Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 01-01-2019 , and ending 12-31-2019
Name of foundation
THE CHARLESMEAD FOUNDATION
C/O DLA PIPER LLP THE MARBURY BUILDING
Number and street (or P.O. box number if mail is not delivered to street address)6225 SMITH AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BALTIMORE, MD21209
A Employer identification number

52-1550204
B Telephone number (see instructions)

(401) 262-4600
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$21,407,798
J Accounting method:
 
(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)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 483,948 483,948  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,266,810
b Gross sales price for all assets on line 6a 5,529,213
7 Capital gain net income (from Part IV, line 2)... 2,266,810
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)....... 426,656 426,656  
12 Total. Add lines 1 through 11........ 3,177,414 3,177,414  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   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   4,000
c Other professional fees (attach schedule).... 250,000 125,000   125,000
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 107,710 5,210   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 138 0   138
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 270,995 267,538   3,457
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 636,843 401,748   132,595
25 Contributions, gifts, grants paid....... 919,760 919,760
26 Total expenses and disbursements. Add lines 24 and 25 1,556,603 401,748   1,052,355
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,620,811
b Net investment income (if negative, enter -0-) 2,775,666
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
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 1,950,336 953,438 953,438
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 200,000 0 0
b Investments—corporate stock (attach schedule)....... 7,316,215 Click to see attachment6,432,526 8,986,272
c Investments—corporate bonds (attach schedule)....... 2,612,102 Click to see attachment2,264,886 2,189,204
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,149,500 Click to see attachment8,209,124 9,004,084
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment285,555 Click to see attachment274,800 Click to see attachment274,800
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 16,513,708 18,134,774 21,407,798
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
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 bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 26,488 26,488
27 Paid-in or capital surplus, or land, bldg., and equipment fund 8,335,012 8,335,012
28 Retained earnings, accumulated income, endowment, or other funds 8,152,208 9,773,274
29 Total net assets or fund balances (see instructions)..... 16,513,708 18,134,774
30 Total liabilities and net assets/fund balances (see instructions). 16,513,708 18,134,774
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
16,513,708
2
Enter amount from Part I, line 27a .....................
2
1,620,811
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
255
4
Add lines 1, 2, and 3 ..........................
4
18,134,774
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
18,134,774
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 50,000 SHS ORACLE CORP P 2018-01-31 2019-01-15
b 4,280 SHS VANGUARD FTSE DEVELOPED ETF P 2019-01-31 2019-12-19
c 50,000 SHS WELLS FARG & CO P 2018-02-05 2019-01-15
d 50,000 SHS DE ST TXBL-PORT WILMINGTN PROJS P 2018-02-07 2019-02-01
e 15.040 SHS ALPHABET INC/CA-CL C P   2019-04-16
217 SHS ALPHABET INC/CA-CL A P   2019-04-16
162 SHS AMAZON.COM INC P   2020-04-16
1041 SHS APPLE INC P   2019-04-16
2225 SHS BRIXMOR PROPERTY GROUP P 2014-09-10 2019-03-04
