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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
CURTIS I & PAUL KOSSMAN CHAR FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
ELEVEN PARKWAY CENTER SUITE 300
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSBURGH
,
PA
152203622
A Employer identification number
30-0106868
B
Telephone number (see instructions)
(412) 921-6100
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)
$
2,848,305
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
...
62,900
62,900
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
143,902
b
Gross sales price for all assets on line 6a
1,192,672
7
Capital gain net income (from Part IV, line 2)
...
143,902
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
206,802
206,802
13
Compensation of officers, directors, trustees, etc.
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
18,481
18,481
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
3,754
299
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
10
10
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
22,245
18,790
0
0
25
Contributions, gifts, grants paid
.......
135,650
135,650
26
Total expenses and disbursements.
Add lines 24 and 25
157,895
18,790
0
135,650
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
48,907
b
Net investment income
(if negative, enter -0-)
188,012
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
47,117
37,968
37,968
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
1,005,411
657,338
970,944
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)
..........
1,277,980
1,684,097
1,839,393
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)
2,330,508
2,379,403
2,848,305
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
2,316,763
2,369,636
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
13,745
9,767
29
Total net assets or fund balances
(see instructions)
.....
2,330,508
2,379,403
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,330,508
2,379,403
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
2,330,508
2
Enter amount from Part I, line 27a
.....................
2
48,907
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
2,379,415
5
Decreases not included in line 2 (itemize)
5
12
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
2,379,403
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
172. APPLE INC
2011-08-17
2019-01-09
b
216. CITIGROUP INC
2017-08-02
2019-01-09
c
178.739 BAIRD MIDCAP INST
2016-09-30
2019-01-10
d
42. ISHARES MSCI EMERGING MKTS INDEX FUND
2013-01-03
2019-01-10
e
17. ISHARES TR S&P SMLCP VALU
2016-09-30
2019-01-10
30. ISHARES TR S&P SMLCP GROW
2016-09-30
2019-01-10
98. CHEVRON CORPORATION
2018-06-15
2019-02-06
117. MCCORMICK & CO INC COM NON VTG
2018-07-17
2019-02-06
30. MCCORMICK & CO INC COM NON VTG
2018-10-19
2019-02-06
370. MORGAN STANLEY
2016-10-28
2019-02-06
1238.646 AQR EQUITY MARKET NEUTRAL-I
2017-03-30
2019-02-07
2737.226 AQR MANAGED FUTURES STRATEGY FUND CLASS I
2015-05-18
2019-02-07
1164.144 EATON VANCE GLOBAL MACRO ABSOLUTE RETURN FUND
2011-10-20
2019-02-07
190. PRICE T ROWE GROUP INC COM
2017-08-31
