-
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
STERN MEMORIAL FUND A
Number and street (or P.O. box number if mail is not delivered to street address)
114 W 47TH ST NY8-114-07-07 AFT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
100361510
A Employer identification number
95-6050141
B
Telephone number (see instructions)
(888) 866-3275
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)
$
1,116,841
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
4
Dividends and interest from securities
...
30,794
28,866
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
67,805
b
Gross sales price for all assets on line 6a
811,509
7
Capital gain net income (from Part IV, line 2)
...
67,805
8
Net short-term capital gain
.........
0
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
........
98,599
96,671
13
Compensation of officers, directors, trustees, etc.
4,000
3,000
1,000
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
10,330
6,198
4,132
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
1,500
559
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
6,162
6,162
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
21,992
9,757
0
11,294
25
Contributions, gifts, grants paid
.......
44,000
44,000
26
Total expenses and disbursements.
Add lines 24 and 25
65,992
9,757
0
55,294
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
32,607
b
Net investment income
(if negative, enter -0-)
86,914
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
173
15,515
15,515
2
Savings and temporary cash investments
.........
41,682
32,603
32,603
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
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
0
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)
.......
295,151
146,366
163,529
c
Investments—corporate bonds (attach schedule)
.......
203,728
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
446,067
825,982
905,194
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)
986,801
1,020,466
1,116,841
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
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
........
986,801
1,020,466
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)
.....
986,801
1,020,466
30
Total liabilities and net assets/fund balances
(see instructions)
.
986,801
1,020,466
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
986,801
2
Enter amount from Part I, line 27a
.....................
2
32,607
3
Other increases not included in line 2 (itemize)
3
1,058
4
Add lines 1, 2, and 3
..........................
4
1,020,466
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
1,020,466
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
28. AT&T INC
2016-11-04
2019-02-07
b
14. AT&T INC
2016-11-03
2019-02-07
c
26. AT&T INC
2016-11-03
2019-02-07
d
89. AT&T INC
2016-05-06
2019-02-07
e
6. AT&T INC
2016-11-04
2019-06-25
7. AIR PRODUCTS & CHEMICALS INC
2018-03-13
2019-01-08
1. AIR PRODUCTS & CHEMICALS INC
2018-03-14
2019-01-08
7. AIR PRODUCTS & CHEMICALS INC
2018-03-14
2019-01-09
4. AIR PRODUCTS & CHEMICALS INC
2018-03-14
2019-01-10
5. AIR PRODUCTS & CHEMICALS INC
2018-03-15
2019-01-10
3. AIR PRODUCTS & CHEMICALS INC
2018-03-15
2019-01-11
1. AIR PRODUCTS & CHEMICALS INC
2018-03-16
2019-01-11
3. AIR PRODUCTS & CHEMICALS INC
2018-03-16
2019-01-14
4. AIR PRODUCTS & CHEMICALS INC
2018-03-16
2019-01-15
2. AIR PRODUCTS & CHEMICALS INC
2018-03-16
2019-01-16
3. AIR PRODUCTS & CHEMICALS INC
2018-03-19
2019-01-16
10. AIR PRODUCTS & CHEMICALS INC
2018-03-19
2019-01-17
63. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-02-07
2. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-06-25
6. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-09-26
4. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-09-27
4. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-09-30
4. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-10-01
4. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-10-17
4. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-11-08
2. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-11-11
4. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-11-12
6. AMERICAN ELECTRIC POWER CO INC
2018-12-12
2019-11-13
7. AMERICAN ELECTRIC POWER CO INC
2016-05-06
2019-11-13
1. AMERICAN ELECTRIC POWER CO INC
2018-12-12
2019-11-14
6. AMGEN INC
2018-01-18
2019-02-07
