-
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
WEISSMAN FAMILY FOUNDATION INC
% WITHUMSMITHBROWN PC
Number and street (or P.O. box number if mail is not delivered to street address)
81 MANURSING WAY
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RYE
,
NY
10580
A Employer identification number
13-3688122
B
Telephone number (see instructions)
(808) 639-3312
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)
$
29,048,312
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)
0
2
Check
.............
3
Interest on savings and temporary cash investments
18
18
4
Dividends and interest from securities
...
569,572
569,572
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
495,914
b
Gross sales price for all assets on line 6a
1,063,335
7
Capital gain net income (from Part IV, line 2)
...
495,914
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
801,726
801,726
12
Total.
Add lines 1 through 11
........
1,867,230
1,867,230
13
Compensation of officers, directors, trustees, etc.
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
8,000
4,000
0
4,000
c
Other professional fees (attach schedule)
....
100,449
100,449
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
4,936
4,936
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
113,385
104,449
0
8,936
25
Contributions, gifts, grants paid
.......
1,728,800
1,728,800
26
Total expenses and disbursements.
Add lines 24 and 25
1,842,185
104,449
0
1,737,736
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
25,045
b
Net investment income
(if negative, enter -0-)
1,762,781
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
3,151,994
2,427,640
2,427,640
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
1,039,437
1,000,194
1,029,899
b
Investments—corporate stock (attach schedule)
.......
2,121,899
1,938,198
11,341,553
c
Investments—corporate bonds (attach schedule)
.......
621,266
684,821
708,806
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
11,987,404
13,540,414
13,540,414
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
18,922,000
19,591,267
29,048,312
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
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
........
48,368
48,368
27
Paid-in or capital surplus, or land, bldg., and equipment fund
12,898
12,898
28
Retained earnings, accumulated income, endowment, or other funds
18,860,734
19,530,001
29
Total net assets or fund balances
(see instructions)
.....
18,922,000
19,591,267
30
Total liabilities and net assets/fund balances
(see instructions)
.
18,922,000
19,591,267
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
18,922,000
2
Enter amount from Part I, line 27a
.....................
2
25,045
3
Other increases not included in line 2 (itemize)
3
644,222
4
Add lines 1, 2, and 3
..........................
4
19,591,267
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
19,591,267
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
10,000 SHARES SIMON PPTY GROUP LP NOTE CALL MAKE WHOLE
2019-07-19
2019-10-07
b
35,000 SHARES UNITED STATES TREAS NTS NOTE 1.37500%
2018-10-18
2019-05-14
c
25,000 SHARES AMERICAN EXPRESS CR CORP BE MTN 2.20000%
2017-03-24
2019-07-19
d
20,000 SHARES ANHEUSER BUSCH INBEVFIN INC NOTE 3.65000
2017-12-15
2019-02-11
e
20,000 SHARES BANK AMER CORP MTN CALL MAKE WHOLE 2.151
2017-12-07
2019-10-16
25,000 SHARES CISCO SYS INC NOTE CALL MAKE WHOLE 4.450
2014-05-06
2019-05-09
20,000 SHARES DISNEY WALT CO MTNS BE 1.95000% 03/04/20
2017-03-14
2019-07-19
25,000 SHARES GOLDMAN SACHS GROUP INC NOTE 2.75000%
2016-09-30
2019-12-06
18,000 SHARES MEDTRONIC INC NOTE CALL MAKE WHOLE 3.150
2016-03-08
2019-07-12
20,000 SHARES MORGAN STANLEY MTN 2.37500% 07/23/2019
2016-03-03
2019-07-23
40,000 SHARES SAN MATEO CALIF UN HIGH SCH DIST REF 02
2014-05-01
2019-09-03
50,000 SHARES UNITED STATES TREAS NTS 1.00000%
2016-03-02
2019-09-30
40,000 SHARES UNITED STATES TREAS NTS 1.00000%
2014-05-08
2019-12-02
25,000 SHARES UNITED STATES TREAS NTS 1.25000%
2017-02-28
2019-04-30
10,000 SHARES UNITED STATES TREAS NTS 1.37500%
2017-03-30
2019-12-09
22,000 SHARES KRAFT HEINZ CO COM
2019-10-31
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
10,340
10,275
65
b
34,704
34,346
89
c
24,960
25,009
-49
d
19,399
20,622
-1,223
e
19,950
19,908
42
25,276
25,342
-66
19,944
19,925
19
25,088
25,134
-46
18,517
18,361
156
20,000
19,955
45
40,000
39,411
50,000
49,738
262
39,821
38,250
-91
25,000
24,985
15
9,970
9,940
30
680,366
183,700
496,666
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
65
b
358
c
-49
d
-1,223
e
42
-66
19
-46
156
45
589
262
1,571
15
30
496,666
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
495,914
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
1,730,934
30,299,222
0.057128
2017
1,703,141
32,955,122
0.051681
2016
1,559,369
32,448,546
0.048057
2015
1,519,167
30,716,667
0.049457
2014
1,520,062
30,103,657
0.050494
2
Total
of line 1, column (d)
.....................
