-
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 HAROLD WETTERBERG FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
89 HEADQUARTERS PLAZA
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MORRISTOWN
,
NJ
07960
A Employer identification number
22-6042915
B
Telephone number (see instructions)
(973) 993-1743
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)
$
1,753,690
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
136
136
4
Dividends and interest from securities
...
11,459
11,459
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
116,318
b
Gross sales price for all assets on line 6a
875,014
7
Capital gain net income (from Part IV, line 2)
...
116,318
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
127,913
127,913
13
Compensation of officers, directors, trustees, etc.
15,000
0
15,000
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
4,540
680
3,860
b
Accounting fees (attach schedule)
.......
14,910
11,930
2,980
c
Other professional fees (attach schedule)
....
14,178
14,178
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
4,292
21
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
893
0
893
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
1,718
0
1,718
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
55,531
26,809
24,451
25
Contributions, gifts, grants paid
.......
187,000
187,000
26
Total expenses and disbursements.
Add lines 24 and 25
242,531
26,809
211,451
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-114,618
b
Net investment income
(if negative, enter -0-)
101,104
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
.........
83,327
79,248
79,248
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
1,525,962
1,674,442
1,674,442
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)
..........
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)
1,609,289
1,753,690
1,753,690
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
...........
1,609,289
1,753,690
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
1,609,289
1,753,690
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,609,289
1,753,690
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
1,609,289
2
Enter amount from Part I, line 27a
.....................
2
-114,618
3
Other increases not included in line 2 (itemize)
3
259,019
4
Add lines 1, 2, and 3
..........................
4
1,753,690
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,753,690
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
ACTIVISION BLIZZARD INC.
P
2018-04-27
2019-01-02
b
MARKETAXESS HOLDINGS INC.
P
2018-02-05
2019-01-14
c
MONSTER BEVERAGE CORP.
P
2018-05-09
2019-01-02
d
MONSTER BEVERAGE CORP.
P
2018-06-05
2019-01-02
e
ACTIVISION BLIZZARD INC.
P
2017-03-13
2019-01-02
ACTIVISION BLIZZARD INC.
P
2017-03-27
2019-01-02
ACTIVISION BLIZZARD INC.
P
2017-04-10
2019-01-02
CSX CORP.
P
2017-03-08
2019-01-14
CSX CORP.
P
2017-04-10
2019-01-14
CSX CORP.
P
2017-12-18
2019-01-14
CSX CORP.
P
2018-01-09
2019-01-14
EDWARDS LIFESCIENCE CORP.
P
2015-09-28
2019-01-02
MARKETAXESS HOLDINGS INC.
P
2018-01-02
2019-01-14
MONSTER BEVERAGE CORP.
P
2014-04-04
2019-01-02
MONSTER BEVERAGE CORP.
P
2017-04-10
2019-01-02
MONSTER BEVERAGE CORP.
P
2017-09-18
2019-01-02
UNITED HEALTHGROUP INC.
P
2018-04-19
2019-02-26
XPO LOGISTICS INC.
P
2018-04-19
2019-02-15
XPO LOGISTICS INC.
P
2018-05-03
2019-02-15
XPO LOGISTICS INC.
P
2018-06-11
2019-02-15
XPO LOGISTICS INC.
P
2018-11-01
2019-02-15
EDWARDS LIFESCIENCE CORP.
P
2015-09-28
2019-02-26
EDWARDS LIFESCIENCE CORP.
P
2016-10-26
2019-02-26
ULTA BEAUTY INC.
P
2015-06-04
2019-02-25
ZOETIS INC.
P
2017-02-16
2019-02-26
GRUBHUB INC.
P
2018-09-21
2019-03-08
GRUBHUB INC.
P
2018-10-02
2019-03-08
GRUBHUB INC.
P
2018-10-25
2019-03-08
GRUBHUB INC.
P
2018-11-01
2019-03-08
ALIBABA GROUP HOLDING ADR
P
2018-01-02
2019-03-04
AMAZON.COM INC.
P
2012-02-02
2019-03-08
FACEBOOK INC.
P
2013-10-10
2019-03-19
UNITED HEALTHGROUP INC.
P
2018-04-19
2019-04-01
BOOKINGS HOLDINGS INC.
P
2015-07-24
2019-04-23
BOOKINGS HOLDINGS INC.
P
2016-11-14
2019-04-23
BOOKINGS HOLDINGS INC.
P
2017-02-21
2019-04-23
BOOKINGS HOLDINGS INC.
P
2017-04-10
2019-04-23
EDWARDS LIFESCIENCE CORP.
P
2016-10-26
2019-04-09
KEYSIGHT TECHS INC.
P
2018-11-01
2019-05-20
QUALCOMM INC.
P
2019-04-23
2019-05-24
QUALCOMM INC.
P
2019-05-02
2019-05-24
RAYTHEON INC.
