-
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
ELSIE & MARVIN DEKELBOUM FAMILY FND
C/O STEVEN H ORAM
Number and street (or P.O. box number if mail is not delivered to street address)
1101 WOOTTON PARKWAY SUITE 500
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ROCKVILLE
,
MD
20852
A Employer identification number
65-0121068
B
Telephone number (see instructions)
(301) 652-8600
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)
$
72,251,025
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
104,100
104,100
4
Dividends and interest from securities
...
1,688,670
1,688,670
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
2,279,056
b
Gross sales price for all assets on line 6a
54,662,155
7
Capital gain net income (from Part IV, line 2)
...
2,279,056
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
4,071,826
4,071,826
13
Compensation of officers, directors, trustees, etc.
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
20,503
10,251
10,252
b
Accounting fees (attach schedule)
.......
34,000
17,000
17,000
c
Other professional fees (attach schedule)
....
521,204
521,204
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)
.......
54,601
51,866
2,735
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
630,308
600,321
29,987
25
Contributions, gifts, grants paid
.......
4,329,943
4,329,943
26
Total expenses and disbursements.
Add lines 24 and 25
4,960,251
600,321
4,359,930
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-888,425
b
Net investment income
(if negative, enter -0-)
3,471,505
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
.............
2
Savings and temporary cash investments
.........
2,000,493
1,014,953
1,014,953
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)
1,500,813
1,757,394
1,817,237
b
Investments—corporate stock (attach schedule)
.......
21,549,578
22,563,967
26,553,904
c
Investments—corporate bonds (attach schedule)
.......
913,310
873,318
924,028
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
37,594,536
36,427,102
41,940,903
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)
63,558,730
62,636,734
72,251,025
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
........
63,558,730
62,636,734
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)
.....
63,558,730
62,636,734
30
Total liabilities and net assets/fund balances
(see instructions)
.
63,558,730
62,636,734
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
63,558,730
2
Enter amount from Part I, line 27a
.....................
2
-888,425
3
Other increases not included in line 2 (itemize)
3
81,911
4
Add lines 1, 2, and 3
..........................
4
62,752,216
5
Decreases not included in line 2 (itemize)
5
115,482
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
62,636,734
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
201 CELGENE CORP
P
b
120,550,551 BLACKROCK SH OBLIGATIONS
P
2019-01-24
c
ATTACHMENT 11 - MS 613044 ST
P
d
102 ATKORE INTRL GRP
P
2019-11-26
e
6 SHERWIN WILLIAMS COMPANY
P
2018-05-04
2019-11-22
90 QUALCOMM INC
P
2019-08-01
2019-11-18
WASH SALES ACCT 631044
P
