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
THE FERMATA CHARITABLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)130 N LINCOLN AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LOMBARD, IL60148
A Employer identification number

20-7034733
B Telephone number (see instructions)

(415) 288-7554
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$7,098,140
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) 270,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 61,153 57,274  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 342,280
b Gross sales price for all assets on line 6a 3,193,097
7 Capital gain net income (from Part IV, line 2)... 342,280
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)....... 3,911 3,911  
12 Total. Add lines 1 through 11........ 677,344 403,465  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 5,000 3,000 0 2,000
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 1,375 1,024   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)....... 50,414 50,414   62
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 56,789 54,438 0 2,062
25 Contributions, gifts, grants paid....... 644,900 644,900
26 Total expenses and disbursements. Add lines 24 and 25 701,689 54,438 0 646,962
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -24,345
b Net investment income (if negative, enter -0-) 349,027
c Adjusted net income (if negative, enter -0-)... 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.............      
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)      
b Investments—corporate stock (attach schedule).......      
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).......... 4,187,874 Click to see attachment4,159,050 7,098,140
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) 4,187,874 4,159,050 7,098,140
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........ 4,187,874 4,159,050
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)..... 4,187,874 4,159,050
30 Total liabilities and net assets/fund balances (see instructions). 4,187,874 4,159,050
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
4,187,874
2
Enter amount from Part I, line 27a .....................
2
-24,345
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
16,988
4
Add lines 1, 2, and 3 ..........................
4
4,180,517
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
21,467
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,159,050
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 57. ABB LTD ADR   2020-07-23 2020-09-21
b .64 INVESCO AIM DEVELOPING MARKETS Y   2019-03-21 2020-04-16
c 1443.755 INVESCO AIM DEVELOPING MARKETS Y   2019-03-21 2020-07-27
d 2160.245 INVESCO AIM DEVELOPING MARKETS Y   2019-03-21 2020-09-21
e 145. ABBVIE INC   2020-05-18 2020-09-23
74. ALIBABA GROUP HLDG LTD SPONSORED ADS   2019-09-10 2020-05-26
1455. ALLIANCE BERNSTEIN HLDGS LP   2016-02-11 2020-03-17
10. ALPHABET INC CAP STK CL A   2018-11-16 2020-09-14
10. ALPHABET INC CAP STK CL A   2018-11-16 2020-10-16
54. AMAZON.COM INC   2016-09-26 2020-03-10
65. AMERICA MOVIL SERIES L   2020-05-21 2020-09-21
27. ANHEUSER BUSCH INBEV SA/NV SPON ADR   2020-04-21 2020-09-21
32. ANTHEM INC   2018-02-07 2020-07-29
805. APOLLO GLOBAL MGMT INC CL A   2016-02-11 2020-03-23
43. APPLE INC   2020-03-23 2020-05-18
194. AUTOMATIC DATA PROCESSING INC COMMON   2019-02-12 2020-08-03
18. BNP PARIBAS SPONSORED ADR   2020-03-04 2020-10-27
40000. BANK OF NOVA SCOTIA BC ACCELERATED RETUR   2019-05-30 2020-07-31
141. BAXTER INTL INC COM   2019-03-27 2020-05-07
10. BEIGENE LTD SPONSORED ADR   2019-04-01 2020-03-04
1086. BLACKSTONE MTG TR INC   2016-02-11 2020-03-17
15000. BANK OF AMERICA FINANCE LLC MARKET-LINKED STEP UP NOTES 06/26/2   2019-04-25 2020-06-26
21000. BANK OF AMERICA FINANCE LLC ACCELERATED RETURN NOTES 09/25/2020   2019-07-25 2020-09-25
1. BANK OF AMERICA   2018-11-29 2020-01-31
23. BANK OF AMERICA   2019-08-28 2020-01-31
50. BANK OF AMERICA   2019-03-22 2020-01-31
56. BANK OF AMERICA   2019-03-22 2020-01-31
6650. BANK OF AMERICA   2018-11-29 2020-01-31
129. BANK OF AMERICA   2019-03-22 2020-02-05
172. BROADCOM INC   2018-09-18 2020-03-10
210. BROADCOM INC   2018-10-09 2020-03-10
18. CANADIAN NATIONAL RY CO   2019-03-21 2020-03-04
213. CAPITAL ONE FINANCIAL CORP   2018-05-16 2020-05-07
995. CARLYLE GROUP INC   2017-08-23 2020-03-23
60. CARRIER GLOBAL CORPORATION   2018-08-14 2020-05-20
196. CHEVRON CORP   2020-11-24 2020-12-23
418. CISCO SYSTEMS   2016-03-09 2020-03-17
424. CISCO SYSTEMS   2019-09-26 2020-05-07