11. AMGEN INC
2018-01-17
2019-02-07
1. AMGEN INC
2018-01-18
2019-06-25
4. AMGEN INC
2018-01-19
2019-07-26
2. AMGEN INC
2018-01-18
2019-07-26
25. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-05-06
2019-01-22
24. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-05-06
2019-01-23
9. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-05-06
2019-01-24
14. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-05-06
2019-01-25
2. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-05-06
2019-01-28
8. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-02-27
2019-02-07
9. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-02-24
2019-02-07
7. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-02-23
2019-02-07
3. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-02-22
2019-02-07
9. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-02-22
2019-02-07
33. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-05-06
2019-02-07
6. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-02-28
2019-09-11
1. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-02-27
2019-09-11
11. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-03-01
2019-09-11
8. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-03-01
2019-09-12
14. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-03-02
2019-09-12
9. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-03-02
2019-09-13
2. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-03-02
2019-09-16
2. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-03-03
2019-09-17
7. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2017-03-03
2019-09-17
19. BB&T CORPORATION
2017-11-01
2019-01-10
34. BB&T CORPORATION
2017-11-02
2019-01-11
5. BB&T CORPORATION
2017-11-03
2019-01-11
3. BB&T CORPORATION
2017-11-01
2019-01-11
19. BB&T CORPORATION
2017-11-01
2019-01-11
11. BB&T CORPORATION
2017-11-01
2019-01-11
18. BB&T CORPORATION
2017-11-03
2019-01-14
22. BB&T CORPORATION
2018-04-23
2019-01-14
14. BB&T CORPORATION
2018-04-24
2019-01-14
3. BB&T CORPORATION
2017-11-01
2019-01-14
2. BB&T CORPORATION
2017-11-06
2019-01-14
1. BB&T CORPORATION
2018-05-14
2019-01-15
34. BB&T CORPORATION
2018-04-24
2019-01-15
1. BOEING CO/THE
2018-01-16
2019-02-07
6. BOEING CO/THE
2018-01-17
2019-02-07
2. BOEING CO/THE
2018-02-07
2019-02-07
5. BOEING CO/THE
2018-02-07
2019-03-21
4. BOEING CO/THE
2018-02-07
2019-03-22
4. BROADCOM INC
2018-12-13
2019-02-07
16. BROADCOM INC
2018-12-12
2019-02-07
1. BROADCOM INC
2018-12-13
2019-06-25
3. BROADCOM INC
2018-12-14
2019-07-09
1. BROADCOM INC
2018-12-14
2019-10-17
5. CME GROUP INC
2017-02-22
2019-01-09
1. CME GROUP INC
2017-02-23
2019-01-09
3. CME GROUP INC
2017-02-22
2019-01-09
2. CME GROUP INC
2017-02-23
2019-01-10
5. CME GROUP INC
2017-02-24
2019-01-10
2. CME GROUP INC
2017-02-28
2019-01-10
4. CME GROUP INC
2017-02-27
2019-01-10
6. CME GROUP INC
2017-03-01
2019-02-05
4. CME GROUP INC
2017-03-02
2019-02-05
9. CME GROUP INC
2017-06-09
2019-02-07
8. CME GROUP INC
2017-06-08
2019-02-07
7. CME GROUP INC
2017-06-12
2019-02-07
3. CME GROUP INC
2017-06-12
2019-03-18
4. CME GROUP INC
2017-06-13
2019-03-19
1. CME GROUP INC
2017-06-13
2019-03-20
4. CME GROUP INC
2017-06-13
2019-05-02
1. CME GROUP INC
2017-06-13
2019-05-03
4. CME GROUP INC
2017-06-14
2019-05-03
20000. CALIFORNIA ST VARIOUS
2017-09-14
2019-02-06
12. CARNIVAL CORP
2016-09-19
2019-02-07
38. CARNIVAL CORP
2016-09-16
2019-02-07
5. CARNIVAL CORP
2017-09-08
2019-02-07
1. CARNIVAL CORP
2017-09-08
2019-05-02
10. CARNIVAL CORP
2017-09-11
2019-05-02
5. CARNIVAL CORP
2017-09-11
2019-05-03
3. CARNIVAL CORP
2017-09-12
2019-05-03
2. CARNIVAL CORP
2017-09-12
2019-05-06
9. CARNIVAL CORP
2017-09-12
2019-06-25
5. CARNIVAL CORP
2017-09-13
2019-06-25
7. CARNIVAL CORP
2017-09-14
2019-06-26
3. CARNIVAL CORP
2017-09-13
2019-06-26
5. CARNIVAL CORP
2017-09-14
2019-06-27
2. CHEVRON CORP
2018-10-18
2019-02-07
13. CHEVRON CORP
2018-10-19
2019-02-07
10. CHEVRON CORP
2018-10-22
2019-02-07
3. CHEVRON CORP
2018-10-23
2019-02-07
1. CHEVRON CORP
2018-11-08
2019-06-25
6. CHEVRON CORP
2018-11-08
2019-07-26
4. CHEVRON CORP
2018-11-08
2019-07-29
2. CHEVRON CORP
2018-11-08
2019-07-30
32. CISCO SYSTEMS INCORPORATED
2018-01-12
2019-02-07
133. CISCO SYSTEMS INCORPORATED
2017-09-26
2019-02-07
17. CISCO SYSTEMS INCORPORATED
2017-09-25
2019-02-07
17. CISCO SYSTEMS INCORPORATED
2018-01-12
