-
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
06-01-2019
, and ending
05-31-2020
Name of foundation
EMIL & RUTH GREEN FDN-DJG
Number and street (or P.O. box number if mail is not delivered to street address)
114 W 47TH ST NY8-114-07-07
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
100361510
A Employer identification number
20-1182596
B
Telephone number (see instructions)
(609) 274-6834
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)
$
1,223,753
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)
608,063
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
16,705
16,705
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
36,591
b
Gross sales price for all assets on line 6a
330,203
7
Capital gain net income (from Part IV, line 2)
...
36,591
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
621
12
Total.
Add lines 1 through 11
........
661,980
53,296
13
Compensation of officers, directors, trustees, etc.
11,260
3,104
8,156
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
613
284
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
26
26
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
11,899
3,414
0
8,156
25
Contributions, gifts, grants paid
.......
21,981
21,981
26
Total expenses and disbursements.
Add lines 24 and 25
33,880
3,414
0
30,137
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
628,100
b
Net investment income
(if negative, enter -0-)
49,882
c
Adjusted net income
(if negative, enter -0-)
...
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
.............
243
52
52
2
Savings and temporary cash investments
.........
20,765
31,693
31,693
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
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
0
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)
.......
256,391
710,308
735,705
c
Investments—corporate bonds (attach schedule)
.......
229,226
276,373
434,330
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14,628
14,628
21,973
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)
521,253
1,033,054
1,223,753
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
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
........
521,253
1,033,054
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)
.....
521,253
1,033,054
30
Total liabilities and net assets/fund balances
(see instructions)
.
521,253
1,033,054
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
521,253
2
Enter amount from Part I, line 27a
.....................
2
628,100
3
Other increases not included in line 2 (itemize)
3
4,231
4
Add lines 1, 2, and 3
..........................
4
1,153,584
5
Decreases not included in line 2 (itemize)
5
120,530
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,033,054
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
1. DUPONT DE NEMOURS INC
2015-06-15
2019-06-14
b
5. DUPONT DE NEMOURS INC
2013-10-23
2019-06-14
c
2. DUPONT DE NEMOURS INC
2015-05-07
2019-06-14
d
2. DUPONT DE NEMOURS INC
2017-01-09
2019-06-14
e
2. DUPONT DE NEMOURS INC
2015-07-14
2019-06-14
40. FREEPORT-MCMORAN INC
2018-09-14
2019-06-14
52. FREEPORT-MCMORAN INC
2018-08-03
2019-06-14
5. FREEPORT-MCMORAN INC
2018-05-11
2019-06-14
11. LENNAR CORP
2015-09-23
2019-06-14
6. LENNAR CORP
2015-09-22
2019-06-14
7. MOLSON COORS BREWING CO
2019-02-01
2019-06-14
6. MOLSON COORS BREWING CO
2019-01-31
2019-06-14
1. MOLSON COORS BREWING CO
2019-01-30
2019-06-14
1. MOLSON COORS BREWING CO
2019-02-04
2019-06-14
20. FREEPORT-MCMORAN INC
2018-09-14
2019-06-17
11. LENNAR CORP
2015-09-23
2019-06-18
4. LENNAR CORP
2015-09-23
2019-06-19
3. LENNAR CORP
2017-03-08
2019-06-19
2. LENNAR CORP
2015-09-24
2019-06-19
6. DUPONT DE NEMOURS INC
2017-01-12
2019-06-21
4. DUPONT DE NEMOURS INC
2017-01-10
2019-06-21
1. DUPONT DE NEMOURS INC
2015-06-15
2019-06-21
1. DUPONT DE NEMOURS INC
2017-01-09
2019-06-21
3000. U.S. TREASURY BOND
2018-04-26
2019-06-25
7000. U.S. TREASURY BOND
2016-09-23
2019-06-25
21. CARNIVAL CORP
2015-06-11
2019-06-26
18. CARNIVAL CORP
2015-06-11
2019-06-28
3. APPLE INC
2015-07-14
2019-07-01
4. APPLE INC
2015-06-15
2019-07-01
7. CARNIVAL CORP
2018-09-06
2019-07-02
12. CARNIVAL CORP
2018-08-10
2019-07-02
10. SUNCOR ENERGY INC
2013-02-20
2019-07-02
3. SUNCOR ENERGY INC
2013-02-12
2019-07-02
3. SUNCOR ENERGY INC
2013-02-11
2019-07-02
10. SUNCOR ENERGY INC
2015-05-07
2019-07-03
6. SUNCOR ENERGY INC
