-
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
REGENERATIVE BIOLOGICS INC
Number and street (or P.O. box number if mail is not delivered to street address)
6241 NW 23 STREET NO 200
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GAINESVILLE
,
FL
326531599
A Employer identification number
59-3280155
B
Telephone number (see instructions)
(352) 248-2114
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)
$
6,072,588
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
...
54,360
54,360
54,360
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
78,245
b
Gross sales price for all assets on line 6a
2,932,846
7
Capital gain net income (from Part IV, line 2)
...
78,245
8
Net short-term capital gain
.........
37,748
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)
.......
8,408,709
4,200
8,408,709
12
Total.
Add lines 1 through 11
........
8,541,314
136,805
8,500,817
13
Compensation of officers, directors, trustees, etc.
492,895
0
492,895
0
14
Other employee salaries and wages
......
1,262,497
0
643,389
629,739
15
Pension plans, employee benefits
.......
320,663
0
173,405
146,357
16a
Legal fees (attach schedule)
.........
9,524
0
9,524
0
b
Accounting fees (attach schedule)
.......
21,874
0
21,874
0
c
Other professional fees (attach schedule)
....
115,792
17,503
98,289
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
162,013
0
66,448
95,565
19
Depreciation (attach schedule) and depletion
...
34,450
0
34,450
20
Occupancy
..............
357,484
0
305,138
52,346
21
Travel, conferences, and meetings
.......
146,899
0
113,884
33,016
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
3,535,713
0
426,454
3,109,259
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
6,459,804
17,503
2,385,750
4,066,282
25
Contributions, gifts, grants paid
.......
0
0
26
Total expenses and disbursements.
Add lines 24 and 25
6,459,804
17,503
2,385,750
4,066,282
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
2,081,510
b
Net investment income
(if negative, enter -0-)
119,302
c
Adjusted net income
(if negative, enter -0-)
...
6,115,067
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
.............
1,061,476
1,664,013
1,664,013
2
Savings and temporary cash investments
.........
3
Accounts receivable
2,074,978
Less: allowance for doubtful accounts
68,547
1,099,219
2,006,431
2,006,431
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
..........
1,525
16,991
16,991
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
1,681,574
2,238,043
2,238,043
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
160,528
Less: accumulated depreciation (attach schedule)
58,089
84,360
102,439
102,439
15
Other assets (describe
)
31,283
44,671
44,671
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
3,959,437
6,072,588
6,072,588
17
Accounts payable and accrued expenses
..........
249,666
166,681
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
)
163,934
137,193
23
Total liabilities
(add lines 17 through 22)
.........
413,600
303,874
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
........
3,545,837
5,768,714
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
0
0
29
Total net assets or fund balances
(see instructions)
.....
3,545,837
5,768,714
30
Total liabilities and net assets/fund balances
(see instructions)
.
3,959,437
6,072,588
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
3,545,837
2
Enter amount from Part I, line 27a
.....................
2
2,081,510
3
Other increases not included in line 2 (itemize)
3
141,367
4
Add lines 1, 2, and 3
..........................
