
0.033064
2016
235,739
3,430,922
0.06871
2015
123,730
3,178,074
0.038932
2014
137,872
2,804,812
0.049156
2
Total
of line 1, column (d)
.....................
2
0.244725
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
0.048945
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
6,851,143
5
Multiply line 4 by line 3
......................
5
335,329
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
661
7
Add lines 5 and 6
........................
7
335,990
8
Enter qualifying distributions from Part XII, line 4
,.............
8
260,171
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
1,321
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
1,321
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
1,321
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,000
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
1,059
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
3,059
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
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
1,738
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
1,738
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)
DC
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
Yes
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
14
The books are in care of
Foundation Source
Telephone no.
(800) 839-1754
Located at
501 Silverside Road Suite 123
Wilmington
DE
ZIP+4
198091377
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
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
Catherine Caplin
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Jeremy Caplin
Dir, Pres
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Lee Caplin
Dir, VP
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Michael Caplin
Dir, Sec, Treas
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Mortimer Caplin
Dir, chair
0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
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
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
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
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
.........................
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
6,376,329
b
Average of monthly cash balances
.......................
1b
575,176
c
Fair market value of all other assets (see instructions)
................
1c
3,970
d
Total
(add lines 1a, b, and c)
.........................
1d
6,955,475
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
0
3
Subtract line 2 from line 1d
.........................
3
6,955,475
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
104,332
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
6,851,143
6
Minimum investment return.
Enter 5% of line 5
..................
6
342,557
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
342,557
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,321
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
1,704
c
Add lines 2a and 2b
............................
2c
3,025
