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
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
HARRY & ROSE JACOBS FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)114 W 47TH ST NY8-114-07-07 AFT
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK, NY100361510
A Employer identification number

13-6161740
B Telephone number (see instructions)

(888) 866-3275
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$1,487,416
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... 36,237 34,536  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 71,570
b Gross sales price for all assets on line 6a 613,915
7 Capital gain net income (from Part IV, line 2)... 71,570
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 107,807 106,106  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 5,000 0 0 5,000
c Other professional fees (attach schedule).... 6,667 4,000   2,667
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 1,589 430   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 315     315
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 13,571 4,430 0 7,982
25 Contributions, gifts, grants paid....... 72,000 72,000
26 Total expenses and disbursements. Add lines 24 and 25 85,571 4,430 0 79,982
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 22,236
b Net investment income (if negative, enter -0-) 101,676
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
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............. 181 241 241
2 Savings and temporary cash investments......... 78,091 63,123 63,123
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 624,280 Click to see attachment751,737 889,772
c Investments—corporate bonds (attach schedule)....... 538,649 Click to see attachment456,156 505,680
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 36,759 Click to see attachment27,657 28,600
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,277,960 1,298,914 1,487,416
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
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........ 1,277,960 1,298,914
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,277,960 1,298,914
30 Total liabilities and net assets/fund balances (see instructions). 1,277,960 1,298,914
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,277,960
2
Enter amount from Part I, line 27a .....................
2
22,236
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
74
4
Add lines 1, 2, and 3 ..........................
4
1,300,270
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,356
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,298,914
Form 990-PF (2020)
Form 990-PF (2020)
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 25. AMERICAN EXPRESS CO   2020-04-28 2020-11-16
b 4000. AMERICAN EXPRESS CO   2019-02-20 2020-04-07
c 4. ANTHEM INC   2015-01-22 2020-12-15
d 4. ANTHEM INC   2015-01-23 2020-12-15
e 3. ANTHEM INC   2015-05-07 2020-12-15
4000. APPLE INC   2017-02-08 2020-04-07
27. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089   2016-05-19 2020-08-31
30. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089   2016-05-04 2020-08-31
4000. BB&T CORPORATION   2017-10-25 2020-04-07
47. BP AMOCO P L C SPONSORED ADR   2018-01-24 2020-04-16
3. BP AMOCO P L C SPONSORED ADR   2018-01-24 2020-04-16
38. BP AMOCO P L C SPONSORED ADR   2018-01-23 2020-04-16
39. BP AMOCO P L C SPONSORED ADR   2018-06-11 2020-06-17
49. BP AMOCO P L C SPONSORED ADR   2018-01-29 2020-06-17
16. BP AMOCO P L C SPONSORED ADR   2018-06-12 2020-06-17
14. BP AMOCO P L C SPONSORED ADR   2018-01-24 2020-06-17
64. BAKER HUGHES A GE CO   2019-03-21 2020-03-31
19. BAKER HUGHES A GE CO   2019-05-31 2020-03-31
56. BAKER HUGHES A GE CO   2019-03-20 2020-03-31
38. BAKER HUGHES A GE CO   2019-06-03 2020-04-01
17. BAKER HUGHES A GE CO   2020-02-21 2020-04-01
26. BAKER HUGHES A GE CO   2019-09-25 2020-04-01
49. BAKER HUGHES A GE CO   2019-09-24 2020-04-01
35. BAKER HUGHES A GE CO   2019-05-31 2020-04-01
1000. BANK OF NY MELLON CORP   2016-09-23 2020-02-20
2000. BANK OF NY MELLON CORP   2016-09-23 2020-04-07
450. BLACKROCK STRATEGIC   2014-03-04 2020-02-20
446. BLACKROCK STRATEGIC   2014-03-04 2020-04-07
20. BRISTOL MYERS SQUIBB CO COM   2019-08-09 2020-01-13
39. BRISTOL MYERS SQUIBB CO COM   2019-08-08 2020-01-13
19. BRISTOL MYERS SQUIBB CO COM   2019-08-09 2020-02-21
88. BRISTOL MYERS SQUIBB CO COM   2019-08-20 2020-02-21
10. CRH PLC ADR   2017-12-01 2020-04-16
12. CRH PLC ADR   2017-12-04 2020-04-16
18. CRH PLC ADR   2017-12-04 2020-04-17
10. CRH PLC ADR   2017-12-04 2020-04-20
7. CRH PLC ADR   2017-12-04 2020-04-21
15. CRH PLC ADR   2017-12-05 2020-04-21
36. CVS HEALTH CORP   2018-11-30 2020-12-14
18. CVS HEALTH CORP   2018-12-10 2020-12-14
51. CISCO SYSTEMS INCORPORATED   2019-08-21 2020-05-18
1000. CITIGROUP INC   2014-01-02 2020-02-20
1000. CITIGROUP INC   2014-01-02 2020-04-08
58. COMCAST CORP   2014-01-02 2020-12-15
30. CONAGRA BRANDS INC   2019-02-13 2020-10-08
1. CONAGRA BRANDS INC   2019-02-14 2020-10-09
39. CONAGRA BRANDS INC   2019-02-13 2020-10-09
22. CONAGRA BRANDS INC   2019-02-14 2020-11-16
