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
CAPEK FAMILY FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)1234 WESTMOOR ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WINNETKA, IL60093
A Employer identification number

47-1864723
B Telephone number (see instructions)

(847) 441-3197
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$1,617,654
J 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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 6 6  
4 Dividends and interest from securities... 65,750 65,750  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 205,599
b Gross sales price for all assets on line 6a 362,960
7 Capital gain net income (from Part IV, line 2)... 205,599
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 271,355 271,355  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 19,691      
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 5,758      
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 174      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 25,623 0   0
25 Contributions, gifts, grants paid....... 254,000 254,000
26 Total expenses and disbursements. Add lines 24 and 25 279,623 0   254,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -8,268
b Net investment income (if negative, enter -0-) 271,355
c Adjusted net income (if negative, enter -0-)...  
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............. 19,943 71,150 71,150
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
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)....... 1,609,882 Click to see attachment1,546,504 1,546,504
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
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) 1,629,825 1,617,654 1,617,654
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........... 1,609,882 1,617,654
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........    
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)..... 1,609,882 1,617,654
30 Total liabilities and net assets/fund balances (see instructions). 1,609,882 1,617,654
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
1,609,882
2
Enter amount from Part I, line 27a .....................
2
-8,268
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
16,040
4
Add lines 1, 2, and 3 ..........................
4
1,617,654
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,617,654
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 SALE OF ACCENTURE PLC SHARES P 2016-05-10 2020-04-17
b SALE OF OTIS WORLDWIDE CORP SHARES P 2016-05-10 2020-04-17
c SALE OF STORE CAP CORP REIT SHARES P 2019-10-22 2020-04-17
d SALE OF KANSAS CITY STHN SHARES P 2018-01-08 2020-04-17
e SALE OF BOEING CO SHARES P 2019-07-15 2020-04-17
SALE OF COMCAST CORP SHARES P 2016-05-10 2020-08-10
SALE OF LAUDER ESTEE COS SHARES P 2019-02-04 2020-09-09
SALE OF MONDELEZ INTL SHARES P 2018-07-19 2020-11-19
SALE OF BLACKROCK INC SHARES P 2016-12-30 2020-04-17
SALE OF OTIS WORLDWIDE CORP SHARES P 2018-01-08 2020-04-17
SALE OF ADVANCE AUTO PARTS SHARES P 2018-01-10 2020-04-17
SALE OF LENNOX INTL SHARES P 2018-01-08 2020-04-17
SALE OF COSTCO WHOLESALE SHARES P 2019-07-15 2020-04-17
SALE OF COSTCO WHOLESALE SHARES P 2019-07-15 2020-08-10
SALE OF LOWES COMPANIES SHARES P 2016-05-10 2020-09-22
SALE OF ABBVIE INC SHARES D 2009-08-01 2020-02-20
SALE OF CARRIER GLOBAL CORP SHARES P 2016-05-10 2020-04-17
SALE OF OTIS WORLDWIDE CORP SHARES P 2018-03-12 2020-04-17
SALE OF ADVANCE AUTO PARTS SHARES P 2018-04-12 2020-04-17
SALE OF MASIMO CORP SHARES P 2019-02-04 2020-04-17
SALE OF ADOBE INC SHARES P 2018-01-08 2020-04-17
SALE OF DANAHER CORP SHARES P 2016-12-30 2020-08-10
SALE OF ROCKWELL AUTOMATION SHARES P 2016-05-10 2020-09-09
SALE OF ABBVIE INC SHARES D 2009-08-01 2020-06-15
