Form990-PF
Click to see attachment

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
ACUCARES FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)CO SPERRY 5 RESEACH DR SUITE 135
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SHELTON, CT06484
A Employer identification number

84-2918250
B Telephone number (see instructions)

(203) 791-4507
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$3,503,838
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) 1,366,800
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,366,800 0 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 2,177 0 0 0
b Accounting fees (attach schedule)....... 5,075 0 0 0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 303 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 7,555 0 0 0
25 Contributions, gifts, grants paid....... 547,935 547,935
26 Total expenses and disbursements. Add lines 24 and 25 555,490 0 0 547,935
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 811,310
b Net investment income (if negative, enter -0-) 0
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............. 2,500,000 3,503,838 3,503,838
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,500,000 3,503,838 3,503,838
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) Click to see attachment0 Click to see attachment192,528
23 Total liabilities (add lines 17 through 22)......... 0 192,528
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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 2,500,000 3,311,310
29 Total net assets or fund balances (see instructions)..... 2,500,000 3,311,310
30 Total liabilities and net assets/fund balances (see instructions). 2,500,000 3,503,838
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
2,500,000
2
Enter amount from Part I, line 27a .....................
2
811,310
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
3,311,310
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,311,310
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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  
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 0
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 0
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 0
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 0
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 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
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 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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
     
    No
    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)
    bulletDE
    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. Click to see attachment...............................
    10
    Yes
     
    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 ofbulletWILLIAMSHEASPERRYRAILCOM Telephone no.bullet (203) 791-4507

    Located atbulletC/O SPERRY 5 RESEACH DR SUITE 135SHELTONCT ZIP+4bullet06484
    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
    PETER SCANNELL PRESIDENT
    1.00
    0 0 0
    C/O ACUREN 17146 FEATHERCRAFT LANE
    WEBSTER,TX77598
    JOHN LOCKWOOD TREASURER
    1.00
    0 0 0
    C/O ACUREN 17146 FEATHERCRAFT LANE
    WEBSTER,TX77598
    ANDREW W REGAN SECRETARY
    1.00
    0 0 0
    544 EAST 86TH STREET
    NEW YORK,NY10028
    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.........................bullet0
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    3,034,905
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,034,905
    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
    3,034,905
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    45,524
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,989,381
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    149,469
    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
    149,469
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
     