419. COCA COLA CO COM   2019-08-05 2020-07-29
67. COCA COLA CO COM   2020-05-07 2020-10-19
266. COCA COLA CO COM   2019-08-05 2020-10-19
273. COCA COLA CO COM   2020-05-07 2020-11-03
18. CONSTELLATION BRANDS INC   2019-04-23 2020-05-07
67. CONSTELLATION BRANDS INC   2019-07-12 2020-05-07
97. CROWN CASTLE INTL CORP   2018-03-23 2020-10-19
50. DANONE ADR   2020-03-04 2020-10-27
46. DENSO CORP ADR   2020-03-04 2020-05-01
2. DIAGEO P L C SPON ADR NEW   2020-03-04 2020-03-11
212. DISNEY WALT CO DISNEY WALT CO COM   2019-07-31 2020-03-10
158. DISNEY WALT CO DISNEY WALT CO COM   2019-01-31 2020-03-10
650. DISNEY WALT CO DISNEY WALT CO COM   2019-02-28 2020-03-10
334. DISNEY WALT CO DISNEY WALT CO COM   2020-04-13 2020-05-05
254. DISNEY WALT CO DISNEY WALT CO COM   2019-01-08 2020-05-07
28. DISNEY WALT CO DISNEY WALT CO COM   2019-06-07 2020-05-07
32. DOCUSIGN INC   2020-05-07 2020-09-14
55. DOCUSIGN INC   2020-05-07 2020-10-19
415. EPR PPTYS   2015-03-12 2020-04-02
63. ENBRIDGE INC   2019-03-29 2020-03-04
814. ENBRIDGE INC   2019-02-12 2020-04-02
45. ENBRIDGE INC   2020-09-21 2020-11-11
15. ENBRIDGE INC   2019-03-29 2020-11-11
96. ENGIE SPONS ADR   2020-06-22 2020-09-21
145. EXPEDIA GROUP INC   2017-05-03 2020-03-10
240. EXPEDIA GROUP INC   2018-11-05 2020-05-07
99. EXXON MOBIL CORP   2018-02-26 2020-03-10
94. FIDELITY NATIONAL INFO SVCS INC   2019-09-10 2020-06-29
9. FIRST TR EXCHANGE-TRADED FD IV FST LOW O   2020-01-23 2020-10-15
12. FLUTTER ENTMT PLC UNSPONSORED ADR   2020-07-23 2020-09-21
65. GIVAUDAN SA ADR   2019-10-15 2020-03-04
120. GRANITESHARES GOLD TR SHS BEN INT   2019-03-21 2020-01-02
490. GRANITESHARES GOLD TR SHS BEN INT   2019-01-08 2020-02-06
113. GRANITESHARES GOLD TR SHS BEN INT   2019-03-21 2020-11-16
61. HDFC BANK LTD ADR REPS 3 SHS   2019-03-21 2020-03-04
85. HOME DEPOT INC   2020-10-16 2020-12-23
3. HONEYWELL INTL INC   2018-11-13 2020-09-14
45. HONEYWELL INTL INC   2020-05-20 2020-09-14
40. HUTCHISON CHINA MEDITECH LTD SPONSORED A   2019-03-21 2020-03-04
46. HUTCHISON CHINA MEDITECH LTD SPONSORED A   2020-07-01 2020-09-21
9. HUTCHISON CHINA MEDITECH LTD SPONSORED A   2019-03-21 2020-09-21
17. IMPERIAL BRANDS PLC ADR   2020-03-04 2020-03-18
6. INTERCONTINENTAL HOTELS GROUP   2020-03-04 2020-06-22
157. INVESCO   2020-06-10 2020-10-15
17. ISHARES GLOBAL HEALTHCARE ETF   2019-03-21 2020-04-08
13. ISHARES GLOBAL HEALTHCARE ETF   2019-01-08 2020-06-10
61. ISHARES BARCLAYS 1-3 YEAR TREASURY BOND   2018-03-21 2020-01-23
5. ISHARES BARCLAYS 1-3 YEAR TREASURY BOND   2019-06-21 2020-02-28
15. ISHARES BARCLAYS 1-3 YEAR TREASURY BOND   2019-06-21 2020-06-10
101. ISHARES BARCLAYS 1-3 YEAR TREASURY BOND   2019-06-21 2020-10-15
140. ISHARES SHORT-TERM CORPORATE BOND ETF   2020-06-10 2020-10-15
16. ISHARES TR MSCI CHINA IDX   2017-11-01 2020-06-10
19. JP MORGAN CHASE & CO   2017-06-21 2020-10-19
5. JARDINE MATHESON HLDGS LTD   2020-03-04 2020-06-22
60. KANSAS CITY SOUTHERN   2018-08-14 2020-11-24
83. KERING S A ADR   2020-05-01 2020-09-21
784. KEURIG DR PEPPER INC   2018-10-31 2020-05-07
908. KINDER MORGAN INC   2018-04-11 2020-09-23
489. KINDER MORGAN INC   2018-04-11 2020-10-16
18. KONINKLIJKE PHILIPS N.V. ADR   2020-03-04 2020-03-25
.968 KONINKLIJKE PHILIPS N.V. ADR   2020-05-01 2020-07-08
47. KONINKLIJKE PHILIPS N.V. ADR   2020-05-01 2020-09-21
78. LLOYDS BANKING GROUP PLC ADR   2020-03-04 2020-04-21
41. LOCKHEED MARTIN CORP   2019-07-12 2020-10-19
29. LOCKHEED MARTIN CORP   2014-07-29 2020-10-19
10. LONDON STK EXCHANGE GROUP ADR   2020-03-04 2020-03-11
398. LULULEMON ATHLETICA INC   2018-10-09 2020-03-10
24. LULULEMON ATHLETICA INC   2018-10-09 2020-10-19
2. MERCADOLIBRE INC   2019-03-21 2020-03-04
88. MICROSOFT CORP   2020-03-23 2020-05-18
37. NASPERS LTD   2019-03-21 2020-02-14
17. NESTLE S A SPONSORED ADR   2020-03-18 2020-09-21
170. NETFLIX INC   2016-08-11 2020-03-10
1624. NEW RESIDENTIAL INVT CORP   2018-03-16 2020-01-03
73. NEXTERA ENERGY INC   2019-06-07 2020-09-21
92. NITORI HOLDINGS CO LTD   2020-07-01 2020-09-21
4. NOVARTIS AG SPONSORED ADR   2020-03-04 2020-11-05
30. OTIS WORLDWIDE CORP   2018-08-14 2020-05-20
439. PAYCHEX INC   2020-04-09 2020-08-07
365. PAYPAL HLDGS INC   2018-11-05 2020-05-07
33. PEPSICO INC   2020-03-18 2020-10-19
147. PROLOGIS INC   2019-07-12 2020-10-19
252. PROSUS NV   2020-02-06 2020-03-04
36. PROSUS NV   2020-02-06 2020-03-11
60. RAYTHEON TECHNOLOGIES CORP   2018-08-14 2020-05-20
43. REGENERON PHARMACEUTICALS   2020-05-07 2020-09-23
18. REGENERON PHARMACEUTICALS   2020-05-07 2020-12-23
161. ROSS STORES INC   2019-07-12 2020-05-07
