Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
GEMSY ZAY FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)C/O ZVI GUTTMAN PO BOX 32308
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BALTIMORE, MD21282
A Employer identification number

52-2135417
B Telephone number (see instructions)

(410) 580-0500
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$18,463
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) 114,600
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)...  
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)....... 26   26
12 Total. Add lines 1 through 11........ 114,626 0 26
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).........        
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)....... 42      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 42 0   0
25 Contributions, gifts, grants paid....... 103,287 103,287
26 Total expenses and disbursements. Add lines 24 and 25 103,329 0   103,287
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 11,297
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)... 26
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............. 5,476 16,747 16,747
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......     1,716
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) 5,476 16,747 18,463
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 attachment26  
23 Total liabilities (add lines 17 through 22)......... 26 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........... 5,450 16,747
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 5,450 16,747
30 Total liabilities and net assets/fund balances (see instructions). 5,476 16,747
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
5,450
2
Enter amount from Part I, line 27a .....................
2
11,297
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
16,747
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
16,747
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 taxBullet   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
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMD
    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 ofbulletZVI GUTTMAN Telephone no.bullet (410) 580-0500

    Located atbulletPO BOX 32308BALTIMOREMD ZIP+4bullet21282
    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
     
     
    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
     
     
    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
    ZVI GUTTMAN DIRECTOR
    000.00
    0 0 0
    PO BOX 32308
    BALTIMORE,MD21282
    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 N/A  
    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
    11,112
    c
    Fair market value of all other assets (see instructions)................
    1c
    858
    d
    Total (add lines 1a, b, and c).........................
    1d
    11,970
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    11,970
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    180
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    11,790
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    590
    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
    590
    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
    590
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    590