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
339,532
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
339,532
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
339,532
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
260,171
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
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
260,171
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
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
260,171
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
339,532
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
b
Total for prior years:
2017
,
2016
,
2015
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
3,996
b
From 2015
......
c
From 2016
......
65,075
d
From 2017
......
e
From 2018
......
29,500
f
Total
of lines 3a through e
........
98,571
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
260,171
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
.....
260,171
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
79,361
79,361
(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
19,210
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)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
19,210
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
19,210
e
Excess from 2019
....
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
Mortimer Caplin
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any 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)
a
Paid during the year
24TH STREET THEATRE COMPANY
1117 W 24TH ST
LOS ANGELES
,
CA
90007
N/A
PC
General & Unrestricted
1,500
ACTORS STUDIO
432 W 44TH ST
NEW YORK
,
NY
10036
N/A
PC
General & Unrestricted
1,000
ADRIENNE ARSHT CENTER FOUNDATION INC
1300 BISCAYNE BLVD
MIAMI
,
FL
33132
N/A
PC
General & Unrestricted
25,000
AFRICAN AMERICAN TEACHING FELLOWS OF CHARLOTTESVIL
PO BOX 5064
CHARLOTTESVLE
,
VA
22905
N/A
PC
General & Unrestricted
500
ALBEMARLE COUNTY HISTORICAL SOCIETY INC
200 2ND ST NE
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
300
ALBEMARLE SOCIETY FOR THE PREVENTION OF CRUELTY TO
3355 BERKMAR DR
CHARLOTTESVILLE
,
VA
22901
N/A
PC
General & Unrestricted
250
ALL SOULS CHARLOTTESVILLE
PO BOX 174
CHARLOTTESVILLE
,
VA
22902
N/A
PC
Perkins House
1,500
ALLIANCE FOR INTERFAITH MINISTRIES
PO BOX 7331
CHARLOTTESVLE
,
VA
22906
N/A
PC
General & Unrestricted
300
AMAZON CONSERVATION ASSOCIATION
1012 14TH ST NW STE 625
WASHINGTON
,
DC
20005
N/A
PC
General & Unrestricted
300
AMERICAN CIVIL LIBERTIES UNION FOUNDATION OF VIRGI
701 E FRANKLIN ST STE 1412
RICHMOND
,
VA
23219
N/A
PC
General & Unrestricted
1,000
AMERICAN SHAKESPEARE CENTER
20 S NEW ST 4TH FL
STAUNTON
,
VA
24401
N/A
PC
General & Unrestricted
500
AMERICAN UNIVERSITY-- WAMU 885
4401 CONNECTICUT AVE NW
WASHINGTON
,
DC
20008
N/A
PC
Fall Campaign
2,500
AMNESTY INTERNATIONAL OF THE USA INC
5 PENN PLZ 16TH FL
NEW YORK
,
NY
10001
N/A
PC
General & Unrestricted
500
ANTAEUS COMPANY
110 E BROADWAY
GLENDALE
,
CA
91205
N/A
PC
General & Unrestricted
1,000
APPALACHIAN VOICES
