-
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
ALLONE FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
83 E UNION STREET
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILKESBARRE
,
PA
18701
A Employer identification number
30-0892103
B
Telephone number (see instructions)
(570) 208-1200
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)
$
106,390,126
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
149,002
149,002
4
Dividends and interest from securities
...
2,570,573
2,570,573
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
627,243
b
Gross sales price for all assets on line 6a
18,991,360
7
Capital gain net income (from Part IV, line 2)
...
627,243
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
........
3,346,818
3,346,818
13
Compensation of officers, directors, trustees, etc.
105,951
105,378
14
Other employee salaries and wages
......
90,035
89,446
15
Pension plans, employee benefits
.......
59,797
59,797
16a
Legal fees (attach schedule)
.........
882
1,649
b
Accounting fees (attach schedule)
.......
24,400
23,850
c
Other professional fees (attach schedule)
....
99,167
99,167
99,167
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
416,139
15,348
19
Depreciation (attach schedule) and depletion
...
6,805
6,805
20
Occupancy
..............
38,872
38,388
21
Travel, conferences, and meetings
.......
4,769
4,812
22
Printing and publications
..........
19,541
19,357
23
Other expenses (attach schedule)
.......
42,754
43,950
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
909,112
99,167
6,805
501,142
25
Contributions, gifts, grants paid
.......
4,208,413
4,208,413
26
Total expenses and disbursements.
Add lines 24 and 25
5,117,525
99,167
6,805
4,709,555
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-1,770,707
b
Net investment income
(if negative, enter -0-)
3,247,651
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
.............
291,819
463,873
463,873
2
Savings and temporary cash investments
.........
458,437
26,871
26,871
3
Accounts receivable
12,187
Less: allowance for doubtful accounts
3,402
12,187
12,187
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
..........
21,784
38,775
38,775
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
90,276,855
105,818,283
105,818,283
14
Land, buildings, and equipment: basis
46,774
Less: accumulated depreciation (attach schedule)
22,199
6,086
24,575
24,575
15
Other assets (describe
)
8,595
5,562
5,562
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
91,066,978
106,390,126
106,390,126
17
Accounts payable and accrued expenses
..........
115,306
416,844
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)
.........
115,306
416,844
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
90,951,672
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)
.....
90,951,672
105,973,282
30
Total liabilities and net assets/fund balances
(see instructions)
.
91,066,978
106,390,126
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
90,951,672
2
Enter amount from Part I, line 27a
.....................
2
-1,770,707