2015-07-14
2019-07-03
2. SUNCOR ENERGY INC
2013-02-20
2019-07-03
2. SUNCOR ENERGY INC
2017-04-25
2019-07-05
13. SUNCOR ENERGY INC
2015-07-14
2019-07-05
3. SUNCOR ENERGY INC
2017-04-26
2019-07-05
1. SUNCOR ENERGY INC
2018-02-05
2019-07-08
7. SUNCOR ENERGY INC
2017-04-26
2019-07-08
17. CENTENE CORP
2015-06-11
2019-07-09
8. SUNCOR ENERGY INC
2018-02-06
2019-07-09
7. SUNCOR ENERGY INC
2018-02-05
2019-07-09
2. ALCON SA ACT NOM
2018-11-21
2019-07-09
1. ALCON SA ACT NOM
2018-11-19
2019-07-09
2. ALCON SA ACT NOM
2018-11-16
2019-07-09
10. SUNCOR ENERGY INC
2018-03-05
2019-07-10
2. SUNCOR ENERGY INC
2018-02-06
2019-07-10
2. ALCON SA ACT NOM
2018-11-26
2019-07-10
2. ALCON SA ACT NOM
2018-11-30
2019-07-10
1. ALCON SA ACT NOM
2019-01-08
2019-07-10
4. ALCON SA ACT NOM
2019-04-15
2019-07-11
1. ALCON SA ACT NOM
2019-01-08
2019-07-11
11. CARNIVAL CORP
2019-01-08
2019-07-16
8. CARNIVAL CORP
2018-09-06
2019-07-16
15. SUNCOR ENERGY INC
2018-03-05
2019-07-16
1. SUNCOR ENERGY INC
2018-03-05
2019-07-17
7. SUNCOR ENERGY INC
2019-01-02
2019-07-17
5. SUNCOR ENERGY INC
2018-03-06
2019-07-17
5000. U.S. TREASURY NOTE
2018-09-12
2019-07-18
2. DOW INC
2015-05-07
2019-07-22
3. DOW INC
2017-01-09
2019-07-22
2. DOW INC
2015-07-14
2019-07-22
1. DOW INC
2015-06-15
2019-07-22
3. DOW INC
2013-10-23
2019-07-22
4. CARNIVAL CORP
2019-01-09
2019-07-23
5. CARNIVAL CORP
2019-01-08
2019-07-23
2. CARNIVAL CORP
2019-01-10
2019-07-23
17. CENTENE CORP
2015-06-11
2019-07-23
2. DOW INC
2017-01-12
2019-07-23
4. DOW INC
2017-01-10
2019-07-23
2. CARNIVAL CORP
2019-01-11
2019-07-24
11. CARNIVAL CORP
2019-01-10
2019-07-24
1. CENTENE CORP
2015-06-11
2019-07-25
10. CENTENE CORP
2017-05-31
2019-07-25
13. SUNCOR ENERGY INC
2019-01-02
2019-07-26
11. SUNCOR ENERGY INC
2019-01-02
2019-07-29
4. DOW INC
2017-01-12
2019-07-30
6. DOW INC
2017-01-13
2019-07-30
3. DOW INC
2017-01-17
2019-07-30
5. ALCON SA ACT NOM
2019-04-15
2019-07-30
5. DOW INC
2019-01-17
2019-07-31
2. DOW INC
2017-01-17
2019-07-31
6. ALCON SA ACT NOM
2019-04-15
2019-07-31
1. ALCON SA ACT NOM
2019-04-15
2019-08-01
12. EMERSON ELECTRIC CO
2018-10-05
2019-08-02
10. EMERSON ELECTRIC CO
2018-10-08
2019-08-05
6. EMERSON ELECTRIC CO
2018-10-16
2019-08-05
10. IAA INC REG SHS WHEN
2018-04-02
2019-08-12
11. IAA INC REG SHS WHEN
2018-04-02
2019-08-13
5. EMERSON ELECTRIC CO
2018-10-31
2019-08-15
7. EMERSON ELECTRIC CO
2018-10-17
2019-08-15
4. EMERSON ELECTRIC CO
2018-10-16
2019-08-15
6. IAA INC REG SHS WHEN
2018-04-02
2019-08-15
4. SUNTRUST BANKS INC
2015-07-14
2019-08-15
10. SUNTRUST BANKS INC
2016-06-24
2019-08-15
5. EMERSON ELECTRIC CO
2018-11-02
2019-08-16
5. EMERSON ELECTRIC CO
2018-11-01
2019-08-16
7. EMERSON ELECTRIC CO
2018-10-31
2019-08-16
2. IAA INC REG SHS WHEN
2018-04-02
2019-08-16
2. IAA INC REG SHS WHEN
2018-05-11
2019-08-16
5. IAA INC REG SHS WHEN
2018-05-11
2019-08-16
2. EMERSON ELECTRIC CO
2018-11-02
2019-08-19
4. IAA INC REG SHS WHEN
2018-05-11
2019-08-19
6. DOLLAR GENERAL CORP
2018-11-21
2019-09-03
2. NOVO NORDISK A/S ADR
2017-09-27
2019-09-05
1. NOVO NORDISK A/S ADR
2017-09-26
2019-09-05
13. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2019-09-05
7. NOVO NORDISK A/S ADR
2017-09-27
2019-09-06
8. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2019-09-06
2. IAA INC REG SHS WHEN
2018-05-11
2019-09-09
7. NOVO NORDISK A/S ADR
2017-09-28
2019-09-09
1. NOVO NORDISK A/S ADR
2017-09-27
2019-09-09
3. IAA INC REG SHS WHEN
2018-05-11
2019-09-10
2. IAA INC REG SHS WHEN
2018-05-16
2019-09-10
6. NOVARTIS AG SPNSRD ADR
2018-11-16
2019-09-10
1. IAA INC REG SHS WHEN
2018-05-16
2019-09-11
6. IAA INC REG SHS WHEN
2018-05-17
2019-09-11
4. NOVARTIS AG SPNSRD ADR
2018-11-19
2019-09-11
5. IAA INC REG SHS WHEN
2018-05-18
2019-09-12
1. NOVO NORDISK A/S ADR
2017-10-10
2019-09-17
3. NOVO NORDISK A/S ADR
2017-10-09
2019-09-17
6. NOVO NORDISK A/S ADR
2017-09-29
2019-09-17
1. NOVO NORDISK A/S ADR
2017-09-28
2019-09-17
8. CDW CORP/DE
2015-09-17
2019-09-18
1. CDW CORP/DE
2016-02-22
2019-09-18
6. CDW CORP/DE
2016-02-22
2019-09-18
7. CDW CORP/DE
2016-02-23
2019-09-18
1. CDW CORP/DE
2016-02-24
2019-09-18
4. NOVO NORDISK A/S ADR
2017-10-11
2019-09-19
4. NOVO NORDISK A/S ADR
2017-10-10
2019-09-19
1000. USD ROYAL BK CANADA
2017-03-28
2019-09-23
4000. USD ROYAL BK CANADA
2016-04-26
2019-09-23
6000. SHELL INTERNATIONAL FIN
2009-09-17
2019-09-23
1000. SHELL INTERNATIONAL FIN
2017-03-28
