-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
11-01-2019
, and ending
10-31-2020
Name of foundation
THE NANCY LURIE MARKS FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
60 WILLIAM STREET SUITE 110
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WELLESLEY
,
MA
02481
A Employer identification number
04-2607232
B
Telephone number (see instructions)
(617) 482-1776
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
126,569,642
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
1,000,199
995,549
4
Dividends and interest from securities
...
1,759,624
1,758,309
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
4,268,974
b
Gross sales price for all assets on line 6a
13,542,950
7
Capital gain net income (from Part IV, line 2)
...
3,921,506
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
1,345,997
1,286,075
12
Total.
Add lines 1 through 11
........
8,374,794
7,961,439
13
Compensation of officers, directors, trustees, etc.
752,400
0
752,400
14
Other employee salaries and wages
......
336,016
0
336,016
15
Pension plans, employee benefits
.......
216,469
0
216,469
16a
Legal fees (attach schedule)
.........
191,907
0
191,907
b
Accounting fees (attach schedule)
.......
52,521
26,261
26,260
c
Other professional fees (attach schedule)
....
1,596,322
1,483,340
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
277,653
61,303
16,126
19
Depreciation (attach schedule) and depletion
...
3,437
0
20
Occupancy
..............
182,614
0
182,614
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
171,905
0
171,905
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
3,781,244
1,570,904
1,893,697
25
Contributions, gifts, grants paid
.......
5,036,474
5,036,474
26
Total expenses and disbursements.
Add lines 24 and 25
8,817,718
1,570,904
6,930,171
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-442,924
b
Net investment income
(if negative, enter -0-)
6,390,535
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
1,920,513
2,041,819
2,041,819
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
117,243,226
115,215,806
124,523,712
14
Land, buildings, and equipment: basis
896,604
Less: accumulated depreciation (attach schedule)
892,493
6,281
4,111
4,111
15
Other assets (describe
)
5,505,000
5,630,000
0
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
124,675,020
122,891,736
126,569,642
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
124,675,020
122,891,736
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
0
0
29
Total net assets or fund balances
(see instructions)
.....
124,675,020
122,891,736
30
Total liabilities and net assets/fund balances
(see instructions)
.
124,675,020
122,891,736
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
124,675,020
2
Enter amount from Part I, line 27a
.....................
2
-442,924
3
Other increases not included in line 2 (itemize)
3
125,000
4
Add lines 1, 2, and 3
..........................
4
124,357,096
5
Decreases not included in line 2 (itemize)
5
1,465,360
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
122,891,736
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
ABRAMS CAPITAL PARTNERS II, L.P.
P
2020-10-31
b
ADAGE CAPITAL PARTNERS, L.P.
P
2020-10-31
c
AVIVA INVESTORS MULTI-STRATEGY TARGET RETURN
P
2020-10-31
d
CA RESOURCES FUND (U.S. TAX-EXEMPT) L.P. - SERIES BAIN EUROPE III
P
2020-10-31
e
CA RESOURCES FUND (U.S. TAX-EXEMPT), L.P. - SERIES BAIN X
P
2020-10-31
BAUPOST VALUE PARTNERS, L.P. - I
P
2020-10-31
BRAZOS EQUITY FUND III, LP
P
2020-10-31
BROOKSIDE CAPITAL PARTNERS FUND, L.P.
P
2020-10-31
CA INTERNATIONAL EQUITY CEF FUND
P
2020-10-31
CB OFFSHORE EQUITY FUND VIII, LP
P
2020-10-31
CB OP FEEDER I, LP
P
2020-10-31
CENTER ROCK CAPITAL PARTNERS FUND I-A LP
P
2020-10-31
CHESTNUT HILL VENTURES, LLC
P
2020-10-31
ELEPHANT PARTNERS I LP
P
2020-10-31
ENCAP ENERGY CAPITAL FUND VI-B, L.P.