SALE OF CARRIER GLOBAL CORP SHARES P 2018-01-08 2020-04-17
SALE OF OTIS WORLDWIDE CORP SHARES P 2019-02-04 2020-04-17
SALE OF AKAMAI TECHNOLOGIES SHARES P 2018-01-08 2020-04-17
SALE OF MCCORMICK & CO SHARES P 2018-01-08 2020-04-17
SALE OF ALPHABET INC CL A SHARES P 2018-01-08 2020-04-17
SALE OF FACEBOOK INC CL A SHARES P 2018-01-08 2020-08-10
SALE OF DANAHER CORP SHARES P 2016-12-30 2020-10-23
SALE OF ABBVIE INC SHARES D 2011-02-28 2020-06-15
SALE OF CARRIER GLOBAL CORP SHARES P 2018-03-12 2020-04-17
SALE OF PROCTER & GAMBLE SHARES P 2019-02-04 2020-04-17
SALE OF AMERICAN WATER WORKS SHARES P 2018-01-08 2020-04-17
SALE OF SS&C TECHNOLOGIES SHARES P 2018-04-12 2020-04-17
SALE OF DANAHER CORP SHARES P 2016-12-30 2020-04-17
SALE OF INTERCONTINENTAL EX SHARES P 2016-05-10 2020-08-10
SALE OF DANAHER CORP SHARES P 2016-12-30 2020-10-26
SALE OF ABBVIE INC SHARES D 2011-02-28 2020-07-17
SALE OF CARRIER GLOBAL CORP SHARES P 2019-02-04 2020-04-17
SALE OF REPUBLIC SERVICES SHARES P 2018-07-19 2020-04-17
SALE OF ARISTA NETWORKS SHARES P 2018-06-07 2020-04-17
SALE OF TAKE-TWO INTERACTIVE SHARES P 2018-11-13 2020-04-17
SALE OF HOME DEPOT INC SHARES P 2015-12-30 2020-04-17
SALE OF MICROSOFT CORP SHARES P 2018-07-19 2020-08-10
SALE OF DANAHER CORP SHARES P 2018-04-12 2020-10-26
SALE OF ABBVIE INC SHARES D 2011-02-28 2020-08-31
SALE OF COCA COLA SHARES P 2016-05-10 2020-04-17
SALE OF ROCKWELL AUTOMATION SHARES P 2016-05-10 2020-04-17
SALE OF BOOZ ALLEN HAMILTON SHARES P 2018-11-27 2020-04-17
SALE OF TECHNIPFMC SHARES P 2018-01-08 2020-04-17
SALE OF HOME DEPOT INC SHARES P 2016-05-10 2020-04-17
SALE OF O REILLY AUTOMOTIVE SHARES P 2016-05-10 2020-08-10
SALE OF ACCENTURE PLC SHARES P 2015-12-30 2020-11-18
SALE OF VIATRIS INC SHARES D 2010-05-06 2020-11-17
SALE OF HOME DEPOT INC SHARES P 2016-05-10 2020-04-17
SALE OF TEXAS INSTRUMENTS SHARES P 2018-01-08 2020-04-17
SALE OF CBOE GLOBAL MARKETS SHARES P 2018-01-08 2020-04-17
SALE OF TECHNIPFMC SHARES P 2018-01-10 2020-04-17
SALE OF HONEYWELL INTL SHARES P 2018-01-08 2020-04-17
SALE OF PARKER HANNIFIN CORP SHARES P 2018-01-08 2020-08-10
SALE OF ACCENTURE PLC SHARES P 2016-05-10 2020-11-19
SALE OF INTEL CORP SHARES P 2016-05-10 2020-04-17
SALE OF TRUIST FINANCIAL CORP SHARES P 2018-07-19 2020-04-17
SALE OF CENTENE CORP SHARES P 2018-01-08 2020-04-17
SALE OF TECHNIPFMC SHARES P 2018-01-23 2020-04-17
SALE OF INTERCONTINENTAL GR SHARES P 2016-05-10 2020-04-17
SALE OF THERMO FISHER SHARES P 2016-05-10 2020-08-10
SALE OF ADOBE INC SHARES P 2018-01-08 2020-11-18
SALE OF LOCKHEED MARTIN CORP SHARES P 2016-05-10 2020-04-17
MERGER/SALE OF ZAYO GROUP SHARES P 2018-01-23 2020-03-10
SALE OF EPAM SYSTEMS SHARES P 2018-01-08 2020-04-17
SALE OF TECHNIPFMC SHARES P 2018-06-07 2020-04-17
SALE OF LAUDER ESTEE COS CL A SHARES P 2019-02-04 2020-04-17
SALE OF WALT DISNEY CO SHARES P 2018-01-08 2020-08-10
SALE OF HONEYWELL INTL SHARES P 2018-01-08 2020-11-18
SALE OF MARSH & MCLENNAN SHARES P 2016-05-10 2020-04-17
MERGER/SALE OF ZAYO GROUP SHARES P 2018-04-12 2020-03-10
SALE OF EPAM SYSTEMS SHARES P 2018-01-10 2020-04-17
SALE OF TECHNIPFMC SHARES P 2018-07-19 2020-04-17
SALE OF LOWES COMPANIES SHARES P 2016-05-10 2020-04-17
SALE OF WALT DISNEY CO SHARES P 2019-02-04 2020-08-10
SALE OF HONEYWELL INTL SHARES P 2018-01-08 2020-11-19
SALE OF MCDONALDS CORP SHARES P 2016-05-10 2020-04-17
MERGER/SALE OF ZAYO GROUP SHARES P 2018-06-07 2020-03-10
SALE OF FORTINET INC SHARES P 2018-01-08 2020-04-17
SALE OF TECHNIPFMC SHARES P 2018-11-13 2020-04-17
SALE OF ROCKWELL AUTOMATION SHARES P 2016-05-10 2020-04-17
SALE OF WALT DISNEY CO SHARES P 2019-07-15 2020-08-10
SALE OF HONEYWELL INTL SHARES P 2018-01-08 2020-11-20
SALE OF MEDTRONIC PLC SHARES P 2018-01-08 2020-04-17
SALE OF ADVANCE AUTO PARTS SHARES P 2019-07-15 2020-04-17