    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
    590
    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 7 590
    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...... 61,369
    b From 2017...... 70,010
    c From 2018...... 86,008
    d From 2019...... 103,463
    e From 2020...... 127,560
    f Total of lines 3a through e ........ 448,410
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 103,287
    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)........
     
    d Applied to 2021 distributable amount..... 590
    e Remaining amount distributed out of corpus 102,697
    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 5 551,107
    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) ...
    61,369
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    489,738
    10 Analysis of line 9:
    a Excess from 2017.... 70,010
    b Excess from 2018.... 86,008
    c Excess from 2019.... 103,463
    d Excess from 2020.... 127,560
    e Excess from 2021.... 102,697
    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
    AFO TAHARAS HAMISHPACHA
    4403 15TH AVE STE 445
    BROOKLYN,NY11219
    NONE NONE RELIGIOUS 1
    AGUDAH OF MARYLAND
    7 CHURCH LANE - SUITE 14
    BALTIMORE,MD21209
    NONE NONE RELIGIOUS 1,000
    AGUDATH ISRAEL OF AMERICA
    42 BROADWAY 14TH FL
    NEW YORK,NY10004
    NONE NONE RELIGIOUS 60
    AGUDATH ISRAEL OF BALTIMORE
    6202 PARK HEIGHTS AVENUE
    BALTIMORE,MD21215
    NONE NONE RELGIOUS 50
    AGUDATH ISRAEL CHARITY FUND
    6202 PARK HEIGHTS AVENUE
    BALTIMORE,MD21215
    NONE NONE CHARITY 7,970
    AGUDATH ISRAEL OF GREENSPRING
    6107 GREENSPRING AVENUE
    BALTIMORE,MD21209
    NONE NONE RELIGIOUS 10,260
    AHAVAS CHESED
    166 HEWES ST
    BROOKLYN,NY11211
    NONE NONE CHARITY 1
    AHAVAS TORAH
    2961 NOSTRAND AVE
    BROOKLYN,NY11230
    NONE NONE EDUCATION 1
    AHAVAS TZEDAKA V'CHESED
    1347 42ND STREET
    BROOKLYN,NY11219
    NONE NONE CHARITY 1
    AHAVAS ISRAEL CHARITY FUND
    115 SUDBROOK LANE
    PIKESVILLE,MD21208
    NONE NONE CHARITY 1,047
    AMERICAN FRIENDS OF HALICHOS HAARET
    219 AVENUE J
    BROOKLYN,NY11230
    NONE NONE CHARITABLE 50
    AMERICAN FRIENDS OF KOIDENOV INC
    6301 LINCOLN AVE
    BALTIMORE,MD21209
    NONE NONE RELIGOUS 7,780
    AMERICAN FRIENDS OF KOLLEL LIMUD HA
    920 E 17TH ST
    BROOKLYN,NY11230
    NONE NONE EDUCATION 1
    AMERICAN FRIENDS OF TORAH BTZFAT
    39 SHERIE CT
    LAKEWOOD,NJ08701
    NONE NONE EDUCATION 1
    AMERICAN FRIENDS OF YESHIVA MEAH SH
    13684 71ST RD
    FLUSHING,NY11367
    NONE NONE EDUCATION 5,100
    ANSHEI LUTZK
    520 NEW EGYPT ROAD
    LAKEWOOD,NJ08701
    NONE NONE RELIGIOUS 1,000
    AVRAHAM OHAVI
    MIZRAH BENYAMIN
    BETH EL,90628  
    IS
    NONE NONE CHARITY 1
    BAIS AHARON
    160 WILSON STREET
    BROOKLYN,NY11211
    NONE NONE RELIGIOUS 1
    BAIS CHUNA
    570 BEDFORD AVE APT 4B
    BROOKLYN,NY112118501
    NONE NONE RELIGIOUS 175
    BAIS MEDRASH & MESIVTA OF BALTIMORE
    6823 OLD PIMLICO RD
    BALTIMORE,MD21209
    NONE NONE EDUCATION 100
    BAIS REUVEN OF KAMINETZ
    299 MONMOUTH AVENUE
    LAKEWOOD,NJ08701
    NONE NONE RELIGIOUS 1
    BAIS ULPANABAIS ARON
    1070 38TH ST STE 5
    BROOKLYN,NY11219
    NONE NONE EDUCATION 520