50,000 SHS CHEVRON CORP P 2018-01-31 2019-02-28
50,000 SHS CITIGROUP INC P 2018-01-29 2019-06-07
50,000 SHS GOLDMAN SACHS GROUP INC P 2018-01-26 2019-04-25
8,997 SHS ISHARES RUSSELL 2000 ETF P   2019-08-15
50,000 SHS JPMORGAN CHASE & CO P 2018-01-25 2019-03-22
1,850 SHS SLEEP NUMBER CORP P 2017-06-30 2019-04-16
1,800 SHS STARBUCKS CORP P 2014-09-10 2019-04-16
50,000 SHS TOYOTA MOTOR CREDIT CORP MTN P 2018-01-26 2019-07-18
50,000 SHS UNITED HEALTH GROUP INC P 2018-01-25 2019-03-15
12,720 SHS VANGUARD FTSE DEVELOPED ETF P 2017-03-17 2019-12-19
1,480 SHS VISA INC-CLASS A SHARES P   2019-04-16
19.960 SHS ALPHABET INC/CA-CL C P 2010-10-19 2019-04-16
3,412 SHS ISHARES S&P 500/BARRA GROWTH INDEX P   2019-01-31
3,077 SHS ISHARES S&P 500/BARRA GROWTH INDEX P 2009-01-30 2019-08-15
403 SHS ISHARES RUSSELL 2000 ETF P 2008-01-15 2019-08-15
100,000 SHS US TREAS 1.5% 01/31/19 P 2018-12-03 2019-01-31
100,000 SHS US TREAS 2.75% 02/15/19 P 2018-12-03 2019-02-15
2,000 SHS ISHARES S&P GROWTH P 2014-09-19 2019-08-15
BAIN CAPITAL FUND XII, LP P    
CHESAPEAKE INVESTMENTS III LIMITED P    
CORMORANT PRIVATE HEATHCARE FUND II, LP P    
CORMORANT PRIVATE HEATHCARE FUND II, LP P    
HARVEST MLP INCOME FUND II LLC P    
HARVEST MLP INCOME FUND II LLC P    
INDUSTRY VENTURES PARTNERSHIP HOLDINGS V LP P    
INDUSTRY VENTURES PARTNERSHIP HOLDINGS V LP P    
AWD CAVES INVESTORS LLC P    
MATHEYS LANE BERKSHIRE INVESTORS P    
MATHEYS LANE COPLEY ASIA II INVESTORS LLC P    
MATHEYS LANE COPLEY ASIA III INVESTORS LLC P    
MATHEYS LANE COPLEY ASIA III INVESTORS LLC P    
MATHEYS LANE CB VIII INVESTORS LLC P    
MATHEYS LANE COPLEY X INVESTORS LLC P    
MATHEYS LANE COPLEY X INVESTORS LLC P    
MATHEYS LANE COPLEY XI INVESTORS LLC P    
MATHEYS LANE COPLEY XI INVESTORS LLC P    
MATHEYS LANE K VIII INVESTORS LLC P    
MATHEYS LANE NAUTIC VI INVESTORS LLC P    
MATHEYS LANE NAUTIC VII INVESTORS LLC P    
MATHEYS LANE NAUTIC VIII INVESTORS LLC P    
MATHEYS LANE THL INVESTORS LLC P    
REX ADVISORS COPLEY INVESTORS, LLC P    
CAPITAL GAINS DIVIDENDS P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 50,000   50,000 0
b 188,709   170,772 17,937
c 50,000   50,000 0
d 50,000   50,000 0
e 18,423   8,211 10,212
266,898   155,595 111,303
299,932   133,695 166,237
207,457   118,630 88,827
38,214   51,748 -13,534
50,000   49,759 241
50,000   49,730 270
50,000   49,849 151
1,307,969   1,004,045 303,924
50,000   49,783 217
88,540   65,755 22,785
137,607   69,639 67,968
50,000   49,908 92
50,000   49,669 331
560,836   501,047 59,789
238,290   120,647 117,643
24,450   6,041 18,409
552,020   191,177 360,843
539,605   131,819 407,786
58,587   28,053 30,534
100,000   100,000 0
100,000   100,000 0
350,564   217,846 132,718
      90
      -16,831
      -297
      -1,484
      -11,365
      -32,564
      6
      1,601
      -31,947
      283,627
      44,864
      117
      -131
      3,711
      2
      26,842
      -82
      40,714
      56,067
      223
      12,707
      491
      -9,542
      -5,804
1,112     1,112
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       0
b       17,937
c       0
d       0
e       10,212
      111,303
      166,237
      88,827
      -13,534
      241
      270
      151
      303,924
      217
      22,785
      67,968
      92
      331
      59,789
      117,643
      18,409
      360,843
      407,786
      30,534
      0
      0
      132,718
      90
      -16,831
      -297
      -1,484
      -11,365
      -32,564
      6
      1,601
      -31,947
      283,627
      44,864
      117
      -131
      3,711
      2
      26,842
      -82
      40,714
      56,067
      223
      12,707
      491
      -9,542
      -5,804
      1,112
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 2,266,810
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 ...................