70. ROYAL DUTCH SHELL PLC SPONSORED ADR   2018-11-13 2020-03-04
70. SVB FINANCIAL CORPORATION   2018-04-26 2020-05-07
635. SALESFORCE COM INC   2018-03-29 2020-03-10
14. SAMPO OYJ ADR   2020-03-04 2020-10-30
12. SAMSONITE INTL SA   2020-03-04 2020-03-12
176. SCHWAB STRATEGIC US TIPS ETF   2019-09-25 2020-06-10
36. SELECT SECTOR SPDR TR CON STAPLES   2019-01-08 2020-01-23
18. SELECT SECTOR SPDR TR CON STAPLES   2019-01-08 2020-04-08
17. SELECT SECTOR SPDR TR CON STAPLES   2019-01-08 2020-06-10
33. SELECT SECTOR SPDR TR RL ESTATE SEL SEC   2019-06-21 2020-04-08
19. SELECT SECTOR SELECT SECTOR SPDR TR SBI   2019-06-05 2020-06-10
193. SHIONOGI & CO LTD   2020-05-13 2020-09-21
199. SKYWORKS SOLUTIONS INC   2020-08-03 2020-11-24
.06 SONOVA HLDS AG ADR   2020-03-04 2020-06-26
9. SONOVA HLDS AG ADR   2020-03-04 2020-12-15
74. SPLUNK INC   2018-11-16 2020-10-19
133. STARBUCKS CORP   2020-04-09 2020-09-23
77. STARBUCKS CORP   2019-02-12 2020-10-16
55. STARBUCKS CORP   2020-04-09 2020-10-16
129. STARBUCKS CORP   2019-02-12 2020-10-19
1455. STARWOOD PROPERTY TRUST INC   2016-02-11 2020-01-03
33. STMICROELECTRONICS REGISTRY   2020-07-01 2020-09-21
51. STRAUMANN HLDG AG   2020-05-21 2020-09-21
114. SVENSKA HANDELSBANKEN AB   2020-03-04 2020-12-10
114. SYSCO CORP   2017-08-24 2020-05-07
134. TAIWAN SEMICONDUCTOR MFG LTDSPONSORED AD   2018-11-13 2020-03-04
29. TENCENT HLDGS LTD ADR   2020-03-25 2020-09-21
11. TENCENT HLDGS LTD ADR   2020-03-25 2020-11-03
61. TERUMO CORP   2020-05-13 2020-09-21
31. THERMO FISHER SCIENTIFIC INC   2016-07-08 2020-09-21
271. TRUIST FINL CORP   2018-02-07 2020-05-07
221. TWILIO INC   2019-09-23 2020-05-07
28. VANGUARD INTL EQUITY FTSE EUROPE ETF   2020-01-23 2020-06-10
584. VERIZON COMMUNICATIONS INC   2020-05-20 2020-09-17
.815 VIATRIS INC   2020-09-17 2020-11-18
97.651 VIATRIS INC   2014-11-18 2020-11-30
61.349 VIATRIS INC   2020-09-17 2020-11-30
14. VODAFONE GROUP PLC ADR   2020-03-04 2020-08-12
106. WALMART INC   2018-07-11 2020-09-21
69. WORKDAY INC CL A   2018-03-29 2020-09-21
14. WYNN MACAU LTD ADR   2020-03-04 2020-10-27
51. ZOETIS INC CL A   2020-05-07 2020-09-14
30. ZOOM VIDEO COMMUNICATIONS INC   2020-05-07 2020-10-19
8. GALAPAGOS NV   2020-02-06 2020-09-21
13. GALAPAGOS NV   2019-08-28 2020-09-21
7. DEUTSCHE BOERSE AG   2019-03-22 2020-09-21
25. SAP AG   2019-03-22 2020-09-21
12. SAP AG   2019-03-22 2020-11-23
90. GRIFOLS SA   2019-03-22 2020-09-21
55. IBERDROLA SA   2020-02-11 2020-02-14
100. IBERDROLA SA   2019-03-22 2020-09-21
143. IBERDROLA SA   2019-03-22 2020-09-21
12. AIR LIQUIDE   2019-03-22 2020-09-21
26. BNP PARIBAS   2019-03-22 2020-09-14
27. BNP PARIBAS   2019-03-22 2020-09-21
30. DANONE SA   2019-03-22 2020-09-21
31. DANONE SA   2019-03-22 2020-10-27
19. ESSILORLUXOTTICA   2019-03-22 2020-01-27
15. ESSILORLUXOTTICA   2019-03-27 2020-09-21
31. SAFRAN SA   2019-03-22 2020-09-21
3. HERMES INTERNATIONAL   2019-03-22 2020-09-21
1. KERING   2019-03-22 2020-09-21
6. KERING   2019-03-22 2020-09-21
1. KERING   2019-03-22 2020-09-21
16. L'OREAL   2019-03-22 2020-09-21
1. LVMH MOET HENNESSY LOUIS VUI   2019-03-22 2020-09-21
4. LVMH MOET HENNESSY LOUIS VUI   2019-03-22 2020-09-21
5. LVMH MOET HENNESSY LOUIS VUI   2019-03-22 2020-11-23
31. PERNOD-RICARD SA   2019-03-22 2020-09-21
37. TOTAL SA   2019-03-22 2020-09-21
9. AON PLC SHS CL A   2019-05-30 2020-03-04
54. ASTRAZENECA   2019-03-22 2020-09-21
70. BRITISH AMERICAN TOBACCO   2019-12-02 2020-09-21
134. EATON CORP PLC SHS   2019-03-06 2020-10-19
100. DIAGEO PLC   2019-03-22 2020-09-21
51. DIAGEO PLC   2019-10-15 2020-09-21
37. DIAGEO PLC   2019-03-22 2020-09-21
110. IMPERIAL BRANDS PLC   2019-03-22 2020-03-18
35. INTERCONTINENTAL HOTELS GROUP   2019-03-22 2020-09-21
30. JARDINE MATHESON HOLDINGS   2019-03-22 2020-06-22
100. LLOYDS TSB GROUP PLC   2019-04-16 2020-09-21
1799. LLOYDS TSB GROUP PLC   2019-04-16 2020-09-21
61. LONDON STOCK EXCHANGE GROUP   2019-03-22 2020-09-21
32. RECKITT BENCKISER PLC GBP   2019-03-22 2020-09-21
129. RELX PLC   2019-03-22 2020-09-21
24. TENCENT HOLDINGS LIMITED   2020-02-05 2020-05-13
37. TENCENT HOLDINGS LIMITED   2019-03-29 2020-09-21
14. TENCENT HOLDINGS LIMITED   2020-02-05 2020-09-21
880. VODAFONE GRP PLC   2019-03-29 2020-08-12
100. WYNN MACAU LTD   2019-03-22 2020-09-21
660. WYNN MACAU LTD   2019-03-22 2020-09-21
163. CHUBB LTD   2016-12-07 2020-06-12
42. NESTLE SA   2019-03-22 2020-05-13
39. NESTLE SA   2019-03-29 2020-09-21
11. NOVARTIS AG   2019-03-22 2020-09-21
17. NOVARTIS AG   2019-03-22 2020-11-05
5. SONOVA HOLDING AG   2019-03-22 2020-09-21
