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
LOUIS AND ROSE KLOSK FUND UW XXXXX3005
 
Number and street (or P.O. box number if mail is not delivered to street address)10 S DEARBORN IL1-0111
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60603
A Employer identification number

13-6328994
B Telephone number (see instructions)

(800) 496-2583
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$6,799,582J 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      
4 Dividends and interest from securities... 132,562 131,645  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 172,894
b Gross sales price for all assets on line 6a 2,224,315
7 Capital gain net income (from Part IV, line 2)... 172,894
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 305,456 304,539  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 72,556 40,566   31,990
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 9,221 2,599   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 250     250
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 82,027 43,165 0 32,240
25 Contributions, gifts, grants paid....... 300,000 300,000
26 Total expenses and disbursements. Add lines 24 and 25 382,027 43,165 0 332,240
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -76,571
b Net investment income (if negative, enter -0-) 261,374
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............. 15,249 15,065 15,065
2 Savings and temporary cash investments......... 137,923 76,290 76,290
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)....... 2,616,689 Click to see attachment2,557,025 3,931,009
c Investments—corporate bonds (attach schedule)....... 2,248,197 Click to see attachment2,299,979 2,470,647
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 308,886 Click to see attachment302,765 306,571
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) 5,326,944 5,251,124 6,799,582
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........ 5,326,944 5,251,124
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)..... 5,326,944 5,251,124
30 Total liabilities and net assets/fund balances (see instructions). 5,326,944 5,251,124
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
5,326,944
2
Enter amount from Part I, line 27a .....................
2
-76,571
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
7,204
4
Add lines 1, 2, and 3 ..........................
4
5,257,577
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
6,453
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
5,251,124
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 2775.025 CRM LNG/SHRT OPPORT-INST   2018-11-16 2020-01-09
b 2.587 CORTEVA INC   2019-04-08 2020-01-13
c 10.413 CORTEVA INC   2017-02-22 2020-01-13
d 11. CORTEVA INC   2019-04-08 2020-01-13
e 13. CORTEVA INC     2020-01-14
14. CORTEVA INC     2020-01-14
5. CORTEVA INC   2019-06-27 2020-01-14
4. CORTEVA INC     2020-01-14
16. CORTEVA INC     2020-01-15
19. CORTEVA INC   2019-06-28 2020-01-15
5.377 CORTEVA INC     2020-01-15
2.623 CORTEVA INC   2019-06-28 2020-01-15
2. CORTEVA INC     2020-01-15
10. CORTEVA INC   2016-08-10 2020-01-15
12. CORTEVA INC     2020-01-15
1. CORTEVA INC   2015-07-15 2020-01-15
2819.131 CRM LNG/SHRT OPPORT-INST   2018-11-16 2020-01-16
5. CORTEVA INC   2015-07-15 2020-01-16
4. CORTEVA INC   2015-07-15 2020-01-16
1. CORTEVA INC   2015-07-15 2020-01-16