2019-05-02
1. CISCO SYSTEMS INCORPORATED
2018-01-16
2019-05-02
2. CISCO SYSTEMS INCORPORATED
2018-01-16
2019-06-25
20. CISCO SYSTEMS INCORPORATED
2018-01-16
2019-07-09
8. CISCO SYSTEMS INCORPORATED
2018-01-17
2019-07-09
4. CISCO SYSTEMS INCORPORATED
2018-02-26
2019-10-17
47. CITIGROUP INC
2019-01-15
2019-02-07
2. CITIGROUP INC
2019-01-15
2019-06-25
7. CITIGROUP INC
2019-01-15
2019-12-11
45. COCA-COLA CO/THE
2016-05-06
2019-01-09
86. COCA-COLA CO/THE
2016-05-06
2019-02-07
2. COCA-COLA CO/THE
2016-05-06
2019-06-25
6. CROWN CASTLE INTERNATIONAL CORP
2018-03-13
2019-01-09
5. CROWN CASTLE INTERNATIONAL CORP
2018-03-12
2019-01-09
4. CROWN CASTLE INTERNATIONAL CORP
2018-03-13
2019-01-10
6. CROWN CASTLE INTERNATIONAL CORP
2018-03-23
2019-01-10
4. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-02-07
9. CROWN CASTLE INTERNATIONAL CORP
2018-04-23
2019-02-07
6. CROWN CASTLE INTERNATIONAL CORP
2018-03-26
2019-02-07
27. CROWN CASTLE INTERNATIONAL CORP
2018-03-23
2019-02-07
1. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-06-25
3. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-07-09
2. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-10-17
2. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-11-08
2. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-11-11
4. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-11-12
3. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-11-13
5. CROWN CASTLE INTERNATIONAL CORP
2018-04-24
2019-11-14
15000. DELAWARE CNTY PA AUTH
2018-01-16
2019-02-06
7. DIGITAL RLTY TR INC REITS
2016-05-06
2019-01-22
7. DIGITAL RLTY TR INC REITS
2016-05-06
2019-01-23
8. DIGITAL RLTY TR INC REITS
2016-05-06
2019-01-24
6. DIGITAL RLTY TR INC REITS
2016-05-06
2019-01-25
32. DIGITAL RLTY TR INC REITS
2016-05-06
2019-02-07
3. DIGITAL RLTY TR INC REITS
2016-05-06
2019-11-08
2. DIGITAL RLTY TR INC REITS
2016-05-06
2019-11-11
4. DIGITAL RLTY TR INC REITS
2016-05-06
2019-11-12
5. DIGITAL RLTY TR INC REITS
2016-05-06
2019-11-13
6. DIGITAL RLTY TR INC REITS
2016-05-06
2019-11-14
14. DUKE ENERGY CORP
2018-10-25
2019-02-07
11. DUKE ENERGY CORP
2018-10-23
2019-02-07
14. DUKE ENERGY CORP
2018-10-22
2019-02-07
7. DUKE ENERGY CORP
2018-10-25
2019-05-13
5. DUKE ENERGY CORP
2018-10-25
2019-05-14
5. DUKE ENERGY CORP
2018-10-25
2019-05-15
5. DUKE ENERGY CORP
2018-10-26
2019-05-16
4. DUKE ENERGY CORP
2018-10-25
2019-05-16
9. DUKE ENERGY CORP
2018-10-26
2019-05-17
13. EXELON CORP
2018-05-07
2019-02-07
13. EXELON CORP
2018-05-04
2019-02-07
20. EXELON CORP
2018-05-03
2019-02-07
35. EXELON CORP
2018-05-02
2019-02-07
4. EXELON CORP
2018-05-01
2019-02-07
6. EXELON CORP
2018-05-07
2019-10-17
25. EXELON CORP
2018-05-08
2019-10-17
15. EXELON CORP
2018-05-09
2019-10-18
3. EXELON CORP
2018-05-14
2019-10-18
5. EXELON CORP
2019-07-09
2019-10-18
24. EXELON CORP
2018-05-08
2019-10-18
26. EXXON MOBIL CORPORATION
2018-05-31
2019-02-07
10. EXXON MOBIL CORPORATION
2018-05-30
2019-02-07
12. EXXON MOBIL CORPORATION
2018-05-30
2019-02-07
7. EXXON MOBIL CORPORATION
2018-05-29
2019-02-07
6. EXXON MOBIL CORPORATION
2018-05-30
2019-08-14
7. EXXON MOBIL CORPORATION
2018-05-29
2019-08-14
4. EXXON MOBIL CORPORATION
2018-05-30
2019-08-15
4. EXXON MOBIL CORPORATION
2018-05-31
2019-08-15
2. EXXON MOBIL CORPORATION
2018-05-31
2019-10-17
1. EXXON MOBIL CORPORATION
2018-10-18
2019-10-17
10. FIRST TR EXCHANGE TRADED
2018-11-06
2019-01-16
24. FIRST TR EXCHANGE TRADED
2018-11-06
2019-07-16
9. GUGGENHEIM- TOTAL RETURN BOND FUND
2019-05-31
2019-06-24
1. GUGGENHEIM- TOTAL RETURN BOND FUND
2019-05-31
2019-06-24
8. GUGGENHEIM- TOTAL RETURN BOND FUND
2019-04-30
2019-06-24
39. GUGGENHEIM- TOTAL RETURN BOND FUND
2019-02-07
2019-06-24
.66 GUGGENHEIM- TOTAL RETURN BOND FUND
2019-02-07
2019-06-24
.34 GUGGENHEIM- TOTAL RETURN BOND FUND
2019-05-31
2019-06-24
6. INVESCO PREFERRED ETF
2018-11-06
2019-01-16
160. INVESCO EMERGING MARKETS
2018-11-06
2019-01-16
3. ISHARES TIPS BOND ETF
2018-11-06
2019-01-16
7. ISHARES IBOXX $ INVT GRADE CORP BD
2018-11-06
2019-01-16
5. ISHARES NASDAQ BIOTECH ETF
2018-11-06
2019-01-16
3. ISHARES NASDAQ BIOTECH ETF
2018-11-06
2019-04-23
53. ISHARES 3-7 YR TREASURY BOND ETF
2018-11-06
2019-01-16
140. ISHARES CORE MSCI EAFE ETF
2018-11-06
2019-01-16
286. ISHARES CORE MSCI EAFE ETF
2018-11-06
2019-06-13
210. ISHARES CORE MSCI EMERGING MARKETS ETF
2018-11-06
2019-06-13