4
5,768,714
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
5,768,714
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
AIR PRODUCTS&CHEM
2018-03-12
2019-01-29
b
AIR PRODUCTS&CHEM
2018-09-12
2019-01-29
c
ASTRAZENECA PLC SPND ADR
2018-10-25
2019-01-29
d
ASTRAZENECA PLC SPND ADR
2019-05-21
2019-07-12
e
AT&T INC
2018-10-22
2019-05-21
AMN ELEC POWER CO
2018-09-12
2019-01-29
AMN ELEC POWER CO
2019-05-21
2019-09-27
AMGEN INC COM
2018-09-12
2019-05-21
AMGEN INC COM
2018-09-25
2019-05-21
AMGEN INC COM
2018-09-12
2019-08-12
AUTOMATIC DATA PROC
2019-05-06
2019-05-21
BB&T CORPORATION
2018-04-29
2019-01-29
BB&T CORPORATION
2018-09-18
2019-01-29
BB&T CORPORATION
2018-10-25
2019-01-29
BOEING COMPANY
2018-01-30
2019-01-29
CARNIVAL CORP PAIRED SHS
2018-09-12
2019-05-21
CARNIVAL CORP PAIRED SHS
2018-10-01
2019-05-21
CHEVRON CORP
2018-10-22
2019-05-21
CHEVRON CORP
2018-10-22
2019-08-12
CME GROUP INC
2019-01-29
2019-05-06
CME GROUP INC
2019-01-29
2019-05-06
CME GROUP INC
2019-01-29
2019-05-06
CROWN CASTLE REIT INC
2019-01-29
2019-11-27
CHUBB LTD
2018-10-25
2019-01-29
CHUBB LTD
2019-05-21
2019-11-27
CISCO SYSTEMS INC COM
2018-01-30
2019-01-29
CISCO SYSTEMS INC COM
2018-09-12
2019-01-29
DIGITAL RLTY TR INC
2019-05-21
2019-11-27
DIGITAL RLTY TR INC
2019-06-11
2019-11-27
DUKE ENERGY CORP NEW
2019-01-29
2019-05-21
EXELON CORPORATION
2019-01-29
2019-05-21
ISHARES 7-10 YEAR
2019-01-02
2019-02-01
ISHARES 7-10 YEAR
2019-01-02
2019-02-01
ISHARES 7-10 YEAR
2019-01-02
2019-02-14
ISHARES 7-10 YEAR
2019-01-02
2019-04-01
ISHARES 7-10 YEAR
2019-01-02
2019-04-01
ISHARES 7-10 YEAR
2019-06-03
2019-06-17
ISHARES 7-10 YEAR
2018-12-03
2019-07-01
ISHARES 7-10 YEAR
2019-01-02
2019-07-01
ISHARES 7-10 YEAR
2019-05-01
2019-07-01
ISHARES 7-10 YEAR
2019-05-14
2019-07-01
ISHARES 7-10 YEAR
2019-06-03
2019-07-01
ISHARES 7-10 YEAR
2019-08-30
2019-12-02
ISHARES 7-10 YEAR
2019-10-15
2019-12-02
ISHARES 7-10 YEAR
2019-08-01
2019-12-13
ISHARES 7-10 YEAR
2019-10-15
2019-12-13
ISHARES 7-10 YEAR
2019-10-15
2019-12-13
ISHARES IBOXX $
2019-04-01
2019-05-01
ISHARES IBOXX $
2019-04-01
2019-06-03
ISHARES IBOXX $
2019-07-01
2019-07-19
ISHARES IBOXX $
2019-07-01
2019-07-19
ISHARES IBOXX $
2019-06-17
2019-08-01
ISHARES IBOXX $
2019-07-01
2019-08-01
ISHARES IBOXX $
2019-07-29
2019-08-30
ISHARES IBOXX $
2019-06-17
2019-10-01
ISHARES IBOXX $
2019-07-29
2019-10-01
ISHARES IBOXX $
2019-06-17
2019-10-15
ISHARES 20+ YEAR
2018-12-04
2019-02-01
ISHARES 20+ YEAR
2018-12-26
2019-02-01
ISHARES 20+ YEAR
2019-04-01
2019-05-01
ISHARES 20+ YEAR
2019-04-01
2019-08-01
ISHARES 20+ YEAR
2019-06-03
2019-08-01
ISHARES 20+ YEAR
2018-12-04
2019-08-01
ISHARES 20+ YEAR
2019-07-01
2019-08-01
ISHARES 20+ YEAR
2018-12-04
2019-08-30
ISHARES 20+ YEAR
2018-12-04
2019-10-15
ISHARES 20+ YEAR
2019-10-01
