-
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 Gift of Hope Foundation Inc
% MR ROBERT FINK
Number and street (or P.O. box number if mail is not delivered to street address)
2070 riverside road
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
roswell
,
GA
30076
A Employer identification number
81-3228721
B
Telephone number (see instructions)
(770) 913-9307
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)
$
67,796,446
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)
2,000,000
2
Check
.............
3
Interest on savings and temporary cash investments
79,941
79,941
4
Dividends and interest from securities
...
793,591
793,591
5a
Gross rents
............
3,000,000
3,000,000
b
Net rental income or (loss)
2,607,692
6a
Net gain or (loss) from sale of assets not on line 10
107,187
b
Gross sales price for all assets on line 6a
11,308,841
7
Capital gain net income (from Part IV, line 2)
...
107,187
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)
.......
1,751
12
Total.
Add lines 1 through 11
........
5,982,470
3,980,719
13
Compensation of officers, directors, trustees, etc.
474,499
474,499
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
22,912
22,577
16a
Legal fees (attach schedule)
.........
11,533
0
0
11,533
b
Accounting fees (attach schedule)
.......
8,200
0
0
8,200
c
Other professional fees (attach schedule)
....
208,958
208,958
17
Interest
...............
284
18
Taxes (attach schedule) (see instructions)
...
98,129
6,153
19
Depreciation (attach schedule) and depletion
...
392,308
392,308
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
27,578
27,578
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
115,775
1,453
114,322
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
1,360,176
608,872
0
658,709
25
Contributions, gifts, grants paid
.......
4,713,906
4,713,906
26
Total expenses and disbursements.
Add lines 24 and 25
6,074,082
608,872
0
5,372,615
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-91,612
b
Net investment income
(if negative, enter -0-)
3,371,847
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
.........
3,638,923
3,400,825
3,400,825
3
Accounts receivable
1,361
Less: allowance for doubtful accounts
1,361
1,361
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)
4,307,994
4,198,972
4,272,704
b
Investments—corporate stock (attach schedule)
.......
22,715,136
23,490,181
26,552,080
c
Investments—corporate bonds (attach schedule)
.......
3,628,395
3,499,805
3,569,476
11
Investments—land, buildings, and equipment: basis
30,000,000
Less: accumulated depreciation (attach schedule)
915,385
29,476,923
29,084,615
30,000,000
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
63,767,371
63,675,759
67,796,446
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
63,767,371
63,675,759
29
Total net assets or fund balances
(see instructions)
.....
63,767,371
63,675,759
30
Total liabilities and net assets/fund balances
(see instructions)
.
63,767,371
63,675,759
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
63,767,371
2
Enter amount from Part I, line 27a
.....................
2
-91,612
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
63,675,759
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
63,675,759
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
11,308,841
11,201,654
107,187
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
107,187
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
107,187
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
3,936,695
64,836,098
0.060718
2017
4,670,572
44,118,828
0.105863
2016
2015
0
0
0.0
2014
0
0
0.0
2
Total
of line 1, column (d)
.....................
2
0.166581
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
0.055527
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
65,842,550
5
Multiply line 4 by line 3
......................
5
3,656,039
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
33,718
7
Add lines 5 and 6
........................
7
3,689,757
8
Enter qualifying distributions from Part XII, line 4
,.............
8
5,372,615
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
33,718
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
33,718
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
33,718
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
89,400
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
89,400
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
55,682
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
33,800
Refunded
11
21,882
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)
GA
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
14
The books are in care of
MR ROBERT FINK
Telephone no.