10. J P MORGAN CHASE & CO COM
2018-08-23
2019-02-07
24. J P MORGAN CHASE & CO COM
2018-08-22
2019-02-07
5. J P MORGAN CHASE & CO COM
2018-08-23
2019-02-07
56. J P MORGAN CHASE & CO COM
2016-05-06
2019-02-07
3. J P MORGAN CHASE & CO COM
2018-08-22
2019-06-25
20. J P MORGAN CHASE & CO COM
2018-08-22
2019-07-26
1. J P MORGAN CHASE & CO COM
2018-08-22
2019-07-29
1. J P MORGAN CHASE & CO COM
2018-08-23
2019-07-29
2. J P MORGAN CHASE & CO COM
2018-08-23
2019-07-29
5. J P MORGAN CHASE & CO COM
2018-08-23
2019-07-30
2. J P MORGAN CHASE & CO COM
2018-08-23
2019-10-17
4. J P MORGAN CHASE & CO COM
2018-08-24
2019-12-11
1. J P MORGAN CHASE & CO COM
2018-08-23
2019-12-11
5. JOHNSON & JOHNSON
2018-09-11
2019-02-07
30. JOHNSON & JOHNSON
2018-09-12
2019-02-07
1. JOHNSON & JOHNSON
2018-09-13
2019-02-07
1. JOHNSON & JOHNSON
2018-09-13
2019-05-02
8. JOHNSON & JOHNSON
2018-10-25
2019-05-02
13. JOHNSON & JOHNSON
2018-10-25
2019-05-29
10. JOHNSON & JOHNSON
2018-10-26
2019-05-29
16. LOCKHEED MARTIN CORPORATION
2016-05-06
2019-02-07
1. LOCKHEED MARTIN CORPORATION
2018-04-23
2019-08-14
2. LOCKHEED MARTIN CORPORATION
2018-04-23
2019-08-15
2. LOCKHEED MARTIN CORPORATION
2018-04-23
2019-10-25
1. LOCKHEED MARTIN CORPORATION
2018-04-23
2019-10-28
3. LOCKHEED MARTIN CORPORATION
2018-05-07
2019-10-29
10000. MASS ST SBA DED SLS TAX
2019-01-03
2019-02-06
25. MC DONALDS CORPORATION COMMON
2016-05-06
2019-02-07
3. MC DONALDS CORPORATION COMMON
2016-05-06
2019-03-18
1. MC DONALDS CORPORATION COMMON
2016-05-06
2019-03-19
5. MC DONALDS CORPORATION COMMON
2016-07-18
2019-03-19
1. MC DONALDS CORPORATION COMMON
2016-07-18
2019-06-25
46. MERCK AND CO INC SHS
2018-01-16
2019-02-07
47. MERCK AND CO INC SHS
2018-01-17
2019-02-07
2. MERCK AND CO INC SHS
2018-01-17
2019-06-25
14. MERCK AND CO INC SHS
2018-01-17
2019-07-26
7. MERCK AND CO INC SHS
2018-01-17
2019-07-29
10. MERCK AND CO INC SHS
2018-01-17
2019-10-25
1. MERCK AND CO INC SHS
2018-01-17
2019-10-28
8. MERCK AND CO INC SHS
2018-08-06
2019-10-28
32. MICROSOFT CORPORATION
2019-01-09
2019-02-07
10. MICROSOFT CORPORATION
2019-01-09
2019-07-09
25000. MISSOURI JT MUN EL UTL
2016-05-10
2019-02-06
10000. NEW YORK N Y FISCAL 2018
2017-09-15
2019-02-06
20000. NEW YORK NY CITY TFA REV
2018-04-18
2019-02-06
10000. NC MPA NO 1 CATAWBA ELEC
2018-05-16
2019-02-06
25000. NORTH TEX TWY AUTH REV
2016-05-10
2019-02-06
25000. ORANGE CNTY FLA HEALTH
2016-05-13
2019-02-06
6. PEPSICO INCORPORATED
2018-06-26
2019-01-09
7. PEPSICO INCORPORATED
2018-06-25
2019-01-09
14. PEPSICO INCORPORATED
2018-08-06
2019-02-07
8. PEPSICO INCORPORATED
2018-06-26
2019-02-07
22. PEPSICO INCORPORATED
2018-06-27
2019-02-07
2. PEPSICO INCORPORATED
2018-08-06
2019-06-25
2. PEPSICO INCORPORATED
2018-08-07
2019-09-11
6. PEPSICO INCORPORATED
2018-08-06
2019-09-11
5. PEPSICO INCORPORATED
2018-08-07
2019-09-12
1. PEPSICO INCORPORATED
2018-08-08
2019-09-12
6. PFIZER INC
2016-07-14
2019-02-07
15. PFIZER INC
2016-07-14
2019-02-07
95. PFIZER INC
2016-05-06
2019-02-07
4. PFIZER INC
2016-07-14
2019-06-25
13. PFIZER INC
2016-07-14
2019-12-11
4. PFIZER INC
2016-07-14
2019-12-12
10. PFIZER INC
2016-07-15
2019-12-12
225. PIONEER MULTI ASSET
2016-08-18
2019-04-03
.38 PIONEER MULTI ASSET
2018-02-06
2019-04-03
832. PIONEER MULTI ASSET
2018-02-06
2019-04-03
15. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-22
2019-02-07
9. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-24
2019-02-07
18. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-23
2019-02-07
3. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-25
2019-02-07
2. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-25
2019-06-25
3. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-29
2019-09-11
3. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-28
2019-09-11
8. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-29
2019-09-12
1. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-29
2019-10-17
2. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-31
2019-10-17
3. ROYAL BANK OF CANADA MONTREAL QUE 00
2019-01-30
2019-10-17
63. ROYAL DUTCH SHELL PLC
2016-07-28
2019-02-07
23. ROYAL DUTCH SHELL PLC
2016-07-27
2019-02-07
4. ROYAL DUTCH SHELL PLC
2016-07-28
2019-06-25
5. ROYAL DUTCH SHELL PLC
2016-07-28
2019-10-17
2. ROYAL DUTCH SHELL PLC
2016-07-28
2019-12-11
7. ROYAL DUTCH SHELL PLC
2016-07-28
2019-12-12
1. ROYAL DUTCH SHELL PLC