1 CHIPOTLE MEXICAN GRILL INC
P
2017-07-18
2019-01-11
17 BLACKROCK INC
P
2014-07-01
2019-03-19
240,000 SALLIE MAE BK CD 2500 24AU
P
2017-08-11
2019-06-19
4 BALL CORPORATION
P
2018-05-04
2019-11-08
36,000 US TSY NOTE 2375 27MY15
P
2018-05-08
2019-11-22
105 SALESFORCE.COM INC
P
2019-11-27
448 CITIGROUP INC
P
2017-01-17
2019-01-03
17 ECOLAB INC
P
2016-01-05
2019-03-01
240.000 SYNCHRONY 2400 23AU18
P
2017-08-11
2019-06-19
13 CARVANA CO CL A
P
2018-06-26
2019-11-15
30 WEX INC
P
2018-05-04
2019-11-27
5 SHERWIN WILLIAMS COMPANY
P
2019-04-08
2019-11-22
269 MC CORMICK AND CO
P
2017-10-04
88 HONEYWELL INTERNATIONAL
P
2017-09-15
2019-03-27
ATTACHMENT 12 - MS 613044 LT
P
0.334 DISH NETWORK RTS
P
2013-10-02
2019-11-25
719 XEROX HOLDINGS CORP
P
2019-11-07
2,000 US TSY NOTE 2375 27MY15
P
2019-04-08
2019-11-22
375 MERCK & CO
P
2016-06-15
2019-01-17
29 REGENERON PHARM
P
2017-01-06
ATTACHMENT 13 - MS 613044 ST
P
339 ENN ENERGY HOLDINGS LTD
P
711 ZURICH INSURANCE GRP
P
2018-05-04
46,000 US TSY NOTE 2500 21JA31
P
2019-02-11
2019-11-22
82 PIONEER NATURAL RESOURCES CO
P
1,310 TWENTY-FIRST CAS CLQ08
P
2019-03-19
ATTACHMENT 14 - MS 613044 LT
P
FHLMC 15G G18684 3000 33AP01
P
2018-07-23
2019-11-01
87 ALIBABA GROUP HLDG LTD
P
2019-09-06
2019-11-20
61 WASTE CONNECTIONS INC
P
2019-11-27
32 RED HAT INC
P
2014-07-01
2019-01-22
965.23 TWENTY-FIRST CENTY FOX INC B
P
2019-03-21
ATTACHMENT 15 - MS 613044 ST
P
FHLMC 30G G08741 3000 46DE01
P
2018-05-14
2019-11-01
37 BALL CORPORATION
P
2019-08-12
2019-11-08
ATTACHMENT 22 - MS 613044 LT
P
8 REGENERON PHARM
P
2017-01-06
2019-01-22
0.546 WALT DISNEY CO HLDG CO
P
2010-05-05
2019-03-21
200,000 COMENITY BANK CD 1700 19AU16
P
2017-08-11
2019-08-16
FHLMC 30G G08800 3500 48JA01
P
2018-05-09
2019-11-01
16 DOLLAR GEN CORP NEW
P
2019-06-10
2019-11-27
ATTACHMENT 23 - MS 613044 ST
P
322 VERIZON COMMUNICATIONS
P
2019-01-17
140 YUM CHINA HLDNGS
P
2017-07-07
2019-03-25
ATTACHMENT 16 - MS 613044 LT
P
FNMA POOL MA3088 4000 47AU01
P
2018-05-10
2019-11-01
304 EXELIXIS INC
P
2019-11-12
SALE OF PARTNERSHIP - CERES TACTICAL
P
2019-01-01
ATTACHMENT 4 - MS 613044 ST
P
ATTACHMENT 7 - MS 613044 ST
P
ATTACHMENT 17 - MS 613044 ST
P
73 INTERXION HOLDING NV
P
2019-11-06
FNMA POOL MA3521 4000 48NV01
P
2019-04-08
2019-11-01
NH CREDIT PARTNERS - DIST IN EXCESS
P
240,000 BMW 1600 19FB19
P
2017-08-11
2019-02-19
11,100 BLACKROCK SH OBLIGATIONS
P
2019-01-24
2019-04-15
0.870 FIDELITY NATL INFORMATION
P
2018-05-16
2019-07-31
56 KBR INC
P
2018-11-05
2019-11-27
168 GRUBHUB INC
P
2019-11-01
SCP II OFFSHORE CLASS A - DIST IN EX
P
5926.226 BLACKROCK SH OBLIGATIONS
P
2019-01-24
ATTACHMENT 8 - MS 613044 LT
P
ATTACHMENT 18 - MS 613044 LT
P
392 KIMBERLY CLARK
P
1174 ISHARES RUSSELL 1000 GRW ETF
P
2019-01-22
2019-11-27
PEP I OFFSHORE CLASS B - DIST IN EX
P
ATTACHMENT 5 - MS 613044 LT
P
ATTACHMENT 9 - MS 613044 ST
P
ATTACHMENT 19 - MS 613044 ST
P
3,790 MOTUS HOLDINGS LIMITED ADR
P
2019-11-05
817 MOTUS HOLDINGS LIMITED ADR
P
2019-04-18
2019-11-05
PA SMALL COMPANY BUYOUT FUND - STCG
P
ATTACHMENT 6 - MS 613044 ST
P
57,122.901 BLACKROCK SH OBLIGATIONS
P
2019-05-10
