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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
HARRY & ROSE JACOBS FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
114 W 47TH ST NY8-114-07-07 AFT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
100361510
A Employer identification number
13-6161740
B
Telephone number (see instructions)
(888) 866-3275
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
1,453,819
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
...
40,016
39,085
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
64,550
b
Gross sales price for all assets on line 6a
565,773
7
Capital gain net income (from Part IV, line 2)
...
64,550
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
........
104,566
103,635
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)
....
6,777
4,066
2,711
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
1,294
462
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)
.......
285
250
35
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
8,356
4,778
0
2,746
25
Contributions, gifts, grants paid
.......
73,000
73,000
26
Total expenses and disbursements.
Add lines 24 and 25
81,356
4,778
0
75,746
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
23,210
b
Net investment income
(if negative, enter -0-)
98,857
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
.............
374
181
181
2
Savings and temporary cash investments
.........
70,214
78,091
78,091
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)
.......
607,634
624,280
770,109
c
Investments—corporate bonds (attach schedule)
.......
539,165
538,649
569,008
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
36,769
36,759
36,430
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)
1,254,156
1,277,960
1,453,819
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
........
1,254,156
1,277,960
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)
.....
1,254,156
1,277,960
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,254,156
1,277,960
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
1,254,156
2
Enter amount from Part I, line 27a
.....................
2
23,210
3
Other increases not included in line 2 (itemize)
3
693
4
Add lines 1, 2, and 3
..........................
4
1,278,059
5
Decreases not included in line 2 (itemize)
5
99
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,277,960
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
12. ALTRIA GROUP INC
2017-12-13
2019-11-22
b
1000. AMERICAN EXPRESS CO
2019-02-20
2019-11-22
c
11. AMERICAN INTERNATIONAL GROUP INC
2015-02-18
2019-11-22
d
7. AMERICAN INTERNATIONAL GROUP INC
2015-02-18
2019-11-22
e
33. ANADARKO PETROLEUM CORP
2018-05-18
2019-04-12
2. ANADARKO PETROLEUM CORP
2018-05-18
2019-06-04
43. ANADARKO PETROLEUM CORP
2018-05-21
2019-06-04
7. ANADARKO PETROLEUM CORP
2019-02-25
2019-06-04
28. ANADARKO PETROLEUM CORP
2019-02-25
2019-06-06
69. ANADARKO PETROLEUM CORP
2019-03-01
2019-06-19
5. ANADARKO PETROLEUM CORP
2019-02-25
2019-06-19
22000. ANHEUSER-BUSCH INBEV FIN
2018-03-01
2019-02-11
2000. ANHEUSER-BUSCH INBEV FIN
2018-04-26
2019-02-11
8. ANTHEM INC
2015-01-21
2019-03-01
6. ANTHEM INC
2015-01-22
2019-03-01
3. ANTHEM INC
2015-01-22
2019-11-22
10. APPLE INC
2019-03-01
2019-04-23
22. APPLE INC
2018-12-20
2019-04-23
2000. APPLE INC
2017-02-08
2019-11-22
39. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-04-07
2019-03-19
7. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-04-07
2019-11-18
25. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-05-04
2019-11-19
62. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-04-07
2019-11-19
15. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-05-04
2019-11-22
22. AXA EQUITABLE HOLDINGS INC