2016-07-29
2019-12-13
1. ROYAL DUTCH SHELL PLC
2016-07-28
2019-12-13
662. S&P DEPOSITARY RECEIPTS SERIES 1
2016-05-06
2019-02-07
2. SPDR S&P INSURANCE ETF
2018-11-06
2019-01-16
18. SPDR S&P INSURANCE ETF
2018-11-06
2019-08-14
28. SPDR S&P INSURANCE ETF
2018-11-06
2019-09-12
6. HEALTH CARE SELECT SPDR
2018-11-06
2019-01-16
117. HEALTH CARE SELECT SPDR
2018-11-06
2019-04-23
7. HEALTH CARE SELECT SPDR
2018-11-06
2019-06-13
4. CONSUMER DISCRETIONARY SPDR
2018-11-06
2019-01-16
130. SPDR US FINANCIAL SECTOR ETF
2018-11-06
2019-08-14
288. SPDR US FINANCIAL SECTOR ETF
2018-11-06
2019-09-12
11. REAL ESTATE SELECT SECTOR SPDR FUND
2018-11-06
2019-01-16
52. REAL ESTATE SELECT SECTOR SPDR FUND
2018-11-06
2019-03-20
107. REAL ESTATE SELECT SECTOR SPDR FUND
2018-11-06
2019-12-10
1. SIMON PROPERTY GROUP INC
2018-05-03
2019-02-07
7. SIMON PROPERTY GROUP INC
2018-05-04
2019-02-07
13. SIMON PROPERTY GROUP INC
2018-05-08
2019-02-07
7. SIMON PROPERTY GROUP INC
2018-05-07
2019-02-07
1. SIMON PROPERTY GROUP INC
2018-05-09
2019-02-07
1. SIMON PROPERTY GROUP INC
2018-05-09
2019-06-25
2. SIMON PROPERTY GROUP INC
2018-09-11
2019-09-11
3. SIMON PROPERTY GROUP INC
2018-05-10
2019-09-11
1. SIMON PROPERTY GROUP INC
2018-05-09
2019-09-11
3. SIMON PROPERTY GROUP INC
2018-09-11
2019-09-12
1. SIMON PROPERTY GROUP INC
2018-09-11
2019-10-17
2. SIMON PROPERTY GROUP INC
2018-09-12
2019-10-17
2. SIMON PROPERTY GROUP INC
2018-09-12
2019-12-11
3. SIMON PROPERTY GROUP INC
2018-09-12
2019-12-12
4. SIMON PROPERTY GROUP INC
2018-09-12
2019-12-13
1. SIMON PROPERTY GROUP INC
2019-05-22
2019-12-16
4. SIMON PROPERTY GROUP INC
2018-09-13
2019-12-16
1. SIMON PROPERTY GROUP INC
2019-05-21
2019-12-16
18. SYSCO CORPORATION
2018-05-04
2019-01-09
2. SYSCO CORPORATION
2018-05-03
2019-01-09
22. SYSCO CORPORATION
2018-05-04
2019-02-05
16. SYSCO CORPORATION
2018-05-07
2019-02-07
2. SYSCO CORPORATION
2018-08-10
2019-02-07
5. SYSCO CORPORATION
2018-08-09
2019-02-07
3. SYSCO CORPORATION
2018-08-08
2019-02-07
5. SYSCO CORPORATION
2018-08-07
2019-02-07
12. SYSCO CORPORATION
2018-08-06
2019-02-07
4. SYSCO CORPORATION
2018-05-09
2019-02-07
18. SYSCO CORPORATION
2018-05-08
2019-02-07
11. SYSCO CORPORATION
2018-05-04
2019-02-07
18. TARGET CORP
2018-01-19
2019-02-07
25. TARGET CORP
2018-01-18
2019-02-07
18. TARGET CORP
2018-01-17
2019-02-07
9. TARGET CORP
2018-01-19
2019-09-26
5. TARGET CORP
2018-01-19
2019-09-27
1. TARGET CORP
2018-01-22
2019-09-30
4. TARGET CORP
2018-10-25
2019-09-30
4. TARGET CORP
2018-10-25
2019-10-01
2. TARGET CORP
2018-10-25
2019-10-17
119. TORONTO DOMINION BANK
2016-05-06
2019-02-07
3. TORONTO DOMINION BANK
2016-05-06
2019-06-25
3. TORONTO DOMINION BANK
2016-05-06
2019-08-14
1. TORONTO DOMINION BANK
2016-05-06
2019-08-15
7. TORONTO DOMINION BANK
2016-05-06
2019-08-16
7. TORONTO DOMINION BANK
2016-05-06
2019-08-22
8. TORONTO DOMINION BANK
2016-05-06
2019-09-11
5. TORONTO DOMINION BANK
2016-05-06
2019-09-12
5. TORONTO DOMINION BANK
2017-02-22
2019-09-13
1. TORONTO DOMINION BANK
2017-02-22
2019-10-17
3. TORONTO DOMINION BANK
2017-02-22
2019-10-17
5. TORONTO DOMINION BANK
2017-02-23
2019-10-17
.65 TRUIST FINL CORP
2019-07-09
2019-12-17
2. UNITED TECHNOLOGIES CORP
2017-11-02
2019-02-07
20. UNITED TECHNOLOGIES CORP
2018-02-07
2019-02-07
4. UNITED TECHNOLOGIES CORP
2017-11-06
2019-02-07
10. UNITED TECHNOLOGIES CORP
2017-11-03
2019-02-07
2. UNITED TECHNOLOGIES CORP
2017-11-02
2019-02-07
2. UNITED TECHNOLOGIES CORP
2017-11-02
2019-06-25
25000. UNIVERSITY CALIF REVS
2016-05-10
2019-02-06
21. VANECK VECTORS J.P
2018-11-06
2019-01-16
124. VANGUARD INTERMEDIATE-TERM BOND ETF
2018-11-06
2019-01-16
163. VANGUARD SHORT-TERM BOND ETF
2018-11-06
2019-01-16
54. VANGUARD CONSUMER STAPLES ETF
2018-11-06
2019-03-20
35. VANGUARD INDUSTRIALS ETF
2018-11-06
2019-01-16
37. VANGUARD INDUSTRIALS ETF
2018-11-06
2019-12-10
32. VANGUARD INFORMATION TECHNOLOGY ETF
2018-11-06
2019-01-16
31. VANGUARD INFORMATION TECHNOLOGY ETF
2018-11-06
2019-07-16
20. VANGUARD INFORMATION TECHNOLOGY ETF
2018-11-06
2019-08-14
1. VANGUARD MATERIALS ETF
2018-11-06
2019-01-16
34. VANGUARD MATERIALS ETF
2018-11-06
2019-03-20
31. VANGUARD MATERIALS ETF
2018-11-06
2019-04-23
10. VANGUARD MATERIALS ETF
2018-11-06
2019-09-12
19. VANGUARD MATERIALS ETF
2019-02-07
2019-09-12
1. VANGUARD MATERIALS ETF
2018-11-28
2019-09-12
9. VERIZON COMMUNICATIONS INC