P
2020-10-31
ENERGY CAPITAL PARTNERS II-B, LP
P
2020-10-31
FORTRESS CREDIT OPPORTUNITIES FUND V (A) LP
P
2020-10-31
HILLHOUSE FUND IV LP
P
2020-10-31
HOLDCO OPPORTUNITIES FUND L.P.
P
2020-10-31
HOLDCO OPPORTUNITIES FUND II, L.P.
P
2020-10-31
INCOME RESEARCH & MANAGEMENT CORE BOND FUND
P
2020-10-31
LL MORTGAGE FUND LP
P
2020-10-31
LL OPPORTUNISTIC MORTGAGE FUND, LP - 2014 SERIES
P
2020-10-31
MARCUS CAPITAL PARTNERS FUND II LP
P
2020-10-31
NAVITAS FUND LP - JVL ADVISORS
P
2020-10-31
OCM WKI HOLDINGS, LLC
P
2020-10-31
OAKTREE VALUE EQUITY FUND (DELAWARE), L.P.
P
2020-10-31
PERMIT CAPITAL MORTGAGE FUND, L.P.- SERIES J
P
2020-10-31
QIMING VENTURE PARTNERS FUND V LP
P
2020-10-31
RIVA CAPITAL PARTNERS IV LP
P
2020-10-31
SALIENT MLP TOTAL RETURN TE FUND, LP
P
2020-10-31
THE SILCHESTER INTERNATIONAL INVESTORS INTERNATIONAL VALUE EQUITY TRUST
P
2020-10-31
SILVER LAKE PARTNERS II, LP
P
2020-10-31
SILVER LAKE PARTNERS III, LP
P
2020-10-31
SLP III KINGDOM FEEDER I, LP
P
2020-10-31
SLP III QUICKSILVER FEEDER I, LP
P
2020-10-31
SOMERSET SMALL MID CAP EM ALL COUNTRY FUND LLC
P
2020-10-31
SUMMIT PARTNERS PRIVATE EQUITY FUND VII-B, L.P.
P
2020-10-31
ST GROUP AIV 1,L.P
P
2020-10-31
TELEGRAPH HILL PARTNERS II, L.P.
P
2020-10-31
TELEGRAPH HILL PARTNERS III, L.P.
P
2020-10-31
TINICUM TAX EXEMPT LP
P
2020-10-31
TOP II ALLISON AIV II, L.P.
P
2020-10-31
TPG OPPORTUNITIES PARTNERS II (B), L.P.
P
2020-10-31
ULTRA CAPITAL SUSTAINABLE INFRASTRUCTURE TE FEEDER FUND II
P
2020-10-31
US RESEARCH EQUITY EXTENDED FUND, L.P.
P
2020-10-31
VENROCK ASSOCIATES V, L.P.
P
2020-10-31
XFUND 2, LP - CLASS A
P
2020-10-31
YORKTOWN ENERGY PARTNERS XI LP
P
2020-10-31
YORKTOWN ENERGY PARTNERS XII LP
P
2020-10-31
YT XII RENEWABLE AIV LP
P
2020-10-31
BAIN CAP (TRU) VIII
P
2020-10-31
BAIN CAPITAL (TRU) VIII-E, L.P.
P
2020-10-31
BC VIII PRIVATE INVESTORS, LLC
P
2020-10-31
BC VIII-E PRIVATE INVESTORS, L.P.
P
2020-10-31
BAIN CAPITAL ASIA FUND, L.P.
P
2020-10-31
BAIN CAPITAL (SSS I) IX, L.P.
P
2020-10-31
BAIN CAPITAL FUND IX, L.P.
P
2020-10-31
BAIN CAPITAL (CCD) IX, L.P.
P
2020-10-31
BAIN CAPITAL (CC) IX OFFSHORE, L.P.
P
2020-10-31
BAIN CAPITAL FUND XI LP - CLASS A
P
2020-10-31
BERKSHIRE FUND VII, L.P.
