TY 2019 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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 10-01-2019 , and ending 09-30-2020

Name of foundation
HOWARD BENEVOLENT SOCIETY

Number and street (or P.O. box number if mail is not delivered to street address)89 SOUTH STREET NO LL02
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
BOSTON, MA02111

A Employer identification number

04-2129132

B Telephone number (see instructions)

(617) 742-2952

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$4,961,674J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(c) Adjusted net income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	115,128
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	94,447		94,447	94,447
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		310,757
b	Gross sales price for all assets on line 6a 8,333,248
7	Capital gain net income (from Part IV, line 2)...			310,757
8	Net short-term capital gain.........				310,757
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........	520,332		405,204	405,204
13	Compensation of officers, directors, trustees, etc.	77,681		7,768	7,768	69,913
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		12,800	8,960	8,960	3,840
c	Other professional fees (attach schedule)....
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		5,524	503	503	4,921
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............	11,557		1,156	1,156	10,401
21	Travel, conferences, and meetings.......	874		87	87	787
22	Printing and publications..........
23	Other expenses (attach schedule).......		63,667	41,192	41,192	22,475
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	172,103		59,666	59,666	112,337
25	Contributions, gifts, grants paid.......	181,862				181,862
26	Total expenses and disbursements. Add lines 24 and 25	353,965		59,666	59,666	294,199
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	166,367
b	Net investment income (if negative, enter -0-)			345,538
c	Adjusted net income (if negative, enter -0-)...				345,538

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2019)

Form 990-PF (2019)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	61,292	108,022	108,022
	2	Savings and temporary cash investments.........	425,854	425,843	425,843
	3	Accounts receivable 3,716
		Less: allowance for doubtful accounts	3,716	3,716	3,716
	4	Pledges receivable 74,847
		Less: allowance for doubtful accounts		74,847	74,847
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......	2,469,162	2,487,713	3,240,497
	c	Investments—corporate bonds (attach schedule).......	326,862	150,329	163,655
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	661,369	864,152	945,094
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	3,948,255	4,114,622	4,961,674
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........	0	0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	3,948,255	4,114,622
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	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).....	3,948,255	4,114,622
	30	Total liabilities and net assets/fund balances (see instructions).	3,948,255	4,114,622

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

3,948,255

Enter amount from Part I, line 27a .....................

