Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1602
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SOUTH BEND, IN46634
A Employer identification number

23-7355916
B Telephone number (see instructions)

(574) 235-2793
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$852,047J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 275
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 27,085 27,085 27,085
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 16,934
b Gross sales price for all assets on line 6a 170,706
7 Capital gain net income (from Part IV, line 2)... 16,934
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 44,294 44,019 27,085
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 15,100 1,862    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 145 0 0 0
b Accounting fees (attach schedule)....... Click to see attachment 1,625 1,625 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,253     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)....... Click to see attachment 4,312      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 22,435 3,487 0 0
25 Contributions, gifts, grants paid....... 42,975 42,975
26 Total expenses and disbursements. Add lines 24 and 25 65,410 3,487 0 42,975
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -21,116
b Net investment income (if negative, enter -0-) 40,532
c Adjusted net income (if negative, enter -0-)... 27,085
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 85 112 112
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 12,871 Click to see attachment15,893 15,893
b Investments—corporate stock (attach schedule)....... 316,364 Click to see attachment294,391 439,859
c Investments—corporate bonds (attach schedule)....... 374,830 Click to see attachment372,983 396,183
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 704,150 683,379 852,047
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 704,150 683,379
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)..... 704,150 683,379
30 Total liabilities and net assets/fund balances (see instructions). 704,150 683,379
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
704,150
2
Enter amount from Part I, line 27a .....................
2
-21,116
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
345
4
Add lines 1, 2, and 3 ..........................
4
683,379
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
683,379
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 13824.003 LORD ABBETT SHRT DUR INC-I   2018-07-12 2020-03-23
b 13541.158 LORD ABBETT SHRT DUR INC-I   2018-07-12 2020-03-24
c 150. ISHARES MSCI EAFE ETF   2010-09-10 2020-04-21
d 32.403 FEDERATED HERMES MDT SM CAP GR   2019-06-10 2020-06-17
e 49.468 WCM FOCUSED INTL GROWTH-INS   2019-06-10 2020-06-17
10. ISHARES RUSSELL 1000 GROWTH INDEX FUND   2019-10-30 2020-06-17
13.859 AMER FNDS NEW WORLD-F3   2017-08-09 2020-06-17
9.161 T ROWE PR MID CAP GROW-I   2018-12-13 2020-06-17
40.902 T ROWE PRICE ALL-CAP OPP-I   2018-07-19 2020-06-17
3.906 VANGUARD 500 INDEX FUND-ADM   2014-09-18 2020-06-17
10. ISHARES RUSSELL 1000 GROWTH INDEX FUND   2019-10-30 2020-06-19
6.963 VANGUARD 500 INDEX FUND-ADM   2014-09-18 2020-06-19
24.934 T ROWE PRICE ALL-CAP OPP-I   2018-07-19 2020-06-26
20. ISHARES RUSSELL 1000 GROWTH INDEX FUND   2019-10-30 2020-07-13
15.451 T ROWE PRICE ALL-CAP OPP-I   2018-07-19 2020-07-16
16.838 VANGUARD 500 INDEX FUND-ADM   2014-09-18 2020-07-16
30.589 FEDERATED HERMES MDT SM CAP GR   2019-06-10 2020-12-14
48.695 WCM FOCUSED INTL GROWTH-INS   2019-12-10 2020-12-14
20. ISHARES RUSSELL 1000 GROWTH INDEX FUND   2019-10-30 2020-12-14
13.465 AMER FNDS NEW WORLD-F3   2017-05-08 2020-12-14
69.3 BOSTON PARTNERS INV ALL CAP VAL INST   2018-12-13 2020-12-14
9.266 T ROWE PR MID CAP GROW-I   2018-12-13 2020-12-14
44.702 T ROWE PRICE ALL-CAP OPP-I   2018-07-19 2020-12-14
15. SPDR S&P DIVIDEND ETF   2019-06-10 2020-12-14
3.089 VANGUARD 500 INDEX FUND-ADM   2014-09-18 2020-12-15
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(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 53,499   57,646 -4,147
b 52,133   56,467 -4,334
c 8,084   7,923 161
d 555   607 -52
e 957   842 115
1,905   1,645 260
939   839 100
856   784 72
2,500   2,267 233
1,127   728 399
1,905   1,645 260
2,000   1,298 702
1,500   1,382 118
3,980   3,289 691
1,000   856 144
5,000   3,138 1,862
696   573 123
1,158   862 296
4,675   3,289 1,386
1,145   801 344
1,884   1,595 289
1,016   739 277
2,952   2,477 475
1,587   1,504 83
1,057   576 481
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
      16,596
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       -4,147
b       -4,334
c       161
d       -52
e       115
      260
      100
      72
      233
      399
      260
      702
      118
      691
      144
      1,862
      123
      296
      1,386
      344
      289
      277
      475
      83
      481
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 16,934
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 563
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 563
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- ..... 5 563
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 1,261
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,261
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 698
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet698 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbullet1ST SOURCE BANK Telephone no.bullet (574) 235-2790