2019-02-12
248. TE CONNECTIVITY LTD SEDOL B62B7C3 ISIN CH0102993182
2017-06-07
2019-02-12
422. ARCHER DANIELS MIDLAND CO
2018-08-23
2019-02-20
149. ABBVIE INC
2017-12-14
2019-03-05
156. OCCIDENTAL PETE CORP COM
2018-01-25
2019-03-05
30. ALEXION PHARMACEUTICALS INC
2019-03-05
2019-03-19
11. ALPHABET INC/CA-CL A
2019-01-09
2019-03-19
4. ALPHABET INC/CA-CL A
2015-11-09
2019-03-19
8. AMAZON.COM INC
2018-05-07
2019-03-19
46. AMERICAN WATER WORKS CO INC
2016-02-18
2019-03-19
39. AMGEN INC
2014-07-01
2019-03-19
43. AMPHENOL CORP NEW CL A
2018-11-20
2019-03-19
55. APPLE INC
2011-08-17
2019-03-19
50. AUTOMATIC DATA PROCESSING INC
2018-06-05
2019-03-19
7. AUTOZONE INC
2018-10-19
2019-03-19
93. BP PLC SPONSORED ADR
2019-03-05
2019-03-19
221. BANK OF AMERICA CORP
2018-08-08
2019-03-19
72. BANK NEW YORK MELLON CORP COM
2016-05-05
2019-03-19
61. BAXTER INTERNATIONAL INC
2018-01-10
2019-03-19
20. BIOGEN INC
2016-08-04
2019-03-19
11. BOEING CO
2017-10-30
2019-03-19
81. BOOZ ALLEN HAMILTON HOLDING
2019-01-09
2019-03-19
77. BRISTOL MYERS SQUIBB CO
2018-09-20
2019-03-19
13. BROADCOM INC
2019-02-12
2019-03-19
93. BURLINGTON STORES INC
2016-09-02
2019-03-19
124. CBRE GROUP INC
2018-03-01
2019-03-19
21. CSX CORP COM
2018-08-08
2019-03-19
66. CSX CORP COM
2018-09-20
2019-03-19
62. CELANESE CORP
2018-05-22
2019-03-19
73. CENTENE CORP
2018-04-30
2019-03-19
34. CHEVRON CORPORATION
2018-06-15
2019-03-19
60. CHURCH & DWIGHT INC
2019-02-06
2019-03-19
109. CISCO SYS INC COM
2018-11-02
2019-03-19
67. CISCO SYS INC COM
2018-04-30
2019-03-19
160. CITIZENS FINANCIAL GROUP
2016-11-21
2019-03-19
197. COMCAST CORPORATION CL A
2018-10-19
2019-03-19
13. COMCAST CORPORATION CL A
2012-02-07
2019-03-19
76. CONOCOPHILLIPS
2017-11-06
2019-03-19
2. COSTCO WHSL CORP NEW COM
2018-08-08
2019-03-19
7. COSTCO WHSL CORP NEW COM
2018-09-20
2019-03-19
30. DANAHER CORP
2018-06-20
2019-03-19
35. DOLLAR GENERAL CORP
2018-11-20
2019-03-19
47. DUKE ENERGY HOLDING CORP
2018-12-19
2019-03-19
31. EASTMAN CHEM CO
2018-03-06
2019-03-19
40. FACEBOOK INC
2016-03-03
2019-03-19
41. HOME DEPOT INC COM
2012-02-07
2019-03-19
169. INTEL CORP
2018-11-20
2019-03-19
27. INTERNATIONAL FLAVORS & FRAGRANCES INC
2019-02-06
2019-03-19
134. J P MORGAN CHASE & CO COM
2009-05-11
2019-03-19
63. KOHLS CORP COM
2018-04-12
2019-03-19
9. LAUDER ESTEE COS INC CL A
2019-02-20
2019-03-19
46. LILLY ELI & CO
2018-07-17
2019-03-19
13. M&T BK CORP
2019-02-06
2019-03-19
40. MCDONALDS CORP COM
2017-06-21
2019-03-19
16. MICROSOFT CORP
2018-07-17
2019-03-19
151. MICROSOFT CORP
2018-09-20
2019-03-19
35. NORFOLK SOUTHN CORP COM
2018-11-20
2019-03-19
18. NORTHROP GRUMMAN CORPORATION
2015-02-24
2019-03-19
158. PFIZER INC COM
2017-11-20
2019-03-19
58. PROCTER & GAMBLE CO
2019-02-06
2019-03-19
97. PROGRESSIVE CORP OHIO
2019-02-12
2019-03-19
23. RAYTHEON COMPANY
2016-02-01
2019-03-19
43. S&P GLOBAL INC
2016-05-26
2019-03-19
110. SUNTRUST BANKS INC COM
2016-06-29
2019-03-19
66. T-MOBILE US INC
2017-05-05
2019-03-19
101. TOTAL FINA S A
2015-08-14
2019-03-19
25. UNITED RENTALS INC COM
2018-09-20
2019-03-19
14. UNITED RENTALS INC COM
2017-06-07
2019-03-19