(770) 913-9307
Located at
2070 RIVERSIDE ROAD
roswell
GA
ZIP+4
30076
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
Mary W Fink
Dir, VP
5.0
12,000
0
0
2070 riverside road
roswell
,
GA
30076
Robert M Fink
Dir, Pres
45.0
262,664
0
0
2070 riverside road
roswell
,
GA
30076
Robert M Fink Jr
Dir, VP
5.0
12,000
0
0
2070 riverside road
roswell
,
GA
30076
Elizabeth Griffin
Dir, Sec
5.0
12,000
0
0
2070 riverside road
roswell
,
GA
30076
Laura Nix Esq
Dir, VP
5.0
12,000
0
0
2070 riverside road
roswell
,
GA
30076
Donna Vassil
Dir, Treas
40.0
163,835
0
0
2070 riverside road
roswell
,
GA
30076
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
Wells Fargo
Investment mgmt
97,427
PO BOX 95021
HENDERSON
,
NV
890095021
Foundation Source
Administrative
101,066
55 Walls Drive 3rd fl
Fairfield
,
CT
06824
BB&T Wealth Management
Investment mgmt
70,910
po box 2887
WILSON
,
NC
278942887
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
32,413,623
b
Average of monthly cash balances
.......................
1b
4,431,605
c
Fair market value of all other assets (see instructions)
................
1c
30,000,000
d
Total
(add lines 1a, b, and c)
.........................
1d
66,845,228
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
66,845,228
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,002,678
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
65,842,550
6
Minimum investment return.
Enter 5% of line 5
..................
6
3,292,128
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
3,292,128
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
33,718
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
33,718
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
3,258,410
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
3,258,410
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
3,258,410
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
5,372,615
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
5,372,615
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
33,718
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
5,338,897
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
3,258,410
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
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
2,494,711
e
From 2018
......
766,262
f
Total
of lines 3a through e
........
3,260,973
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
5,372,615
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
.....
3,258,410
e
Remaining amount distributed out of corpus
2,114,205
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
5,375,178
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
......
5,375,178
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
2,494,711
d
Excess from 2018
....
766,262
e
Excess from 2019
....
2,114,205
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.
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
AGAPE COMMUNITY CENTER INC
2210 MARIETTA BLVD NW
ATLANTA
,
GA
30318
N/A
PC
Charitable Event
1,500
AGAPE COMMUNITY CENTER INC
2210 MARIETTA BLVD NW
ATLANTA
,
GA
30318
N/A
PC
Charitable Event
1,000
ATLANTA CATHOLIC RADIO INC
1802 MACY DR
ROSWELL
,
GA
30076
N/A
PC
General & Unrestricted
10,000
ATLANTA CATHOLIC RADIO INC