2019-09-23
1000. SHELL INTERNATIONAL FIN
2018-04-26
2019-09-23
2. IAA INC REG SHS WHEN
2018-06-19
2019-10-11
1. IAA INC REG SHS WHEN
2018-05-21
2019-10-11
28. COMCAST CORP
2012-10-04
2019-10-14
1. IAA INC REG SHS WHEN
2018-06-20
2019-10-14
3. IAA INC REG SHS WHEN
2018-06-19
2019-10-14
3. IAA INC REG SHS WHEN
2018-06-21
2019-10-14
4. SONY CORP ADR AMERN SH NEW
2019-06-14
2019-10-14
4. IAA INC REG SHS WHEN
2018-06-22
2019-10-15
3. IAA INC REG SHS WHEN
2018-06-21
2019-10-15
4. IAA INC REG SHS WHEN
2019-01-17
2019-10-15
10. SONY CORP ADR AMERN SH NEW
2019-06-14
2019-10-15
1. IAA INC REG SHS WHEN
2019-01-17
2019-10-16
5. IAA INC REG SHS WHEN
2019-01-18
2019-10-18
1. IAA INC REG SHS WHEN
2019-01-18
2019-10-21
3. IAA INC REG SHS WHEN
2019-01-22
2019-10-21
2. BIOGEN IDEC INC
2016-08-24
2019-10-22
1. BIOGEN IDEC INC
2016-08-30
2019-10-22
4. IAA INC REG SHS WHEN
2019-01-22
2019-10-23
1. IAA INC REG SHS WHEN
2019-02-28
2019-10-23
2. IAA INC REG SHS WHEN
2019-03-01
2019-10-24
3. IAA INC REG SHS WHEN
2019-02-28
2019-10-24
2. IAA INC REG SHS WHEN
2019-03-01
2019-10-25
1. IAA INC REG SHS WHEN
2019-03-04
2019-10-28
6. IAA INC REG SHS WHEN
2019-03-01
2019-10-28
1. APPLE INC
2015-07-14
2019-10-29
4. APPLE INC
2015-11-18
2019-10-29
13. DISH NETWORK CORPATION
2018-08-22
2019-11-07
15. DISH NETWORK CORPATION
2018-08-21
2019-11-07
1. JM SMUCKER CO/THE
2018-03-08
2019-11-11
3. JM SMUCKER CO/THE
2018-03-14
2019-11-11
1. JM SMUCKER CO/THE
2018-03-07
2019-11-11
4. JM SMUCKER CO/THE
2018-03-13
2019-11-11
7. SONY CORP ADR AMERN SH NEW
2019-06-18
2019-11-11
12. SONY CORP ADR AMERN SH NEW
2019-06-17
2019-11-11
7. SONY CORP ADR AMERN SH NEW
2019-06-19
2019-11-11
6. SONY CORP ADR AMERN SH NEW
2019-06-14
2019-11-11
3. JM SMUCKER CO/THE
2018-03-18
2019-11-12
4. JM SMUCKER CO/THE
2018-03-23
2019-11-18
1. JM SMUCKER CO/THE
2018-03-23
2019-11-19
1. JM SMUCKER CO/THE
2018-05-16
2019-11-19
2. JM SMUCKER CO/THE
2018-05-17
2019-11-19
3. JM SMUCKER CO/THE
2018-03-26
2019-11-19
1. JM SMUCKER CO/THE
2018-05-17
2019-11-20
6. DISH NETWORK CORP RIGHTS
2019-11-22
2019-12-02
1. DISH NETWORK CORP RIGHTS
2019-12-03
2019-12-03
6. DOLLAR GENERAL CORP
2018-11-23
2019-12-03
2. DOLLAR GENERAL CORP
2018-11-26
2019-12-03
14. BAXTER INTERNATIONAL INC
2017-04-17
2019-12-10
2. PACKAGING CORP OF AMERICA
2013-02-25
2019-12-10
1. PACKAGING CORP OF AMERICA
2013-02-26
2019-12-10
2. BAXTER INTERNATIONAL INC
2017-05-04
2019-12-11
6. BAXTER INTERNATIONAL INC
2017-04-18
2019-12-11
2. BAXTER INTERNATIONAL INC
2017-04-17
2019-12-11
5. PACKAGING CORP OF AMERICA
2013-02-26
2019-12-11
5. PACKAGING CORP OF AMERICA
2013-02-26
2019-12-12
5. APPLE INC
2015-11-18
2019-12-16
.31 TRUIST FINL CORP
2016-06-24
2019-12-17
5000. U.S. TREASURY NOTE
2019-09-25
2019-12-18
11000. U.S. TREASURY NOTE
2019-02-20
2019-12-18
1. BAXTER INTERNATIONAL INC
2017-05-05
2019-12-20
11. BAXTER INTERNATIONAL INC
2017-05-04
2019-12-20
3. BAXTER INTERNATIONAL INC
2017-10-11
2019-12-23
6. BAXTER INTERNATIONAL INC
2017-10-10
2019-12-23
1. BAXTER INTERNATIONAL INC
2017-05-05
2019-12-23
1. BAXTER INTERNATIONAL INC
2017-10-11
2019-12-24
6. APPLE INC
2015-11-18
2020-01-07
3. HUMANA INC
2015-08-06
2020-01-09
5. UNITEDHEALTH GROUP INC
2014-10-27
2020-01-09
5. HUMANA INC
2015-08-06
2020-01-10
4. UNITEDHEALTH GROUP INC
2014-10-27
2020-01-10
10. KAR AUCTION SERVICES INC
2018-04-02
2020-01-15
17. KAR AUCTION SERVICES INC
2018-04-02
2020-01-16
2. KAR AUCTION SERVICES INC
2018-04-02
2020-01-17
5. KAR AUCTION SERVICES INC
2018-04-18
2020-01-17
10. KAR AUCTION SERVICES INC
2018-05-11
2020-01-17
1. LOWES COMPANIES INC COM
2015-05-07
2020-01-22
9. LOWES COMPANIES INC COM
2013-06-21
2020-01-22
3. KAR AUCTION SERVICES INC
2018-05-16
2020-01-23
2. KAR AUCTION SERVICES INC
2018-05-17
2020-01-23
1. KAR AUCTION SERVICES INC
2018-05-11
2020-01-23
1. KAR AUCTION SERVICES INC
2018-06-20
2020-01-24
1. KAR AUCTION SERVICES INC
2018-05-21
2020-01-24
1. KAR AUCTION SERVICES INC
2018-06-21
2020-01-24
5. KAR AUCTION SERVICES INC
2018-06-19
2020-01-24
5. KAR AUCTION SERVICES INC
2018-05-18
2020-01-24
4. KAR AUCTION SERVICES INC
2018-05-17
2020-01-24
2. APPLE INC
2015-11-18
2020-01-27
7. DUPONT DE NEMOURS INC
2019-05-15
2020-01-27
6. DUPONT DE NEMOURS INC
2017-01-13
2020-01-27
5. DUPONT DE NEMOURS INC
2019-01-17
2020-01-27
5. DUPONT DE NEMOURS INC
2017-01-17
2020-01-27
5. KAR AUCTION SERVICES INC
2019-01-17
