-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE CHUBB FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
510 WALNUT STREET WB12A
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PHILADELPHIA
,
PA
19106
A Employer identification number
22-6058567
B
Telephone number (see instructions)
(215) 640-1000
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)
$
32,640,910
J
Accounting method:
Cash
Accrual
Other (specify)
Modified Cash
(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
...
61,781
61,781
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
456,963
b
Gross sales price for all assets on line 6a
1,917,387
7
Capital gain net income (from Part IV, line 2)
...
456,963
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
........
518,744
518,744
13
Compensation of officers, directors, trustees, etc.
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
27,500
27,500
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
123,912
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
94,327
68,881
25,446
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
245,739
68,881
52,946
25
Contributions, gifts, grants paid
.......
1,257,250
1,257,250
26
Total expenses and disbursements.
Add lines 24 and 25
1,502,989
68,881
1,310,196
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-984,245
b
Net investment income
(if negative, enter -0-)
449,863
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
.............
43,572
365,963
365,963
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
1,249,719
1,000,000
1,029,890
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
27,582,279
26,525,362
31,245,057
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
28,875,570
27,891,325
32,640,910
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
28,875,570
27,891,325
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)
.....
28,875,570
27,891,325
30
Total liabilities and net assets/fund balances
(see instructions)
.
28,875,570
27,891,325
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
28,875,570
2
Enter amount from Part I, line 27a
.....................
2
-984,245
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
27,891,325
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
27,891,325
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
CTF CORE BOND
P
2016-01-01
2019-01-31
b
CTF CORE BOND
P
2016-01-01
2019-04-30
c
CTF CORE BOND
P
2016-01-01
2019-07-22
d
CTF CORE BOND
P
2016-01-01
2019-07-31
e
CTF CORE BOND
P
2016-01-01
2019-10-31
CTF CORE BOND
P
2016-01-01
2019-11-08
CTF CORE BOND
P
2016-01-01
2019-01-31
CTF INTERNATIONAL QUALITY GROWTH
P
2016-01-01
2019-03-12
CTF INTERNATIONAL QUALITY GROWTH
P
2016-01-01
2019-04-30
CTF INTERNATIONAL QUALITY GROWTH
P
2016-01-01
2019-07-31
CTF INTERNATIONAL QUALITY GROWTH
P
2016-01-01
2019-10-31
MUTUAL FUND GAIN
P
2016-01-01
2019-12-31
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
5,894
5,828
66
b
6,082
5,932
150
c
700,000
668,657
31,343
d
6,479
6,195
284
e
6,763
6,368
395
625,000
594,392
30,608
9,970
11,107
-1,137
120,000
128,377
-8,377
10,453
10,614
-161
11,142
11,056
86
12,100
11,898
202
403,504
403,504
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
66
b
150
c
31,343
d
284
e
395
30,608
-1,137
-8,377
-161
86
202
403,504
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
456,963
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
1,212,650
28,780,739
000000.042134
2017
1,200,700
29,101,517
000000.041259
2016
1,272,389
26,305,588
000000.048370
2015
1,139,444
24,732,956
000000.046070
2014
1,075,150
23,090,140
000000.046563
2
Total
of line 1, column (d)
.....................
2
000000.224396
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
000000.044879
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
30,922,239
5
Multiply line 4 by line 3
......................
5
1,387,759
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
4,499
7
Add lines 5 and 6
........................
7
1,392,258
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,310,196
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
8,997
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
8,997
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
8,997
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
9,353
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
9,353
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
34
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
322
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
322
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
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
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)
NJ
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
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
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
No
Website address
www.chubb.com
14
The books are in care of
Rebecca Crunk
Telephone no.