Bracket 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?
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 1,635,211 20,100,565 0.081351
2017 1,353,302 19,886,854 0.068050
2016 1,316,620 19,464,621 0.067642
2015 1,327,867 20,477,022 0.064847
2014 1,179,187 20,533,607 0.057427
2
Total of line 1, column (d) .....................
2
0.339317
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
0.067863
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
20,433,371
5
Multiply line 4 by line 3......................
5
1,386,670
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
27,757
7
Add lines 5 and 6........................
7
1,414,427
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,052,355
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 Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
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 55,513
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 55,513
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 55,513
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 27,092
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 130,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 157,092
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 101,579
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet36,579 RefundedBullet 11 65,000
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. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bullet
    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 addressbulletN/A
    14
    The books are in care ofbulletMATHEYS LANE CAPITAL MANAGEMENT LP Telephone no.bullet (401) 262-4600

    Located atbullet10 MEMORIAL BLVDPROVIDENCERI ZIP+4bullet02903
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo
    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 bullet
    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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?...............
    (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.).......
    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
     
     
    ........bullet
    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?.............
    If "Yes," list the years bullet20, 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.
    bullet20, 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?......................
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    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
     
     
    .........bullet
    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?..........
    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?.....................
    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?
    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? .................
    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
    KATHRYN DEERING PRESIDENT
    2.00
    0 0 0
    7765 FISHER ISLAND DRIVE
    FISHER ISLAND,FL33109
    JOHN WARREN TRUSTEE
    1.00
    0 0 0
    2106 SOUTH ROAD
    BALTIMORE,MD21209
    MARON DEERING TRUSTEE
    1.00
    0 0 0
    4042 WAVERLY STREET
    PHILADELPHIA,PA19146
    SPENCER DEERING TRUSTEE
    1.00
    0 0 0
    2100 PARK AVE 507
    MIAMI BEACH,FL33139
    HATHER CROSBY TRUSTEE
    2.00
    0 0 0
    293 RUMSTICK ROAD
    BARRINGTON,RI02806
    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...................bullet 0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    MATHEYS LANE CAPITAL MANAGEMENT LP INVESTMENT ADVISOR, ADMIN SERVICES INCL CHAR GRANTS 250,000
    10 MEMORIAL BOULEVARD SUITE 1003
    PROVIDENCE,RI02903
    Total number of others receiving over $50,000 for professional services.............bullet0
    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.........................bullet0
    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
    12,341,718
    b
    Average of monthly cash balances.......................
    1b
    1,637,207
    c
    Fair market value of all other assets (see instructions)................
    1c
    6,765,614
    d
    Total (add lines 1a, b, and c).........................
    1d
    20,744,539
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    20,744,539
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    311,168
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    20,433,371
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,021,669
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,021,669
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    55,513
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
    17,277
    c
    Add lines 2a and 2b............................
    2c
    72,790
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    948,879
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    948,879
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    948,879
    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
    1,052,355
    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
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,052,355
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,052,355
    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 7 948,879
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2019:
    a From 2014...... 206,365
    b From 2015...... 343,942
    c From 2016...... 364,637
    d From 2017...... 385,071
    e From 2018...... 672,683
    fTotal of lines 3a through e........ 1,972,698
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 1,052,355
    a Applied to 2018, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2019 distributable amount..... 948,879
    e Remaining amount distributed out of corpus 103,476
    5 Excess distributions carryover applied to 2019. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,076,174
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2018. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2019. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2020 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2014 not
    applied on line 5 or line 7 (see instructions) ...
    206,365
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......
    1,869,809
    10 Analysis of line 9:
    a Excess from 2015.... 343,942
    b Excess from 2016.... 364,637
    c Excess from 2017.... 385,071
    d Excess from 2018.... 672,683
    e Excess from 2019.... 103,476
    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....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    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.)
    1Information Regarding Foundation Managers:
    aList 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).)
    KATHRYN DEERING
    bList 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.