2019-10-15
VANGUARD REAL ESTATE ETF
2019-04-01
2019-05-01
VANGUARD REAL ESTATE ETF
2019-04-01
2019-06-03
VANGUARD REAL ESTATE ETF
2019-02-01
2019-06-03
INVESCO QQQ TR SER 1
2019-12-13
2019-12-31
INTEL CORP
2018-03-12
2019-01-29
INTEL CORP
2018-09-12
2019-01-29
ISHARES EDGE MSCI
2019-02-01
2019-05-14
ISHARES EDGE MSCI
2019-02-14
2019-05-14
ISHARES EDGE MSCI
2018-12-26
2019-06-03
ISHARES EDGE MSCI
2019-02-01
2019-06-03
ISHARES EDGE MSCI
2019-07-01
2019-12-31
PIMCO ENHANCED SHORT
2018-08-25
2019-01-02
PIMCO ENHANCED SHORT
2018-10-11
2019-01-02
VANECK VECTORS INVT
2018-05-10
2019-04-25
VANECK VECTORS INVT
2018-05-11
2019-04-25
VANECK VECTORS INVT
2018-07-27
2019-04-25
VANGUARD TOTAL INTERNATL
2018-04-30
2019-04-25
VANGUARD TOTAL INTERNATL
2018-07-27
2019-04-25
VANGUARD TOTAL INTERNATL
2019-01-29
2019-04-25
VANGUARD 500 INDEX FUND
2019-07-19
2019-08-01
VANGUARD 500 INDEX FUND
2019-07-19
2019-08-16
SPDR BLOOMBERG BARCLAYS
2018-10-11
2019-01-02
SPDR BLOOMBERG BARCLAYS
2018-11-02
2019-01-02
JPMORGAN CHASE & CO
2019-05-21
2019-08-12
JOHNSON AND JOHNSON COM
2019-01-29
2019-05-21
JOHNSON AND JOHNSON COM
2019-01-29
2019-05-31
MERCK AND CO INC SHS
2019-05-21
2019-08-12
MCDONALDS CORP COM
2018-09-12
2019-05-06
MICROSOFT CORP
2019-01-29
2019-05-21
NEXTERA ENERGY INC SHS
2018-09-12
2019-01-29
NORTHROP GRUMMAN CORP
2018-09-12
2019-01-29
PEPSICO INC
2018-07-27
2019-05-21
ROYAL DUTCH SHEL PLC
2018-09-12
2019-01-29
ROYAL BANK CANADA PV$1
2019-01-29
2019-09-11
ROYAL BANK CANADA PV$1
2019-02-19
2019-09-11
SIMON PROPERTY GROUP DEL
2019-01-29
2019-09-11
SIMON PROPERTY GROUP DEL
2019-05-21
2019-09-11
SIMON PROPERTY GROUP DEL
2019-07-12
2019-09-11
SPDR S&P 500 ETF TRUST
2019-10-01
2019-10-15
SPDR S&P 500 ETF TRUST
2019-10-01
2019-12-31
SPDR S&P 500 ETF TRUST
2019-12-02
2019-12-31
SYSCO CORPORATION
2018-05-02
2019-03-12
SYSCO CORPORATION
2019-01-29
2019-03-12
TRUIST FINL CORP
2019-07-12
2019-12-17
TORONTO DOMINION BANK
2019-02-19
2019-05-06
TORONTO DOMINION BANK
2019-03-06
2019-08-23
TORONTO DOMINION BANK
2019-03-06
2019-09-11
TORONTO DOMINION BANK
2019-03-06
2019-12-11
TORONTO DOMINION BANK
2019-05-21
2019-12-11
VERIZON COMMUNICATNS COM
2018-09-12
2019-01-29
VERIZON COMMUNICATNS COM
2018-09-25
2019-01-29
WALMART INC
2019-01-29
2019-05-21
PGIM TOTAL RET BOND Z
2019-01-29
2019-04-25
PGIM TOTAL RET BOND Z
2019-01-29
2019-04-25
PGIM TOTAL RET BOND Z
2019-01-29
2019-04-25
PIMCO INCOME FUND CL I2
2019-04-25
2019-12-17
PIMCO INCOME FUND CL I2
2019-04-25
2019-12-17
PIMCO INCOME FUND CL I2
2019-04-26
2019-12-17
PIMCO INCOME FUND CL I2
2019-04-26
2019-12-17
PIMCO INCOME FUND CL I2
2019-04-26
2019-12-17
AMN ELEC POWER CO
2015-10-12
2019-01-29
AMN ELEC POWER CO
2014-09-05
2019-09-27
AMN ELEC POWER CO
2015-10-12
2019-09-27
AMN ELEC POWER CO
2015-11-03