3209.108 EQUINOX IMP SYSTEM MACRO-I   2015-11-05 2020-01-16
39. QUALCOMM INC   2019-05-01 2020-01-23
1. QUALCOMM INC   2019-05-01 2020-01-23
20. EOG RESOURCES INC     2020-01-28
3. EOG RESOURCES INC   2016-05-23 2020-01-28
2. EOG RESOURCES INC   2016-05-23 2020-01-29
2. EOG RESOURCES INC   2016-05-23 2020-01-29
1. EOG RESOURCES INC   2016-05-23 2020-01-29
15. EOG RESOURCES INC     2020-01-29
15. EOG RESOURCES INC     2020-01-29
14. EOG RESOURCES INC   2016-03-07 2020-01-29
19. EOG RESOURCES INC   2016-03-07 2020-01-30
5. EOG RESOURCES INC   2016-03-07 2020-01-30
2095. ISHARES MSCI JAPAN ETF     2020-02-14
197. SPDR TR UNIT SER 1   2016-08-16 2020-02-14
13. ELECTRONIC ARTS   2018-09-20 2020-02-25
18. ELECTRONIC ARTS     2020-02-25
4. ACCENTURE PLC   2014-04-03 2020-02-25
21. ACCENTURE PLC   2014-04-03 2020-02-26
51. DISNEY WALT CO     2020-03-04
117. WELLS FARGO & CO NEW     2020-03-04
728. ISHARES MISCI EAFE INDEX FUND     2020-03-09
1301. ISHARES MISCI EAFE INDEX FUND     2020-03-09
541. ISHARES CORE MSCI EAFE ETF   2019-04-02 2020-03-09
1218. SCHWAB U.S. TIPS ETF   2018-10-01 2020-03-09
3. ALEXION PHARMACEUTICALS INC   2019-03-14 2020-03-11
1. ALEXION PHARMACEUTICALS INC   2019-03-14 2020-03-11
2. DUPONT DE NEMOURS INC-W/D     2020-03-11
60.79 DUPONT DE NEMOURS INC-W/D     2020-03-11
17.21 DUPONT DE NEMOURS INC-W/D   2019-04-08 2020-03-11
7. ALEXION PHARMACEUTICALS INC   2019-03-14 2020-03-12
4. ALEXION PHARMACEUTICALS INC   2019-03-14 2020-03-12
9. ALEXION PHARMACEUTICALS INC   2019-03-14 2020-03-13
1232. ISHARES CORE MSCI EAFE ETF   2019-04-02 2020-03-17
1392. ISHARES CORE MSCI EUROPE   2020-02-14 2020-03-17
455. SPDR TR UNIT SER 1     2020-03-17
30. UNITED TECHNOLOGIES CORP     2020-03-31
29. COMCAST CORP NEW CL A   2019-03-14 2020-04-16
3. COMCAST CORP NEW CL A   2019-05-14 2020-04-16
54. COMCAST CORP NEW CL A     2020-04-16
1. COMCAST CORP NEW CL A   2019-01-29 2020-04-16
39. COMCAST CORP NEW CL A     2020-04-16
5. COMCAST CORP NEW CL A   2018-10-19 2020-04-16
8. ROSS STORES INC   2018-12-11 2020-04-16
10. ROSS STORES INC   2018-12-11 2020-04-16
10. ROSS STORES INC     2020-04-16
32. ROSS STORES INC     2020-04-16
160. MARATHON PETROLEUM CORPORATION     2020-04-27
20. ADOBE SYS INC   2012-08-03 2020-05-04
3. ADOBE SYS INC   2012-08-03 2020-05-04
1100. ISHARES TR 7-10 YR TREAS INDEX FD   2019-09-23 2020-05-07
621. ISHARES TR 7-10 YR TREAS INDEX FD     2020-05-07
5858.298 BLACKSTONE ALT MULTI-STRAT-Y   2019-06-14 2020-05-29
705.942 BLACKSTONE ALT MULTI-STRAT-Y   2018-11-06 2020-05-29
11261.026 JPM GL RES ENH IDX FD - USD - R6 ISIN US48129C2070     2020-06-11
52. BERKSHIRE HATHAWAY INC DEL CL B     2020-06-24
102. KEYCORP NEW     2020-06-30
12. KEYCORP NEW     2020-06-30
77. PFIZER INC     2020-06-30
26. KEYCORP NEW     2020-07-01
8. KEYCORP NEW   2016-03-01 2020-07-01
46. KEYCORP NEW   2016-03-01 2020-07-01
20. KEYCORP NEW   2016-03-01 2020-07-01
1. KEYCORP NEW   2016-03-01 2020-07-01
19. KEYCORP NEW   2016-03-01 2020-07-01
38. KEYCORP NEW   2016-03-01 2020-07-02
1. KEYCORP NEW   2016-03-01 2020-07-02
40. KEYCORP NEW     2020-07-02
2. KEYCORP NEW   2016-02-29 2020-07-02
221. PFIZER INC     2020-07-10
11. PFIZER INC   2016-11-09 2020-07-10
27. GENERAL DYNAMICS CORP     2020-08-04
7. GENERAL DYNAMICS CORP     2020-08-04
4. GENERAL DYNAMICS CORP     2020-08-04
28. PHILIP MORRIS INTERNATIONAL   2018-10-24 2020-08-04