2
0.256817
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
0.051363
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
28,644,643
5
Multiply line 4 by line 3
......................
5
1,471,275
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
17,628
7
Add lines 5 and 6
........................
7
1,488,903
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,737,736
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
17,628
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
3
Add lines 1 and 2
...........................
3
17,628
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
17,628
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
28,241
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
28,241
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
10,613
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
10,613
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
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
N/A
14
The books are in care of
WITHUMSMITHBROWN PC
Telephone no.
(212) 751-9100
Located at
1411 BROADWAY 9TH FLOOR
NEW YORK
NY
ZIP+4
10018
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
Yes
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
No
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
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
MILDRED WEISSMAN
PRESIDENT & DIRECTOR
0
0
0
0
81 MANURSING WAY
RYE
,
NY
10580
ELLEN WEISSMAN
SECRETARY & DIRECTOR
0
0
0
0
4985 SHERIDAN DRIVE
WILLIAMSVILLE
,
NY
14221
PAUL WEISSMAN
TREASURER & DIRECTOR
0
0
0
0
3260 PACIFIC HEIGHTS ROAD
HONOLULU
,
HI
96813
DANIEL WEISSMAN
VICE PRESIDENT & DIR
0
0
0
0
110 RIVERSIDE DRIVE APT 11D
NEW YORK
,
NY
10024
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
Total
number of other employees paid over $50,000
...................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
Total
number of others receiving over $50,000 for professional services
.............
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
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
13,025,420
b
Average of monthly cash balances
.......................
1b
3,291,526
c
Fair market value of all other assets (see instructions)
................
1c
12,763,910
d
Total
(add lines 1a, b, and c)
.........................
1d
29,080,856
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
29,080,856
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
436,213
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
28,644,643
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,432,232
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
1,432,232
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
17,628
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
17,628
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,414,604
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
1,414,604
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
1,414,604
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
1,737,736
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
1,737,736
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
17,628
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,720,108
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
1,414,604
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
2017
,
2016
,
2015
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
94,851
b
From 2015
......
58,374
c
From 2016
......
d
From 2017
......
119,965
e
From 2018
......
231,491
f
Total
of lines 3a through e
........
504,681
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,737,736
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
1,414,604
e
Remaining amount distributed out of corpus
323,132
5
Excess distributions carryover applied to 2019.
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
827,813
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
......
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
94,851
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
732,962
10
Analysis of line 9:
a
Excess from 2015
....
58,374
b
Excess from 2016
....
c
Excess from 2017
....
119,965
d
Excess from 2018
....
231,491
e
Excess from 2019
....