3
Other increases not included in line 2 (itemize)
3
16,792,317
4
Add lines 1, 2, and 3
..........................
4
105,973,282
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
105,973,282
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
326.771 VANGUARD REAL ESTATE INDEX FUND
P
2019-02-26
2019-05-30
b
136.91 VANGUARD REAL ESTATE INDEX FUND
P
2019-02-26
2019-06-17
c
1562.866 VANGUARD REAL ESTATE INDEX FUND
P
2019-02-26
2019-08-15
d
5924.537 VANGUARD TOTAL BOND MARKET INDEX
P
2015-09-01
2019-01-16
e
1193.512 VANGUARD TOTAL BOND MARKET INDEX
P
2015-09-01
2019-02-12
1223.904 VANGUARD TOTAL BOND MARKET INDEX
P
2015-09-01
2019-05-07
1717.888 VANGUARD TOTAL BOND MARKET INDEX
P
2015-09-01
2019-05-30
1189.252 VANGUARD TOTAL BOND MARKET INDEX
P
2015-09-01
2019-08-08
50938.338 VANGUARD TOTAL BOND MARKET INDEX
P
2015-09-01
2019-08-15
1170.492 VANGUARD TOTAL BOND MARKET INDEX
P
2015-09-01
2019-10-03
459.559 VANGUARD TOTAL INTERNATIONAL BOND INDEX
P
2015-09-01
2019-01-16
591.716 VANGUARD TOTAL INTERNATIONAL BOND INDEX
P
2015-09-01
2019-05-30
7271.702 VANGUARD TOTAL INTERNATIONAL BOND INDEX
P
2015-09-01
2019-08-15
936.464 VANGUARD TOTAL STOCK MARKET INDEX FUND
P
2015-09-01
2019-05-30
8924.836 VANGUARD TOTAL STOCK MARKET INDEX FUND
P
2015-09-01
2019-06-17
8109.333 VANGUARD TOTAL STOCK MARKET INDEX FUND
P
2015-09-01
2019-08-15
10328.346 VANGUARD TOTAL STOCK MARKET INDEX FUND
P
2018-01-01
2019-11-27
378 AT&T
P
2018-08-07
2019-02-01
749 KINDER MORGAN INC
P
2018-11-28
2019-02-01
93 MICROSOFT CORP
P
2018-04-04
2019-02-01
134 SCHLUMBERGER
P
2018-04-03
2019-02-01
2429 SCHWAB EMERGING MARKETS
P
2019-07-29
2019-08-28
29 SCHWAB INTERNATIONAL
P
2018-06-01
2019-02-01
7755 SCHWAB INTERNATIONAL
P
2018-09-06
2019-08-28
25 SCHWAB US LARGE CAP
P
2018-09-06
2019-02-01
547 SCHWAB US LARGE CAP
P
2018-09-06
2019-08-28
8904 SCHWAB US SMALL CAP
P
2018-05-10
2019-01-10
4606 SCHWAB US SMALL CAP
P
2018-05-10
2019-01-15
45885 SPDR S&P 600 SMALL CAP
P
2019-05-23
2019-05-23
928 SPDR S&P 600 SMALL CAP
P
2019-05-23
2019-08-28
1778 SPDR S&P 600 SMALL CAP
P
2019-05-23
2019-09-16
250000 US TREASURY NOTE 1.125%
P
2019-03-29
2019-12-02
250000 US TREASURY NOTE 1.375%
P
2019-02-27
2019-05-24
45000 US TREASURY NOTE 2.625%
P
2019-05-30
2019-12-02
130000 US TREASURY NOTE 2.625%
P
2019-06-27
2019-12-02
800000 US TREASURY NOTE 3.375%
P
2019-02-26
2019-05-24
200000 US TREASURY NOTE 3.375%
P
2019-02-26
2019-08-15
150000 US TREASURY NOTE 3.375%
P
2019-06-28
2019-08-15
450000 US TREASURY NOTE 3.375%
P
2019-08-30
2019-11-15
925000 US TREASURY NOTE 1.75%
P
2019-02-01
2019-05-24
580000 US TREASURY NOTE 1.75%
P
2019-02-26
2019-05-24
870000 US TREASURY NOTE 2.75%
P
2019-01-11
2019-02-15
610000 US TREASURY NOTE 2.75%
P
2019-02-01
2019-02-15
146 ABBOTT LABORATORIES
P
2017-02-16
2019-02-01
167 ABBVIE INC
P
2017-02-16
2019-02-01
114 AMGEN INC
P
2017-11-09
2019-02-01
142 AMGEN INC
P
2017-11-09
2019-08-28
220000 BANK OF AMERICA
P
2017-09-18
2019-06-12
45000 BANK OF AMERICA
P
2018-01-03
2019-06-12
146 BANK OF MONTREAL
P
2017-02-16
2019-02-01
441 BANK OF MONTREAL
