Form990-PF
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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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
THE APATOW-MANN FAMILY FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)8383 WILSHIRE BLVD STE 400
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BEVERLY HILLS, CA90211
A Employer identification number

26-1102362
B Telephone number (see instructions)

(310) 271-0300
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$96,363J 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) 100,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 1 1 1
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)...  
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........ 100,001 1 1
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 2,582      
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 1,343      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 3,925 0   0
25 Contributions, gifts, grants paid....... 526,000 526,000
26 Total expenses and disbursements. Add lines 24 and 25 529,925 0   526,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -429,924
b Net investment income (if negative, enter -0-) 1
c Adjusted net income (if negative, enter -0-)... 1
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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............. 521,733 90,809 90,809
2 Savings and temporary cash investments......... 5,554 5,554 5,554
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) 527,287 96,363 96,363
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........ 527,287 96,363
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)..... 527,287 96,363
30 Total liabilities and net assets/fund balances (see instructions). 527,287 96,363
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
527,287
2
Enter amount from Part I, line 27a .....................
2
-429,924
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
97,363
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,000
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
96,363
Form 990-PF (2021)
Form 990-PF (2021)
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3  
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5  
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
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 2022 estimated taxBullet0 RefundedBullet 11  
Part VI-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
     
    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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 ofbulletThe Management Group Telephone no.bullet (310) 271-0300

    Located atbullet8383 WILSHIRE BLVD STE 400BEVERLY HILLSCA ZIP+4bullet90211
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    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?
    7a
     
    No
    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? .........................
    8
     