323,132
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
350org
20 JAY STREET STE 732
BROOKLYN
,
NY
11201
N/A
PC
UNRESTRICTED
15,000
AHEAD Inc
6324 WINDERMERE CIRCLE PO BOX 20
ROCKVILLE
,
MD
20847
N/A
PC
UNRESTRICTED
2,000
American Fdtn for Suicide Prevention
440 FIRST STREET NW STE 300
WASHINGTON
,
DC
20001
N/A
PC
UNRESTRICTED
1,000
American Sexual Health Assoc
PO BOX 13827
RESEARCH TRIANGLE PARK
,
NC
27709
N/A
PC
UNRESTRICTED
1,000
Anthology Film Archives
32 2ND AVENUE
NEW YORK
,
NY
10003
N/A
PC
UNRESTRICTED
1,000
Back2Basics Academy
1510 ZEREGA AVENUE
BRONX
,
NY
10462
N/A
PC
UNRESTRICTED
1,000
Brooklyn Public Library
10 GRAND ARMY PLAZA
BROOKLYN
,
NY
11238
N/A
PC
UNRESTRICTED
100,000
Buffalo & Erie Co Public Library
1 LAFAYETTE SQUARE
BUFFALO
,
NY
14203
N/A
PC
UNRESTRICTED
10,000
Buffalo Chamber Music Society
67 COVINGTON ROAD
BUFFALO
,
NY
14216
N/A
PC
UNRESTRICTED
1,000
Buffalo Niagara Waterkeeper
721 MAIN STREET
BUFFALO
,
NY
14203
N/A
PC
UNRESTRICTED
2,500
Buffalo String Works
179 ANDERSON PLACE
BUFFALO
,
NY
14222
N/A
PC
UNRESTRICTED
3,500
CASES
2090 ADAM CLAYTON POWELL JR BLVD
NEW YORK
,
NY
10027
N/A
PC
UNRESTRICTED
4,000
Central Park Conservancy
12 EAST 60TH STREET
NEW YORK
,
NY
10022
N/A
PC
UNRESTRICTED
5,000
CharityWatch
3450 NORTH LAKE SHORE DRIVE SUITE
CHICAGO
,
IL
60657
N/A
PC
UNRESTRICTED
100
Chess In The Schools
520 8TH AVENUE NO 2
NEW YORK
,
NY
10018
N/A
PC
UNRESTRICTED
5,000
Clarke Schools for HearingSpeech
80 EAST END AVENUE
NEW YORK
,
NY
10028
N/A
PC
UNRESTRICTED
1,000
Coalition for the Homeless
129 FULTON STREET
NEW YORK
,
NY
10038
N/A
PC
UNRESTRICTED
3,000
Compassion & Choices
PO BOX 101810
DENVER
,
CO
80250
N/A
PC
UNRESTRICTED
3,000
Diabetes Action Research & Education Fdn
6701 DEMOCRACY BLVD STE 300
BETHESDA
,
MD
20817
N/A
PC
UNRESTRICTED
3,000
Doctors Without Borders
333 7TH AVENUE
NEW YORK
,
NY
10001
N/A
PC
UNRESTRICTED
5,000
EarthJustice
50 CALIFORNIA STREET SUITE 500
SAN FRANCISCO
,
CA
94111
N/A
PC
UNRESTRICTED
100,000
Edible Schoolyard NYC
20 JAY STREET M9
BROOKLYN
,
NY
11201
N/A
PC
UNRESTRICTED
10,000
Film Society of LCFilm in Education
70 LINCOLN CENTER PLAZA
NEW YORK
,
NY
10023
N/A
PC
UNRESTRICTED
25,000
Foodbank for NYC
39 BROADWAY FL 10
NEW YORK
,
NY
10006
N/A
PC
UNRESTRICTED
2,000
Foundation Fighting Blindness
7168 COLUMBIA GATEWAY DR STE 100
COLUMBIA
,
MD
21046
N/A
PC
UNRESTRICTED
2,500
Friends of Kibbutz Lotan
5545 FORBES AVENUE
PITTSBURGH
,
PA
15217
N/A
PC
UNRESTRICTED
50,000
Friends of Waikiki Aquarium
2777 KALAKAUA AVENUE
HONOLULU
,
HI
96815
N/A
PC
UNRESTRICTED
5,000
Galagapos Conservancy