28. UNITEDHEALTH GROUP INC COM
2016-10-28
2019-03-19
49. VISA INC CLASS A SHARES
2014-07-01
2019-03-19
94. WEC ENERGY GROUP INC
2011-08-17
2019-03-19
29. WASTE MANAGEMENT INC
2018-09-20
2019-03-19
54. WASTE MANAGEMENT INC
2018-03-13
2019-03-19
48. WELLCARE HEALTH PLANS, INC. MERGED 1/23/20 @ $120.00 P/S
2018-08-23
2019-03-19
46. BIOGEN INC
2016-08-04
2019-03-27
48. BOEING CO
2017-10-30
2019-04-18
95. EASTMAN CHEM CO
2018-03-06
2019-04-18
12. HCA HEALTHCARE INC
2019-03-27
2019-04-18
104. AMPHENOL CORP NEW CL A
2018-11-20
2019-05-13
164. BANK NEW YORK MELLON CORP COM
2016-05-05
2019-05-13
53. RAYTHEON COMPANY
2016-02-01
2019-05-13
1335. ISHARES MSCI EMERGING MKTS INDEX FUND
2013-01-03
2019-05-28
655.629 CAMBIAR INTL EQUITY FUND-INS
2018-09-26
2019-05-29
1778.55 WCM FOCUSED INTL GROWTH-INS
2018-09-26
2019-05-29
150. KOHLS CORP COM
2018-04-12
2019-05-30
10. ALPHABET INC/CA-CL A
2015-08-12
2019-06-19
171. CENTENE CORP
2018-04-30
2019-06-19
110. DUKE ENERGY HOLDING CORP
2018-12-19
2019-06-19
196. WASTE MANAGEMENT INC
2018-03-13
2019-07-01
101. INTEL CORP
2018-11-20
2019-07-19
298. INTEL CORP
2016-08-23
2019-07-19
83. M&T BK CORP
2019-01-09
2019-07-31
10. M&T BK CORP
2019-02-06
2019-07-31
172. BERRY GLOBAL GROUP INC
2019-04-18
2019-08-23
24. HOME DEPOT INC COM
2012-02-07
2019-08-23
65. INTERNATIONAL FLAVORS & FRAGRANCES INC
2019-02-06
2019-08-23
24. MCDONALDS CORP COM
2017-06-21
2019-08-23
83. NORFOLK SOUTHN CORP COM
2018-11-20
2019-08-23
148. PFIZER INC COM
2017-11-20
2019-08-23
74. ALEXION PHARMACEUTICALS INC
2019-03-05
2019-09-10
118. BANK OF AMERICA CORP
2018-08-08
2019-09-10
157. CBRE GROUP INC
2018-03-01
2019-09-10
4. AIR PRODUCTS & CHEMICALS INC
2019-08-23
2019-10-09
2. ALPHABET INC/CA-CL A
2015-08-12
2019-10-09
2. AMAZON.COM INC
2018-05-07
2019-10-09
12. AMERICAN WATER WORKS CO INC
2016-02-18
2019-10-09
11. AMGEN INC
2014-07-01
2019-10-09
15. APPLE INC
2011-08-17
2019-10-09
56. AUTOMATIC DATA PROCESSING INC
2018-06-05
2019-10-09
2. AUTOZONE INC
2018-10-19
2019-10-09
25. BP PLC SPONSORED ADR
2019-03-05
2019-10-09
78. BANK OF AMERICA CORP
2018-08-08
2019-10-09
16. BAXTER INTERNATIONAL INC
2018-01-10
2019-10-09
20. BRISTOL MYERS SQUIBB CO
2018-09-20
2019-10-09
6. BURLINGTON STORES INC
2016-09-02
2019-10-09
13. CDW CORP/DE
2019-08-23
2019-10-09
207. CSX CORP COM
2018-08-08
2019-10-09
17. CELANESE CORP
2018-05-22
2019-10-09
9. CHEVRON CORPORATION
2018-07-17
2019-10-09
17. CHURCH & DWIGHT INC
2019-02-06
2019-10-09
235. CISCO SYS INC COM
2012-02-07
2019-10-09
41. CITIZENS FINANCIAL GROUP
2016-11-21
2019-10-09
56. COMCAST CORPORATION CL A
2012-02-07
2019-10-09
19. CONOCOPHILLIPS
2017-11-06
2019-10-09
7. COSTCO WHSL CORP NEW COM
2018-08-08
2019-10-09
11. DANAHER CORP
2018-06-20
2019-10-09
20. DISCOVER FINANCIAL W/I
2019-07-31
2019-10-09
9. DOLLAR GENERAL CORP
2018-11-20
2019-10-09
196. E*TRADE FINANCIAL CORP
2019-05-13
2019-10-09
5. EDWARDS LIFESCIENCES CORP
2019-09-10
2019-10-09
11. FACEBOOK INC
2016-03-03
2019-10-09
7. HOME DEPOT INC COM
2012-02-07
2019-10-09
35. J P MORGAN CHASE & CO COM
2009-05-11
2019-10-09
9. LAUDER ESTEE COS INC CL A
2019-02-20
2019-10-09
13. LILLY ELI & CO
