| Identifier | Return Reference | Explanation |
|---|---|---|
| Election for Treatment of Unused Prior Year Corpus Distributions Pursuant to IRC Section 4942g3 and | Election for Treatment of Unused Prior Year Corpus Distributions Pursuant to IRC Section 4942g)3) and Reg. 53.4942a)3c)2)iv) the Foundation elects to treat unused prior tax years distributions that were treated as corpus distributions as distributions from corpus in the current tax year. |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| JACKSON NATIONAL LIFE INS. OF NY | AT COST | 1,480,707 | 1,493,707 |
| BANK OF AMERICA | AT COST | 21,209 | 30,310 |
| OBSIDIAN ENERGY LIMI F | AT COST | 5,048 | 670 |
| BECTON DICKINSONCO | AT COST | 41,620 | 75,066 |
| ISHARES RUSSEL 1000 | AT COST | 25,706 | 60,747 |
| MCKESSON CORP | AT COST | 18,128 | 69,568 |
| STATE BANK OF INDIA | AT COST | 100,000 | 105,859 |
| ALL STATE CORP | AT COST | 102,105 | 109,930 |
| BOEING CO. BA | AT COST | 13,276 | 105,582 |
| HP | AT COST | 7,743 | 12,295 |
| ISHARES RUSSEL 2000 | AT COST | 25,987 | 52,936 |
| MERCK CO. INC | AT COST | 29,536 | 40,900 |
| SCHWAB GOVERNMENT MONEY FUND | AT COST | 238,090 | 238,090 |
| VANGUARD GROWTH ETF | AT COST | 23,801 | 63,335 |
| AMGEN INC. AMGN | AT COST | 13,594 | 18,624 |
| JOHNSON JOHNSON JNJ | AT COST | 52,571 | 62,952 |
| JP MORGAN CHASE | AT COST | 87,243 | 116,495 |
| LEAR CORP | AT COST | 10,520 | 15,903 |
| VANGUARD FTSE EMERGING MARKETS | AT COST | 20,493 | 25,055 |
| Description | Amount |
|---|---|
| DECREASE IN BASIS ON STOCK CONTIBUTIONS | 37,651 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL TAX | 1,000 | |||
| BANK FEES | 113 | 113 | 113 | |
| OFFICE EXPENSES | 1,700 | 1,700 | 1,700 | |
| ROUNDING ADJ. | 2 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| JACKSON NATL LIFE INS. OF NEW YORK | 292,954 | 292,954 | 292,954 |
| Name | Address |
|---|---|
| HERMAN NEUSCHLOSS |
4 KAUFMAN CT MONSEY,NY10950 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|