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    149,469
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    149,469
    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
    149,469
    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
    547,935
    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
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    547,935
    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
    547,935
    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 7 149,469
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 41,828
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016......  
    c From 2017......  
    d From 2018......  
    e From 2019......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 547,935
    a Applied to 2019, but not more than line 2a 41,828
    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..... 149,469
    e Remaining amount distributed out of corpus 356,638
    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 5 356,638
    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 ......
    356,638
    10 Analysis of line 9:
    a Excess from 2016....  
    b Excess from 2017....  
    c Excess from 2018....  
    d Excess from 2019....  
    e Excess from 2020.... 356,638
    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 e-mail address of the person to whom applications should be addressed:
    CHRISTINA BASSLER
    40 STURGES COMMON
    WESTPORT,CT06880
    (203) 791-4507
    CBASSLER@ROCKWOODLP.COM
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATIONS AND INSTRUCTIONS PROVIDED UPON WRITTEN REQUEST BY EMAIL OR LETTER.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    PAST, PRESENT, AND FUTURE EMPLOYEES OF ACUREN PURSUING POST-SECONDARY EDUCATION.
    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
    AARON JESSE W
    166 SHERWOOD RD
    RINCON,GA31326
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    ABDI PHYSAL
    9107 88 AVE NW APT 304
    EDMONTON,ABT6C 1M2
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,496
    ADRIAN HALL
    6-171 BEATTY AVE NW
    SALMON ARM,BCV1E 2W4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,309
    ALEXANDRIA ANDREWS
    1208 HUEYTOWN RD
    HUEYTOWN,AL35023
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    ANDREW CHAPMAN
    W 3290 SWEDE SETTLEMENT RD
    VULCAN,MI49892
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,000
    ARRAMBIDE LUISA
    13503 N THORNTREE DR APT 139
    HOUSTON,TX77015
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    AUSBROOKS JEROME
    1810 SOUTH GONZALES TRACE AVE
    GONZALES,LA70737
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,000
    AUSTIN L SMITH
    7201 E 120TH PLACE
    CROWN POINT,IN46307
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    AVALOS PEDRO
    UNIT 120 655 WATT BOULEVARD
    EDMONTON,ABT6X 0Y2
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    BAGE STEVEN
    1320 TWP 570 RR1
    BUSBY,ABT0G 0H0
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    BAGE STEVEN
    1320 TWP 570 RR1
    BUSBY,ABT0G 0H0
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 3,801
    BALWINSKI SPENCER M
    12573 FROST RD
    HEMLOCK,MI48626
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    BANISTER JEREMY
    9610-81 ST
    FORT SASKATCHEWAN,ABT8L 3J4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    BARTON JAMES D
    15117 GRASSINGTON DRIVE
    CHANNELVIEW,TX77530
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    BARTZEN GRANT
    114 GOERZEN STREET
    SASKATOON,SKS7K 7E3
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    BEN BROUWER
    77 BENSON AVE
    PETERBOROUGH,ONK9H 5X8
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 3,558
    BERRY MICHAEL S
    18 OCEANIC DR
    STONEY CREEK,ONL8E 4H5
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 4,225
    BLACKLOCK JAMIE
    201-7711-71 STREET NW
    EDMONTON,ABT6B 3W3
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    BOBBY PORTER
    9842 AUDELIA ROAD 234
    DALLAS,TX75238
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    BOYKIN TYLER S
    125 S FITZGERALD ST
    PINE LEVEI,NC27576
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    BRENT LUNA
    708 W CHARLESTON ST APT 708
    BROKEN ARROW,OK74011
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    BRETT COLTHARP
    1722 ATLAS RD
    MURFREESBORO,TN37130
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    BURNETT REBECCA J
    8035 W 16TH PL
    LAKEWOOD,CO80214
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    BURNS ANDREW
    179 HERITAGE LANE
    SHERWOOD PARK,ABT8A 6J5
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 4,225
    BUYS CHARLES
    52568 RANGE ROAD 225
    SHERWOOD PARK,ABT8A 4S3
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    CABA HUSAIN M
    104 MADINAH RD
    COMMERCE,GA30530
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    CAMAROTE DOMINICK J
    601 HILLSIDE DR N APT 1732
    NORTH MYRTLE BEACH,SC29582
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    CATHY KELLY
    44 SMITH AVENUE
    TRURO,NSB2N 1C1
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 7,600
    CHENG WINNIE
    4820 30 AVENUE NW
    EDMONTON,ABT6L 4R5
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    CLAYTON II PATRICK B
    120 S HIGH STREET
    HENDERSON,TX75654
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    CLAYTON PIERCE
    4817B - 50 AVE
    COLD LAKE,ABT9M 1Y2
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 3,679
    CLIFTON TRENTEN D
    1116 CANAL ST
    RINGGOLD,LA71068