43. CONAGRA BRANDS INC   2019-02-14 2020-11-17
30. CONAGRA BRANDS INC   2019-02-14 2020-11-18
17. CONAGRA BRANDS INC   2020-04-08 2020-11-18
12. CONSTELLATION BRANDS INC   2019-01-31 2020-12-14
10. CONSTELLATION BRANDS INC   2019-02-01 2020-12-15
2. CONSTELLATION BRANDS INC   2019-12-02 2020-12-15
5. DOWDUPONT INC   2017-04-17 2020-12-14
7. DOWDUPONT INC   2017-03-22 2020-12-14
5. DOWDUPONT INC   2017-03-23 2020-12-14
8. DOWDUPONT INC   2017-04-13 2020-12-14
8. DOWDUPONT INC   2017-04-17 2020-12-15
10. DOWDUPONT INC   2019-03-01 2020-12-15
13. DOWDUPONT INC   2019-03-08 2020-12-15
11. DOWDUPONT INC   2019-03-26 2020-12-15
20. DOWDUPONT INC   2019-05-07 2020-12-15
13. DOLLAR GENERAL CORP   2015-12-17 2020-04-16
9. DOLLAR GENERAL CORP   2015-12-17 2020-04-24
3. DOLLAR GENERAL CORP   2018-12-10 2020-04-24
1. DOLLAR GENERAL CORP   2018-12-11 2020-05-18
8. DOLLAR GENERAL CORP   2018-12-10 2020-05-18
1. DOLLAR GENERAL CORP   2018-12-11 2020-05-19
6. DOLLAR GENERAL CORP   2019-04-16 2020-06-17
6. DOLLAR GENERAL CORP   2018-12-11 2020-06-17
12. DOLLAR GENERAL CORP   2019-04-16 2020-08-31
7. DOLLAR GENERAL CORP   2019-04-17 2020-11-16
12. DUPONT DE NEMOURS INC   2019-05-07 2020-12-14
11. DUPONT DE NEMOURS INC   2019-03-26 2020-12-14
10. DUPONT DE NEMOURS INC   2019-03-01 2020-12-14
8. DUPONT DE NEMOURS INC   2017-04-17 2020-12-14
13. DUPONT DE NEMOURS INC   2019-03-08 2020-12-14
1. DUPONT DE NEMOURS INC   2019-05-07 2020-12-15
67. EQUITABLE HOLDINGS INC   2018-12-11 2020-06-17
7. EQUITABLE HOLDINGS INC   2018-12-10 2020-06-17
30. EQUITABLE HOLDINGS INC   2018-12-11 2020-06-18
60. EQUITABLE HOLDINGS INC   2018-12-12 2020-06-18
10. EQUITABLE HOLDINGS INC   2019-04-25 2020-06-19
28. EQUITABLE HOLDINGS INC   2019-04-24 2020-06-19
26. EQUITABLE HOLDINGS INC   2018-12-12 2020-06-19
2000. FEDERAL NATL MTG ASSOC   2017-06-13 2020-02-20
3000. FEDERAL NATL MTG ASSOC   2017-06-13 2020-04-07
26. FEDEX CORP   2019-06-27 2020-04-24
6. FEDEX CORP   2019-06-27 2020-11-16
15. FEDEX CORP   2019-08-08 2020-11-16
28. FIRSTENERGY CORP   2017-07-25 2020-07-22
87. FIRSTENERGY CORP   2017-07-24 2020-07-22
9. FIRSTENERGY CORP   2017-07-21 2020-07-22
14. FIRSTENERGY CORP   2017-07-26 2020-07-23
35. FIRSTENERGY CORP   2020-05-19 2020-07-23
19. FIRSTENERGY CORP   2020-05-18 2020-07-23
36. FIRSTENERGY CORP   2020-04-24 2020-07-23
53. FIRSTENERGY CORP   2020-04-08 2020-07-23
45. FIRSTENERGY CORP   2017-10-12 2020-07-23
20. FIRSTENERGY CORP   2017-10-11 2020-07-23
60. FIRSTENERGY CORP   2017-07-25 2020-07-23
3. FORTIVE CORP   2020-01-15 2020-10-08
13. FORTIVE CORP   2020-01-13 2020-10-08
30. FORTIVE CORP   2020-01-14 2020-10-08
6. FORTIVE CORP   2020-02-21 2020-10-09
12. FORTIVE CORP   2020-04-08 2020-10-09
32. FORTIVE CORP   2020-01-15 2020-10-09
5000. GLAXOSMITHKLINE CAPITAL   2018-06-08 2020-04-07
5000. HOME DEPOT INC   2019-01-11 2020-04-07
3. HUMANA INC   2018-01-23 2020-03-17
1. HUMANA INC   2018-01-23 2020-03-18
4. HUMANA INC   2018-01-24 2020-03-18
5. HUMANA INC   2018-01-24 2020-03-20
3. HUMANA INC   2018-01-25 2020-03-20
7. HUMANA INC   2019-03-19 2020-03-31
7. HUMANA INC   2018-12-10 2020-03-31
2. HUMANA INC   2018-01-25 2020-03-31
24. J P MORGAN CHASE & CO COM   2014-09-16 2020-04-16
18. J P MORGAN CHASE & CO COM   2014-01-02 2020-04-16
6. J P MORGAN CHASE & CO COM   2015-05-20 2020-05-18
40. J P MORGAN CHASE & CO COM   2015-05-07 2020-05-18
3. J P MORGAN CHASE & CO COM   2014-09-16 2020-05-18
32. J P MORGAN CHASE & CO COM   2015-05-20 2020-06-17
4. J P MORGAN CHASE & CO COM   2015-05-22 2020-07-15
14. J P MORGAN CHASE & CO COM   2015-05-20 2020-07-15
5000. JPMORGAN CHASE & CO   2014-09-16 2020-04-07
29. JOHNSON & JOHNSON   2020-01-09 2020-04-16
1. JOHNSON & JOHNSON   2020-02-21 2020-05-18
13. JOHNSON & JOHNSON   2020-01-09 2020-05-18
10. JOHNSON & JOHNSON   2020-04-08 2020-06-17
25. JOHNSON & JOHNSON   2020-02-21 2020-06-17
32. KELLOGG CO   2017-11-09 2020-04-16
15. KELLOGG CO   2017-11-08 2020-04-16
4. KELLOGG CO   2017-11-09 2020-05-18
8. KELLOGG CO   2019-08-20 2020-05-18
16. KELLOGG CO   2020-04-08 2020-05-19
24. KELLOGG CO   2019-08-20 2020-05-19
74. KINDER MORGAN INC/DE   2020-03-09 2020-12-15
29. KONINKLIJKE PHILIPS ELECTRS N V   2017-03-15 2020-06-18
39. KONINKLIJKE PHILIPS ELECTRS N V   2017-03-15 2020-06-19
17. KONINKLIJKE PHILIPS ELECTRS N V   2017-04-04 2020-06-19
.06 KONINKLIJKE PHILIPS ELECTRS N V   2017-04-04 2020-07-09
5. LOCKHEED MARTIN CORPORATION   2015-07-14 2020-08-31
1. LOCKHEED MARTIN CORPORATION   2015-06-15 2020-08-31
7. LOCKHEED MARTIN CORPORATION   2018-12-10 2020-11-16
3. LOCKHEED MARTIN CORPORATION   2019-04-16 2020-11-16
5. LOCKHEED MARTIN CORPORATION   2019-04-16 2020-11-17
4. LOCKHEED MARTIN CORPORATION   2020-04-08 2020-11-17
21. LOWES COMPANIES INC COM   2017-09-18 2020-06-17
13. LOWES COMPANIES INC COM   2017-09-18 2020-08-31
16. LOWES COMPANIES INC COM   2017-09-18 2020-10-08
12. LOWES COMPANIES INC COM   2017-09-18 2020-11-16
4. LOWES COMPANIES INC COM   2020-04-08 2020-11-16
69. MARATHON OIL CORP   2019-06-20 2020-07-10
23. MARATHON OIL CORP   2018-05-18 2020-07-10