    No
    Part VII
    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
    JUDD APATOW Pres & Director
    2.00     		0    
    8383 WILSHIRE BLVD STE 400
    BEVERLY HILLS,CA90211
    LESLIE MANN Sec. & Director
    2.00     		0    
    8383 WILSHIRE BLVD STE 400
    BEVERLY HILLS,CA90211
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-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 VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    489,559
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    489,559
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    489,559
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    7,343
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    482,216
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    24,111
    Part X
    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 IX, line 6..................
    1
    24,111
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    24,111
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    24,111
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    24,111
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 24,111
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 631,707
    b From 2017...... 603,631
    c From 2018...... 598,250
    d From 2019...... 426,100
    e From 2020...... 475,300
    f Total of lines 3a through e ........ 2,734,988
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 526,000
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 24,111
    e Remaining amount distributed out of corpus 501,889
    5 Excess distributions carryover applied to 2021.    
    (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 3,236,877
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		631,707
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		2,605,170
    10 Analysis of line 9:
    a Excess from 2017.... 603,631
    b Excess from 2018.... 598,250
    c Excess from 2019.... 426,100
    d Excess from 2020.... 475,300
    e Excess from 2021.... 501,889
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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 (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    Care for the Homeless
    30 EAST 33RD STREET
    New York,NY10016     		None PC PROVIDING HEALTHCARE,SHELTER AND HUMAN SERVICES 10,000
    The Valentino Achak Deng Foundation
    849 Valencia Street
    San Francisco,CA94110     		None PC EDUCATION SERVICES 1,000
    Los Angeles Men's Place
    527 SOUTH CROCKER ST
    Los Angeles,CA90013     		None PC PROVIDING HEALTH AND CARE SUPPORT SERVICES 12,500
    ACLU of Southern California
    1313 W 8th Street
    Los Angeles,CA90017     		None PC PRESERVE INDIVIDUAL RIGHTS 20,000
    Cedars - Sinai Medical Center
    8700 BEVERLY BLVD SUITE 2416
    Los Angeles,CA90048     		None PC PROVIDING HEALTH SERVICES 10,000
    A Place Called Home
    2830 SOUTH CENTRAL AVENUE
    Los Angeles,CA90011     		None PC EDUCATIONAL SERVICES 5,000
    Project ALS
    3960 BROADWAY SUITE 420
    New York,NY10032     		None PC RESEARCH SERVICES 2,500
    ST Jude Children's Research Hospita
    501 ST JUDE PLACE
    MEMPHIS,TN38105     		None PC RESEARCH AND TREATMENT SERVICES 2,500
    THE UCLA DEVELOPMENT SEMEL INSTITUT
    10920 WILSHIRE BLVD STE 1400
    LOS ANGELES,CA90024     		None PC EDUCATION SERVICES 15,000
    US FUND FOR UNICEF
    125 MAIDEN LANE
    New York,NY10038     		None PC EMERGENCY RELIEF 10,000
    ULMAN CANCER FUND FOR YOUNG ADULTS
    921 E FORT AVE STE 325
    BALTIMORE,MD21230     		None PC EDUCATION AND SUPPORT SERVICES 2,500
    VENICE FAMILY CLINIC
    604 ROSE AVE
    Venice,CA90291     		None PC PROVIDING HEALTH CARE 2,500
    HOMELESS HEALTH CARE LOS ANGELES
    2330 BEVERLY BLVD
    LOS ANGELES,CA90057     		None PC HEALTH CARE SERVICES 10,000
    LA LEADERSHIP ACADEMY
    234 EAST AVENUE 33
    Los Angeles,CA90031     		None PC EDUCATION SERVICES 1,500
    FULFILLMENT FUND
    6100 WILSHIRE BLVD SUITE 600
    Los Angeles,CA90048     		None PC EDUCATION SERVICES 20,000