1. SONOVA HOLDING AG   2019-03-22 2020-12-15
4. SONOVA HOLDING AG   2019-03-22 2020-12-15
222. ASAHI KASEI CORP   2019-03-29 2020-09-21
7. DAIKIN INDUSTRIES LTD   2019-08-28 2020-09-21
16. DAIICHI SANKYO CO LTD   2019-10-15 2020-09-21
28. DENSO CORP   2019-03-22 2020-05-01
113. DENSO CORP   2020-02-06 2020-05-01
14. HOYA CORPORATION NPV   2019-07-12 2020-09-21
15. KEYENCE CORP   2019-03-22 2020-09-21
6. KEYENCE CORP   2020-03-04 2020-09-21
1. KEYENCE CORP   2019-03-22 2020-12-14
1. KEYENCE CORP   2019-03-22 2020-12-14
1. MURATA MANUFACTURING CO LTD   2019-03-29 2020-08-04
18. MURATA MANUFACTURING CO LTD   2019-03-29 2020-08-04
31. MURATA MANUFACTURING CO LTD   2019-03-29 2020-09-21
20. NIDEC CORP   2019-07-12 2020-05-13
34. NIDEC CORP   2019-07-12 2020-09-21
12. NIDEC CORP   2019-03-22 2020-12-15
87. NIPPON TELE & TELE   2020-02-06 2020-05-13
2. NIPPON TELE & TELE   2020-02-06 2020-09-21
68. NIPPON TELE & TELE   2019-09-12 2020-09-21
22. SHIN-ETSU CHEMICAL CO LTD   2019-07-12 2020-09-21
3. SMC CORP/JAPAN   2020-03-04 2020-09-21
12. SMC CORP/JAPAN   2019-03-22 2020-09-21
48. SOFTBANK CORP   2019-04-23 2020-09-21
48. SUZUKI MOTOR CORP NPV   2019-10-15 2020-09-21
91. UNICHARM CORP   2019-04-16 2020-09-21
15. DSV PANALPINA A/S   2019-03-22 2020-09-21
17. CARLSBERG A/S   2019-03-22 2020-01-27
22. CARLSBERG A/S   2019-07-12 2020-09-21
1. GENMAB AS   2019-03-22 2020-09-14
18. GENMAB AS   2019-03-22 2020-09-21
64. NOVO NORDISK A/S   2019-03-22 2020-09-21
38. NOVO NORDISK A/S   2019-03-22 2020-09-21
28. NOVO NORDISK A/S   2019-03-22 2020-09-21
346. SAMSONITE INTERNATIONAL SA   2019-05-10 2020-03-12
24. AIRBUS SE   2019-03-22 2020-04-21
37. AIRBUS SE   2019-03-22 2020-09-21
20. ASML HOLDING NV   2019-03-22 2020-09-21
3. ASML HOLDING NV   2019-03-22 2020-12-15
200. KONINKLIJKE KPN NV   2019-03-29 2020-09-21
1025. KONINKLIJKE KPN NV   2019-07-12 2020-09-21
.15 KONINKLIJKE PHILIPS NV   2019-05-10 2020-07-10
65. KONINKLIJKE PHILIPS NV   2019-05-10 2020-09-21
70. DNB ASA   2019-03-22 2020-09-21
200. ENEL SPA   2019-03-22 2020-09-21
250. ENEL SPA   2019-05-10 2020-09-21
41. ASSA ABLOY AB   2019-03-22 2020-09-21
53. SVENSKA HANDELSBANKEN AB   2020-02-06 2020-05-13
136. SVENSKA HANDELSBANKEN AB   2020-02-06 2020-09-21
121. SVENSKA HANDELSBANKEN AB   2020-02-06 2020-12-10
41. SAMPO OYJ   2019-03-22 2020-09-21
500. AIA GROUP LTD USD FOREIGN ORD   2019-03-22 2020-09-21
21. HONG KONG EXCHANGES & CLEAR   2019-07-12 2020-06-08
54. HONG KONG EXCHANGES & CLEAR   2019-03-29 2020-06-08
52. HONG KONG EXCHANGES & CLEAR   2019-03-29 2020-09-21
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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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    
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    
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    
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    
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    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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(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 1,423   1,483 -60
b 23   27 -4
c 64,449   61,360 3,089
d 96,973   91,810 5,163
e 12,825   13,442 -617
15,243   12,883 2,360
27,720   29,676 -1,956
15,520   10,605 4,915
15,722   10,605 5,117
99,697   43,212 56,485
776   848 -72
1,464   1,135 329
8,876   7,260 1,616
18,949   7,595 11,354
13,564   9,729 3,835
26,081   29,002 -2,921
343   426 -83
448,600   400,000 48,600
12,392   11,163 1,229
1,580   1,370 210
23,017   24,625 -1,608
139,513   150,000 -10,487
231,315   210,000 21,315
75,757   66,500 9,257
3,121   4,104 -983
846   1,216 -370
1,049   1,056 -7
75,757   66,500 9,257
1,398   1,376 22
42,646   41,335 1,311
52,102   51,588 514
1,547   1,579 -32
13,211   20,490 -7,279
18,114   19,894 -1,780
1,123   1,317 -194
16,897   18,700 -1,803
14,416   11,529 2,887
17,545   20,724 -3,179
20,195   21,579 -1,384
3,320   3,000 320
13,180   13,699 -519
13,560   12,225 1,335
2,967   3,735 -768
11,045   13,482 -2,437
15,969   9,894 6,075
586   705 -119
742   876 -134
269   291 -22
22,260   30,527 -8,267
16,590   17,537 -947
68,823   73,881 -5,058
34,271   33,924 347
26,405   26,966 -561
2,911   3,873 -962
6,521   3,715 2,806
12,589   6,385 6,204
8,284   23,325 -15,041
2,439   2,298 141
22,435   29,081 -6,646
1,371   1,338 33
457   547 -90
1,253   1,201 52
12,100   20,117 -8,017
16,041   30,385 -14,344
4,144   7,765 -3,621
12,170   12,316 -146
465   466 -1
896   885 11
4,312   3,553 759
       