P
2017-02-16
2019-08-28
543 BP PLC
P
2017-11-09
2019-02-01
5270 CHARLES SCHWAB US MC
P
2017-02-16
2019-01-15
5685 CHARLES SCHWAB US MC
P
2017-02-16
2019-01-15
5179 CHARLES SCHWAB US MC
P
2017-02-16
2019-01-18
5990 CHARLES SCHWAB US MC
P
2017-02-16
2019-07-29
2170 CHARLES SCHWAB US MC
P
2017-02-16
2019-08-28
2217 CHARLES SCHWAB US MC
P
2017-02-16
2019-09-16
820 CHARLES SCHWAB US REIT
P
2017-02-16
2019-02-01
72 CHUBB
P
2017-02-16
2019-02-01
190 CHUBB
P
2017-02-16
2019-08-28
521 CISCO SYSTEMS
P
2017-11-09
2019-02-01
182 EMERSON ELECTRIC
P
2017-02-16
2019-02-01
230 EXXON MOBIL
P
2017-11-09
2019-02-01
115 EXXON MOBIL
P
2017-02-16
2019-08-28
325 EXXON MOBIL
P
2017-11-09
2019-08-28
500000 FEDERAL HOME LOAN 3.75%
P
2017-07-31
2019-03-27
150000 FEDERAL HOME LOAN 2.5%
P
2017-02-28
2019-04-28
100000 FHLB 2%
P
2017-04-06
2019-08-23
481 GENERAL MILLS
P
2017-02-16
2019-02-01
165000 GOLDMAN SACHS CAP
P
2018-01-03
2019-01-09
88 HONEYWELL
P
2017-02-16
2019-02-01
217 INTEL
P
2017-02-16
2019-02-01
174 J P MORGAN CHASE & CO
P
2017-02-16
2019-02-01
88 JOHNSON & JOHNSON
P
2017-02-16
2019-02-01
228 JOHNSON & JOHNSON
P
2017-02-16
2019-08-28
49000 JPMORGAN CHASE & VAR
P
2017-02-23
2019-10-30
72 KIMBERLY-CLARK CORP
P
2017-02-16
2019-02-01
183 KRAFT HEINZ CO
P
2017-02-16
2019-02-01
2187 KRAFT HEINZ CO
P
2017-02-16
2019-02-26
711 KRAFT HEINZ CO
P
2017-11-09
2019-02-26
252 LEGGETT & PLATT
P
2017-02-16
2019-02-01
43 LOCKHEED MARTIN
P
2017-02-16
2019-02-01
76 M & T BANK CORP
P
2017-02-16
2019-02-01
205 M & T BANK CORP
P
2017-02-16
2019-08-28
95 MCDONALDS
P
2017-02-16
2019-02-01
146 MERCK & CO
P
2017-02-16
2019-02-01
217 MICROSOFT
P
2018-04-04
2019-08-28
72 NORFOLK SOUTHERN
P
2017-02-16
2019-02-01
251 NUCOR CORP
P
2017-02-16
2019-02-01
254 PFIZER INC
P
2017-02-16
2019-02-01
94 PNC FINL SERVICES
P
2017-02-16
2019-02-01
339 PPL
P
2017-11-09
2019-02-01
251 PPL
P
2017-02-16
2019-08-28
749 PPL
P
2017-11-09
2019-08-28
131 PROCTOR & GAMBLE
P
2017-02-16
2019-02-01
244 PROCTOR & GAMBLE
P
2017-02-16
2019-08-28
189 QUALCOMM
P
2017-02-16
2019-02-01
399 QUALCOMM
P
2017-02-16
2019-08-28
217 ROCHE HLDG
P
2017-02-16
2019-02-01
4381 ROCHE HLDG
P
2017-02-16
2019-08-16
3039 SCHLUMBERGER
P
2018-04-03
2019-11-20
4414 SCHWAB US LARGE CAP
P
2018-09-06
2019-09-16
4311 SCHWAB US SMALL CAP
P
2017-02-16
2019-01-15
10 SCHWAB US SMALL CAP
P
2017-02-16
2019-02-01
16945 SCHWAB US SMALL CAP
P
2017-02-16
2019-05-23
384 THE COCA COLA CO
P
2017-11-09
2019-02-01
539 THE COCA COLA CO
P
2017-11-09
2019-08-28
490000 US TREASURY NOTE 1.375%
P
2017-11-09
2019-05-24
146 WAL-MART STORES
P
2017-02-16
2019-02-01
146 WASTE MANAGEMENT
P
2017-02-16
2019-02-01
609 WASTE MANAGEMENT
P
2017-02-16
2019-08-16
371 WELLS FARGO BANK NA
P
2017-02-16
2019-02-01
(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
40,000
35,804
4,196
b
17,594
15,001
2,593
c
200,000
171,427
28,573
d
61,852
64,054
-2,202
e
12,556
12,903
-347
13,071
13,230
-159
18,519
18,570
-51
13,189
12,856
333
570,000
550,653
19,347
13,098
12,655
443
15,000
15,008
-8
20,000
19,325
675
258,000
237,519
20,481
65,000
49,543