589 W KING ST
BOONE
,
NC
28607
N/A
PC
General & Unrestricted
1,000
ASSITEJ-USA INCORPORATED
340 E 46TH ST
NEW YORK
,
NY
10017
N/A
PC
General & Unrestricted
1,000
ATHENA THEATRE
1585 17TH LN SW
VERO BAECH
,
FL
32962
N/A
PC
Charitable Event
2,500
BELMONT ARTS COLLABORATIVE
221 CARLTON RD STE 3
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
1,000
BIG CAT HABITAT GULF COAST SANCTUARY INC
PO BOX 50217
SARASOTA
,
FL
34232
N/A
PC
General & Unrestricted
500
BLANK THEATRE COMPANY
PO BOX 1094
LOS ANGELES
,
CA
90078
N/A
PC
General & Unrestricted
1,000
BOYS & GIRLS CLUBS OF CENTRAL VIRGINIA
PO BOX 707
CHARLOTTESVILLE
,
VA
22902
N/A
PC
General & Unrestricted
500
BRAIN INJURY ASSOCIATION OF AMERICA INC
1608 SPRING HILL RD STE 110
VIENNA
,
VA
22182
N/A
PC
General & Unrestricted
500
BROADWAY OC INC
PO BOX 6039
LONG BEACH
,
CA
90806
N/A
PC
General & Unrestricted
4,500
BURLEY VARSITY CLUB
819 HENRY AVE
CHARLOTTESVLE
,
VA
22903
N/A
PC
Refurbishing of the football field
1,000
BURNON INC
1006 E MAIN ST STE 300
VENTURA
,
CA
93001
N/A
PC
General & Unrestricted
1,000
CABRILLO MUSIC THEATRE INC
2100 E THOUSAND OAKS BLVD STE B
THOUSAND OAKS
,
CA
91362
N/A
PC
General & Unrestricted
1,000
CANCER PATIENTS ALLIANCE
312 1/2 FOUNTAIN AVE
PACIFIC GROVE
,
CA
93950
N/A
PC
To be used in the fight against pancreatic cancer
500
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVE NE
WASHINGTON
,
DC
20017
N/A
PC
General & Unrestricted
250
CELEBRATION PRODUCTIONS CORPORATION
1284 HAVENHURST DR APT 101
W HOLLYWOOD
,
CA
90046
N/A
PC
General & Unrestricted
1,000
CENTER FOR BIOLOGICAL DIVERSITY INC
PO BOX 710
TUCSON
,
AZ
85702
N/A
PC
General & Unrestricted
750
CENTER FOR NONPROFIT EXCELLENCE
1701-A ALLIED ST
CHARLOTTESVILLE
,
VA
22903
N/A
PC
General & Unrestricted
5,000
CENTRAL ASIA INSTITUTE
PO BOX 7209
BOZEMAN
,
MT
59771
N/A
PC
General & Unrestricted
250
CHAPMAN GROVE BAPTIST CHURCH
2064 STONY POINT RD
CHARLOTTESVILLE
,
VA
22911
N/A
PC
General & Unrestricted
300
CHARLOTTESVILLE AREA COMMUNITY FOUNDATION
PO BOX 1767
CHARLOTTESVLE
,
VA
22902
N/A
PC
Emily Couric Leadership Forum
300
CHARLOTTESVILLE AREA COMMUNITY FOUNDATION
PO BOX 1767
CHARLOTTESVLE
,
VA
22902
N/A
PC
The Grove Project in McIntire Park
500
CHARLOTTESVILLE AREA TREE STEWARDS
PO BOX 4211
CHARLOTTESVLE
,
VA
22905
N/A
PC
General & Unrestricted
300
CHARLOTTESVILLE FREE CLINIC
1138 ROSE HILL DR STE 200
CHARLOTTESVLE
,
VA
22903
N/A
PC
General & Unrestricted
750
CHARLOTTESVILLE OPERA
PO BOX 2498
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
500
CHARLOTTESVILLE TOMORROW
PO BOX 1591
CHARLOTTESVILLE
,
VA
22902
N/A
PC
General & Unrestricted
250
CHRIST THE BREAD OF LIFE CATHOLIC CHURCH
321 CIRCULAR AVE
HAMDEN
,
CT
06514
N/A
PC
St. Ann's Soup Kitchen
300
COEURAGE THEATRE
1425 N OGDEN DR
LOS ANGELES
,
CA
90046
N/A
PC
General & Unrestricted
1,000
COMMON GROUND HEALING ARTS INC
233 4TH ST NW STE C
CHARLOTTESVLE
,
VA
22903
N/A
PC
Thrive Enterprises, Touch of Peace Program
300
CONGREGATION BETH ISRAEL
PO BOX 320
CHARLOTTESVILLE
,