    BAIS YAAKOV PTA
    11111 PARK HEIGHTS AVENUE
    OWINGS MILLS,MD21117
    NONE NONE EDUCATION 1
    BAIS YOSEF CHAIM
    1662 50TH ST
    BROOKLYN,NY11204
    NONE NONE EDUCATION 1,000
    BALTIMORE COMMUNITY KOLLEL
    3800 LABYRINTH ROAD
    BALTIMORE,MD21215
    NONE NONE EDUCATION 1
    BAYIS NEEMAN
    5020 NORTHFIELD BLVD
    OAK PARK,MI48237
    NONE NONE CHARITY 325
    BETH JACOB
    1371 46TH STREET
    BROOKLYN,NY11219
    NONE NONE RELIGIOUS 1
    BHOH
    3120 CLARKS LANE
    BALTIMORE,MD21209
    NONE NONE RELIGIOUS 4,300
    BIKUR CHOLIM
    2833 SMITH AVE 242
    BALTIMORE,MD21209
    NONE NONE CHARITABLE 1,029
    BINYAN YERUSHALAYIM
    274 49TH ST SUITE 248
    BROOKLYN,NY11219
    NONE NONE RELIGIOUS 1
    BITACH
    1007 N FEDERAL HWY
    FORT LAUDERDALE,FL33304
    NONE NONE CHARITY 1
    BNAI YERUSHALAYIM
    UNKNOWN
    JERUSALEM,JERUSALEM  
    IS
    NONE NONE RELIGIOUS 300
    BNOS YISROEL OF BALTIMORE
    6300 PARK HEIGHTS AVE
    BALTIMORE,MD21215
    NONE NONE EDUCATION 360
    CHAI LIFELINE
    151 W 30TH ST THIRD FL
    NEW YORK,NY10001
    NONE NONE CHARITY 100
    CHAI4EVER LAKEWOOD
    1221 MADISON AVE
    LAKEWOOD,NJ08701
    NONE NONE CHARITY 1
    CHASADIM TOVIM
    7 MAPLE LEAF RD
    MONSEY,NY109523031
    NONE NONE CHARITABLE 1,000
    CHEVRA LOMDEI TORAH
    617 5TH ST
    LAKEWOOD,NJ08701
    NONE NONE EDUCATION 560
    CHILD LIFE SOCIETY
    1347 43RD ST
    BROOKLYN,NY11219
    NONE NONE CHARITY 2,500
    CHOFETZ CHAIM HERITAGE FOUNDATION
    361 SPOOK ROCK ROAD
    SUFFERN,NY10901
    NONE NONE RELIGIOUS 161
    CONG BAIS YAKOV YOSEF OSTROW
    5 RIDGEWAY TER
    WESLEY HILLS,NY10977
    NONE NONE RELIGIOUS 400
    CONGREGATION ADAS YERAIM
    27 LEE AVE
    BROOKLYN,NY11211
    NONE NONE RELIGIOUS 1
    CONGREGATION DOREG
    814 EAST 3RD STREET
    BROOLYN,NY112185702
    NONE NONE RELIGIOUS 1,000
    CONGREGATION HACHNOSAS ORCHIM
    105 CLIFTON AVE
    LAKEWOOD,NJ08701
    NONE NONE RELIGIOUS 350
    CONGREGATION KNESSET SIMCHA
    199 LEE AVE STE 113
    BROOKLYN,NY11211
    NONE NONE RELIGIOUS 1
    CONGREGATION SHAAR HASHOMAYIM
    71 E WILLOW TREE ROAD
    SPRING VALLEY,NY10977
    NONE NONE RELIGIOUS 1,542
    DARCHEI TZEDEK
    3201 SEVEN MILE LANE
    PIKESVILLE,MD21208
    NONE NONE RELIGIOUS 250
    EIZER L'BRACHA
    172 BLAUVELT RD
    MONSEY,NY10952
    NONE NONE CHARITY 1
    EZRAS YISROEL
    1049 42ND ST
    BROOKLYN,NY11219
    NONE NONE CHARITY 420
    FRIENDS OF BIKUR CHOLIM EZRAT ACHIM
    5014 16TH AVE
    BROOKLYN,NY11204
    NONE NONE CHARITY 1,200
    FRIENDS OF HATZALA DAROM
    1274 49TH ST
    BROOKLYN,NY11219
    NONE NONE CHARITY 1
    FRIENDS OF MOSDOS GUR
    1310 48TH ST
    BROOKLYN,NY11214
    NONE NONE RELIGIOUS 1
    GEMILAS CHESED
    1400 SUMMIT ST
    WHITE OAK,PA15131
    NONE NONE CHARITY 350
    GIRLSTOWN OHR CHODOSH
    1417 CONEY ISLAND AVENUE
    BROOKLYN,NY11230
    NONE NONE EDUCATION 1
    GIVING FUND
    UNKNOWN
    BALTIMORE,MD21209
    NONE NONE CHARITY 528
    HATZALAH OF BALTIMORE
    2930 TANEY RD
    BALTIMORE,MD21209
    NONE NONE CHARITY 1
    HATZOLA DAROM
    1274 49TH ST
    BROOKLYN,NY11219
    NONE NONE CHARITY 500
    INSTITUTE FOR ADVANCED JUDAIC STUDI
    515 COLDSTREAM AVE
    TORONTO,ONTARIOM6B 2K7
    CA
    NONE NONE EDUCATIONAL 278