11. PHILIP MORRIS INTERNATIONAL     2020-08-04
3. PHILIP MORRIS INTERNATIONAL   2018-10-24 2020-08-04
5659.501 VANGUARD TOT BD MKT IDX-ADM   2020-06-10 2020-08-17
4567.577 VANGUARD TOT BD MKT IDX-ADM   2020-06-10 2020-09-18
7494.813 DOUBLELINE TTL RTRN BND-R6     2020-09-25
12912.68 PIMCO INV GRD CRD BND-INST     2020-09-25
4271.429 VANGUARD TOT BD MKT IDX-ADM     2020-09-25
38. AUTOMATIC DATA PROCESSING INC     2020-09-30
3. AUTOMATIC DATA PROCESSING INC   2018-10-19 2020-09-30
7. AUTOMATIC DATA PROCESSING INC   2020-05-04 2020-09-30
2. AUTOMATIC DATA PROCESSING INC   2020-05-04 2020-09-30
4. AUTOMATIC DATA PROCESSING INC   2020-05-04 2020-09-30
4. AUTOMATIC DATA PROCESSING INC   2018-10-23 2020-09-30
18. INTERCONTINENTALEXCHANGE GROUP, INC     2020-09-30
7. INTERCONTINENTALEXCHANGE GROUP, INC     2020-09-30
10. INTERCONTINENTALEXCHANGE GROUP, INC     2020-09-30
5. ALLEGION PLC     2020-09-30
5. ALLEGION PLC     2020-09-30
7. ALLEGION PLC     2020-09-30
4. ALLEGION PLC     2020-10-01
7. ALLEGION PLC     2020-10-01
2. ALLEGION PLC   2015-11-06 2020-10-01
1. ALLEGION PLC   2015-11-06 2020-10-01
1. ALLEGION PLC   2015-11-05 2020-10-01
1. ALLEGION PLC   2015-10-26 2020-10-02
14. ALLEGION PLC     2020-10-02
18. DIAMONDBACK ENERGY INC   2020-01-28 2020-10-05
43. DIAMONDBACK ENERGY INC     2020-10-05
12. DIAMONDBACK ENERGY INC   2020-01-28 2020-10-06
4. DIAMONDBACK ENERGY INC   2020-01-28 2020-10-06
10. DIAMONDBACK ENERGY INC     2020-10-06
49. APPLE COMPUTER INC   2006-04-28 2020-10-13
542. ISHARES TR 7-10 YR TREAS INDEX FD   2019-02-19 2020-10-23
1410. ISHARES CORE MSCI EUROPE   2020-02-14 2020-10-23
185. SPDR TR UNIT SER 1     2020-10-26
5880.358 DOUBLELINE TTL RTRN BND-R6     2020-11-02
16. PAYPAL HOLDINGS INC     2020-11-02
7354.045 VANGUARD TOT BD MKT IDX-ADM     2020-11-02
8366.191 VANGUARD TOT BD MKT IDX-ADM     2020-11-02
42. VISA INC CLASS A SHARES     2020-11-02
4. VISA INC CLASS A SHARES   2015-12-11 2020-11-02
12. SALESFORCE.COM INC   2020-05-04 2020-11-03
1. SALESFORCE.COM INC   2020-05-04 2020-11-03
1. SALESFORCE.COM INC   2020-05-04 2020-11-03
4. SALESFORCE.COM INC     2020-11-03
2. SALESFORCE.COM INC   2019-10-28 2020-11-03
2. SALESFORCE.COM INC   2019-10-28 2020-11-04
3. SALESFORCE.COM INC   2019-10-28 2020-11-04
9. BROADCOM INC     2020-11-06
2. BROADCOM INC   2013-05-16 2020-11-06
12. BROADCOM INC     2020-11-06
22. BROADCOM INC     2020-11-09
21. HOME DEPOT INC   2011-09-29 2020-11-24
12. PROCTER & GAMBLE CO   2020-08-04 2020-11-24
6. PROCTER & GAMBLE CO   2019-06-05 2020-11-24
28. ELECTRONIC ARTS     2020-12-03
15. ELECTRONIC ARTS     2020-12-04
6. CHARTER COMMUNICATIONS INC-A   2020-04-16 2020-12-15
21. SALESFORCE.COM INC     2020-12-15
17. NVIDIA CORP     2020-12-17
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    
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    
(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 28,000   27,917 83
b 73   77 -4
c 295   338 -43
d 314   328 -14
e 372   387 -15
401   416 -15
143   149 -6
114   119 -5
459   474 -15
544   561 -17
154   150 4
75   77 -2
57   56 1
287   277 10
342   330 12
29   27 2
28,304   28,360 -56
144   136 8
115   109 6
29   27 2
31,546   31,995 -449
3,584   3,373 211
92   87 5
1,541   1,639 -98
231   244 -13
154   163 -9
154   163 -9
77   81 -4
1,132   1,213 -81
1,150   1,181 -31
1,059   1,013 46