(215) 640-1000
Located at
436 Walnut Street 6th Floor
Philadelphia
PA
ZIP+4
19106
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
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
No
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
No
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
Tammie Vosburg
Trustee
001.00
0
1412 Washington St
Helllertown
,
PA
18055
Kevin F Murphy
Vice President
001.00
0
103 Eisenhower Parkway 401
Roseland
,
NJ
07068
Marci Leveillee
Secretary
005.00
0
436 Walnut St
Philadelphia
,
PA
19106
Rebecca Crunk
Trustee
001.00
0
436 Walnut St
Philadelphia
,
PA
19106
Pamela Lopata
Chair
001.00
0
202A Halls Mill Rd
Whitehouse Station
,
NJ
08889
Sean Corridon
Trustee
001.00
0
1133 Avenue of the Americas
New York City
,
NY
10036
Lori Dunstan
Trustee
001.00
0
436 Walnut St
Philadelphia
,
PA
19106
Gary Woodring
Trustee
001.00
0
6 Sun Valley Way
Long Valley
,
NJ
07853
Leslie Kallenbach
Trustee
001.00
0
202A Halls Mill Rd
Whitehouse Station
,
NJ
08889
Tim Cressman
TreasurerTerm Expires 2020
002.00
0
436 Walnut St
Philadelphia
,
PA
19106
Beverly Luehs
President
001.00
0
19 Oakley Avenue
Summit
,
NJ
07901
Marci Leveillee
Secretary
005.00
0
436 Walnut St
Philadelphia
,
PA
19106
Tammie Vosburg
Trustee
001.00
0
1412 Washington St
Hellertown
,
PA
18055
Kevin F Murphy
Trustee
001.00
0
103 Eisenhower Parkway Suite 401
Roseland
,
NJ
07068
Rebecca Crunk
Trustee
001.00
0
436 Walnut St
Philadelphia
,
PA
19106
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
Total
number of other employees paid over $50,000
...................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
Wellington Management Company LLP
Investment Advisory
68,881
280 Congress St
Boston
,
MA
02210
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
See attached "Schedule of Student Awards and Grants"
0
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
31,315,963
b
Average of monthly cash balances
.......................
1b
77,173
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
31,393,136
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
3
Subtract line 2 from line 1d
.........................
3
31,393,136
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
470,897
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
30,922,239
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,546,112
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
1,546,112
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
8,997
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
8,997
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,537,115
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
1,537,115
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
1,537,115
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
1,310,196
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
1,310,196
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
1,310,196
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
1,537,115