15,457
640,000
472,778
167,222
573,006
429,578
143,428
807,986
548,135
259,851
11,342
12,231
-889
13,658
12,613
1,045
9,540
8,283
1,257
5,962
8,576
-2,614
58,781
63,810
-5,029
880
1,014
-134
235,211
252,037
-16,826
1,324
1,407
-83
29,459
30,785
-1,326
578,308
643,848
-65,540
298,465
333,060
-34,595
2,965,486
2,961,877
3,609
58,888
59,902
-1,014
124,069
114,770
9,299
249,551
249,012
539
246,582
245,274
1,308
45,381
45,192
189
131,102
130,952
150
803,448
803,150
298
200,664
200,409
255
150,498
150,480
18
450,000
450,000
915,533
905,820
9,713
574,064
568,349
5,715
870,000
870,000
610,000
610,000
10,519
6,418
4,101
13,385
10,242
3,143
21,269
19,775
1,494
29,589
24,633
4,956
219,010
225,775
-6,765
44,798
46,305
-1,507
10,713
11,353
-640
29,635
34,292
-4,657
22,385
22,114
271
267,502
249,695
17,807
289,496
269,358
20,138
269,129
245,384
23,745
347,593
283,809
63,784
117,715
102,816
14,899
127,599
105,043
22,556
34,738
33,804
934
9,566
9,718
-152
29,441
25,644
3,797
24,578
17,740
6,838
12,084
11,393
691
17,367
19,312
-1,945
7,753
9,532
-1,779
21,911
27,289
-5,378
500,000
500,000
150,000
149,775
225
100,000
99,675
325
21,169
29,745
-8,576
118,594
147,469
-28,875
12,777
10,440
2,337
10,492
7,866
2,626
18,064
15,677
2,387
11,802
10,363
1,439
29,318
26,851
2,467
49,000
51,144
-2,144
8,065
8,986
-921
8,715
15,955
-7,240
73,552
190,677
-117,125
23,912
56,637
-32,725
10,290
12,175
-1,885
12,451
11,358
1,093
12,432
12,722
-290
29,362
34,317
-4,955
16,801
12,014
4,787
11,171
9,471
1,700
29,004
19,328
9,676
12,159
8,792
3,367
15,457
15,945
-488
10,868
8,592
2,276
11,554
11,906
-352
10,509
12,477
-1,968
7,320
8,959
-1,639
21,844
27,567
-5,723
12,722
11,929
793
29,313
22,218
7,095
9,381
10,393
-1,012
29,152
21,941
7,211
7,163
6,618
545
151,920
133,620
18,300
106,822
194,490
-87,668
253,005
248,420
4,585
279,349
274,301
5,048
681
636
45
1,160,709
1,078,180
82,529
18,688
17,737
951
29,357
24,896
4,461
483,301
483,636
-335
13,655
10,065
3,590
13,904
10,322
3,582
72,575
43,055
29,520
18,139
21,443
-3,304
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
4,196
b
2,593
c
28,573
d
-2,202
e
-347
-159
-51
333
19,347
443
-8
675
20,481
15,457
167,222
143,428
259,851
-889
1,045
1,257
-2,614
-5,029
-134
-16,826
-83
-1,326
-65,540
-34,595
3,609
-1,014
9,299
539
1,308
189
150
298
255
18
9,713
5,715
4,101
3,143
1,494
4,956
-6,765
-1,507
-640
-4,657
271
17,807
20,138
23,745
63,784
14,899
22,556
934
-152
3,797
6,838
691
-1,945
-1,779
-5,378
225
325
-8,576
-28,875
2,337
2,626
2,387
1,439
2,467
-2,144
-921
-7,240
-117,125
-32,725
-1,885
1,093
-290
-4,955
4,787
1,700
9,676
3,367
-488
2,276
-352
-1,968
-1,639
-5,723
793
7,095
-1,012
7,211
545
18,300
-87,668
4,585
5,048
45
82,529
951
4,461
-335
3,590
3,582
29,520
-3,304
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
627,243
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
4,091,710
100,378,901
0.04076
2017
1,720,441
92,056,542
0.01869
2016
2,473,441
59,582,089
0.04151
2015
224,493
32,035,545
0.00701
2014
251,519
45,140
5.57198
2
Total
of line 1, column (d)
.....................