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    CONSTANTE CHRISTOPHER A
    4233 JACQUELYN DRIVE
    CORPUS CHRISTI,TX78412
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    COOPER JR JOHN E
    5030 TUPELO LANE
    BEAUMONT,TX77708
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    CRUZ LUIS A
    5068 EDEN ROC DR
    MARRERO,LA70072
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    DANJA ABDUL
    904 CHERRYHILL STREET LAKE
    CHARLES,LA70607
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    DASO SAMSON A
    16131 MISSION VILLAGE DRIVE
    HOUSTON,TX77083
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    DAVID SMITHHART
    3310 PECAN DR
    TEMPLE,TX76502
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    DEDNER JR LEWIS W
    2007 ABERGLEN DR
    CHARLOTTE,NC28262
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    DENISE SMALLING
    100 ALBIAN DRIVE APT 41
    FORT MCMURRAY,ABT9J 1M1
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 3,543
    DIANA SCHAPPACH
    86 POSSUM DR
    NEW FAIRFIELD,CT06812
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    DIGILORMO JASON R
    4515 GENERAL EWELL DR
    BOSSIER CITY,LA71112
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    DYLAN HUDSON
    1008 FAIRWAY DRIVE
    LONGVIEW,TX75604
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    EDWARDS ATEYLA A
    11521 173RD AVE CT E
    BONNEY LAKE,WA98391
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    ELROD JR KENNETH R
    1201 DONALD AVE
    DAYTON,OH45420
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    EMHOOLAH JR VERNAL R
    1421 AUBURN DR
    LONGVIEW,TX75601
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    FERREIRA WESLEY
    40 CHAPLIN LANE
    SHERWOOD PARK,ABT8H 0B1
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    FRECHETTE HENRY
    BOX 7947
    BONNYVILLE,ABT9N 2N2
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,563
    FREEMAN ASHLEY M
    3102 FOX RUN DR
    ALVIN,TX77511
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    GABRIEL VASQUEZ
    13 MIDFIELD ROAD
    DANBURY,CT06811
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 500
    GABRIEL VASQUEZ
    13 MIDFIELD ROAD
    DANBURY,CT06811
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 500
    GILLARD JAMES S
    10033 116 ST UNIT 205
    EDMONTON,ABT5K 2X5
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 4,225
    GILLARD JAMES S
    10033 116 ST UNIT 205
    EDMONTON,ABT5K 2X5
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 4,561
    GRESCHUK JASON
    388 CIRCLEBROOK DRIVE
    YORKTON,SKS3N 2Y5
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    GUERRA BRANDON M
    11231 MORNINGSIDE LAKE LANE
    RICHMOND,TX77406
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    GUNZ NATHAN J
    10568 CLEAR COVE DRIVE
    TYLER,TX75703
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    GUTIERREZ LISA M
    2200 W BAKER RD 536
    BAYTOWN,TX77521
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    GUY NICHOLAS D
    513 IVAN GIMNICK RD
    DEQUINCY,LA70633
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    HALLS LORNE LARRY E
    18560 BURKLAND RD
    MOUNT VERNON,WA98274
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    HANSON MARK J
    10 WIUNTER STREET
    AGUSTA,ME04330
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    HANSON NOLAN D
    W8995 COUNTY RD L
    PEMBINE,WI54156
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    HARDEN RON C
    726 GAYLE ST LAKE
    CHARLES,LA70607
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    HAWKS EDMON C
    6133 CUMBERLAND CIRCLE
    CORPUS CHRISTI,TX75414
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    HAWKS OLGA D
    6133 CUMBERLAND CIRCLE
    CORPUS CHRISTI,TX75414
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    HENDERSON SCOTT S
    66 RANDALL ROAD
    CAMBRIDGE,ONN3C 3L2
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    HOPE TERI L
    763 NANCY GREENE DRIVE
    CAMPBELL RIVER,BCV9W 2A5
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 4,256
    HUBBARD DANIEL E
    2732 S PADRE ISLAND DRIVE 347
    CORPUS CHRISTI,TX78415
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    HUDSON DYLAN W
    1008 FAIRWAY DRIVE
    LONGVIEW,TX75604
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    HUDSON DYLAN W
    1008 FAIRWAY DRIVE
    LONGVIEW,TX75604
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    HUNT KRISTEE C
    103 RICE ST
    ANAHUAC,TX77514
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    INGLE II LESTER A
    7407 NAVIDAD
    HOUSTON,TX77083
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    JAMES FLANAGAN
    59 CANTING DRIVE
    HALIFAX,NSB4E 2W3
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,429
    JAMES GLENDENNING
    2690 DREW STREET APT 530
    CLEARWATER,FL33759
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    JAMES GLENDENNING
    2690 DREW STREET APT 530
    CLEARWATER,FL33759
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    JAMES GLENDENNING
    2690 DREW STREET APT 530
    CLEARWATER,FL33759
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    JAMEY TOUROND
    2906 23RD ST
    NANTON,ABT0L 1R0
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    JENSEN JR TONY L
    20 COTTLE ROAD
    OAKLAND,ME04963
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    JOANNE MCCORY
    273 LAKE RANGE DRIVE
    KINCARDINE,ONN2Z 2X3
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 7,600
    JOHNSON PHILLIP B
    222 CAMBRIDGE RD
    TYLER,TX75703
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    JONES BRADLEY K
    12962 CENTAURUS CT
