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
JOCARNO FUND
C/O MS IRIS KRIEG
Number and street (or P.O. box number if mail is not delivered to street address)70 E LAKE STREET 1120
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60601
A Employer identification number

36-6062019
B Telephone number (see instructions)

(312) 641-5765
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$1,663,211J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 32,327 32,327  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 313,253
b Gross sales price for all assets on line 6a 485,127
7 Capital gain net income (from Part IV, line 2)... 313,253
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........ 345,580 345,580  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,350 1,675   1,675
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 6,186 626   0
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 attachment 38,861 23,979   14,882
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 48,397 26,280   16,557
25 Contributions, gifts, grants paid....... 268,400 268,400
26 Total expenses and disbursements. Add lines 24 and 25 316,797 26,280   284,957
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 28,783
b Net investment income (if negative, enter -0-) 319,300
c Adjusted net income (if negative, enter -0-)...  
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.............      
2 Savings and temporary cash investments......... 79,717 18,643 18,643
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)....... 596,328 Click to see attachment483,689 1,339,382
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).......... 111,885 Click to see attachment305,650 305,186
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) 787,930 807,982 1,663,211
Liabilities 17 Accounts payable and accrued expenses.......... 8,731  
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)......... 8,731 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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 779,199 807,982
29 Total net assets or fund balances (see instructions)..... 779,199 807,982
30 Total liabilities and net assets/fund balances (see instructions). 787,930 807,982
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
779,199
2
Enter amount from Part I, line 27a .....................
2
28,783
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
807,982
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
807,982
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.)
1 a PUBLICLY TRADED SECURITIES      
b PUBLICLY TRADED SECURITIES      
c PUBLICLY TRADED SECURITIES      
d PUBLICLY TRADED SECURITIES      
e CAPITAL GAINS DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 59,000   59,235 -235
b 137,838   44,279 93,559
c 263,602   54,960 208,642
d 24,667   13,400 11,267
e 20     20
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       -235
b       93,559
c       208,642
d       11,267
e       20
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 2 313,253
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 0
3 Add lines 1 and 2........................... 3 4,438
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,438
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,540
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 4,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 6,540
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 22
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 2,080
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet2,080 RefundedBullet 11 0
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    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)
    bulletIL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 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 ofbulletIRIS KRIEG Telephone no.bullet (312) 641-5765

    Located atbullet70 E LAKE STREET SUITE 1120CHICAGOIL ZIP+4bullet60601
    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
     