VA
22902
N/A
PC
2019 Commitment to the Temple
3,475
CONSERVATION FOUNDATION OF THE GULF COAST INC
PO BOX 902
OSPREY
,
FL
34229
N/A
PC
Towards the purchase of the Celery Fields area property
1,000
CRYSTAL CATHEDRAL CHURCH OF CHRIST
PO BOX 53
DILLWYN
,
VA
23936
N/A
PC
for the installation of new carpeting/padding in the Christian Education Center
400
CURESEARCH FOR CHILDRENS CANCER
4600 E W HWY
BETHESDA
,
MD
20814
N/A
PC
General & Unrestricted
500
DANCE KIDS INC
PO BOX 6225
CARMEL
,
CA
93921
N/A
PC
General & Unrestricted
1,500
DEAF WEST THEATRE COMPANY INC
10563 AMBERWOOD LN
NORTHRIDGE
,
CA
91326
N/A
PC
General & Unrestricted
1,000
DOGS DESERVE BETTER INC
1915 MOONLIGHT RD
SMITHFIELD
,
VA
23430
N/A
PC
Operation on Danny Boy the dog
300
DOGWOOD VIETNAM MEMORIAL FOUNDATION
PO BOX 8154
CHARLOTTESVILLE
,
VA
22906
N/A
PC
For the possible purchase of new flags, or other enhancements to the memorial itself
1,000
DUKE UNIVERSITY
PO BOX 90600
DURHAM
,
NC
27708
N/A
PC
Iron Dukes Varsity Fencing Club Fund
5,000
DUKE UNIVERSITY
PO BOX 90581
DURHAM
,
NC
27708
N/A
PC
for the "Duke Lemur Center", the "Sarah Duke Gardens", and the "Duke Evensong Choir" led by Kit Jacobson
1,500
EARTH UNIVERSITY FOUNDATION
151 ELLIS ST NE FL 1 STE 133
ATLANTA
,
GA
30303
N/A
PC
General & Unrestricted
1,000
EAST-WEST PLAYERS INC
120 JUDGE JOHN AISO ST
LOS ANGELES
,
CA
90012
N/A
PC
General & Unrestricted
1,000
ENVIRONMENTAL DEFENSE FUND INCORPORATED
1875 CONNECTICUT AVE NW STE 600
WASHINGTON
,
DC
20009
N/A
PC
General & Unrestricted
500
FLORIDA INTERNATIONAL UNIVERSITY FOUNDATION INC
11200 SW 8TH ST MARC 531
MIAMI
,
FL
33199
N/A
PC
CARTA iSTAR
20,000
FLORIDA STUDIO THEATRE INC
1241 N PALM AVE
SARASOTA
,
FL
34236
N/A
PC
General & Unrestricted
500
FOOTHILLS CHILD ADVOCACY CENTER
1106 E HIGH ST STE 100
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
500
FOUNTAIN THEATRE
5060 FOUNTAIN AVE
LOS ANGELES
,
CA
90029
N/A
PC
General & Unrestricted
1,000
FOUR COUNTY PLAYERS INC
PO BOX 1
BARBOURSVILLE
,
VA
22923
N/A
PC
Build a Backstage Campaign
1,000
FREE UNION COUNTRY SCHOOL INC
PO BOX 250
FREE UNION
,
VA
22940
N/A
PC
General & Unrestricted
500
FRIENDS OF THE NATIONAL ZOO
PO BOX 37012 MRC 5516
WASHINGTON
,
DC
20013
N/A
PC
General & Unrestricted
3,500
FRIENDS OF THE NATIONAL ZOO
PO BOX 37012 MRC 5516
WASHINGTON
,
DC
20013
N/A
PC
Mobile Vet Unit
250
FRIENDS OF THE OSA
1012 14TH ST NW STE 625
WASHINGTON
,
DC
20005
N/A
PC
General & Unrestricted
500
FRIENDS OF THE PASADENA PLAYHOUSE
600 PLAYHOUSE ALLEY
PASADENA
,
CA
91101
N/A
PC
General & Unrestricted
1,000
FRONT PORCH CVILLE
221 E WATER ST
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
500
GEORGE WASHINGTON UNIVERSITY
2033 K ST STE 300
WASHINGTON
,
DC
20052
N/A
PC
General & Unrestricted
5,000
GRACKLE ART GALLERY INC
4621 EL CAMPO AVE
FORT WORTH
,
TX
76107
N/A
PC
General & Unrestricted
300
GREATER WASHINGTON EDUCATIONAL TELECOMMUNICATIONS
3939 CAMPBELL AVE
ARLINGTON
,
VA
22206
N/A
PC
General & Unrestricted
500
GREENSBORO OPERA COMPANY