2017-04-18
2019-02-07
35. VERIZON COMMUNICATIONS INC
2017-04-18
2019-02-07
35. VERIZON COMMUNICATIONS INC
2016-05-06
2019-02-07
6. VERIZON COMMUNICATIONS INC
2017-04-18
2019-10-17
1. VERIZON COMMUNICATIONS INC
2017-04-19
2019-10-17
17. VERIZON COMMUNICATIONS INC
2017-04-19
2019-10-25
12. VERIZON COMMUNICATIONS INC
2017-07-18
2019-10-28
10. VERIZON COMMUNICATIONS INC
2017-07-18
2019-10-29
12. VERIZON COMMUNICATIONS INC
2017-07-19
2019-10-30
5. VERIZON COMMUNICATIONS INC
2017-07-18
2019-10-30
3. VERIZON COMMUNICATIONS INC
2019-05-02
2019-10-31
7. VERIZON COMMUNICATIONS INC
2017-07-19
2019-10-31
4. VERIZON COMMUNICATIONS INC
2019-05-03
2019-11-08
13. VERIZON COMMUNICATIONS INC
2019-05-02
2019-11-08
9. WALMART INC
2018-10-26
2019-02-07
4. WALMART INC
2018-10-26
2019-02-07
20. WALMART INC
2018-10-26
2019-02-07
1. WALMART INC
2018-10-26
2019-02-07
18. WALMART INC
2018-10-26
2019-02-07
5. WALMART INC
2018-10-26
2019-05-02
7. WALMART INC
2018-10-26
2019-05-03
1. WALMART INC
2018-10-26
2019-05-06
1. WALMART INC
2018-10-26
2019-06-25
67. WELLS FARGO COMPANY
2018-08-24
2019-01-09
15. CHUBB LTD
2018-10-24
2019-02-07
13. CHUBB LTD
2018-10-23
2019-02-07
11. CHUBB LTD
2018-10-22
2019-02-07
9. CHUBB LTD
2018-10-19
2019-02-07
2. CHUBB LTD
2018-10-18
2019-02-07
1. CHUBB LTD
2018-10-24
2019-06-25
1. CHUBB LTD
2019-01-09
2019-10-17
4. CHUBB LTD
2019-01-09
2019-10-25
1. CHUBB LTD
2019-01-09
2019-10-28
2. CHUBB LTD
2019-01-10
2019-10-29
3. CHUBB LTD
2019-01-09
2019-10-29
CAPITAL GAIN 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
817
1,025
-208
b
408
515
-107
c
758
957
-199
d
2,596
3,470
-874
e
195
220
-25
1,106
1,201
-95
158
170
-12
1,095
1,187
-92
627
678
-51
784
846
-62
470
508
-38
157
169
-12
466
508
-42
620
677
-57
310
338
-28
465
505
-40
1,552
1,683
-131
4,951
4,055
896
182
129
53
566
386
180
377
257
120
376
257
119
373
257
116
371
257
114
355
257
98
178
129
49
354
257
97
539
479
60
629
451
178
90
80
10
1,108
1,122
-14
2,031
2,060
-29
187
187
696
754
-58
348
374
-26
909
700
209
883
672
211
323
252
71
501
392
109
71
56
15
296
234
62
333
264
69
259
206
53
111
87
24
333
260
73
1,221
924
297
258
177
81
43
29
14
473
322
151
343
234
109
600
415
185
386
267
119
85
59
26
86
59
27
302
208
94
873
942
-69
1,547
1,677
-130
227
246
-19
136
149
-13
864
944
-80
500
546
-46
831
887
-56
1,015
1,173
-158
646
758
-112
138
150
-12
92
99
-7
46
55
-9
1,569
1,840
-271
407
343
64
2,441
2,046
395
814
697
117
1,866
1,742
124
1,465
1,393
72
1,085
1,034
51
4,340
4,103
237
281
258
23
824
777
47
291
259
32
899
613
286
180
123
57
539
368
171
358
245
113
896
612
284
358
245
113
717
490
227
1,068
760
308
712
502
210
1,570
1,112
458
1,395
974
421
1,221
875
346
511
375
136
677
504
173
168
126
42
694
504
190
174
126
48
694
505
189
23,932
24,333
-401
692
556
136
2,191
1,757
434
288
328
-40
55
66
-11
547
677
-130
275
338
-63
165
204
-39
109
136
-27
408
611
-203
227
341
-114
319
481
-162
137
205
-68
226
343
-117
236
235
1
1,531
1,540
-9
1,178
1,171
7
353
343
10
125
121
4
743
725
18
497
484
13
248
242
6
1,505
1,299
206
6,255
4,494
1,761
800
570
230
946
690
256
56
41
15
114
82
32
1,128
816
312
451
327
124
188
180
8
2,927
2,862
65
134
122
12
530
426
104
2,101
2,043
58
4,231
3,904
327
104
91
13
632
661
-29
527
550
-23
425
440
-15
638
654
-16
471
417
54
1,061
931
130
707
657
50
3,182
2,942
240
135
104
31
406
311
95
276
207
69
264
207
57
263
207
56
523
414
109
395
310
85
666
517
149
16,691
17,188
-497
734
640
94
726
640
86
832
732
100
622
549
73
3,537
2,928
609
351
274
77
234
183
51
468
366
102
583
457
126
701
549
152
1,239
1,173
66
974
915
59
1,239
1,157
82
614
586
28
435
419
16
436
419
17
432
414
18
346
335
11
777
745
32
619
538
81
619
534
85
953
813
140
1,667
1,406
261
191
161
30
264
248
16
1,100
1,019
81
668
607
61
134
121
13
223
244
-21
1,069
979
90
1,946
2,111
-165
749
809
-60
898
971
-73
524
546
-22
409
488
-79
477
549
-72
269
326
-57
269
325
-56
137
162
-25
69
82
-13
1,277
1,267
10
3,586
3,041
545
245
244
1
27
27
218
214
4
1,061
1,038
23
18
18
9
9
84
84
4,302
4,209
93
330
326
4
796
785
11
544
543
1
319
326
-7
6,426
6,279
147
8,011
8,354
-343
17,499
17,066
433
10,502
10,338
164
1,022
1,149
-127
2,452
2,765
-313
511
574
-63
5,722
3,446
2,276
325
341
-16
2,323
2,272
51
116
114
2
116
115
1
233
227
6
576
566
10
243
227
16
537
460
77
134
113
21
660
692
-32
3,960
4,178
-218
132
140
-8