    INSTITUTE FOR DAYANIM
    5520 COLLEEN ST
    OAK PARK,MI48237
    NONE NONE EDUCATION 600
    KAH
    14516 NADINE DR
    ROCKVILLE,MD20853
    NONE NONE EDUCATION 1
    KAMINETZ YESHIVA OF YERUSHALAYIM
    UNKNOWN
    JERUSALEM,JERUSALEM  
    IS
    NONE NONE EDUCATIONAL 540
    KCY
    UNKNOWN
    JERUSALEM,JERUSALEM  
    IS
    NONE NONE EDUCATION 1,100
    KEHAL CHASIDEI YERUSHALAYIM
    11 HASHELAH
    JERUSALEM,9246911  
    IS
    NONE NONE RELIGIOUS 1
    KEREN CHAI AMI
    2 MAHAL
    JERUSALEM,16563  
    IS
    NONE NONE RELIGIOUS 400
    KEREN EZRA
    5308 13TH AVE STE 509
    BROOKLYN,NY11219
    NONE NONE RELIGIOUS 300
    KEREN EZRA L'REFUAH
    4217 16TH AVE APT E3
    BROOKLYN,NY11204
    NONE NONE CHARITY 1
    KEREN HASHVIIS
    1125 OCEAN AVE
    LAKEWOOD,NJ08701
    NONE NONE RELIGOUS 200
    KEREN ISRAELREFUA
    4217 16TH AVE APT E3
    BROOKLYN,NY11204
    NONE NONE CHARITY 800
    KEREN TORAH V'CHESED
    11 MANOR DR
    MONSEY,NY10952
    NONE NONE RELIGIOUS 1
    KESER DOVID
    183 WILSON ST PMB 155
    BROOKLYN,NY11211
    NONE NONE RELIGIOUS 1
    KNESSET MORDECHAI
    UNKOWN
    BROOKLYN,NY11211
    NONE NONE RELIGIOUS 750
    KOLLEL OF BALTIMORE
    5835 PARK HEIGHTS AVE
    BALTIMORE,MD21215
    NONE NONE EDUCATION 2,500
    KUPAT HAIR
    4415 14TH AVE
    BROOKLYN,NY11219
    NONE NONE CHARITY 420
    KUPAT HATZEDAKA
    UNKNOWN
    BROOKLY,NY11211
    NONE NONE CHARITY 1,200
    LADIES BIKUR CHOLIM
    545 BEDFORD AVE
    BROOKLYN,NY11211
    NONE NONE CHARITY 1,000
    L'NEFESH TIDRESHENU
    4403 15TH AVE STE 354
    BROOKLYN,NY11219
    NONE NONE RELIGIOUS 600
    MACHON RUTH
    13 RESHIT CHOCHMA STREET
    JERUSALEM,5864  
    IS
    NONE NONE EDUCATION 1
    MAGDIL YESHUOS
    1520 39TH ST
    BROOKLYN,NY11218
    NONE NONE CHARITY 650
    MATIR ASURIM
    4 LANZUT CT
    MONROE,NY10950
    NONE NONE CHARITY 1
    MECHON RUTH
    1262 51ST
    BROOKLYN,NY11219
    NONE NONE CHARITY 720
    MENUCHA
    404 REISTERSTOWN RD
    PIKESVILLE,MD21208
    NONE NONE EDUCATION 200
    MERCAZ TORAH UTEFILA
    6500 BAYTHORNE RD
    BALTIMORE,MD21209
    NONE NONE RELIGIOUS 103
    MERKAZ VIZHNITZ
    1070 38TH STREET
    BROOKLYN,NY11219
    NONE NONE RELIGIOUS 1
    MESAMCHE LEV
    1364 53RD ST
    BROOKLYN,NY11219
    NONE NONE EDUCATION 18
    MESIVTA OF LONG BEACH
    205 W BEECH ST
    LONG BEACH,NY11561
    NONE NONE EDUCATION 1
    MIFAL CHESED
    1933 50TH ST
    BROOKLYN,NY11204
    NONE NONE CHARITY 1,500
    MISSOURI TORAH INSTITUTE
    1809 CLARKSON ROAD
    CHESTERFIELD,MO63017
    NONE NONE EDUCATION 300
    MIVTZAR HAKOLLELIM
    12 GARFIELD ROAD
    MONROE,NY10950
    NONE NONE EDUCATION 600
    MYJA FOUNDATION
    919 18TH STREET
    WASHINGTON,DC20001
    NONE NONE EDUCATION 1,128
    MONTESSORI TORAH
    4615 LOWE ROAD
    LOUISVILLE,KY40220
    NONE NONE EDUCATION 300
    MOSDOS BAIT SHEMESH
    5014 16TH AVE STE 54
    BROOKLYN,NY11204
    NONE NONE CHARITY 1,015
    MOSDOS BOTOSHAM
    1148 49TH ST
    BROOKLYN,NY11219
    NONE NONE RELIGIOUS 400
    MOSDOS NESIVOS SHALOM
    14 MANOR DRIVE
    MONSEY,NY11095
    NONE NONE EDUCATION 1,600
    MOSDOS SHOMREI EMUNAH
    8 OVERHILL ROAD
    MONSEY,NY10952
    NONE NONE EDUCATION 200
    MOSDOS SHOMREI EMUNIM
    8 OVERHILL ROAD