1   1  
2,121   1,469 652
3,229   3,471 -242
22,870   24,632 -1,762
506   450 56
7,584   6,124 1,460
1,008   1,182 -174
1,533   1,270 263
300   266 34
270   355 -85
281   326 -45
4,151   4,162 -11
1,069   979 90
913   745 168
5,174   5,134 40
429   424 5
1,298   1,271 27
8,729   8,421 308
8,543   8,361 182
1,036   1,055 -19
1,898   1,658 240
207   265 -58
11,318   6,809 4,509
5,564   4,266 1,298
20,831   20,411 420
11,523   12,521 -998
6,318   6,743 -425
644   776 -132
47   41 6
2,113   1,972 141
106   191 -85
15,648   11,396 4,252
11,136   3,691 7,445
228   257 -29
79,969   59,588 20,381
8,093   3,614 4,479
1,299   1,008 291
16,313   12,018 4,295
1,233   1,673 -440
1,993   1,831 162
60,299   16,423 43,876
26,201   26,734 -533
20,031   15,129 4,902
1,833   1,885 -52
337   346 -9
1,620   2,009 -389
32,161   29,415 2,746
53,242   30,418 22,824
4,614   4,072 542
15,138   10,370 4,768
3,651   3,917 -266
478   557 -79
3,515   4,586 -1,071
24,449   24,300 149
8,859   10,172 -1,313
14,665   17,128 -2,463
3,167   4,565 -1,398
13,230   17,610 -4,380
99,551   73,541 26,010
261   295 -34
59   102 -43
10,451   10,041 410
2,303   1,858 445
1,033   929 104
1,026   877 149
1,080   1,245 -165
1,163   1,137 26
2,633   2,775 -142
27,728   29,460 -1,732
3   3  
444   434 10
15,235   7,387 7,848
11,178   9,839 1,339
6,849   5,401 1,448
4,892   4,069 823
11,320   9,048 2,272
36,117   25,195 10,922
970   885 85
2,484   2,095 389
563   588 -25
5,868   5,953 -85
7,468   5,491 1,977
1,898   1,449 449
825   539 286
2,409   2,152 257
12,981   4,674 8,307
9,835   12,740 -2,905
36,687   25,071 11,616
1,462   1,598 -136
35,408   32,741 2,667
13   13  
1,655   919 736
1,040   982 58
220   247 -27
14,424   9,288 5,136
13,793   8,715 5,078
204   276 -72
8,190   6,331 1,859
17,153   4,740 12,413
1,092   1,973 -881
1,775   2,253 -478
1,200   883 317
3,814   2,838 976
1,404   1,362 42
1,413   1,716 -303
636   486 150
1,217   863 354
1,735   1,235 500
1,908   1,404 504
1,120   1,281 -161
1,039   1,331 -292
1,931   2,362 -431
1,790   2,441 -651
2,839   2,121 718
1,855   1,680 175
3,264   4,272 -1,008
2,548   2,026 522
669   573 96
4,014   3,435 579
669   573 96
5,085   4,303 782
467   362 105
1,866   1,449 417
2,943   1,811 1,132
4,942   5,641 -699
1,282   2,114 -832
1,961   1,627 334
5,844   4,618 1,226
2,339   2,804 -465
14,467   10,491 3,976
3,180   4,142 -962
1,603   2,077 -474
1,163   1,533 -370
1,737   3,807 -2,070
1,767   2,147 -380
1,287   1,911 -624
29   87 -58
491   1,557 -1,066
6,795   3,756 3,039
2,989   2,753 236
2,802   2,797 5
1,391   1,220 171
2,418   1,697 721
915   712 203
1,320   1,702 -382
163   243 -80
1,060   1,602 -542
20,384   16,642 3,742
4,553   4,034 519
4,598   3,745 853
954   911 43
1,423   1,408 15
1,124   992 132
245   198 47
976   793 183
1,933   2,309 -376
1,269   887 382
1,449   1,012 437
906   1,148 -242
3,656   4,725 -1,069
1,509   1,073 436
6,601   4,700 1,901
2,640   1,957 683
494   313 181
493   313 180
62   50 12
1,101   835 266
1,948   1,347 601
1,140   1,333 -193
3,084   2,187 897
1,442   732 710
1,949   2,270 -321
43   52 -9
1,448   1,659 -211
2,907   1,985 922
1,629   1,225 404
6,514   4,370 2,144
2,909   2,544 365
1,932   2,101 -169
3,891   3,008 883
2,252   1,269 983
2,515   2,141 374
2,889   2,912 -23
349   176 173
6,861   3,176 3,685
4,302   3,318 984
2,555   1,970 585
1,882   1,451 431
307   907 -600
1,343   3,241 -1,898
2,836   4,997 -2,161
7,118   3,856 3,262
1,377   578 799
482   643 -161
2,429   3,115 -686
7   6 1
2,930   2,674 256
969   1,370 -401
1,706   1,269 437
2,107   1,572 535
944   876 68
439   583 -144
1,139   1,495 -356
1,206   1,330 -124
1,633   1,816 -183
4,975   4,869 106
786   740 46
2,021   1,894 127
2,395   1,806 589
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      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
      266
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       -60
b       -4
c       3,089
d       5,163
e       -617
      2,360
      -1,956
      4,915
      5,117
      56,485
      -72
      329
      1,616
      11,354
      3,835
      -2,921
      -83
      48,600
      1,229
      210
      -1,608
      -10,487
      21,315
      9,257
      -983
      -370
      -7
      9,257
      22
      1,311
      514
      -32
      -7,279
      -1,780
      -194
      -1,803
      2,887
      -3,179
      -1,384
      320
      -519
      1,335
      -768
      -2,437
      6,075
      -119
      -134
      -22
      -8,267
      -947
      -5,058
      347
      -561
      -962
      2,806
      6,204
      -15,041
      141
      -6,646
      33
      -90
      52
      -8,017
      -14,344
      -3,621
      -146
      -1
      11
      759
       