2020-01-27
3. KAR AUCTION SERVICES INC
2019-01-18
2020-01-27
4. KAR AUCTION SERVICES INC
2018-06-22
2020-01-27
5. KAR AUCTION SERVICES INC
2018-06-21
2020-01-27
3. KAR AUCTION SERVICES INC
2019-01-18
2020-01-28
2. KAR AUCTION SERVICES INC
2019-01-22
2020-01-28
3. E*TRADE FINANCIAL CORP
2017-10-04
2020-01-29
4. E*TRADE FINANCIAL CORP
2017-10-03
2020-01-29
22. REGIONS FINANCIAL CORP
2017-01-10
2020-01-29
2. E*TRADE FINANCIAL CORP
2017-10-09
2020-01-30
8. E*TRADE FINANCIAL CORP
2017-10-04
2020-01-30
2. REGIONS FINANCIAL CORP
2017-01-11
2020-01-30
29. REGIONS FINANCIAL CORP
2017-01-10
2020-01-30
1. REGIONS FINANCIAL CORP
2017-01-11
2020-01-30
3. E*TRADE FINANCIAL CORP
2017-10-10
2020-01-31
7. E*TRADE FINANCIAL CORP
2017-10-09
2020-01-31
4. KAR AUCTION SERVICES INC
2019-02-28
2020-01-31
5. KAR AUCTION SERVICES INC
2019-01-22
2020-01-31
29. REGIONS FINANCIAL CORP
2017-01-11
2020-01-31
5. CDW CORP/DE
2016-02-24
2020-02-03
3. CDW CORP/DE
2016-02-25
2020-02-03
10. KAR AUCTION SERVICES INC
2019-03-01
2020-02-03
2. KAR AUCTION SERVICES INC
2019-07-10
2020-02-03
14. KAR AUCTION SERVICES INC
2019-07-09
2020-02-03
1. KAR AUCTION SERVICES INC
2019-03-04
2020-02-03
2. DISH NETWORK CORPATION
2018-08-22
2020-02-04
5. DISH NETWORK CORPATION
2018-08-23
2020-02-04
2. KAR AUCTION SERVICES INC
2019-07-10
2020-02-04
15. REGIONS FINANCIAL CORP
2017-01-11
2020-02-04
29. REGIONS FINANCIAL CORP
2017-01-12
2020-02-04
11. WAL MART STORES INC
2017-01-10
2020-02-04
2. WAL MART STORES INC
2017-01-09
2020-02-04
6. DISH NETWORK CORPATION
2018-08-23
2020-02-05
8. DISH NETWORK CORPATION
2018-10-10
2020-02-05
13. DISH NETWORK CORPATION
2018-10-11
2020-02-05
36. REGIONS FINANCIAL CORP
2017-01-12
2020-02-05
5000. U.S. TREASURY NOTE
2019-07-18
2020-02-05
6. DISH NETWORK CORPATION
2018-10-11
2020-02-06
5. DISH NETWORK CORPATION
2018-10-19
2020-02-06
1. DISH NETWORK CORPATION
2018-10-22
2020-02-06
5. NOVARTIS AG SPNSRD ADR
2018-11-19
2020-02-06
7. NOVARTIS AG SPNSRD ADR
2018-11-21
2020-02-06
3. UNITEDHEALTH GROUP INC
2014-10-27
2020-02-06
9. WAL MART STORES INC
2017-01-10
2020-02-06
10. KAR AUCTION SERVICES INC
2019-07-10
2020-02-07
1. KAR AUCTION SERVICES INC
2019-07-11
2020-02-07
16. KAR AUCTION SERVICES INC
2019-09-18
2020-02-07
2. KAR AUCTION SERVICES INC
2019-09-19
2020-02-07
26. REGIONS FINANCIAL CORP
2017-01-13
2020-02-07
7. REGIONS FINANCIAL CORP
2017-01-12
2020-02-07
4. DISH NETWORK CORPATION
2018-10-22
2020-02-10
2. KAR AUCTION SERVICES INC
2019-09-20
2020-02-10
1. KAR AUCTION SERVICES INC
2019-10-22
2020-02-10
14. KAR AUCTION SERVICES INC
2019-09-19
2020-02-10
26. REGIONS FINANCIAL CORP
2017-01-13
2020-02-10
14. DISH NETWORK CORPATION
2018-10-22
2020-02-11
15. DISH NETWORK CORPATION
2018-12-20
2020-02-11
12. DISH NETWORK CORPATION
2018-12-19
2020-02-11
10. KAR AUCTION SERVICES INC
2019-10-22
2020-02-11
5. DISH NETWORK CORPATION
2018-12-20
2020-02-12
10. DISH NETWORK CORPATION
2019-01-18
2020-02-12
19. DISH NETWORK CORPATION
2019-01-17
2020-02-12
11. KAR AUCTION SERVICES INC
2019-10-23
2020-02-12
1. KAR AUCTION SERVICES INC
2019-10-22
2020-02-12
5. KAR AUCTION SERVICES INC
2019-10-24
2020-02-13
2. KAR AUCTION SERVICES INC
2019-10-23
2020-02-13
1. PACKAGING CORP OF AMERICA
2013-02-27
2020-02-13
5. DR HORTON INC
2016-07-14
2020-02-19
6. NOVARTIS AG SPNSRD ADR
2018-11-30
2020-02-19
1. NOVARTIS AG SPNSRD ADR
2018-11-21
2020-02-19
1. NOVARTIS AG SPNSRD ADR
2018-11-23
2020-02-19
10. NOVARTIS AG SPNSRD ADR
2018-11-26
2020-02-19
1. O'REILLY AUTOMOTIVE INC
2018-07-09
2020-02-19
5. PACKAGING CORP OF AMERICA
2013-02-27
2020-02-19
2. PACKAGING CORP OF AMERICA
2018-06-19
2020-02-19
5. PACKAGING CORP OF AMERICA
2015-07-14
2020-02-19
5. PACKAGING CORP OF AMERICA
2015-05-07
2020-02-19
12. REGIONS FINANCIAL CORP
2017-01-13
2020-02-19
1000. U.S. TREASURY NOTE
2019-04-12
2020-02-19
1000. U.S. TREASURY NOTE
2019-12-18
2020-02-19
1000. U.S. TREASURY NOTE
2020-02-05
2020-02-19
41. REGIONS FINANCIAL CORP
2017-12-19
2020-02-20
6. REGIONS FINANCIAL CORP
2017-01-13
2020-02-20
1. PACKAGING CORP OF AMERICA
2018-06-20
2020-02-24
2. PACKAGING CORP OF AMERICA
2019-01-02
2020-02-24
4. PACKAGING CORP OF AMERICA
2018-06-19
2020-02-24
3. NOVARTIS AG SPNSRD ADR
2018-11-30
2020-02-25
4. NOVARTIS AG SPNSRD ADR
2019-01-09
2020-02-25
8. NOVARTIS AG SPNSRD ADR
2019-01-08
2020-02-25
7. PACKAGING CORP OF AMERICA
2019-01-02
2020-02-25