2018-12-10
2019-11-22
1000. BB&T CORPORATION
2017-10-25
2019-11-22
27. BP P L C SPONS ADR
2018-01-23
2019-11-22
19. BAKER HUGHES A GE CO
2019-03-20
2019-11-22
11. BRISTOL MYERS SQUIBB CO COM
2019-08-08
2019-11-22
10. CDW CORP/DE
2018-02-22
2019-01-23
4. CDW CORP/DE
2018-02-22
2019-01-24
6. CDW CORP/DE
2018-03-12
2019-01-24
4. CDW CORP/DE
2018-03-13
2019-01-24
6. CDW CORP/DE
2018-03-14
2019-01-24
13. CDW CORP/DE
2018-03-14
2019-01-25
15. CRH PLC ADR
2017-12-01
2019-11-22
8. CVS HEALTH CORP
2018-11-30
2019-11-22
2. CARDINAL HEALTH INCORPORATED
2018-01-12
2019-03-19
17. CARDINAL HEALTH INCORPORATED
2018-01-16
2019-03-19
9. CARDINAL HEALTH INCORPORATED
2018-01-16
2019-03-20
3. CARDINAL HEALTH INCORPORATED
2018-01-17
2019-03-20
20. CARDINAL HEALTH INCORPORATED
2018-01-17
2019-03-21
38. CISCO SYSTEMS INCORPORATED
2018-01-29
2019-02-25
102. CISCO SYSTEMS INCORPORATED
2018-01-29
2019-07-26
3000. CISCO SYSTEMS INC
2018-04-26
2019-02-15
12000. CISCO SYSTEMS INC
2014-01-02
2019-02-15
2000. CISCO SYSTEMS INC
2014-09-15
2019-02-15
2000. CISCO SYSTEMS INC
2017-05-05
2019-02-15
36. CITIGROUP INC
2014-08-22
2019-11-22
12. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2018-06-13
2019-11-22
17. COMCAST CORP
2014-01-02
2019-11-22
. DOWDUPONT INC
2019-06-06
2019-06-06
17. DEVON ENERGY CORP
2018-05-08
2019-02-20
50. DEVON ENERGY CORP
2018-05-08
2019-02-21
65. DEVON ENERGY CORP
2018-05-09
2019-03-01
37. DEVON ENERGY CORP
2018-05-08
2019-03-01
4. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2014-01-02
2019-01-31
3. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2014-01-02
2019-01-31
4. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2014-01-02
2019-02-01
7. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2016-08-26
2019-07-01
1. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2015-07-14
2019-07-01
1. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2016-08-25
2019-07-01
3. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2014-01-02
2019-07-01
8. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2016-08-26
2019-08-08
3. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2017-02-01
2019-08-08
4. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2017-02-01
2019-08-21
1. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2019-03-08
2019-08-21
9. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2017-02-02
2019-08-21
11. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2019-03-08
2019-08-22
4. DOLLAR GENERAL CORP
2015-10-30
2019-11-22
8. DOLLAR GENERAL CORP
2015-10-30
2019-12-02
1. DOLLAR GENERAL CORP
2015-12-17
2019-12-02
5. DOLLAR GENERAL CORP
2015-12-17
2019-12-03
7. DOW INC
2017-03-22
2019-11-18
5. DOW INC
2017-03-23
2019-11-18
8. DOW INC
2017-04-13
2019-11-18
1. DOW INC
2019-04-05
2019-11-18
10. DOW INC
2019-03-01
2019-11-19
13. DOW INC
2019-03-08
2019-11-19
11. DOW INC
2019-03-26
2019-11-19
13. DOW INC
2017-04-17
2019-11-19
.67 DUPONT DE NEMOURS INC
2019-05-07
2019-06-06
7. DUPONT DE NEMOURS INC
2017-03-22
2019-06-28
5. DUPONT DE NEMOURS INC
2017-03-23
2019-06-28
8. DUPONT DE NEMOURS INC
2017-04-13
2019-06-28
5. DUPONT DE NEMOURS INC
2017-04-17
2019-06-28
1000. FEDERAL NATL MTG ASSOC
2017-06-13
2019-11-22
1. FEDEX CORP
2019-06-27
2019-11-22
5. FEDEX CORP
2019-06-26
2019-11-22
11. FIRSTENERGY CORP
2017-07-21
2019-11-22
7. ARTHUR J GALLAGHER & CO
2018-10-12
2019-11-22
16. GENERAL MOTORS CO
2019-06-19
2019-11-22
1000. GLAXOSMITHKLINE CAPITAL
2018-06-08
2019-11-22
11. GOLDMAN SACHS GROUP INC
2014-10-03
2019-04-16
5. GOLDMAN SACHS GROUP INC
2015-04-01
2019-04-16
1. GOLDMAN SACHS GROUP INC
2015-04-02
2019-11-18
2. GOLDMAN SACHS GROUP INC
2015-04-01
2019-11-18
4. GOLDMAN SACHS GROUP INC
2015-06-15
2019-11-18
9. GOLDMAN SACHS GROUP INC