SALE OF FORTINET INC SHARES P 2018-01-10 2020-04-17
SALE OF MATCH GROUP INC SHARES P 2019-02-04 2020-07-16
SALE OF VISA INC SHARES P 2018-01-08 2020-04-17
SALE OF ALPHABET INC CL A SHARES P 2018-01-08 2020-09-09
SALE OF MONDELEZ INTL SHARES P 2017-05-18 2020-11-18
SALE OF MICROSOFT CORP SHARES P 2018-01-08 2020-04-17
SALE OF DARDEN RESTAURANTS SHARES P 2019-07-15 2020-04-17
SALE OF HUDSON LTD SHARES P 2018-11-13 2020-04-17
SALE OF VONTIER CORP SHARES P 2020-04-17 2020-10-09
SALE OF WALT DISNEY CO SHARES P 2018-06-29 2020-04-17
SALE OF COMCAST CORP SHARES P 2016-05-10 2020-09-22
SALE OF MONDELEZ INTL SHARES P 2017-05-18 2020-11-19
SALE OF NEXTERA ENERGY INC SHARES P 2018-03-12 2020-04-17
SALE OF LABORATORY CORP SHARES P 2019-07-15 2020-04-17
SALE OF IAC INTERACTIVE CORP SHARES P 2019-02-04 2020-04-17
SALE OF VONTIER CORP SHARES P 2020-04-17 2020-10-09
SALE OF WALT DISNEY CO SHARES P 2018-01-08 2020-04-17
SALE OF HOME DEPOT INC SHARES P 2016-05-10 2020-09-22
SALE OF MONDELEZ INTL SHARES P 2018-01-12 2020-11-19
(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 690   466 224
b 698   798 -100
c 1,094   2,460 -1,366
d 969   764 205
e 3,606   8,695 -5,089
1,332   965 367
1,096   684 412
458   338 120
1,436   1,142 294
70   104 -34
352   331 21
1,323   1,493 -170
1,583   1,401 182
2,714   2,242 472
1,287   615 672
93,962   23,406 70,556
399   570 -171
47   69 -22
235   222 13
400   251 149
3,427   1,854 1,573
1,425   545 880
897   452 445
23,228   5,945 17,283
40   74 -34
23   31 -8
312   197 115
1,708   1,133 575
1,273   1,118 155
2,654   1,883 771
700   234 466
22,496   6,097 16,399
27   49 -22
730   586 144
2,346   1,572 774
51   51  
466   234 232
1,090   572 518
233   78 155
19,952   4,957 14,995
13   22 -9
553   481 72
1,859   2,433 -574
617   550 67
207   134 73
4,795   2,398 2,397
466   199 267
95,114   24,785 70,329
571   549 22
167   113 54
381   257 124
572   2,292 -1,720
3,309   2,195 1,114
926   536 390
967   423 544
16   7 9
1,451   961 490
334   329 5
708   900 -192
298   1,222 -924
137   149 -12
1,619   1,641 -22
484   233 251
1,690   839 851
420   696 -276
1,708   1,255 453
24   103 -79
356   208 148
1,655   594 1,061
1,389   556 833
1,940   1,220 720
2,800   2,896 -96
834   441 393
40   171 -131
1,683   1,369 314
1,436   1,210 226
1,419   1,040 379
873   577 296
245   251 -6
625   329 296
81   311 -230
192   154 38
2,871   2,447 424
806   594 212
727   527 200
1,680   1,722 -42
1,102   446 656
40   122 -82
332   226 106
261   290 -29
404   297 107
203   171 32
469   635 -166
771   309 462
36   25 11
1,659   1,203 456
3,094   2,236 858
643   495 148
4,756   2,388 2,368
557   1,132 -575
685   2,786 -2,101
17   13 4
523   485 38
1,234   841 393
229   180 49
3,368   2,154 1,214
435   524 -89
2,438   2,317 121
17   13 4
209   220 -11
1,362   686 676
229   170 59
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       224
b       -100
c       -1,366
d       205
e       -5,089
      367
      412
      120
      294
      -34
      21
      -170
      182
      472
      672
      70,556
      -171
      -22
      13
      149
      1,573
      880
      445
      17,283
      -34
      -8
      115
      575
      155
      771
      466
      16,399
      -22
      144
      774
       
      232
      518
      155
      14,995
      -9
      72
      -574
      67
      73
      2,397
      267
      70,329
      22
      54
      124
      -1,720
      1,114
      390
      544
      9
      490
      5
      -192
      -924
      -12
      -22
      251
      851
      -276
      453
      -79
      148
      1,061
      833
      720
      -96
      393
      -131
      314
      226
      379
      296
      -6
      296
      -230
      38
      424
      212
      200
      -42
      656
      -82
      106