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
119,540
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:
$
1,310,196
a
Applied to 2018, but not more than line 2a
119,540
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
.....
1,190,656
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
..........
346,459
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).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
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:
REBECCA CRUNK
436 WALNUT ST 6TH FLOOR
PHILADELPHIA
,
PA
19106
(215) 640-1245
rebecca.crunkchubb.com
b
The form in which applications should be submitted and information and materials they should include:
Sewe Proposal Guidlines https//programs.applyists.com/chubb/
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
NONE
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
Gina Abitante
312 Tallwood Lane
Green Brook
,
NJ
08812
Scholarship Award
11,500
Akhil Agarwal
22 Champions Circle
Branchburg
,
NJ
08876
Scholarship Award
3,000
Kunal Agarwal
22 Champions Circle
Branchburg
,
NJ
08876
Scholarship Award
3,000
Shahnoor Ahmed
HOUSE No 50 II LANE 15 PHASE 7
KARACHI
PK
Scholarship Award
9,500
Jason Aldave
62 Highland St
West Hartford
,
CT
06119
Scholarship Award
4,000
Zachary Aldave
62 Highland St
West Hartford
,
CT
06119
Scholarship Award
4,000
Miguel Angelo Alvendia
420 Valley Oak Lane
Vallejo
,
CA
94591
Scholarship Award
3,000
Logan Armijo
8775 East Garden View Drive
Anaheim Hills
,
CA
92808
Scholarship Award
16,500
Juwan Ash
202 Bexley Lane
Piscataway
,
NJ
08854
Scholarship Award
12,500
Selim Atay
Cecen Sokak Almond Hill Sitesi
Istanbul
TU
Scholarship Award
7,000
Kristina Auteri
100 Forest Drive
Stirling
,
NJ
07980
Scholarship Award
1,000
Kanwal Azim
B 218 Block 14 Gulistan e Jauhar
Karachi
PK
Scholarship Award
9,000
Matthew Banko
3651 W Jacksonville Dr
Anthem
,
AZ
85086
Scholarship Award
3,000
Kallee Bartlett
1013 ROCKVILLE TER
LOUISBURG
,
KS
66053
Scholarship Award
5,500
Raven Barton
3116 Hunters Bluff Drive
Raleigh
,
NC
27606
Scholarship Award
5,500
Ashton Barziza
104 Fannin Dr
Kerrville
,
TX
78028
Scholarship Award
1,000
Justin Berger
147 Holly Lane
Flemington
,
NJ
08822
Scholarship Award
1,000
Justin Bharat
344 Lee Circle
Waterloo
CA
Scholarship Award
4,500
Katelyn Bleczinski
1055 Old Lancaster Road
Berwyn
,
PA
19312
Scholarship Award
9,000
Victoria Bowrosen
1257 Girog Avenue
Port Orange
,
FL
32129
Scholarship Award
4,000
Aaron Bradsher
1054 Wagner Ave
Philadelphia
,
PA
19141
Scholarship Award
6,000
Grace Breen
581 Chestnut Hill Rd
Glastonbury
,
CT
06033
Scholarship Award
10,500
Emily Bresnan
37 Easton Way
Hainesport
,
NJ
08036
Scholarship Award
7,500
Caitlin Byrne-Slepicka
2917 N Burling St
Chicago
,
IL
60657
Scholarship Award
7,000
Thomas Calderaro
1029 Glenmore Circle
Lockport
,
IL
60441
Scholarship Award
7,500
Paige Calfapietra
451 Collegeville Road
Collegeville
,
PA
19426
Scholarship Award
9,500
Kayla Campbell
141 Canal Way