2017-05-17
2019-11-19
6. GOLDMAN SACHS GROUP INC
2017-05-03
2019-11-19
6. GOLDMAN SACHS GROUP INC
2015-06-15
2019-11-19
33. HESS CORP
2016-02-12
2019-02-06
19. HESS CORP
2016-11-18
2019-02-25
5. HESS CORP
2016-02-12
2019-02-25
9. HESS CORP
2016-11-17
2019-02-25
2. HESS CORP
2017-03-13
2019-03-08
3. HESS CORP
2016-11-18
2019-03-08
7. HESS CORP
2017-03-14
2019-03-11
8. HESS CORP
2017-03-14
2019-03-11
10. HESS CORP
2017-03-13
2019-03-11
11. HESS CORP
2017-03-14
2019-03-12
13. HONEYWELL INTERNATIONAL INC
2014-01-02
2019-03-08
31. HONEYWELL INTERNATIONAL INC
2015-05-20
2019-08-20
10. HONEYWELL INTERNATIONAL INC
2015-05-07
2019-08-20
2. HUMANA INC
2018-01-23
2019-11-22
11. INTERNATIONAL PAPER CO
2015-07-14
2019-06-28
20. INTERNATIONAL PAPER CO
2015-06-15
2019-06-28
10. INTERNATIONAL PAPER CO
2015-05-07
2019-06-28
15. INTERNATIONAL PAPER CO
2014-08-29
2019-06-28
16. INTERNATIONAL PAPER CO
2014-08-28
2019-06-28
33. J P MORGAN CHASE & CO COM
2014-01-02
2019-11-22
1000. JPMORGAN CHASE & CO
2014-09-16
2019-11-22
31. KELLOGG CO
2017-11-08
2019-02-13
7. KELLOGG CO
2017-11-08
2019-11-22
2. KONINKLIJKE PHILIPS ELECTRS N V
2017-03-15
2019-08-22
32. KONINKLIJKE PHILIPS ELECTRS N V
2017-03-15
2019-08-23
15. KONINKLIJKE PHILIPS ELECTRS N V
2017-03-15
2019-11-22
5. LOCKHEED MARTIN CORPORATION
2015-06-15
2019-08-21
2. LOCKHEED MARTIN CORPORATION
2015-06-15
2019-11-22
4. LOWES COMPANIES INC COM
2017-09-18
2019-11-22
1. MARATHON PETROLEUM CORP
2015-05-07
2019-09-24
21. MARATHON PETROLEUM CORP
2015-05-20
2019-09-24
9. MARATHON PETROLEUM CORP
2015-05-20
2019-09-25
9. MARATHON PETROLEUM CORP
2015-05-21
2019-09-25
12. MARATHON PETROLEUM CORP
2015-05-21
2019-11-22
12. MARSH & MCLENNAN COS INC
2016-08-10
2019-06-20
9. MARSH & MCLENNAN COS INC
2016-08-11
2019-06-21
5. MARSH & MCLENNAN COS INC
2016-08-12
2019-06-24
14. MARSH & MCLENNAN COS INC
2016-08-11
2019-06-24
7. MARSH & MCLENNAN COS INC
2016-08-12
2019-09-24
10. MARSH & MCLENNAN COS INC
2016-08-12
2019-09-25
3. MARSH & MCLENNAN COS INC
2016-08-15
2019-09-25
27. MASCO CORP
2019-01-07
2019-04-17
32. MASCO CORP
2019-01-07
2019-04-18
37. MASCO CORP
2019-01-09
2019-04-22
5. MASCO CORP
2019-01-07
2019-04-22
18. MASCO CORP
2019-01-09
2019-04-23
27. MATTEL INC
2017-07-31
2019-10-30
60. MATTEL INC
2017-08-01
2019-10-30
15. MATTEL INC
2017-08-02
2019-10-30
58. MATTEL INC
2017-08-03
2019-10-31
45. MATTEL INC
2017-08-02
2019-10-31
10. MCKESSON CORP
2017-06-22
2019-03-19
3. MCKESSON CORP
2017-06-22
2019-03-19
5. MCKESSON CORP
2017-06-23
2019-03-19
2. MCKESSON CORP
2017-06-23
2019-09-24
10. MCKESSON CORP
2017-07-20
2019-09-24
28. MERCK AND CO INC SHS
2014-01-02
2019-02-08
25. MERCK AND CO INC SHS
2014-01-02
2019-02-13
34. MERCK AND CO INC SHS
2014-01-15
2019-03-01
25. MERCK AND CO INC SHS
2014-01-02
2019-03-01
14. MERCK AND CO INC SHS
2015-05-07
2019-03-01
16. MERCK AND CO INC SHS
2015-05-07
2019-03-08
7. MERCK AND CO INC SHS
2015-06-15
2019-03-08
13. MERCK AND CO INC SHS
2015-06-15
2019-04-23
26. MERCK AND CO INC SHS
2015-07-14
2019-04-23
18. MERCK AND CO INC SHS
2017-09-18
2019-04-23
19. METLIFE INC
2014-08-29
2019-11-22
18. MICROSOFT CORPORATION
2014-01-15
2019-05-20
5. MICROSOFT CORPORATION
2014-08-14
2019-08-08
8. MICROSOFT CORPORATION
2014-01-15
2019-08-08
11. MICROSOFT CORPORATION
2014-08-14
2019-11-22
15. MORGAN STANLEY
2014-09-19
2019-11-22
9. MOTOROLA SOLUTIONS INC
2014-01-02
2019-02-13
4. MOTOROLA SOLUTIONS INC
2014-01-02
2019-02-14
3. MOTOROLA SOLUTIONS INC
2014-01-02
2019-11-22
8. NEXTERA ENERGY INC
2014-01-02
2019-01-14
3. NEXTERA ENERGY INC
2014-01-02
2019-11-22
1. NORTHROP GRUMMAN CORP
2014-01-02
2019-08-21
4. NORTHROP GRUMMAN CORP
2015-05-07
2019-08-21
5. NOVARTIS AG ADR
2018-10-16
2019-04-16
2. NOVARTIS AG ADR
2018-10-16