    WILLIS,TX77318
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    JONES JOSEPH E
    16090NOLIA ST
    SULPHUR,LA70663
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    JOSHUA LOFTIS
    123 HOLLIS CT
    WALTERBORO,SC29488
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,351
    KELLIE VASQUEZ
    13 MIDFIELD ROAD
    DANBURY,CT06811
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 500
    KELLIE VASQUEZ
    13 MIDFIELD ROAD
    DANBURY,CT06811
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 520
    KELLIE VASQUEZ
    13 MIDFIELD ROAD
    DANBURY,CT06811
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    KELLY BROCKET
    180 RIVERSTONE RIDGE SUITE 42 UNIT
    42
    FORT MCMURRAY,ABT9K 0V6
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,207
    KENNEDY TY A
    1005 W PACIFIC
    GLADEWATER,TX75647
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    KNIGHT JOEY D
    6905 SHELLCROSS DRIVE
    DAYTON,OH45424
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    LABONTE DAVID A
    N16501 PARK AVE
    HERMANSVILLE,MI49847
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    LOEUNG SARATH
    5028 SPANISH OAKS BLVD
    LAKELAND,FL33805
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    LUIS VASQUEZ
    53 SALISBURY RD
    YONKERS,NY10710
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    LUIS VASQUEZ
    53 SALISBURY RD
    YONKERS,NY10710
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MAJKA DWAYNE A
    600 OLD DANA RD
    BARRE,MA01005
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    MALONE DIANNE H
    3 GARDEN RIDGE CT
    MANVEL,TX77578
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MARTIN TREY E
    901 SHADOW CREEK DRIVE
    LA PORTE,TX77571
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MARTINEZ RAMON T
    329 MOHAWK ST
    CORPUS CHRISTI,TX78405
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    MARTORELL KRISTI A
    221 HAWKS VIEW DRIVE
    LA MARQUE,TX77568
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MAYO BRYSON J
    200 HIGH MEADOWS BLVD 241
    LAFAYETTE,LA70507
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MCCLAIN JOSHUA R
    3257 ENCLAVE BOULEVARD
    MULBERRY,FL33860
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MCCONNELL ALEXIS P
    2295 W ORANGE GROVE AVE
    POMONA,CA91768
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    MCFARLAND DAMON K
    300 SHOREVIEW DRIVE
    LONGVIEW,TX75605
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    MCKEEN KYLE
    132 CASTLE DRIVE NW
    EDMONTON,ABT5X 6J1
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    MEDINA GONZALEZ RAFAEL
    533 ROCKY RIDGE BAY NW
    CALGARY,ABT3G 4E7
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    MICHAEL MCKINLEY
    36 AMARANTH CRES
    DARTMOUTH,NSB2W 4B4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,429
    MICHAEL REED
    2825 OLD ORCHARD DRIVE
    WATERFORD TWP,MI48328
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MILLER JR JOHN A
    4203 ERIC LANE
    LONGVIEW,TX75605
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MOCK KYLE R
    690 LEWIS DRIVE
    BOURBONNAIS,IL60914
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    MONTELONGO DEVYN M
    3717 GREEN ACRES RD
    METAIRIE,LA70003
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,000
    NORTHCUTT JERRY D
    463 JORDAN DR
    BOSSIER CITY,LA71112
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    OKERE RICKMANUEL N
    12840 SOUTH KIRKWOOD APT 138
    STAFFORD,TX77477
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    OSMENT MARK
    8418 DEFOR DRIVE
    GRAND BEND,ONN0M 1T0
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,129
    PADILLA JECTAN C
    9519 BELLECLAIRE LN
    HOUSTON,TX77044
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    PATTON NAKIA A
    8391 WEST OUTER DRIVE
    DETROIT,MI48219
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    PHOMMASENH KEOSIRI
    243 KEEWATIN AVE
    KITCHENER,ONN2B 3W4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    PONDOFF BRYAN J
    23504 FM1252
    WEST GLADEWATER,TX75647
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    PRICE DEMITRIUS J
    16607 WOLF PASS DRIVE
    CYPRESS,TX77433
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    RAPHAEL KAMAU
    16 MARTINBROOKE RD NE
    CALGARY,ABT3J 3G4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,357
    RAPHAEL KAMAU
    16 MARTINBROOKE RD NE
    CALGARY,ABT3J 3G4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    RAPHAEL KAMAU
    16 MARTINBROOKE RD NE
    CALGARY,ABT3J 3G4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    RAPHAEL KAMAU
    16 MARTINBROOKE RD NE
    CALGARY,ABT3J 3G4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    REED MICHAEL D
    2825 OLD ORCHARD DRIVE
    WATERFORD TWP,MI48328
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    REED MICHAEL D
    2825 OLD ORCHARD DRIVE
    WATERFORD TWP,MI48328
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    RICE STEVE
    8 EASTERBROOK DRIVE
    TORBAY,NLA1K 1A8
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,128
    RICHARD DELANGEN
    2357 BLVD RENE-LAENNEC APT A01
    LAVAL,QCH7M 5Z8
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 562
    RIVERA JUAN G
    517 REYNOLDS
    TAFT,TX78390
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    RIVERA KRISTOPHER S
    4000 ROSE AVE APT 2306
    CHALMETTE,LA70043
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    ROBERT SHANNON
    680 HAMBLEY BOULEVARD APT 411
    PIKEVILLE,KY41501
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 800
    ROBERT SHANNON