30. MARATHON OIL CORP   2019-06-19 2020-07-10
90. MARATHON OIL CORP   2018-05-22 2020-07-10
145. MARATHON OIL CORP   2018-05-21 2020-07-10
51. MARATHON OIL CORP   2020-04-08 2020-07-13
41. MARATHON OIL CORP   2019-06-20 2020-07-13
12. MARSH & MCLENNAN COS INC   2019-03-04 2020-03-31
6. MARSH & MCLENNAN COS INC   2016-08-15 2020-03-31
10. MARSH & MCLENNAN COS INC   2019-03-01 2020-03-31
2. METLIFE INC   2015-06-15 2020-12-14
20. METLIFE INC   2015-05-07 2020-12-14
39. METLIFE INC   2014-09-02 2020-12-14
15. METLIFE INC   2014-08-29 2020-12-14
6. METLIFE INC   2015-07-14 2020-12-15
8. METLIFE INC   2015-06-15 2020-12-15
14. MICROSOFT CORPORATION   2014-08-14 2020-04-16
20. MICROSOFT CORPORATION   2014-08-14 2020-04-24
9. MICROSOFT CORPORATION   2015-02-18 2020-04-24
46. MICROSOFT CORPORATION   2015-02-18 2020-04-28
46. MONDELEZ INTERNATIONAL INC   2018-08-02 2020-08-31
3. MORGAN STANLEY   2014-09-19 2020-12-15
26. MORGAN STANLEY   2015-06-15 2020-12-15
40. MORGAN STANLEY   2015-05-07 2020-12-15
19. NEWELL RUBBERMAID INC   2019-09-24 2020-11-16
12. NEWELL RUBBERMAID INC   2019-09-25 2020-11-16
3. NEWELL RUBBERMAID INC   2019-09-26 2020-11-17
49. NEWELL RUBBERMAID INC   2019-09-25 2020-11-17
53. NEWELL RUBBERMAID INC   2019-09-26 2020-11-18
20. NEWELL RUBBERMAID INC   2019-09-26 2020-11-19
1. NEXTERA ENERGY INC   2014-01-02 2020-04-16
10. NEXTERA ENERGY INC   2015-05-07 2020-04-16
10. NEXTERA ENERGY INC   2015-06-15 2020-04-16
7. NEXTERA ENERGY INC   2015-07-14 2020-04-16
5. NEXTERA ENERGY INC   2020-04-08 2020-04-16
6. NORTHROP GRUMMAN CORP   2015-05-07 2020-08-31
3. NORTHROP GRUMMAN CORP   2015-07-14 2020-08-31
2. NORTHROP GRUMMAN CORP   2020-04-08 2020-09-01
7. NORTHROP GRUMMAN CORP   2015-07-14 2020-09-01
31. NVIDIA CORP   2019-08-20 2020-01-13
14. ONEOK INC   2018-12-13 2020-03-09
30. ONEOK INC   2018-11-05 2020-03-09
2. ONEOK INC   2018-08-07 2020-03-09
15. ONEOK INC   2018-12-13 2020-03-10
27. ONEOK INC   2019-03-01 2020-03-10
12. ONEOK INC   2019-11-18 2020-03-10
16. ONEOK INC   2019-11-19 2020-03-10
27. ORACLE CORP   2016-11-17 2020-04-16
12. ORACLE CORP   2017-01-06 2020-04-16
33. ORACLE CORP   2017-01-06 2020-05-18
5. ORACLE CORP   2017-02-21 2020-05-18
40. ORACLE CORP   2017-02-21 2020-06-17
28. ORACLE CORP   2017-11-08 2020-06-17
29. ORACLE CORP   2020-04-08 2020-06-17
2000. ORACLE CORP   2016-10-28 2020-02-20
3000. ORACLE CORP   2016-10-28 2020-04-07
22. PEPSICO INCORPORATED   2018-06-13 2020-06-17
19. PEPSICO INCORPORATED   2018-06-14 2020-06-17
10. PEPSICO INCORPORATED   2018-09-14 2020-06-17
7. PEPSICO INCORPORATED   2020-04-08 2020-06-18
7. PEPSICO INCORPORATED   2018-09-14 2020-06-18
79. PFIZER INC   2016-01-06 2020-01-09
19. PFIZER INC   2015-10-30 2020-01-09
66. PFIZER INC   2016-03-02 2020-01-09
28. PFIZER INC   2016-11-17 2020-08-31
11. PFIZER INC   2016-03-02 2020-08-31
32. PFIZER INC   2017-05-02 2020-08-31
8. PHILIP MORRIS INTERNATIONAL INC   2019-11-19 2020-01-13
22. PHILIP MORRIS INTERNATIONAL INC   2019-11-18 2020-01-13
24. PIONEER NAT RES CO   2020-03-31 2020-06-17
1. QUALCOMM INC   2017-08-16 2020-01-13
16. QUALCOMM INC   2017-09-05 2020-01-13
25. QUALCOMM INC   2017-09-01 2020-01-13
14. QUEST DIAGNOSTICS INC   2019-04-24 2020-05-18
5. QUEST DIAGNOSTICS INC   2019-04-24 2020-05-19
4. QUEST DIAGNOSTICS INC   2019-04-24 2020-11-16
2. QUEST DIAGNOSTICS INC   2019-04-25 2020-11-16
5. QUEST DIAGNOSTICS INC   2019-04-26 2020-11-17
12. QUEST DIAGNOSTICS INC   2019-04-25 2020-11-17
7. QUEST DIAGNOSTICS INC   2020-04-08 2020-11-18
3. QUEST DIAGNOSTICS INC   2019-04-26 2020-11-18
48. SCHWAB CHARLES CORP NEW COM   2017-10-11 2020-01-13
23. SONY CORP/AMER SHARES NEW/   2019-07-05 2020-04-16
14. SONY CORP/AMER SHARES NEW/   2019-07-29 2020-04-16
5. SONY CORP/AMER SHARES NEW/   2019-07-29 2020-04-17
10. SONY CORP/AMER SHARES NEW/   2019-07-29 2020-04-24
43. SONY CORP/AMER SHARES NEW/   2019-07-30 2020-04-27
11. SONY CORP/AMER SHARES NEW/   2019-07-29 2020-04-27
9. SONY CORP/AMER SHARES NEW/   2019-07-30 2020-11-16
21. SONY CORP/AMER SHARES NEW/   2019-07-30 2020-11-17
2. SONY CORP/AMER SHARES NEW/   2019-09-24 2020-11-17
4. STATE ST CORP COM   2018-10-05 2020-01-13
2. STATE ST CORP COM   2018-10-05 2020-01-13
12. STATE ST CORP COM   2018-10-08 2020-01-13
19. STATE ST CORP COM   2018-10-09 2020-01-14
12. STATE ST CORP COM   2018-10-08 2020-01-14
8. STATE ST CORP COM   2018-10-09 2020-05-18
8. STATE ST CORP COM   2018-11-05 2020-05-18
17. STATE ST CORP COM   2018-11-05 2020-05-19
17. STATE ST CORP COM   2019-01-07 2020-05-19
4. STATE ST CORP COM   2020-02-21 2020-05-20
16. STATE ST CORP COM   2019-01-07 2020-05-20
10. STATE ST CORP COM   2020-04-08 2020-05-20
9. 3M CO   2018-05-08 2020-01-13
3. 3M CO   2019-04-16 2020-01-13
9. 3M CO   2018-08-16 2020-01-13
7. 3M CO   2019-04-16 2020-01-14
15. TOTAL S.A. SP ADR   2016-05-20 2020-08-31
3. TOTAL S.A. SP ADR   2016-05-19 2020-08-31
17. TOTAL S.A. SP ADR   2020-04-08 2020-09-01
22. TOTAL S.A. SP ADR   2017-09-06 2020-09-01
21. TOTAL S.A. SP ADR   2017-09-05 2020-09-01
16. TOTAL S.A. SP ADR   2017-02-23 2020-09-01