2019-04-17
19. NOVARTIS AG ADR
2018-10-17
2019-04-17
14. NOVARTIS AG ADR
2018-10-18
2019-04-18
1. NOVARTIS AG ADR
2018-10-17
2019-04-18
12. NOVARTIS AG ADR
2018-10-18
2019-07-26
11. NOVARTIS AG ADR
2018-10-19
2019-07-26
2. NOVARTIS AG ADR
2018-10-19
2019-08-20
12. NOVARTIS AG ADR
2018-11-05
2019-08-20
15. NOVARTIS AG ADR
2018-12-14
2019-08-21
11. NOVARTIS AG ADR
2018-11-05
2019-08-21
10. NOVARTIS AG ADR
2018-12-13
2019-08-21
25. NOVO-NORDISK A S ADR
2017-10-18
2019-01-07
6. NOVO-NORDISK A S ADR
2017-10-18
2019-01-08
12. NOVO-NORDISK A S ADR
2017-10-18
2019-11-19
30. NOVO-NORDISK A S ADR
2017-10-18
2019-11-20
9. NOVO-NORDISK A S ADR
2017-10-24
2019-12-17
5. NOVO-NORDISK A S ADR
2017-10-18
2019-12-17
21. NOVO-NORDISK A S ADR
2017-10-18
2019-12-17
25. NOVO-NORDISK A S ADR
2017-10-24
2019-12-18
9. NOVO-NORDISK A S ADR
2017-10-25
2019-12-18
6. ONEOK INC
2018-08-03
2019-06-19
6. ONEOK INC
2018-08-06
2019-06-20
3. ONEOK INC
2018-08-03
2019-06-20
16. ONEOK INC
2018-08-06
2019-06-21
17. ONEOK INC
2018-08-06
2019-08-21
10. ONEOK INC
2018-08-07
2019-08-21
11. ONEOK INC
2018-08-07
2019-09-24
18. ONEOK INC
2018-08-07
2019-09-25
22. ORACLE CORP
2016-01-22
2019-05-20
14. ORACLE CORP
2015-08-31
2019-05-20
48. ORACLE CORP
2016-01-22
2019-06-19
27. ORACLE CORP
2016-02-12
2019-06-19
30. ORACLE CORP
2016-02-12
2019-07-01
26. ORACLE CORP
2016-03-02
2019-07-01
25. ORACLE CORP
2016-03-02
2019-08-08
5. ORACLE CORP
2016-08-08
2019-08-08
37. ORACLE CORP
2016-08-08
2019-11-18
2. ORACLE CORP
2016-11-17
2019-11-18
5. ORACLE CORP
2016-11-17
2019-11-19
8. ORACLE CORP
2016-11-17
2019-11-22
1000. ORACLE CORP
2016-10-28
2019-11-22
13. PEPSICO INCORPORATED
2018-06-13
2019-09-24
20. PFIZER INC
2014-10-08
2019-01-07
6. PFIZER INC
2014-01-15
2019-01-07
19. PFIZER INC
2015-05-07
2019-02-08
37. PFIZER INC
2014-10-08
2019-02-08
42. PFIZER INC
2015-07-14
2019-03-01
21. PFIZER INC
2015-05-07
2019-03-01
40. PFIZER INC
2015-06-15
2019-03-01
3. PFIZER INC
2015-09-10
2019-04-16
63. PFIZER INC
2015-08-06
2019-04-16
2. PFIZER INC
2015-07-14
2019-04-16
28. PFIZER INC
2015-09-10
2019-04-17
39. PFIZER INC
2015-09-10
2019-09-24
17. PFIZER INC
2015-10-30
2019-09-24
23. PFIZER INC
2015-10-30
2019-11-22
7. PROCTER & GAMBLE CO/THE
2015-05-07
2019-05-31
10. PROCTER & GAMBLE CO/THE
2014-11-11
2019-05-31
13. PROCTER & GAMBLE CO/THE
2015-05-07
2019-11-18
10. PROCTER & GAMBLE CO/THE
2015-06-15
2019-11-18
11. PROCTER & GAMBLE CO/THE
2015-07-14
2019-11-18
7. PROCTER & GAMBLE CO/THE
2015-07-14
2019-11-19
12. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-25
2019-01-07
11. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-28
2019-01-07
14. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-28
2019-02-06
23. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-03
2019-02-06
6. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-03
2019-06-26
21. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-17
2019-06-27
9. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-03
2019-06-27
42. QUALCOMM INC
2015-05-20
2019-07-01
14. QUALCOMM INC
2017-08-16
2019-09-24
10. QUALCOMM INC
2015-05-20
2019-09-24
24. QUALCOMM INC
2017-08-16
2019-11-14
10000. USD ROYAL BK CANADA
2016-04-26
2019-09-23
2000. USD ROYAL BK CANADA
2018-04-26
2019-09-23
9. CHARLES SCHWAB CORP/THE
2017-10-11
2019-11-22
14000. SHELL INTERNATIONAL FIN
2014-01-03
2019-09-23
3000. SHELL INTERNATIONAL FIN
2018-04-26
2019-09-23
2000. SHELL INTERNATIONAL FIN
2017-05-05
2019-09-23
11. SONY CORP/AMER SHARES NEW/
2019-07-03
2019-11-19
2. SONY CORP/AMER SHARES NEW/
2019-07-05
2019-11-19
69. SONY CORP/AMER SHARES NEW/
2019-07-05
2019-11-20
7. SONY CORP/AMER SHARES NEW/
2019-07-05
2019-11-22
14. STATE ST CORP COM
2018-10-05
2019-11-22
52. SUNCOR ENERGY INC
2016-06-03