2019-09-27
AMGEN INC COM
2018-01-30
2019-08-12
BOEING COMPANY
2018-01-30
2019-02-25
BOEING COMPANY
2018-01-30
2019-04-11
BOEING COMPANY
2018-02-08
2019-04-11
CARNIVAL CORP PAIRED SHS
2016-09-13
2019-05-21
CARNIVAL CORP PAIRED SHS
2016-09-13
2019-06-25
CHUBB LTD
2018-10-25
2019-11-27
COCA COLA COM
2015-10-12
2019-01-29
COCA COLA COM
2015-11-03
2019-01-29
COCA COLA COM
2015-10-12
2019-05-21
COCA COLA COM
2015-10-12
2019-11-15
EXXON MOBIL CORP COM
2018-06-12
2019-08-23
EXELON CORPORATION
2018-05-02
2019-05-21
EXELON CORPORATION
2018-05-02
2019-11-15
EMERSON ELEC CO
2017-06-09
2019-01-29
INTEL CORP
2015-10-09
2019-01-29
INTEL CORP
2015-10-12
2019-01-29
JPMORGAN CHASE & CO
2014-09-05
2019-01-29
JPMORGAN CHASE & CO
2015-10-12
2019-01-29
LOCKHEED MARTIN CORP
2014-09-05
2019-01-29
LOCKHEED MARTIN CORP
2015-10-12
2019-01-29
LOCKHEED MARTIN CORP
2014-09-05
2019-05-21
MCDONALDS CORP COM
2014-10-06
2019-05-21
PEPSICO INC
2018-07-27
2019-09-11
ROYAL DUTCH SHEL PLC
2016-07-26
2019-01-29
SIMON PROPERTY GROUP DEL
2018-05-02
2019-09-11
SIMON PROPERTY GROUP DEL
2018-05-02
2019-11-27
TARGET CORP COM
2018-01-30
2019-09-27
TARGET CORP COM
2018-09-12
2019-09-27
TARGET CORP COM
2018-09-25
2019-09-27
TORONTO DOMINION BANK
2014-09-05
2019-01-29
TORONTO DOMINION BANK
2014-11-07
2019-01-29
TORONTO DOMINION BANK
2015-08-10
2019-01-29
TORONTO DOMINION BANK
2015-10-12
2019-01-29
TORONTO DOMINION BANK
2017-02-22
2019-01-29
TORONTO DOMINION BANK
2017-05-01
2019-01-29
PGIM TOTAL RET BOND Z
2017-09-19
2019-04-25
ACCOUNT 04022
2017-06-29
2019-06-28
CAPITAL GAINS DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
16,796
17,621
-825
b
1,141
1,162
-21
c
20,814
22,136
-1,322
d
10,708
10,091
617
e
1,298
1,309
-11
2,609
2,468
141
5,671
5,195
476
3,395
3,988
-593
1,188
1,458
-270
1,443
1,396
47
21,203
20,848
355
5,529
5,794
-265
2,073
2,060
13
15,550
14,862
688
2,918
2,695
223
4,317
5,117
-800
1,737
2,107
-370
9,127
8,760
367
6,789
6,541
248
3,210
3,256
-46
15,336
15,555
-219
3,210
3,113
97
10,814
9,236
1,578
3,681
3,476
205
5,782
5,558
224
3,810
3,499
311
1,744
1,779
-35
2,777
2,693
84
7,487
7,376
111
19,178
18,787
391
4,067
3,825
242
29,266
29,283
-17
29,682
29,699
-17
74,061
73,884
177
66,921
65,964
957
16,704
16,464
240
72,495
72,206
289
70,645
65,577
5,068
13,472
12,817
655
46,002
44,430
1,572
77,546
75,381
2,165
51,040
50,751
289
22,093
22,694
-601
40,299
40,543
-244
89,927
89,637
290
5,336
5,361
-25
30,902
31,049
-147
14,304
14,195
109
44,119
43,294
825
44,277
44,398
-121
34,754
34,849
-95
17,368
16,945
423
3,499
3,472
27
7,342
7,305
37
40,450
38,767
1,683
38,287
38,575
-288
24,180
23,285
895
2,540
2,490
50
16,809
16,753
56
13,646
13,681
-35
16,471
15,174
1,297
5,130
5,012
118
15,121
13,280
1,841
38,207
37,313
894
9,290
7,470
1,820
7,682
6,521