200 N DAVIE ST STE 17
GREENSBORO
,
NC
27401
N/A
PC
General & Unrestricted
500
GREENWOOD
80 ACADEMY ST
SOUTH BERWICK
,
ME
03908
N/A
PC
General & Unrestricted
2,500
HIAS INC
411 5TH AVE 10TH FL
NEW YORK
,
NY
10016
N/A
PC
General & Unrestricted
250
HIGHWOOD THEATRE INC
1434 HIGHWOOD DR
MCLEAN
,
VA
22101
N/A
PC
General & Unrestricted
1,500
HILLEL THE FOUNDATION FOR JEWISH CAMPUS LIFE - HIL
1824 UNIVERSITY CIR
CHARLOTTESVILLE
,
VA
22903
N/A
PC
General & Unrestricted
500
HISTORICAL SOCIETY OF SARASOTA COUNTY
PO BOX 1632
SARASOTA
,
FL
34230
N/A
PC
General & Unrestricted
300
HOUSE OF RUTH
5 THOMAS CIR NW
WASHINGTON
,
DC
20005
N/A
PC
General & Unrestricted
250
INLAND VALLEY REPERTORY THEATRE INC
PO BOX 7743
LA VERNE
,
CA
91750
N/A
PC
General & Unrestricted
1,500
INTERACT THEATRE COMPANY
11333 MOORPARK ST PMB 391
NORTH HOLLYWOOD
,
CA
91602
N/A
PC
General & Unrestricted
1,000
INTERNATIONAL CITY THEATRE
67 LONG BEACH BLVD
LONG BEACH
,
CA
90802
N/A
PC
General & Unrestricted
1,500
ISLAND PRESS
700 12TH ST NW STE 700 PMB 95497
WASHINGTON
,
DC
20005
N/A
PC
General & Unrestricted
500
JABBERWOCKY THEATRE COMPANY
12405 VENICE BLVD 153
LOS ANGELES
,
CA
90066
N/A
PC
General & Unrestricted
1,000
JEFFERSON SCHOOL AFRICAN AMERICAN HERITAGE CENTER
233 4TH ST NW
CHARLOTTESVILLE
,
VA
22903
N/A
PC
General & Unrestricted
500
KIND INC
1201 L ST NW FL 2
WASHINGTON
,
DC
20005
N/A
PC
General & Unrestricted
500
LEGAL AID JUSTICE CENTER
1000 PRESTON AVE
CHARLOTTESVILLE
,
VA
22903
N/A
PC
To help support repainting of the building's exterior
1,500
LOAVES & FISHES FOOD PANTRY INC
2050 LAMBS RD
CHARLOTTESVLE
,
VA
22901
N/A
PC
General & Unrestricted
300
LYMELIGHT FOUNDATION INC
1229 BURLINGAME AVE STE 205
BURLINGAME
,
CA
94010
N/A
PC
General & Unrestricted
2,000
LYMPHOMA RESEARCH FOUNDATION
WALL ST PLZ 88 PINE ST
NEW YORK
,
NY
10005
N/A
PC
General & Unrestricted
500
MCINTIRE BOTANICAL GARDEN
200 GARRETT ST STE H
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
200
MCLEAN COMMUNITY FOUNDATION
PO BOX 75
MCLEAN
,
VA
22101
N/A
SO I
General & Unrestricted
150
MEDECINS SANS FRONTIERES USA INC - DOCTORS WITHOUT
PO BOX 5030
HAGERSTOWN
,
MD
21741
N/A
PC
General & Unrestricted
750
MEDIA MATTERS FOR AMERICA
PO BOX 52155
WASHINGTON
,
DC
20091
N/A
PC
General & Unrestricted
250
MIDDLE OAK BAPTIST CHURCH
4735 PRESIDENTS RD
SCOTTSVILLE
,
VA
24590
N/A
PC
General & Unrestricted
1,000
MPT FOUNDATION INC
11767 OWINGS MILLS BLVD
OWINGS MILLS
,
MD
21117
N/A
PC
General & Unrestricted
250
MUSICAL THEATRE GUILD
13333 VENTURA BLVD STE 201
SHERMAN OAKS
,
CA
91423
N/A
PC
General & Unrestricted
500
MUSICAL THEATRE WEST
4350 E 7TH ST
LONG BEACH
,
CA
90804
N/A
PC
General & Unrestricted
1,000
NATIONAL ALLIANCE FOR RESEARCH ON SCHIZOPHRENIA AN
747 3RD AVE RM 33C
NEW YORK
,
NY
10017
N/A
PC
General & Unrestricted
250
NATIONAL WORLD WAR II MUSEUM INC
945 MAGAZINE ST
NEW ORLEANS
,
LA
70130
N/A
PC
General & Unrestricted
2,000
NATURAL RESOURCES DEFENSE COUNCIL INC
40 W 20TH ST 11TH FL
NEW YORK
,
NY
10011
N/A
PC
General & Unrestricted