P
2019-02-26
2019-06-12
RAYTHEON INC.
P
2019-04-01
2019-06-12
FIRST REPUBLIC BANK
P
2017-07-06
2019-06-10
FIRST REPUBLIC BANK
P
2017-07-31
2019-06-10
FIRST REPUBLIC BANK
P
2017-10-16
2019-06-10
FIRST REPUBLIC BANK
P
2017-12-07
2019-06-10
CME GROUP INC.
P
2019-01-14
2019-07-18
EPAM SYSTEMS INC.
P
2019-03-26
2019-07-18
KEYSIGHT TECHS INC.
P
2018-11-01
2019-07-18
LULULEMON ATHLETICA INC.
P
2019-01-02
2019-07-18
UNION PACIFIC CORP.
P
2019-01-14
2019-07-18
VEEVA SYSTEMS INC.
P
2019-01-14
2019-07-18
WORKDAY INC.
P
2019-06-12
2019-07-18
ABIOMED INC.
P
2018-02-07
2019-07-18
ALEXION PHARMACEUTICALS
P
2012-11-27
2019-07-18
ALEXION PHARMACEUTICALS
P
2014-10-06
2019-07-18
ALEXION PHARMACEUTICALS
P
2016-02-17
2019-07-18
ALIBABA GROUP HOLDING ADR
P
2018-01-02
2019-07-18
ALIGN TECH INC.
P
2017-05-30
2019-07-18
ALIGN TECH INC.
P
2017-06-26
2019-07-18
ALPHABET INC. CL C
P
2013-06-27
2019-07-18
ALPHABET INC. CL C
P
2013-06-27
2019-07-18
AMAZON.COM INC.
P
2012-02-02
2019-07-18
BURLINGTON STORES INC.
P
2018-04-02
2019-07-18
BURLINGTON STORES INC.
P
2018-04-10
2019-07-18
SERVICENOW INC.
P
2017-07-06
2019-07-18
EDWARDS LIFESCIENCE CORP.
P
2016-10-26
2019-07-18
FACEBOOK INC.
P
2013-10-10
2019-07-18
FACEBOOK INC.
P
2014-04-14
2019-07-18
ILLUMINA INC.
P
2018-05-29
2019-07-18
NVIDIA CORP.
P
2017-08-11
2019-07-18
PTC INC.
P
2018-07-16
2019-07-18
PAYPAL HOLDINGS INC.
P
2017-05-01
2019-07-18
SALESFORCE.COM
P
2015-09-22
2019-07-18
SALESFORCE.COM
P
2016-01-04
2019-07-18
SCHWAB CHARLES CORP.
P
2015-09-28
2019-07-16
SCHWAB CHARLES CORP.
P
2016-07-22
2019-07-16
SCHWAB CHARLES CORP.
P
2016-11-14
2019-07-16
ULTA BEAUTY INC.
P
2015-06-04
2019-07-18
UNITED HEALTHGROUP INC.
P
2018-04-19
2019-07-18
VISA INC.
P
2012-02-02
2019-07-18
VISA INC.
P
2012-12-18
2019-07-18
ZOETIS INC.
P
2017-02-16
2019-07-18
ALIGN TECH INC.
P
2018-10-12
2019-08-06
ALIGN TECH INC.
P
2018-10-25
2019-08-06
ALIGN TECH INC.
P
2019-06-17
2019-08-06
CME GROUP INC.
P
2019-01-14
2019-08-23
NETFLIX.COM INC.
P
2019-01-02
2019-08-21
VEEVA SYSTEMS INC.
P
2019-01-14
2019-08-23
ALEXION PHARMACEUTICALS
P
2016-02-17
2019-08-06
ALEXION PHARMACEUTICALS
P
2016-06-08
2019-08-06
ALEXION PHARMACEUTICALS
P
2016-06-08
2019-08-06
ALEXION PHARMACEUTICALS
P
2017-09-11
2019-08-06
ALIGN TECH INC.
P
2017-06-26
2019-08-06
ALIGN TECH INC.
P
2017-08-28
2019-08-06
BURLINGTON STORES INC.
P
2018-04-10
2019-08-23
EDWARDS LIFESCIENCE CORP.
P
2016-10-26
2019-08-23
FACEBOOK INC.
P
2014-04-14
2019-08-23
SALESFORCE.COM
P
2016-01-04
2019-08-19
ALEXION PHARMACEUTICALS
P
2019-01-02
2019-09-03
ALEXION PHARMACEUTICALS
P
2019-04-09
2019-09-03
NETFLIX.COM INC.
P
2019-01-02
2019-09-20
NETFLIX.COM INC.
P
2019-03-19
2019-09-20
ALEXION PHARMACEUTICALS
P
2017-09-11
2019-09-03
ALEXION PHARMACEUTICALS
P
2018-03-26
2019-09-03
ALEXION PHARMACEUTICALS
P
2018-07-10
2019-09-03
PTC INC.