166,367

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

4,114,622

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

4,114,622

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
1 a	ABBOTT LABORATORIES	P
b	ABBOTT LABORATORIES	P
c	ABBVIE INC COM	P
d	ABBVIE INC COM	P
e	ACCENTURE PLC IRELAND CLA	P
	ACTAVIS FUNDING SCS	P
	ACTIVISION BLIZZARD INC	P
	ADOBE INC	P
	ALPHABET INC CL A	P
	ALPHABET INC CL A	P
	AMAZON COM INC	P
	AMAZON COM INC	P
	AMAZON COM INC	P
	AMAZON COM INC	P
	AMEREN CORP (HLDG CO)	P
	AMERICAN ELECTRIC POWER CO	P
	AMERICAN EXPRESS CO	P
	AMGEN INC	P
	AMGEN INC	P
	APPLE INC	P
	APPLE INC	P
	APPLE INC	P
	APPLE INC	P
	APPLE INC	P
	AQUA AMER INC	P
	ATLASSIAN CORP PLC CL A	P
	ATLASSIAN CORP PLC CL A	P
	ATLASSIAN CORP PLC CL A	P
	AVALONBAY COMM INC	P
	BAE SYS PLC SPON ADR	P
	BANK OF AMERICA CORP	P
	BARRICK GOLD CORP	P
	BARRICK GOLD CORP	P
	BARRICK GOLD CORP	P
	BARRICK GOLD CORP	P
	BCE INC	P
	BIOMARIN PHARMAC SE	P
	BLACKROCK LIQ TREASURY TR INST	P
	BLACKROCK LIQ TREASURY TR INST	P
	BLACKROCK LIQ TREASURY TR INST	P
	BLACKROCK LIQ TREASURY TR INST	P
	BLACKROCK LIQ TREASURY TR INST	P
	BLACKSTONE GROUP INC CL A	P
	BLACKSTONE GROUP INC CL A	P
	BRISTOL MYERS SQUIBB CO	P
	BROADCOM INC	P
	CHEGG INC	P
	CHENIERE ENERGY INC	P
	CIENA CORP NEW	P
	CIENA CORP NEW	P
	CITRIX SYSTEMS INC	P
	CLOUDERA INC	P
	COCA COLA CO	P
	COMCAST CORP (NEW) CLASS A	P
	COMCAST CORP (NEW) CLASS A	P
	COSTCO WHOLESALE CORP NEW	P
	COSTCO WHOLESALE CORP NEW	P
	CROWN CASTLE INTL CORP	P
	CROWN CASTLE INTL CORP	P
	CROWN CASTLE INTL CORP	P
	CROWN CASTLE INTL CORP	P
	CROWN CASTLE INTL CORP	P
	CVS HEALTH CORP COM	P
	CVS HEALTH CORP COM	P
	DOMINION ENERGY INC	P
	DOMINION ENERGY INC	P
	DOMINOS PIZZA INC	P
	DUKE ENERGY CORPORATION	P
	ELI LILLY & CO	P
	ELI LILLY & CO	P
	EOG RESOURCES INC	P
	ESTEE LAUDER CO INC CL A	P
	FORTINET INC	P
	GILEAD SCIENCE	P
	HOME DEPOT INC	P
	HOME DEPOT INC	P
	HONEYWELL INTERNATIONAL INC	P
	ICICI BANK LTD	P
	INSEEGO CORP	P
	INTEL CORP	P
	INVITATION HOMES INC	P
	ISHARES IBOXX INVEST GR COR BD	P
	ISHARES IBOXX INVEST GR COR BD	P
	ISHARES MBS ETF	P
	ISHARES US AEROSPACE & DEF ETF	P
	ISHARES US MEDICAL DEV ETF	P
	ISHARES US MEDICAL DEV ETF	P
	JPMORGAN CHASE & CO	P
	JPMORGAN CHASE & CO	P
	JPMORGAN CHASE & CO	P
	KELLOGG CO	P
	KEURIG DR PEPPER INC	P
	L3HARRIS TECHNOLOGIES INC	P
	LABORATORY CP AMER HLDGS NEW	P
	LOCKHEED MARTIN CORP	P
	LULULEMON ATHLETICA INC	P
	MARVELL TECH GROUP LTD	P
	MASTERCARD INC CL A	P
	MASTERCARD INC CLA	P
	MC DONALDS CORP	P
	MCDONALDS CORP	P
	MERCADOLIBRE INC	P
	MERCK & CO INC NEW COM	P
	MERCK & CO INC NEW COM	P
	MICROSOFT CORP	P
	MICROSOFT CORP	P
	MICROSOFT CORP	P
	MONDELEZ INTL INC COM	P
	MSIF ULTRA-SHORT INCOME IR	P
	MSIF ULTRA-SHORT INCOME IR	P
	MSIF ULTRA-SHORT INCOME IR	P
	MSIF ULTRA-SHORT INCOME IR	P
	NETFLIX INC	P
	NEXTERA ENERGY INC	P
	NEXTERA ENERGY INC	P
	NEXTERA ENERGY PARTNERS LP	P
	NORTONLIFELOCK INC	P
	OKTA, INC CL A	P
	PEPSICO INC NC	P
	PFIZER INC	P
	PINTER EST INC CL A	P
	PROCTER & GAMBLE	P
	PROCTER & GAMBLE	P
	PROCTER & GAMBLE	P
	PROCTER & GAMBLE	P
	PROLOGIS INC COM	P
	PRUDENTIAL FINANCIAL INC FXD TO	P
	PRUDENTIAL FINANCIAL INC FXD TO	P
	PUBLIC SERVICE ENTERPRISE GP	P
	RAYTHEON TECHNOLOGIES CORP	P
	SALESFORCE.COM,INC.	P
	SANOFI ADR	P
	SLACK TECHNOLOGIES INC CL A	P
	SMARTSHEET INC	P
	SMARTSHEET INC	P
	SPDR DJIA TRUST	P
	SPDR DJIA TRUST	P
	SPDR DJIA TRUST	P
	SPDR S&P BIOTECH	P
	SPDR SER TRUST BBG BCL 1 3 ETF	P
	SPDR SER TRUST BBG BCL 1 3 ETF	P
	SPDR SER TRUST BBG BCL 1 3 ETF	P
	TAKEDA PHARMACEUTCL CO LTD ADR	P
	TELADOC HEALTH !NC	P
	THE FINANCIAL SEL SECT SPDR FD	P
	THERMO FISHER SCIENTIFIC	P
	TJX COS INC NEW	P
	T-MOBILE US INC COM	P
	VANECK VECTORS GOLD MINERS E	P
	VANECK VECTORS GOLD MINERS E	P
	VANECK VECTORS GOLD MINERS E	P
	VANECK VECTORS GOLD MINERS E	P
	VANECK VECTORS GOLD MINERS E	P
	VANGUARD LONG-TERM GOVERNMENT	P
	VANGUARD LONG-TERM GOVERNMENT	P
	VANGUARD REAL ESTATE ETF	P
	VEEVA SYS INC CL A	P