1,000
NATURE CONSERVANCY
4245 FAIRFAX DR STE 100
ARLINGTON
,
VA
22203
N/A
PC
General & Unrestricted
500
NEW MUSICALS INC
5628 VINELAND AVE
N HOLLYWOOD
,
CA
91601
N/A
PC
General & Unrestricted
1,500
NEW VICTORY THEATRE
3326 W VICTORY BLVD
BURBANK
,
CA
91505
N/A
PC
General & Unrestricted
2,000
NORTH COAST REPERTORY THEATRE A NON PROFIT CORPORA
987 LOMAS SANTA FE DR STE D
SOLANA BEACH
,
CA
92075
N/A
PC
General & Unrestricted
1,000
OCEAN CONSERVANCY INC
1300 19TH ST NW 8TH FL
WASHINGTON
,
DC
20036
N/A
PC
General & Unrestricted
250
OCEANA INC
1025 CONNECTICUT AVE NW STE 200
WASHINGTON
,
DC
20036
N/A
PC
General & Unrestricted
1,000
OGLALA LAKOTA COLLEGE
PO BOX 490
KYLE
,
SD
57752
N/A
PC
General & Unrestricted
3,000
PACIFICA FOUNDATION INC -WPFW
1990 K ST NW STE 14R
WASHINGTON
,
DC
20006
N/A
PC
General & Unrestricted
500
PALESTINE CHILDRENS RELIEF FUND
PO BOX 1926
KENT
,
OH
44240
N/A
PC
General & Unrestricted
350
PARTNERS IN HEALTH A NONPROFIT CORPORATION
PO BOX 996
FREDERICK
,
MD
21705
N/A
PC
General & Unrestricted
1,000
PENCILS OF PROMISE INCORPORATED
37 W 28TH ST 3RD FL
NEW YORK
,
NY
10001
N/A
PC
General & Unrestricted
350
PHILANTHROPIC VENTURES FOUNDATION
1222 PRESERVATION PARK WAY
OAKLAND
,
CA
94612
N/A
PC
General & Unrestricted
275
PIEDMONT COURT APPOINTED SPECIAL ADVOCATES INC
818 E HIGH ST
CHARLOTTESVILLE
,
VA
22902
N/A
PC
General & Unrestricted
250
PIEDMONT ENVIRONMENTAL COUNCIL
45 HORNER ST
WARRENTON
,
VA
20186
N/A
PC
General & Unrestricted
1,000
PILGRIM BAPTIST CHURCH
211 ALBEMARLE ST
CHARLOTTESVILLE
,
VA
22903
N/A
PC
General & Unrestricted
500
PLANNED PARENTHOOD GLOBAL INC
123 WILLIAM ST FL 10
NEW YORK
,
NY
10038
N/A
SO I
General & Unrestricted
2,500
PLANNED PARENTHOOD SOUTH ATLANTIC
100 S BOYLAN AVE
RALEIGH
,
NC
27603
N/A
PC
General & Unrestricted
500
PLAYWRIGHTS ARENA
514 S SPRING ST
LOS ANGELES
,
CA
90013
N/A
PC
General & Unrestricted
1,500
PLEASANT GROVE BAPTIST CHURCH
PO BOX 751
EARLYSVILLE
,
VA
22936
N/A
PC
General & Unrestricted
1,000
PRESERVATION PIEDMONT
1029 HAZEL ST
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
600
PRESERVERS OF THE DAUGHTERS OF ZION CEMETERY
201 6TH ST NW
CHARLOTTESVILLE
,
VA
22903
N/A
PC
General & Unrestricted
300
PRO PUBLICA INC
155 AVE OF THE AMERICAS 13TH FL
NEW YORK
,
NY
10013
N/A
PC
General & Unrestricted
500
PROJECT A W A R E FOUNDATION
30151 TOMAS STE 200
RANCHO SANTA MARGARITA
,
CA
92688
N/A
PC
General & Unrestricted
500
PROTECT DEMOCRACY PROJECT
2020 PENNSYLVANIA AVE NW 163
WASHINGTON
,
DC
20006
N/A
PC
General & Unrestricted
500
RAMPART THEATER PROJECT INC
2220 BEVERLY BLVD
LOS ANGELES
,
CA
90057
N/A
PC
General & Unrestricted
1,000
RANCHO CUCAMONGA COMMUNITY & ARTS FOUNDATION
PO BOX 807
RCH CUCAMONGA
,
CA
91729
N/A
PC
Main Street Theatre Programming
1,000
READYKIDS INC
1000 E HIGH ST
CHARLOTTESVILLE
,
VA
22902
N/A
PC
General & Unrestricted
1,000
READYKIDS INC
1000 E HIGH ST
CHARLOTTESVILLE
,
VA
22902
N/A
PC
For improvements to the garden adjacent to City of Promise on 8th Street NW in Charlottesville Project