ATTACHMENT 20 - MS 613044 LT
P
322 QBE INSURANCE GROUP LTD ADR
P
2018-05-04
2019-11-14
54 NIKE INC B
P
2019-04-08
2019-11-08
PA SMALL COMPANY BUYOUT FUND - LTCG
P
240,000 CAPITAL ONE CD
P
2017-08-11
2019-03-13
ATTACHMENT 10 - MS 613044 LT
P
ATTACHMENT 21 - MS 613044 ST
P
6 ROSS STORES INC
P
2018-05-04
2019-11-27
312 PAGSEGURO DIGITAL LTD
P
PA SMALL CO. BUYOUT FD - 1231 GAIN
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
17,560
19,804
-2,244
b
1,205,000
1,204,300
700
c
296,408
295,337
1,071
d
4,186
1,853
2,333
e
3,446
2,277
1,169
8,157
6,428
1,729
47,975
47,975
508
370
138
7,450
5,505
1,945
236,299
240,000
-3,701
261
155
106
37,687
34,291
3,396
16,979
17,016
-37
23,763
26,226
-2,463
2,891
1,859
1,032
235,918
240,000
-4,082
1,021
522
499
6,113
5,016
1,097
2,872
2,226
646
36,838
26,768
10,070
13,859
11,730
2,129
332,693
341,415
-8,722
1
1
27,025
22,947
4,078
2,094
1,988
106
28,135
21,118
7,017
11,830
10,400
1,430
281,722
296,613
-14,891
15,073
12,841
2,232
27,834
22,539
5,295
46,451
46,006
445
11,550
14,508
-2,958
17,565
8,495
9,070
2,369,163
2,566,023
-196,860
966
957
9
15,845
15,493
352
5,560
5,734
-174
5,610
1,780
3,830
48,906
22,945
25,961
1,572,260
1,585,747
-13,487
2,082
2,005
77
2,411
2,859
-448
255,173
242,573
12,600
3,259
2,869
390
59
60
-1
200,000
200,000
4,630
4,587
43
2,536
2,150
386
264,075
268,684
-4,609
18,239
16,908
1,331
6,037
5,210
827
460,070
513,170
-53,100
2,520
2,577
-57
4,687
7,002
-2,315
1,828,151
2,293,658
-465,507
30,494,954
28,774,181
1,720,773
167,927
170,979
-3,052
278,366
286,862
-8,496
6,251
4,707
1,544
1,550
1,600
-50
12,573
12,573
240,000
240,000
111,000
110,889
111
114
77
37
1,696
1,116
580
5,641
12,285
-6,644
53,000
53,000
59,203
59,203
1,353,448
1,035,681
317,767
355,295
369,840
-14,545
3,861
3,621
240
201,883
161,478
40,405
18,215
18,215
49,540
46,336
3,204
7,656,939
7,311,531
345,408
231,315
234,154
-2,839
18,192
39,671
-21,479
3,922
5,376
-1,454
10,847
10,847
730,686
734,854
-4,168
571,229
570,662
567
293,850
246,205
47,645
2,720
2,524
196
4,838
4,693
145
209,818
209,818
234,233
240,000
-5,767
315,415
336,130
-20,715
713,246
666,066
47,180
696
484
212
10,787
8,350
2,437
105,870
105,870
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
-2,244
b
700
c
1,071
d
2,333
e
1,169
1,729
47,975
138
1,945
-3,701
106
3,396
-37
-2,463
1,032
-4,082
499
1,097
646
10,070
2,129
-8,722
1
4,078
106
7,017
1,430
-14,891
2,232
5,295
445
-2,958
9,070
-196,860
9
352
-174
3,830
25,961
-13,487
77
-448
12,600
390
-1
43
386
-4,609
1,331
827
-53,100
-57
-2,315
-465,507
1,720,773
-3,052
-8,496
1,544
-50
12,573
111
37
580
-6,644
53,000
317,767
-14,545
240
40,405
18,215
3,204
345,408
-2,839
-21,479
-1,454
10,847
-4,168
567
47,645
196
145
209,818
-5,767
-20,715
47,180
212
2,437
105,870
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
2,279,056
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
4,386,425
72,432,926
0.060558
2017
4,353,620
71,222,739
0.061127
2016
2,846,569
64,759,843
0.043956
2015
4,534,395
69,319,706
0.065413
2014
4,014,150
76,597,265
0.052406
2
Total
of line 1, column (d)
.....................