2019-02-25
31. SUNCOR ENERGY INC
2016-06-03
2019-03-21
32. SUNCOR ENERGY INC
2016-06-03
2019-03-22
3. SUNCOR ENERGY INC
2016-08-10
2019-03-22
13. SUNCOR ENERGY INC
2016-08-09
2019-03-22
21. SUNCOR ENERGY INC
2016-10-14
2019-03-25
25. SUNCOR ENERGY INC
2016-10-17
2019-03-25
10. SUNCOR ENERGY INC
2016-10-18
2019-03-25
38. SUNCOR ENERGY INC
2016-08-11
2019-03-25
14. SUNCOR ENERGY INC
2016-08-10
2019-03-25
18. SUNCOR ENERGY INC
2016-10-18
2019-03-26
2. SUNCOR ENERGY INC
2017-08-01
2019-03-26
20. SUNCOR ENERGY INC
2017-07-31
2019-03-26
15. SUNCOR ENERGY INC
2017-07-28
2019-03-26
18. SUNCOR ENERGY INC
2017-02-23
2019-03-26
18. SUNCOR ENERGY INC
2017-02-22
2019-03-26
9. SUNCOR ENERGY INC
2017-02-24
2019-03-26
17. SUNCOR ENERGY INC
2017-09-05
2019-06-07
18. SUNCOR ENERGY INC
2017-08-01
2019-06-07
30. SUNCOR ENERGY INC
2017-09-01
2019-06-07
35. SUNCOR ENERGY INC
2018-05-08
2019-08-20
31. SUNCOR ENERGY INC
2017-09-05
2019-08-20
25. SUNCOR ENERGY INC
2018-10-05
2019-08-21
12. SUNCOR ENERGY INC
2018-10-04
2019-08-21
14. SUNCOR ENERGY INC
2018-05-08
2019-08-21
16. SUNTRUST BANKS INC
2015-05-07
2019-01-07
30. SUNTRUST BANKS INC
2015-06-15
2019-01-07
33. SUNTRUST BANKS INC
2015-07-14
2019-01-07
50. TAIWAN S MANUFCTRING ADR
2017-01-23
2019-08-14
1. TAIWAN S MANUFCTRING ADR
2017-03-09
2019-08-15
41. TAIWAN S MANUFCTRING ADR
2017-01-23
2019-08-15
36. TAIWAN S MANUFCTRING ADR
2017-03-08
2019-08-15
21. TAIWAN S MANUFCTRING ADR
2017-03-07
2019-08-15
54. TAIWAN S MANUFCTRING ADR
2018-12-13
2019-08-20
34. TAIWAN S MANUFCTRING ADR
2017-03-09
2019-08-20
35. TAIWAN S MANUFCTRING ADR
2017-03-10
2019-08-20
6. TAIWAN S MANUFCTRING ADR
2017-03-13
2019-08-20
5. 3M CO
2014-01-02
2019-05-07
7. 3M CO
2015-05-07
2019-05-07
3. 3M CO
2015-05-07
2019-08-20
8. 3M CO
2017-03-10
2019-08-20
1. 3M CO
2018-05-08
2019-08-20
4. TOTAL S.A. SP ADR
2016-05-19
2019-11-22
5. TOTAL S.A. SP ADR
2015-07-14
2019-11-22
10. US BANCORP DEL
2015-07-14
2019-06-26
57. US BANCORP DEL
2016-04-05
2019-06-27
5. US BANCORP DEL
2015-07-14
2019-06-27
8. UNILEVER N V-W/I (NET/USD) US9047847093
2016-08-10
2019-11-22
13. UNION PACIFIC CORP
2014-01-15
2019-02-25
1000. U.S. TREASURY BOND
2014-01-02
2019-11-22
1000. U.S. TREASURY BOND 3.125% FEB 15 2042
2014-01-02
2019-11-22
4000. U.S. TREASURY BOND
2018-04-26
2019-06-25
4000. U.S. TREASURY BOND
2017-05-04
2019-06-25
16000. U.S. TREASURY BOND
2016-09-23
2019-06-25
21000. U.S. TREASURY NOTE
2018-04-30
2019-01-11
11000. U.S. TREASURY NOTE
2018-03-01
2019-04-12
1000. U.S. TREASURY NOTE
2018-04-26
2019-04-12
18000. U.S. TREASURY NOTE
2018-04-30
2019-04-12
1000. U.S. TREASURY NOTE
2018-06-08
2019-11-22
26000. U.S. TREASURY NOTE
2018-09-12
2019-05-15
12000. U.S. TREASURY NOTE
2018-09-12
2019-07-18
1000. U.S. TREASURY NOTE
2019-04-12
2019-11-22
1000. U.S. TREASURY NOTE
2019-02-20
2019-11-22
25000. U.S. TREASURY NOTE
2019-02-20
2019-12-18
13000. U.S. TREASURY NOTE
2019-09-25
2019-12-18
1000. U.S. TREASURY NOTE
2014-01-02
2019-11-22
1000. U.S. TREASURY NOTE
2017-10-25
2019-11-22
1000. U.S. TREASURY NOTE
2018-08-23
2019-11-22
6. UNITEDHEALTH GROUP INC
2015-06-12
2019-01-07
8. UNITEDHEALTH GROUP INC
2015-06-12
2019-02-06
28. VERIZON COMMUNICATIONS INC
2014-01-02
2019-11-22
1000. WALMART INC
2018-08-23
2019-11-22
68. WELLS FARGO COMPANY
2014-01-02
2019-11-22
1000. WELLS FARGO & COMPANY
2016-07-26
2019-11-22
47. WILLIAMS COMPANIES DEL
2018-05-21
2019-11-22
9. WILLIAMS COMPANIES DEL
2018-05-18
2019-11-22
11. JOHNSON CTLS INTL PLC
2018-08-06
2019-05-28
2. JOHNSON CTLS INTL PLC
2018-08-06
2019-05-28
50. JOHNSON CTLS INTL PLC
2018-08-07
2019-05-28
20. JOHNSON CTLS INTL PLC
2018-08-07
2019-09-05
23. JOHNSON CTLS INTL PLC
2018-08-08
2019-09-06
4. JOHNSON CTLS INTL PLC
2018-08-07
2019-09-06