    Located atbullet100 N MICHIGAN TRUST DEPTSOUTH BENDIN ZIP+4bullet46601
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    KEVIN MATUSZAK PHOTOGRAPHER
    1     		1,000    
    53177 TURNING LEAF DR
    SOUTH BEND,IN46628
    MARY PLUTA TREASURER
    1     		1,000    
    57291 PEGGY DRIVE
    SOUTH BEND,IN46619
    ELAINE DULCET SECRETARY
    1     		1,000    
    59845 SYCAMORE ROAD
    NORTH LIBERTY,IN46554
    MARK KLOTA SCHOLARSHIP CHAIR
    1     		1,000    
    19447 KERN ROAD
    SOUTH BEND,IN46614
    CAMILLE BUJEKER PRESIDENT
    1     		1,000    
    50575 MALLOW COURT
    GRANGER,IN46530
    1ST SOURCE BANK TRUSTEE
    1     		8,800    
    PO BOX 1602
    SOUTH BEND,IN46634
    LEONA ADAMS BOB HISTORIAN
    1     		900    
    22294 MAPLE STREET
    CASSOPOLIS,MI49031
    CAROL EVANS PASSED AWAY IN 2020 PRIOR PRESIDENT
    1     		400    
    13633 HAYNES AVENUE
    MISHAWAKA,IN46545
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    824,616
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    824,616
    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
    824,616
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    12,369
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    812,247
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    40,612
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    40,612
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    563
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    563
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    40,049
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    40,049
    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
    40,049
    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
    42,975
    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
    42,975
    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
    42,975
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 40,049
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 0
    b From 2016...... 1,489
    c From 2017...... 1,989
    d From 2018...... 5,074
    e From 2019...... 7,125
    fTotal of lines 3a through e........ 15,677
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 42,975
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 40,049
    e Remaining amount distributed out of corpus 2,926
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 18,603
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		18,603
    10 Analysis of line 9:
    a Excess from 2016.... 1,489
    b Excess from 2017.... 1,989
    c Excess from 2018.... 5,074
    d Excess from 2019.... 7,125
    e Excess from 2020.... 2,926
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    FORT WAYNE CATHOLIC RADIO GROUP INC
    REDEEMER RADIO
    6418 E STATE BLVD STE 200
    FORT WAYNE,IN468156966     		NONE PC SCHOLARSHIP 500
    OUR LADY OF THE ROAD INC
    PO BOX 4375
    SOUTH BEND,IN46634     		NONE PC GENERAL SUPPORT 200
    ADAM WOZNIAK
    19650 OAKDALE AVENUE
    SOUTH BEND,IN46637     		NONE I SCHOLARSHIP 1,200
    RIVER REMBLE
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    SPENCER HOUGHTON
    1614 GALWAY DRIVE
    SOUTH BEND,IN46614     		NONE I SCHOLARSHIP 1,200
    ISABELLA KAMINSKY
    16654 LINFIELD COURT
    GRANGER,IN46530     		NONE I SCHOLARSHIP 1,200
    OLIVIA BUCHOLTZ
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    EMMA ALBERTSON