6000. U.S. TREASURY NOTE
2019-12-18
2020-02-25
1. PACKAGING CORP OF AMERICA
2019-01-03
2020-02-26
3. CDW CORP/DE
2016-02-26
2020-02-27
3. CDW CORP/DE
2016-02-25
2020-02-27
7. J P MORGAN CHASE & CO
2012-06-15
2020-02-28
2. J P MORGAN CHASE & CO
2012-06-14
2020-02-28
5. CDW CORP/DE
2016-02-26
2020-03-02
4. CDW CORP/DE
2016-02-29
2020-03-02
3. CDW CORP/DE
2016-02-29
2020-03-03
10. J P MORGAN CHASE & CO
2012-06-15
2020-03-03
6. US BANCORP DEL
2012-07-26
2020-03-03
8. US BANCORP DEL
2012-10-31
2020-03-03
23. DELTA AIR LINES INC
2016-02-23
2020-03-09
1. DELTA AIR LINES INC
2017-01-11
2020-03-09
21. DELTA AIR LINES INC
2016-02-22
2020-03-09
7. DELTA AIR LINES INC
2016-03-03
2020-03-09
11. DELTA AIR LINES INC
2016-05-19
2020-03-09
1. J P MORGAN CHASE & CO
2012-06-25
2020-03-09
4. J P MORGAN CHASE & CO
2012-06-15
2020-03-09
7. MARATHON OIL CORP
2019-03-20
2020-03-09
80. MARATHON OIL CORP
2019-03-19
2020-03-09
56. MARATHON OIL CORP
2019-01-16
2020-03-09
19. MARATHON OIL CORP
2018-06-12
2020-03-09
74. MARATHON OIL CORP
2018-06-11
2020-03-09
17. TRUIST FINL CORP
2016-06-24
2020-03-09
12. DR HORTON INC
2016-07-14
2020-03-10
20. DR HORTON INC
2016-10-18
2020-03-10
32. DELTA AIR LINES INC
2017-01-11
2020-03-10
7. DELTA AIR LINES INC
2017-01-12
2020-03-10
7. MARATHON OIL CORP
2019-03-20
2020-03-10
1. HUMANA INC
2016-10-18
2020-03-12
1. DR HORTON INC
2016-10-18
2020-03-13
1. DR HORTON INC
2016-10-20
2020-03-13
42. DR HORTON INC
2016-10-19
2020-03-13
6. DR HORTON INC
2017-02-21
2020-03-13
1. DR HORTON INC
2017-02-21
2020-03-16
4. HUMANA INC
2016-10-19
2020-03-16
3. HUMANA INC
2016-10-18
2020-03-16
2. ALPHABET INC SHS CL C
2012-08-28
2020-04-01
2. ALPHABET INC SHS CL A
2012-08-28
2020-04-01
2000. AMERICAN EXPRESS CO
2019-02-20
2020-04-01
1000. APPLE INC
2017-02-08
2020-04-01
2000. BB&T CORPORATION
2017-10-25
2020-04-01
166. BLACKROCK STRATEGIC
2020-03-17
2020-04-01
1000. CITIGROUP INC
2011-11-17
2020-04-01
1000. FEDERAL NATL MTG ASSOC
2017-06-13
2020-04-01
1000. GLAXOSMITHKLINE CAPITAL
2018-06-08
2020-04-01
2000. HOME DEPOT INC
2019-01-11
2020-04-01
5. HUMANA INC
2016-10-19
2020-04-01
3. HUMANA INC
2019-07-23
2020-04-01
1000. JPMORGAN CHASE & CO
2014-09-16
2020-04-01
11. LOWES COMPANIES INC COM
2018-05-16
2020-04-01
5. LOWES COMPANIES INC COM
2019-10-22
2020-04-01
51. MICROSOFT CORP COM
2020-03-17
2020-04-01
9. O'REILLY AUTOMOTIVE INC
2018-07-09
2020-04-01
1000. ORACLE CORP
2020-03-17
2020-04-01
1000. U.S. TREASURY BOND
2009-06-24
2020-04-01
1000. U.S. TREASURY BOND 3.125% FEB 15 2042
2012-02-24
2020-04-01
1000. U.S. TREASURY BOND
2019-06-25
2020-04-01
3000. U.S. TREASURY NOTE
2019-04-12
2020-04-01
1000. U.S. TREASURY NOTE
2012-03-26
2020-04-01
2000. U.S. TREASURY NOTE
2017-10-25
2020-04-01
1000. U.S. TREASURY NOTE
2019-12-18
2020-04-01
1000. U.S. TREASURY NOTE
2019-12-18
2020-04-01
47. VERIZON COMMUNICATIONS INC
2019-05-15
2020-04-01
1000. WALMART INC
2018-08-23
2020-04-01
1000. WELLS FARGO & COMPANY
2016-07-26
2020-04-01
156. AES CORP/VA
2018-10-03
2020-04-22
24. ALIBABA GROUP HOLDING LT
2019-09-05
2020-04-22
7. ALTRIA GROUP INC
2015-08-05
2020-04-22
7. ALTRIA GROUP INC
2015-08-06
2020-04-22
6. ALTRIA GROUP INC
2017-09-05
2020-04-22
9. ALTRIA GROUP INC
2018-03-20
2020-04-22
16. ALTRIA GROUP INC
2019-03-05
2020-04-22
18. ALTRIA GROUP INC
2019-10-29
2020-04-22
3. AMAZON COM INC
2020-01-07
2020-04-22
51. J P MORGAN CHASE & CO
2012-06-15
2020-04-22
123. KONINKLIJKE PHILIPS NV
2020-04-03
2020-04-22
66. KONINKLIJKE PHILIPS NV
2020-03-17
2020-04-22
11. LOWES COMPANIES INC COM
2013-06-21
2020-04-22
12. LOWES COMPANIES INC COM
2017-09-18
2020-04-22
64. SANOFI-SYNTHELABO
2020-04-03
2020-04-22
60. SONY CORP ADR AMERN SH NEW
2019-07-01
2020-04-22
38. TRUIST FINL CORP
2016-06-24
2020-04-22
37. US BANCORP DEL
2012-10-31
2020-04-22
11. VISA INC
2020-03-17
2020-04-22
7. VISA INC
2020-04-03
2020-04-22
2. DOLLAR GENERAL CORP
2018-12-10
2020-04-24
5. DOLLAR GENERAL CORP
2018-11-23
2020-04-24
10. DOLLAR GENERAL CORP
2018-11-26
2020-04-24
5. DOLLAR GENERAL CORP
2018-11-26
2020-04-24
18. MICROSOFT CORP COM
2020-03-17
2020-04-24
29. WAL MART STORES INC
2020-01-10
2020-04-24
18. LABORATORY CORP AMER HLDGS
2015-06-15
2020-04-28
12. MICROSOFT CORP COM
2017-06-21
2020-04-28
21. NOVO NORDISK A/S ADR
2020-03-17
2020-04-28
13. SONY CORP ADR AMERN SH NEW
2019-07-01
2020-04-28
7000. U.S. TREASURY NOTE
2018-08-23