       
      652
      -242
      -1,762
      56
      1,460
      -174
      263
      34
      -85
      -45
      -11
      90
      168
      40
      5
      27
      308
      182
      -19
      240
      -58
      4,509
      1,298
      420
      -998
      -425
      -132
      6
      141
      -85
      4,252
      7,445
      -29
      20,381
      4,479
      291
      4,295
      -440
      162
      43,876
      -533
      4,902
      -52
      -9
      -389
      2,746
      22,824
      542
      4,768
      -266
      -79
      -1,071
      149
      -1,313
      -2,463
      -1,398
      -4,380
      26,010
      -34
      -43
      410
      445
      104
      149
      -165
      26
      -142
      -1,732
       
      10
      7,848
      1,339
      1,448
      823
      2,272
      10,922
      85
      389
      -25
      -85
      1,977
      449
      286
      257
      8,307
      -2,905
      11,616
      -136
      2,667
       
      736
      58
      -27
      5,136
      5,078
      -72
      1,859
      12,413
      -881
      -478
      317
      976
      42
      -303
      150
      354
      500
      504
      -161
      -292
      -431
      -651
      718
      175
      -1,008
      522
      96
      579
      96
      782
      105
      417
      1,132
      -699
      -832
      334
      1,226
      -465
      3,976
      -962
      -474
      -370
      -2,070
      -380
      -624
      -58
      -1,066
      3,039
      236
      5
      171
      721
      203
      -382
      -80
      -542
      3,742
      519
      853
      43
      15
      132
      47
      183
      -376
      382
      437
      -242
      -1,069
      436
      1,901
      683
      181
      180
      12
      266
      601
      -193
      897
      710
      -321
      -9
      -211
      922
      404
      2,144
      365
      -169
      883
      983
      374
      -23
      173
      3,685
      984
      585
      431
      -600
      -1,898
      -2,161
      3,262
      799
      -161
      -686
      1
      256
      -401
      437
      535
      68
      -144
      -356
      -124
      -183
      106
      46
      127
      589
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 342,280
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 4,851
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 4,851
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 4,851
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 9,822
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 9,822
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 4,971
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet1,213 RefundedBullet 11 3,758
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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    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 ofbulletFIRST REPUBLIC BANK Telephone no.bullet (415) 288-7554