    C/O SAINT JOSEPH HIGH SCHOOL
    453 NORTH NOTRE DAME AVENUE
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 500
    CHRISTOPHER CYSEWSKI
    14830 FAIRFIELD DRIVE
    GRANGER,IN46530     		NONE I SCHOLARSHIP 1,200
    BRODY REMBLE
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    JOLIE JOHNS
    C/O ST JOSEPH HIGH SCHOOL
    453 NORTH NOTRE DAME AVENUE
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 500
    SYDNEY SWARTZ
    58088 HERITAGE POINTE
    SOUTH BEND,IN46619     		NONE INDIVIDUAL SCHOLARSHIP 1,200
    ALEX KOKOT
    15347 ROSCOMMON LANE
    GRANGER,IN46530     		NONE I SCHOLARSHIP 1,200
    HALEY HOPSON
    3919 STONEGATE DRIVE
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    ALEXIS FELTY
    21417 MAYS DRIVE
    SOUTH BEND,IN46628     		NONE I SCHOLARSHIP 1,200
    MITCHELL KAZMIERZAK
    C/O ST JOSEPH HIGH SCHOOL
    453 NORTH NOTRE DAME AVENUE
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 500
    MIA MAIKE
    C/O ST JOSEPH HIGH SCHOOL
    453 NORTH NOTRE DAME AVENUE
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 500
    LUKE MATTHYS
    C/O ST JOSEPH HIGH SCHOOL
    453 NORTH NOTRE DAME AVENUE
    SOUTH BEND,IN46614     		NONE I SCHOLARSHIP 500
    MARYJANE NOLAN
    1628 DORWOOD DRIVE
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 1,200
    HANNAH FOSTER
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    THOMAS MURPHY
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    REINS OF LIFE INC
    55200 QUINCE ROAD
    SOUTH BEND,IN46619     		NONE PC GENERAL SUPPORT 500
    MAYELY MIRELES
    61470 MAYFLOWER ROAD
    SOUTH BEND,IN46614     		NONE I SCHOLARSHIP 1,200
    ANNE GORALCZYK
    59600 SATURN COURT
    SOUTH BEND,IN46614     		NONE I SCHOLARSHIP 1,200
    MICHAEL PRZYGODA
    C/O MARIAN HIGH SCHOOL
    13116 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    QUINN HARMACINSKI
    51638 MEDFIELD TRAIL
    SOUTH BEND,IN46628     		NONE I SCHOLARSHIP 1,200
    CASSIDY SWARTZ
    58088 HERITAGE POINT DRIVE
    SOUTH BEND,IN46619     		NONE I SCHOLARSHIP 1,200
    XAVIER BICKEL
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    ANNELIESE KUCELA
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    JUSTIN CLINE
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    KENNEDY SWOPE
    C/O ST JOSEPH HIGH SCHOOL
    1311 S LOGAN STREET
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 500
    ETHAN SZAJKO
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    EMMA KARCZEWSKI
    C/O SAINT JOSEPH HIGH SCHOOL
    453 NORTH NOTRE DAME AVENUE
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 500
    DANIEL CYR
    C/O ST JOSEPH HIGH SCHOOL
    1311 S LOGAN STREET
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 500
    CONNOR LITKA
    C/O SAINT JOSEPH HIGH SCHOOL
    453 NORTH NOTRE DAME AVENUE
    SOUTH BEND,IN46617     		NONE I SCHOLARSHIP 500
    MADELYN FELL
    C/O MARIAN HIGH SCHOOL
    1311 S LOGAN STREET
    MISHAWAKA,IN46544     		NONE I SCHOLARSHIP 500
    HOLY FAMILY CHURCH
    56405 MAYFLOWER ROAD
    SOUTH BEND,IN46619     		NONE PC GENERAL SUPPORT 750
    ST ANTHONY DE PADUA PARISH AND SCHOOL
    2310 E JEFFERSON BOULEVARD
    SOUTH BEND,IN46615     		NONE 501(C)(3) SUPPORT 750
    POLISH FALCONS OF AMERICA NEST 4
    DBA MR FALCONS NEST 4
    SOUTH BEND,IN46628     		NONE NC YOUTH FUND 700
    ZB FALCONS NEST 80
    YOUTH FUND
    323 SOUTH SHERIDAN