    MONSEY,NY10952
    NONE NONE EDUCATION 360
    MOSDOS STROPKOV
    7 WEBSTER AVENUE
    BROOKLYN,NY11230
    NONE NONE RELIGIOUS 4,000
    MJYA FOUNDATION
    5 STERLING PLACE
    LAWRENCE,NY11559
    NONE NONE EDUCATION 103
    NCSY
    11 BROADWAY
    NEW YORK,NY10004
    NONE NONE RELIGIOUS 1
    NEIMUS HATORAH
    4398 CREST HEIGHTS ROAD
    BALTIMORE,MD21215
    NONE NONE EDUCATION 750
    NER ISRAEL RABBINICAL COLLEGE
    400 MT WILSON LANE
    BALTIMORE,MD21208
    NONE NONE EDUCATION 3,600
    NEW ENGLAND RABBINICAL COLLEGE
    262 BLACKSTONE BLVD
    PROVIDENCE,RI02906
    NONE NONE EDUCATION 2,200
    NOSEI BAOL FUND
    195 MONTAGUE STREET
    BROOKLYN,NY11201
    NONE NONE CHARITY 1
    OD YOSEF CHAI
    18 NEW COUNTY RD
    AIRMONT,NY10952
    NONE NONE RELIGIOUS 1
    OHR SAMEACH
    UNKOWN
    JERUSALEM,JERUSALEM  
    IS
    NONE NONE EDUCATION 200
    OHR SHALOM VCHESED
    183 WILSON ST PMB 444
    BROOKLYN,NY11211
    NONE NONE CHARITY 800
    OHR SIMCHA
    12156 SHERMAN WAY
    N HOLLYWOOD,CA91605
    NONE NONE EDUCATION 1
    OIR PNEI YEHOSHUA
    287 HEWES ST
    BROOKLYN,NY11211
    NONE NONE RELIGIOUS 1
    OORAH
    1805 SWARTHMORE AVENUE
    LAKEWOOD,NJ08701
    NONE NONE EDUCATION 50
    OUNCSYYACHAD
    40 RECTOR STREET
    NEW YORK,NY10006
    NONE NONE EDUCATION 54
    PISCHEI SHEARIM
    5 CABINFIELD CIR
    LAKEWOOD,NJ08701
    NONE NONE RELIGIOUS 1
    PROJECT SHORESH
    262 BLACKSTONE BLVD
    PROVIDENCE,RI02906
    NONE NONE EDUCATION 1
    RABBINICAL SEMINARY OF AMERICA
    7601 147TH ST
    FLUSHING,NY11367
    NONE NONE EDUCATION 150
    RAV CHESED
    1511 50TH ST
    BROOKLYN,NY11219
    NONE NONE CHARITY 300
    SAR SHALOM
    4107 16TH AVE
    BROOKLYN,NY11204
    NONE NONE RELIGIOUS 575
    SHALVAT CHAIM
    1375 CONEY ISLAND AVE
    BROOKLYN,NY11230
    NONE NONE EDUCATION 100
    SHOMREI EMUNA
    6221 GREENSPRING AVE
    BALTIMORE,MD21209
    NONE NONE RELIGIOUS 200
    SHOMREI HACHOMOS
    18 HEYWARD STREET
    BROOKLYN,NY11294
    NONE NONE RELIGIOUS 1
    SHDS SCRANTON HEBREW DAY SCHOOL
    530 MONROE AVE
    SCRANTON,PA18510
    NONE NONE EDUCATION 100
    SHUVU RETURN
    1428 36TH ST STE 200
    BROOKLYN,NY11218
    NONE NONE RELIGIOUS 1
    SLABODKA YESHIVA
    5722 15TH AVE
    BROOKLYN,NY11219
    NONE NONE EDUCATION 150
    TALMUDICAL ACADEMY
    4445 OLD COURT ROAD
    BALTIMORE,MD21208
    NONE NONE EDUCATION 7,300
    THE CHESED FUND
    7045 N RIDGEWAY
    LINCOLNWOOD,IL60712
    NONE NONE CHARITY 576
    THE SHIDDUCH CENTER
    6210 PARK HEIGHTS AVE SUI
    BALTIMORE,MD21215
    NONE NONE CHARITY 1
    THE SHMITA ASSOCIATION
    UNKNOWN
    JERUSALEM,JERUSALEM  
    IS
    NONE NONE RELIGIOUS 360
    TIKVA L'DOROS
    1614 52ND ST
    BROOKLYN,NY11204
    NONE NONE CHARITY 700
    TIKVA L'MARPA
    UNKNOWN
    BROOKLYN,NY11219
    NONE NONE CHARITY 250
    TIKVA L'YELED
    PO BOX 1097
    NEW YORK,NY10019
    NONE NONE CHARITY 1
    TOMCHEI TZEDAKA
    16 BRIDGEWOOD AVE
    LAKEWOOD,NJ08701
    NONE NONE CHARITY 122
    TZEDAKA V'CHESED
    4716 17TH AVE
    BROOKLYN,NY11204
    NONE NONE CHARITY 1
    TZIR CHESED
    1933 50TH SOUTH
    BROOKLYN,NY11204
    NONE NONE CHARITY 1,250
    UNITED INSTITUTIONS OF KARLIN STOLI
    1436 42ND ST
    BROOKLYN,NY11219
    NONE NONE EDUCATION 1