    US VETS
    800 W 6TH STREET STE 1505
    Los Angeles,CA90017     		None PC HOUSING SERVICES 2,500
    CHILDREN'S DEFENSE FUND
    25 E STREET NW
    WASHINGTON,DC20001     		None PC EDUCATION AND HEALTH SERVICES 2,500
    JONSSON CANCER CENTER FOUNDATION UC
    8-950 FACTOR BUILDING BOX 951780
    Los Angeles,CA90095     		None PC CLINICAL RESEARCH 1,500
    PROSTATE CANCER FOUNDATION
    1250 FOURTH STREET
    SANTA MONICA,CA90401     		None PC RESEARCH SERVICES 2,000
    ST JOSEPH CENTER
    204 HAMPTON DRIVE
    VENICE,CA90291     		None PC HEALTH AND CARE SERVICES 2,500
    WORLD FOOD PROGRAM
    1725 I STREET NEW SUITE 510
    WASHINGTON,DC20006     		None PC PROVIDE EMERGENCY RELIEF 2,500
    LOS ANGELES REGIONAL FOOD BANK
    1734 East 41st Street
    LOS ANGELES,CA90058     		None PC PROVIDING CARE SERVICES 10,000
    HUMAN RIGHTS ACTION CENTER
    451 First Street SE
    WASHINGTON DC,DC20003     		None PC PRESERVE INDIVIDUAL RIGHTS 2,000
    MARCH OF DIMES FOUNDATION
    700 N BRAND BLVD SUITE 950
    GLENDALE,CA91203     		None PC HEALTH OF BABIES RESEARCH PROGRAMS 5,000
    REFUGE POINT
    689 MASSACHUSETTS AVE
    CAMBRIDGE,MA02139     		None PC PROVIDING EMERGENCY RELIEF 15,000
    AMERICAN FILM INSTITUTE
    2021 NORTH WESTERN AVENUE
    LOS ANGELES,CA90027     		None PC CULTURAL SERVICES 2,500
    PHILABUNDANCE
    3616 SOUTH GALLOWAY STREET
    PHILADEPHIA,PA19148     		None PC PROVIDING CARE SERVICES 5,000
    MELANOMA RESEARCH FOUNDATION
    1411 K STREET NW STE 800
    WASHINGTON,DC20005     		None PC PROVIDING MEDICAL RESEARCH 1,000
    CROSSROADS COMMUNITY OUTREACH FOUND
    1714 21ST STREET
    SANTA MONICA,CA90404     		NONE PC PROVIDING EDUCATION SERVICES 5,000
    VENICE COMMUNITY HOUSING
    720 ROSE AVENUE
    VENICE,CA90291     		NONE PC PROVIDING RESIDENCE SERVICES 2,500
    LOS ANGELES COUNTY MUSEUM OF ART
    5905 WILSHIRE BLVD
    LOS ANGELES,CA90036     		NONE PC CULTURAL SERVICES 25,000
    THE RAPE FOUNDATION
    1223 WILSHIRE BLVD 410
    SANTA MONICA,CA90403     		NONE PC PROVIDING PREVENTION & EDUCATION PROGRAMS 10,000
    BROADWAY CARES EQUITY FIGHTS AIDS
    165 WEST 46TH STREET 1300
    NEW YORK,NY10036     		NONE PC EDUCATION SERVICES AND TO PROMOTE SUPPORT 1,000
    ELIZABETH GLASER PEDIATRIC AIDS
    1140 CONNECTICUT AVE NW SUITE 200
    WASHINGTON,DC20036     		NONE PC PROVIDING MEDICAL SERVICES 2,500
    OCEANA
    1350 CONNECTICUT AVE NW 5TH FLOOR
    WASHINGTON,DC20036     		NONE PC PROVIDING SERVICES TO PROTECT HABITATS 5,000
    PEOPLE FOR THE AMERICAN WAY FOUNDAT
    1101 15T STREET NW SUITE 600
    WASHINGTON,DC20005     		NONE PC EDUCATION SERVICES 5,000
    CAMP DEL CORAZON
    11615 HESBY STREET
    N HOLLYWOOD,CA91601     		NONE PC EDUCATION SERVICES 1,000
    EPILEPSY FOUNDATION
    5777 W CENTURY BLVD 820
    LOS ANGELES,CA90045     		NONE PC MEDICAL AND RESEARCH SERVICES 1,000
    JAIL GUITAR DOORS
    PO BOX 46115
    LOS ANGELES,CA90046     		NONE PC REHABILITATION SERVICES 1,000
    C5 LOS ANGELES
    3100 NORTH BROADWAY
    LOS ANGELES,CA90031     		NONE PC EDUCATION SERVICES 4,500
    EBMRF
    9150 WILSHIRE BLVD STE 350
    BEVERLY HILLS,CA90212     		NONE PC RESEARCH SERVICES 10,000
    CHILDREN'S BURN FOUNDATION
    5000 VAN NUYS BLVD SUITE 450
    SHERMAN OAKS,CA91403     		NONE PC MEDICAL SERVICES 1,000
    DOWN SYNDROME ASSOCIATION OF LOS AN
    16461 SHERMAN WAY SUITE 180
    VAN NUYS,CA91406     		NONE PC RESEARCH AND MEDICAL SERVICES 1,000
    WORLDWIDE ORPHANS FOUNDATION
    136 MADISON AVE 17TH FL
    NEW YORK,NY10016     		NONE PC CHILDCARE SERVICES 2,500
    ARTS IN THE ARMED FORCES INC
    60 MADISON AVE SUITE 1009
    NEW YORK,NY10010     		NONE PC EDUCATION SERVICES 5,000
    MEMORIAL SLOAN-KETTERING CANCER CEN
    1275 YORK AVENUE
    NEW YORK,NY10065     		NONE PC MEDICAL RESEARCH SERVICES 5,000
    KCRW FOUNDATION
    1900 PICO BLVD
    SANTA MONICA,CA90405     		NONE PC CULTURAL SERVICES 1,000
    LEUKEMIA-LYMPHOMA SOCIETY
    6033 W CENTURY BLVD 300