2
0.283460
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
0.056692
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
67,935,152
5
Multiply line 4 by line 3
......................
5
3,851,380
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
34,715
7
Add lines 5 and 6
........................
7
3,886,095
8
Enter qualifying distributions from Part XII, line 4
,.............
8
4,359,930
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
34,715
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
34,715
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
34,715
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
49,030
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
49,030
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
14,315
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
14,315
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
Yes
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
Yes
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
FL
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
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
THE FOUNDATION
Telephone no.
(301) 652-8600
Located at
1101 WOOTTON PARKWAY SUITE 500
ROCKVILLE
MD
ZIP+4
20852
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
GAIL HARTSTEIN
PRESIDENT
1.00
0
0
0
5101 CORAL COVE CT
PLANO
,
TX
75093
SCOTT POWELL
VICE PRESIDE
1.00
0
0
0
9639 COVE MEADOW DRIVE
DALLAS
,
TX
75238
STEVEN H ORAM
SECRETARY
1.00
0
0
0
1101 WOOTTON PARKWAY STE 500
ROCKVILLE
,
MD
20852
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
...................
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
.............
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
N/A
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
67,669,679
b
Average of monthly cash balances
.......................
1b
1,300,018
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
68,969,697
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
3
Subtract line 2 from line 1d
.........................
3
68,969,697
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,034,545
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
67,935,152
6
Minimum investment return.
Enter 5% of line 5
..................
6
3,396,758
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
3,396,758
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
34,715
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
34,715
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
3,362,043
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
3,362,043
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
3,362,043
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
4,359,930
b
Program-related investments—total from Part IX-B
..................
1b
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
4,359,930
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
34,715
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
4,325,215
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
3,362,043
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
844,485
c
From 2016
......
d
From 2017
......
868,469
e
From 2018
......
1,125,475
f
Total
of lines 3a through e
........
2,838,429
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
4,359,930
a
Applied to 2018, but not more than line 2a
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
3,362,043
e
Remaining amount distributed out of corpus
997,887
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
3,836,316
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
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)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
3,836,316
10
Analysis of line 9:
a
Excess from 2015
....
844,485
b
Excess from 2016
....
c
Excess from 2017
....
868,469
d
Excess from 2018
....
1,125,475
e
Excess from 2019
....
997,887
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
STEVEN H ORAM
1101 WOOTTON PARKWAY SUITE 500
ROCKVILLE
,
MD
20852
(301) 652-8600
b
The form in which applications should be submitted and information and materials they should include:
AN APPLICATION FORM SHOULD BE SUBMITTED, AS SHOULD A COPY OF THE PROGRAM PLAN FOR WHICH THE GRANT IS REQUESTED.
c
Any submission deadlines:
ROLLING DEADLINE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
AWARDS ARE NOT RESTRICTED
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
SEE STATEMENT 12
SEE STATEMENT 12
SEE STATEMENT
,
MD
20852
NONE
501(C)(3)
CHARITABLE
4,329,943
Total
.................................
3a
4,329,943
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
104,100
4
Dividends and interest from securities
....
14
1,688,670
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
2,279,056
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
4,071,826
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
4,071,826
(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