P
2018-07-16
2019-09-16
PTC INC.
P
2018-08-01
2019-09-16
PTC INC.
P
2018-08-24
2019-09-16
ULTA BEAUTY INC.
P
2015-06-04
2019-09-03
ULTA BEAUTY INC.
P
2016-01-20
2019-09-03
ULTA BEAUTY INC.
P
2017-08-30
2019-09-03
ULTA BEAUTY INC.
P
2018-03-20
2019-09-03
ABIOMED INC.
P
2019-04-09
2019-10-03
EPAM SYSTEMS INC.
P
2019-03-26
2019-10-03
KEYSIGHT TECHS INC.
P
2018-11-01
2019-10-03
UNION PACIFIC CORP.
P
2019-01-14
2019-10-08
WORKDAY INC.
P
2019-06-12
2019-10-03
ABIOMED INC.
P
2018-02-07
2019-10-03
ABIOMED INC.
P
2018-03-09
2019-10-03
ABIOMED INC.
P
2018-07-26
2019-10-03
SERVICENOW INC.
P
2017-07-06
2019-10-03
ILLUMINA INC.
P
2018-05-29
2019-10-17
NVIDIA CORP.
P
2017-08-11
2019-10-03
UNITED HEALTHGROUP INC.
P
2018-04-19
2019-10-08
VISA INC.
P
2012-12-18
2019-10-03
KLA CORP.
P
2019-08-23
2019-11-25
KLA CORP.
P
2019-09-03
2019-11-25
KLA CORP.
P
2019-10-08
2019-11-25
JP MORGAN TR US LARGE CAP CORE
P
2017-12-21
2019-07-15
VANGUARD INDEX FDS S&P 500 ETF
P
2012-06-28
2019-07-15
VANGUARD MIDCAP ETF
P
2012-05-30
2019-07-15
ANADARKO PETROLEUM CO.
P
2018-12-07
2019-08-09
GRUBHUB INC.
P
2019-04-12
2019-10-30
OCCIDENTAL PETE CORP.
P
2019-08-09
2019-08-09
QUALCOMM INC.
P
2018-05-24
2019-04-12
IHS MARKET LTD
P
2018-12-03
2019-07-15
ADOBE SYSTEMS INC.
P
2015-08-25
2019-07-15
AKAMAI TECH INC.
P
2012-05-17
2019-04-15
AKAMAI TECH INC.
P
2013-02-07
2019-04-15
AKAMAI TECH INC.
P
2013-02-07
2019-09-16
AMERICAN EXPRESS CO.
P
2015-07-07
2019-07-15
ANADARKO PETROLEUM CO.
P
2016-01-12
2019-07-15
ANADARKO PETROLEUM CO.
P
2016-01-12
2019-08-09
BLACKROCK INC.
P
2012-12-04
2019-04-12
CATERPILLAR INC.
P
2018-03-15
2019-09-05
CATERPILLAR INC.
P
2018-03-15
2019-09-10
CELGENE CORP.
P
2012-12-04
2019-01-22
CELGENE CORP.
P
2012-12-04
2019-02-07
CELGENE CORP.
P
2012-12-04
2019-02-13
CELGENE CORP.
P
2014-04-16
2019-02-13
CELGENE CORP.
P
2017-01-26
2019-02-13
CERENCE INC.
P
2018-05-11
2019-10-02
CHIPOTLE MEXICAN GRILL
P
2017-07-18
2019-01-14
CHIPOTLE MEXICAN GRILL
P
2018-10-08
2019-10-22
COCA COLA CO.
P
2016-09-29
2019-08-08
COSTCO WHSL CORP.
P
2017-10-06
2019-07-15
CREE INC.
P
2012-12-04
2019-07-15
ECOLAB INC.
P
2015-09-01
2019-04-12
ECOLAB INC.
P
2015-09-01
2019-09-16
ECOLAB INC.
P
2015-09-02
2019-09-16
EQUINIX INC.
P
2018-02-14
2019-07-15
FACEBOOK INC.
P
2013-06-06
2019-07-15
L3HARRIS TECHNOLOGIES INC.
P
2013-10-24
2019-07-01
MCCORMICK & CO INC.
P
2017-08-09
2019-01-18
PALO ALTO NETWORKS
P
2016-06-27
2019-07-15
PAYPAL HOLDINGS INC.
P
2013-10-24
2019-07-08
QUALCOMM INC.
P
2018-05-24
2019-07-15
QUALCOMM INC.
P
2018-05-24
2019-11-11
QUALCOMM INC.
P
2018-07-12
2019-11-11
RED HAT INC.
P
2014-04-07
2019-02-13
RED HAT INC.
P
2014-04-07
2019-02-15
RED HAT INC.