6. TOTAL S.A. SP ADR   2017-02-22 2020-09-01
6. TOTAL S.A. SP ADR   2016-05-20 2020-09-01
10. TRAVELERS COS INC/THE   2015-06-15 2020-04-16
10. TRAVELERS COS INC/THE   2015-05-07 2020-04-16
11. TRAVELERS COS INC/THE   2014-03-05 2020-04-16
6. TRAVELERS COS INC/THE   2015-07-14 2020-04-17
6. TRAVELERS COS INC/THE   2015-07-14 2020-06-17
8. TRAVELERS COS INC/THE   2018-01-22 2020-06-17
3. TRAVELERS COS INC/THE   2018-01-23 2020-06-17
3. TRAVELERS COS INC/THE   2020-04-08 2020-06-17
5. TRAVELERS COS INC/THE   2020-04-08 2020-06-18
3. US BANCORP DEL   2020-05-19 2020-11-16
41. US BANCORP DEL   2020-05-18 2020-11-16
149. US BANCORP DEL   2020-05-19 2020-11-17
10. UNILEVER N V-W/I (NET/USD) US9047847093   2016-08-10 2020-10-08
28. UNILEVER N V-W/I (NET/USD) US9047847093   2018-03-12 2020-10-09
10. UNILEVER N V-W/I (NET/USD) US9047847093   2017-05-18 2020-10-09
1. UNILEVER N V-W/I (NET/USD) US9047847093   2016-08-10 2020-10-09
18. UNILEVER N V-W/I (NET/USD) US9047847093   2017-05-17 2020-10-09
1000. U.S. TREASURY BOND   2014-01-02 2020-02-20
2000. U.S. TREASURY BOND   2014-01-02 2020-04-07
7000. U.S. TREASURY BOND   2014-01-02 2020-11-24
5000. U.S. TREASURY BOND   2018-04-26 2020-11-24
2000. U.S. TREASURY BOND   2017-05-04 2020-11-24
3000. U.S. TREASURY BOND 3.125% FEB 15 2042   2014-01-02 2020-02-20
5000. U.S. TREASURY BOND 3.125% FEB 15 2042   2014-01-02 2020-04-07
1000. U.S. TREASURY BOND   2018-03-01 2020-02-20
2000. U.S. TREASURY BOND   2018-03-01 2020-04-07
2000. U.S. TREASURY BOND   2019-06-25 2020-02-20
3000. U.S. TREASURY BOND   2019-06-25 2020-04-07
2000. U.S. TREASURY NOTE   2018-06-08 2020-04-07
12000. U.S. TREASURY NOTE   2019-07-18 2020-02-05
3000. U.S. TREASURY NOTE   2019-04-12 2020-02-20
8000. U.S. TREASURY NOTE   2019-04-12 2020-04-07
7000. U.S. TREASURY NOTE   2019-04-12 2020-11-24
2000. U.S. TREASURY NOTE   2017-03-09 2020-02-20
5000. U.S. TREASURY NOTE   2017-03-09 2020-04-07
4000. U.S. TREASURY NOTE   2014-01-02 2020-04-07
9000. U.S. TREASURY NOTE   2014-01-02 2020-05-15
3000. U.S. TREASURY NOTE   2018-04-26 2020-05-15
2000. U.S. TREASURY NOTE   2017-05-04 2020-05-15
5000. U.S. TREASURY NOTE   2017-10-25 2020-04-07
3000. U.S. TREASURY NOTE   2018-08-23 2020-04-07
12000. U.S. TREASURY NOTE   2018-08-23 2020-04-28
2000. U.S. TREASURY NOTE   2019-12-18 2020-02-20
4000. U.S. TREASURY NOTE   2019-12-18 2020-04-07
1000. U.S. TREASURY NOTE   2019-12-18 2020-02-20
13000. U.S. TREASURY NOTE   2019-12-18 2020-02-25
2000. U.S. TREASURY NOTE   2020-02-05 2020-04-07
12000. U.S. TREASURY NOTE   2020-02-05 2020-04-29
18. UNITEDHEALTH GROUP INC   2015-06-12 2020-02-03
6. UNITEDHEALTH GROUP INC   2020-03-17 2020-12-15
38. VERIZON COMMUNICATIONS INC   2014-01-02 2020-04-16
5. VERIZON COMMUNICATIONS INC   2014-01-02 2020-11-16
11. VERIZON COMMUNICATIONS INC   2015-07-14 2020-11-16
20. VERIZON COMMUNICATIONS INC   2015-06-15 2020-11-16
30. VERIZON COMMUNICATIONS INC   2015-05-07 2020-11-16
27. VERIZON COMMUNICATIONS INC   2014-01-02 2020-11-16
19. VERIZON COMMUNICATIONS INC   2015-07-14 2020-12-14
22. VERIZON COMMUNICATIONS INC   2017-09-18 2020-12-14
.11 VIATRIS INC   2017-05-02 2020-11-20
1.61 VIATRIS INC   2020-02-21 2020-12-15
3.6 VIATRIS INC   2020-04-08 2020-12-15
7.32 VIATRIS INC   2017-09-01 2020-12-15
5.34 VIATRIS INC   2017-10-10 2020-12-15
1.13 VIATRIS INC   2017-05-02 2020-12-15
4.8 VONTIER CORP   2020-04-08 2020-10-19
2.4 VONTIER CORP   2020-02-21 2020-10-19
12.8 VONTIER CORP   2020-01-15 2020-10-19
5000. WALMART INC   2018-08-23 2020-04-07
18000. WALMART INC   2018-08-23 2020-09-24
2000. WELLS FARGO & COMPANY   2016-07-26 2020-04-07
15. WILLIAMS COMPANIES DEL   2018-05-21 2020-06-17
48. WILLIAMS COMPANIES DEL   2018-05-22 2020-06-17
67. WILLIAMS COMPANIES DEL   2018-05-21 2020-06-17
53. WILLIAMS COMPANIES DEL   2018-08-06 2020-06-18
5. WILLIAMS COMPANIES DEL   2018-08-03 2020-06-18
13. WILLIAMS COMPANIES DEL   2018-05-22 2020-06-18
6. WILLIAMS COMPANIES DEL   2018-10-12 2020-11-16
22. WILLIAMS COMPANIES DEL   2018-10-11 2020-11-16
13. WILLIAMS COMPANIES DEL   2018-08-08 2020-11-16
56. WILLIAMS COMPANIES DEL   2018-08-07 2020-11-16
4. WILLIAMS COMPANIES DEL   2018-08-06 2020-11-16
33. WILLIAMS COMPANIES DEL   2018-10-12 2020-11-17
5. WILLIAMS COMPANIES DEL   2018-12-17 2020-11-17
19. JOHNSON CTLS INTL PLC   2019-03-08 2020-01-13
20. JOHNSON CTLS INTL PLC   2018-11-05 2020-01-13
39. JOHNSON CTLS INTL PLC   2019-03-08 2020-01-14
32. MEDTRONIC PLC SHS   2017-10-27 2020-11-16
7. MEDTRONIC PLC SHS   2017-10-30 2020-11-16
13. PENTAIR PLC SHS   2019-07-01 2020-06-18
3. PENTAIR PLC SHS   2019-07-02 2020-06-18
16. PENTAIR PLC SHS   2019-07-02 2020-06-19
9. PENTAIR PLC SHS   2019-07-03 2020-06-19
3. PENTAIR PLC SHS   2019-07-03 2020-06-22
15. PENTAIR PLC SHS   2019-07-05 2020-06-22
5. PENTAIR PLC SHS   2019-07-05 2020-06-23
16. PENTAIR PLC SHS   2019-07-08 2020-06-23
4. PENTAIR PLC SHS   2019-07-09 2020-06-23
26. PENTAIR PLC SHS   2019-07-09 2020-06-24
9. PENTAIR PLC SHS   2020-04-08 2020-06-24
5. PENTAIR PLC SHS   2020-04-08 2020-06-25
2. WILLIS TOWERS WATSON PLC   2019-02-11 2020-06-18