141
140
1
1,126
1,104
22
1,700
1,794
-94
1,307
1,377
-70
4,760
3,842
918
370
356
14
742
711
31
743
711
32
372
356
16
1,121
945
176
10,159
10,329
-170
4,391
3,257
1,134
553
391
162
183
130
53
916
619
297
205
124
81
3,526
2,896
630
3,602
2,918
684
171
124
47
1,138
869
269
578
435
143
825
621
204
82
62
20
654
529
125
3,361
3,334
27
1,362
1,042
320
27,674
28,472
-798
11,900
12,098
-198
24,053
23,727
326
11,610
11,434
176
27,541
28,511
-970
27,032
28,521
-1,489
650
649
1
759
762
-3
1,575
1,647
-72
900
865
35
2,475
2,384
91
268
235
33
272
229
43
815
706
109
687
572
115
137
114
23
250
219
31
624
550
74
3,952
3,186
766
176
146
30
498
476
22
154
146
8
385
370
15
2,234
2,246
-12
4
4
8,262
8,287
-25
1,142
1,118
24
685
664
21
1,371
1,333
38
228
224
4
158
149
9
234
225
9
234
224
10
630
601
29
81
75
6
163
152
11
244
227
17
4,068
3,455
613
1,485
1,300
185
268
219
49
293
274
19
115
110
5
403
384
19
58
54
4
58
55
3
178,829
136,000
42,829
59
62
-3
604
554
50
975
861
114
530
541
-11
10,195
10,558
-363
639
632
7
419
434
-15
3,409
3,484
-75
8,102
7,717
385
355
358
-3
1,821
1,694
127
4,102
3,485
617
183
159
24
1,283
1,116
167
2,383
2,062
321
1,283
1,115
168
183
160
23
164
160
4
317
369
-52
475
482
-7
158
160
-2
466
553
-87
149
184
-35
298
370
-72
291
370
-79
434
555
-121
577
740
-163
144
173
-29
577
742
-165
144
172
-28
1,126
1,117
9
125
124
1
1,438
1,365
73
1,040
1,019
21
130
138
-8
325
350
-25
195
209
-14
325
348
-23
780
837
-57
260
252
8
1,170
1,128
42
715
683
32
1,299
1,397
-98
1,804
1,924
-120
1,299
1,375
-76
955
699
256
532
388
144
107
78
29
428
336
92
428
336
92
227
168
59
6,691
5,124
1,567
174
129
45
165
129
36
54
43
11
382
301
81
383
301
82
451
344
107
283
215
68
284
267
17
57
53
4
170
161
9
283
269
14
37
32
5
240
241
-1
2,398
2,645
-247
480
485
-5
1,199
1,211
-12
240
241
-1
260
241
19
27,849
29,094
-1,245
712
686
26
10,101
9,863
238
12,808
12,670
138
7,660
7,837
-177
4,446
4,734
-288
5,646
5,005
641
5,514
5,917
-403
6,748
5,732
1,016
4,180
3,698
482
115
122
-7
4,175
4,153
22
3,958
3,786
172
1,279
1,221
58
2,429
2,245
184
128
125
3
481
443
38
1,869
1,714
155
1,869
1,788
81
361
295
66
60
49
11
1,027
840
187
723
522
201
602
435
167
730
520
210
304
217
87
181
171
10
423
303
120
238
229
9
772
742
30
865
888
-23
385
395
-10
1,923
1,973
-50
96
99
-3
1,731
1,776
-45
504
493
11
715
690
25
101
99
2
111
99
12
3,187
3,940
-753
1,954
1,879
75
1,693
1,648
45
1,433
1,399
34
1,172
1,156
16
260
256
4
150
125
25
155
128
27
597
511
86
149
128
21
297
257
40
446
383
63
35
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
-208
b
-107
c
-199
d
-874
e
-25
-95
-12
-92
-51
-62
-38
-12
-42
-57
-28
-40
-131
896
53
180
120
119
116
114
98
49
97
60
178
10
-14
-29
-58
-26
209
211
71
109
15
62
69
53
24
73
297
81
14
151
109
185
119
26
27
94
-69
-130
-19
-13
-80
-46
-56
-158
-112
-12
-7
-9
-271
64
395
117
124
72
51
237
23
47
32
286
57
171
113
284
113
227
308
210
458
421
346
136
173
42
190
48
189
-401
136
434
-40
-11
-130
-63
-39
-27
-203
-114
-162
-68
-117
1
-9
7
10
4
18
13
6
206
1,761
230
256
15
32
312
124
8
65
12
104
58
327
13
-29
-23
-15
-16
54
130
50
240
31
95
69
57
56
109
85
149
-497
94
86
100
73
609
77
51
102
126
152
66
59
82
28
16
17
18
11
32
81
85
140
261
30
16
81
61
13
-21
90
-165
-60
-73
-22
-79
-72
-57
-56
-25
-13
10
545
1
4
23
93
4
11
1
-7
147
-343
433
164
-127
-313
-63
2,276
-16
51
2
1
6
10
16
77
21
-32
-218
-8
1
22
-94
-70
918
14
31
32
16
176
-170
1,134
162
53
297
81
630
684
47
269
143
204
20
125
27
320
-798
-198
326
176
-970
-1,489
1
-3
-72
35
91
33
43
109
115
23
31
74
766
30
22
8
15
-12
-25
24
21
38
4
9
9
10
29
6
11
17
613
185
49
19
5
19
4
3
42,829
-3
50
114
-11
-363
7
-15
-75
385
-3
127
617
24
167
321
168
23
4
-52
-7
-2
-87
-35
-72
-79
-121
-163
-29
-165
-28
9
1
73
21
-8
-25
-14
-23
-57
8
42
32
-98
-120
-76
256
144
29
92
92
59
1,567
45
36
11
81
82
107
68
17
4
9
14
5
-1
-247
-5
-12
-1
19
-1,245
26
238
138
-177
-288
641
-403
1,016
482
-7
22
172
58
184
3
38
155
81
66
11
187
201
167
210
87
10
120
9
30
-23
-10
-50
-3
-45
11
25
2
12
-753
75
45
34
16
4
25
27
86
21
40
63
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
67,805
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
54,494
1,071,998
0.050834
2017
62,692
1,091,154
0.057455
2016
58,306
1,062,418
0.05488
2015
79,338
1,135,134
0.069893
2014
58,515
1,196,246
0.048916
2
Total
of line 1, column (d)
.....................