    LOS ANGELES,CA90045     		NONE PC MEDICAL SERVICES 2,500
    MOTION PICTURE TELEVISION FUND
    23388 MULHOLLAND DRIVE
    WOODLAND HILLS,CA91364     		NONE PC CULTURAL SERVICES 10,000
    NATURAL RESOURCES DEFENSE COUNCIL
    1314 SECOND STREET
    SANTA MONICA,CA90401     		NONE PC EDUCATION SERVICES 10,000
    SHELTER PARTNERSHIP INC
    520 SOUTH GRAND AVENUE SUITE 695
    LOS ANGELES,CA90071     		NONE PC PROVIDING TECHNICAL ASSISTANCE 10,000
    UN FOUNDATION GLOBAL FUND
    PO BOX 96618
    WASHINGTON,DC20090     		NONE PC PROVIDING EMERGENCY RELIEF 2,500
    ENTERTAINMENT INDUSTRY FOUNDATION
    1900 AVENUE OF THE STARS SUITE 140
    LOS ANGELES,CA90067     		NONE PC ENVIRONMENTAL 1,000
    UNITED IN HARMONY
    PO BOX 34456
    LOS ANGELES,CA90034     		NONE PC PROVIDING EDUCATION 1,000
    CHRYSALIS
    1853 LINCOLN BLVD
    SANTA MONICA,CA90404     		NONE PC PROVIDING ASSISTANCE TO INDIVUDUALS OUT OF POVERTY AND HOMELESSNES 2,500
    BRADY CENTER TO PREVENT GUN VIOLENC
    840 FIRST STREET NE SUITE 400
    WASHINGTON,DC20002     		NONE PC PREVENTING GUN VIOLENCE 5,000
    CAMFED
    465 CALIFORNIA STREET SUITE 626
    SAN FRANCISCO,CA94104     		NONE PC CAMPAIGN FOR FEMALE EDUCATION 2,500
    IRAQ AFGHANISTAN VETERANS OF AMERIC
    292 MADISON AVE 1OTH FLOOR
    NEW YORK,NY10017     		NONE PC PROVIDING HEALTH CARE AND EDUCATIONAL BENEFITS 2,500
    WE SPARK CANCER SUPPORT CENTER
    13520 VENTURA BLVD
    SHERMAN OAKS,CA91423     		NONE PC PROVIDES SUPPORT GROUPS,INTEGRATIVE THERAPIES AND EDUCATIONAL WORKSHOPS. 1,000
    CAMBODIAN CHILDREN'S FUND
    2461 SANTA MONICA BLVD PMB 833
    SANTA MONICA,CA90404     		NONE PC PROVIDING EDUCATION, FAMILY SUPPORT AND COMMUNITY DEVELOPMENT PROGRAMS 1,000
    THE VETERANS WRITING PROJECT
    6508 BARNABY ST NW
    WASHINGTON,DC20015     		NONE PC PROVIDE WRITING SEMINARS AND WORKSHOPS FOR VETERANS, SERVICE AND ADULT FAMILY MEMBERS. 1,000
    THE ALZHEIMER'S FOUNDATION OF AMERI
    322 EIGHT AVENUE 7TH FLOOR
    NEW YORK,NY10001     		NONE PC PROVIDE INFORMATION, EDUCATION AND COUNSELING 2,500
    JP HAITIAN RELIEF ORGANIZATION
    6464 SUNSET BLVD SUITE 1170
    HOLLYWOOD,CA90028     		NONE PC PROVIDES EDUCATION, MEDICAL AND PRIMARY CARE SERVICES, ENGINEERING AND CONSTRUCTION. 1,000
    BABY2BABY
    6435 WILSHIRE BLVD
    LOS ANGELES,CA90048     		NONE PC PROVIDES BASIC NECESSITIES FOR LOW INCOME CHILDREN AGES 0-12 YEARS 25,000
    ALZHEIMER'S GREATER LOS ANGELES
    4221 WILSHIRE BLVD STE 400
    LOS ANGELES,CA90010     		NONE PC PROVIDING HEALTH CARE AND SUPPORT OF RESEARCH 2,500
    THE WRITERS GUILD FOUNDATION
    7000 WEST THIRD STREET
    LOS ANGELES,CA90048     		NONE PC PROVIDES EDUCATION 2,500
    GIRLS EDUCATION MENTORING SERVICES
    201 W 148TH STREET GROUND FLOOR
    NEW YORK,NY10039     		NONE PC PROVIDES SUPPORT SYSTEM TO SURVIVORS OF SEXUAL EXPLOITATION. 1,500
    NOTHING BUT NETS
    1750 PENNSYLVANIA AVE
    WASHINGTON,DC20006     		NONE PC RAISE AWARENESS AND FUNDING TO FIGHT MALARIA. 1,000
    MIDNIGHT MISSION
    601 S SAN PEDRO ST
    LOS ANGELES,CA90014     		NONE PC PROVIDES COUNSELING, EDUCATION,TRAINING, WORKFORCE DEVELOPMENT AND CARE SERVICES 5,000
    THE CHARLOTTE AND GWENYTH GRAY FOUN
    5757 WEST CENTURY BLVD SUITE 410
    LOS ANGELES,CA90045     		NONE PF PROVIDING RESEARCH AND FINANCIAL SUPPORT 1,000
    BRONX DOCUMENTARY CENTER
    614 COURTLANDT AVE
    BRONX,NY10451     		NONE PF PROVIDES CULTURAL EXCHANGE AND EDUCATION 500
    THE ALLY COALITION
    529 FIFTH AVENUE
    NEW YORK,NY10017     		NONE PF SUPPORTS EQUALI CIVIL RIGHTS 1,000
    LITTLEST TUMOR FUONDATION
    PO BOX 7051
    APPELTON,WI54912     		NONE PF PROVIDES HEALTH CARE 5,000
    EVERY TOWN FOR GUN SAFETY
    PO BOX 4184
    NEW YORK,NY10163     		NONE PF PROVIDES EDUCATION AND AWARENESS 2,500
    AUTISM SPEAKS
    6330 S SAN VICENTE BLVD STE 401
    LOS ANGELES,CA90048     		NONE PF PROVIDES RESEARCH 5,000
    THE HEART FOUNDATION
    31822 VILLAGE CENTER ROAD SUITE 208