1,412   1,374 38
376   362 14
122,408   115,307 7,101
66,505   43,060 23,445
1,378   1,476 -98
1,898   1,667 231
791   316 475
4,151   1,659 2,492
6,028   4,723 1,305
4,765   2,789 1,976
41,658   42,336 -678
75,019   74,797 222
29,131   33,338 -4,207
71,340   65,513 5,827
251   404 -153
84   135 -51
73   187 -114
2,247   5,086 -2,839
636   1,469 -833
555   943 -388
306   539 -233
718   1,212 -494
55,968   75,919 -19,951
46,464   69,217 -22,753
113,303   88,686 24,617
2,836   3,649 -813
1,080   1,155 -75
112   129 -17
2,009   2,062 -53
38   36 2
1,453   1,409 44
187   180 7
701   645 56
876   806 70
877   806 71
2,799   2,550 249
4,198   10,874 -6,676
6,970   639 6,331
1,046   96 950
134,100   123,382 10,718
75,706   64,971 10,735
55,361   62,977 -7,616
6,671   7,504 -833
219,815   173,533 46,282
9,251   8,958 293
1,241   1,327 -86
146   131 15
2,493   2,651 -158
312   282 30
97   85 12
537   491 46
232   214 18
12   11 1
222   203 19
461   406 55
12   11 1
469   424 45
24   21 3
7,451   7,329 122
370   355 15
3,975   4,196 -221
1,032   1,060 -28
588   604 -16
2,154   2,495 -341
851   979 -128
231   265 -34
65,990   65,537 453
53,212   52,893 319
80,794   81,983 -1,189
142,943   132,645 10,298
49,719   48,550 1,169
5,280   5,553 -273
417   430 -13
973   1,001 -28
279   286 -7
558   572 -14
558   567 -9
1,801   1,046 755
696   406 290
998   578 420
495   327 168
494   326 168
695   455 240
403   259 144
693   450 243
197   128 69
101   64 37
100   64 36
97   64 33
1,378   896 482
555   1,428 -873
1,327   4,453 -3,126
383   951 -568
124   317 -193
320   791 -471
6,039   124 5,915
65,238   56,697 8,541
64,207   70,112 -5,905
62,783   35,799 26,984
62,861   62,846 15
2,975   1,936 1,039
84,939   81,884 3,055
96,630   89,390 7,240
7,776   3,211 4,565
742   305 437
2,849   1,928 921
237   161 76
238   161 77
954   605 349
474   302 172
500   302 198
736   454 282
3,431   327 3,104
766   69 697
4,567   411 4,156
8,515   747 7,768
5,737   709 5,028
1,659   1,602 57
830   640 190
3,597   2,379 1,218
1,915   1,270 645
3,886   3,037 849
4,611   3,086 1,525
9,059   4,025 5,034
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
      6,552
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       83
b       -4
c       -43
d       -14
e       -15
      -15
      -6
      -5
      -15
      -17
      4
      -2
      1
      10
      12
      2
      -56
      8
      6
      2
      -449
      211
      5
      -98
      -13
      -9
      -9
      -4
      -81
      -31
      46
      38
      14
      7,101
      23,445
      -98
      231
      475
      2,492
      1,305
      1,976
      -678
      222
      -4,207
      5,827
      -153
      -51
      -114
      -2,839
      -833
      -388
      -233
      -494
      -19,951
      -22,753
      24,617
      -813
      -75
      -17
      -53
      2
      44
      7
      56
      70
      71
      249
      -6,676
      6,331
      950
      10,718
      10,735
      -7,616
      -833
      46,282
      293
      -86
      15
      -158
      30
      12
      46
      18
      1
      19
      55
      1
      45
      3
      122
      15
      -221
      -28
      -16
      -341
      -128
      -34
      453
      319
      -1,189
      10,298
      1,169
      -273
      -13
      -28
      -7
      -14
      -9
      755
      290
      420