	VEEVA SYS INC CL A	P
	VEEVA SYS INC CL A	P
	VISA INC CLA	P
	VISA INC CLA	P
	WALMART INC	P
	WALMART INC	P
	WALMART INC	P
	WALMART INC	P
	WALT DISNEY CO HLDG CO	P
	WALT DISNEY CO HLDG CO	P
	WASTE MGMT INC (DELA)	P
	WASTE MGMT INC (DELA)	P
	WELLTOWER INC	P
	WELLTOWER INC	P
	XP INC CLA	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	55,716	51,600	4,116
b	64,416	58,988	5,428
c	56,774	68,570	-11,796
d	9,712	8,324	1,388
e	53,257	50,117	3,140
	75,628	75,021	607
	55,249	50,973	4,276
	69,906	59,363	10,543
	6,604	2,290	4,314
	12,382	4,580	7,802
	9,397	3,891	5,506
	9,282	3,891	5,391
	12,118	3,891	8,227
	11,752	3,977	7,775
	48,731	64,585	-15,854
	16,930	9,660	7,270
	71,510	71,099	411
	59,936	54,975	4,961
	58,182	54,827	3,355
	7,258	2,014	5,244
	1,570	403	1,167
	5,790	1,611	4,179
	3,044	1,100	1,944
	9,266	2,201	7,065
	2,606	1,180	1,426
	76,083	68,803	7,280
	54,959	50,970	3,989
	48,999	45,936	3,063
	38,051	52,289	-14,238
	51,933	49,947	1,986
	94,358	84,688	9,670
	4,899	3,833	1,066
	2,550	1,917	633
	29,790	19,165	10,625
	27,449	19,165	8,284
	80,230	67,719	12,511
	48,101	48,094	7
	25,000	25,000	0
	150,000	150,000	0
	50,000	50,000	0
	100,000	100,000	0
	75,000	75,000	0
	57,128	55,781	1,347
	57,746	49,865	7,881
	76,798	72,663	4,135
	58,839	61,270	-2,431
	51,296	61,892	-10,596
	77,163	78,152	-989
	65,205	67,887	-2,682
	64,494	59,966	4,528
	55,480	54,172	1,308
	66,904	59,512	7,392
	57,740	53,840	3,900
	60,753	63,954	-3,201
	61,480	53,508	7,972
	43,131	37,771	5,360
	43,169	37,321	5,848
	14,960	13,127	1,833
	8,017	6,698	1,319
	66,599	59,078	7,521
	53,171	49,188	3,983
	65,599	60,636	4,963
	64,599	69,958	-5,359
	59,391	57,810	1,581
	64,036	61,866	2,170
	35,816	52,743	-16,927
	53,561	52,103	1,458
	81,464	86,393	-4,929
	55,908	51,337	4,571
	46,098	42,489	3,609
	52,420	50,244	2,176
	54,879	57,531	-2,652
	58,917	62,621	-3,704
	48,999	53,396	-4,397
	24,649	11,703	12,946
	48,634	24,077	24,557
	63,565	57,104	6,461
	60,379	56,272	4,107
	57,974	63,855	-5,881
	54,313	53,620	693
	56,753	58,797	-2,044
	41,028	34,354	6,674
	47,999	45,752	2,247
	124,789	124,024	765
	60,337	60,759	-422
	42,098	31,800	10,298
	22,647	15,900	6,747
	13,797	10,939	2,858
	10,015	8,429	1,586
	79,138	71,794	7,344
	66,539	64,793	1,746
	49,081	53,845	-4,764
	59,714	61,737	-2,023
	54,994	51,570	3,424
	68,830	65,745	3,085
	53,982	53,194	788
	55,161	52,175	2,986
	66,419	74,262	-7,843
	1,570	1,375	195
	50,141	52,886	-2,745
	87,503	83,790	3,713
	55,891	52,360	3,531
	9,126	8,361	765
	73,852	75,237	-1,385
	15,892	4,144	11,748
	8,865	2,072	6,793
	1,773	414	1,359
	65,470	69,180	-3,710
	49,328	49,279	49
	100,000	100,401	-401
	69,131	69,408	-277
	60,000	60,120	-120
	64,402	63,062	1,340
	37,677	13,039	24,638
	13,126	4,213	8,913
	71,945	71,584	361
	38,657	41,739	-3,082
	55,979	50,120	5,859
	94,951	85,120	9,831
	56,257	60,555	-4,298
	68,653	66,636	2,017
	12,430	11,256	1,174
	6,260	5,628	632
	46,695	50,651	-3,956
	63,115	57,929	5,186
	48,197	45,432	2,765
	38,978	50,634	-11,656
	40,590	50,825	-10,235
	51,359	58,504	-7,145
	76,798	73,939	2,859
	58,519	56,978	1,541
	51,242	50,460	782
	44,489	46,010	-1,521
	57,174	54,174	3,000
	63,711	57,223	6,488
	13,636	9,146	4,490
	23,935	18,204	5,731
	23,289	18,204	5,085
	44,567	50,957	-6,390
	50,351	50,394	-43
	50,351	50,397	-46
	151,054	151,232	-178
	48,824	50,064	-1,240
	54,645	53,056	1,589
	54,443	61,604	-7,161
	67,787	64,209	3,578
	53,033	57,078	-4,045
	68,566	63,393	5,173
	19,240	10,705	8,535
	3,196	2,141	1,055
	9,000	6,423	2,577
	6,755	4,282	2,473
	3,254	2,141	1,113
	14,964	12,094	2,870
	77,647	66,924	10,723
	49,131	70,427	-21,296
	54,949	54,600	349
	77,761	71,913	5,848
	55,694	57,630	-1,936
	5,127	3,420	1,707
	19,146	13,678	5,468
	58,451	57,695	756
	58,678	58,254	424
	13,534	12,273	1,261
	67,324	61,648	5,676
	7,162	5,639	1,523
	71,964	67,428	4,536
	74,963	74,380	583
	67,105	67,042	63
	78,596	85,277	-6,681
	55,789	61,320	-5,531
	60,578	59,552	1,026