1,161
15,504
15,872
-368
14,387
14,304
83
13,863
13,870
-7
29,371
27,664
1,707
134,827
131,616
3,211
2,229
2,463
-234
5,295
5,076
219
4,437
4,175
262
59,896
57,578
2,318
4,531
3,903
628
41,551
40,581
970
7,564
6,895
669
26,552
26,715
-163
98,334
98,851
-517
15,000
15,071
-71
46,133
46,354
-221
17,067
17,140
-73
66,783
65,436
1,347
73,968
72,678
1,290
28,852
28,327
525
21,972
22,198
-226
46,917
48,506
-1,589
26,429
26,442
-13
49,291
49,297
-6
11,650
12,072
-422
5,943
5,604
339
13,230
13,163
67
8,305
7,789
516
1,193
988
205
9,261
7,506
1,755
15,534
15,524
10
14,289
15,450
-1,161
2,323
2,056
267
2,940
3,260
-320
5,078
4,889
189
1,172
1,148
24
3,636
4,117
-481
1,581
1,730
-149
3,794
3,897
-103
20,643
20,251
392
6,749
6,163
586
66,528
64,490
2,038
14,459
13,711
748
6,367
5,956
411
3
3
0
20,232
20,316
-84
5,076
5,236
-160
7,666
7,576
90
6,960
7,019
-59
7,181
7,211
-30
1,859
1,923
-64
1,328
1,337
-9
5,764
5,507
257
3
3
0
6
6
0
12,255
12,007
248
258
258
0
82,497
82,565
-68
12
12
0
1
1
0
16,059
16,073
-14
460
345
115
473
269
204
1,134
689
445
1,040
622
418
7,831
7,291
540
2,559
2,021
538
10,293
9,433
860
7,352
6,625
727
5,949
5,143
806
6,017
6,007
10
609
497
112
3,592
3,197
395
331
295
36
2,965
2,566
399
525
421
104
9,758
12,012
-2,254
2,793
2,301
492
12,704
11,423
1,281
15,412
14,701
711
11,565
7,975
3,590
2,183
1,513
670
208
120
88
15,207
9,005
6,202
4,371
2,612
1,759
13,404
9,846
3,558
2,407
1,219
1,188
10,591
4,977
5,614
7,347
6,169
1,178
3,360
3,178
182
2,687
2,691
-4
10,414
10,920
-506
4,163
2,937
1,226
4,803
3,985
818
2,562
2,099
463
13,405
12,743
662
1,112
986
126
3,282
2,395
887
10,568
7,746
2,822
1,891
1,812
79
4,172
3,525
647
103,303
105,181
-1,878
29,025
25,000
4,025
1,162
1,162
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
-825
b
-21
c
-1,322
d
617
e
-11
141
476
-593
-270
47
355
-265
13
688
223
-800
-370
367
248
-46
-219
97
1,578
205
224
311
-35
84
111
391
242
-17
-17
177
957
240
289
5,068
655
1,572
2,165
289
-601
-244
290
-25
-147
109
825
-121
-95
423
27
37
1,683
-288
895
50
56
-35
1,297
118
1,841
894
1,820
1,161
-368
83
-7
1,707
3,211
-234
219
262
2,318
628
970
669
-163
-517
-71
-221
-73
1,347
1,290
525
-226
-1,589
-13
-6
-422
339
67
516
205
1,755
10
-1,161
267
-320
189
24
-481
-149
-103
392
586
2,038
748
411
0
-84
-160
90
-59
-30
-64
-9
257
0
0
248
0
-68
0
0
-14
115
204
445
418
540
538
860
727
806
10
112
395
36
399
104
-2,254
492
1,281
711
3,590
670
88
6,202
1,759
3,558
1,188
5,614
1,178
182
-4
-506
1,226
818
463
662
126
887
2,822
79
647
-1,878
4,025
1,162
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
78,245
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
37,748
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
2017
2016
2015
2014
2
Total
of line 1, column (d)
.....................