      -29
      107
      32
      -166
      462
      11
      456
      858
      148
      2,368
      -575
      -2,101
      4
      38
      393
      49
      1,214
      -89
      121
      4
      -11
      676
      59
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 2 205,599
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 -7,095
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 3,772
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  
3 Add lines 1 and 2........................... 3 3,772
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 3,772
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 3,110
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 3,110
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 662
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet   RefundedBullet 11  
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)
    bulletIL
    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 addressbulletN/A
    14
    The books are in care ofbulletJOHN M CAPEK Telephone no.bullet (847) 441-3197

    Located atbullet1234 WESTMOOR ROADWINNETKAIL ZIP+4bullet60093
    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
     
     
    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
     
     
    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
    JOHN M CAPEK PRESIDENT
    2.00
    0 0 0
    1234 WESTMOOR ROAD
    WINNETKA,IL60093
    CARLA A VANDERMATE-CAPEK TRUSTEE/DIRE
    1.00
    0 0 0
    18150 RODEO CREEK HOLLOW
    SARATOGA,CA95070
    THOMAS G CAPEK TRUSTEE/DIRE
    1.00
    0 0 0
    72000 GRAY GABLES LANE
    WILMINGTON,NC28403
    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  
    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.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    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 N/A  
    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
    1,460,828
    b
    Average of monthly cash balances.......................
    1b
    59,241
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,520,069
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,520,069
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    22,801
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,497,268
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    74,863
    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
    74,863
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    3,772
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,772
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    71,091
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    71,091
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    71,091
    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
    254,000
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    254,000
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    254,000
    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 71,091
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016...... 8,483
    c From 2017......  
    d From 2018...... 85,407
    e From 2019...... 86,690
    fTotal of lines 3a through e........ 180,580
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 254,000
    a Applied to 2019, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2020 distributable amount..... 71,091
    e Remaining amount distributed out of corpus 182,909
    5 Excess distributions carryover applied to 2020.    
    (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 5 363,489
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    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......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    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) .......