25. JOHNSON CTLS INTL PLC
2018-08-08
2019-09-24
27. JOHNSON CTLS INTL PLC
2018-08-08
2019-09-25
42. JOHNSON CTLS INTL PLC
2018-11-05
2019-09-25
88. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-18
2019-09-05
94. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-22
2019-09-06
41. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-18
2019-09-06
3. MEDTRONIC PLC SHS
2017-10-27
2019-11-22
7. MEDTRONIC PLC SHS
2017-10-26
2019-11-22
3. WILLIS TOWERS WATSON PLC
2019-02-11
2019-11-22
.8 ALCON SA ACT NOM
2018-12-14
2019-04-26
3. ALCON SA ACT NOM
2018-10-19
2019-11-22
5. ALCON SA ACT NOM
2018-10-18
2019-11-22
4. ALCON SA ACT NOM
2018-10-17
2019-11-22
1. ALCON SA ACT NOM
2018-10-16
2019-11-22
4. NXP SEMICONDUCTORS N.V.
2019-08-14
2019-11-22
(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
584
868
-284
b
1,044
1,002
42
c
577
616
-39
d
367
385
-18
e
2,040
2,326
-286
141
141
3,035
3,081
-46
494
309
185
1,965
1,237
728
4,833
3,042
1,791
350
221
129
21,068
21,932
-864
1,915
1,983
-68
2,457
1,116
1,341
1,843
848
995
876
424
452
2,074
1,749
325
4,563
3,518
1,045
2,138
2,019
119
1,671
1,161
510
335
208
127
1,193
706
487
2,959
1,846
1,113
723
424
299
534
380
154
1,026
996
30
1,044
1,168
-124
433
533
-100
625
518
107
814
719
95
326
288
38
488
452
36
326
303
23
488
452
36
1,069
979
90
558
519
39
602
646
-44
101
142
-41
859
1,234
-375
445
653
-208
148
217
-69
999
1,447
-448
1,929
1,629
300
5,762
4,373
1,389
3,000
3,000
12,000
12,000
2,000
2,000
2,000
2,000
2,685
1,839
846
756
940
-184
755
421
334
18
18
517
658
-141
1,505
1,934
-429
1,945
2,614
-669
1,107
1,431
-324
610
522
88
457
382
75
606
509
97
1,195
806
389
171
121
50
171
115
56
512
379
133
1,305
921
384
489
336
153
674
448
226
169
159
10
1,517
1,002
515
1,842
1,747
95
643
273
370
1,241
545
696
155
72
83
766
360
406
381
427
-46
272
308
-36
435
478
-43
54
54
532
524
8
692
690
2
586
574
12
692
777
-85
48
65
-17
521
651
-130
372
471
-99
596
730
-134
372
456
-84
1,022
978
44
154
163
-9
769
801
-32
516
348
168
641
496
145
564
592
-28
1,046
999
47
2,219
2,060
159
1,009
960
49
220
192
28
439
384
55
879
848
31
1,977
1,934
43
1,318
1,358
-40
1,318
1,272
46
1,816
1,310
506
1,093
970
123
288
198
90
518
457
61
110
95
15
164
153
11
392
328
64
445
375
70
556
477
79
627
516
111
1,966
1,122
844
5,089
3,152
1,937
1,642
965
677
676
565
111
477
526
-49
868
1,013
-145
434
521
-87
651
725
-74
694
774
-80
4,326
1,916
2,410
1,059
996
63
1,760
1,929
-169
452
436
16
93
62
31
1,489
987
502
682
463
219
1,914
950
964
778
380
398
471
312
159
55
51
4
1,165
1,095
70
526
469
57
526
470
56
755
626
129
1,168
805
363
877
607
270
490
337
153
1,373
944
429
703
472
231
1,005
674
331
301
202
99
1,082
854
228
1,280
1,013
267
1,465
1,197
268
198
158
40
719
582
137
319
529
-210
710
1,181
-471
177
294
-117
687
1,104
-417
533
882
-349
1,222
1,661
-439
366
485
-119
611
825
-214
281
330
-49
1,404
1,659
-255
2,166
1,383
783
1,973
1,234
739
2,777
1,788
989
2,042
1,234
808
1,144
851
293
1,271
972
299
556
401
155
971
745
226
1,941
1,505
436
1,344
1,187
157
936
926
10
2,272
661
1,611
686
222
464
1,098
294
804
1,639
488
1,151
735
545
190
1,238
598
640
549
266
283
495
199
296
1,368
677
691
696
254
442
369
113
256
1,475
616
859
397
375
22
155
150
5
1,475
1,422
53
1,069
1,060
9
76
75
1
1,117
908
209
1,024
844
180
179
153
26
1,072
940
132
1,349
1,154
195
989
862
127
899
776
123
1,194
1,259
-65
289
302
-13
684
604
80
1,668
1,511
157
523
453
70
291
252
39
1,220
1,058
162
1,431
1,259
172
515
452
63
397
390
7
405
395
10
203
195
8
1,098
1,053
45
1,209
1,107
102
711
657
54
816
723
93
1,325
1,182
143
1,180
764
416
751
520
231
2,520
1,668
852
1,417
946
471
1,740
1,051
689
1,508
977
531
1,359
939
420
272
206
66
2,078
1,524
554
112
80
32
283
201
82
452
322
130
1,022
990
