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
The Guzior Family Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)12070 W 159th Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Homer Glen, IL60491
A Employer identification number

20-3152476
B Telephone number (see instructions)

(773) 586-7777
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$1,155,493
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) 7,250
2 Check bullet.............
3 Interest on savings and temporary cash investments 10    
4 Dividends and interest from securities... 21,247 21,247 21,247
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 87,982
b Gross sales price for all assets on line 6a 341,707
7 Capital gain net income (from Part IV, line 2)... 87,982
8 Net short-term capital gain......... 5,105
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... 0    
12 Total. Add lines 1 through 11........ 116,489 109,229 26,352
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 2,100      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 465      
b Accounting fees (attach schedule)....... 0      
c Other professional fees (attach schedule).... 9,791 9,791    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 446 446 446  
19 Depreciation (attach schedule) and depletion... 0    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 0      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 12,802 10,237 446 0
25 Contributions, gifts, grants paid....... 66,984 66,984
26 Total expenses and disbursements. Add lines 24 and 25 79,786 10,237 446 66,984
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 36,703
b Net investment income (if negative, enter -0-) 98,992
c Adjusted net income (if negative, enter -0-)... 25,906
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......... 72,498 152,045 152,045
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).....   0  
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet     0  
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)....... 708,511 Click to see attachment657,597 950,464
c Investments—corporate bonds (attach schedule)....... 45,875 Click to see attachment53,945 52,984
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   0  
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 826,884 863,587 1,155,493
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe bullet) 0 0
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 826,884 863,587
29 Total net assets or fund balances (see instructions)..... 826,884 863,587
30 Total liabilities and net assets/fund balances (see instructions). 826,884 863,587
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
826,884
2
Enter amount from Part I, line 27a .....................
2
36,703
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
863,587
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
863,587
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 TD Ameritrade Accounts P 2020-12-31 2021-12-31
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 341,707 0 253,725 87,982
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 0 0 0 87,982
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 87,982
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 1,376
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 1,376
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,124
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Original Return Overpayment: -2124 7 2,124
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 10 748
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet748 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
 
No
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 ofbulletDavid Goss Telephone no.bullet (773) 586-7777

    Located atbullet12070 W 159th StreetHomer GlenIL ZIP+4bullet60491
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    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
     
    No
    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
     
     
    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
    Richard J Guzior Sr President
    1.00
    0 0 0
    7 Horseshoe Ln
    Lemont,IL60439
    Christine E Guzior Secretary
    1.00
    0 0 0
    7 Horseshoe Ln
    Lemont,IL60439
    David A Goss Treasurer
    1.00
    0 0 0
    806 Laurel Bay
    New Lenox,IL60451
    Richard W Guzior Director
    1.00
    0 0 300
    12070 W 159th
    Homer Glen,IL60491
    Charissa Guzior Director
    1.00
    0 0 300
    12070 W 159th
    Homer Glen,IL60491
    Ronald Guzior Director
    1.00
    0 0 300
    12070 W 159th
    Homer Glen,IL60491
    Russell Guzior Director
    1.00
    0 0 300
    12070 W 159th
    Homer Glen,IL60491
    Ryan Guzior Director
    1.00
    0 0 300
    12070 W 159th
    Homer Glen,IL60491
    Randall Guzior Director
    1.00
    0 0 300
    12070 W 159th
    Homer Glen,IL60491
    Carla Cardona-Tapia Director
    1.00
    0 0 300
    12070 W 159th
    Homer Glen,IL60491
    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  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    28,814
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,095,896
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,124,710
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,124,710
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    16,871
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,107,839
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    55,392
    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
    55,392
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,376
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,376
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    54,016
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    54,016
    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
    54,016
    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 54,016
    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...... 2,826
    b From 2017...... 7,577
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 10,403
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 66,984
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 54,016
    e Remaining amount distributed out of corpus 12,968
    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 23,371
    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......
     