     
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    363,489
    10 Analysis of line 9:
    a Excess from 2016.... 8,483
    b Excess from 2017....  
    c Excess from 2018.... 85,407
    d Excess from 2019.... 86,690
    e Excess from 2020.... 182,909
    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
    RENSSELAER POLYTECHNIC INSTITUTE
    110 EIGHTH STREET
    110 EIGHTH STREET
    TROY,NY12180
        CHARITABLE PROGRAMS 10,000
    AMERICAN CHRISTIAN SCHOOL
    345 S MAIN STREET
    345 S MAIN STREET
    WHARTON,NJ07885
        SCHOLARSHIP AWARD 10,000
    JACK BRUNDAGE
    97 W MAIN STREET
    97 W MAIN STREET
    ST JOHNSVILLE,NY13452
        SCHOLARSHIP FOR TUITION 2,000
    COLLEGE ONEONTA FOUNDATION
    108 RAVINE PARKWAY
    108 RAVINE PARKWAY
    ONEONTA,NY13820
        SCHOLARSHIP AWARD 10,000
    OESJ CENTRAL SCHOOL DISTRICT
    44 CENTER STREET
    44 CENTER STREET
    ST JOHNSVILLE,NY13452
        MUSIC PROGRAM DONATION 10,000
    RENSSELAER POLYTECHNIC INSTITUTE
    110 EIGHTH STREET
    110 EIGHTH STREET
    TROY,NY12180
        SCHOLARSHIP PROGRAM 100,000
    VON BAKER
    235 CHURCH STREET
    235 CHURCH STREET
    ST JOHNSVILLE,NY13452
        SCHOLARSHIP AWARD 2,000
    RENSSELAER ANNUAL FUND
    110 EIGHTH STREET
    110 EIGHTH STREET
    TROY,NY12180
        FUND DONATION 10,000
    RENSSELAER POLYTECHNIC INSTITUTE
    110 EIGHTH STREET
    110 EIGHTH STREET
    TROY,NY12180
        COVID TESTING PROGRAM 100,000
    Total .................................bullet 3a 254,000
    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 ...........
            6
    4 Dividends and interest from securities....         65,750
    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 ............
            205,599
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aBANK FEES REFUND
             
    bCASH IN LIEU OF SHARES          
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..     271,355
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    271,355
    (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.)
    8 GAIN FROM SALE OF ASSETS BY FINANCIAL INSTITUTION
    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 InvestmentsCorpStockSchedule
    Name:
    CAPEK FAMILY FOUNDATION INC
    EIN:
    47-1864723
    Name of Stock End of Year Book Value End of Year Fair Market Value
    114 SHARES OF AT&T STOCK 3,279 3,279
    50 SHARES OF 3M STOCK 8,740 8,740
    145 SHARES OF PFIZER, INC. STOCK 5,337 5,337
    23 SHARES OF LOCKHEED MARTIN STOCK    
    52 SHARES OF VF CORP STOCK    
    154 SHARES OF COMCAST STOCK    
    33 SHARES OF ADVANCE AUTO STOCK    
    53 SHARES OF AKAMAI TECH STOCK    
    22 SHARES OF ALEXANDRIA RE EQ STOCK    
    50 SHARES OF AMERICAN WATER STOCK    
    21 SHARES OF ARISTA NETWORKS STOCK    
    69 SHARES OF BOOZ ALLEN HAM STOCK    
    59 SHARES OF CBOE GLB MRKTS STOCK    
    98 SHARES OF CENTENE CORP STOCK    
    142 SHARES OF CITIZENS FIN STOCK    
    55 SHARES OF DARDEN REST INC STOCK    