      168
      168
      240
      144
      243
      69
      37
      36
      33
      482
      -873
      -3,126
      -568
      -193
      -471
      5,915
      8,541
      -5,905
      26,984
      15
      1,039
      3,055
      7,240
      4,565
      437
      921
      76
      77
      349
      172
      198
      282
      3,104
      697
      4,156
      7,768
      5,028
      57
      190
      1,218
      645
      849
      1,525
      5,034
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 172,894
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 3,633
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 3,633
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 3,633
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 4,780
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 4,780
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 1,147
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet1,147 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNY
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletJP MORGAN CHASE BANK NA Telephone no.bullet (800) 496-2583

    Located atbullet10 S DEARBORN ST MC IL 1-0111CHICAGOIL ZIP+4bullet60603
    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
     
    No
    ........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
    JP MORGAN CHASE BANK NA TRUSTEE
    2     		62,952    
    10 S DEARBORN ST MC IL 1-0111
    CHICAGO,IL60603
    DR HERBERT L COOPER CO-TRUSTEE
    2     		4,802    
    201 BROOKSBY VILLAGE DR UNIT 203
    PEABODY,MA019601489
    DR BARRY C COOPER CO-TRUSTEE
    2     		4,802    
    100 HARRISON ST
    LAWRENCE,NY115591932
    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
    6,249,901
    b
    Average of monthly cash balances.......................
    1b
    122,828
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,372,729
    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
    6,372,729
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    95,591
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,277,138
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    313,857
    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
    313,857
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    3,633
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,633
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    310,224
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    310,224
    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
    310,224
    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
    332,240
    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
    332,240
    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
    332,240
    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 7 310,224
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 31,932
    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$ 332,240
    a Applied to 2019, but not more than line 2a 31,932
    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..... 300,308
    e Remaining amount distributed out of corpus 0
    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 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 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 ..........     		9,916
    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 ......     		0