    Located atbullet111 PINE STREETSAN FRANCISCOCA ZIP+4bullet94111
    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
    GAYLENE R NASS CO-TRUSTEE
    5
    0    
    130 N LINCOLN AVE
    LOMBARD,IL60148
    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
    5,076,971
    b
    Average of monthly cash balances.......................
    1b
    450,267
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,527,238
    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
    5,527,238
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    82,909
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,444,329
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    272,216
    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
    272,216
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    4,851
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,851
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    267,365
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    267,365
    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
    267,365
    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
    646,962
    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
    646,962
    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
    646,962
    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 7 267,365
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 236,418
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 0
    b From 2016...... 0
    c From 2017...... 0
    d From 2018...... 0
    e From 2019...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 646,962
    a Applied to 2019, but not more than line 2a 236,418
    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..... 267,365
    e Remaining amount distributed out of corpus 143,179
    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 5 143,179
    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 ......
    143,179
    10 Analysis of line 9:
    a Excess from 2016.... 0
    b Excess from 2017.... 0
    c Excess from 2018.... 0
    d Excess from 2019.... 0
    e Excess from 2020.... 143,179
    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).)
    DAVID NASS130 N LINCOLN AVELOMBAR
    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
    UNITED AFRICAN ORGANIZATION
    4910 S KING DRIVE
    CHICAGO,IL60615
    NONE PC PROGRAM SUPPORT 1,000
    NAMI IOWA
    3839 MERLE HAY ROAD SUITE 229
    DES MOINES,IA50310
    NONE PC PROGRAM SUPPORT 7,000
    MATTHEW 25
    201 3RD AVE SW
    CEDAR RAPIDS,IA52404
    NONE PC PROGRAM SUPPORT 1,000
    PANCREATIC CANCER ACTION NETWORK
    1500 ROSECRANS AVENUE SUITE 200
    MANHATTAN BEACH,CA90266
    NONE PC PROGRAM SUPPORT 3,000
    MISERCORDIA
    ATTN SISTER ROSEMARY CONNELLY
    6300 NORTH RIDGE AVENUE
    CHICAGO,IL60660
    NONE PC PROGRAM SUPPORT 4,000
    ST PAUL LUTHERAN CHURCH
    545 S ARDMORE AVE
    VILLA PARK,IL60181
    NONE PC PROGRAM SUPPORT 549,400
    AMERICAN CIVIL LIBERTIES UNION
    150 N MICHIGAN AVE
    CHICAGO,IL60601
    NONE PC PROGRAM SUPPORT 4,000
    NORTHERN ILLINOIS FOOD BANK
    273 DEARBORN COURT
    GENEVA,IL60134
    NONE PC PROGRAM SUPPORT 20,000
    LOVE CHRISTIAN CLEARING HOUSE
    PO BOX 50
    CLARENDON HILLS,IL60514
    NONE PC PROGRAM SUPPORT 2,500
    NAMI DUPAGE
    115 N COUNTY FARM RD
    WHEATON,IL60187
    NONE PC PROGRAM SUPPORT 8,000
    DUPAGE PADS INC
    601 W LIBERTY
    WHEATON,IL60187
    NONE PC PROGRAM SUPPORT 12,000
    CHICAGO PUBLIC MEDIA (WBEZ)
    848 E GRAND AVE NAVY PIER
    CHICAGO,IL60611
    NONE PC PROGRAM SUPPORT 3,000
    BRIDGE COMMUNITIES
    505 CRESSCENT BLVD
    GLEN ELLYN,IL60137
    NONE PC PROGRAM SUPPORT 7,000
    SCARCE
    800 S ROHLWING RD
    ADDISON,IL60101
    NONE PC PROGRAM SUPPORT 5,000
    CHICAGO SCHOLARS FOUNDATION
    PO BOX 389497
    CHICAGO,IL60638
    NONE PC PROGRAM SUPPORT 5,000
    WOMENS HEALTH PROJECT
    (EMMA GOLDMAN CLINIC)
    227 N DUBUQUE ST
    IOWA CITY,IA52245
    NONE PC PROGRAM SUPPORT 2,000
    DOMESTIC VIOLENCE INTERVENTION PROGRAM
    1105 S GILBERT COURT
    IOWA CITY,IA52240
    NONE PC PROGRAM SUPPORT 1,000
    CATHERINE MCAULEY CENTER
    866 FOURTH AVE SE
    CEDAR RAPIDS,IA52403
    NONE PC PROGRAM SUPPORT 3,000
    ENGLERT THEATRE
    221 E WASHINGTON ST
    IOWA CITY,IA52240
    NONE PC PROGRAM SUPPORT 3,000
    GARDENWORKS PROJECT
    PO BOX 615
    WEST CHICAGO,IL60186
    NONE PC PROGRAM SUPPORT 3,000
    JOHN DAU FOUNDATION
    1101 KING STREET SUITE 360
    ALEXANDRIA,VA22314
    NONE PC PROGRAM SUPPORT 1,000
    Total .................................bullet 3a 644,900
    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 61,153  
    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 ............
        18 342,280  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPARTNERSHIP INCOME
        1 3,911  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   407,344  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    407,344
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2020
    Name of the organization
    THE FERMATA CHARITABLE FOUNDATION
     