    SOUTH BEND,IN46628     		NONE NC YOUTH FUND 500
    ST VINCENT DE PAUL
    520 CRESCENT AVENUE
    SOUTH BEND,IN46617     		NONE PC GENERAL SUPPORT 1,000
    ST JOSEPH REGIONAL MEDICAL CENTER
    SR MAURA BRANNICK HEALTH CENTER
    5215 HOLY CROSS PARKWAY
    MISHAWAKA,IN46545     		NONE PC SISTER MAURA CHAPIN CENTER 500
    CHRIST THE KING
    52473 SR 933
    SOUTH BEND,IN46637     		NONE PC GENERAL SUPPORT 750
    OUR LADY OF HUNGARY CATHOLIC SCHOOL
    735 WEST CALVERT STREET
    SOUTH BEND,IN46613     		NONE PC GENERAL SUPPORT 750
    LOGAN CENTER
    2505 EAST JEFFERSON BLVD
    SOUTH BEND,IN46615     		NONE PC GENERAL SUPPORT 500
    ST JUDE PARISH
    19704 JOHNSON ROAD
    SOUTH BEND,IN46614     		NONE PC YOUTH SUMMER CAMP 500
    ST STANISLAUS KOSTKA CHURCH
    55756 TULIP ROAD
    NEW CARLISLE,IN46552     		NONE PC GENERAL SUPPORT 750
    WNIT
    MICHIANA PUBLIC BROADCASTING CORP
    300 WEST JEFFERSON
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 500
    ST AUGUSTINE'S SOUP KITCHEN
    1501 WEST WASHINGTON
    SOUTH BEND,IN46628     		NONE PC GENERAL SUPPORT 500
    SOUTH BEND CIVIC THEATRE
    403 NORTH MAIN STREET
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 500
    WOMEN'S CARE CENTER
    360 N NOTRE DAME AVENUE
    SOUTH BEND,IN46617     		NONE PC GENERAL SUPPORT 500
    CENTER FOR THE HOMELESS
    813 SOUTH MICHIGAN STREET
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 500
    FOREVER LEARNING INSTITUTE
    54191 IRONWOOD ROAD
    SOUTH BEND,IN46635     		NONE PC GENERAL SUPPORT 500
    NEIGHBORHOOD RESOURCES CORP NRC
    217 SOUTH MICHIGAN STREET
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT -500
    FOOD BANK OF NORTHERN INDIANA
    702 CHAPIN STREET
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 500
    ST MARGARET'S HOUSE
    117 NORTH LAFAYETTE BOULEVARD
    SOUTH BEND,IN46601     		NONE PC YOUTH FUND 500
    FRIENDS OF WVPE INC
    2424 CALIFORNIA ROAD
    ELKHART,IN46514     		NONE PC GENERAL SUPPORT 500
    SOUTH BEND SYMPHONY ORCHESTRA
    127 N MICHIGAN STREET
    SOUTH BEND,IN46601     		NONE PC GENERAL SUPPORT 1,000
    TAYLOR KOWALSKI
    1937 BERKLEY PLACE
    SOUTH BEND,IN46616     		NONE I SCHOLARSHIP 1,200
    YMCA OF MICHIANA INC
    905 N FRONT STREET
    NILES,MI49120     		NONE PC SUPPORT 300
    ST ANN CATHOLIC CHURCH
    421 N BROADWAY STREET
    CASSOPOLIS,MI49031     		NONE CHURCH SUPPORT 750
    HOLY FAMILY ADOPTION AGENCY
    C/O HOLY CROSS PARISH
    920 WILBER STREET
    SOUTH BEND,IN46628     		NONE PC GENERAL SUPPORT 500
    MISHAWAKA FOOD PANTRY INC
    315 LINCOLNWAY WEST
    MISHAWAKA,IN46544     		NONE PC GENERAL SUPPORT 400
    THE UPPER ROOM RECOVERY COMMUNITY
    333 N MAIN STREET
    SOUTH BEND,IN46601     		NONE PC SUPPORT 500
    QUEEN OF PEACE CHURCH
    4508 VISTULA ROAD
    MISHAWAKA,IN46544     		NONE PC GENERAL SUPPORT 200
    CHOPIN FINE ARTS CLUB
    2941 JAMESTOWN COURT N
    MISHAWAKA,IN46545     		NONE PC GENERAL SUPPORT 575
    Total .................................bullet 3a 42,975
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 27,085  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 16,934  
    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)..   44,019  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    44,019
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
    EIN:
    23-7355916
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEES 1,625 1,625    