11150 FAIRFAX BLVD 408
FAIRFAX
,
VA
22030
N/A
PC
UNRESTRICTED
500
Habitat for Humanity Intl
121 HABITAT STREET
AMERICUS
,
GA
31709
N/A
PC
UNRESTRICTED
5,000
Hawaii Foodbank
2611 KILIHAU STREET
HONOLULU
,
HI
96819
N/A
PC
UNRESTRICTED
5,000
Hawaii Public Radio
738 KAHEKA STREET
HONOLULU
,
HI
96814
N/A
PC
UNRESTRICTED
5,000
HealthRight International
240 GREENE STREET FL 2
NEW YORK
,
NY
10003
N/A
PC
UNRESTRICTED
10,000
Heifer International
1 WORLD AVENUE
LITTLE ROCK
,
AR
72202
N/A
PC
UNRESTRICTED
5,000
Homes for the Homeless
50 COOPER SQUARE FL 4
NEW YORK
,
NY
10003
N/A
PC
UNRESTRICTED
5,000
Honolulu Printmakers
1111 VICTORIA STREET
HONOLULU
,
HI
96814
N/A
PC
UNRESTRICTED
3,000
Hospice Fndn of Western NY
225 COMO PARK BOULEVARD
CHEEKTOWAGA
,
NY
14227
N/A
PC
UNRESTRICTED
5,000
Irish Classical Theater
625 MAIN STREET
BUFFALO
,
NY
14203
N/A
PC
UNRESTRICTED
2,500
Jacob's Pillow Dance
358 GEORGE CARTER ROAD
BECKET
,
MA
01223
N/A
PC
UNRESTRICTED
10,000
Jazz LCeduc
3 COLUMBUS CIRCLE 12TH FLOOR
NEW YORK
,
NY
10019
N/A
PC
UNRESTRICTED
100,000
Jericho Project
245 WEST 29TH STREET STE 902
NEW YORK
,
NY
10001
N/A
PC
UNRESTRICTED
2,000
Kids Escaping Drugs
920 HARLEM ROAD
BUFFALO
,
NY
14224
N/A
PC
UNRESTRICTED
5,000
Literacy NY Buffalo-Niagara
1 LAFAYETTE SQUARE
BUFFALO
,
NY
14203
N/A
PC
UNRESTRICTED
5,000
Little Kids Rock
271 GROVE AVENUE BLDG E-2
VERONA
,
NJ
07044
N/A
PC
UNRESTRICTED
3,000
Locust St Neighborhood Art Classes
138 LOCUST STREET
BUFFALO
,
NY
14204
N/A
PC
UNRESTRICTED
5,000
Mood Disorders Support Group
PO BOX 30377
NEW YORK
,
NY
10011
N/A
PC
UNRESTRICTED
2,000
National Coalition Against Censorship
19 FULTON STREET STE 407
NEW YORK
,
NY
10038
N/A
PC
UNRESTRICTED
5,000
New York Cares
65 BROADWAY FL 19
NEW YORK
,
NY
10006
N/A
PC
UNRESTRICTED
5,000
New York Public Library
476 FIFTH AVENUE
NEW YORK
,
NY
10018
N/A
PC
UNRESTRICTED
5,000
NPR
1111 NORTH CAPITOL STREET NE
WASHINGTON
,
DC
20002
N/A
PC
UNRESTRICTED
5,000
NYCLU - LHV Chapter
297 KNOLLWOOD ROAD STE 217
WHITE PLAINS
,
NY
10607
N/A
PC
UNRESTRICTED
1,000
NYCLU Foundation
125 BROAD STREET
NEW YORK
,
NY
10004
N/A
PC
UNRESTRICTED
9,000
NYC-Parents In Action Inc
1165 PARK AVENUE
NEW YORK
,
NY
10128
N/A
PC
UNRESTRICTED
1,000
Open Door Medical Center
5 GRACE CHURCH STREET
PORT CHESTER
,
NY
10573
N/A
PC
UNRESTRICTED
5,000
Partners In Health
800 BOYLSTON STREET STE 1400
BOSTON
,
MA
02199
N/A
PC
UNRESTRICTED
10,000
Plan International USA
155 PLAN WAY
WARWICK
,
RI
02886
N/A
PC
UNRESTRICTED
7,500
Planetary Society
60 SOUTH LOS ROBLES AVENUE
PASADINA
,
CA
91101
N/A
PC
UNRESTRICTED
5,000