P
2014-04-10
2019-02-15
RED HAT INC.
P
2014-05-13
2019-02-15
RED HAT INC.
P
2014-05-13
2019-04-12
RED HAT INC.
P
2014-07-01
2019-04-12
REGENERON PHARMACEUTICAL
P
2014-06-27
2019-02-06
REGENERON PHARMACEUTICAL
P
2014-07-17
2019-03-13
REGENERON PHARMACEUTICAL
P
2016-03-17
2019-03-13
REGENERON PHARMACEUTICAL
P
2016-12-09
2019-03-13
SCHLUMBERGER LTD
P
2016-04-04
2019-05-13
SPLUNK INC.
P
2017-06-15
2019-07-15
THERMO FISHER SCIENTIFIC INC.
P
2012-01-06
2019-12-03
TWITTER INC.
P
2016-01-13
2019-07-15
VERTEX PHARMACEUTICALS
P
2012-12-04
2019-07-15
VISA INC.
P
2011-03-07
2019-07-15
VMWARE INC.
P
2015-03-10
2019-07-15
YUM CHINA HOLDINGS INC.
P
2014-02-27
2019-02-15
YUM CHINA HOLDINGS INC.
P
2016-11-08
2019-03-20
YUM CHINA HOLDINGS INC.
P
2016-11-08
2019-04-15
YUM CHINA HOLDINGS INC.
P
2016-11-09
2019-04-15
YUM CHINA HOLDINGS INC.
P
2016-11-09
2019-04-29
YUM CHINA HOLDINGS INC.
P
2016-11-10
2019-04-29
YUM CHINA HOLDINGS INC.
P
2016-11-11
2019-04-29
YUM CHINA HOLDINGS INC.
P
2016-11-11
2019-04-30
YUM CHINA HOLDINGS INC.
P
2017-07-07
2019-04-30
ZOETIS INC.
P
2014-02-11
2019-07-15
WEATHERFORD INTL PLC
P
2016-09-14
2019-05-15
LINDE PLC
P
2018-02-05
2019-07-15
ANADARKO PETROLEUM CO.
P
2006-06-28
2019-07-15
AUTODESK INC.
P
2006-05-19
2019-07-15
CELGENE CORP.
P
2009-01-30
2019-01-03
CELGENE CORP.
P
2009-01-30
2019-01-22
HOME DEPOT INC.
P
2008-05-27
2019-07-15
JOHNSON & JOHNSON
P
2006-05-19
2019-12-03
L3HARRIS TECHNOLOGIES INC.
P
2006-05-19
2019-07-01
L3HARRIS TECHNOLOGIES INC.
P
2006-05-19
2019-07-15
MICROSOFT CORP.
P
2006-05-19
2019-07-15
PAYPAL HOLDINGS INC.
P
2007-03-13
2019-07-01
PAYPAL HOLDINGS INC.
P
2007-03-13
2019-07-02
PAYPAL HOLDINGS INC.
P
2007-03-13
2019-07-08
SCHLUMBERGER LTD
P
2010-07-01
2019-05-13
TEXAS INSTRUMENTS INC.
P
2006-05-19
2019-07-15
TEXAS INSTRUMENTS INC.
P
2006-05-19
2019-10-04
THERMO FISHER SCIENTIFIC INC.
P
2010-06-10
2019-12-03
VERTEX PHARMACEUTICALS
P
2008-11-17
2019-07-15
WEATHERFORD INTL PLC
P
2010-01-28
2019-05-15
JOHNSON CTLS INTL PLC
P
2006-05-19
2019-07-15
CAPITAL GAINS DIVIDENDS
P
(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
5,161
7,314
-2,153
b
8,311
8,086
225
c
3,383
3,499
-116
d
3,770
4,073
-303
e
6,099
6,502
-403
5,865
6,238
-373
5,865
6,216
-351
6,973
5,227
1,746
9,775
7,260
2,515
8,146
6,750
1,396
8,146
7,471
675
3,663
1,674
1,989
14,753
14,366
387
12,083
5,734
6,349
5,316
5,122
194
3,625
4,314
-689
7,206
6,610
596
7,358
16,051
-8,693
4,414
8,872
-4,458
2,207
5,108
-2,901
5,003
8,422
-3,419
2,926
1,205
1,721
1,301
802
499
3,036
1,573
1,463
8,463
4,910
3,553
10,293
19,263
-8,970
5,402
10,222
-4,820
2,774
3,858
-1,084
5,037
6,477
-1,440
8,962
9,042
-80
14,367
1,638
12,729
13,309
3,980
9,329
6,778
6,609
169
20,760
13,119
7,641
7,549
6,024
1,525
7,549
6,659
890
5,662
5,413
249
5,721
3,107
2,614
17,447
13,569
3,878
25,228
32,716
-7,488
3,851
5,287
-1,436
23,313
24,772
-1,459
6,836
7,333
-497
5,935
6,236
-301
9,892
10,137
-245
4,451
4,329
122
4,451
4,291
160
4,981
4,483
498
4,788
4,248
540
2,999
1,995
1,004
5,479
3,715
1,764
5,837
5,407
430
1,672
983
689
3,198
3,129
69
5,090
4,778
312
1,564
1,233
331
4,211
6,329
-2,118
241
298
-57
6,879
7,381
-502
4,865
2,477
2,388
2,290
1,239
1,051
8,778
3,539
5,239
6,690
2,654
4,036
11,803
1,092
10,711
4,858
3,785
1,073
347
277
70
8,830
3,200
5,630
4,690
2,506
2,184
7,581
1,844
5,737
399
122
277
4,403
3,978
425
5,760
5,460
300
3,951
4,437
-486
8,302
3,362
4,940
3,232
1,498
1,734
2,617
1,293
1,324
2,494
1,639
855
11,972
8,112