    34 SHARES OF EPAM SYSTEMS STOCK    
    67 SHARES OF FMC CORP STOCK    
    39 SHARES OF FORTINET INC STOCK    
    96 SHARES OF HOULIHAN LOKEY STOCK    
    141 SHARES OF HUDSON LTD STOCK    
    28 SHARES OF HUNTINGTON ING STOCK 4,773 4,773
    26 SHARES OF IAC INTERACTIVE STOCK    
    23 SHARES OF INTL FLAVORS&FRAG STOCK    
    30 SHARES OF JAZZ PHARMA STOCK    
    56 SHARES KANSAS CITY STHN STOCK    
    29 SHARES OF LABORATORY CORP STOCK    
    18 SHARES OF LENNOX INTL STOCK    
    126 SHARES OF LOGITECH INTL STOCK 12,246 12,246
    28 SHARES OF MASIMO CORP STOCK    
    32 SHARES OF MCCORMICK & CO STOCK    
    42 SHARES OF NORTHERN TRUST STOCK    
    53 SHARES OF OLLIE'S BARGAIN STOCK    
    15 SHARES OF PALO ALTO NET STOCK    
    134 SHARES OF SERVICE CORP STOCK    
    68 SHARES OF SS&C TECH HLDS STOCK    
    64 SHARES OF STORE CAP CORP STOCK    
    39 SHARES OF TAKE-TWO INT STOCK    
    131 SHARES OF TECHNIPFMC STOCK    
    10 SHARES OF TELEFLEX INC STOCK    
    135 SHARES OF ZAYO GROUP HLDS STOCK    
    39 SHARES OF ACCENTURE STOCK    
    31 SHARES OF AMER ELEC POW STOCK    
    8 SHARES OF BLACKROCK INC STOCK    
    32 SHARES OF CHEVRON CORP STOCK    
    32 SHARES OF CHUBB LTD STOCK    
    154 SHARES OF COCA COLA STOCK    
    193 SHARES OF COMCAST CORP STOCK    
    37 SHARES OF CRANE CO STOCK 2,873 2,873
    37 SHARES OF DIAGEO PLC STOCK    
    40 SHARES OF HOME DEPOT STOCK    
    179 SHARES OF INTEL CORP STOCK    
    57 SHARES OF JOHNSON & JOHN STOCK    
    58 SHARES OF JPMORGAN & CHASE STOCK    
    30 SHARES OF LINDE PLC STOCK 7,905 7,905
    61 SHARES OF MARSH & MCLENN STOCK    
    36 SHARES OF MCDONALDS STOCK    
    66 SHARES OF MEDTRONIC PLC STOCK    
    114 SHARES OF MICROSOFT CORP STOCK    
    30 SHARES OF NEXTERA ENERGY STOCK    
    73 SHARES OF NOVARTIS AG STOCK    
    66 SHARES OF PROCTER & GAM STOCK    
    45 SHARES OF REPUBLIC SERVICES INC    
    20 SHARES OF ROCKWELL AUTO STOCK    
    130 SHARES OF SUNCOR ENERGY STOCK    
    37 SHARES OF TEXAS INST STOCK    
    89 SHARES OF TRUIST FINL CORP STOCK    
    17 SHARES OF UNION PACIFIC STOCK    
    36 SHARES OF UNITED TECH STOCK    
    8,754 SHARES OF ABBVIE INC STOCK    
    223,447 UNITS OF RREF III-U DEBT DOM    
    38 SHARES OF ACCENTURE PLC STOCK    
    31 SHARES OF ADOBE INC STOCK    
    15 SHARES OF ALPHABET CL A STOCK    
    7 SHARES OF AMAZON.COM STOCK    
    17 SHARES OF AMER TOWER CORP STOCK    
    24 SHARES OF AMERIPRISE FIN STOCK    
    24 SHARES OF BOEING CO STOCK    
    21 SHARES OF COSTCO CORP STOCK    
    42 SHARES OF DANAHER CORP STOCK    
    60 SHARES OF FACEBOOK INC STOCK    
    33 SHARES OF FIDELITY NATL STOCK    
    42 SHARES OF HOME DEPOT STOCK    
    35 SHARES OF HONEYWELL INTL STOCK    
    55 SHARES OF INTERCONTINENTAL STOCK    
    27 SHARES OF LAUDER ESTEE STOCK    
    47 SHARES OF LOWES COS STOCK    
    56 SHARES OF MEDTRONIC PLC STOCK    
    142 SHARES OF MICROSOFT CORP STOCK    