Planned Parenthood (national)
114 UNIVERSITY AVENUE
ROCHESTER
,
NY
14605
N/A
PC
UNRESTRICTED
5,000
RAVEN
303 - 620 VIEW STREET
VICTORIA
,
BRITISH COLUMBIA
V8W 1J6
CA
N/A
PC
UNRESTRICTED
5,000
Read To Succeed Buffalo
392 PEARL STREET
BUFFALO
,
NY
14202
N/A
PC
UNRESTRICTED
5,000
Riverside Park Fund
475 RIVERSIDE DRIVE NO 455
NEW YORK
,
NY
10115
N/A
PC
UNRESTRICTED
1,000
Rye Free Reading Room
1061 BOSTON POST ROAD
RYE
,
NY
10580
N/A
PC
UNRESTRICTED
25,000
Rye Historical Society
1 PURCHASE STREET
RYE
,
NY
10580
N/A
PC
UNRESTRICTED
2,500
Rye Nature Center
873 BOSTON POST ROAD
RYE
,
NY
10580
N/A
PC
UNRESTRICTED
2,500
Rye YMCA
21 LOCUST AVENUE
RYE
,
NY
10580
N/A
PC
UNRESTRICTED
10,000
Shakespeare in Delaware Park
PO BOX 716
BUFFALO
,
NY
14205
N/A
PC
UNRESTRICTED
10,000
Sierra Club Foundation
2101 WEBSTER STREET STE 1250
OAKLAND
,
CA
94612
N/A
PC
UNRESTRICTED
5,000
Swarthmore College
500 COLLEGE AVENUE
SWARTHMORE
,
PA
19081
N/A
PC
UNRESTRICTED
10,000
The Carver Center
400 WESTCHESTER AVENUE
PORT CHESTER
,
NY
10573
N/A
PC
UNRESTRICTED
5,000
The Fresh Air Fund (of NYC)
633 3RD AVENUE FL 14
NEW YORK
,
NY
10017
N/A
PC
UNRESTRICTED
5,000
The Nature Conservancy
322 8TH AVENUE
NEW YORK
,
NY
10001
N/A
PC
UNRESTRICTED
20,000
The Wooster Group
BOX 654 CANAL ST STATION
NEW YORK
,
NY
10013
N/A
PC
UNRESTRICTED
500
THIRTEEN (WNET)
825 EIGHTH AVENUE
NEW YORK
,
NY
10019
N/A
PC
UNRESTRICTED
5,000
Thousand CurrentsGlobalClimateSolnsFund
1330 BROADWAY SUITE 301
OAKLAND
,
CA
94612
N/A
PC
UNRESTRICTED
5,000
Winston Preparatory School
126 WEST 17TH STREET
NEW YORK
,
NY
10011
N/A
PC
UNRESTRICTED
10,000
WNY Public Broadcasting WNED
140 LOWER TERRACE
BUFFALO
,
NY
14202
N/A
PC
UNRESTRICTED
6,000
Amnesty International
5 Pennsylvania Plaza
New York
,
NY
10001
N/A
PC
UNRESTRICTED
5,000
Center for Elder Law & Justice
438 Main St 1200
Buffalo
,
NY
14202
N/A
PC
UNRESTRICTED
2,500
Community Music School
775 W Main St
Trappe
,
PA
19426
N/A
PC
UNRESTRICTED
1,000
Education Through Music
122 E 42nd St 1501
New York
,
NY
10168
N/A
PC
UNRESTRICTED
10,000
Khan Academy
PO BOX 1630
MOUNTAIN VIEW
,
CA
94042
N/A
PC
UNRESTRICTED
2,000
Taktse International School
c/o Netuk House Tibet Road
Gangtok
,
Sikkim
737101
IN
N/A
PC
UNRESTRICTED
5,000
Ars Antiqua
32 SOMERSET DR
NEW YORK
,
NY
12563
N/A
PC
UNRESTRICTED
2,000
Bard College
30 CAMPUS ROAD PO BOX 5000
ANNANDALE
,
NY
12504
N/A
PC
UNRESTRICTED
12,000
Massachusetts Avenue Project
387 Massachusetts Ave
Buffalo
,
NY
14213
N/A
PC
UNRESTRICTED
1,000
Media Matters for America
PO Box 52155
Washington
,
DC
20091
N/A
PC
UNRESTRICTED
100,000
Hawaii Arts Alliance