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
    EIN:
    23-7355916
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FED INST HI YLD BOND FUND 20,450 21,289
    DODGE & COX INCOME FUND 147,786 159,182
    LORD ABBETT SHRT DUR INC-I    
    NUVEEN PREFERRED SECURIT-I 12,614 13,169
    VOYA STRATEGIC INC OPP-I 39,623 39,309
    NATIXIS LOOMIS SAY INV GR-Y 125,983 135,491
    VANGUARD TOTAL BD MKT IDX ADM 26,527 27,743

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
    EIN:
    23-7355916
    Name of Stock End of Year Book Value End of Year Fair Market Value
    FIDELITY CONTRA #022    
    ISHARES MSCI EAFE INDEX FD    
    AMER FNDS NEW WORLD F3 26,235 42,780
    T ROWE PRICE MID CAP GROWTH 18,407 35,967
    BOSTON PARTNERS INV ALL CAP VA 36,618 69,186
    VANGUARD 500 INDEX FUND-ADM 20,842 38,870
    STERLING CAP ST VAL-INS    
    OAKMARK INTERNATIONAL INST    
    SPDR S&P DIVIDEND ETF 40,922 46,080
    T ROWE PRICE NEW AMERICA GROWT 71,198 94,344
    FEDERATED MDT SM CAP CORE-IS 20,669 25,825
    ISHARES RUSSELL 1000 GROWTH 29,605 43,405
    WCM FOCUSED INTL GROWTH-INS 29,895 43,402

    TY 2020 InvestmentsGovtObligationsSch
    Name:
    KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
    EIN:
    23-7355916
    US Government Securities - End of Year Book Value:

    15,893
    US Government Securities - End of Year Fair Market Value:

    15,893
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2020 LegalFeesSchedule
    Name:
    KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
    EIN:
    23-7355916
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 145      


    TY 2020 OtherExpensesSchedule
    Name:
    KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
    EIN:
    23-7355916
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSES 4,312 0   0


    TY 2020 OtherIncreasesSchedule
    Name:
    KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
    EIN:
    23-7355916
    Description Amount
    DIFFERENCE DUE TO TIMING/ROUNDING 345


    TY 2020 TaxesSchedule
    Name:
    KAMINSKI SYLVESTER & TESSIE FDN XXX-XX-XXXX
    EIN:
    23-7355916
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL ESTIMATES - PRINCIPAL 1,200 0   0
    FOREIGN TAXES ON QUALIFIED FOR 53 0   0