    KATHRYN DEERING
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny 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)
    aPaid during the year
    ACLU FOUNDATION OF PA
    PO BOX 6073
    PHILADELPHIA,PA19102
      PUBLIC CHARITY UNRESTRICTED 10,000
    ADRIENNE ARSHT CENTER FOUNDATION
    1300 BISCAYNE BLVD
    MIAMI,FL33132
      PUBLIC CHARITY PROGRAM SUPPORT 5,000
    AMERICAN HEART ASSOCIATION
    335 SW 27TH AVE
    MIAMI,FL33135
      PUBLIC CHARITY GENERAL SUPPORT AND FOR THE HEART BALL 10,000
    ARTS EDUCATION IN MD SCHOOLS ALLIANCE
    175 W OSTEND ST
    BALTIMORE,MD21030
      PUBLIC CHARITY ANNUAL FUND 2,500
    ASSOC OF BALT AREA GRANTMAKERS
    2 E READ ST
    BALTIMORE,MD21202
      PUBLIC CHARITY UNRESTRICED 5,760
    ATTIC YOUTH CENTER
    255 S 15TH ST
    PHILADELPHIA,PA19102
      PUBLIC CHARITY UNRESTRICTED 40,000
    BALTIMORE COMMUNITY FOUNDATION
    2 E READ ST
    BALTIMORE,MD21202
      PUBLIC CHARITY UNRESTRICTED 1,000
    BALTIMORE OUTREACH SERVICES
    701 S CHARLES ST
    BALTIMORE,MD21230
      PUBLIC CHARITY UNRESTRICTED 1,000
    BALTIMORE SCHOOL FOR THE ARTS
    712 CATHEDRAL ST
    BALTIMORE,MD21201
      PUBLIC CHARITY ANNUAL FUND; UNRESTRICTED 8,500
    BALTIMORE SYMPHONY ORCHESTRA
    1212 CATHEDRAL ST
    BALTIMORE,MD21201
      PUBLIC CHARITY PROGRAM SUPPORT 1,500
    BASS MUSEUM OF ARTS
    2100 COLLINS AVE
    MIAMI,FL33139
      PUBLIC CHARITY UNRESTRICTED 5,000
    BAYSIDE FAMILY YMCA
    70 WEST ST
    BARRINGTON,RI02806
      PUBLIC CHARITY UNRESTRICTED 4,000
    BOSTON COLLEGE FUND
    140 COMMONWEALTH AVE
    CHESNUT HILL,MA02467
      PUBLIC CHARITY UNRESTRICTED 10,000
    CENTER STAGE
    700 N CALVERT ST
    BALTIMORE,MD21202
      PUBLIC CHARITY CAPITAL CAMPAIGN ANNUAL SUPPORT; UNRESTRICTED 252,000
    DREAM PROGRAM
    PO BOX 361
    WINOSKI,VT05404
      PUBLIC CHARITY UNRESTRICTED 17,000
    EDUCATION & HOPE
    PO BOX 486
    NORWALK,CT06856
      PUBLIC CHARITY UNRESTRICTED 1,000
    FAMILY TREE
    2108 N CHARLES ST
    BALTIMORE,MD21218
      PUBLIC CHARITY UNRESTRICTED 10,000
    FISHER ISLAND PHILANTHROPIC FUND
    3250 SOUTHWEST THIRD AVENUE
    MIAMI,FL33129
      PUBLIC CHARITY ANNUAL FUND 10,000
    FREESTATE LEGAL JUSTICE
    2526 STPAUL STREET
    BALTIMORE,MD21218
      PUBLIC CHARITY EVENT SPONSORSHIP; UNRESTRICTED 11,000
    GREATER BALTIMORE CULTURAL ALLIANCE
    120 W NORTH AVENUE
    BALTIMORE,MD21201
      PUBLIC CHARITY UNRESTRICTED 5,000
    GREEN STREET ACADEMY
    125 N HILTON STREET
    BALTIMORE,MD21229
      PUBLIC CHARITY UNRESTRICTED 1,000
    JHU BERMAN INSTITUTE OF BIOETHICS
    3400 N CHARLES ST
    BALTIMORE,MD21210
      PUBLIC CHARITY ANNUAL FUND; UNRESTRICTED 130,000
    JHU PRESIDENT'S OFFICE
    3400 N CHARLES ST
    BALTIMORE,MD21210
      PUBLIC CHARITY PRESIDENTS OPPORTUNITY FUND - UNRESTRICTED 50,000