7. WILLIS TOWERS WATSON PLC   2019-02-11 2020-06-18
5. WILLIS TOWERS WATSON PLC   2019-03-04 2020-06-19
4. WILLIS TOWERS WATSON PLC   2019-02-11 2020-06-19
9. WILLIS TOWERS WATSON PLC   2019-02-12 2020-06-19
1. WILLIS TOWERS WATSON PLC   2019-03-01 2020-06-19
10. WILLIS TOWERS WATSON PLC   2019-02-13 2020-06-19
4. WILLIS TOWERS WATSON PLC   2019-03-04 2020-06-22
6. WILLIS TOWERS WATSON PLC   2019-04-17 2020-06-22
6. WILLIS TOWERS WATSON PLC   2019-04-17 2020-10-08
1. WILLIS TOWERS WATSON PLC   2019-04-18 2020-10-08
1. WILLIS TOWERS WATSON PLC   2019-04-18 2020-10-09
4. ALCON SA ACT NOM   2018-11-05 2020-04-16
3. ALCON SA ACT NOM   2018-12-14 2020-04-16
2. ALCON SA ACT NOM   2018-12-13 2020-04-16
12. ALCON SA ACT NOM   2019-04-16 2020-04-16
21. ALCON SA ACT NOM   2019-04-16 2020-04-17
9. NXP SEMICONDUCTORS N.V.   2019-08-14 2020-12-15
(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 2,962   2,208 754
b 4,161   4,006 155
c 1,254   565 689
d 1,254   572 682
e 940   470 470
4,352   4,036 316
1,513   766 747
1,681   848 833
4,059   3,982 77
1,034   2,070 -1,036
66   132 -66
836   1,644 -808
936   1,843 -907
1,176   2,128 -952
384   745 -361
336   614 -278
684   1,817 -1,133
203   403 -200
599   1,570 -971
369   830 -461
165   348 -183
253   613 -360
476   1,160 -684
340   743 -403
1,015   996 19
2,017   1,992 25
4,541   4,572 -31
4,170   4,531 -361
1,322   950 372
2,578   1,837 741
1,244   903 341
5,762   4,194 1,568
267   346 -79
321   423 -102
499   635 -136
271   353 -82
187   247 -60
400   525 -125
2,512   2,906 -394
1,256   1,318 -62
2,302   2,486 -184
1,050   1,017 33
1,039   1,016 23
2,992   1,438 1,554
1,116   707 409
37   24 13
1,461   919 542
802   524 278
1,539   1,024 515
1,071   714 357
607   528 79
2,487   2,079 408
2,112   1,732 380
422   372 50
194   166 28
271   236 35
194   171 23
310   265 45
312   265 47
389   290 99
506   382 124
428   318 110
779   522 257
2,364   935 1,429
1,587   647 940
529   316 213
182   106 76
1,458   842 616
183   106 77
1,140   743 397
1,140   639 501
2,425   1,485 940
1,492   872 620
791   863 -72
725   875 -150
659   800 -141
528   730 -202
857   1,053 -196
66   72 -6
1,362   1,176 186
142   121 21
602   526 76
1,203   1,058 145
197   222 -25
551   629 -78
512   458 54
2,074   1,957 117
3,206   2,935 271
3,161   4,250 -1,089
1,677   981 696
4,194   2,465 1,729
789   848 -59
2,453   2,667 -214
254   278 -24
392   420 -28
980   1,424 -444
532   782 -250
1,008   1,508 -500
1,484   2,203 -719
1,260   1,422 -162
560   618 -58
1,680   1,816 -136
245   234 11
1,061   1,023 38
2,448   2,361 87
423   389 34
846   608 238
2,256   2,128 128
5,278   4,994 284
5,578   5,137 441
803   848 -45
245   283 -38
980   1,139 -159
1,183   1,424 -241
710   855 -145
2,187   2,011 176
2,187   2,151 36
625   570 55
2,132   1,442 690
1,599   1,045 554
545   399 146
3,632   2,578 1,054
272   180 92
3,222   2,130 1,092
397   266 131
1,388   932 456
5,329   4,982 347
4,272   4,210 62
151   148 3
1,961   1,887 74
1,446   1,393 53
3,616   3,702 -86
2,047   2,013 34
960   933 27
255   252 3
510   506 4
1,003   996 7
1,505   1,518 -13
1,092   1,150 -58
1,343   894 449
1,827   1,203 624
796   544 252
3   2 1
1,946   996 950
389   190 199
2,638   2,088 550
1,131   930 201
1,890   1,549 341
1,512   1,472 40
2,845   1,636 1,209
2,142   1,013 1,129
2,732   1,247 1,485
1,939   935 1,004
646   375 271
368   974 -606
123   493 -370
160   409 -249
480   1,972 -1,492
773   3,159 -2,386
265   191 74
213   579 -366
1,045   1,107 -62
523   405 118
871   931 -60
92   99 -7
918   933 -15
1,791   1,920 -129
689   731 -42
274   303 -29
365   397 -32
2,448   621 1,827
3,455   887 2,568
1,555   392 1,163
7,865   2,006 5,859
2,687   1,985 702
191   109 82
1,659   1,030 629
2,553   1,501 1,052
386   340 46
244   217 27
60   55 5
985   887 98
1,083   972 111
405   367 38
238   85 153
2,377   1,007 1,370
2,377   991 1,386
1,664   715 949
1,188   1,147 41
2,056   924 1,132
1,028   504 524
681   667 14
2,383   1,176 1,207
7,809   5,215 2,594
556   802 -246
1,192   1,797 -605
80   128 -48
520   860 -340
935   1,683 -748
416   838 -422
554   1,107 -553
1,440   1,085 355
640   462 178
1,756   1,270 486
266   212 54
2,086   1,693 393
1,460   1,414 46
1,512   1,508 4
2,085   1,980 105
3,094   2,970 124
2,908   2,314 594
2,511   1,998 513
1,322   1,144 178
924   916 8
924   800 124
3,071   2,507 564
738   652 86
2,565   1,980 585
1,056   890 166
415   330 85
1,207   1,074 133
702   669 33
1,931   1,864 67
2,274   1,678 596
91   53 38
1,455   821 634
2,274   1,301 973
1,534   1,327 207
550   474 76
491   379 112
246   188 58
619   475 144
1,485   1,130 355
860   600 260
369   285 84
2,306   2,170 136
1,425   1,260 165
868   766 102
319   274 45
628   547 81
2,710   2,333 377
693   602 91
814   488 326
1,886   1,139 747
180   118 62
328   346 -18
164   174 -10
983   1,043 -60
1,556   1,643 -87
983   1,043 -60
469   692 -223
469   575 -106
977   1,222 -245
977   1,105 -128
234   308 -74
934   1,040 -106
584   569 15
1,630   1,812 -182
543   650 -107
1,630   1,825 -195
1,272   1,517 -245
594   724 -130
119   143 -24