1,000
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA -
PO BOX 400869
CHARLOTTESVILLE
,
VA
22904
N/A
PC
Virginia Film Festival
2,500
RICHMOND FENCING CLUB
3411 1/2 CARLTON ST
RICHMOND
,
VA
23230
N/A
PC
General & Unrestricted
1,000
RIVANNA CONSERVATION ALLIANCE
PO BOX 1503
CHARLOTTESVILLE
,
VA
22902
N/A
PC
General & Unrestricted
500
ROCKFISH WILDLIFE SANCTUARY INC
5450 WHEELERS COVE RD
SHIPMAN
,
VA
22971
N/A
PC
General & Unrestricted
300
SAFE CHILDREN FOUNDATION
PO BOX 148
FAIRFAX
,
VA
22038
N/A
PC
General & Unrestricted
500
SAMARITANS
PO BOX 576
HORN LAKE
,
MS
38637
N/A
PC
General & Unrestricted
350
SAN DIEGO MUSICAL THEATRE
4650 MERCURY ST
SAN DIEGO
,
CA
92111
N/A
PC
General & Unrestricted
1,000
SARASOTA ALLIANCE FOR HISTORIC PRESERVATION INC
PO BOX 1754
SARASOTA
,
FL
34230
N/A
PC
General & Unrestricted
300
SEED FOUNDATION INC
1730 RHODE ISLAND AVE NW STE 1102
WASHINGTON
,
DC
20036
N/A
PC
General & Unrestricted
500
SHARE OUR STRENGTH
1030 15TH ST NW STE 1100W
WASHINGTON
,
DC
20005
N/A
PC
General & Unrestricted
1,000
SIDWELL FRIENDS SCHOOL
3825 WISCONSIN AVE NW
WASHINGTON
,
DC
20016
N/A
PC
Maintenance or equipment for the Mary Ellen Caplin Theatre
2,500
SIDWELL FRIENDS SCHOOL
3825 WISCONSIN AVE NW
WASHINGTON
,
DC
20016
N/A
PC
maintenance or equipment for the Mary Ellen Caplin Theatre
2,000
SIERRA MADRE PLAYHOUSE
PO BOX 123
SIERRA MADRE
,
CA
91025
N/A
PC
General & Unrestricted
2,000
SKYLIGHT THEATRE COMPANY
1816 1/2 N VERMONT AVE
LOS ANGELES
,
CA
90027
N/A
PC
General & Unrestricted
1,000
SOME INC
71 O ST NW
WASHINGTON
,
DC
20001
N/A
PC
General & Unrestricted
500
SOUTH FLORIDA WILDLANDS ASSOCIATION INC
PO BOX 30211
FT LAUDERDALE
,
FL
33303
N/A
PC
To fight against the Heartland Parkway horror
500
SOUTHERN ENVIRONMENTAL LAW CENTER
201 W MAIN ST STE 14
CHARLOTTESVILLE
,
VA
22902
N/A
PC
General & Unrestricted
5,000
SOUTHERN POVERTY LAW CENTER INC
400 WASHINGTON AVE
MONTGOMERY
,
AL
36104
N/A
PC
General & Unrestricted
500
TANDEM FRIENDS SCHOOL
279 TANDEM LN
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
3,000
THE CHANCE THEATER
5522 E LA PALMA AVE
ANAHEIM
,
CA
92807
N/A
PC
General & Unrestricted
1,500
THE DANCE RESOURCE CENTER OF GREATER LOS ANGELES
1976 S LA CIENEGA BLVD C216
LOS ANGELES
,
CA
90034
N/A
PC
Performing Arts For All
1,000
THE EDGAR AND ELEANOR SHANNON FDN FOR EXCELLENCE I
1368 REAS FORD RD
EARLYSVILLE
,
VA
22936
N/A
PC
General & Unrestricted
1,000
THE LAGUNA PLAYHOUSE
606 LAGUNA CANYON RD
LAGUNA BEACH
,
CA
92651
N/A
PC
General & Unrestricted
1,000
THE PARAMOUNT THEATER INC
215 E MAIN ST
CHARLOTTESVLE
,
VA
22902
N/A
PC
Grand Marquee
2,500
THE VIRGINIA CONSORT
1224 COURTYARD DR
CHARLOTTESVLE
,
VA
22903
N/A
PC
General & Unrestricted
800
THEATRE AT BOSTON COURT
PO BOX 60187
PASADENA
,
CA
91116
N/A
PC
General & Unrestricted
1,500
THOMAS JEFFERSON FOUNDATION INC
PO BOX 217
CHARLOTTESVILLE
,
VA
22902
N/A
PC
Charitable Event
5,000
UNION OF CONCERNED SCIENTISTS INC
2 BRATTLE SQ STE 6
CAMBRIDGE
,
MA
02138
N/A
PC
General & Unrestricted