    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.... 0
    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
    TRUSTEES OF SMITH COLLEGE
    10 ELM STREET COLLEGE HALL RM 204
    NORTHAMPTON,MA01063     		NONE PC GENERAL 4,000
    WILLIAMS COLLEGE
    880 MAIN ST
    WILLIAMSTOWN,MA01267     		NONE PC GENERAL 4,000
    SOUTH NASSAU COMMUNITIES HOSPITAL
    1 HEALTHY WAY
    OCEANSIDE,NY11572     		NONE PC GENERAL 6,000
    TEMPLE BETH EI
    BROADWAY LOCUST AVE
    CEDARHURST,NY11516     		NONE PC GENERAL 15,000
    SID JACOBSON JEWISH COMMUNITY CENTER
    300 FOREST DRIVE
    GREENVALE,NY11548     		NONE PC GENERAL 20,000
    NATIONAL COUNCIL OF JEWISH WOMEN
    475 RIVERSIDE DR STE 1901
    NEW YORK,NY10115     		NONE PC GENERAL 1,000
    HADASSAH
    50 W 58TH STREET
    NEW YORK,NY10019     		NONE PC GENERAL 55,000
    HEBREW HOME FOR THE AGED
    5901 PALISADE AVENUE
    BRONX,NY10471     		NONE PC GENERAL 15,000
    DOCTORS WITHOUT BORDERS USA
    333 SEVENTH AVE 2ND FL
    NEW YORK,NY10001     		NONE PC GENERAL 10,000
    BIRTHRIGHT ISRAEL FOUNDATION
    33 EAST 33RD STREET 7TH FLOOR
    NEW YORK,NY10016     		NONE PC GENERAL 5,000
    TRUSTEES OF COLUMBIA UNIVERSITY
    161 W 131ST ST
    NEW YORK,NY10027     		NONE PC GENERAL 9,000
    PEF ISRAEL ENDOWMENT FUNDS INC
    630 3RD AVE
    NEW YORK,NY10017     		NONE PC GENERAL 1,500
    TEMPLE SINAI
    75 HIGHLAND AVE
    MIDDLETOWN,NY10940     		NONE PC GENERAL 17,000
    TRUSTEES OF U OF PENNSYLVANIA
    3451 WALNUT ST SUITE 305
    PHILADELPHIA,PA19104     		NONE PC GENERAL 4,000
    LITTLE BABY FACE FOUNDATION
    135 EAST 74TH STREET
    NEW YORK,NY10021     		NONE PC GENERAL 3,000
    WEILL CORNELL MEDICAL COLLEGE
    ANNE MOORE BREAST CANCER
    425 E 61ST ST FL8
    NEW YORK,NY10065     		NONE PC GENERAL 30,000
    UNITED JEWISH APPEALOF NEW YORK INC
    130 E 59 TH STREET
    NEW YORK,NY10022     		NONE PC GENERAL 45,000
    DUKE UNIVERSITY
    324 BALCKWELL ST STE 920
    DURHAM,NC27701     		NONE PC GENERAL 15,000
    US HOLOCAUST MUSEUM
    100 RAOUL WALLENBERG PL SW
    WASHINGTON,DC20024     		NONE PC GENERAL 500
    NORTH SHORE MEDICAL CENTER
    DEVELOPMENT OFFICE 81 HIGHLAND AVE
    SALEM,MA01970     		NONE PC GENERAL 6,000
    HATZALAH OF THE ROCKAWAYS AND
    NASSAU COUNTY
    621 BEACH 9TH STREET FAR
    FAR ROCKAWAY,NY11691     		NONE PC GENERAL 1,000
    EPIDERMOLYSIS BULLOSA MEDIAL RESEARCH
    2757 ANCHOR AVE
    LOS ANGELES,CA90064     		NONE PC GENERAL 5,000
    AMERICAN FRIENDS OF BAR-ILAN UNIVERSITY
    160 E 56TH STREET
    NEW YORK,NY10022     		NONE PC GENERAL 10,000
    HILLEL THE FOUNDATION FOR JEWISH CAMPUS
    LIFE
    800 EIGHTH STREET NW
    WASHINGTON,DC20001     		NONE PC GENERAL 4,000
    ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
    ATTN MS KRISTEN MUNNELLY OFFICE OF DEV
    ONE GUSTAVE L LEVY PLACE
    NEW YORK,NY100296574     		NONE PC GENERAL 5,000
    NEW YORK PRESBYTERIAN MORGAN STANLEY
    CHILDREN'S HOSPITAL
    525 E 68TH STREET BOX 123
    NEW YORK,NY10065     		NONE PC GENERAL 4,000
    COMBINED JEWISH PHILANTHROPIES OF
    GREATER BOSTON INC
    126 HIGH STREET
    BOSTON,MA02110     		NONE PC GENERAL 5,000
    Total .................................bullet 3a 300,000
    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 ...........     		         