Hackettstown
,
NJ
07840
Scholarship Award
6,000
Dana Carron
5 Hearthstone Lane
Green Brook
,
NJ
08812
Scholarship Award
4,000
Juan Fernando Castro Orozco
Avda Circunvalar 42 60
OC
Scholarship Award
4,000
Lisa Cecchini
375 North Drive
North Plainfield
,
NJ
07060
Scholarship Award
5,500
Lara Cervi
Av Pedro Goyena 821
Buenos Aires
AR
Scholarship Award
3,000
Nathan Chalus
1079 Oak Wood Drive
Carol Stream
,
IL
60188
Scholarship Award
4,000
Bethany Chen
55 Columbia Ave
Berkeley Heights
,
NJ
07922
Scholarship Award
4,000
Cheyanne Chesley
530 E Southside Dr
Polk City
,
IA
50226
Scholarship Award
4,000
Hwa Er Chew
13 Persiaran Segambut Tengah
Kuala Lumpur
MY
Scholarship Award
9,000
Audrey Christensen
12 Blossom Rd
Hampton
,
NJ
08827
Scholarship Award
4,000
Alexandra Christian
3717 Huntmaster Ct
Richmond
,
VA
23233
Scholarship Award
5,000
Meredith Christian
3717 Huntmaster Ct
Richmond
,
VA
23233
Scholarship Award
7,500
Hannah Clark
1353 Rimer Drive
Moraga
,
CA
94556
Scholarship Award
2,000
Caitlyn Clifford
236 Firetown Rd
Simsbury
,
CT
06070
Scholarship Award
6,000
Kennedy Coleman
722 Bordner Dr
Lancaster
,
TX
75146
Scholarship Award
10,500
Leonard Collins
68 Emerson Lane
Berkeley Heights
,
NJ
07922
Scholarship Award
5,000
Jenna Conforti
9294 62nd court
Pleasant Prairie
,
WI
53158
Scholarship Award
5,000
Caitlyn Connell
8533 Wolverton Fields Dr
Wake Forest
,
NC
27587
Scholarship Award
3,000
Erin Cougle
17 Sunset Road
Green Pond
,
NJ
07435
Scholarship Award
6,000
Emily Dean
44 Pheasant Hill Dr
Far Hills
,
NJ
07931
Scholarship Award
1,000
Jeremy Michael Declines
5600 Orangethorpe Ave
La Palma
,
CA
90623
Scholarship Award
8,500
Teresa Rose Declines
5600 Orangethorpe Ave
La Palma
,
CA
90623
Scholarship Award
5,000
Zoe DeWitt
15 Oliver St
Chatham
,
NJ
07928
Scholarship Award
12,500
Jaclyn DiDonato
38 Park St
Florham Park
,
NJ
07932
Scholarship Award
10,500
Christian Dobosiewicz
1040 Harding St
Westfield
,
NJ
07090
Scholarship Award
6,000
Jack Dobosiewicz
1040 Harding St
Westfield
,
NJ
07090
Scholarship Award
4,500
Lexy Dobson
402 N Aster Ct
Broken Arrow
,
OK
74012
Scholarship Award
3,000
Stephanie Downey
35403 Harrison St
New Baltimore
,
MI
48047
Scholarship Award
3,000
Brianna Durham
3320 S Crysler Ave
Independence
,
MO
64055
Scholarship Award
5,500
Nick Ebel
11 McNeile Drive
Parsippany
,
NJ
07054
Scholarship Award
6,000
Ryan Everett
900 Glades Court
Chesapeake
,
VA
23322
Scholarship Award
7,000
Haley Eversman
13097 Echo Lane
Apple Valley
,
MN
55124
Scholarship Award
1,000
Kathryn Falgout
779 Newbury Street
Livermore
,
CA
94551
Scholarship Award
3,000
Alicia Fanning
10417 195th St NE
Arlington
,
WA
98223
Scholarship Award
7,500
Daniel Farrell
3 Runyon Street
Hillsborough
,
NJ
08844
Scholarship Award
3,000
Alexia Faulkner
6579 N Lakewood Ave
Chicago
,
IL
60626
Scholarship Award
6,000
Charles Fernandes
570 Quaker Ridge Terrace
Easton
,
PA
18042
Scholarship Award
6,000
Toni Fernando
23642 Marylee St
Woodland Hills
,
CA
91367
Scholarship Award