2020-04-28
3000. U.S. TREASURY NOTE
2019-12-18
2020-04-28
16. NOVO NORDISK A/S ADR
2017-09-27
2020-04-29
7. SONY CORP ADR AMERN SH NEW
2020-03-17
2020-04-29
6. SONY CORP ADR AMERN SH NEW
2019-06-27
2020-04-29
3. SONY CORP ADR AMERN SH NEW
2019-06-26
2020-04-29
2. SONY CORP ADR AMERN SH NEW
2019-06-20
2020-04-29
1. SONY CORP ADR AMERN SH NEW
2019-06-19
2020-04-29
6000. U.S. TREASURY NOTE
2020-02-05
2020-04-29
4000. U.S. TREASURY NOTE
2020-03-17
2020-04-29
1000. U.S. TREASURY NOTE
2020-04-22
2020-04-29
48. MOLSON COORS BREWING CO
2019-02-08
2020-05-13
71. VERIZON COMMUNICATIONS INC
2019-05-15
2020-05-13
5. MOLSON COORS BREWING CO
2019-02-08
2020-05-14
6000. U.S. TREASURY NOTE
2010-06-11
2020-05-15
4000. U.S. TREASURY NOTE
2010-06-11
2020-05-15
2000. U.S. TREASURY NOTE
2018-04-26
2020-05-15
4. DR HORTON INC
2017-02-21
2020-05-20
15. DR HORTON INC
2017-03-30
2020-05-20
10. MOLSON COORS BREWING CO
2019-02-08
2020-05-20
5. MOLSON COORS BREWING CO
2019-02-07
2020-05-21
2. MOLSON COORS BREWING CO
2019-02-05
2020-05-21
3. MOLSON COORS BREWING CO
2019-02-20
2020-05-21
6. MOLSON COORS BREWING CO
2019-02-04
2020-05-21
10. MOLSON COORS BREWING CO
2019-02-08
2020-05-21
9. MOLSON COORS BREWING CO
2019-02-08
2020-05-21
5. MOLSON COORS BREWING CO
2019-10-23
2020-05-22
4. MOLSON COORS BREWING CO
2020-02-19
2020-05-22
15. MOLSON COORS BREWING CO
2019-03-05
2020-05-22
6. MOLSON COORS BREWING CO
2019-02-21
2020-05-22
3. MOLSON COORS BREWING CO
2019-02-20
2020-05-22
7. MOLSON COORS BREWING CO
2019-10-22
2020-05-22
33. NOVO NORDISK A/S ADR
2017-09-26
2020-05-29
(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
75
77
-2
b
375
307
68
c
150
141
9
d
150
168
-18
e
150
155
-5
427
547
-120
555
819
-264
53
81
-28
589
540
49
321
292
29
378
464
-86
324
396
-72
54
65
-11
54
66
-12
213
273
-60
574
540
34
204
196
8
153
153
102
96
6
451
520
-69
301
343
-42
75
81
-6
75
84
-9
2,987
2,621
366
6,970
7,198
-228
953
1,003
-50
833
859
-26
606
378
228
808
508
300
325
432
-107
557
718
-161
311
316
-5
93
104
-11
93
103
-10
312
301
11
187
165
22
62
63
-1
63
62
1
409
357
52
94
93
1
31
35
-4
220
217
3
855
639
216
256
269
-13
224
243
-19
121
108
13
61
53
8
121
107
14
323
319
4
65
67
-2
122
108
14
122
110
12
61
53
8
246
221
25
62
53
9
510
572
-62
371
494
-123
474
479
-5
31
32
-1
220
197
23
157
161
-4
5,185
4,975
210
102
93
9
153
165
-12
102
102
51
51
153
121
32
184
208
-24
231
260
-29
92
104
-12
893
639
254
104
114
-10
207
225
-18
93
105
-12
514
572
-58
52
38
14
523
362
161
386
366
20
321
310
11
193
227
-34
290
339
-49
145
168
-23
295
276
19
241
274
-33
96
112
-16
353
331
22
59
55
4
741
935
-194
599
774
-175
360
439
-79
435
333
102
507
366
141
282
343
-61
395
514
-119
226
293
-67
267
200
67
237
178
59
592
408
184
289
351
-62
289
350
-61
405
481
-76
87
67
20
87
67
20
218
167
51
117
140
-23
177
133
44
934
633
301
106
97
9
53
48
5
575
584
-9
369
338
31
351
360
-9
97
67
30
355
337
18
51
48
3
139
100
39
93
67
26
531
462
69
46
33
13
275
202
73
354
309
45
229
167
62
51
49
2
153
148
5
306
287
19
51
48
3
972
335
637
121
39
82
720
233
487
840
273
567
120
39
81
204
197
7
204
195
9
1,000
1,002
-2
4,000
4,016
-16
6,000
5,969
31
1,000
1,000
1,000
1,000
74
68
6
37
34
3
1,266
512
754
36
34
2
109
103
6
109
103
6
232
206
26
145
137
8
108
103
5
145
127
18
580
514
66
37
32
5
189
162
27
39
32
7
117
96
21
570
584
-14
285
283
2
153
128
25
38
29
9
77
59
18
115
88
27
76
59
17
38
30
8
229
177
52
243
126
117
973
468
505
450
457
-7
519
535
-16
104
128
-24
313
398
-85
104
129
-25
417
526
-109
427
366
61
732
629
103
427
369
58
366
309
57
314
383
-69
421
480
-59
104
120
-16
104
112
-8
208
222
-14
312
364
-52
105
111
-6
3
3
918
636
282
306
214
92
1,149
739
410
223
83
140
111
42
69
165
112
53
496
317
179
165
106
59
559
208
351
562
208
354
1,401
585
816
17
10
7
5,051
5,043
8
11,113
11,024
89
82
56
26
907
615
292
252
186
66
505
370
135
84
56
28
84
62
22
1,795
702
1,093
1,097
558
539
1,472
460
1,012
1,826
930
896
1,180
368
812
221
203
18
377
345
32
44
41
3
110
106
4
220
204
16
122
72
50
1,100
354
746
67
61
6
45
41
4
22
20
2
22
21
1
22
20
2
22
21
1
110
104
6
110
102
8
88
82
6
618
234
384
404
468
-64
346
517
-171
288
418
-130
288
426
-138
110
97
13
66
59
7
88
84
4
110
105
5
66
59
7
44
39
5
132
133
-1
177
177
340
321
19
88
89
-1
352
355
-3
31
29
2
447
423
24
15
14
1
129
132
-3
300
310
-10
84
72
12
105
98
7
450
418
32
664
193
471
399
117
282
209