    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) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    2,826
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    20,545
    10 Analysis of line 9:
    a Excess from 2017.... 7,577
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 12,968
    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).)
    Richard J Guzior
    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.
    NA
    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
    Port Ministires
    5013 S Hermitage Avenue
    Chicago,IL60609
      501(c)3 Religious 0
    Preeclampsia Foundation
    6905 N Wickham Rd 302
    Melbourne,FL32940
      501(c)3 Scientific 0
    Revision Ministries
    7240 Lakeview Drive East
    Mobile,AL36695
      501(c)3 Religious 1,200
    Big Shoulders Foundation
    212 West Van Buren Ste 900
    Chicago,IL60607
      501(c)3 Donation 0
    Woodridge Athletic Association
    POBox 8181
    Woodridge,IL60517
      501(c)3 Donation 0
    Womens Resource Center
    308 S Sage Ave
    Mobile,AL36606
      501(c)3 Scientific 0
    Disabled Patriot Fund
    10767 W 163rd Place
    Orland Park,IL60467
      501(c)3 Medical 0
    March of Dimes
    111 E Jackson
    Chicago,IL60604
      501(c)3 Scientific 0
    American Diabetes Assoc
    2451 Crystal Drive Ste 900
    Arlington,VA22202
      501(c)3 Scientific 0
    St Burnadette Catholic Church
    16245 N 60th St
    Scottsdale,AZ85254
      501(c)3 Religious 0
    Northwestern Memorial Foundation
    541 N Fairbanks Ct Ste 800
    Chicago,IL60611
      501(c)3 Scientific 0
    Hockey Ministries International
    PO Box 10857
    White Bear Lake,MN55110
      501(c)3 Education 0
    Our Lady of Peace Catholic Church
    709 Plainfield Road
    Darian,IL60561
      501(c)3 Education 0
    Aid for Women Inc
    8 South Michigan Ave
    Chicago,IL60603
      501(c)3 Religious 0
    Everest Academy
    11550 Bell Road
    Lemont,IL60439
      501(c)3 Education 3,700
    Tri County YMCA of the Ozarks
    950 Airport Road
    Osage Beach,MO65065
      501(c)3 Education 0
    Alzheimers Association
    440 S Brainard St
    Naperville,IL60540
      501(c)3 Scientific 1
    Share Your Soles
    11201 S Cottage Grove
    Chicago,IL60628
      501(c)3 Religious 300
    SS Cyril & Methodius Parish
    607 Sobieski
    Lemont,IL60439
      501(c)3 Religious 300
    Make A Wish Foundation
    640 N LaSalle Ste 280
    Chicago,IL60654
      501(c)3 Scientific 0
    Save a Life of Mobile Inc
    308 S Sage Ave
    Mobile,AL36606
      501(c)3 Scientific 0
    Mission of Our Lady of the Angels
    3808 W Iowa
    Chicago,IL60602
      501(c)3 Religious 0
    Courtside Ministries
    1 N LaSalle St Ste 600
    Chicago,IL60602
      501(c)3 Education 800
    St Marys Retreat House
    14230 Main Street
    Lemont,IL60439
      501(c)3 Religious 0
    American Cancer Society
    PO Box 22478
    Oaklahoma City,OK73123
      501(c)3 Scientific 0
    Brotherhood of Hope
    785 Parker Street
    Boston,MA02120
      501(c)3 Religious 15,000
    Calvary Church
    16100 104th Ave
    Orland Park,IL60467
      501(c)3 Religious 0
    Christian Broadcasting Network
    977 Centerville Turnpike
    Virginia Beach,VA23463
      501(c)3 Education 0
    Community Christian Church
    24035 W Riverwalk Ct
    Plainfield,IL60544
      501(c)3 Religious 0
    Doug Flutie Foundation for Autism
    1001 Worcester Rd St 2
    Farmington,MA01701
      501(c)3 Scientific 0
    Foundation of Jesus Divine Mercy
    124 Warren Street
    Bentlyville,PA15314
      501(c)3 Religious 0
    Hope and Friendship Ministries
    721 Hickory Street
    Lemont,IL60491
      501(c)3 Human Services 0
    Illinois Right to Life
    PO Box 511
    Chicago,IL60690
      501(c)3 Civil Rights 0
    Institute of Christ the King
    6401 S Woodlawn Ave
    Chicago,IL60637
      501(c)3 Religious 0
    Irish Fellowship Ed & Cul Fd
    4035 Lawn Ave
    Western Springs,IL60558
      501(c)3 Education 0
    Melanoma Research Foundation
    1411 K St NW St 800
    Washington,DC20005
      501(c)3 Scientific 0
    Missouri St U Hockey
    901 S National Ave
    Springfield,MO65897
      501(c)3 Education 0
    New Life Community Church
    4101 W 51st St
    Chicago,IL60632
      501(c)3 Religious 0
    Operation Nehemiah
    12176 Heinecke Dr
    Mokena,IL60448
      501(c)3 Human Services 0
    Parkview Church
    11100 Orland Parkway
    Orland Park,IL60467
      501(c)3 Religious 500
    Support Our Aging Religious
    3025 4th St NE St 14
    Washington,DC20017
      501(c)3 Human Services 0
    St John Paul the Great Scholarship Fd
    721 N LaSalle 6th Fl
    Chicago,IL60654
      501(c)3 Education 0
    St Michaels School
    14355 Highland Ave
    Orland Park,IL60462
      501(c)3 Education 10,000
    Sunrise Beach Recovery Center
    PO Box 284
    Sunrise Beach,MO65079
      501(c)3 Human Services 0