4,500
Carly Ferree
7041 W Christian Dr
New Palestine
,
IN
46163
Scholarship Award
9,500
Ally Flynn
22 Wareham Court
Scotch Plains
,
NJ
07076
Scholarship Award
6,000
Cole Franchi
45 Lakewood Drive
Denville
,
NJ
07834
Scholarship Award
5,000
Jessica Gaeta
37 Harrison Ave
Gillette
,
NJ
07933
Scholarship Award
6,000
Alicia Gallant
701 Hillcrest Blvd
Phillipsburg
,
NJ
08865
Scholarship Award
2,000
Emily Gallant
701 Hillcrest Blvd
Phillipsburg
,
NJ
08865
Scholarship Award
7,000
Shannon Glancy
2356 Cape Arbor Dr
Virginia Beach
,
VA
23451
Scholarship Award
9,000
Aleksa Golubovic
2084 Glenfield Rd
Oakville
CA
Scholarship Award
2,750
Elisa Gonzalez-Perez
2328 Palomira Court
Chula Vista
,
CA
91915
Scholarship Award
5,000
Zachary Greenwood
160 Timber Oak Cove
Lawrenceville
,
GA
30043
Scholarship Award
2,000
David Griffin
82 Horton Pl
Syosset
,
NY
11791
Scholarship Award
4,000
Madison Groody
838 McKendimen Road
Shamong
,
NJ
08088
Scholarship Award
7,000
Kyra Grunwald
17 Hillside Terrace
Andover
,
NJ
07821
Scholarship Award
6,000
Meghan Grushewsky
65 Concord Ridge Road
Flemington
,
NJ
08822
Scholarship Award
9,500
Morgan Grushewsky
65 Concord Ridge Road
Flemington
,
NJ
08822
Scholarship Award
9,500
Courtney Hardy
21 Red Gate Lane
Reading
,
MA
01867
Scholarship Award
4,000
Timothy Healy
4157 Ross Road
Bethlehem
,
PA
18020
Scholarship Award
7,500
Hernandez Ayala
66 Calle
OC
Scholarship Award
3,000
Brian Herner
13 Quarry Road
Stewartsville
,
NJ
08886
Scholarship Award
5,500
Alesia Hines
125 2B Winding Wood Drive
Sayreville
,
NJ
08872
Scholarship Award
2,000
David Hochkeppel
205 Cypress View Dr
Youngsville
,
LA
70592
Scholarship Award
5,000
Ryan Honwad
24 Baker Circle
Hillsborough
,
NJ
08844
Scholarship Award
10,500
Connor Howard
5 Green Ct
Columbus
,
NJ
08022
Scholarship Award
7,500
Ryan Howard
5 Green Ct
Columbus
,
NJ
08022
Scholarship Award
1,000
Alyssa Jackie
20 Juniper Drive
Farmington
,
CT
06032
Scholarship Award
7,000
Shannon Jacobus
461 Driscol Drive
Brick
,
NJ
08724
Scholarship Award
9,000
Lucy Johanneman
21 Madonna Lane
Cold Spring
,
KY
41076
Scholarship Award
6,000
Sarah Kaestle
7529 30th Ave NE
Seattle
,
WA
98115
Scholarship Award
6,000
John Kappelmeier
26 Carly Dr
Wantage
,
NJ
07461
Scholarship Award
9,500
Eshika Kaul
228 W End Ave
Green Brook
,
NJ
08812
Scholarship Award
10,500
Mikala Kiefer
79 Seaside Avenue
Milford
,
CT
06460
Scholarship Award
10,500
Macknezie Kneiss
4136 St Theresa Blvd
Avon
,
OH
44011
Scholarship Award
7,500
Kyle Kowalski
731 Loudon Ridge Road
Loudon
,
NH
03307
Scholarship Award
7,500
Isabelle Kreydin
18 Montfort Drive
Belle Mead
,
NJ
08502
Scholarship Award
1,000
AshIan Lamb
11111 Grant Road
Cypress
,
TX
77429
Scholarship Award
6,000
Janiah Lambert
147 Dunellen Avenue
Piscataway
,
NJ
08854
Scholarship Award
4,500
Alesia Larsen
7902 SW 9th PL
Des Moines
,
IA
50315
Scholarship Award
11,000
Angela Le
932 E Cathedral Road
Philadelphia
,
PA
19128
Scholarship Award
7,500
Veanna Hiu Ting Lee