P
2020-10-31
BERKSHIRE FUND VII (OS), LP
P
2020-10-31
BERKSHIRE FUND VIII (IND), L.P.
P
2020-10-31
BERKSHIRE FUND IX-A (IND), L.P.
P
2020-10-31
BERKSHIRE FUND IX-A IND VP AIV, L.P.
P
2020-10-31
BRAZOS EQUITY FUND II, LP
P
2020-10-31
CENTERBRIDGE CAPITAL PARTNERS AIV I, L.P.
P
2020-10-31
CENTERBRIDGE CAPITAL PARTNERS AIV II, L.P.
P
2020-10-31
CENTERBRIDGE CAPITAL PARTNERS DEBT ACQUISITION, L.P.
P
2020-10-31
CENTERBRIDGE CAPITAL PARTNERS, L.P.
P
2020-10-31
CENTERBRIDGE CAPITAL PARTNERS AIV V, L.P.
P
2020-10-31
CERBERUS INSTITUTIONAL PARTNERS, LP (SERIES FOUR)
P
2020-10-31
CHARLESBANK EQUITY COINVESTMENT FUND VI, LP
P
2020-10-31
CIP4 AIV, LP
P
2020-10-31
DENHAM COMMODITY PARTNERS FUND V LP
P
2020-10-31
DENHAM IV CONTINUATION FUND LP
P
2020-10-31
FORTRESS CREDIT OPPORTUNITIES FUND IV(A) LP
P
2020-10-31
GNDI HOLDINGS I, L.P.
P
2020-10-31
NALANDA INDIA FUND LIMITED
P
2020-10-31
RESOURCE CAPITAL FUND IV L.P.
P
2020-10-31
RHO VENTURES V, LP
P
2020-10-31
RIVA CAPITAL PARTNERS III, LP
P
2020-10-31
TA X, L.P.
P
2020-10-31
TIGER GLOBAL PRIVATE INVESTMENT PARTNERS XI L.P.
P
2020-10-31
VENROCK ASSOCIATES VI, LP
P
2020-10-31
VENROCK ASSOCIATES IV, LP
P
2020-10-31
WLR RECOVERY FUND IV, L.P.
P
2020-10-31
WLR IV LOANS AIV, L.P.
P
2020-10-31
WLR IV EXCO AIV SIX, L.P. (FKA WLR RECOVERY FUND IV XCO AIV III, L.P.)
P
2020-10-31
CHESTNUT HEDGE FUND
P
2020-10-31
GOULSTON & STORRS
P
2020-10-31
ISHARES TR CORE MSCI EAFE ETF
P
2020-10-31
ISHARES CORE MSCI EMERGING
P
2020-10-31
STONE RIDGE REINSURANCE RISK PREMIUM FUND
P
2020-10-31
VANGUARD
P
2020-10-31
PIMCO UNCONSTRAINED BOND STRATEGY FUND
P
2020-10-31
PERRY PARTNERS INTERNATIONAL INC CLASS D
P
2020-10-31
DOVER STREET VI CAYMAN FUND LP
P
2020-10-31
DOVER STREET VII CAYMAN FUND LP
P
2020-10-31
UBTI ADJUSTMENT
P
2020-10-31
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
6,510
6,510
b
1,136,811
1,136,811
c
69,725
69,725
d
1,572
-1,572
e
27,793
27,793
40,118
40,118
9,969
9,969
29,787
-29,787
99,531
99,531
21,496
21,496
26
26
17
17
449
449
50,982
-50,982
2,509
2,509
1,089
1,089
357
357
11,171
11,171
33,280
33,280
29,993
29,993
38,067
38,067
7,268
-7,268
175,777
-175,777
16,330
16,330
6,428
-6,428
5
5
1,986
-1,986
9,159
9,159
56,242
56,242
24,206
24,206
235,226
-235,226
278,316
278,316
4,426
-4,426
42,895
42,895
15,016
15,016
28,550
-28,550
134,685
-134,685
2,813
-2,813
133
-133
18,099
-18,099
18,942
-18,942
16,231
16,231
648
-648
823
823
1,226
1,226
75,612
75,612
585,055
585,055
1
-1
99,060
99,060
93,000
93,000
6
6
13,922
-13,922
85,639
85,639
908
-908
512
512
115,827
115,827
184
184
573,445
573,445
2,404
-2,404
84,438
-84,438
1,790
1,790
966
966
21
21
72,422
-72,422
60,153
60,153
243
243
963
963
371,857
371,857
310,242
-310,242
213,623
-213,623
249
249
60,166
-60,166
3,508