2018-07-17
2019-10-09
37. LOCKHEED MARTIN CORP
2019-07-01
2019-10-09
7. MCDONALDS CORP COM
2017-06-21
2019-10-09
46. MICROSOFT CORP
2019-07-19
2019-10-09
4. NORTHROP GRUMMAN CORPORATION
2015-07-22
2019-10-09
28. OMNICOM GROUP INC
2019-06-19
2019-10-09
26. PROCTER & GAMBLE CO
2018-12-19
2019-10-09
22. PROGRESSIVE CORP OHIO
2019-02-12
2019-10-09
11. S&P GLOBAL INC
2016-05-26
2019-10-09
28. SUNTRUST BANKS INC COM
2016-06-29
2019-10-09
17. T-MOBILE US INC
2017-05-05
2019-10-09
26. TOTAL FINA S A
2016-05-13
2019-10-09
91. UNITED RENTALS INC COM
2017-06-07
2019-10-09
7. UNITEDHEALTH GROUP INC COM
2016-10-28
2019-10-09
12. VISA INC CLASS A SHARES
2014-07-01
2019-10-09
24. WEC ENERGY GROUP INC
2011-08-17
2019-10-09
9. ACCENTURE PLC CLASS A SEDOL B4BNMY3
2019-07-19
2019-10-09
15. INGERSOLL-RAND PLC EXCHANGE 3/02/2020
2019-04-18
2019-10-09
197. BP PLC SPONSORED ADR
2019-03-05
2019-10-17
37. CELANESE CORP
2018-05-22
2019-10-17
71. HCA HEALTHCARE INC
2019-03-27
2019-10-17
213. PFIZER INC COM
2017-11-20
2019-10-17
9. TARGET CORP
2019-08-23
2019-10-17
93. CELANESE CORP
2018-05-22
2019-11-07
14. MCDONALDS CORP COM
2017-06-21
2019-11-19
73. WEC ENERGY GROUP INC
2011-08-17
2019-11-19
95.45 CAMBIAR INTL EQUITY FUND-INS
2018-09-26
2019-12-04
356.34 BAIRD MIDCAP INST
2016-04-06
2019-12-04
156.458 SEAFARER OVERSEAS GROWTH & INCOME INSTL CLASS
2019-05-29
2019-12-04
144.229 OAKMARK INTL SM CAP-INST 2888
2019-05-29
2019-12-04
289.082 WCM FOCUSED INTL GROWTH-INS
2018-09-26
2019-12-04
135.115 TOUCHSTONE SANDS EM GR-INST FUND 565
2019-05-29
2019-12-04
164.228 WELLS FARGO SPECIAL US MID CAP VALUE I
2019-01-10
2019-12-04
3.373 WELLS FARGO SPECIAL US MID CAP VALUE I
2016-09-30
2019-12-04
180. CISCO SYS INC COM
2012-02-07
2019-12-10
.195 TRUIST FINANCIAL CORP
2016-06-29
2019-12-19
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
26,503
16,591
9,912
b
12,211
14,988
-2,777
c
3,307
2,813
494
d
1,701
1,893
-192
e
2,378
2,110
268
5,046
4,095
951
11,668
12,214
-546
14,455
13,970
485
3,706
4,204
-498
15,669
12,370
3,299
13,340
15,000
-1,660
22,582
30,000
-7,418
10,000
11,575
-1,575
18,390
16,155
2,235
20,230
19,737
493
17,678
21,323
-3,645
11,865
14,344
-2,479
10,474
12,069
-1,595
4,010
4,076
-66
13,169
11,927
1,242
4,789
3,031
1,758
14,237
12,788
1,449
4,800
3,042
1,758
7,513
4,664
2,849
4,131
3,623
508
10,342
2,988
7,354
7,746
6,728
1,018
6,906
5,090
1,816
4,163
3,966
197
6,612
7,017
-405
3,884
2,842
1,042
4,723
4,175
548
6,535
5,827
708
4,136
2,860
1,276
4,643
3,708
935
3,835
4,705
-870
3,892
3,627
265
13,769
7,876
5,893
6,335
5,815
520
1,542
1,520
22
4,847
4,879
-32
6,314
7,087
-773
4,408
3,963
445
4,291
4,212
79
3,980
3,726
254
5,859
4,928
931
3,601
2,980
621
5,792
5,125
667
7,937
7,147
790
524
176
348
5,170
4,086
1,084
476
447
29
1,665
1,633
32
3,893
2,980
913
4,108
3,693
415
4,198
4,125
73
2,459
3,219
-760
6,532
4,374
2,158
7,614
1,868
5,746
9,204
8,060
1,144
3,374
3,872
-498
14,480
6,043
8,437
4,384
3,994
390
1,453
1,406
47
5,810
4,129
1,681
2,255
2,102
153
7,329
6,183
1,146
1,884
1,701
183
17,779
17,160
619
6,297
5,723
574
4,977
3,019
1,958
6,688
5,594
1,094
5,893
5,735
158
7,088
6,739