    680 HAMBLEY BOULEVARD APT 411
    PIKEVILLE,KY41501
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 800
    ROBERT WILSON
    3806 FAIRVALLEY DRIVE
    HOUSTON,TX77068
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    ROLPH ESQ DANIEL G
    4075 ERNEST STREET
    PETROLIA,ONN0N 1R0
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    ROSADO JAQUON J
    11231 MORNINGSIDE LAKE LANE
    RICHMOND,TX77406
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    RUIZ RICHARD A
    2003 HAMPTON BREEZE LANE
    ROSENBERG,TX77469
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    SAMANTHA WIDEMAN
    5105-52 AVENUE
    MILLET,ABT0C 1Z0
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,286
    SAMANTHA WIDEMAN
    5105-52 AVENUE
    MILLET,ABT0C 1Z0
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,714
    SAMUEL RICHTER
    2020 EAST 32 AVE
    VANCOUVER,BCV5N 3B5
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,286
    SAMUELS CHRISTOPHER
    5808 RUE MONTESPAN
    MARRERO,LA70072
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    SHAHID USMAN M
    2202 - 38 RIEDEL STREET
    FORT MCMURRAY,ABT9H 3E1
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,128
    SHANO IV WILLIAM B
    4513 STELLA DRIVE
    MERAUX,LA70075
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    SHEENA NGOV
    6 MARLDON RD
    BROOKFIELD,CT06804
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 450
    SHEENA NGOV
    6 MARLDON RD
    BROOKFIELD,CT06804
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,000
    SHELLEY ADAM K
    17384 LOCK TWO RD
    BOTKINS,OH45306
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    SHORT ROSS A
    422 LLOYDS CHAPEL RD
    CHURCH HILL,TN37642
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    SOSA FLAVIO M
    6114 CARNABY LN APT 7
    ROSENBERG,TX77471
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    SPRETZ STEVEN
    4835 ASPEN DRIVE
    PASADENA,TX77505
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,000
    ST MARTIN PHILLIP
    135 TEMPLETON CRES
    COURTRIGHT,ONN0N 1H0
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,563
    STEELE JOSEPH M
    3010 LOY LAKE RD
    DENISON,TX75020
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    STEWART DANIEL J
    734 ORDINANCE DRIVE APT B1
    CHURCH HILL,TN37642
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    SURBER RICKIE J
    249 SPRINGVALLEY DRIVE
    VACAVILLE,CA95687
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    TAHAN SOHEYL
    481 87 NELSON STREET
    VANCOUVER,BCV6E 4M2
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    THAIN CORRINE
    12223-45 STREET NW
    EDMONTON,ABT5W 2V2
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 3,766
    THOMAS MICHAEL E
    4465 208TH STREET
    LANGLEY,BCV3A 2H7
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 3,740
    TIMOTHY BRAME
    4352 GRASSY MOSS DR
    GREENSBORO,NC27409
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 1,500
    TRAMUTA JUSTIN M
    5337 CITRUS BLVD APT K163
    RIVER RIDGE,LA70123
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,000
    TREAUDO III JOSHUA
    7925 NEVADA ST
    METAIRIE,LA70003
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,000
    TYRRELL JR REGINALD B
    3995 CROW RD 105
    BEAUMONT,TX77706
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    URVANOV ANATOLIY
    14606 118 STREET
    EDMONTON,ABT5X 2J4
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    VALDEZ ERIC
    834 BENAVIDES ST
    ROBSTOWN,TX78380
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    VAN DER WALT ANDRE
    52577 RANGE ROAD 225
    SHERWOOD PARK,ABT8A 4R9
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    VITAN VALENTINE V
    822 TERRYHOLLOW STREET
    CHANNELVIEW,TX77530
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WALTERS CHELSEA C
    283 WILLIAMS DRIVE
    FORT MCMURRAY,ABT9H 5L9
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,113
    WAYNE ADAMS
    880 BURGIES CHAPEL ROAD
    DYERSBURG,TN38024
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 500
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WAYNE JOHNSON
    204 POMO TRAIL
    MARKER HEIGHT,TX76548
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WEBB ROBERT A
    346 INDIAN VILLAGE RD
    SLIDELL,LA70461
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WELLEBO RESHID
    401 - 10126 MACDONALD AVE
    FORT MCMURRAY,ABT9H 1T1
    CA
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 7,115
    WIERSCHKE BRIAN
    1401 RIDGE ST
    NIAGARA,WI54151
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WIERSCHKE BRIAN
    1401 RIDGE ST
    NIAGARA,WI54151
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WILLIAMS EDWARD E
    3520 E NASA PKWY APT 78
    SEABROOK,TX77586
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WILLIS III ROBERT V
    114 TREWHILL PKWY
    LAFAYETTE,LA70507
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    WILLIS CRYSTAL M
    14102 WOOD STORK COURT
    HOUSTON,TX77044
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 5,000
    WILSON ROBERT G
    3806 FAIRVALLEY DRIVE
    HOUSTON,TX77068
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 10,000
    YOUNG III JOHN J
    7255 RIO BLANCO DRIVE
    HOUSTON,TX77083
      I FINANCIAL ASSISTANCE TO THOSE FINANCIALLY IMPACTED BY COVID-19 EPIDEMIC. 2,000
    Total .................................bullet 3a 547,935
    bApproved for future payment
    Total .................................bullet 3b 0
    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....          
    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 ............
             