3,860
6,318
5,665
653
9,142
3,931
5,211
7,801
7,082
719
8,599
1,281
7,318
3,941
843
3,098
6,829
3,238
3,591
4,141
7,132
-2,991
2,070
2,552
-482
1,694
2,649
-955
998
897
101
4,366
4,023
343
3,126
1,965
1,161
3,922
5,363
-1,441
5,011
6,370
-1,359
980
1,246
-266
1,852
2,474
-622
5,082
4,182
900
7,529
7,121
408
804
692
112
1,002
502
500
823
305
518
7,497
4,031
3,466
4,623
4,744
-121
4,527
6,631
-2,104
18,980
19,043
-63
9,089
12,367
-3,278
771
1,164
-393
5,779
6,705
-926
5,779
7,932
-2,153
5,685
8,382
-2,697
5,016
7,030
-2,014
8,360
12,183
-3,823
1,660
1,101
559
6,641
4,782
1,859
4,743
4,309
434
712
657
55
2,737
4,961
-2,224
839
850
-11
409
285
124
5,457
5,562
-105
773
1,043
-270
4,990
7,406
-2,416
4,024
7,432
-3,408
3,219
7,632
-4,413
1,178
533
645
4,839
4,243
596
812
780
32
5,627
6,137
-510
451
115
336
18,929
16,299
2,630
4,569
4,328
241
6,038
5,969
69
15,000
15,148
-148
15,185
6,650
8,535
5,117
2,270
2,847
1,815
1,331
484
739
1,521
-782
42
42
0
227
235
-8
590
487
103
926
230
696
687
265
422
153
70
83
808
316
492
771
465
306
1,318
1,351
-33
2,613
1,334
1,279
453
192
261
985
1,279
-294
516
618
-102
171
80
91
611
278
333
270
119
151
719
564
155
179
225
-46
9
8
1
503
370
133
2,511
1,151
1,360
1,336
1,030
306
841
472
369
1,015
544
471
184
106
78
385
211
174
577
320
257
1,034
867
167
1,428
164
1,264
34
11
23
418
288
130
1,318
724
594
584
159
425
904
705
199
276
176
100
459
291
168
540
152
388
181
50
131
362
100
262
181
49
132
913
247
666
182
56
126
412
276
136
412
298
114
412
363
49
412
375
37
1,490
2,972
-1,482
1,939
851
1,088
312
47
265
1,200
641
559
528
118
410
2,706
279
2,427
689
286
403
284
151
133
302
187
115
176
107
69
395
237
158
45
26
19
403
236
167
45
27
18
514
293
221
514
409
105
795
223
572
21
3,628
-3,607
611
490
121
220
134
86
3,303
703
2,600
659
213
446
171
53
118
875
108
767
547
239
308
95
64
31
957
298
659
2,636
431
2,205
2,303
373
1,930
810
131
679
1,284
205
1,079
76
110
-34
718
192
526
519
128
391
936
153
783
528
81
447
2
688
-686
794
429
365
16,895
16,895
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
-2,153
b
225
c
-116
d
-303
e
-403
-373
-351
1,746
2,515
1,396
675
1,989
387
6,349
194
-689
596
-8,693
-4,458
-2,901
-3,419
1,721
499
1,463
3,553
-8,970
-4,820
-1,084
-1,440
-80
12,729
9,329
169
7,641
1,525
890
249
2,614
3,878
-7,488
-1,436
-1,459
-497
-301
-245
122
160
498
540
1,004
1,764
430
689
69
312
331
-2,118
-57
-502
2,388
1,051
5,239
4,036
10,711
1,073
70
5,630
2,184
5,737
277
425
300
-486
4,940
1,734
1,324
855
3,860
653
5,211
719
7,318
3,098
3,591
-2,991
-482
-955
101
343
1,161
-1,441
-1,359
-266
-622
900
408
112
500
518
3,466
-121
-2,104
-63
-3,278
-393
-926
-2,153
-2,697
-2,014
-3,823
559
1,859
434
55
-2,224
-11
124
-105
-270
-2,416
-3,408
-4,413
645
596
32
-510
336
2,630
241
69
-148
8,535
2,847
484
-782
0
-8
103
696
422
83
492
306
-33
1,279
261
-294
-102
91
333
151
155
-46
1
133
1,360
306
369
471
78
174
257
167
1,264
23
130
594
425
199
100
168
388
131
262
132
666
126
136
114
49
37
-1,482
1,088
265
559
410
2,427
403
133
115
69
158
19
167
18
221
105
572
-3,607
121
86
2,600
446
118
767
308
31
659
2,205
1,930
679
1,079
-34
526
391
783
447
-686
365
16,895
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
116,318
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
212,845
1,857,987
0.114557
2017
214,775
1,816,705
0.118222
2016
204,305
1,773,560
0.115195
2015
205,376
1,992,757
0.103061
2014
238,336
2,090,301
0.114020
2
Total
of line 1, column (d)
.....................