349
4,206
2,941
1,265
8,946
4,754
4,192
7,066
4,366
2,700
4,805
4,359
446
5,912
4,955
957
3,075
4,266
-1,191
1,722
1,472
250
7,225
4,121
3,104
7,616
2,630
4,986
7,335
2,906
4,429
2,950
2,654
296
5,492
4,715
777
12,041
14,284
-2,243
10,641
12,786
-2,145
18,248
12,480
5,768
7,933
9,866
-1,933
1,359
1,546
-187
9,566
8,763
803
7,764
6,473
1,291
9,390
6,642
2,748
53,643
53,082
561
15,971
18,213
-2,242
28,973
29,684
-711
7,612
9,508
-1,896
10,963
6,992
3,971
9,454
9,283
171
9,589
9,655
-66
22,597
16,528
6,069
5,099
4,817
282
15,043
10,622
4,421
13,617
12,670
947
1,641
1,617
24
6,991
9,849
-2,858
5,258
1,093
4,165
6,891
9,322
-2,431
5,238
3,694
1,544
14,262
13,089
1,173
5,186
5,240
-54
8,047
10,054
-2,007
3,451
3,746
-295
8,691
7,362
1,329
848
898
-50
2,414
1,369
1,045
3,454
3,197
257
1,500
794
706
2,173
1,315
858
3,410
815
2,595
8,878
7,535
1,343
2,119
1,454
665
932
1,066
-134
2,182
2,476
-294
1,393
1,095
298
1,019
1,222
-203
1,164
508
656
1,586
1,495
91
13,751
14,987
-1,236
2,023
1,943
80
1,022
1,101
-79
1,292
1,056
236
11,020
7,743
3,277
1,354
1,313
41
2,485
758
1,727
1,049
1,022
27
2,077
1,563
514
1,512
1,093
419
1,529
1,807
-278
1,450
950
500
7,363
9,386
-2,023
1,121
1,082
39
1,985
1,203
782
1,603
319
1,284
3,949
1,280
2,669
1,719
1,406
313
1,398
1,167
231
14,269
13,511
758
1,488
1,077
411
6,360
6,343
17
1,480
666
814
2,098
2,261
-163
3,177
2,529
648
1,650
1,528
122
2,740
1,216
1,524
1,847
1,111
736
1,325
1,123
202
1,279
1,252
27
10,220
9,569
651
1,554
982
572
2,104
644
1,460
2,283
742
1,541
1,660
1,761
-101
1,718
1,695
23
7,439
8,402
-963
4,490
4,229
261
8,672
9,147
-475
7,822
7,542
280
1,015
945
70
11,624
9,731
1,893
2,706
2,155
551
6,417
2,256
4,161
2,522
2,652
-130
8,388
5,403
2,985
1,857
1,677
180
2,249
2,015
234
5,244
4,825
419
1,866
1,684
182
6,958
5,594
1,364
143
115
28
7,937
3,411
4,526
11
6
5
8,299
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
9,912
b
-2,777
c
494
d
-192
e
268
951
-546
485
-498
3,299
-1,660
-7,418
-1,575
2,235
493
-3,645
-2,479
-1,595
-66
1,242
1,758
1,449
1,758
2,849
508
7,354
1,018
1,816
197
-405
1,042
548
708
1,276
935
-870
265
5,893
520
22
-32
-773
445
79
254
931
621
667
790
348
1,084
29
32
913
415
73
-760
2,158
5,746
1,144
-498
8,437
390
47
1,681
153
1,146
183
619
574
1,958
1,094
158
349
1,265
4,192
2,700
446
957
-1,191
250
3,104
4,986
4,429
296
777
-2,243
-2,145
5,768
-1,933
-187
803
1,291
2,748
561
-2,242
-711
-1,896
3,971
171
-66
6,069
282
4,421
947
24
-2,858
4,165
-2,431
1,544
1,173
-54
-2,007
-295
1,329
-50
1,045
257
706
858
2,595
1,343
665
-134
-294
298
-203
656
91
-1,236
80
-79
236
3,277
41
1,727
27
514
419
-278
500
-2,023
39
782
1,284
2,669
313
231
758
411
17
814
-163
648
122
1,524
736
202
27
651
572
1,460
1,541
-101
23
-963
261
-475
280
70
1,893
551
4,161
-130
2,985
180
234
419
182
1,364
28
4,526
5
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
143,902
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
124,305
2,723,742
0.045638
2017
113,265
2,600,446
0.043556
2016
102,250
2,398,548
0.04263
2015
95,000
2,492,784
0.03811
2014
109,568
2,468,017
0.044395
2
Total
of line 1, column (d)
.....................