1802 MACY DR
ROSWELL
,
GA
30076
N/A
PC
Spirit Drive
3,600
ATLANTA HUMANE SOCIETY & SOCIETY PREVENTION OF CRU
981 HOWELL MILL RD NW
ATLANTA
,
GA
30318
N/A
PC
General & Unrestricted
500
BRIAN JORDAN BACK TO THE FUTURE FOUNDATION
PO BOX 1376
BUFORD
,
GA
30515
N/A
PC
General & Unrestricted
2,000
CAMP KESEM NATIONAL
PO BOX 164
WINNETKA
,
IL
60093
N/A
PC
General & Unrestricted
8,000
CANINES FOR DISABLED KIDS INC
65 JAMES ST STE 210
WORCESTER
,
MA
01603
N/A
PC
General & Unrestricted
1,000
CHILDRENS ADVOCACY CENTER OF LOWNDES COUNTY INC
PO BOX 903
VALDOSTA
,
GA
31603
N/A
PC
Charitable Event
2,000
CHILDRENS HOSPITAL PITTSBURGH FOUNDATION
4401 PENN AVE CENTRAL PLANT FLR 3
PITTSBURGH
,
PA
15224
N/A
PC
Funding of continued research for treatment of MLD
350,000
COVENANT HOUSE GEORGIA INC
PO BOX 94465
ATLANTA
,
GA
30377
N/A
PC
General & Unrestricted
15,000
COVENANT HOUSE GEORGIA INC
PO BOX 94465
ATLANTA
,
GA
30377
N/A
PC
Bldg Installment
500,000
COVENANT HOUSE GEORGIA INC
PO BOX 94465
ATLANTA
,
GA
30377
N/A
PC
TO PURCHASE Covenant House XMAS items
2,041
CRISTO REY ATLANTA JESUIT HIGH SCHOOL INC
222 PIEDMONT AVE NE
ATLANTA
,
GA
30308
N/A
PC
General & Unrestricted
27,000
CRISTO REY ATLANTA JESUIT HIGH SCHOOL INC
222 PIEDMONT AVE NE
ATLANTA
,
GA
30308
N/A
PC
To fund Counseling Services
250,000
DISCALCED CARMELITE NUNS
7201 W 32ND ST
LITTLE ROCK
,
AR
72204
N/A
PC
General & Unrestricted
1,000
EYF INC
2 MONTE ALTO LN
SANTA FE
,
NM
87508
N/A
PC
General & Unrestricted
2,000
FACTORY MINISTRIES OF ATLANTA
3290 EAGLE WATCH DR
WOODSTOCK
,
GA
30189
N/A
PC
general & unrestricted
300
FOLDS OF HONOR FOUNDATION
8551 N 125TH E AVE STE 100
OWASSO
,
OK
74055
N/A
PC
General & Unrestricted
200
FRANCISCAN SISTERS OF THE ATONEMENT
41 OLD HIGHLAND TPKE GRAYMOOR
GARRISON
,
NY
10524
N/A
PC
General & Unrestricted
1,000
FRANCISCAN FRIARS OF THE ATONEMENT
PO BOX 301
GARRISON
,
NY
10524
N/A
PC
General & Unrestricted
58,000
FRANCISCAN FRIARS OF THE ATONEMENT
PO BOX 301
GARRISON
,
NY
10524
N/A
PC
To fund the Emergency Repairs
3,000
GREY NUNS OF THE SACRED HEART
14500 BUSTLETON AVE
PHILADELPHIA
,
PA
19116
N/A
PC
General & Unrestricted
1,000
HERO DOG RESCUE INC
2300 BETHELVIEW RD STE 110 170
CUMMING
,
GA
30040
N/A
PC
General & Unrestricted
500
HIRE HEROES USA
1360 UNION HILL RD STE 2A
ALPHARETTA
,
GA
30004
N/A
PC
General & Unrestricted
2,000
HOUSING SEWANEE INCORPORATED
PO BOX 182
SEWANEE
,
TN
37375
N/A
PC
General & Unrestricted
1,000
L E A D INC
1266 W PACES FERRY RD STE 429
ATLANTA
,
GA
30327
N/A
PC
Charitable Event
10,000
LEUKEMIA & LYMPHOMA SOCIETY GEORGIA CHAPTER
2859 PACES FERRY RD SE STE 725
ATLANTA
,
GA
30339
N/A
PC
Charitable Event
1,000
LOA SCHOLARSHIP FUND
PO BOX 62
TEASDALE
,
UT
84773
N/A
PC
Mental hEALTH/ADDICTION Scholarship FUND
400,000
MANHATTAN COLLEGE
4513 MANHATTAN PKWY
RIVERDALE
,
NY
10471
N/A
PC
Endowed scholarship FUND for graduates of Cristo Rey ATLANTA
1,500,000
MARY HALL FREEDOM HOUSE INC
8995 ROSWELL RD
SANDY SPRINGS
,
GA
30350
N/A
PC
General & Unrestricted
500
MERCY CARE FOUNDATION INC
424 DECATUR ST SE
ATLANTA
,
GA
30312
N/A
SO II
General & Unrestricted
820,180
MONASTERY OF THE HOLY SPIRIT
2625 HWY 212 SW
CONYERS
,
GA
30094
N/A
PC
General & Unrestricted
2,000
MUSTARD SEED COMMUNITIES INC