    4 Dividends and interest from securities....     14 132,562  
    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 ............     		    18 172,894  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   305,456  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    305,456
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    LOUIS AND ROSE KLOSK FUND UW XXXXX3005
    EIN:
    13-6328994
    Name of Bond End of Year Book Value End of Year Fair Market Value
    258620103 DOUBLELINE TTL RTRN    
    921937603 VANGUARD TOT BD MKT 343,214 376,006
    92203J308 VANGUARD TTL INTL BN 950,997 999,081
    693390601 PIMCO SHORT-TERM FUN 58,835 58,592
    722005816 PIMCO INV GRD CRD BN 113,339 126,766
    808524870 SCHWAB U.S. TIPS ETF    
    54401E143 LORD ABBETT SHRT DUR 118,478 120,477
    09260B614 BLCKRCK HI YLD BND P 170,500 203,349
    464287432 ISHARES 20+ YEAR TRE 178,150 192,115
    464287440 ISHARES 7-10 YEAR TR    
    72201F490 PIMCO INCOME FUND-IN 62,977 63,081
    54401E218 LORD ABBETT HIGH YIE 178,824 206,549
    92206C771 VANGUARD MORTGAGE-BA 124,665 124,631

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    LOUIS AND ROSE KLOSK FUND UW XXXXX3005
    EIN:
    13-6328994
    Name of Stock End of Year Book Value End of Year Fair Market Value
    101137107 BOSTON SCIENTIFIC CO 4,667 8,125
    110122108 BRISTOL-MYERS SQUIBB 9,226 10,111
    172967424 CITIGROUP INC 6,427 11,592
    254687106 WALT DISNEY CO/THE    
    369550108 GENERAL DYNAMICS COR    
    437076102 HOME DEPOT INC 1,115 8,765
    438516106 HONEYWELL INTERNATIO 3,451 18,930
    464287465 ISHARES MSCI EAFE ET 177,973 251,785
    493267108 KEYCORP    
    532457108 ELI LILLY & CO 8,425 15,871
    548661107 LOWE'S COS INC 3,291 13,643
    594918104 MICROSOFT CORP 6,708 63,167
    609207105 MONDELEZ INTERNATION 3,292 8,829
    617446448 MORGAN STANLEY 5,281 17,612
    666807102 NORTHROP GRUMMAN COR 13,802 15,541
    713448108 PEPSICO INC 7,852 12,309
    717081103 PFIZER INC    
    723787107 PIONEER NATURAL RESO 7,963 8,086
    854502101 STANLEY BLACK & DECK 6,133 10,535
    882508104 TEXAS INSTRUMENTS IN 8,424 20,188
    907818108 UNION PACIFIC CORP 6,383 13,951
    949746101 WELLS FARGO & CO 6,649 6,760
    988498101 YUM] BRANDS INC 9,098 10,965
    00724F101 ADOBE INC.    
    02079K107 ALPHABET INC-CL C 6,007 33,286
    02079K305 ALPHABET INC-CL A 2,285 14,021
    09062X103 BIOGEN INC 2,977 2,449
    16119P108 CHARTER COMMUNICATIO 6,304 18,523
    20030N101 COMCAST CORP-CLASS A 2,018 9,432
    26875P101 EOG RESOURCES INC    
    30303M102 FACEBOOK INC-CLASS A 8,773 18,302
    31620M106 FIDELITY NATIONAL IN 4,583 10,044
    46434G822 ISHARES MSCI JAPAN E    
    57636Q104 MASTERCARD INC - A 1,261 22,130
    58933Y105 MERCK & CO. INC. 7,475 10,389
    65339F101 NEXTERA ENERGY INC 11,502 19,133
    67103H107 O'REILLY AUTOMOTIVE 6,663 9,504
    78462F103 SPDR S&P 500 ETF TRU 262,517 625,875
    91324P102 UNITEDHEALTH GROUP I 2,983 27,353
    92532F100 VERTEX PHARMACEUTICA 721 5,436
    92826C839 VISA INC-CLASS A SHA    
    94106B101 WASTE CONNECTIONS IN 2,681 5,539
    96208T104 WEX INC 5,874 10,380
    G0176J109 ALLEGION PLC    
    G1151C101 ACCENTURE PLC-CL A    
    H1467J104 CHUBB LTD 3,003 9,081
    023135106 AMAZON.COM INC 11,155 58,625
    032654105 ANALOG DEVICES INC 13,297 14,330
    037833100 APPLE INC 1,101 57,720