2
0.565055
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
0.113011
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,751,376
5
Multiply line 4 by line 3
......................
5
197,925
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,011
7
Add lines 5 and 6
........................
7
198,936
8
Enter qualifying distributions from Part XII, line 4
,.............
8
211,451
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
1,011
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
0
3
Add lines 1 and 2
...........................
3
1,011
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
1,011
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,300
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
1,300
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
289
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
289
Refunded
11
0
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
NJ
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
N/A
14
The books are in care of
MURPHY HOFFER PA
Telephone no.
(609) 452-9555
Located at
15 ROSZEL ROAD SUITE 10
PRINCETON
NJ
ZIP+4
08540
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
ALBERT G BESSER
PRES/TRUSTEE
1.00
5,000
0
0
3679 STAGECOACH ROAD
MORRISVILLE
,
VT
05661
GENE R KORF
SEC/TRUSTEE
2.00
5,000
0
0
89 HEADQUARTERS PLAZA NO TOWER 14TH
FL
MORRISTOWN
,
NJ
07960
SAMUEL R HOFFER
TREAS/TRUSTEE
1.00
5,000
0
0
15 ROSZEL ROAD STE 10
PRINCETON
,
NJ
08540
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
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
.........................
0
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
1,674,358
b
Average of monthly cash balances
.......................
1b
103,689
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,778,047
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
1,778,047
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
26,671
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,751,376
6
Minimum investment return.
Enter 5% of line 5
..................
6
87,569
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
87,569
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,011
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,011
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
86,558
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
86,558
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
86,558
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
211,451
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
211,451
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
1,011
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
210,440
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
86,558
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
137,420
b
From 2015
......
108,979
c
From 2016
......
117,623
d
From 2017
......
126,602
e
From 2018
......
124,786
f
Total
of lines 3a through e
........
615,410
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
211,451
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
86,558
e
Remaining amount distributed out of corpus
124,893
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
740,303
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
137,420
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
602,883
10
Analysis of line 9:
a
Excess from 2015
....
108,979
b
Excess from 2016
....
117,623
c
Excess from 2017
....
126,602
d
Excess from 2018
....
124,786
e
Excess from 2019
....
124,893
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).)
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 e-mail address of the person to whom applications should be addressed:
AMERICAN VETERINARY MEDICAL FOUNDAT
1931 N MEACHAM SUITE 100
SCHAUMBURG
,
IL
60173
(800) 248-2862
b
The form in which applications should be submitted and information and materials they should include:
COMPLETE APPLICATION AND SUBMIT TO THE AMERICAN VETERINARY MEDICAL FOUNDATION. VISIT AVMF.ORG FOR DETAILS
c
Any submission deadlines:
APPLICATION MUST BE SUBMITTED TO THE AMERICAN VETERINARY MEDICAL FOUNDATION BY MARCH 31
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
APPLICANTS MUST ESTABLISH A CONNECTION TO THE STATE OF NJ IN ONE OR MORE WAYS AS FOLLOWS: (1) CURRENT OR FORMER RESIDENT (2) GRADUATION FROM NJ HIGH SCHOOL (3) GRADUATION OR ATTENDANCE AT A NJ COLLEGE (NOT ELIGIBLE IF THIS IS THE SOLE CONNECTION TO NJ). GPA MUST BE 3.0 OR HIGHER. PREFERENCE IS GIVEN TO STUDENTS WHO HAVE RECEIVED A VETERINARY MEDICAL DEGREE AND ARE CURRENTLY ENROLLED IN A POST-GRADUATE PROGRAM IN VETERINARY MEDICINE, INCLUDING CLINICAL RESIDENCY PROGRAMS, AT AN AAVMC MEMBER INSTITUTION. PREFERENCE WILL ALSO BE GIVEN TO VETERINARY MEDICAL STUDENTS WHO ARE ENROLLED IN THE SECOND OR LATER YEAR OF A DUAL DEGREE PROGRAM DURING THE ACADEMIC YEAR. DUAL DEGREE PROGRAMS INCLUDE DVM/PHD, DVM/MS, AND DVM/MPH OR EQUIVALENT DEGREE. CONSIDERATION WILL BE GIVEN TO STUDENTS WHO ARE CURRENTLY ENROLLED IN A SECOND OR THIRD YEAR OF A PROFESSIONAL DVM CURRICULUM DURING THE ACADEMIC YEAR; STUDENTS CURRENTLY ENROLLED IN FIRST YEAR ARE NOT ELIGIBLE.