    VAAD HARABBANIM
    221 REGENT DRIVE
    LAKEWOOD,NJ08701
    NONE NONE RELIGIOUS 1
    VAAD HARABANIM LINYANEI TZEDAKA
    221 REGENT DR
    LAKEWOOD,NJ08701
    NONE NONE RELIGIOUS 310
    YAD ELIEZER
    410 GLENN ROAD
    JACKSON,NJ08527
    NONE NONE CHARITY 1
    YAD EZRA
    2850 WEST 11 MILE ROAD
    BERKLEY,MI48072
    NONE NONE CHARITY 1
    YAD MALKA
    4403 15TH AVE
    BROOKLYN,NY11219
    NONE NONE CHARITY 1,800
    YAD TOMAECH
    48 SD NEHAR HAYARDEN ST
    RAMAT BEIT SHEMEH,91000  
    IS
    NONE NONE CHARITY 600
    YESHIAS YISROEL
    13-54 STREET
    BROOKLYN,NY11219
    NONE NONE EDUCATION 100
    YESHIVA AVIR YAAKOV
    766 N MAIN ST
    SPRING VALLEY,NY10977
    NONE NONE EDUCATION 900
    YESHIVA AVREICHIM METZUYANIM
    5314 16TH AVE STE 291
    BROOKLYN,NY11204
    NONE NONE EDUCATION 300
    YESHIVA CHAIM BERLIN
    1605 CONEY ISLAND AVE
    BROOKLYN,NY11230
    NONE NONE EDUCATION 300
    YESHIVA DARCHEI TORAH
    21550 W 12 MILE RD
    SOUTHFIELD,MI48076
    NONE NONE EDUCATION 1
    YESHIVA DVAR TORAH
    7 WHISPERING PINES LANE
    LAKEWOOD,NJ08701
    NONE NONE EDUCATION 125
    YESHIVA MKOR BROCHA
    1 MAIN AVE
    PASSAIC,NJ07055
    NONE NONE EDUCATION 1
    YESHIVA NESIVOS HATORAH
    PO BOX 945
    LAKEWOOD,NJ08701
    NONE NONE EDUCATION 100
    YESHIVA TORAT EMET
    11330 BRAESRIDGE DR
    HOUSTON,TX77071
    NONE NONE EDUCATION 101
    YESHIVA TORAH VODAATH
    425 EAST 9TH STREET
    BROOKLYN,NY11218
    NONE NONE EDUCATION 1
    YESHIVAS AISH KODESH
    612 COLONIAL AVE
    NORFOLK,VA23507
    NONE NONE EDUCATION 18
    YESHIVAS MEOR DOVID
    1120 COLUMBIA AVE
    LANCASTER,PA17603
    NONE NONE EDUCATION 1
    YESHIVAS TORAS IMECHA
    UNKOWN
    BROOKLYN,NY11219
    NONE NONE EDUCATION 700
    YESHIVAS TORAS SIMCHA
    110 SUDBROOK LN
    PIKESVILLLE,MD21208
    NONE NONE EDUCATION 112
    YISSACHAR B'OHALECHA
    UNKNOWN
    BROOKLYN,NY11219
    NONE NONE EDUCATION 500
    ZECHER YITZCHOK
    2026 OCEAN AVE APT 1B
    BROOKLYN,NY11230
    NONE NONE RELIGIOUS 1
    ZMANIM
    500 WESTOVER DR
    SANFORD,NC27330
    NONE NONE RELIGIOUS 10
    COMMUNITY KOLLEL OF BALTIMORE
    3800 LABYRINTH ROAD
    BALTIMORE,MD21215
    NONE NONE EDUCATION 300
    Total .................................bullet 3a 103,287
    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:
    aMISC
            26
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..     26
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    26
    (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)
     
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    GEMSY ZAY FOUNDATION INC
    EIN:
    52-2135417
    Name of Stock End of Year Book Value End of Year Fair Market Value
    100 CIRCA PIC & PROD CO INTL   1,716

    TY 2021 OtherExpensesSchedule
    Name:
    GEMSY ZAY FOUNDATION INC
    EIN:
    52-2135417
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    BANK FEE 42      


    TY 2021 OtherIncomeSchedule2
    Name:
    GEMSY ZAY FOUNDATION INC
    EIN:
    52-2135417
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    MISC 26   26


    TY 2021 OtherLiabilitiesSchedule
    Name:
    GEMSY ZAY FOUNDATION INC
    EIN:
    52-2135417
    Description Beginning of Year - Book Value End of Year - Book Value
      26