    WESTLAKE VILLAGE,CA91361     		NONE PF PROVIDES RESEARCH AND AWARENESS OF HEART DISEASES 1,000
    AMERICAN RED CROSS
    431 18TH STREET NW
    WASHINGTON,DC20006     		NONE PF PROVIDES EMERGENCY ASSISTANCE, DISASTER RELIEF AND EDUCATION IN USA. 2,500
    THE LEARY FIREFIGHTERS FOUNDATION
    594 BROADWAY STE 409
    NEW YORK,NY10012     		NONE PF PROVIDES FUNDING AND RESOURCES TO FIRE DEPARTMENTS 10,000
    ALZHEIMER'S ASSOCIATION
    13743 VENTURA BLVD STE 220
    SHERMAN OAKS,CA91423     		NONE PF PROVIDES CARE, SUPPORT AND RESEARCH 5,000
    RUTH ELLIS CENTER
    77 VICTOR ST
    HIGHLAND PARK,MI48203     		NONE PF TO PROVIDE MEALS AND MENTAL HEALTH SERVICES TO HOMELESS AND AT RISK YOUTH 1,000
    AMERICAN INDIAN COLLEGE FUND
    8333 GREENWOOD BLVD
    DENVER,CO80221     		NONE PF HELP AMERICAN INDIANS OBTAIN A COLLEGE DEGREE 1,000
    ANTI-DEFAMATION LEAGUE
    10495 SANTA MONICA BLVD
    LOS ANGELES,CA90025     		NONE PF RESPONDING AGAINST ANTI-SEMITIC ACTIVITIS 5,000
    HUMAN RIGHTS WATCH
    11500 W OLYMPIC BLVD 549
    LOS ANGELES,CA90064     		NONE PF SUPPORT HUMAN RIGHTS AROUND THE WORLD 5,000
    NATIONAL COMPASSION FUND
    2000 M ST NW SUITE 480
    WASHINGTON,DC20036     		NONE PF PROVIDE ASSISTANCE TO VICTIMS OF CRIME 5,000
    VITAL VOICES GLOBAL PARTNERSHIP
    1625 MASSACHUSETTS AVE NW 300
    WASHINGTON,DC20036     		NONE PF PROVIDE MENTORSHIP TO WOMEN LEADERS 2,500
    SAG-AFTRA FOUNDATION
    5757 WILSHIRE BLVD PH 1
    LOS ANGELES,CA90036     		NONE PF ASSISTANCE AND EDUCATIONAL PROGRAMING FOR PROFESSIONALS AT SAG-AFTRA 1,000
    HILARITY FOR CHARITY
    9301 WILSHIRE BLVD STE 507
    BEVERLY HILLS,CA90210     		NONE PC PROVIDING 5,000
    ACE PROGRAMS FOR THE HOMELESS
    30-30 NORTHERN BLVD STE B100
    LONG ISLAND CITY,NY11101     		NONE PC PROVIDING 1,000
    CHILDREN'S HOSPITAL OF WISCONSIN
    8915 W CONNELL CT
    MILWAUKEE,WI53226     		NONE PC PROVIDING HEALTH CARE SERVICE 10,000
    SABAN COMMUNITY CLINIC
    8405 BEVERLY BLVD
    LOS ANGELES,CA90048     		NONE PC PROVIDING QUALITY HEALTHCARE 2,500
    THE FOOD BANK
    56 ARMOR PLACE
    DAYTON,OH45417     		NONE PC HUNGER RELIEF 1,000
    NEXT FOR AUTISM
    1430 BROADWAY 8TH FLOOR
    NEW YORK,NY10018     		NONE PC PROVIDES RESEARCH 2,500
    THE MICHAEL J FOX FOUNDATION
    PO BOX 4777
    NEW YORK,NY10163     		NONE PC PROVIDES RESEARCH 5,000
    VETERANS COMMUNITY PROJECT
    8900 TROOST AVE
    KANSAS CITY,MO64131     		NONE PC VETERAN SERVICES 10,000
    OXFAM AMERICA
    226 Causeway Street
    Boston,MA02114     		NONE PC justice for poverty 10,000
    DOCTORS WITHOUT BORDERS
    40 Rector Street
    New York,NY10006     		NONE PF HUMANITARIAN CONCERNS 10,000
    FEEDING AMERICA
    161 North Clark Street Suite 700
    CHICAGO,IL60601     		NONE PC FIGHT AGAINST HUNGER 10,000
    NAACP LEGAL DEFENSE EDUCATIONAL FUN
    40 RECTOR ST 5TH FL
    NEW YORK,NY10006     		NONE PC Advocacy and Education 5,000
    FRIENDS OF FIREFIGHTERS
    199 VAN BRUNT ST
    BROOKLYN,NY11231     		NONE PC SUPPORT FIREFIGHTERS 10,000
    CORE
    6464 SUNSET BLVD SUITE 530
    LOS ANGELES,CA90028     		NONE PC SUPPORT COVID 10,000
    CHILDREN ACTION NETWORK
    2999 OVERLAND AVE SUITE 207A
    LOS ANGELES,CA90064     		NONE PF CHILDREN SUPPORT 5,000
    THE REPORTERS COMMITTEE FOR FREEDOM
    1156 15th St NW Suite 1020
    WASHINGTON,DC20005     		NONE PC JOURNALIST LEGAL SERVICES 5,000
    IDALA
    12405 Venice Blvd 392
    Los Angeles,CA90066     		NONE PC DYSLEXIA SUPPORT 1,000
    THE FLORENCE PROJECT
    PO Box 86299
    Tucson,AZ85754     		NONE PC SUPPORT IMMIGRANT & REFUGEE 2,500
    CENTER OF AMERICAN PROGRESS
    1333 H ST NW SUITE 100E
    WASHINGTON,DC20005     		NONE PC SUPPORT AMERICANS 5,000
    Total .................................bullet 3a 526,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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) ..     1
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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)
    Yes
     