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
GENE KORF ESQ KORF ROSENBLATT
89 HEADQUARTERS PLAZA NORTH TOWER
14TH FL
MORRISTOWN
,
NJ
07960
(973) 993-1743
b
The form in which applications should be submitted and information and materials they should include:
SUBMIT LETTER AND PROPOSAL
c
Any submission deadlines:
NO DEADLINE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
NO RESTRICTIONS
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
ALGONQUIN ARTS THEATRE
173 MAIN STREET
MANASQUAN
,
NJ
08736
PC
GENERAL
2,000
ALZHEIMER'S ASSOCIATION
225 NO MICHIGAN AVE
CHICAGO
,
IL
60601
PC
GENERAL
500
ALZHEIMER'S ASSOCIATION-GREATER NJ CHAPTER
400 MORRIS AVENUE STE 251
DENVILLE
,
NJ
07834
PC
GENERAL
1,000
AMERICAN VETERINARY MEDICAL FOUNDATION
1931 N MEACHAM ROAD
SCHAUMBURG
,
IL
60173
PC
GENERAL
22,000
ASBURY PARK LITTLE LEAGUE INC
508 7TH AVE APT 1
ASBURY PARK
,
NJ
07712
PC
GENERAL
2,500
ASBURY PARK TOY DRIVE
PO BOX 1469
ASBURY PARK
,
NJ
07712
PC
GENERAL
2,500
ATLANTIC THEATER COMPANY
336 W 20TH STREET
NEW YORK
,
NY
10011
PC
GENERAL
5,000
AUTISM FAMILY SERVICES OF NJ
1 AAA DRIVE STE 203
TRENTON
,
NJ
086911811
PC
GENERAL
500
BOYS AND GIRLS CLUB OF MONMOUTH COUNTY
1201 MONROE AVENUE
ASBURY PARK
,
NJ
07712
PC
GENERAL
500
BRAIN & BEHAVIOR FOUNDATION
90 PARK AVE 16TH FL
NEW YORK
,
NY
10016
PC
GENERAL
500
BROOKE MULFORD FOUNDATION
PO BOX 545
SALISBURY
,
MD
21803
PC
GENERAL
1,000
BUCKS COUNTY PLAYHOUSE
12 W MECHANIC ST STE 2A
NEW HOPE
,
PA
18938
PC
GENERAL
1,000
CHILDREN'S HOSPITAL OF PHILADELPHIA
34TH STREET AND CIVIC CENTER BLVD
PHILADELPHIA
,
PA
191044399
PC
GENERAL
2,000
COLORADO STATE UNIVERSITY (NEALON)
1065 CAMUS DELIVERY
FORT COLLINS
,
CO
805231065
PC
SCHOLARSHIP
7,500
CONGREGATION BETH SHALOM
3750 E THIRD STREET
BLOOMINGTON
,
IN
47401
PC
GENERAL
1,000
CORNELL UNIVERSITY COLLEGE OF VETERINARY MEDICINE (CERES)
930 CAMPUS ROAD
ITHACA
,
NY
148536401
PC
SCHOLARSHIP
7,500
DISABILITY RIGHTS NEW JERSEY
210 SOUTH BROAD ST 3RD FL
TRENTON
,
NJ
08608
PC
GENERAL
1,500
DOCTORS WITHOUT BORDERS
333 SEVENTH AVE 2ND FL
NEW YORK
,
NY
10001
PC
GENERAL
1,000
DREW O'DONOGHUE FUND INC
9 MILLSTONE LANE
WHITEHOUSE STATION
,
NJ
088893260
PC
GENERAL
2,000
ENCOURAGE KIDS FOUNDATION
1560 BROADWAY SUITE 600
NEW YORK
,
NY
10036
PC
GENERAL
10,000
HILTON HEAD HUMANE ASSOCIATION
PO BOX 21790
HILTON HEAD
,
SC
29925
PC
GENERAL
500
INTERFAITH CAREGIVERS TRENTON
229 LAWRENCE ROAD
LAWRENCEVILLE
,
NJ
08648
PC
GENERAL
1,000
JEWISH COMMUNITY CENTER OF GREATER STOWE
PO BOX 253
STOWE
,
VT
056720253
PC
GENERAL
4,000
JOHN F KENNEDY LIBRARY FOUNDATION
COLUMBIA POINT
BOSTON
,
MA
02125
PC
GENERAL
5,000
LAWRENCE TOWNSHIP EDUCATION FOUNDATION
PO BOX 6531
LAWRENCEVILLE
,