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			4,116
b			5,428
c			-11,796
d			1,388
e			3,140
			607
			4,276
			10,543
			4,314
			7,802
			5,506
			5,391
			8,227
			7,775
			-15,854
			7,270
			411
			4,961
			3,355
			5,244
			1,167
			4,179
			1,944
			7,065
			1,426
			7,280
			3,989
			3,063
			-14,238
			1,986
			9,670
			1,066
			633
			10,625
			8,284
			12,511
			7
			0
			0
			0
			0
			0
			1,347
			7,881
			4,135
			-2,431
			-10,596
			-989
			-2,682
			4,528
			1,308
			7,392
			3,900
			-3,201
			7,972
			5,360
			5,848
			1,833
			1,319
			7,521
			3,983
			4,963
			-5,359
			1,581
			2,170
			-16,927
			1,458
			-4,929
			4,571
			3,609
			2,176
			-2,652
			-3,704
			-4,397
			12,946
			24,557
			6,461
			4,107
			-5,881
			693
			-2,044
			6,674
			2,247
			765
			-422
			10,298
			6,747
			2,858
			1,586
			7,344
			1,746
			-4,764
			-2,023
			3,424
			3,085
			788
			2,986
			-7,843
			195
			-2,745
			3,713
			3,531
			765
			-1,385
			11,748
			6,793
			1,359
			-3,710
			49
			-401
			-277
			-120
			1,340
			24,638
			8,913
			361
			-3,082
			5,859
			9,831
			-4,298
			2,017
			1,174
			632
			-3,956
			5,186
			2,765
			-11,656
			-10,235
			-7,145
			2,859
			1,541
			782
			-1,521
			3,000
			6,488
			4,490
			5,731
			5,085
			-6,390
			-43
			-46
			-178
			-1,240
			1,589
			-7,161
			3,578
			-4,045
			5,173
			8,535
			1,055
			2,577
			2,473
			1,113
			2,870
			10,723
			-21,296
			349
			5,848
			-1,936
			1,707
			5,468
			756
			424
			1,261
			5,676
			1,523
			4,536
			583
			63
			-6,681
			-5,531
			1,026