670   626 44
867   1,164 -297
828   1,101 -273
631   823 -192
236   305 -69
236   290 -54
998   991 7
998   1,027 -29
1,098   927 171
616   614 2
692   614 78
922   1,112 -190
346   432 -86
346   312 34
580   521 59
132   97 35
1,810   1,354 456
6,560   4,829 1,731
609   459 150
1,726   1,538 188
616   543 73
62   46 16
1,110   986 124
1,395   1,092 303
3,052   2,182 870
10,358   7,618 2,740
7,398   5,875 1,523
2,959   2,460 499
3,662   2,593 1,069
6,797   4,321 2,476
1,222   975 247
2,758   1,950 808
2,405   2,145 260
4,084   3,218 866
2,237   2,000 237
13,220   12,787 433
3,401   3,136 265
9,589   8,359 1,230
8,299   7,293 1,006
2,094   1,953 141
5,458   4,881 577
4,014   4,005 9
9,000   9,000  
3,000   3,000  
2,000   2,000  
5,593   4,972 621
3,024   3,000 24
12,078   12,000 78
2,013   1,977 36
4,178   3,953 225
1,007   998 9
13,165   12,979 186
2,046   2,006 40
12,283   12,035 248
4,903   2,121 2,782
2,040   1,463 577
2,171   1,865 306
304   245 59
669   522 147
1,217   942 275
1,825   1,496 329
1,642   1,277 365
1,139   901 238
1,319   1,054 265
2   2  
28   24 4
63   51 12
127   105 22
93   82 11
20   16 4
135   105 30
68   67 1
361   369 -8
5,329   5,046 283
19,410   18,142 1,268
1,999   2,000 -1
288   415 -127
922   1,273 -351
1,288   1,760 -472
1,032   1,582 -550
97   149 -52
253   345 -92
122   149 -27
446   546 -100
263   385 -122
1,134   1,670 -536
81   118 -37
673   821 -148
102   107 -5
782   679 103
823   662 161
1,599   1,393 206
3,567   2,585 982
780   562 218
494   485 9
114   112 2
609   599 10
342   342  
114   114  
570   570  
189   190 -1
606   606  
152   148 4
945   964 -19
327   285 42
180   158 22
393   338 55
1,375   1,176 199
960   862 98
768   672 96
1,728   1,539 189
192   172 20
1,920   1,713 207
775   689 86
1,163   1,063 100
1,269   1,063 206
212   177 35
213   177 36
203   217 -14
153   160 -7
102   107 -5
610   685 -75
1,108   1,198 -90
1,437   901 536
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       754
b       155
c       689
d       682
e       470
      316
      747
      833
      77
      -1,036
      -66
      -808
      -907
      -952
      -361
      -278
      -1,133
      -200
      -971
      -461
      -183
      -360
      -684
      -403
      19
      25
      -31
      -361
      372
      741
      341
      1,568
      -79
      -102
      -136
      -82
      -60
      -125
      -394
      -62
      -184
      33
      23
      1,554
      409
      13
      542
      278
      515
      357
      79
      408
      380
      50
      28
      35
      23
      45
      47
      99
      124
      110
      257
      1,429
      940
      213
      76
      616
      77
      397
      501
      940
      620
      -72
      -150
      -141
      -202
      -196
      -6
      186
      21
      76
      145
      -25
      -78
      54
      117
      271
      -1,089
      696
      1,729
      -59
      -214
      -24
      -28
      -444
      -250
      -500
      -719
      -162
      -58
      -136
      11
      38
      87
      34
      238
      128
      284
      441
      -45
      -38
      -159
      -241
      -145
      176
      36
      55
      690
      554
      146
      1,054
      92
      1,092
      131
      456
      347
      62
      3
      74
      53
      -86
      34
      27
      3
      4
      7
      -13
      -58
      449
      624
      252
      1
      950
      199
      550
      201
      341
      40
      1,209
      1,129
      1,485
      1,004
      271
      -606
      -370
      -249
      -1,492
      -2,386
      74
      -366
      -62
      118
      -60
      -7
      -15
      -129
      -42
      -29
      -32
      1,827
      2,568
      1,163
      5,859
      702
      82
      629
      1,052
      46
      27
      5
      98
      111
      38
      153
      1,370
      1,386
      949
      41
      1,132
      524
      14
      1,207
      2,594
      -246
      -605
      -48
      -340
      -748
      -422
      -553
      355
      178
      486
      54
      393
      46
      4
      105
      124
      594
      513
      178
      8
      124
      564
      86
      585
      166
      85
      133
      33
      67
      596
      38
      634
      973
      207
      76
      112
      58
      144
      355
      260
      84
      136
      165
      102
      45
      81
      377
      91
      326
      747
      62
      -18
      -10
      -60
      -87
      -60
      -223
      -106
      -245
      -128
      -74
      -106
      15
      -182
      -107
      -195
      -245
      -130
      -24
      44
      -297
      -273
      -192
      -69
      -54
      7
      -29
      171
      2
      78
      -190
      -86
      34
      59
      35
      456
      1,731
      150
      188
      73
      16
      124
      303
      870
      2,740
      1,523
      499
      1,069
      2,476
      247
      808
      260
      866
      237
      433
      265
      1,230
      1,006
      141
      577
      9
       