32
1,759
1,367
392
865
587
278
260
186
74
797
642
155
1,552
1,086
466
1,823
1,465
358
911
710
201
1,736
1,363
373
123
98
25
2,577
2,221
356
82
70
12
1,116
913
203
1,405
1,272
133
612
584
28
877
790
87
729
564
165
1,042
897
145
1,584
1,047
537
1,219
782
437
1,340
904
436
854
575
279
619
491
128
568
448
120
770
570
200
1,265
1,004
261
355
262
93
1,236
918
318
530
393
137
3,255
2,853
402
1,053
742
311
752
679
73
2,171
1,272
899
10,000
10,041
-41
2,000
1,986
14
430
407
23
14,000
14,000
3,000
3,000
2,000
2,000
680
602
78
124
110
14
4,254
3,781
473
429
384
45
1,039
1,215
-176
1,769
1,436
333
1,071
856
215
1,076
884
192
101
83
18
437
355
82
695
598
97
827
714
113
331
288
43
1,257
1,061
196
463
385
78
600
519
81
67
64
3
667
647
20
500
487
13
600
586
14
600
580
20
300
289
11
519
539
-20
550
580
-30
917
959
-42
987
1,337
-350
874
983
-109
711
991
-280
341
478
-137
398
535
-137
872
670
202
1,636
1,319
317
1,799
1,467
332
2,022
1,517
505
39
31
8
1,604
1,244
360
1,409
1,127
282
822
658
164
2,272
2,016
256
1,430
1,053
377
1,473
1,085
388
252
189
63
897
691
206
1,255
1,113
142
485
477
8
1,292
1,526
-234
162
201
-39
217
191
26
272
249
23
520
438
82
2,961
2,290
671
260
219
41
465
367
98
2,206
1,108
1,098
1,357
1,093
264
1,167
864
303
3,983
3,498
485
3,983
3,603
380
15,931
16,452
-521
21,116
20,643
473
11,107
10,995
112
1,010
991
19
17,995
17,873
122
1,064
1,000
64
26,638
25,870
768
12,445
11,940
505
1,114
1,047
67
1,011
1,002
9
25,256
25,055
201
13,133
13,111
22
1,009
1,006
3
1,047
994
53
1,007
1,000
7
1,441
707
734
2,146
943
1,203
1,678
1,374
304
1,051
1,010
41
3,680
3,061
619
1,002
1,000
2
1,089
1,286
-197
209
260
-51
424
403
21
77
75
2
1,927
1,903
24
859
761
98
987
867
120
172
152
20
1,087
942
145
1,178
1,017
161
1,832
1,391
441
2,185
1,494
691
2,341
1,557
784
1,021
696
325
333
242
91
777
562
215
568
508
60
45
43
2
171
158
13
285
262
23
228
207
21
57
52
5
458
401
57
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
-284
b
42
c
-39
d
-18
e
-286
-46
185
728
1,791
129
-864
-68
1,341
995
452
325
1,045
119
510
127
487
1,113
299
154
30
-124
-100
107
95
38
36
23
36
90
39
-44
-41
-375
-208
-69
-448
300
1,389
846
-184
334
18
-141
-429
-669
-324
88
75
97
389
50
56
133
384
153
226
10
515
95
370
696
83
406
-46
-36
-43
54
8
2
12
-85
-17
-130
-99
-134
-84
44
-9
-32
168
145
-28
47
159
49
28
55
31
43
-40
46
506
123
90
61
15
11
64
70
79
111
844
1,937
677
111
-49
-145
-87
-74
-80
2,410
63
-169
16
31
502
219
964
398
159
4
70
57
56
129
363
270
153
429
231
331
99
228
267
268
40
137
-210
-471
-117
-417
-349
-439
-119
-214
-49
-255
783
739
989
808
293
299
155
226
436
157
10
1,611
464
804
1,151
190
640
283
296
691
442
256
859
22
5
53
9
1
209
180
26
132
195
127
123
-65
-13
80
157
70
39
162
172
63
7
10
8
45
102
54
93
143
416
231
852
471
689
531
420
66
554
32
82
130
32
392
278
74
155
466
358
201
373
25
356
12
203
133
28
87
165
145
537
437
436
279
128
120
200
261
93
318
137
402
311
73
899
-41
14
23
78
14
473
45
-176
333
215
192
18
82
97
113
43
196
78
81
3
20
13
14
20
11
-20
-30
-42
-350
-109
-280
-137
-137
202
317
332
505
8
360
282
164
256
377
388
63
206
142
8
-234
-39
26
23
82
671
41
98
1,098
264
303
485
380
-521
473
112
19
122
64
768
505
67
9
201
22
3
53
7
734
1,203
304
41
619
2
-197
-51
21
2
24
98
120
20
145
161
441
691
784
325
91
215
60
2
13
23
21
5
57
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
64,550
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
74,268
1,383,701
0.053673
2017
72,118
1,380,643
0.052235
2016
105,378
1,290,550
0.081654
2015
5,093
1,307,463
0.003895
2014
5,815
1,268,139
0.004585
2
Total
of line 1, column (d)
.....................
2
0.196042
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
0.039208
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,394,168