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	310,757
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3	310,757

Part V

Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? Yes No

If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.

1 Enter the appropriate amount in each column for each year; see instructions before making any entries.

(a) Base period years Calendar year (or tax year beginning in)	(b) Adjusted qualifying distributions	(c) Net value of noncharitable-use assets	(d) Distribution ratio (col. (b) divided by col. (c))
2018
2017	249,445	4,732,277	0.052711
2016	500,776	4,576,133	0.109432
2015	774,192	4,509,286	0.171688
2014	357,967	5,590,252	0.064034

Total of line 1, column (d) .....................

0.397865

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 ......

0.099466

Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......

4,669,929

Multiply line 4 by line 3......................

464,499

Enter 1% of net investment income (1% of Part I, line 27b)...........

3,455

Add lines 5 and 6........................

467,954

Enter qualifying distributions from Part XII, line 4,.............

294,199

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)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	6,911
	hereand 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	6,911
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	6,911
6	Credits/Payments:

a	2019 estimated tax payments and 2018 overpayment credited to 2019	6a	3,716
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c	0
d	Backup withholding erroneously withheld ...........	6d	0

7	Total credits and payments. Add lines 6a through 6d..............		7	3,716
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	52
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9	3,247
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2020 estimated tax	Refunded	11

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Yes

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2019)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

WWW.HOWARDBENEVOLENTSOCIETYBOSTON.ORG

The books are in care of bullet

JOANNA KARBEL Telephone no. bullet

(617) 742-2952

Located at bullet

89 SOUTH STREET STE LL02BOSTONMA ZIP+4 bullet

02111

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

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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?.............

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)):

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?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

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.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

Form 990-PF (2019)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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? .................YesNo

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
ELLEN HARRINGTON	CLERK 1.00	0	0	0
992 MEMORIAL DRIVE CAMBRIDGE,MA02138	CLERK 1.00	0	0	0
TIMOTHY GEORGE	TREASURER 0.00	0	0	0
14 DOVER ROAD DOVER,MA02030	TREASURER 0.00	0	0	0
ROSEMARY K JONES	DIRECTOR 0.00	0	0	0
36 MORAINE STREET JAMAICA PLAIN,MA02130	DIRECTOR 0.00	0	0	0
BARBARA TARGUM	PRESIDENT 0.00	0	0	0
89 WACHUSETT AVE ARLINGTON,MA02476	PRESIDENT 0.00	0	0	0
CINDY RUBIN	DIRECTOR 0.00	0	0	0
35 TOBEY ROAD BELMONT,MA02478	DIRECTOR 0.00	0	0	0
BETH MILKOVITZ	DIRECTOR 0.00	0	0	0
16 UPLAND ROAD UNIT 5 CAMBRIDGE,MA02140	DIRECTOR 0.00	0	0	0