180
29
42
50
-8
293
348
-55
21
18
3
74
70
4
184
175
9
42
50
-8
244
216
28
471
415
56
1,271
754
517
231
137
94
228
211
17
304
267
37
494
423
71
595
516
79
5,508
5,328
180
224
195
29
187
174
13
37
35
2
481
387
94
674
548
126
872
276
596
1,049
617
432
219
249
-30
22
24
-2
351
415
-64
44
52
-8
424
383
41
114
100
14
147
139
8
43
51
-8
22
26
-4
304
367
-63
422
383
39
540
488
52
579
410
169
463
351
112
217
256
-39
206
137
69
411
296
115
781
556
225
245
279
-34
22
26
-4
112
129
-17
45
51
-6
100
42
58
312
170
142
584
481
103
97
78
19
97
77
20
973
781
192
393
288
105
492
209
283
197
234
-37
492
323
169
492
347
145
197
177
20
1,129
1,045
84
1,004
988
16
1,003
1,003
676
708
-32
99
88
11
99
116
-17
198
169
29
396
468
-72
264
241
23
353
306
47
705
608
97
668
590
78
6,076
5,990
86
96
83
13
353
118
235
353
117
236
812
244
568
232
69
163
591
197
394
473
158
315
355
118
237
1,170
349
821
279
202
77
371
266
105
998
1,125
-127
43
51
-8
911
1,019
-108
304
345
-41
477
475
2
95
35
60
379
140
239
25
121
-96
288
1,384
-1,096
201
872
-671
68
408
-340
266
1,592
-1,326
583
535
48
594
409
185
990
588
402
1,399
1,642
-243
306
351
-45
26
121
-95
295
174
121
38
29
9
38
29
9
1,589
1,246
343
227
184
43
34
31
3
1,093
699
394
820
521
299
2,217
337
1,880
2,215
498
1,717
2,075
2,003
72
1,082
1,009
73
2,028
1,991
37
1,545
1,677
-132
1,037
957
80
1,084
978
106
1,045
999
46
2,224
2,056
168
1,465
874
591
879
846
33
1,060
996
64
883
940
-57
402
563
-161
7,793
7,801
-8
2,631
2,594
37
1,016
1,050
-34
1,549
1,010
539
1,381
1,002
379
1,386
1,073
313
3,634
3,136
498
1,004
1,003
1
2,259
1,989
270
1,008
998
10
1,050
988
62
2,476
2,660
-184
1,062
1,010
52
994
1,000
-6
1,957
2,263
-306
5,050
4,287
763
265
388
-123
265
389
-124
227
376
-149
341
555
-214
606
845
-239
681
832
-151
7,102
5,703
1,399
4,608
1,780
2,828
5,257
5,026
231
2,821
2,697
124
1,045
433
612
1,140
934
206
3,066
3,165
-99
3,764
3,219
545
1,300
1,197
103
1,237
1,231
6
1,814
1,998
-184
1,154
1,326
-172
352
208
144
881
530
351
1,762
1,068
694
881
535
346
3,114
935
2,179
3,748
1,989
1,759
3,181
2,147
1,034
2,053
845
1,208
1,362
1,219
143
822
693
129
7,045
7,000
45
3,019
2,995
24
1,008
772
236
452
366
86
387
314
73
194
158
36
129
108
21
65
53
12
6,142
6,018
124
4,094
4,022
72
1,024
1,023
1
1,733
3,129
-1,396
3,897
4,018
-121
174
326
-152
6,000
6,000
4,000
4,000
2,000
2,000
208
123
85
781
501
280
379
652
-273
186
327
-141
74
133
-59
111
188
-77
223
395
-172
371
652
-281
334
587
-253
183
296
-113
146
218
-72
548
914
-366
219
373
-154
110
188
-78
256
414
-158
2,150
1,589
561
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
-2
b
68
c
9
d
-18
e
-5
-120
-264
-28
49
29
-86
-72
-11
-12
-60
34
8
6
-69
-42
-6
-9
366
-228
-50
-26
228
300
-107
-161
-5
-11
-10
11
22
-1
1
52
1
-4
3
216
-13
-19
13
8
14
4
-2
14
12
8
25
9
-62
-123
-5
-1
23
-4
210
9
-12
32
-24
-29
-12
254
-10
-18
-12
-58
14
161
20
11
-34
-49
-23
19
-33
-16
22
4
-194
-175
-79
102
141
-61
-119
-67
67
59
184
-62
-61
-76
20
20
51
-23
44
301
9
5
-9
31
-9
30
18
3
39
26
69
13
73
45
62
2
5
19
3
637
82
487
567
81
7
9
-2
-16
31
6
3
754
2
6
6
26
8
5
18
66
5
27
7
21
-14
2
25
9
18
27
17
8
52
117
505
-7
-16
-24
-85
-25
-109
61
103
58
57
-69
-59
-16
-8
-14
-52
-6
3
282
92
410
140
69
53
179
59
351
354
816
7
8
89
26
292
66
135
28
22
1,093
539
1,012
896
812
18
32
3
4
16
50
746
6
4
2
1
2
1
6
8
6
384
-64
-171
-130
-138
13
7
4
5
7
5
-1
19
-1
-3
2
24
1
-3
-10
12
7
32
471
282
29
-8
-55
3
4
9
-8
28
56
517
94
17
37
71
79
180
29
13
2
94
126
596
432
-30
-2
-64
-8
41
14
8
-8
-4
-63
39
52
169
112
-39
69
115
225
-34
-4
-17
-6
58
142
103
19
20
192
105
283
-37
169
145
20
84
16
-32
11
-17
29
-72
23
47
97
78
86
13
235
236
568
163
394
315
237
821
77
105
-127
-8
-108
-41
2
60
239
-96
-1,096
-671
-340
-1,326
48
185
402
-243
-45
-95
121
9
9
343
43
3
394
299
1,880
1,717
72
73
37
-132
80
106
46
168
591
33
64
-57
-161
-8
37
-34
539
379
313
498
1
270
10
62
-184
52
-6
-306
763
-123
-124
-149
-214
-239
-151
1,399
2,828
231
124
612
206
-99
545
103
6
-184
-172
144
351
694
346
2,179
1,759
1,034
1,208
143
129
45
24
236
86
73
36
21
12
124
72
1
-1,396
-121
-152
85
280
-273
-141
-59
-77
-172
-281
-253
-113
-72
-366
-154
-78
-158
561
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
36,591
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
28,976
599,115
0.048365
2017
27,479
604,348
0.045469
2016
26,621
552,954
0.048143
2015
27,163
544,271