       
       
      621
      24
      78
      36
      225
      9
      186
      40
      248
      2,782
      577
      306
      59
      147
      275
      329
      365
      238
      265
       
      4
      12
      22
      11
      4
      30
      1
      -8
      283
      1,268
      -1
      -127
      -351
      -472
      -550
      -52
      -92
      -27
      -100
      -122
      -536
      -37
      -148
      -5
      103
      161
      206
      982
      218
      9
      2
      10
       
       
       
      -1
       
      4
      -19
      42
      22
      55
      199
      98
      96
      189
      20
      207
      86
      100
      206
      35
      36
      -14
      -7
      -5
      -75
      -90
      536
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 71,570
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
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
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 for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,413
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,413
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,413
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 1,000
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 2
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 415
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet0 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNY
    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 2020 or the taxable year beginning in 2020? 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 (2020)
    Form 990-PF (2020)
    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 addressbullet  
    14
    The books are in care ofbulletBANK OF AMERICA NA Telephone no.bullet (212) 852-3049

    Located atbullet114 WEST 47TH STREET NY8-114-07-07NEW YORKNY ZIP+4bullet100361510
    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 2020, 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 2020?.............
    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 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    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 2020 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 2020.)..................
    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 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    MICHAEL D SCHREIBER ASST TREASURER
    0
    0    
    500 W 185TH STREET
    NEW YORK,NY10033
    JACOB E HARMAN VP AND TREASURER
    0
    0    
    500 W 185TH STREET
    NEW YORK,NY10033
    ANDREW J LAUER PRESIDENT
    0
    0    
    500 W 185TH STREET
    NEW YORK,NY10033
    ESTHER SASSON ASSISTANT SECRETARY
    0
    0    
    500 W 185TH STREET
    NEW YORK,NY10033
    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 (2020)
    Form 990-PF (2020)
    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.............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.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,320,303
    b
    Average of monthly cash balances.......................
    1b
    93,341
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,413,644
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,413,644
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    21,205
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,392,439
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    69,622
    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
    69,622
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,413
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,413
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    68,209
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    68,209
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    68,209
    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
    79,982
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    79,982
    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
    79,982
    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 (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2019
    (c)
    2019
    (d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 68,209
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 0
    b From 2016...... 4,090
    c From 2017...... 4,736
    d From 2018...... 6,743
    e From 2019...... 7,027
    fTotal of lines 3a through e........ 22,596
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 79,982
    a Applied to 2019, 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 2020 distributable amount..... 68,209
    e Remaining amount distributed out of corpus 11,773
    5 Excess distributions carryover applied to 2020. 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 34,369
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    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 2015 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    34,369
    10 Analysis of line 9:
    a Excess from 2016.... 4,090
    b Excess from 2017.... 4,736
    c Excess from 2018.... 6,743
    d Excess from 2019.... 7,027
    e Excess from 2020.... 11,773
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 2020, 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) 2020 (b) 2019 (c) 2018 (d) 2017
             
    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).)
    NONE
    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.
    NONE
    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 (2020)
    Form 990-PF (2020)
    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
    YESHIVA UNIVERSITY
    500 WEST 185TH ST
    NEW YORK,NY10033
    N/A PC UNRESTRICTED GENERAL 43,920
    FRIENDS OF WASHINGTON HEIGHTS
    131 BENNETTE AVE
    NEW YORK,NY100332315
    N/A PC UNRESTRICTED GENERAL 2,880
    ALBERT EINSTEIN COLLEGE OF
    MEDICINE
    111 E 210TH ST
    BRONX,NY104672401
    N/A PC UNRESTRICTED GENERAL 25,200
    Total .................................bullet 3a 72,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 36,237  
    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.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 71,570  
    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)..   107,807  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    107,807
    (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 (2020)
    Form 990-PF (2020)
    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 instructions.
    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 (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE 5,000     5,000

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Name of Bond End of Year Book Value End of Year Fair Market Value
    06406FAD5 BANK OF NY MELLON CO 8,791 9,428
    05531FBB8 BB&T CORPORATION 18,788 20,561
    94974BFQ8 WELLS FARGO & COMPAN    
    20030NBN0 COMCAST CORP    
    00206RAJ1 AT&T INC    
    17275RAE2 CISCO SYSTEMS INC    
    78011DAG9 USD ROYAL BK CANADA    
    91159HHH6 US BANCORP    
    822582AJ1 SHELL INTERNATIONAL    
    36962G7M0 GENERAL ELEC CAP COR    
    037833CJ7 APPLE INC 18,013 20,534
    949746SA0 WELLS FARGO & COMPAN 9,887 10,101
    68389XBM6 ORACLE CORP 17,566 19,781
    172967FT3 CITIGROUP INC 9,102 9,384
    92826CAB8 VISA INC    
    46625HJX9 JPMORGAN CHASE & CO 16,963 18,796
    SEE ATTACHED    
    931142EK5 WALMART INC    
    035242AL0 ANHEUSER-BUSCH INBEV    
    377372AL1 GLAXOSMITHKLINE CAPI 17,978 19,284
    9128284G2 U.S. TREASURY NOTE    
    9128284X5 U.S. TREASURY NOTE    
    912810RQ3 U.S. TREASURY BOND    
    912828X88 U.S. TREASURY NOTE 19,714 22,309
    9128284A5 U.S. TREASURY NOTE    
    912810QU5 U.S. TREASURY BOND 3 24,359 34,093
    912828M56 U.S. TREASURY NOTE 35,967 38,221
    3135G0K36 FEDERAL NATL MTG ASS 18,433 20,701
    912828ND8 U.S. TREASURY NOTE    
    912828Y46 U.S. TREASURY NOTE    
    9128283W8 U.S. TREASURY NOTE    
    9128284R8 U.S. TREASURY NOTE 9,998 11,127
    912810FT0 U.S. TREASURY BOND    
    912810SA7 U.S. TREASURY BOND 23,347 26,255
    912828YW4 U.S. TREASURY NOTE    
    9128284V9 U.S. TREASURY NOTE    
    437076BW1 HOME DEPOT INC 18,458 21,658
    912828YH7 U.S. TREASURY NOTE 22,731 24,084
    9128285M8 U.S. TREASURY NOTE 35,667 40,255
    912810SH2 U.S. TREASURY BOND 20,354 24,531
    025816CC1 AMERICAN EXPRESS CO 19,025 20,620
    05526DBS3 BAT CAPITAL CORP 22,897 23,822
    6174468Q5 MORGAN STANLEY 13,089 13,731
    035240AV2 ANHEUSER-BUSCH INBEV 11,744 12,742
    20030NDM0 COMCAST CORP 17,976 18,485
    912810SP4 U.S. TREASURY BOND 12,319 12,175
    91282CAR2 U.S. TREASURY NOTE 12,990 13,002