NJ
086480531
PC
GENERAL
500
MARY'S PLACE BY THE SEA
PO BOX 86
OCEAN GROVE
,
NJ
07756
PC
GENERAL
500
MERCY CENTER CORPORATION
1106 MAIN STREET
ASBURY PARK
,
NJ
07712
PC
GENERAL
500
METROPOLITAN OPERA ASSOCIATION
LINCOLN CENTER
NEW YORK
,
NY
10023
PC
GENERAL
7,500
NORTH CAROLINA STATE UNIVERSITY (CHIAPPETTA)
BOX 7302
RALEIGH
,
NC
27695
PC
SCHOLARSHIP
10,000
NORTH CAROLINA STATE UNIVERSITY (GUPTA)
BOX 7302
RALEIGH
,
NC
27695
PC
SCHOLARSHIP
7,500
OCEAN GROVE FIRE DEPARTMENT
OLIN ST CENTRAL AVE
OCEAN GROVE
,
NJ
07756
PC
GENERAL
500
OHEB SHALOM CEMETERY ASSOCIATION
4 CHATHAM ROAD
SUMMIT
,
NJ
07901
PC
GENERAL
650
OHIO STATE UNIVERSITY (REITMEYER)
PO BOX 183248
COLUMBUS
,
OH
43218
PC
SCHOLARSHIP
7,500
PLAY WITH JACK FOUNDATION
254 24TH STREET
AVALON
,
NJ
08202
PC
GENERAL
1,000
POLICE UNITY TOUR INC CHAPTER 10
PO BOX 707
POINT PLEASANT
,
NJ
08742
PC
GENERAL
1,000
PRINCETON AREA COMMUNITY FOUNDATION
15 PRINCESS ROAD
LAWRENCEVILLE
,
NJ
08648
PC
GENERAL
1,000
PRINCETON JUNCTION VOLUNTEER FIRE CO
245 CLARKSVILLE ROAD
PRINCETON JUNCTION
,
NJ
08550
PC
GENERAL
500
ROUNDABOUT THEATRE COMPANY
231 W 39TH ST
NEW YORK
,
NY
10018
PC
GENERAL
10,000
SPECIAL OLYMPICS
1 EUNICE KENNEDY SHRIVER WAY
LAWRENCEVILLE
,
NJ
08648
PC
GENERAL
500
TRENTON AREA SOUP KITCHEN
PO BOX 872
TRENTON
,
NJ
08605
PC
GENERAL
1,500
UNIVERSITY OF PENNSYLVANIA (SAMDPVAL)
3800 SPRUCE STREET SUITE 106
PHILADELPHIA
,
PA
19104
PC
SCHOLARSHIP
10,000
VERMONT COMMUNITY FOUNDATION
PO BOX 30
MIDDLEBURY
,
VT
05753
PC
GENERAL
15,850
WOMANSPACE INC
1212 STUYVESANT AVE
TRENTON
,
NJ
08618
PC
GENERAL
1,000
CATTY SHACK RANCH WILDLIFE SANCTUARY
1860 STARRAT RD
JACKSONVILLE
,
FL
32226
PC
GENERAL
500
CONSERVATION INTL FOUNDATION
2011 CRYSTAL DR STE 600
ARLINGTON
,
VA
22202
PC
GENERAL
1,000
GOOD GRIEF INC
5 MAPLETON ROAD
PRINCETON
,
NJ
08540
PC
GENERAL
1,000
OHIO STATE UNIVERSITY (LORDI)
PO BOX 183248
COLUMBUS
,
OH
43218
PC
SCHOLARSHIP
5,000
UNIVERSITY OF FLORIDA (BLOOMER)
PO BOX 114050
GAINESVILLE
,
FL
32611
PC
SCHOLARSHIP
7,500
UNIVERSITY OF MINNESOTA (MCNAMEE)
200 FRASER HALL 106 PLEASANT ST SE
MINNEAPOLIS
,
MN
55455
PC
SCHOLARSHIP
7,500
LINCOLN MEMORIAL UNIVERSITY (WASHART)
6965 CUMBERLAND GAP PARKWAY
HARROGATE
,
TN
37752
PC
SCHOLARSHIP
5,000
Total
.................................
3a
187,000
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
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
136
4
Dividends and interest from securities
....
14
11,459
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
116,318
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
127,913
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
127,913
(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