Flat 02 339 Glasgow Harbour
Glasgow
UK
Scholarship Award
9,500
Joo Kee Lim
Blk 116 Bukit Merah Central
Singapore
SN
Scholarship Award
4,500
Carson Lo
3358 Woodland Circle
Huntingdon Valley
,
PA
19006
Scholarship Award
7,500
Cameron Locks
494 Charles Avenue
Massapequa Park
,
NY
11762
Scholarship Award
3,000
Ethan Lodge
364 Colony Rd
Rossford
,
OH
43460
Scholarship Award
8,500
Justin Loeb
30 E Ridgecrest Dr
Flagstaff
,
AZ
86001
Scholarship Award
6,000
Jessica Lukasiewicz
53 Sherbrooke Dr
Florham Park
,
NJ
07932
Scholarship Award
8,500
Haley Mallion
12680 sw 34th place
Davie
,
FL
33330
Scholarship Award
6,000
Zachary Marcotte-Charette
574 CR 714
Jonesboro
,
AR
72401
Scholarship Award
2,000
Rodney McCaskill
22457 Arquilla Dr
Richton Park
,
IL
60471
Scholarship Award
7,000
Katherine McChurch
542 S Eveningsong Ct
Anaheim
,
CA
92808
Scholarship Award
4,000
Caitlin McEvoy
107 Tenth Street
Aspinwall
,
PA
15215
Scholarship Award
4,000
Caitlin McMorrow
31 Bark Hollow Lane
Horsham
,
PA
19044
Scholarship Award
5,000
Jeremiah McNabb
125 Bethlehem Avenue
Bloomsbury
,
NJ
08804
Scholarship Award
7,500
Emily Meiners
285 Northwood Drive
Cottonwood
,
MN
56229
Scholarship Award
7,500
Jacob Meiners
285 Northwood Drive
Cottonwood
,
MN
56229
Scholarship Award
5,000
Megan Melillo
664 Summit Ave
Westfield
,
NJ
07090
Scholarship Award
6,000
Montana Miles
105 Crozerville Road
Aston
,
PA
19014
Scholarship Award
4,500
Krystal Miller
42 Kingspointe Drive
St Peters
,
MO
63376
Scholarship Award
5,500
Maxwell Minogue
1019 Windsor Road
Highland Park
,
IL
60035
Scholarship Award
6,000
Ciara Mulcahy
192 Mayo Court
Elmhurst
,
IL
60126
Scholarship Award
9,000
Casey Murphy
519 Park Ave
Swedesboro
,
NJ
08085
Scholarship Award
5,000
Erin Murphy
519 Park Ave
Swedesboro
,
NJ
08085
Scholarship Award
6,000
Kelly Murphy
519 Park Ave
Swedesboro
,
NJ
08085
Scholarship Award
5,000
Dejah Murray
6059 Alma Street
Philadelphia
,
PA
19149
Scholarship Award
7,000
Steven Murray
6059 Alma Street
Philadelphia
,
PA
19149
Scholarship Award
4,000
Kaelie Murray-Simmons
270 Ridgewood Road
East Hartford
,
CT
06118
Scholarship Award
1,000
Michael Muscarella
574 Mountain Ave
Berkeley Heights
,
NJ
07922
Scholarship Award
6,000
Emily Nishikimoto
5122 East Shea 1018
Scottsdale
,
AZ
85254
Scholarship Award
9,500
Mariko Obaishi
U53 39 Rathdowne Street Carlton
Melbourne
AS
Scholarship Award
11,000
Keyana Omess
485 East Lincoln Avenue
Mount Vernon
,
NY
10552
Scholarship Award
6,000
Abigail O'Neill
1260 Little Conestoga Road
Glenmoore
,
PA
19343
Scholarship Award
11,000
Matthew O'Neill
1260 Little Conestoga Road
Glenmoore
,
PA
19343
Scholarship Award
10,500
Allison Ontaneda
1717 S Chesterfield Drive
Arlington Heights
,
IL
60005
Scholarship Award
2,000
Jill Pace
3 Fremont Street
Branchburg
,
NJ
08876
Scholarship Award
5,000
Jenna Passero
19 Wostbrock Lane
Midland Park
,
NJ
07432
Scholarship Award
3,000
Deepa Patel
12701 Wensley Lane
Chester
,
VA
23831
Scholarship Award
9,500
Davis Payton