    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
    SHIRLEY SCHLOSSMAN SECRETARY
    0.50     		0 0 0
    70 E LAKE STREET STE 1120
    CHICAGO,IL60601
    PETER SCHLOSSMAN TREASURER
    0.50     		0 0 0
    70 E LAKE STREET STE 1120
    CHICAGO,IL60601
    GAIL MEWHORT VICE PRESIDENT
    0.50     		0 0 0
    70 E LAKE STREET STE 1120
    CHICAGO,IL60601
    MARC SCHLOSSMAN PRESIDENT
    0.50     		0 0 0
    70 E LAKE STREET STE 1120
    CHICAGO,IL60601
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (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.............bullet0
    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 N/A 0
    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 0
    2  
    All other program-related investments. See instructions.
    3 Click to see attachment 0
    Total. Add lines 1 through 3.........................bullet0
    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
    1,776,130
    b
    Average of monthly cash balances.......................
    1b
    29,277
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,805,407
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,805,407
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    27,081
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,778,326
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    88,916
    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
    88,916
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,438
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,438
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    84,478
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    84,478
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    84,478
    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 84,478
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 136,259
    b From 2017...... 149,421
    c From 2018...... 53,839
    d From 2019...... 192,077
    e From 2020...... 212,540
    f Total of lines 3a through e ........ 744,136
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 284,957
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 84,478
    e Remaining amount distributed out of corpus 200,479
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 944,615
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 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) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		136,259
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		808,356
    10 Analysis of line 9:
    a Excess from 2017.... 149,421
    b Excess from 2018.... 53,839
    c Excess from 2019.... 192,077
    d Excess from 2020.... 212,540
    e Excess from 2021.... 200,479
    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).)
    SHIRLEY SCHLOSSMAN
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    SHIRLEY SCHLOSSMAN
    70 E LAKE STREET STE 1120
    CHICAGO,IL60601
    (312) 641-5765
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN APPLICATIONS INCLUDING ORGANIZATION'S NAME, ADDRESS AND EXEMPT PURPOSE.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    ARCHI-TREASURES
    2850 N PULASKI RD
    CHICAGO,IL60641     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    ART INSTITUTE OF CHICAGO
    111 S MICHIGAN AVENUE
    CHICAGO,IL606036110     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,500
    CHICAGO BOTANIC GARDEN
    1000 LAKE COOK ROAD
    GLENCOE,IL60022     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    CHICAGO SYMPHONY ORCHESTRA
    220 S MICHIGAN AVE
    CHICAGO,IL606042559     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 3,500
    FIELD MUSEUM OF NATURAL HISTORY
    1400 SOUTH LAKE SHORE DRIVE
    CHICAGO,IL606052496     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 10,000
    GARFIELD PARK CONSERVATORY ALLIANCE
    300 N CENTRAL PARK AVENUE
    CHICAGO,IL606241945     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 8,000
    LANDMARKS ILLINOIS
    53 W JACKSON BLVD SUITE 1315
    CHICAGO,IL60604     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,800
    RAVINIA FESTIVAL ASSOCIATION
    418 SHERIDAN ROAD
    HIGHLAND PARK,IL60035     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 4,000
    TOLEDO BOTANICAL GARDENS
    5403 ELMER DRIVE
    TOLEDO,OH436152803     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    TOLEDO MUSEUM OF ART
    P O BOX 2132
    TOLEDO,OH436032132     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WTTWCHANNEL 11
    5400 NORTH ST LOUIS AVENUE
    CHICAGO,IL606254698     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    ANXIETY AND DEPRESSION ASSOC OF AMERICA
    8701 GEORGIA AVENUE SUITE 412
    SILVER SPRING,MD20910     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    FLYING HORSE FARMS
    5260 STATE ROUTE 95
    MT GILEAD,OH43338     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    TOLEDO AREA HUMANE SOCIETY
    827 ILLINOIS AVENUE
    MAUMEE,OH435371713     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    ILLINOIS HOLOCAUST MEMORIAL MUSEUM
    9603 WOODS DRIVE
    SKOKIE,IL60077     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    THE CHICAGO RECOVERY ALLIANCE
    3110 W TAYLOR STREET