    060505104 BANK OF AMERICA CORP 3,437 11,003
    084670702 BERKSHIRE HATHAWAY I    
    25278X109 DIAMONDBACK ENERGY I    
    45866F104 INTERCONTINENTAL EXC    
    46432F842 ISHARES CORE MSCI EA 375,824 423,798
    48129C207 JPM GL RES ENH IDX F    
    655844108 NORFOLK SOUTHERN COR 9,860 16,395
    67066G104 NVIDIA CORP 3,404 9,922
    718172109 PHILIP MORRIS INTERN    
    913017109 UNITED TECHNOLOGIES    
    98956P102 ZIMMER BIOMET HOLDIN 10,949 14,947
    025816109 AMERICAN EXPRESS CO 11,149 11,849
    053015103 AUTOMATIC DATA PROCE    
    191216100 COCA-COLA CO/THE 7,229 8,774
    285512109 ELECTRONIC ARTS INC    
    315911750 FIDELITY 500 INDEX-I 921,384 1,261,458
    464286509 ISHARES MSCI CANADA 127,687 138,225
    778296103 ROSS STORES INC    
    11135F101 BROADCOM INC    
    56585A102 MARATHON PETROLEUM C    
    64110L106 NETFLIX INC 6,971 10,274
    70450Y103 PAYPAL HOLDINGS INC 11,687 28,807
    79466L302 SALESFORCE.COM INC 4,947 9,124
    G5494J103 LINDE PLC 13,784 21,344
    00287Y109 ABBVIE INC 11,243 15,644
    015351109 ALEXION PHARMACEUTIC    
    22052L104 CORTEVA INC    
    26614N102 DUPONT DE NEMOURS IN    
    337738108 FISERV INC 13,268 17,307
    580135101 MCDONALD'S CORP 5,229 5,579
    742718109 PROCTER & GAMBLE CO/ 6,831 8,905
    747525103 QUALCOMM INC    
    N6596X109 NXP SEMICONDUCTORS N 13,817 19,240
    007903107 ADVANCED MICRO DEVIC 8,224 8,804
    031100100 AMETEK INC 6,300 7,619
    09857L108 BOOKING HOLDINGS INC 11,972 15,591
    461202103 INTUIT INC 7,327 9,876
    46434G103 ISHARES CORE MSCI EM 127,987 143,499
    46434V738 ISHARES CORE MSCI EU 126,548 143,533
    512807108 LAM RESEARCH CORP 9,786 11,334
    518439104 ESTEE LAUDER COMPANI 4,604 5,058
    693506107 PPG INDUSTRIES INC 8,548 9,086
    75513E101 RAYTHEON TECHNOLOGIE 9,467 9,153
    883556102 THERMO FISHER SCIENT 12,043 16,302
    N07059210 ASML HOLDING NV-NY R 6,179 10,242

    TY 2020 InvestmentsOtherSchedule2
    Name:
    LOUIS AND ROSE KLOSK FUND UW XXXXX3005
    EIN:
    13-6328994
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    29446A710 EQUINOX IMP SYSTEM M      
    09257V508 BLACKSTONE ALT MULTI AT COST 117,863 112,541
    12628J881 CRM LNG/SHRT OPPORT-      
    09250J734 BLACKROCK EVNT DRVN AT COST 63,570 64,537
    64128R608 NEUBERGER BERMAN LON AT COST 59,300 65,718
    72201U638 PIMCO MRTG OPP & BND AT COST 62,032 63,775

    TY 2020 OtherDecreasesSchedule
    Name:
    LOUIS AND ROSE KLOSK FUND UW XXXXX3005
    EIN:
    13-6328994
    Description Amount
    2020 TRANSACTIONS POSTED IN 2021 6,138
    COST BASIS ADJUSMENT 315


    TY 2020 OtherExpensesSchedule
    Name:
    LOUIS AND ROSE KLOSK FUND UW XXXXX3005
    EIN:
    13-6328994
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ATTORNEY GENERAL FEE 250 0   250


    TY 2020 OtherIncreasesSchedule
    Name:
    LOUIS AND ROSE KLOSK FUND UW XXXXX3005
    EIN:
    13-6328994
    Description Amount
    2019 TRANSACTIONS POSTED IN 2020 7,197
    ROUNDING 7


    TY 2020 TaxesSchedule
    Name:
    LOUIS AND ROSE KLOSK FUND UW XXXXX3005
    EIN:
    13-6328994
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 33 33   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,842 0   0
    FEDERAL ESTIMATES - INCOME 4,780 0   0
    FOREIGN TAXES ON QUALIFIED FOR 2,249 2,249   0
    FOREIGN TAXES ON NONQUALIFIED 317 317   0