    (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
    1a(1) 1,000 REPRESENTUS CASH
    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 (2021)
    Additional Data


    Software ID: 21013475
    Software Version: 2021v4.0


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    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
    2021
    Name of the organization
    THE APATOW-MANN FAMILY FOUNDATION INC
     
    Employer identification number

    26-1102362
    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) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    THE APATOW-MANN FAMILY FOUNDATION INC
          		Employer identification number
    26-1102362
    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
    Judd Apatow Leslie Mann
    8383 Wilshire Blvd 400
     
    Beverly Hills, CA90211

    		$ 100,000


    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    THE APATOW-MANN FAMILY FOUNDATION INC
          		Employer identification number

    26-1102362
    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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    THE APATOW-MANN FAMILY FOUNDATION INC
          		Employer identification number

    26-1102362
    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) (2021)
    Additional Data


    Software ID: 21013475
    Software Version: 2021v4.0

    TY 2021 LegalFeesSchedule
    Name:
    THE APATOW-MANN FAMILY FOUNDATION INC
    EIN:
    26-1102362
    Software ID:
    21013475
    Software Version:
    2021v4.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL AND PROFESSIONAL FEES 2,582 0 0 0


    TY 2021 OtherDecreasesSchedule
    Name:
    THE APATOW-MANN FAMILY FOUNDATION INC
    EIN:
    26-1102362
    Software ID:
    21013475
    Software Version:
    2021v4.0
    Description Amount
    NON-DEDUCTIBLE DONATION 1,000


    TY 2021 OtherExpensesSchedule
    Name:
    THE APATOW-MANN FAMILY FOUNDATION INC
    EIN:
    26-1102362
    Software ID:
    21013475
    Software Version:
    2021v4.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Insurance 1,193      
    License & Permits 150