    CHICAGO,IL60612     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    THE COLUMBUS FOUNDATION
    1234 E BROAD STREET
    COLUMBUS,OH432061453     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    CONNECTING KIDS TO MEALS
    PO BOX 9363
    TOLEDO,OH43697     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    HUCKLLEBERRY HOUSE
    1421 HAMLET STREET
    COLUMBUS,OH43201     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    U S HOLOCAUST MEMORIAL MUSEUM
    100 RAOUL WALLENBERG PI SW
    WASHINGTON,DC20024     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    CAF AMERICA
    KING STREET STATION 1800 DIAGONAL
    ROAD
    ALEXANDRIA,VA223142840     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    ILLINOIS HOLOCAUST MEMORIAL MUSEUM
    9603 WOODS DRIVE
    SKOKIE,IL60077     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WOMEN'S FUND OF CENTRAL OHIO
    2323 W FIFTH STREET SUITE 230
    COLUMBUS,OH43204     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    THE DANNY BUTLER MEMORIAL FUND
    38 STRATFORD ROAD
    HARRISON,NY10528     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    HISTORIC SOUTH INITIATIVE
    714 E BOUNDARY
    PERRYSBURG,OH43551     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    LOURDES COLLEGE
    6832 CONVENT BOULEVARD
    SYLVANIA,OH43560     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    OPEN DOOR MINISTRY
    2825 CHERRY STREET
    TOLEDO,OH43608     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    S P JERMAIN HISTORICAL GOLF FOUNDATION
    7150 GRANITE CIRCLE SUITE 203
    TOLEDO,OH43617     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    ST JOHN'S JESUIT HIGH SCHOOL
    ADVANCEMENT OFFICE 5901 AIRPORT
    HIGHWAY
    TOLEDO,OH43615     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,500
    THE GREATER TOLEDO COMMUNITY
    300 MADISON AVENUE SUITE 1300
    TOLEDO,OH43604     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 6,000
    THE TOLEDO ZOO
    P O BOX 140130
    TOLEDO,OH436140801     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    THE UNITED WAY OF GREATER TOLEDO
    ONE STRANAHAN SQUARE
    TOLEDO,OH43604     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WITTENBERG UNIVERSITY
    WARD ST AT N WITTENBERG AVE P O BOX
    720
    SPRINGFIELD,OH455010720     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,500
    ANGELICA VILLAGE
    5455 WEST VIRGINIA AVENUE
    LAKEWOOD,CO80226     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    CAFDOROTHY HOUSE HOSPICE CARE
    KING STREET STATION 1800 DIAGONAL
    ROAD
    ALEXANDRIA,VA223142840     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 4,000
    LIBERTY'S PROMISE
    571 E NELSON AVENUE
    ALEXANDRIA,VA22301     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 3,000
    SAFERWORLD FOUNDATION
    1875 K ST NW 4TH FLOOR
    WASHINGTON,DC20006     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 5,000
    DOCTORS WITHOUT BORDERS
    40 RECTOR STREET 16TH FLR
    NEW YORK,NY10006     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 4,000
    PHOTOVOICE
    17A ELECTRIC LANE
    LONDON   SW9 8LA
    UK     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    ALBANY PARK THEATER PROJECT
    PO BOX 25072
    CHICAGO,IL606258600     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    CHICAGO CANINE RESCUE FOUNDATION
    2227 W BELMONT AVENUE
    CHICAGO,IL60618     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    CHICAGO MOBILE MAKERS
    4044 N LINCOLN AVENUE 303
    CHICAGO,IL60618     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    CHICAGO PUBLIC ART GROUP
    3314 S MORGAN UNIT 1
    CHICAGO,IL60608     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    CLEMSON ADVANCEMENT FOUNDATION
    LEE 1-150 - PO BOX 340503
    CLEMSON,SC29634     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,500
    FRIENDS OF ANIMAL CARE AND CONTROL
    4044 N LINCOLN AVENUE 303
    CHICAGO,IL60618     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    FRIENDSHIP CENTER
    2711 W LAWERENCE AVE
    CHICAGO,IL60625     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    GARFIELD PARK CONSERVATORY ALLIANCE
    300 N CENTRAL PARK AVENUE
    CHICAGO,IL606241945     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 4,000
    HORNER PARK ADVISORY COUNCIL
    4422 N MOZART
    CHICAGO,IL60625     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    SAFE HUMANE CHICAGO
    PO BOX 7342
    CHICAGO,IL606807342     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WETLANDS INITIATIVE
    53 W JACKSON BLVD SUITE 1015
    CHICAGO,IL60604     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WORKING IN THE SCHOOLS
    641 W LAKE STREET 200
    CHICAGO,IL60661     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WORLD MONUMENTS FUND
    95 MADISON AVENUE 9TH
    NEW YORK,NY10016     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 500
    BIG ARTS
    900 DUNLOP ROAD
    SANIBEL,FL33957     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 250
    CROW
    3883 SANIBEL-CAPTIVA ROAD
    SANIBEL,FL33957     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 500
    FAMILY SERVICES OF GLENCOE