10914 SW Nelson Street
Tualatin
,
OR
97062
Scholarship Award
7,500
Bethany Peacock
10 Knockchree Road
Downpatrick
EI
Scholarship Award
7,500
Serena Peterson
950 Cherry Blossom Lane
Tracy
,
CA
95377
Scholarship Award
3,000
Giulia Piciguelli
Av Elisio Teixeira Leite
Sao Paulo
BR
Scholarship Award
7,000
Melissa Posada
22752 Canyon Court
Castro Valley
,
CA
94552
Scholarship Award
1,000
Andrew Puzone
104 Summer Lane
North Haven
,
CT
06473
Scholarship Award
4,500
Julia Puzone
104 Summer Lane
North Haven
,
CT
06473
Scholarship Award
5,000
Jason Quiroga
34 Janeway Place
Morris Plains
,
NJ
07950
Scholarship Award
8,500
Jessica Quiroga
34 Janeway Place
Morris Plains
,
NJ
07950
Scholarship Award
3,000
Harshini Raman
70 Cambridge Way
Princeton Junction
,
NJ
08550
Scholarship Award
5,500
Michael Rawding
2 Hunting Court
Newark
,
DE
19711
Scholarship Award
4,500
Nicole Rawding
2 Hunting Court
Newark
,
DE
19711
Scholarship Award
4,500
Katheryn Reese
6613 Del Playa Dr
Goleta
,
CA
93117
Scholarship Award
6,000
Jordan Robinson
5263 Woodlake Ave
Woodland Hills
,
CA
91367
Scholarship Award
4,500
Leonardo Rodriguez
2625 Pond Dr
Easton
,
PA
18040
Scholarship Award
9,500
Alyssa Grace Santos
6032 Roosevelt Place
Fontana
,
CA
92336
Scholarship Award
7,500
Michael Santos
6032 Roosevelt Place
Fontana
,
CA
92336
Scholarship Award
11,500
FaithAnn Scanlan
118 Cassidy Court
Blandon
,
PA
19510
Scholarship Award
6,000
Anthony Schaub
9 Washington drive
whitehouse station
,
NJ
08889
Scholarship Award
9,000
Leanna Schultz
24 Hadlar Drive
Lebanon
,
NJ
08833
Scholarship Award
7,500
Kaya Schuster
363 GROVE STREET
UPPER MONTCLAIR
,
NJ
07043
Scholarship Award
10,500
Elizabeth Scopo
24 Pearsall Place
Merrick
,
NY
11566
Scholarship Award
5,000
Asher Segelken
8272 Roma Dr
Huntington Beach
,
CA
92646
Scholarship Award
5,000
John Shahpazian
171 Grant Ave
New Providence
,
NJ
07974
Scholarship Award
3,000
Christopher Shao
6 Kenquit Road
Warren
,
NJ
07059
Scholarship Award
4,000
Brendan Sheehan
9 Skyview Ct
Campbell Hall
,
NY
10916
Scholarship Award
4,500
Matthew Shelledy
1219 N 62nd Street Apt 211
Wauwatosa
,
WI
53213
Scholarship Award
7,500
Karen Shen
165 Patriot Hill Drive
Basking Ridge
,
NJ
07920
Scholarship Award
3,000
Divya Sivakumar
6 Landon Way
Exton
,
PA
19341
Scholarship Award
8,500
Juan Sivori
Teodoro Garcia 3160
Buenos Aires
AR
Scholarship Award
3,000
Joseph Skinner
2746 Larchmont Road
Union
,
NJ
07083
Scholarship Award
5,000
Isabella Soriano
30 Saunders Lane
Hackettstown
,
NJ
07840
Scholarship Award
10,500
Kayla Soriano
30 Saunders Lane
Hackettstown
,
NJ
07840
Scholarship Award
10,500
Isabelle Sparks
7808 Keepsake Lane
Flowery Branch
,
GA
30542
Scholarship Award
9,500
Zachary Sperandeo
2650 Saddlebrook Glen Drive
Cumming
,
GA
30041
Scholarship Award
5,500
Samantha Spiller
12 Heritage Dr
Warren
,
NJ
07059
Scholarship Award
2,000
Katherine Stahnke
319 West Golf Road
Libertyville
,
IL
60048
Scholarship Award
5,500
Amanda Steuernagel
948 Milton Blvd
Rahway
,
NJ
07065