    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).. 0 0 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    0
    (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
    ACUCARES FOUNDATION
     
    Employer identification number

    84-2918250
    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
    ACUCARES FOUNDATION
     
    Employer identification number
    84-2918250
    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
    SIMON JAMIESON
    C/O MULTREES INVESTOR SERVICES LTD3
     
    EDINBURDH, SCOTLANDEH23DUK

    $ 19,200


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
    JAMES MARLAS
    445 PARK AVENUE 14TH FLOOR
     
    NEW YORK, NY10022

    $ 3,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
    CHRISTOPHER HOLBROOK
    C/O AWR ADVISORS LLC ATTN ANDREW RE
     
    NEW YORK, NY10021

    $ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    4
    MARY H BYRON F THOMAS
    227 ANGLER AVE
     
    PALM BEACH, FL33480

    $ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    5
    BRUCE GURALL
    1222 FERRY ROAD
     
    SANIBEL ISLAND, FL33957

    $ 8,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    6
    ELIZABETH REGAN CO ANDREW REGAN
    544 EAST 86TH STREET
     
    NEW YORK, NY10028

    $ 2,500


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    ACUCARES FOUNDATION
     
    Employer identification number
    84-2918250
    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
    7
    JAMES GUSTAFSON
    5174 STREICH LANE
     
    OSHKOSH, WI54902

    $ 3,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    8
    WAKEMAN
     
    ATTN EARL SAMSON 115 E 69TH ST
     
    NEW YORK, NY10021

    $ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    9
    ERIBERTO SCOCCIMARA CO SCOCIMARA CO
    43 ARCH STREET
     
    GREENWICH, CT06830

    $ 22,530


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    10
    HAROLD FINDLAY
    455 NE 5TH AVENUE SUITE D378
     
    DELRAY BEACH, FL33483

    $ 15,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    11
    MARK OHRSTROM CO LARKSPUR SERVICES
    PO BOX 500/6384 STUART ST
     
    THE PLAINS, VA20198

    $ 219,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    12
    CHRIS OHRSTROM CO LARKSPUR SERVICES
    PO BOX 500/6384 STUART ST
     
    THE PLAINS, VA20198

    $ 217,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    ACUCARES FOUNDATION
     
    Employer identification number
    84-2918250
    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
    13
    KENNETH OHRSTROM CO LARKSPUR SERVIC
    PO BOX 500/6384 STUART ST
     
    THE PLAINS, VA20198

    $ 207,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    14
    RICARD OHRSTROM CO LARKSPUR SERVICE
    PO BOX 500/6384 STUART ST
     