    Catholic Citizens of Illinois
    106 Calendar Ct
    LaGrange,IL60525
      501(c)3 Religious 0
    Culver Academy
    1300 Academey Rd
    Culver,IN46511
      501(c)3 Education 0
    Front Range Christian Church
    2842 Front Street
    Castle Rock,CO80104
      501(c)3 Religious 0
    Illinois State University Athletics
    207 Redbird Arena
    Normal,IL61790
      501(c)3 Education 0
    Lemont Public Library
    50 E Wend Street
    Lemont,IL60439
      501(c)3 Education 300
    Malester International Americas
    1011 1st Avenue
    New York,NY10022
      501(c)3 Human Services 0
    Project Headspace and Timing
    1035 Lincoln Dr
    Manteno,IL60950
      501(c)3 Human Services 0
    Salvation Army
    1115 Warner Avenue
    Lemont,IL60491
      501(c)3 Human Services 0
    St Jude Catholic Church
    241 W 2nd Street
    New Lenox,IL60451
      501(c)3 Religious 0
    Restoration Ministries
    253 E 159th Street
    Harvey,IL60426
      501(c)3 Human Services 0
    Catholic U of Americas
    620 Michigan Ave
    Washington,DC20064
      501(c)3 Religious 0
    Chicago Police Memorial
    1407 W Washington
    Chicago,IL60601
      501(c)3 Human Services 0
    Christian Min Fellow Intl
    5525 E 82nd St
    Indianapolis,IN46250
      501(c)3 Human Services 0
    CRCA Foundation
    4415 W Harrison
    Hillside,IL60162
      501(c)3 (c)3 0
    Crudem Foundation
    PO Box 804
    Ludlow,MA01056
      501(c)3 Human Services 0
    Fox Valley Habitat for Humanities
    2302 W Indian Trail
    Aurora,IL60506
      501(c)3 Human Services 0
    Jackson Chance Foundation
    1953 N Clyborn Ave
    Cicago,IL60614
      501(c)3 Human Services 0
    Lupine Montessori
    936 N State St
    Lemont,IL60491
      501(c)3 Education 2,500
    Misericordia
    6300 N Ridge Ave
    Chicago,IL60660
      501(c)3 Human Services 0
    St James Church
    10600 S Archer
    Lemont,IL60439
      501(c)3 Religious 0
    The Andrew Weishar Foundation
    1245 S Michigan Ave
    Chicago,IL60605
      501(c)3 Human Services 0
    St Bruno Catholic Church
    4751 S Harding
    Chicago,IL60632
      501(c)3 Religious 3,000
    Berlin Ministeries Intl
    210 Saddletree Place
    Simpsonville,SC29681
      501(c)3 Human Services 3,500
    By the Hand Club for Kids
    PO Box 10043
    Chicago,IL60610
      501(c)3 Human Services 1,000
    Chicago Diabetes Project
    1074 W Taylor St 233
    Chicago,IL60607
      501(c)3 Scientific 1,000
    Clarke Cares Foundation
    PO Box 725217
    Roselle,IL60172
      501(c)3 Human Services 500
    Compasion Intl
    12290 Voyager Pky
    Colorado Springs,CO80921
      501(c)3 Human Services 300
    Cultivate Sports
    634 NE Main St 1936
    Simpsonville,SC29681
      501(c)3 Education 1,500
    Fellowship Greenville Bene Society
    3161 SC 14
    Greenville,SC29615
      501(c)3 Human Services 2,000
    Hope House
    102 Hingham Way
    Greer,SC29650
      501(c)3 Human Services 2,000
    Irly Bird Foundation
    119 Diamond Lane
    Columbia,SC29210
      501(c)3 Human Services 3,000
    LC Pastoral
    8601W 89th St
    Hickory Hills,IL60457
      501(c)3 Religious 300
    Lewis Nataniel Simpkins Found
    PO Box 1687
    Greenville,SC29601
      501(c)3 Education 2,000
    Man in the Mirror
    1375 State Rd 436
    Casselberry,FL32707
      501(c)3 Human Services 2,200
    Milford Chamber of Comm Trust
    64 S Main St
    Milford,NY13807
      501(c)3 Education 150
    Morningstar Missions
    350 E Washington St
    Joliet,IL60433
      501(c)3 Human Services 3,000
    Outreach Community Ministries
    373 S Schmale Rd
    Carol Stream,IL60188
      501(c)3 Human Services 1,000
    Ronald McDonald House
    1301 W 22nd Street
    Oak Brook,IL60523
      501(c)3 Human Services 1,000
    Share our Spare
    3800 N Milwaukee
    Chicago,IL60641
      501(c)3 Human Services 1,000
    Springfield Youth Hockey Assoc
    2733 E Battlefield
    Springfield,MO65804
      501(c)3 Education 933
    Mission of Hope Intl
    PO Box 12440
    Glendale,AZ85318
      501(c)3 Human Services 500
    Step Up and Give Back
    3400 W 111th St 455
    Chicago,IL60655
      501(c)3 Human Services 2,500
    Total .................................bullet 3a 66,984
    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 ...........
            10
    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 ............
            87,982
    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) ..     109,239
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    109,239
    (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.)
    3 Income produced to support grants to other 501(c)(3) organizations.
    4 Income produced to support grants to other 501(c)(3) organizations.
    8 Income produced to support grants to other 501(c)(3) organizations.
    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:  
    Part VI Line 7 -Original Return Overpayment: -2,124