-3,508
597
597
35
35
3,077
-3,077
1,230
1,230
18,636
18,636
49,145
49,145
199,755
199,755
75
-75
29,861
-29,861
287,716
287,716
5,555
-5,555
11,801
11,801
413,831
413,831
20,042
-20,042
673
673
568
568
50,815
50,815
599,203
599,203
213,482
27,712
185,770
3,016,442
3,249,975
-233,533
627,903
733,556
-105,653
1,512,426
1,734,418
-221,992
930,688
500,095
430,593
1,462,307
1,490,654
-28,347
231
231
38,995
38,995
52,529
52,529
347,468
-347,468
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
6,510
b
1,136,811
c
69,725
d
-1,572
e
27,793
40,118
9,969
-29,787
99,531
21,496
26
17
449
-50,982
2,509
1,089
357
11,171
33,280
29,993
38,067
-7,268
-175,777
16,330
-6,428
5
-1,986
9,159
56,242
24,206
-235,226
278,316
-4,426
42,895
15,016
-28,550
-134,685
-2,813
-133
-18,099
-18,942
16,231
-648
823
1,226
75,612
585,055
-1
99,060
93,000
6
-13,922
85,639
-908
512
115,827
184
573,445
-2,404
-84,438
1,790
966
21
-72,422
60,153
243
963
371,857
-310,242
-213,623
249
-60,166
-3,508
597
35
-3,077
1,230
18,636
49,145
199,755
-75
-29,861
287,716
-5,555
11,801
413,831
-20,042
673
568
50,815
599,203
185,770
-233,533
-105,653
-221,992
430,593
-28,347
231
38,995
52,529
-347,468
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
3,921,506
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
5,710,743
120,875,490
0.047245
2017
4,498,831
123,402,242
0.036457
2016
5,900,469
116,759,337
0.050535
2015
6,728,002
115,272,402
0.058366
2014
6,087,307
120,107,121
0.050682
2
Total
of line 1, column (d)
.....................
2
0.243285
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years
......
3
0.048657
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
124,534,657
5
Multiply line 4 by line 3
......................
5
6,059,483
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
63,905
7
Add lines 5 and 6
........................
7
6,123,388
8
Enter qualifying distributions from Part XII, line 4
,.............
8
7,056,438
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
63,905
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
63,905
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
63,905
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
403,728
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
200,000
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
603,728
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
539,823
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
539,823
Refunded
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 Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
Yes
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
Yes
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
MA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
GOULSTON STORRS
Telephone no.