2
5.679949
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
1.135990
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
99,900,782
5
Multiply line 4 by line 3
......................
5
113,486,289
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
32,477
7
Add lines 5 and 6
........................
7
113,518,766
8
Enter qualifying distributions from Part XII, line 4
,.............
8
4,709,555
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
64,953
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
3
Add lines 1 and 2
...........................
3
64,953
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
64,953
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
84,960
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
84,960
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
20,007
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
20,007
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
PA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
WWW.ALLONEFOUNDATIONS.ORG
14
The books are in care of
EXECUTIVE DIRECTOR
Telephone no.
(570) 208-1200
Located at
83 E UNION STREET
WILKESBARRE
PA
ZIP+4
18701
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
JOHN COSGROVE
Executive Dir.
40.00
107,299
3,695
83 E UNION STREET
WILKESBARRE
,
PA
18701
JOHN P MOSES ESQUIRE
Chairman
5.00
0
120 S FRANKLIN ST
WILKESBARRE
,
PA
18701
FRANK E APOSTOLICO
Treasurer
1.00
0
538 SPRUCE ST
SCRANTON
,
PA
18503
PAUL J CANEVARI
Secretary
1.00
0
1059 HIDEAWAY HILL RD
KUNKLETOWN
,
PA
18058
PETER DANCHAK
Director
1.00
0
201 PENN AVE
SCRANTON
,
PA
18503
LOUIS A DENAPLES
Director
1.00
0
400 MILL ST
DUNMORE
,
PA
18512
BART E ECKER ESQUIRE
Director
1.00
0
145 COUNTRY CLUB LANE
SUGARLOAF
,
PA
18249
JOHN J GRAHAM
Director
1.00
0
135 HIGHLAND AVENUE
SHAVERTOWN
,
PA
18708
JUDITH O GRAZIANO
Director
1.00
0
201 SALLY DR
S ABINGTON TWP
,
PA
18411
ALAN S HOLLANDER ESQUIRE
Secretary
1.00
0
15 SFRANKLIN ST
WILKESBARRE
,
PA
18711
GARY F LAMONT
Director
1.00
0
BOX 702 SR 93
CONYNGHAM
,
PA
18219
RICHARD K MANGAN
Director
1.00
0
1401 VERNE CLOSE
MOOSIC
,
PA
18507
JOHN D MCCARTHY JR
Director
1.00
0
340 KIDDER ST
WILKESBARRE
,
PA
18702
JOHN J MENAPACE
Director
1.00
0
1012 WOODLAND WAY
CLARKS SUMMIT
,
PA
18411
PAUL H ROONEY JR
Director
1.00
0
1538 GRAMPIAN BLVD
WILLIAMSPORT
,
PA
17701
RHEA P SIMMS
Director
1.00
0
1755 N MEMORIAL HIGHWAY
SHAVERTOWN
,
PA
18708
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
THE FOUNDATION IS OPERATED TO PROVIDE GRANTS TO IRC 501(C)(3) OPERATING EXEMPT ORGANIZATIONS
4,709,555
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
100,185,404
b
Average of monthly cash balances
.......................
1b
1,236,710
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
101,422,114
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
3
Subtract line 2 from line 1d
.........................
3
101,422,114
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,521,332
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
99,900,782
6
Minimum investment return.
Enter 5% of line 5
..................
6
4,995,039
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
4,995,039
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
64,953
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
64,953
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
4,930,086
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
4,930,086
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
4,930,086
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
4,709,555
b
Program-related investments—total from Part IX-B
..................
1b
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
4,709,555
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
4,709,555
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
4,930,086
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
4,189,237
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
4,709,555
a
Applied to 2018, but not more than line 2a
4,189,237
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
520,318
e
Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2019.