    VILLAGE HALL 675 VILLAGE COURT
    GLENCOE,IL600221613     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 250
    FREEDOM GUIDE DOGS FOR THE BLIND INC
    1210 HARDSCRABBLE ROAD
    CASSVILLE,NY13318     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 500
    GLADIOLUS LEARNING AND DEVELOPMENT CENTER
    10320 GLADIOLUS DRIVE
    FORT MYERS,FL33908     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 300
    GRINNELL COLLEGE
    OFFICE OF DEVELOPMENT
    GRINNELL,IA501121690     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    HARBOUR INC
    1440 RENAISSANCE DRIVE SUITE 240
    PARK RIDGE,IL60068     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 500
    JOURNEY CARE FOUNDATION
    2050 CLAIRE COURT
    GLENVIEW,IL60025     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    JEWISH COUNCIL FOR YOUTH SERVICES
    100 NORTH LASALLE ST SUITE 400
    CHICAGO,IL606022403     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 500
    MIT SCHOOL OF ARCHITECTURE & PLANNING
    77 MASSACHUSETTS AVENUE BLDG
    W92-280
    CAMBRIDGE,MA021394307     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 5,000
    NORTH SHORE SENIOR CENTER
    161 NORTHFIELD ROAD
    NORTHFIELD,IL60093     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 500
    SANIBEL MUSIC FESTIVAL
    PO BOX 1623
    SANIBEL,FL33957     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    UNITED WAY OF THE NORTH SHORE
    540 FRONTAGE ROAD SUITE 3040
    NORTHFIELD,IL60093     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 300
    UNIV OF MINNESOTA COLLEGE OF DESIGN
    RALPH RAPSON FUND 7424 101 RAPSON
    HALL 89 CHURCH STREET SE
    MINNEAPOLIS,MN55455     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WBEZ
    NAVY PIER 848 EAST GRAND AVENUE
    CHICAGO,IL606113462     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 500
    WFMT
    5400 NORTH ST LOUIS AVENUE
    CHICAGO,IL606254698     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 500
    ZACHARIAS SEXUAL ABUSE CENTER
    4275 OLD GRAND AVENUE
    GURNEE,IL600312735     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WRITER'S THEATRE
    664 VERNON AVE
    GURNEE,IL60022     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 3,000
    DOCTORS WITHOUT BORDERS
    40 RECTOR STREET 16TH FLR
    NEW YORK,NY10006     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 5,000
    AIA CHICAGO FOUNDATION
    35 E WACKER DRIVE SUITE 250
    CHICAGO,IL60601     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,500
    EVANS SCHOLARS FOUNDATION
    ONE BRIAR ROAD
    GOLF,IL600192000     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    GIANT STEPS ILLINOIS INC
    2500 CABOT DRIVE
    LISLE,IL605323607     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    ILLINOIS CENTER FOR AUTISM
    548 S RUBY LANE
    FAIRVIEW HEIGHTS,IL62208     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    LEGACY CHARTER SCHOOL
    233 SOUTH WACKER DR
    CHICAGO,IL60606     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,500
    MERIT SCHOOL OF MUSIC
    47 W POLK ST SUITE M3 MEZZANINE
    LEVEL
    CHICAGO,IL606052098     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,500
    NOBLE CHARTER SCHOOL NETWORK
    1 N STATE STREET FLOOR 7 LOWER
    CHICAGO,IL60602     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,500
    PROMEDICA FOUNDATION
    444 SUMMIT STREET SUITE 100
    TOLEDO,OH436231514     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 5,000
    ST JOHN'S JESUIT HIGH SCHOOL
    ADVANCEMENT OFFICE 5901 AIRPORT
    HIGHWAY
    TOLEDO,OH43615     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 7,500
    PHOTOVOICE
    17A ELECTRIC LANE
    LONDON   SW9 8LA
    UK     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 10,000
    SANIBEL CAPTIVA CONSERVATION FOUNDATION
    SANIBEL CAPTIVIA RD
    SANIBEL,FL339570839     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 3,000
    CENTER FOR BIOLOGICAL DIVERSITY
    PO BOX 710
    TUCSON,AZ857020710     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    FRIENDS OF THE CHICAGO RIVER
    411 S WELLS STREET SUITE 800
    CHICAGO,IL60607     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    FRIENDS OF THE GREEN BAY TRAIL
    P O BOX 545
    GLENCOE,IL60022     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    FRIENDS OF THE PARKS
    55 E WASHINGTON SUITE 1911
    CHICAGO,IL60602     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,500
    GLOBAL WITNESS FOUNDATION
    1100 17TH ST NW
    WASHINGTON,DC20036     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 4,000
    NATURE CONSERVANCY OF ILLINOIS
    8 S MICHIGAN AVENUE SUITE 900
    CHICAGO,IL60603     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    OPENLANDS
    25 E WASHINGTON SUITE 1650
    CHICAGO,IL60602     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    THE WILDLANDS NETWORK
    1402 THIRD AVENUE SUITE 1019
    SEATTLE,WA98101     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 5,000
    ENVIRONMENTAL LAW & POLICY CENTER
    35 E WACKER
    CHICAGO,IL60601     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    SANIBEL-CAPTIVA CONSERVATION FOOUNDATION