2
0.214329
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years
......
3
0.042866
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
2,705,596
5
Multiply line 4 by line 3
......................
5
115,978
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,880
7
Add lines 5 and 6
........................
7
117,858
8
Enter qualifying distributions from Part XII, line 4
,.............
8
135,650
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
1,880
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
1,880
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
1,880
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,345
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
2,345
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
465
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
465
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
PA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
PNC BANK NA
Telephone no.
(412) 762-9161
Located at
116 ALLEGHENY CENTER MALL
PITTSBURGH
PA
ZIP+4
15212
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
AGNES KOSSMAN
SECRETARY
0
0
11 PARKWAY CENTER SUITE 300
PITTSBURGH
,
PA
15220
CURTIS KOSSMAN
TREASURER
0
0
11 PARKWAY CENTER SUITE 300
pITTSBURGH
,
PA
15220
MARC KOSSMAN
VICE PRES.
0
0
11 PARKWAY CENTER SUITE 300
PITTSBURGH
,
PA
15220
PAUL KOSSMAN
PRESIDENT
0
0
11 PARKWAY CENTER SUITE 300
PITTSBURGH
,
PA
15220
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
2,746,798
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
2,746,798
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
2,746,798
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
41,202
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,705,596
6
Minimum investment return.
Enter 5% of line 5
..................
6
135,280
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
135,280
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,880
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,880
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
133,400
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
133,400
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
133,400
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
135,650
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
135,650
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
1,880
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
133,770
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
133,400
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
133,493
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
135,650
a
Applied to 2018, but not more than line 2a
133,493
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
2,157
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
131,243
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
MARC KOSSMAN
11 PARKWAY CENTER STE 300
PITTSBURGH
,
PA
15220
(412) 921-6100
b
The form in which applications should be submitted and information and materials they should include:
WRITTEN REQUEST SHOULD INCLUDE THE PURPOSE FOR WHICH THE GRANT WILL BE USED AND A COPY OF THE ORGANIZATION'S IRS EXEMPTION LETT
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
EPILEPSY ASSOCIATION OF WESTERN
AND CENTRAL PA
1501 REEDSDALE STREET
PITTSBURGH
,
PA
15233
NONE
PC
GENERAL SUPPORT
500
AMERICAN RED CROSS
2801 LIBERTY AVENUE
PITTSBURGH
,
PA
15222
NONE
PC
GENERAL SUPPORT
10,000
PLANNED PARENTHOOD
933 LIBERTY AVENUE
PITTSBURGH
,
PA
15222
NONE
PC
GENERAL SUPPORT
2,000
DOCTORS WITHOUT BORDERS
333 7TH AVE FL 2
NEW YORK
,
NY
10001
NONE
PC
GENERAL SUPPORT
2,000
GREATER PITTSBURGH FOOD BANK
1 NORTH LINDEN STREET
DUQUESNE
,
PA
15110
NONE
PC
GENERAL SUPPORT
10,000
PITTSBURGH HABITAT FOR HUMANITY
212 YOST BOULEVARD SUITE A
PITTSBURGH
,
PA
15221
NONE
PC
GENERAL SUPPORT
5,000
SALVATION ARMY
424 3RD AVE
PITTSBURGH
,
PA
15219
NONE
PC
GENERAL SUPPORT
1,000
LIFE'S WORK
1323 FORBES AVE
PITTSBURGH
,
PA
15219
NONE
PC
GENERAL SUPPORT
1,500
SIMON WIESENTHAL CENTER
1399 SOUTH ROXBURY DRIVE
LOS ANGELES
,
CA
90035
NONE
PC
GENERAL SUPPORT
1,500
BRADY CENTER
1225 I ST NW STE 1100
WASHINGTON
,
DC
20005
NONE
PC
GENERAL SUPPORT
1,500
ANIMAL RESCUE LEAGUE
6620 HAMILTON AVE
PITTSBURGH
,
PA
15206
NONE
PC
GENERAL SUPPORT
1,000
PITTSBURGH ACTION AGAINST RAPE
81 S 19TH ST
PITTSBURGH
,
PA
15203
NONE
PC
GENERAL SUPPORT
1,500
UNICEF
125 MAIDEN LANE
NEW YORK
,
NY
10038
NONE
PC
GENERAL SUPPORT
1,000
IT'S ABOUT THE WARRIOR
2025 E STREET NW
WASHINGTON
,
DC
20006
NONE
PC
GENERAL SUPPORT
250
SEBASTIAN STRONG FOUNDATION
41 MADISON AVENUE
NEW YORK
,
NY
10010
NONE
PC
GENERAL SUPPORT
500
WQED
4802 FIFTH AVENUE
PITTSBURGH
,
PA
15213
NONE
PC
GENERAL SUPPORT
250
ALZHEIMERS FOUNDATION OF
AMERICA
322 EIGHTH AVENUE
NEW YORK
,
NY
10001
NONE
PC
GENERAL SUPPORT
500
CURE ALZHEIMERS
34 WASHINGTON STREET
WELLESLEY
,
MA
02481
NONE
PC
GENERAL SUPPORT
500
CITY OF HOPE
1500 EAST DUARTE
DUARTE
,
CA
91010
NONE
PC
GENERAL SUPPORT
1,000
MAP INTERNATIONAL
4700 GLYNCO PARKWAY
BRUNSWICK
,
GA
31525
NONE
PC
GENERAL SUPPORT
500
CARNEGIE MUSEUMS OF PITTSBURGH
4400 FORBES AVENUE
PITTSBURGH
,
PA
15213
NONE
PC
GENERAL SUPPORT
500
AMERICARES
88 HAMILTON AVENUE
STAMFORD
,
CT
06902
NONE
PC
GENERAL SUPPORT
500
SPECTRUM CHARTER SCHOOL
4369 NORTHERN PIKE
MONROEVILLE
,
PA
15146
NONE
PC
GENERAL SUPPORT
250
ACTION HOUSING
611 WILLIAM PENN PLACE
PITTSBURGH
,
PA
15219
NONE
PC
GENERAL SUPPORT
500
PUPPIES BEHIND BARS
263 WEST 38TH STREET
NEW YORK
,
NY
10018
NONE
PC
GENERAL SUPPORT
500
PAWS 4 PEOPLE
1121C-324 MILITARY CUTOFF ROAD
WILMINGTON
,
NC
28405
NONE
PC
GENERAL SUPPORT
500
PRISON PET PARTNERSHIP
9601 BUJACICH ROAD NW
GIG HARBOR
,
WA
98332
NONE
PC
GENERAL SUPPORT
900
AMAZON CONSERVATION ASSOCIATION
1012 14TH STREET NW
WASHINGTON
,
DC
20005
NONE
PC
GENERAL SUPPORT
500
MULTIPLE MYELOMA RESEARCH FUND
383 MAIN AVENUE
NORWALK
,
CT
06851
NONE
PC
GENERAL SUPPORT
500
ANIMAL FRIENDS
562 CAMP HORNE ROAD
PITTSBURGH
,
PA
15237
NONE
PC
GENERAL SUPPORT
250
BIG BROTHERS BIG SISTERS OF
PITTSBURGH
5989 CENTRE AVENUE
PITTSBURGH
,
PA
15206
NONE
PC
GENERAL SUPPORT
250
NPR-WESA PITTSBURGH
67 BEDFORD SQUARE
PITTSBURGH
,
PA