2
0.281978
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
0.056396
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,076,123
5
Multiply line 4 by line 3
......................
5
60,689
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
869
7
Add lines 5 and 6
........................
7
61,558
8
Enter qualifying distributions from Part XII, line 4
,.............
8
55,294
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
1,738
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
1,738
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
1,738
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
672
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
7
Total credits and payments. Add lines 6a through 6d
..............
7
672
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
1,066
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
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.
$
(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)
CA
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
BANK OF AMERICA NA
Telephone no.
(888) 866-3275
Located at
114 WEST 47TH STREET NY8-114-07-07
NEW YORK
NY
ZIP+4
100361510
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
DON BILSON
TRUSTEE
4
4,000
25 PLAZA ST W
BROOKLYN
,
NY
11217
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
.........................
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
1,039,257
b
Average of monthly cash balances
.......................
1b
53,254
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,092,511
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
1,092,511
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
16,388
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,076,123
6
Minimum investment return.
Enter 5% of line 5
..................
6
53,806
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
53,806
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,738
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,738
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
52,068
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
52,068
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
52,068
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
55,294
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
55,294
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
55,294
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
52,068
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
......
10,585
b
From 2015
......
22,845
c
From 2016
......
5,420
d
From 2017
......
8,493
e
From 2018
......
1,563
f
Total
of lines 3a through e
........
48,906
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
55,294
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
.....
52,068
e
Remaining amount distributed out of corpus
3,226
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
52,132
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)
...
10,585
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
41,547
10
Analysis of line 9:
a
Excess from 2015
....
22,845
b
Excess from 2016
....
5,420
c
Excess from 2017
....
8,493
d
Excess from 2018
....
1,563
e
Excess from 2019
....
3,226
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 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
AMERICAN SOCIETY FOR SPCA
520 EIGHTH AVE 7TH FLOOR
NEW YORK
,
NY
10018
N/A
PC
UNRESTRICTED GENERAL
5,000
JEWISH FOUNDATIONS OF NORTH
AMERICA INC
25 BROADWAY SUITE 700
NEW YORK
,
NY
10004
N/A
PC
UNRESTRICTED GENERAL
3,000
UNITED WAY WORLDWIDE
701 N FAIRFAX ST
ALEXANDRIA
,
VA
22314
N/A
PC
UNRESTRICTED GENERAL
1,500
MARCH OF DIMES
1275 MAMARONECK AVE
WHITE PLAINS
,
NY
10605
N/A
PC
UNRESTRICTED GENERAL
4,500
HUMANE SOCIETY OF THE US
1255 23RD STREET
WASHINGTON
,
DC
20037
N/A
PC
UNRESTRICTED GENERAL
500
NATIONAL JEWISH HOSPITAL
1400 JACKSON STREET
DENVER
,
CO
80206
N/A
PC
UNRESTRICTED GENERAL
3,500
UNIVERSITY OF COLORADO
CANCER CENTER FUND
1800 N GRANT ST STE 725
DENVER
,
CO
80203
N/A
PC
UNRESTRICTED GENERAL
3,000
BRAILLE INSTITUTE OF AMERICA
741 NORTH VERMONT AVE
LOS ANGELES
,
CA
90029
N/A
PC
UNRESTRICTED GENERAL
4,000
BREATHE CALIFORNIA OF LA
5858 WILSHIRE BLVD STE 300
LOS ANGELES
,
CA
90036
N/A
PC
UNRESTRICTED GENERAL
3,500
CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BLVD
W HOLLYWOOD
,
CA
90048
N/A
PC
UNRESTRICTED GENERAL
2,500
JEWISH ORPHANS HOME
3200 MOTOR AVE
LOS ANGELES
,
CA
90034
N/A
PC
UNRESTRICTED GENERAL
5,000
CITY OF HOPE
1500 E DUARTE RD
DUARTE
,
CA
91010
N/A
PC
UNRESTRICTED GENERAL
3,500
MY STUFF BAGS FOUNDATION
5347 STERLING CENTER DRIVE
WESTLAKE VILLAGE
,
CA
91361
N/A
PC
UNRESTRICTED GENERAL
4,500
Total
.................................
3a
44,000
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
...........
4
Dividends and interest from securities
....
14
30,794
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
67,805
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)
..
98,599
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
98,599
(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