5
Multiply line 4 by line 3
......................
5
54,663
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
989
7
Add lines 5 and 6
........................
7
55,652
8
Enter qualifying distributions from Part XII, line 4
,.............
8
75,746
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
989
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
989
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
989
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
830
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
830
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
159
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
NY
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
BANK OF AMERICA NA
Telephone no.
(212) 852-3049
Located at
114 WEST 47TH STREET NY8-114-07-07
NEW YORK
NY
ZIP+4
100361510
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
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
RICHARD M JOES
PRESIDENT
0
0
500 W 185TH STREET
NEW YORK
,
NY
10033
JACOB E HARMAN
VP AND TREASURER
0
0
500 W 185TH STREET
NEW YORK
,
NY
10033
ANDREW J LAUER
SECRETARY
0
0
500 W 185TH STREET
NEW YORK
,
NY
10033
ESTHER SASSON
ASSISTANT SECRETARY
0
0
500 W 185TH STREET
NEW YORK
,
NY
10033
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
1,341,924
b
Average of monthly cash balances
.......................
1b
73,475
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,415,399
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
1,415,399
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
21,231
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,394,168
6
Minimum investment return.
Enter 5% of line 5
..................
6
69,708
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
69,708
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
989
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
989
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
68,719
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
68,719
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
68,719
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
75,746
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
75,746
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
989
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
74,757
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
68,719
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
4,090
d
From 2017
......
4,736
e
From 2018
......
6,743
f
Total
of lines 3a through e
........
15,569
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
75,746
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
68,719
e
Remaining amount distributed out of corpus
7,027
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
22,596
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
22,596
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
4,090
c
Excess from 2017
....
4,736
d
Excess from 2018
....
6,743
e
Excess from 2019
....
7,027
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 email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
YESHIVA UNIVERSITY
500 WEST 185TH ST
NEW YORK
,
NY
10033
N/A
PC
UNRESTRICTED GENERAL
44,530
FRIENDS OF WASHINGTON HEIGHTS
131 BENNETTE AVE
NEW YORK
,
NY
100332315
N/A
PC
UNRESTRICTED GENERAL
2,920
ALBERT EINSTEIN COLLEGE OF
MEDICINE
111 E 210TH ST
BRONX
,
NY
104672401
N/A
PC
UNRESTRICTED GENERAL
25,550
Total
.................................
3a
73,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
40,016
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
64,550
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)
..
104,566
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
104,566
(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