    78 SHARES OF MONDELEZ INTL STOCK    
    12 SHARES OF O'REILLY AUTO STOCK    
    18 SHARES OF PARKER HANNIFIN STOCK    
    18 SHARES OF ROCKWELL AUTO STOCK    
    21 SHARES OF THERMO FISHER STOCK    
    83 SHARES OF TJX COS STOCK    
    34 SHARES OF UNITEDHEALTH GR STOCK    
    58 SHARES OF VISA INC STOCK    
    42 SHARES OF WALT DISNEY CO STOCK    
    35 SHARES OF ACCENTURE PLC STOCK 9,142 9,142
    42 SHARES OF AMERICAN ELEC PWR STOCK 3,497 3,497
    5 SHARES OF BLACKROCK INC STOCK 3,608 3,608
    34 SHARES OF CHEVRON CORP STOCK 2,871 2,871
    42 SHARES OF CHUBB LTD STOCK 6,465 6,465
    147 SHARES OF CISCO SYSTEMS STOCK 6,578 6,578
    142 SHARES OF COCA COLA CO STOCK 7,787 7,787
    202 SHARES OF COMCAST CORP STOCK 10,585 10,585
    39 SHARES OF DIAGEO PLC STOCK 6,194 6,194
    33 SHARES OF HOME DEPOT STOCK 8,765 8,765
    151 SHARES OF INTEL CORP STOCK 7,523 7,523
    65 SHARES OF JOHNSON & JOHNSON STOCK 10,230 10,230
    59 SHARES OF JPMORGAN & CHASE STOCK 7,497 7,497
    18 SHARES OF LOCKHEED MARTIN STOCK 6,390 6,390
    52 SHARES OF MARSH & MCLENNAN STOCK 6,084 6,084
    32 SHARES OF MCDONALDS CORP STOCK 6,867 6,867
    64 SHARES OF MEDTRONIC PLC STOCK 7,497 7,497
    87 SHARES OF MICROSOFT CORP STOCK 19,351 19,351
    64 SHARES OF NEXTERA ENERGY STOCK 4,938 4,938
    89 SHARES OF NOVARTIS AG STOCK 8,404 8,404
    60 SHARES OF PROCTER & GAMBLE STOCK 8,348 8,348
    60 SHARES OF RAYTHEON TECH STOCK 4,291 4,291
    38 SHARES OF REPUBLIC SERVICES STOCK 3,659 3,659
    19 SHARES OF ROCKWELL AUTO STOCK 4,765 4,765
    172 SHARES OF SUNCOR ENERGY STOCK 2,886 2,886
    34 SHARES OF TEXAS INSTRUMENTS STOCK 5,580 5,580
    76 SHARES OF TRUIST FINANCIAL STOCK 3,643 3,643
    36 SHARES OF UNION PACIFIC STOCK 7,496 7,496
    78 SHARES OF VF CORP STOCK 6,662 6,662
    24 SHARES OF ADVANCE AUTO STOCK 3,780 3,780
    50 SHARES OF AKAMAI TECH STOCK 5,250 5,250
    33 SHARES OF ALEXANDRIA RE STOCK 5,881 5,881
    32 SHARES OF AMERICAN WATER STOCK 4,911 4,911
    12 SHARES OF ARISTA NETWORKS STOCK 3,487 3,487
    64 SHARES OF BOOZ ALLEN HAM STOCK 5,580 5,580
    52 SHARES OF CBOE GLOBAL STOCK 4,842 4,842
    74 SHARES OF CENTENE CORP STOCK 4,442 4,442
    67 SHARES OF CHURCH & DWIGHT STOCK 5,844 5,844
    215 SHARES OF CITIZENS FIN GR STOCK 7,688 7,688
    46 SHARES OF DARDEN RESTAURANT STOCK 5,480 5,480
    27 SHARES OF EPAM SYSTEMS STOCK 9,675 9,675
    82 SHARES OF FMC CORP STOCK 9,424 9,424
    22 SHARES OF FORTINET INC STOCK 3,268 3,268
    94 SHARES OF FORTIVE CORP STOCK 6,657 6,657
    97 SHARES OF HOULIHAN LOKEY STOCK 6,521 6,521
    15 SHARES OF IAC/INTERACTIVE STOCK 2,840 2,840
    44 SHARES OF INTL FLAVORS STOCK 4,789 4,789
    32 SHARES OF JAZZ PHARMA STOCK 5,282 5,282
    49 SHARES OF KANSAS CITY STHN STOCK 10,002 10,002
    26 SHARES OF LABORATORY CORP STOCK 5,292 5,292
    11 SHARES OF LENNOX INTL STOCK 3,014 3,014
    26 SHARES OF MASIMO CORP STOCK 6,978 6,978
    32 SHARES OF MATCH GROUP STOCK 4,838 4,838
    42 SHARES OF MCCORMICK & CO STOCK 4,015 4,015