(617) 482-1776
Located at
400 ATLANTIC AVE
BOSTON
MA
ZIP+4
02110
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
No
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
CATHY J LURIE
TRUSTEE
1.00
0
0
0
C/O GOULSTON STORRS 400 ATLANTIC
AVE
BOSTON
,
MA
02110
JEFFREY R LURIE
TRUSTEE
1.00
0
0
0
C/O GOULSTON STORRS 400 ATLANTIC
AVE
BOSTON
,
MA
02110
MARK D BALK
TRUSTEE
1.00
0
0
0
C/O GOULSTON STORRS 400 ATLANTIC
AVENUE
BOSTON
,
MA
02110
HARVEY E CUSHING
TRUSTEE
20.00
154,500
610
0
C/O GOULSTON STORRS 400 ATLANTIC
AVE
BOSTON
,
MA
02110
NANCY L MARKS
TRUSTEE
1.00
0
0
0
C/O GOULSTON STORRS 400 ATLANTIC
AVE
BOSTON
,
MA
02110
RICHARD B DENNING
TRUSTEE
20.00
167,200
20,326
0
C/O NLM FOUNDATION 60 WILLIAMS ST
WELLESLEY
,
MA
02481
CLARENCE SCHUTT
DIRECTOR
40.00
430,700
33,412
0
C/O NLM FOUNDATION 60 WILLIAMS ST
WELLESLEY
,
MA
02481
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
JUDITH CHAN
DIRECTOR OF COMMUNIC
40.00
112,367
45,493
0
C/O NLM FOUNDATION 60 WILLIAMS ST
WELLESLEY
,
MA
02481
ELIZABETH ZWICK
DIRECTOR OF COMMUNIT
40.00
114,489
33,532
0
C/O NLM FOUNDATION 60 WILLIAMS ST
WELLESLEY
,
MA
02481
ELEONORA SILAYEVA
EXECUTIVE ASSOCIATE
40.00
109,160
21,860
0
C/O NLM FOUNDATION 60 WILLIAMS ST
WELLESLEY
,
MA
02481
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
CAMBRIDGE ASSOCIATES LLC
INVESTMENT ADVISORY FEES
266,480
100 SUMMER STREET
BOSTON
,
MA
02110
GOULSTON & STORRS PC
CUSTODIAL & LEGAL FEES
191,907
400 ATLANTIC AVE
BOSTON
,
MA
02110
KENNETH M FARBER
CONSULTING
68,879
C/O NLM FOUNDATION 60 WILLIAMS ST
WELLESLEY
,
MA
02481
DELOITTE TAX LLP
ACCOUNTING FEES
52,521
200 BERKELEY STREET
BOSTON
,
MA
02116
Total
number of others receiving over $50,000 for professional services
.............
0
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
NOT APPLICABLE
0
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
INVESTMENT IN STEMINA BIOMARKER DISCOVERY, INC. TO PARTIALLY FUND SCIENTIFIC RESEARCH ON AUTISM DONE BY THE COMPANY
125,000
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
125,000
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
124,172,631
b
Average of monthly cash balances
.......................
1b
2,258,493
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
126,431,124
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
126,431,124
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,896,467
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
124,534,657
6
Minimum investment return.
Enter 5% of line 5
..................
6
6,226,733
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
6,226,733
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
63,905
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
63,905
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
6,162,828
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
6,162,828
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
6,162,828
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
6,930,171
b
Program-related investments—total from Part IX-B
..................
1b
125,000
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
1,267
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
7,056,438
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
63,905
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
6,992,533
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
6,162,828
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
......
b
From 2015
......
855,550
c
From 2016
......
80,083
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
935,633
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
7,056,438
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
.....
6,162,828
e
Remaining amount distributed out of corpus
893,610
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).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
1,829,243
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)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
1,829,243
10
Analysis of line 9:
a
Excess from 2015
....
855,550
b
Excess from 2016
....