1040 Richards St 301
Honolulu
,
HI
96813
N/A
PC
UNRESTRICTED
75,000
Gina Gibney Dance Inc
890 Broadway 5th floor
New York
,
NY
10003
N/A
PC
UNRESTRICTED
25,000
Scholarship & Welfare Fund AA of HC Inc
695 Park Avenue Room 1314E
New York
,
NY
10065
N/A
PC
UNRESTRICTED
1,000
Voter Participation Center
1707 L Street Northwest Suite 950
Washington
,
DC
20036
N/A
PC
UNRESTRICTED
100,000
Voto Latino
PO Box 35608
Washington
,
DC
20033
N/A
PC
UNRESTRICTED
100,000
Polynesian Voyaging Society
10 Sand Island Parkway
Honolulu
,
HI
96819
N/A
PC
UNRESTRICTED
2,000
Hawaii Community Foundation 2019
65-1279 Kawaihae Road
Parker Square 214
Kamuela
,
HI
96743
N/A
PC
UNRESTRICTED
5,000
Hawaii Conservation Alliance & Fndn
1601 East-West Road
Honolulu
,
HI
968481601
N/A
PC
UNRESTRICTED
50,000
Hawaii Community FoundationH2O
65-1279 Kawaihae Road
Parker Square 214
Kamuela
,
HI
96743
N/A
PC
UNRESTRICTED
100,000
Hawaii Community FoundationCRP
65-1279 Kawaihae Road
Parker Square 214
Kamuela
,
HI
96743
N/A
PC
UNRESTRICTED
50,000
American Bird Conservancy
PO Box 249
4249 Loudoun Ave
The Plains
,
VA
201982237
N/A
PC
UNRESTRICTED
25,000
Hawaii Community Foundation 2020
65-1279 Kawaihae Road
Parker Square 214
Kamuela
,
HI
96743
N/A
PC
UNRESTRICTED
5,000
Environmental Grantmakers Association
475 Riverside D
NEW YORK
,
NY
10115
N/A
PC
UNRESTRICTED
1,700
Department of Orthopaedic Surgery Research Fund
550 First Avenue
New York
,
NY
10016
N/A
PC
UNRESTRICTED
6,000
International refugee assistance project
One Battery Park Plaza 4th Floor
New York
,
NY
10004
N/A
PC
UNRESTRICTED
75,000
Pro Bono Net
151 W 30th St 10
New York
,
NY
10001
N/A
PC
UNRESTRICTED
25,000
National Alliance to End Homelessness
1518 K Street NW 2nd Floor
Washington
,
DC
20005
N/A
PC
UNRESTRICTED
100,000
voteriders
171 Pier Avenue Suite 313
Santa Monica
,
CA
90405
N/A
PC
UNRESTRICTED
4,000
Lawyers for Good Government Foundation
10685-B Hazelhurst Dr
19646
Houston
,
TX
77043
N/A
PC
UNRESTRICTED
100,000
Social & Environmental Entrepreneurs
23564 Calabasas Road Suite 201
Calabasas
,
CA
91302
N/A
PC
UNRESTRICTED
3,000
Total
.................................
3a
1,728,800
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
18
4
Dividends and interest from securities
....
14
569,572
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
495,914
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
PARTNERSHIP INCOME
18
801,726
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
1,867,230
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
1,867,230
(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