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
4,409,768
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
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:
JOHN COSGROVE EXECUTIVE DIRECTOR
83 E UNION STREET
WILKES BARRE
,
PA
18701
(570) 208-1200
JCOSGROVE@ALLONEFOUNDATIONS.ORG
b
The form in which applications should be submitted and information and materials they should include:
SEE ATTACHED STATEMENT
c
Any submission deadlines:
SUBMISSION DEADLINES VARY DURING THE YEAR PER TIMING OF ORG
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SEE ATTACHMENT
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
GEISINGER COMMONWEALTH SCHOOL OF ME
525 PINE STREET
SCRANTON
,
PA
18509
PUBLIC
FUNDING FOR RECRUITMENT OF 2 PSYCHIATRISTS AND ADMINISTRATIVE SUPPORT TO PROVIDE CLINICAL SERVICES AND OVERSEE TRAINING OF PSYCHIATRY RESIDENTS, MEDICAL STUDENTS AND CLINICIANS
400,000
UNIVERSITY OF SCRANTON
800 LINDEN STREET
SCRANTON
,
PA
18510
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
292,810
ALLIED SERVICES
100 ABINGTON EXECUTIVE PARK
CLARKS SUMMIT
,
PA
18411
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
50,000
NEPA CENTER FOR INDEPENDENT LIVING
1142 SANDERSON AVENUE
SCRANTON
,
PA
18509
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
12,500
GOODWILL INDUSTRIES
925 PROSPECT AVENUE
SCRANTON
,
PA
18505
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
25,000
GEISINGER
100 N ACADEMY AVE
DANVILLE
,
PA
17822
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
153,600
THE ARC OF LUZERNE COUNTY
380 BENNETT STREET
LUZERNE
,
PA
18709
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
12,500
HOPE ENTERPRISES
2401 REACH ROAD
WILLIAMSPORT
,
PA
17701
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
132,810
FRIENDSHIP HOUSE
1509 MAPLE STREET
SCRANTON
,
PA
18505
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
153,600
UNIVERSITY OF SCRANTON
800 LINDEN STREET
SCRANTON
,
PA
18510
PUBLIC
AUTISM COLLABORATIVE CENTERES OF EXCELLENCE BRANDING AND PROGRAM COORDINATION
140,000
GEISINGER
100 N ACADEMY AVE
DANVILLE
,
PA
17822
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE CREDENTIALING
80,000
CLEAR BROOK FOUNDATION
575 PIERCE STREET SUITE 501
KINGSTON
,
PA
18704
PUBLIC
OPIOID ADDICTION SOLUTIONS
400,000
THE WRIGHT CENTER
111 NORTH WASHINGTON AVENUE
SCRANTON
,
PA
18503
PUBLIC
OPIOID ADDICTION SOLUTIONS
250,000
UNITED WAY OF GREATER HAZLETON
134 S WYOMING STREET
HAZLETON
,
PA
18201
PUBLIC
OPIOID ADDICTION SOLUTIONS
50,000
POCONO MOUNTAINS UNITED WAY
301 MCCONNELL STREET
STROUDSBURG
,
PA
18360
PUBLIC
OPIOID ADDICTION SOLUTIONS
234,834
CHILDREN'S SERVICE CENTER
335 S FRANKLIN STREET
WILKES BARRE
,
PA
18702
PUBLIC
OPIOID ADDICTION SOLUTIONS
451,356
PITTSTON MEMORIAL LIBRARY
47 BROAD STREET
PITTSTON
,
PA
18640
PUBLIC
OPIOID ADDICTION SOLUTIONS
45,000
LUZERNE COUNTY COMMUNITY COLLEGE FO
1333 SOUTH PROSPECT STREET
NANTICOKE
,
PA
18634
PUBLIC
OPIOID ADDICTION SOLUTIONS
1,191,593
EAST STROUDSBURG UNIVERSITY FOUNDAT
200 PROSPECT STREET
EAST STROUDSBURG
,
PA
18301
PUBLIC
AUTISM COLLABORATIVE CENTERS OF EXCELLENCE INITIATIVE
132,810
Total
.................................
3a
4,208,413
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
149,002
4
Dividends and interest from securities
....
14
2,570,573
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
627,243
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)
..
3,346,818
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
3,346,818
(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:
19009920
Software Version:
2019v5.0
Form 990PF - Special Condition Description:
Special Condition Description