80,083
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
893,610
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NANCY L MARKS
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
ADVOCATES FOR AUTISM OF MA
217 SOUTH ST
WALTHAM
,
MA
02453
NONE
PC
MEDICAL RESEARCH
50
ASPEGER AUTISM NETWORK
51 WATER STREET SUITE 206
WATERTOWN
,
MA
02472
NONE
PC
MEDICAL RESEARCH
50
BETH ISRAEL DEACONESS MEDICAL CENTER
330 BROOKLINE AVE
BOSTON
,
MA
02215
NONE
PC
MEDICAL RESEARCH
50,000
BETH ISRAEL DEACONESS MEDICAL CENTER
330 BRROKLINE AVE
BOSTON
,
MA
02215
NONE
PC
MEDICAL RESEARCH
392,836
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM
780 ALBANY ST
BOSTON
,
MA
02118
NONE
PC
PUBLIC WELFARE
10,000
BOSTON HEALTH CARE FOR THE HOMELESS
780 ALBANY ST
BOSTON
,
MA
02118
NONE
PC
PUBLIC WELFARE
50,000
BOSTON JEWISH FILM FESTIVAL
1001 WATERTOWN STREET 2ND FLOOR
WEST NEWTON
,
MA
02465
NONE
PC
PUBLIC WELFARE
10,000
BOSTON SYMPHONY ORCHESTRA
301 MASSACHUSETTS AVE
BOSTON
,
MA
02115
NONE
PC
PUBLIC WELFARE
30,000
BOSTON UNIVERSITY
ONE SILBER WAY
BOSTON
,
MA
02115
NONE
PC
EDUCATION
100,000
BRIGHAM & WOMEN'S HOSPITAL - RESEARCH
75 FRANCIS ST
BOSTON
,
MA
02115
NONE
PC
MEDICAL RESEARCH
113,284
FRAXA RESEARCH FOUNDATION
10 PRINCE PL 203
NEWBURYPORT
,
MA
01950
NONE
PC
MEDICAL RESEARCH
10,000
HARVARD MEDICAL SCHOOL
25 SHATTUCK ST
BOSTON
,
MA
02115
NONE
PC
EDUCATION
1,000,000
HEBREW SENIOR LIFE
1200 CENTRE ST
ROSLINDALE
,
MA
02131
NONE
PC
PUBLIC WELFARE
5,000
HOSPICE FOUNDATION OF AMERICA
1707 L STREET NW SUITE 220
WASHINGTON
,
DC
20036
NONE
PC
MEDICAL RESEARCH
80,000
INSAR
400 ADMIRAL BLVD
KANSAS CITY
,
MO
64106
NONE
PC
MEDICAL RESEARCH
10,000
MAINE MEDICAL CENTER
22 BRAMHALL ST
PORTLAND
,
ME
04102
NONE
PC
MEDICAL RESEARCH
506,615
MASSACHUSETTS ADVOCATES FOR CHILDREN
25 KINGSTON ST 2F
BOSTON
,
MA
02111
NONE
PC
PUBLIC WELFARE
229,019
MASSACHUSETTS EYE AND EAR INFIRMARY
243 CHARLES ST
BOSTON
,
MA
02114
NONE
PC
MEDICAL RESEARCH
498,300
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET
BOSTON
,
MA
02114
NONE
PC
MEDICAL RESEARCH
262,500
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET BOSTON
BOSTON
,
MA
02114
NONE
PC
MEDICAL RESEARCH
100,000
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
77 MASSACHUSETTS AVE
CAMBRIDGE
,
MA
02139
NONE
PC
EDUCATION
200,000
MERWIN MEMORIAL FREE CLINIC FOR ANIMALS INC
542 CAMBRIDGE ST
ALLSTON
,
MA
02134
NONE
PC
PUBLIC WELFARE
120
MSPCA - ANGELL
350 SOUTH HUNTINGTON AVENUE
BOSTON
,
MA
02130
NONE
PC
PUBLIC WELFARE
100
NORTHEAST ACCESSIBLE GOLF ASSOCIATION
PO BOX 81246
WELLESLEY
,
MA
02481
NONE
PC
PUBLIC WELFARE
5,000
NY STEM CELL FOUNDATION
619 W 54TH ST
NEW YORK
,
NY
10019
NONE
PC
MEDICAL RESEARCH
212,500
PAN MASSACHUSETTS CHALLENGE INC - DANA FARBER
450 BROOKLINE AVE
BOSTON
,
MA
02215
NONE
PC