250
UNION RIDGE BAPTIST CHURCH
2980 HYDRAULIC RD
CHARLOTTESVILLE
,
VA
22901
N/A
PC
General & Unrestricted
1,000
UNITED PRESBYTERIAN CHURCH IN THE USA - FIRST PRES
1760 N GOWER ST
LOS ANGELES
,
CA
90028
N/A
PC
General & Unrestricted
1,000
UNIVERSITY OF VIRGINIA
PO BOX 400204
CHARLOTTESVILLE
,
VA
22904
N/A
PC
Department Of Drama: Ruth Caplin Award In Dance
5,000
UNIVERSITY OF VIRGINIA
PO BOX 400204
CHARLOTTESVILLE
,
VA
22904
N/A
PC
UVA Fund for the Arts - Caplin Guest Artist Endowment fund
5,000
UNIVERSITY OF VIRGINIA ANNUAL FUND
PO BOX 400807
CHARLOTTESVILLE
,
VA
22904
N/A
PC
Charitable Event
1,000
UNIVERSITY OF VIRGINIA LAW SCHOOL FOUNDATION
580 MASSIE RD
CHARLOTTESVILLE
,
VA
22903
N/A
PC
General & Unrestricted
1,000
UNIVERSITY OF VIRGINIA LAW SCHOOL FOUNDATION
580 MASSIE RD
CHARLOTTESVILLE
,
VA
22903
N/A
PC
Caplin Center for Public Service
5,000
URBANITE THEATRE INC
1487 2ND ST
SARASOTA
,
FL
34236
N/A
PC
General & Unrestricted
300
VICTORY HALL OPERA
PO BOX 72
CHARLOTTESVLE
,
VA
22902
N/A
PC
General & Unrestricted
300
VIRGINIA INSTITUTE OF AUTISM INCORPORATED
943 GLENWOOD STA LN
CHARLOTTESVILLE
,
VA
22901
N/A
PC
General & Unrestricted
350
VIRGINIA OUTDOORS FOUNDATION
39 GARRETT ST STE 200
WARRENTON
,
VA
20186
N/A
GOV
General & Unrestricted
500
VIRGINIA STUDENT AID FOUNDATION - VIRGINIA ATHLETI
PO BOX 400833
CHARLOTTESVILLE
,
VA
22904
N/A
PC
Annual Gift
2,500
VIRGINIA STUDENT AID FOUNDATION - VIRGINIA ATHLETI
PO BOX 400833
CHARLOTTESVILLE
,
VA
22904
N/A
PC
Department of Athletics
1,000
VOLUNTEERS IN PSYCHOTHERAPY INC
7 S MAIN ST
W HARTFORD
,
CT
06107
N/A
PC
General & Unrestricted
500
WAKE FOREST BAPTIST CHURCH
3075 ROLLING RD
SCOTTSVILLE
,
VA
24590
N/A
PC
General & Unrestricted
1,000
WEDNESDAY MUSIC CLUB
PO BOX 7642
CHARLOTTESVLE
,
VA
22906
N/A
PC
General & Unrestricted
300
WESTMINSTER PRESBYTERIAN CHURCH
400 RUGBY RD
CHARLOTTESVILLE
,
VA
22903
N/A
PC
General & Unrestricted
1,000
WILDLIFE CENTER OF VIRGINIA
PO BOX 1557
WAYNESBORO
,
VA
22980
N/A
PC
General & Unrestricted
300
WILLIAMS COLLEGE
75 PARK ST
WILLIAMSTOWN
,
MA
01267
N/A
PC
General & Unrestricted
250
WOMENS REFUGEE COMMISSION INC
15 W 37TH ST NO 9TH FL
NEW YORK
,
NY
10018
N/A
PC
General & Unrestricted
300
WORLD WILDLIFE FUND INC
1250 24TH ST NW
WASHINGTON
,
DC
20037
N/A
PC
General & Unrestricted
500
ZEPHYRUS
1702 KING MOUNTAIN RD
CHARLOTTESVLE
,
VA
22901
N/A
PC
General & Unrestricted
300
Total
.................................
3a
234,350
b
Approved for future payment
Total
.................................
3b
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
7,999
4
Dividends and interest from securities
....
14
75,770
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
-7,068
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
INCOME FROM MINING & LEASEHOLD INTERESTS
211110
10,809
b
Federal Tax Refund
01
956
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
10,809
77,657
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
88,466
(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