0.049907
2014
25,929
562,521
0.046094
2
Total
of line 1, column (d)
.....................
2
0.237978
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
0.047596
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
726,267
5
Multiply line 4 by line 3
......................
5
34,567
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
499
7
Add lines 5 and 6
........................
7
35,066
8
Enter qualifying distributions from Part XII, line 4
,.............
8
30,137
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
998
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
998
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
998
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
329
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
2,914
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
3,243
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
2,245
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
Refunded
11
2,245
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
FL
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
Yes
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
BANK OF AMERICA NA
Telephone no.
(212) 852-3049
Located at
114W 47TH STNY8-114-0707
NEW YORK
NY
ZIP+4
100361501
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
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
BANK OF AMERICA NA
CO-TRUSTEE
2
7,760
114W 47TH ST NY8-114-0707
NEW YORK
,
NY
100361501
DEBRAH GREEN
CO-TRUSTEE
2
3,500
47 EAST 87TH STREET
NEW YORK
,
NY
101281005
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
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
NONE
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
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
.........................
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
711,263
b
Average of monthly cash balances
.......................
1b
26,064
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
737,327
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
737,327
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
11,060
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
726,267
6
Minimum investment return.
Enter 5% of line 5
..................
6
36,313
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
36,313
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
998
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
998
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
35,315
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
35,315
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
35,315
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
30,137
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
30,137
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
30,137
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
35,315
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
21,981
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
30,137
a
Applied to 2018, but not more than line 2a
21,981
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
.....
8,156
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).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
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
..........
27,159
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
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
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).)
NONE
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.
NONE
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
PARK AVENUE SYNAGOGUE
50 E 87TTH STREET
NEW YORK
,
NY
10128
NONE
PC
GENERAL OPERATING
1,500
ICAN SCHOOL OF MEDICINE
MOUNT SINAI
1 GUSTAVE L LEVY PLACE
NEW YORK
,
NY
100296504
NONE
PC
GENERAL OPERATING
20,481
Total
.................................
3a
21,981
b
Approved for future payment
Total
.................................
3b
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
...........
4
Dividends and interest from securities
....
14
16,705
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
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
36,591
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FEDERAL TAX REFUND
1
621
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
53,917
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
53,917
(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