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
JOANNA KARBEL	EXUCTIVE DIRECTOR 40.00	0	0	0
6 ASHLEY ST 4 JAMAICA PLAIN,MA02130	EXUCTIVE DIRECTOR 40.00	0	0	0








Total number of other employees paid over $50,000...................				0

Form 990-PF (2019)

Page 7

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

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	TO PROVIDE CHARITIBLE ASSISTANCE TO THE SICK, ELDERLY AND DESTITUTE PERSON AS DETERMINED BY THE ORGANIZATION. NON FINANCIAL AID IS OFFERED BY THE SOCIAL WORKER AS WELL.	181,862
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 (2019)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

4,291,921

Average of monthly cash balances.......................

449,124

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

4,741,045

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

4,741,045

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

71,116

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

4,669,929

Minimum investment return. Enter 5% of line 5..................

233,496

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.)

Minimum investment return from Part X, line 6....................

Tax on investment income for 2019 from Part VI, line 5......

Income tax for 2019. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

Distributable amount before adjustments. Subtract line 2c from line 1............

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

294,199

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

294,199

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.................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

294,199

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)

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					0
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......	78,454
b From 2015......	162,478
c From 2016......
d From 2017......	16,544
e From 2018......
fTotal of lines 3a through e........		257,476
4Qualifying distributions for 2019 from Part
XII, line 4: $
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.....					0
e Remaining amount distributed out of corpus		0
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		257,476
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) ...		78,454
9Excess distributions carryover to 2020. Subtract lines 7 and 8 from line 6a ......		179,022
10 Analysis of line 9:
a Excess from 2015....	162,478
b Excess from 2016....
c Excess from 2017....	16,544
d Excess from 2018....
e Excess from 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

2018-10-01

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2019	(b) 2018	(c) 2017	(d) 2016	(e) Total
	233,496	227,186	38,651	163,192	662,525
b 85% of line 2a .........	198,472	193,108	32,853	138,713	563,146
c Qualifying distributions from Part XII, line 4 for each year listed .....	294,199	278,876	249,445	502,408	1,324,928
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........	0	0	0	0	0
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....	294,199	278,876	249,445	502,408	1,324,928
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......					0
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)					0
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed...	155,664	151,457	157,743	152,538	617,402
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) ....					0
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....					0
(3) Largest amount of support from an exempt organization					0
(4) Gross investment income					0

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).)

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.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

JOANNA KARBEL
89 SOUTH STREET STE LL02
BOSTON,MA02111
(617) 742-2952

bThe form in which applications should be submitted and information and materials they should include:

TELEPHONE OR LETTER

cAny submission deadlines:

NONE

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

LIMITED TO A FEW HUNDRED DOLLARS PER INDIVIDUAL, OFTEN VIA FUEL OIL

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
MULTIPLE SICK ELDERLY AND DESTITUTE PERSONS 89 SOUTH STREET LL02 BOSTON,MA02111	NONE	NC	LIVING EXPENSES, MOSTLY IN THE FORM OF FUEL OIL AND HOUSING	181,862
Total ................................. 3a				181,862

bApproved for future payment

Total ................................. 3b				0

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	(e) Related or exempt function income (See instructions.)
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	94,447
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 ............					310,757
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		94,447	310,757

13Total. Add line 12, columns (b), (d), and (e)..................

405,204

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)
1	GRANTS FOR FUEL, HOUSING, MOSTLY RELATED TO CLIENTS OF BOSTON SOCIAL
1	AGENCIES

Form 990-PF (2019)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below (see instr.) Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2019)

Additional Data

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Form 990PF - Special Condition Description:

Special Condition Description