    3333 SANIBEL CAPTIVA ROAD
    SANIBEL,FL339570839     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,500
    ABILITY CENTER OF TOLEDO
    5605 MONROE STREET
    SYLVANIA,OH43560     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 5,000
    BONAVENTURE HOUSE
    825 WEST WELLINGTON AVENUE
    CHICAGO,IL606575123     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,500
    CHICAGO LIGHTHOUSE
    1850 WEST ROOSEVELT ROAD
    CHICAGO,IL606081298     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    DOGS FOR BETTER LIVES
    10175 WHEELER ROAD
    CENTRAL POINT,OR97502     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    ESPERANZA COMMUNITY SERVICES
    520 N MARSHFIELD AVENUE
    CHICAGO,IL60622     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    GUIDE DOG FOUNDATION FOR THE BLIND INC
    371 E JERICHO TURNPIKE
    SMITHTOWN,NY117879897     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    PROMEDICA FOUNDATION
    444 SUMMIT STREET SUITE 100
    TOLEDO,OH436231514     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 5,000
    SNOW CITY ARTS FOUNDATION
    1653 W CONGRESS PKWY
    CHICAGO,IL60612     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    NORTH SHORE UNIVERSITY HEALTH SYS FDTN
    1033 UNIVERSITY PLACE 450
    EVANSTON,IL60201     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    INSPIRATION CORPORATION
    4554 N BROADWAY SUITE 207
    CHICAGO,IL60640     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    NIGHT MINISTRY
    4711 N RAVENSWOOD AVENUE
    CHICAGO,IL60640     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,500
    ANTI-DEFAMATION LEAGUE
    120 S LASALLE STREET SUITE 1150
    CHICAGO,IL60603     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,500
    YALE UNIVERSITY
    GENOCIDE STUDIES PROGRAM BOX 208324
    NEW HAVEN,CT065208324     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 4,000
    HIAS
    1300 SPRING STREET SUITE 500
    SILVER SPRINGS,MD20910     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    INTERFAITH COMM FOR DETAINED IIMMIGRANTS
    1300 SPRING STREET SUITE 500
    SILVER SPRINGS,MD20910     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    REFUGEE ONE
    4753 N BROADWAY STREET SUITE 401
    CHICAGO,IL60640     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    GREATER CHICAGO FOOD DEPOSITORY
    4100 WEST ANN LURIE PLACE
    CHICAGO,IL60632     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    TOLEDO NORTHWESTERN OHIO FOOD BANK INC
    24 EAST WOODRUFF AVENUE
    TOLEDO,OH43602     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    CONNECTING KIDS TO MEALS
    PO BOX 9363
    TOLEDO,OH43697     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    CENTER FOR NEIGHBORHOOD TECHNOLOGY
    2125 W NORTH AVE
    CHICAGO,IL606475417     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    METROPOLITAN PLANNING COUNCIL
    25 E WASHINGTON STREET SUITE 1600
    CHICAGO,IL60602     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    CAMBODIAN ASSOCIATION OF ILLINOIS
    2831 W LAWRENCE AVENUE
    CHICAGO,IL60625     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    EXECUTIVE SERVICE CORPS OF CHICAGO
    25 EAST WASHINGTON STREET SUITE
    1500
    CHICAGO,IL606021701     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    LIBERTY'S PROMISE
    571 E NELSON AVENUE
    ALEXANDRIA,VA22301     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 10,000
    PLANNED PARENTHOOD ILLINOIS
    18 S MICHIGAN AVENUE 6TH FLOOR
    CHICAGO,IL60603     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    PLANNED PARENTHOOD OF NORTHWEST OHIO INC
    1301 JEFFERSON AVENUE
    TOLEDO,OH436241838     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,500
    THRESHOLDS
    4101 N RAVENSWOOD AVENUE
    CHICAGO,IL60613     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    DEBORAH'S PLACE
    2822 WEST JACKSON
    CHICAGO,IL60612     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    WOMEN IN NEED GROWING STRONGER
    1315 N RAND ROAD
    PALATINE,IL60074     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 4,000
    BOYS AND GIRLS CLUB OF NW OHIO
    2250 N DETROIT AVENUE
    TOLEDO,OH43606     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 3,000
    BIG BROTHERS BIG SISTERS OF CENTRAL OHIO
    1835 KING AVENUE
    COLUMBUS,OH43212     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 2,000
    CAMP MANITO-WISH YMCA
    P O BOX 246
    BOULDER JUNCTION,WI54512     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 6,000
    HEPHZIBAH CHILDREN' S ASSOCIATION
    946 NORTH BLVD
    OAK PARK,IL60301     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,500
    OLD NEWSBOYS GOODFELLOWS ASSOCIATION
    P O BOX 2032
    TOLEDO,OH43604     		N/A 501(C)(3) SUPPORT GENERAL OPERATIONS 1,000
    Total .................................bullet 3a 268,400
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ............     		    18 313,253  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 345,580 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    345,580
    (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 AccountingFeesSchedule
    Name:
    JOCARNO FUND
     