2
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
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5
Multiply line 4 by line 3
......................
5
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7
Add lines 5 and 6
........................
7
8
Enter qualifying distributions from Part XII, line 4
,.............
8
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
2,386
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
2,386
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
2,386
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,807
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
1,807
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
579
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
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
FL
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
No
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
Yes
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.DONORCARE.ORG
14
The books are in care of
LAWRENCE HOPKINS
Telephone no.
(352) 248-2114
Located at
6241 NW 23 STREET
GAINESVILLE
FL
ZIP+4
32653
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
LAWRENCE HOPKINS
PRESIDENT & CEO
40.00
492,895
0
0
6241 NW 23 STREET SUITE 400
GAINESVILLE
,
FL
32653
ROBERT LANZILOTTI
TRUSTEE
15.00
20,000
0
0
6241 NW 23 STREET SUITE 400
GAINESVILLE
,
FL
32653
JACK BOVAY
TRUSTEE
15.00
20,000
0
0
6241 NW 23 STREET SUITE 400
GAINESVILLE
,
FL
32653
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
SANDY MCCANN
DIRECTOR OF OPERATIO
40.00
154,231
10,481
0
6241 NW 23RD ST
GAINESVILLE
,
FL
32653
WILLIAM CASSARLY
DIRECTOR
40.00
113,923
13,671
0
6241 NW 23RD ST
GAINESVILLE
,
FL
32653
FAITH CASE
DIRECTOR OF QUALITY
40.00
90,077
5,134
0
6241 NW 23RD ST
GAINESVILLE
,
FL
32653
JESSICA GARDNER
DIRECTOR
40.00
91,279
3,719
0
6241 NW 23RD ST
GAINESVILLE
,
FL
32653
ELIZABETH FRIED
DIRECTOR OF FINANCE
40.00
79,692
4,782
0
6241 NW 23RD ST
GAINESVILLE
,
FL
32653
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
THE ORGANIZATION RECOVERS HUMAN TISSUES AND PROVIDES THEM TO LEADING TISSUE PROCESSING COMPANIES.
4,124,571
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
1,959,808
b
Average of monthly cash balances
.......................
1b
1,348,040
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
3,307,848
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
3,307,848
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
49,618
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
3,258,230
6
Minimum investment return.
Enter 5% of line 5
..................
6
162,912
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
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
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
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
4,066,282
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
73,636
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
4,139,918
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
4,139,918
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
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
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:
$
a
Applied to 2018, but not more than line 2a
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
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
..........
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
162,912
123,340
105,627
145,413
537,292
b
85% of line 2a
.........
138,475
104,839
89,783
123,601
456,698
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
4,139,918
2,771,896
2,104,397
2,460,761
11,476,972
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
0
0
0
0
0
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
4,139,918
2,771,896
2,104,397
2,460,761
11,476,972
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
6,097,582
3,298,155
2,964,450
2,806,185
15,166,372
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
6,097,582
3,298,155
2,964,450
2,806,185
15,166,372
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
0
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)
....
0
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
0
(3)
Largest amount of support
from an exempt organization
0
(4)
Gross investment income
0
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
Total
.................................
3a
0
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
TISSUE RECOVERY FEES
541700
8,404,509
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
54,360
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
.....
531390
4,200
8
Gain or (loss) from sales of assets other than
inventory
............
14
1,162
77,083
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)
..
4,200
55,522
8,481,592
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
8,541,314
(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.)
1A
FEES ARE RELATED TO RECOVERY OF DONOR TISSUE
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