29 JANES AVE
MEDFIELD
,
MA
02052
N/A
PC
General & Unrestricted
2,000
NORTH MECKLENBURG ANIMAL RESCUE INC
5273 LIPPARD LN
HARRISBURG
,
NC
28075
N/A
PC
General & Unrestricted
1,000
OASIS SOBER LIVING PROGRAM
3577 CHAMBLEE TUCKER RD BOX 181
ATLANTA
,
GA
30341
N/A
PC
General & Unrestricted
1,000
PREGNANCY AID CLINIC INC
PO BOX 92
ROSWELL
,
GA
30077
N/A
PC
General & Unrestricted
1,000
PRIESTS OF THE SACRED HEART
7373 S LOVERS LN RD
FRANKLIN
,
WI
53132
N/A
PC
General & Unrestricted
500
PRODIGAL CHILD MINISTRIES INC
721 DENMEAD MILL SE
MARIETTA
,
GA
30067
N/A
PC
General & Unrestricted
10,000
SAINT MARGARET MARY SCHOOL
121 E 177TH ST
BRONX
,
NY
10453
N/A
PC
General & Unrestricted
4,000
SCRIPTED INC
85 BROAD ST 17TH FL
NEW YORK
,
NY
10004
N/A
PC
General & Unrestricted
1,000
ST JUDE THE APOSTLE CATHOLIC SCHOOL
7171 GLENRIDGE DR
ATLANTA
,
GA
30328
N/A
PC
General & Unrestricted
5,000
SURFSIDE RECOVERY SERVICES INC
3 EDGEWOOD DR
SOMERS POINT
,
NJ
08244
N/A
PC
General & Unrestricted
1,000
TEMPLO EL REFUGIO
111 DEWBERRY AVE
BETHLEHEM
,
PA
18017
N/A
PC
General & Unrestricted
120,000
TEMPLO EL REFUGIO
111 DEWBERRY AVE
BETHLEHEM
,
PA
18017
N/A
PC
Funding to support purchase of Recovery House Prog
10,000
TEMPLO EL REFUGIO
111 DEWBERRY AVE
BETHLEHEM
,
PA
18017
N/A
PC
Payment for purchase of furnishings for Casa Refugio house
32,000
TEMPLO EL REFUGIO
111 DEWBERRY AVE
BETHLEHEM
,
PA
18017
N/A
PC
Payment for the purchase of house/facility for Casa Refugio for persons recovering from substance abuse
504,081
TEMPLO EL REFUGIO
111 DEWBERRY AVE
BETHLEHEM
,
PA
18017
N/A
PC
PURCHASE OF Casa Thanksgiving Items
238
TEMPLO EL REFUGIO
111 DEWBERRY AVE
BETHLEHEM
,
PA
18017
N/A
PC
Funding furnishings of Recovery House
20,000
TEMPLO EL REFUGIO
111 DEWBERRY AVE
BETHLEHEM
,
PA
18017
N/A
PC
Legal Fees for Zoning Issues for Casa Refugio
5,000
TEMPLO EL REFUGIO
111 DEWBERRY AVE
BETHLEHEM
,
PA
18017
N/A
PC
Purchase of general operating supplies, Including tools, kitchen and bathroom items and supplies for the Casa Refugio facility
6,266
THANC FOUNDATION INC
10 UNION SQ E
NEW YORK
,
NY
10003
N/A
PC
General & Unrestricted
1,000
THE COMMUNITY FOUNDATION FOR THE CSRA
1450 GREENE ST
AUGUSTA
,
GA
30901
N/A
PC
General & Unrestricted
2,500
THE LEBRON JAMES FAMILY FOUNDATION
3800 EMBASSY PKWY STE 360
AKRON
,
OH
44333
N/A
PC
I PROMISE Program
1,000
TRAVIS MANION FOUNDATION
164 E STATE ST
DOYLESTOWN
,
PA
18901
N/A
PC
General & Unrestricted
2,000
UNIVERSITY OF SOUTH ALABAMA
307 UNIVERSITY BLVD N STE AD 170
MOBILE
,
AL
36688
N/A
PC
For A Night Honoring Heroes
2,000
UNIVERSITY OF THE SOUTH
735 UNIVERSITY AVE
SEWANEE
,
TN
37383
N/A
PC
YSR Baseball
4,000
Total
.................................
3a
4,713,906
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
79,941
4
Dividends and interest from securities
....
14
793,591
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
16
2,607,692
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
107,187
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
Federal Tax Refund
01
1,751
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
3,590,162
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
3,590,162
(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