15203
NONE
PC
GENERAL SUPPORT
250
AMERICAN INDIAN COLLEGE FUND
8333 GREENWOOD BLVD
DENVER
,
CO
80221
NONE
PC
GENERAL SUPPORT
250
CYSTIC FIBROSIS FOUNDATION
6931 ARLINGTON ROAD
BETHESDA
,
MD
20814
NONE
PC
GENERAL SUPPORT
500
RONALD MCDONALD HOUSE
451 44TH STREET
PITTSBURGH
,
PA
15201
NONE
PC
GENERAL SUPPORT
250
PROJECT SUNSHINE
211 EAST 43RD STREET STE 401
NEW YORK
,
NY
10017
NONE
PC
GENERAL SUPPORT
250
INTERNATIONAL RESCUE COMMITTEE
122 EAST 42ND STREET
NEW YORK
,
NY
101681289
NONE
PC
GENERAL SUPPORT
500
WESTERN PENNSYLVANIA CONSERVANCY
800 WATERFRONT DRIVE
PITTSBURGH
,
PA
15222
NONE
PC
GENERAL SUPPORT
250
THE NAVY SEAL FOUNDATION
1619 D STREET
VIRGINIA BEACH
,
VA
23459
NONE
PC
GENERAL SUPPORT
250
THE PITTSBURGH PROJECT
2801 NORTH CHARLES STREET
PITTSBURGH
,
PA
15214
NONE
PC
GENERAL SUPPORT
500
NATURAL RESOURCE DEFENSE
COUNCEL
40 WEST 20TH STREET
NEW YORK
,
NY
10011
NONE
PC
GENERAL SUPPORT
250
NEADS
PO BOX 1100
PRINCETON
,
MA
01541
NONE
PC
GENERAL SUPPORT
250
TREATMENT ADVOCACY CENTER
200 NORTH GLEBE ROAD
ARLINGTON
,
VA
22203
NONE
PC
GENERAL SUPPORT
500
BRAIN & BEHAVIOR RESEARCH
FOUNDATION
90 PARK AVENUE
NEW YORK
,
NY
10016
NONE
PC
GENERAL SUPPORT
500
BOCA HELPING HANDS
1500 NW 1ST COURT
BOCA RATON
,
FL
33432
NONE
PC
GENERAL SUPPORT
500
CHILDREN'S MUSEUM OF PITTSBURGH
10 CHILDRENS WAY ALLEGHENY SQ
PITTSBURGH
,
PA
15212
NONE
PC
GENERAL SUPPORT
500
AMNESTY INTERNATIONAL
5 PENN PLAZA 16TH FLOOR
NEW YORK
,
NY
10001
NONE
PC
GENERAL SUPPORT
500
CHILDREN'S HOSPITAL
FEE CARE FUND
4401 PENN AVENUE
PITTSBURGH
,
PA
15224
NONE
PC
GENERAL SUPPORT
5,000
WOMEN'S CENTER AND SHELTER
OF GREATER PITTSBURGH
PO BOX 9024
PITTSBURGH
,
PA
15224
NONE
PC
GENERAL SUPPORT
1,500
THE CHILDREN'S INSTITUTE
1405 SHADY AVENUE
PITTSBURGH
,
PA
15217
NONE
PC
GENERAL SUPPORT
1,500
HELEN KELLER SERVICES
DEVELOPMENT DEPARTMENT
141 MIDDLE NECK ROAD
SANDS POINT
,
NY
11150
NONE
PC
GENERAL SUPPORT
500
CROSSROADS FDN OF PITTSBURGH
6901 LYNN WAY
PITTSBURGH
,
PA
15208
NONE
PC
GENERAL SUPPORT
500
AMERICAN HUMANIST ASSOCIATION
1821 JEFFERSON PLACE NW
WASHINGTON
,
DC
20036
NONE
PC
GENERAL SUPPORT
1,000
SECULAR COALITION OF AMERICAN
EDUCATION FUND
1012 14TH STREET NW STE 205
WASHINGTON
,
DC
20005
NONE
PC
GENERAL SUPPORT
1,000
SECULAR STUDENT ALLIANCE
PO BOX 2371
COLUMBUS
,
OH
43216
NONE
PC
GENERAL SUPPORT
1,000
PLACE OF HOPE
9078 ISAIAH LANE
PALM BEACH GARDENS
,
FL
33418
NONE
PC
GENERAL SUPPORT
250
HOLY GROUND
200 W 20TH STREET
RIVIERA BEACH
,
FL
33404
NONE
PC
GENERAL SUPPORT
250
PENNSYLVANIA STATE UNIVERSITY
OLD MAIN
STATE COLLEGE
,
PA
16801
NONE
PC
GENERAL SUPPORT
20,000
PROVIDENT CHARTER SCHOOL
ELEVEN PARKWAY CENTER STE 300
PITTSBURGH
,
PA
15220
NONE
PC
GENERAL SUPPORT
50,000
Total
.................................
3a
135,650
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
62,900
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
143,902
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)
..
206,802
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
206,802
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description