Scholarship Award
6,000
Cara Stine
217 Fern Ave
Haddon Township
,
NJ
08108
Scholarship Award
8,500
Connor Stine
217 Fern Ave
Haddon Township
,
NJ
08108
Scholarship Award
9,000
Jacob Strand
12689 Mankato St NE
Blaine
,
MN
55449
Scholarship Award
4,000
Crawford Stricker
1220 Tecumseh Park Crescent
Mississauga
CA
Scholarship Award
5,500
Claudia Talton
107 Kicotan Turn
Yorktown
,
VA
23693
Scholarship Award
1,000
Hannah Taylor
5511 S Briar Ridge Circle
McKinney
,
TX
75072
Scholarship Award
11,000
James Teal
2432 Triangle Farm Rd
Chattanooga
,
TN
37421
Scholarship Award
5,000
Lauren Teal
2432 Triangle Farm Rd
Chattanooga
,
TN
37421
Scholarship Award
3,000
Luisa Toledo
URB Valle 2 y 3 CLL Torcaza
Quito
EC
Scholarship Award
5,250
Zoe Toner
159 Old Farmers Road
Long Valley
,
NJ
07853
Scholarship Award
5,500
Brianna Torres
73 Dawn Drive
Clark
,
NJ
07066
Scholarship Award
5,000
Jason Van der Wilt
110 Lenox Ave
Maywood
,
NJ
07607
Scholarship Award
4,000
Eliyana Van Doren
2705 Webster Street
Berkeley
,
CA
94705
Scholarship Award
7,500
Natalie Vance
108 South Joyce Ellen Way
Saint Peters
,
MO
63376
Scholarship Award
4,500
Justin Vega
107 Troy Hills Road
Whippany
,
NJ
07981
Scholarship Award
5,500
Sarah Vetesi
229 Sandringham Rd
Cherry Hill
,
NJ
08003
Scholarship Award
7,000
Gavin Walker
2334 Peavy Place
Dallas
,
TX
75228
Scholarship Award
5,000
Jared Weaver
339 Lynnview Lane
New Castle
,
IN
47362
Scholarship Award
10,500
Anna Webberley
Silver Birches New Road
Rotherfield
UK
Scholarship Award
9,750
Kate Weidmann
20 Elizabeth Ave
Pompton Plains
,
NJ
07444
Scholarship Award
2,500
Christopher White
411 Belgian Road
Schwenksville
,
PA
19473
Scholarship Award
9,000
Brian Wickman
1 Lare Circle
Whitehouse Station
,
NJ
08889
Scholarship Award
8,500
Julia Wickman
1 Lare Circle
Whitehouse Station
,
NJ
08889
Scholarship Award
8,500
Caroline Xiong
2292 Magnolia Bridge Drive
San Ramon
,
CA
94582
Scholarship Award
10,500
Kristen Yusiewicz
3 Drake Road
Hillsborough
,
NJ
08844
Scholarship Award
4,000
John Zamboni
77 terhune rd
CLARK
,
NJ
07066
Scholarship Award
1,000
Sydney Zamboni
77 terhune rd
CLARK
,
NJ
07066
Scholarship Award
1,000
Gina Zarzycki
545 Anne Street
Huntingdon Valley
,
PA
19006
Scholarship Award
9,000
Zhah Yi Zhao
306 MICKLEBURGH DRIVE
NEWMARKET
CA
Scholarship Award
4,500
Danielle Zylstra
1355 E Muriel Drive
Phoenix
,
AZ
85022
Scholarship Award
16,500
Total
.................................
3a
1,257,250
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
61,781
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
456,963
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)
..
518,744
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
518,744
(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.)
..
N/A
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:
19009610
Software Version:
19.2.1.0
Part VI Line 7 - Tax Paid with the Original Return:
9,353
Form 990PF - Special Condition Description:
Special Condition Description