    JOHNS HOPKINS MEDICINE
    34 N CHARLES ST
    BALTIMORE,MD21210
      PUBLIC CHARITY DEAN'S DISCRETIONARY ANNUAL FUND AT JH MEDICINE; SCHWEIZER FELLOWSHIP; PROJECT RESTORE 55,500
    KENNEDY KRIEGER INSTITUTE
    707 N BROADWAY
    BALTIMORE,MD21205
      PUBLIC CHARITY PACT 500
    LASALLE ACADEMY
    612 ACADEMY AVE
    PROVIDENCE,RI02908
      PUBLIC CHARITY UNRESTRICTED 10,000
    LILLIE MAY CARROLL JACKSON CHARTER SCHOOL
    2200 SINCLAIR LANE
    BALTIMORE,MD21213
      PUBLIC CHARITY UNRESTRICTED 1,000
    MARYLAND FILM FESTIVAL
    13246 BALTIMORE ST
    BALTIMORE,MD21203
      PUBLIC CHARITY MARYLAND FILMMAKERS FELLOWSHIP - PART OF THE PARKWAY THEATRE CAMPAIGN 25,000
    MIAMI COUNTRY DAY SCHOOL
    601 NE 107TH ST
    MIAMI,FL33161
      PUBLIC CHARITY UNRESTRICTED 10,000
    MIAMI WATERKEEPER
    2103 CORAL WAY 2ND FL
    MIAMI,FL33145
      PUBLIC CHARITY UNRESTRICTED 5,000
    PLANNED PARENTHOOD FEDERATION OF AMERICA
    123 WILLIAM ST
    NEW YORK,NY10030
      PUBLIC CHARITY UNRESTRICTED 10,000
    PUBLIC INTEREST LAW CENTER
    1500 JFK BLVD SUITE 802
    PHILADELPHIA,PA19102
      PUBLIC CHARITY UNRESTRICTED 10,000
    QUINTESSENCE THEATRE
    PO BOX 27213
    PHILADELPHIA,PA19118
      PUBLIC CHARITY UNRESTRICTED 3,000
    SHRIVER HALL CONCERT SERIES
    3400 N CHARLES ST
    BALTIMORE,MD21218
      PUBLIC CHARITY UNRESTRICTED 7,500
    SINGLE CARROT THEATRE
    2600 NORTH HOWARD STREET
    BALTIMORE,MD21218
      PUBLIC CHARITY OPERATING SUPPORT 1,000
    UMBC FOUNDATION
    1000 HILLTOP CIRCLE
    BALTIMORE,MD21250
      PUBLIC CHARITY ARTS EDUCATION AND OUTREACH PROGRAMS 100,000
    UNC ARTS & SCIENCES FDN
    523 E FRANKLIN ST
    CHAPEL HILL,NC27514
      PUBLIC CHARITY CIVIC VIRTUE & CIVIL DISCOURSE CAMPAIGN, ANNUAL FUND AND PPE PROGRAM FUND 25,000
    UNC RAMS CLUB
    523 E FRANKLIN ST
    CHAPEL HILL,NC27514
      PUBLIC CHARITY MEN'S LACROSSE ENDOWMENT AND SOCCER/LACROSS STADIUM 50,000
    UNIVERSITY OF PA
    37 SPRUCE ST
    PHILADELPHIA,PA11040
      PUBLIC CHARITY UNRESTRICTED 5,000
    AJC GLOBAL JEWISH ADVOCACY
    165 EAST 56 STREET
    NEW YORK,NY10022
      PUBLIC CHARITY HUMAN RELATIONS AWARD RECEPTION 10,000
    Total .................................bullet 3a 919,760
    bApproved for future payment
    Total .................................bullet 3b 0
    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.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 483,948  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....     14 426,656  
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 2,266,810  
    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).. 0 3,177,414 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    3,177,414
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2019)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description