    Form 990PF - Special Condition Description:
    Special Condition Description

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 GainLossSaleOtherAssetsSch
    Name:
    The Guzior Family Foundation
    EIN:
    20-3152476
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    TD Ameritrade Acct 916007357   Purchased     194,711 143,553     51,158  
    TD Ameritrade Acct 938079493   Purchased     28,246 15,128     13,118  
    TD Ameritrade Acct 964031608         114,082 95,044     19,038  
    Cap Gain Distr Acct 964031608         4,668 0     4,668  

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    The Guzior Family Foundation
    EIN:
    20-3152476
    Name of Bond End of Year Book Value End of Year Fair Market Value
    TD Ameritrade 964031608 53,945 52,984

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    The Guzior Family Foundation
    EIN:
    20-3152476
    Name of Stock End of Year Book Value End of Year Fair Market Value
    TD Ameritrade 916007357 433,417 616,943
    TD Ameritrade 938079493 106,949 150,906
    TD Ameritrade 964031608 117,231 182,615

    TY 2021 LegalFeesSchedule
    Name:
    The Guzior Family Foundation
    EIN:
    20-3152476
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LKSU, LLC Legal fees 440      
    IL Secr of St Filing fees 10      
    IL Atty Gen Filing fees 15      


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    The Guzior Family Foundation
    EIN:
    20-3152476
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Coyle Asset Management Investment Advisory Fees 9,791 9,791    


    TY 2021 TaxesSchedule
    Name:
    The Guzior Family Foundation
    EIN:
    20-3152476
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Federal 0      
    Foreign Tax 446 446 446