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Name of Stock End of Year Book Value End of Year Fair Market Value
    369604103 GENERAL ELECTRIC CO 8,048 10,476
    256677105 DOLLAR GENERAL CORP 3,138 4,206
    25243Q205 DIAGEO PLC SPON ADR    
    949746101 WELLS FARGO & CO NEW 36,934 25,864
    747525103 QUALCOMM INC    
    744320102 PRUDENTIAL FINL INC    
    58933Y105 MERCK AND CO INC SHS    
    89151E109 TOTAL FINA ELF S.A.    
    617446448 MORGAN STANLEY 12,134 25,356
    577081102 MATTEL INC    
    487836108 KELLOGG CO    
    26138E109 DR PEPPER SNAPPLE GR    
    046353108 ASTRAZENECA PLC SPON 8,025 12,348
    026874784 AMERICAN INTERNATION 23,454 20,672
    G6518L108 NIELSEN HOLDINGS PLC    
    911312106 UNITED PARCEL SVC IN    
    88579Y101 3M CO    
    867914103 SUNTRUST BANKS INC    
    808513105 CHARLES SCHWAB CORP/ 13,543 18,776
    69331C108 PG&E CORP    
    670100205 NOVO NORDISK A/S ADR    
    548661107 LOWES COMPANIES INC 2,732 4,655
    500472303 KONINKLIJKE PHILIPS 12,879 19,230
    460690100 INTERPUBLIC GROUP OF    
    38141G104 GOLDMAN SACHS GROUP    
    20030N101 COMCAST CORP 11,719 18,550
    166764100 CHEVRONTEXACO CORP    
    00817Y108 AETNA INC    
    92343V104 VERIZON COMMUNICATIO 26,040 29,081
    907818108 UNION PACIFIC CORP 6,253 9,995
    902973304 US BANCORP DEL    
    867224107 SUNCOR ENERGY INC NE    
    717081103 PFIZER INC 5,069 5,669
    65339F101 NEXTERA ENERGY INC    
    571748102 MARSH & MCLENNAN COS    
    539830109 LOCKHEED MARTIN CORP    
    493267108 KEYCORP NEW COM    
    172967424 CITIGROUP INC 30,438 35,578
    12626K203 CRH PLC ADR 3,399 4,428
    10922N103 BRIGHTHOUSE FINL INC    
    G491BT108 INVESCO LTD    
    91324P102 UNITEDHEALTH GROUP I 7,740 10,871
    744573106 PUBLIC SERVICE ENTER 11,399 13,642
    501044101 KROGER COMPANY COMMO    
    30161N101 EXELON CORP 4,454 4,349
    036752103 ANTHEM INC 12,306 19,908
    904784709 UNILEVER NV    
    874039100 TAIWAN SEMICONDUCTOR    
    74834L100 QUEST DIAGNOSTICS IN    
    59156R108 METLIFE INC 13,712 14,601
    58155Q103 MCKESSON CORP 6,506 8,000
    460146103 INTERNATIONAL PAPER    
    406216101 HALLIBURTON COMPANY    
    02209S103 ALTRIA GROUP INC 20,092 16,851
    G5960L103 MEDTRONIC PLC SHS 16,413 21,437
    89417E109 TRAVELERS COS INC/TH    
    74005P104 PRAXAIR INC    
    718172109 PHILIP MORRIS INTERN    
    666807102 NORTHROP GRUMMAN COR    
    620076307 MOTOROLA SOLUTIONS I 6,052 11,394
    594918104 MICROSOFT CORP COM 5,884 14,235
    438516106 HONEYWELL INTL INC    
    337932107 FIRSTENERGY CORP    
    26078J100 DOWDUPONT INC COM    
    780259206 ROYAL DUTCH SHELL PL    
    742718109 PROCTER & GAMBLE CO    
    68389X105 ORACLE CORP    
    56585A102 MARATHON PETROLEUM C 18,289 16,585
    46625H100 J P MORGAN CHASE & C 15,696 26,685
    42809H107 HESS CORP    
    BEGBALANCE    
    713448108 PEPSICO INC    
    857477103 STATE ST CORP COM    
    126650100 CVS HEALTH CORP 9,776 11,133
    192446102 COGNIZANT TECHNOLOGY 21,264 27,289
    363576109 ARTHUR J GALLAGHER & 12,219 18,433
    G51502105 JOHNSON CTLS INTL PL    
    969457100 WILLIAMS COS INC/THE 9,303 9,023
    054561105 AXA EQUITABLE HOLDIN    
    055622104 BP P L C SPONS ADR 13,633 7,120
    444859102 HUMANA INC 8,706 8,616
    037833100 APPLE COMPUTER INC C    
    12514G108 CDW CORP    
    25179M103 DEVON ENERGY CORPORA    
    565849106 MARATHON OIL CORP    
    609207105 MONDELEZ INTERNATION 4,772 6,198
    032511107 ANADARKO PETE CORP    
    66987V109 NOVARTIS AG SPNSRD A    
    682680103 ONEOK INC    
    14149Y108 CARDINAL HEALTH INC    
    17275R102 CISCO SYSTEMS INC 18,063 17,721
    110122108 BRISTOL-MYERS SQUIBB    
    67066G104 NVIDIA CORP    
    05722G100 BAKER HUGHES A GE CO    
    651229106 NEWELL BRANDS INC 4,185 4,947
    835699307 SONY CORP ADR AMERN 3,780 6,268
    G7S00T104 PENTAIR PLC SHS    
    37045V100 GENERAL MOTORS CO 14,938 18,696
    21036P108 CONSTELLATION BRANDS 9,632 13,362
    29446M102 EQUINOR ASA 8,552 8,686
    31428X106 FEDEX CORP 3,855 6,750
    20825C104 CONOCOPHILLIPS 9,234 8,158
    26614N102 DUPONT DE NEMOURS IN 8,095 10,169
    N6596X109 NXP SEMICONDUCTORS N 5,838 9,382
    205887102 CONAGRA BRANDS INC    
    22052L104 DOWDUPONT INC 8,788 12,584
    G96629103 WILLIS TOWERS WATSON 3,487 4,003
    80105N105 SANOFI-SYNTHELABO 18,296 18,804
    H01301128 ALCON SA ACT NOM 11,760 13,328
    35137L105 FOX CORP 9,227 7,688
    98956P102 ZIMMER BIOMET HOLDIN 8,615 8,937
    281020107 EDISON INTERNATIONAL 7,883 8,292
    525327102 LEIDOS HOLDINGS INC 4,615 4,836
    038222105 APPLIED MATERIALS IN 6,437 9,148
    65473P105 NISOURCE INC 4,223 4,267
    92826C839 VISA INC 11,558 14,655
    904767704 UNILEVER PLC AMER SH 22,235 24,748
    31847R102 FIRST AMERICAN FINAN 2,252 2,375
    49456B101 KINDER MORGAN INC/DE 6,304 5,345
    020002101 ALLSTATE CORP/THE 5,847 6,486
    754730109 RAYMOND JAMES FINANC 7,220 7,654
    854502101 STANLEY BLACK & DECK 6,427 6,428
    29452E101 EQUITABLE HOLDINGS I 5,790 6,909
    69351T106 PPL CORP 4,150 4,343
    191216100 COCA-COLA CO/THE 13,940 15,465
    023608102 AMEREN CORP 4,631 4,606
    31620R303 FIDELITY NATIONAL FI 4,165 5,082
    693506107 PPG INDUSTRIES INC 10,705 11,682
    75513E101 RAYTHEON TECHNOLOGIE 8,461 9,368
    025816109 AMERICAN EXPRESS CO 7,945 10,036
    723787107 PIONEER NAT RES CO 6,852 10,364
    872540109 TJX COS INC/THE 12,706 16,048
    12572Q105 CME GROUP INC 5,960 5,826
    084670702 BERKSHIRE HATHAWAYIN 13,065 15,072

    TY 2020 InvestmentsOtherSchedule2
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    09256H286 BLACKROCK STRATEGIC      
    BEGBALANCE      
    09260B382 BLACKROCK STRATEGIC AT COST 27,657 28,600

    TY 2020 OtherDecreasesSchedule
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Description Amount
    ACCRUED INTEREST ADJUSTMENT 50
    COST ADJUSTMENT 1,300
    ROUNDING 6


    TY 2020 OtherExpensesSchedule
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE FILING FEE 250 0   250
    OTHER EXPENSE (NON-DEDUCTIBLE 65 0   65


    TY 2020 OtherIncreasesSchedule
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Description Amount
    INCOME ADJUSTMENT 74


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 6,667 4,000   2,667


    TY 2020 TaxesSchedule
    Name:
    HARRY & ROSE JACOBS FOUNDATION INC
    EIN:
    13-6161740
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 430 430   0
    EXCISE TAX - PRIOR YEAR 159 0   0
    EXCISE TAX ESTIMATES 1,000 0   0