    THE PLAINS, VA20198

    $ 203,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    15
    GEORGE OHRSTROM CO LARKSPUR SERVICE
    PO BOX 500/6384 STUART ST
     
    THE PLAINS, VA20198

    $ 201,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    16
    BARNABY OHRSTROM CO LARKSPUR SERVIC
    PO BOX 500/6384 STUART ST
     
    THE PLAINS, VA20198

    $ 196,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    17
    MICHAEL MCMILLEN CO HMPAYSON
    ONE PORTLAND SQ PO BOX 31
     
    PORTLAND, ME04112

    $ 3,570


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    18
    LOUIS BUSCH HAGER JR
    339 GARDEN ROAD
     
    PALM BEACH, FL33480

    $ 10,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    ACUCARES FOUNDATION
     
    Employer identification number
    84-2918250
    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
    19
    GF OHRSTROM
    44 GRAMERCY PARK NORTH APPT 11C
     
    NEW YORK, NY10010

    $ 7,000


    (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
    ACUCARES FOUNDATION
     
    Employer identification number

    84-2918250
    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
    ACUCARES FOUNDATION
     
    Employer identification number

    84-2918250
    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:
    ACUCARES FOUNDATION
    EIN:
    84-2918250
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 5,075 0 0 0

    TY 2020 GeneralExplanationAttachment
    Name:
    ACUCARES FOUNDATION
    EIN:
    84-2918250
    Identifier Return Reference Explanation
      PAGE 5, PART VII-B, LINE 1B: ACUREN PAID GRANTS FROM ACUCARES FOUNDATION DIRECTLY TO THE GRANT RECIPIENTS ON BEHALF OF THE FOUNDATION. ACUCARES FOUNDATION REIMBURSED ACUREN FOR THE GRANTS PAID SHORTLY AFTER YEAR-END. THE PARENT OF ACUREN, ROCKWOOD SERVICE CORPORATION, IS A SUBSTANTIAL CONTRIBUTOR TO THE FOUNDATION. ACUREN AND ROCKWOOD SERVICE CORPORATION DID NOT CHARGE INTEREST ON ANY AMOUNTS ADVANCED ON BEHALF OF ACUCARES FOUNDATION. IRC 4941(D)(2)(B) PROVIDES "THE LENDING OF MONEY BY A DISQUALIFIED PERSON TO A PRIVATE FOUNDATION SHALL NOT BE AN ACT OF SELF-DEALING IF THE LOAN IS WITHOUT INTEREST AND IF THE PROCEEDS OF THE LOAN ARE USED EXCLUSIVELY FOR THE PURPOSES OF SPECIFIED IN SECTION 501(C)(3)." NO FORM 4720 FILING IS THEREFORE REQUIRED.

    TY 2020 LegalFeesSchedule
    Name:
    ACUCARES FOUNDATION
    EIN:
    84-2918250
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 2,177 0 0 0


    TY 2020 OtherLiabilitiesSchedule
    Name:
    ACUCARES FOUNDATION
    EIN:
    84-2918250
    Description Beginning of Year - Book Value End of Year - Book Value
    DUE TO SPERRY RAIL 0 128,137
    DUE TO ACUREN 0 64,391


    TY 2020 SubstantialContributorsSch
    Name:
    ACUCARES FOUNDATION
    EIN:
    84-2918250
    Name Address
    MARK OHRSTROM CO LARKSPUR SERVICES PO BOX 500/6384 STUART ST
    THE PLAINS,VA20198
    CHRIS OHRSTROM CO LARKSPUR SERVICES PO BOX 500/6384 STUART ST
    THE PLAINS,VA20198
    KENNETH OHRSTROM CO LARKSPUR SERVIC PO BOX 500/6384 STUART ST
    THE PLAINS,VA20198
    RICARD OHRSTROM CO LARKSPUR SERVICE PO BOX 500/6384 STUART ST
    THE PLAINS,VA20198
    GEORGE OHRSTROM CO LARKSPUR SERVICE PO BOX 500/6384 STUART ST
    THE PLAINS,VA20198
    BARNABY OHRSTROM CO LARKSPUR SERVIC PO BOX 500/6384 STUART ST
    THE PLAINS,VA20198


    TY 2020 TaxesSchedule
    Name:
    ACUCARES FOUNDATION
    EIN:
    84-2918250
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DE FRANCHISE TAX FILING FEE 303 0 0 0