MEDICAL RESEARCH
250
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
1563 MASSACHUSETTS AVE
CAMBRIDGE
,
MA
02138
NONE
PC
EDUCATION
270,600
STEMINA BIOMARKER DISCOVERY INC
504 S ROSA ROAD SUITE 150
MADISON
,
WI
53719
NONE
PC
MEDICAL RESEARCH
125,000
THE ARC OF MASSACHUSETTS
217 SOUTH ST
WALTHAM
,
MA
02453
NONE
PC
PUBLIC WELFARE
25,000
THE ARC OF THE UNITED STATES
1825 K STREET NW SUITE 1200
WASHINGTON DC
,
DC
02000
NONE
PC
PUBLIC WELFARE
5,000
THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
350 COMMUNITY DR
MANHASSET
,
NY
11030
NONE
PC
MEDICAL RESEARCH
50,000
THE GREATER BOSTON FOOD BANK
70 S BAY AVE
BOSTON
,
MA
02118
NONE
PC
PUBLIC WELFARE
50,000
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
1111 FRANKLIN ST12TH FLOOR
OAKLAND
,
CA
94607
NONE
GOV
EDUCATION
50,000
THOMAS JEFFERSON UNIVERSITY
4201 HENRY AVE
PHILADELPHIA
,
PA
19144
NONE
PC
EDUCATION
500,000
UNDERSTANDING OUR DIFFERENCES
100 WALNUT STREET
NEWTON
,
MA
02460
NONE
PC
PUBLIC WELFARE
10,000
UNIVERSITY OF MASSACHUSETTS
AMHERST
AMHERST
,
MA
01003
NONE
GOV
EDUCATION
75,000
YCS FOUNDATION
235 MAIN ST
HACKENSACK
,
NJ
07601
NONE
PC
PUBLIC WELFARE
250
Total
.................................
3a
5,036,474
b
Approved for future payment
BETH ISRAEL DEACONESS MEDICAL CENTER
330 BROOKLINE AVE
BOSTON
,
MA
02215
NONE
PC
MEDICAL RESEARCH
559,104
HARVARD MEDICAL SCHOOL
25 SHATTUCK ST
BOSTON
,
MA
02115
NONE
PC
EDUCATION
1,150,050
HOSPICE FOUNDATION OF AMERICA
1707 L STREET NW SUITE 220
WASHINGTON
,
DC
20036
NONE
PC
MEDICAL RESEARCH
324,483
MAINE MEDICAL CENTER
22 BRAMHALL ST
PORTLAND
,
ME
04102
NONE
PC
MEDICAL RESEARCH
516,400
MASSACHUSETTS ADVOCATES FOR CHILDREN
25 KINGSTON ST 2F
BOSTON
,
MA
02111
NONE
PC
PUBLIC WELFARE
180,000
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET
BOSTON
,
MA
02114
NONE
PC
MEDICAL RESEARCH
1,257,500
MIT-CHOI
77 MASSACHUSETTS AVE
CAMBRIDGE
,
MA
02139
NONE
PC
EDUCATION
300,000
SIMONS FOUNDATION
160 FIFTH AVENUE 7TH FLOOR
NEW YORK
,
NY
10010
NONE
PC
MEDICAL RESEARCH
212,500
THOMAS JEFFERSON UNIVERSITY
4201 HENRY AVE
PHILADELPHIA
,
PA
19144
NONE
PC
EDUCATION
500,000
UMASS-AIRC
55 LAKE AVENUE NORTH SUITE S3-301
WORCESTER
,
MA
01655
NONE
GOV
EDUCATION
50,000
Total
.................................
3b
5,050,037
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
900000
4,650
14
995,549
4
Dividends and interest from securities
....
900000
1,315
14
1,758,309
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
900000
59,922
14
1,286,075
8
Gain or (loss) from sales of assets other than
inventory
............
900000
347,468
18
3,921,506
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)
..
413,355
7,961,439
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
8,374,794
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description