    Employer identification number

    20-7034733
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
    Name of organization
    THE FERMATA CHARITABLE FOUNDATION
     
    Employer identification number
    20-7034733
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    DAVID NASS
    130 N LINCOLN AVE
     
    LOMBARD, IL60148

    $ 270,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 3
    Name of organization
    THE FERMATA CHARITABLE FOUNDATION
     
    Employer identification number

    20-7034733
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 4
    Name of organization
    THE FERMATA CHARITABLE FOUNDATION
     
    Employer identification number

    20-7034733
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2020 AccountingFeesSchedule
    Name:
    THE FERMATA CHARITABLE FOUNDATION
    EIN:
    20-7034733
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 5,000 3,000   2,000

    TY 2020 InvestmentsOtherSchedule2
    Name:
    THE FERMATA CHARITABLE FOUNDATION
    EIN:
    20-7034733
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SEE ATTACHED AT COST 4,159,050 7,021,610

    TY 2020 OtherDecreasesSchedule
    Name:
    THE FERMATA CHARITABLE FOUNDATION
    EIN:
    20-7034733
    Description Amount
    PARTNERSHIP SALES ADJ 21,467


    TY 2020 OtherExpensesSchedule
    Name:
    THE FERMATA CHARITABLE FOUNDATION
    EIN:
    20-7034733
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 15 15   15
    INVESTMNT MNGMNT FEES (NON-DED 50,352 50,352   0
    OTHER EXPENSE (NON-DEDUCTIBLE 47 47   47


    TY 2020 OtherIncomeSchedule2
    Name:
    THE FERMATA CHARITABLE FOUNDATION
    EIN:
    20-7034733
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER REVENUE 3,911 3,911  


    TY 2020 OtherIncreasesSchedule
    Name:
    THE FERMATA CHARITABLE FOUNDATION
    EIN:
    20-7034733
    Description Amount
    CHARITABLE GIFTS MADE IN 2020-POSTED IN 16,988


    TY 2020 TaxesSchedule
    Name:
    THE FERMATA CHARITABLE FOUNDATION
    EIN:
    20-7034733
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,003 1,003   0
    STATE INCOME TAXES - PRINCIPAL 138 0   0
    FEDERAL TAX PAYMENT - PRIOR YE 213 0   0
    FOREIGN TAXES ON QUALIFIED FOR 20 20   0
    FOREIGN TAXES ON NONQUALIFIED 1 1   0