    C/O MS IRIS KRIEG
    EIN:
    36-6062019
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF PREPARATION 3,200 1,600   1,600
    THE PRIVATE BANK AND TRUST CO. - TAX PREP FEE 150 75   75

    TY 2021 AllOthProgRltdInvestmentsSch
    Name:
    JOCARNO FUND
     
    C/O MS IRIS KRIEG
    EIN:
    36-6062019
    Category Amount
    N/A 0

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    JOCARNO FUND
     
    C/O MS IRIS KRIEG
    EIN:
    36-6062019
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M COMPANY - 450 SHS 34,494 79,934
    ACCENTURE PLC - 255 SHS 6,631 105,710
    ALPHABET INC - 31 SHARES 18,787 89,701
    AMERICAN EXPRESS CO - 565 SHARES 45,037 92,434
    COCA COLA - 1,630 SHS 35,533 96,512
    EXXON MOBIL CORP - 1,000 SHS 51,190 61,190
    INTEL CORP - 1,800 SHS 48,240 92,700
    JOHNSON & JOHNSON - 545 SHS 34,673 93,233
    MICROSOFT CORPORATION - 265 SHS 7,139 89,125
    NESTLE SA - 690 SHS 18,067 96,508
    NORTHERN TRUST CORP - 750 SHS 39,909 89,708
    PEPSICO INC - 600 SHS 38,609 104,226
    STRYKER CORP - 395 SHS 17,092 105,631
    WALGREENS - 1,000 SHARES 72,150 52,160
    WALT DISNEY COMPANY - 585 SHS 16,138 90,610

    TY 2021 InvestmentsOtherSchedule2
    Name:
    JOCARNO FUND
     
    C/O MS IRIS KRIEG
    EIN:
    36-6062019
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    VANGUARV ULTRA-SHORT TERM BOND - 15,213.634 SHS AT COST 305,650 305,186

    TY 2021 OtherExpensesSchedule
    Name:
    JOCARNO FUND
     
    C/O MS IRIS KRIEG
    EIN:
    36-6062019
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATION FEES 27,917 13,959   13,958
    BANK SERVICE CHARGES 600 300   300
    INVESTMENT FEES 9,096 9,096   0
    POSTAGE & DELIVERY 1,224 612   612
    MISCELLANEOUS EXPENSE 24 12   12


    TY 2021 TaxesSchedule
    Name:
    JOCARNO FUND
     
    C/O MS IRIS KRIEG
    EIN:
    36-6062019
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX 626 626   0
    FEDERAL INCOME TAX EXTENSION 4,100 0   0
    FEDERAL INCOME TAX ESTIMATE 1,460 0   0