    51 SHARES OF NORTHERN TRUST STOCK 4,750 4,750
    66 SHARES OF OLLIE'S BARGAIN STOCK 5,397 5,397
    24 SHARE OF PALO ALTO NETWORKS STOCK 8,529 8,529
    45 SHARES OF RPM INTL STOCK 4,085 4,085
    135 SHARES OF SERVICE CORP STOCK 6,629 6,629
    67 SHARES OF SS&C TECH STOCK 4,874 4,874
    34 SHARES OF TAKE-TWO INTER STOCK 7,065 7,065
    13 SHARES OF TELEFLEX INC STOCK 5,350 5,350
    37 SHARES OF VONTIER CORP STOCK 1,236 1,236
    32 SHARES OF ACCENTURE PLC STOCK 8,359 8,359
    18 SHARES OF ADOBE INC STOCK 9,002 9,002
    12 SHARES OF ALPHABET INC CL A STOCK 21,032 21,032
    8 SHARES OF AMAZON INC STOCK 26,055 26,055
    31 SHARES OF AMERICAN TOWER STOCK 6,958 6,958
    36 SHARES OF AMERIPRISE FIN STOCK 6,996 6,996
    134 SHARES OF APPLE INC STOCK 17,780 17,780
    123 SHARES OF COMCAST CORP STOCK 6,445 6,445
    8 SHARES OF COSTCO WHOLESALE STOCK 3,014 3,014
    26 SHARES OF DANAHER CORP STOCK 5,776 5,776
    23 SHARES OF DOLLAR GENERAL STOCK 4,837 4,837
    62 SHARES OF FACEBOOK INC STOCK 16,936 16,936
    51 SHARES OF FIDELITY NATL STOCK 7,214 7,214
    20 SHARES OF HOME DEPOT STOCK 5,312 5,312
    28 SHARES OF HONEYWELL INTL STOCK 5,956 5,956
    40 SHARES OF INTERCONTINENTAL STOCK 4,612 4,612
    12 SHARES OF LAUDER ESTEE COS STOCK 3,194 3,194
    37 SHARES OF LOWES COMPANIES STOCK 5,939 5,939
    65 SHARES OF MEDTRONIC PLC STOCK 7,614 7,614
    122 SHARES OF MICROSOFT CORP STOCK 27,135 27,135
    69 SHARES OF MONDELEZ INTL STOCK 4,034 4,034
    13 SHARES OF O'REILLY AUTO STOCK 5,883 5,883
    25 SHARES OF PARKER HANNIFIN STOCK 6,810 6,810
    12 SHARES OF ROCKWELL AUTO STOCK 3,010 3,010
    29 SHARES OF SALESFORCE.COM STOCK 6,453 6,453
    7 SHARES OF SHERWIN WILLIAMS STOCK 5,144 5,144
    20 SHARES OF THERMO FISHER STOCK 9,316 9,316
    102 SHARES OF TJX COS STOCK 6,966 6,966
    37 SHARES OF UNITEDHEALTH GR STOCK 12,975 12,975
    52 SHARES OF VISA INC STOCK 11,374 11,374
    6,054 SHARES OF ABBVIE INC STOCK 648,686 648,686
    17 SHARES OF VIATRIS INC STOCK 319 319
    194,917 SHARES OF RREF III-U STOCK 194,917 194,917

    TY 2020 LegalFeesSchedule
    Name:
    CAPEK FAMILY FOUNDATION INC
    EIN:
    47-1864723
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 19,691      


    TY 2020 OtherIncreasesSchedule
    Name:
    CAPEK FAMILY FOUNDATION INC
    EIN:
    47-1864723
    Description Amount
    INCREASE IN VALUE PER SALE OF SECURITIES 16,040


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    CAPEK FAMILY FOUNDATION INC
    EIN:
    47-1864723
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FINANCIAL SERVICES FEE 5,758      
    LOAN EXPENSE FEE        
    INVESTMENT FUND FEES        
    LEGAL DIRECT COSTS/EXPENSES        


    TY 2020 TaxesSchedule
    Name:
    CAPEK FAMILY FOUNDATION INC
    EIN:
    47-1864723
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    IL SECRETARY OF STATE 15      
    ILLINOIS CHARITY BUREAU FUND 10      
    DEPARTMENT OF THE TREASURY        
    FOREIGN TAX WITHHOLDING 149