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
SAM L COHEN FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)22 FREE STREET STE 401
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PORTLAND, ME04101
A Employer identification number

20-2262822
B Telephone number (see instructions)

(207) 871-5600
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$39,522,342
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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 545,426 545,426  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,274,389
b Gross sales price for all assets on line 6a 5,104,242
7 Capital gain net income (from Part IV, line 2)... 3,274,389
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)....... 147,981 147,981  
12 Total. Add lines 1 through 11........ 3,967,796 3,967,796  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 204,569 20,457   184,112
14 Other employee salaries and wages...... 130,527 13,053   117,474
15 Pension plans, employee benefits....... 41,637 4,164   37,473
16a Legal fees (attach schedule)......... 225 23   202
b Accounting fees (attach schedule)....... 6,750 3,375   3,375
c Other professional fees (attach schedule).... 151,535 151,535   0
17 Interest............... 22,254 22,254   0
18 Taxes (attach schedule) (see instructions)... 62,654 18,196   18,458
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 2,175 218   1,957
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 105,170 35,921   68,947
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 727,496 269,196   431,998
25 Contributions, gifts, grants paid....... 3,762,072 3,762,072
26 Total expenses and disbursements. Add lines 24 and 25 4,489,568 269,196   4,194,070
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -521,772
b Net investment income (if negative, enter -0-) 3,698,600
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............. 1,256,641 442,516 442,516
2 Savings and temporary cash investments......... 4,497,745 409,980 409,980
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) 3,971,901 Click to see attachment4,053,891 4,126,986
b Investments—corporate stock (attach schedule)....... 7,962,939 Click to see attachment9,566,765 13,525,989
c Investments—corporate bonds (attach schedule)....... 2,064,024 Click to see attachment7,154,150 7,072,958
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 11,251,780 Click to see attachment8,855,956 13,943,913
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) 31,005,030 30,483,258 39,522,342
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 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 31,005,030 30,483,258
29 Total net assets or fund balances (see instructions)..... 31,005,030 30,483,258
30 Total liabilities and net assets/fund balances (see instructions). 31,005,030 30,483,258
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
31,005,030
2
Enter amount from Part I, line 27a .....................
2
-521,772
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
30,483,258
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
30,483,258
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 PUBLICLY TRADED SECURITIES      
K-1: ADAGE P    
K-1: SANDERSON P    
K-1: WELLINGTON EME P    
K-1: SEAPORT GLOBAL P    
PUBLICLY TRADED SECURITIES      
PUBLICLY TRADED SECURITIES      
841.217 SH NYES LEDGE CAPITAL OFFSHORE FUND P 2012-05-31 2021-01-29
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 371,614   372,353 -739
b 3,393   3,393 0
c 1,343,058   1,124,989 218,069
d 1,000,000   1,000,000 0
e 375,000   375,000 0
      1,461,696
      497,598
      123,850
      -27,787
500,000   279,138 220,862
350,000   350,000 0
986,859   380,337 606,522
174,318     174,318
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       -739
b       0
c       218,069
d       0
e       0
      1,461,696
      497,598
      123,850
      -27,787
      220,862
      0
      606,522
      174,318
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 3,274,389
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 51,411
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 51,411
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 25,826
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 40,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 65,826
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
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 14,415
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet14,415 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)
    bulletME
    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 addressbulletWWW.SAMLCOHENFOUNDATION.ORG
    14
    The books are in care ofbulletGLORIA NICHOLSON Telephone no.bullet (207) 871-5600

    Located atbullet22 FREE STREET SUITE 401PORTLANDME ZIP+4bullet04101
    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)
    Yes
     
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    JEROME F GOLDBERG ESQ DIRECTOR, CHAIR
    10.00
    18,500 0 0
    PO BOX 1123
    PORTLAND,ME04104
    EDWARD K SIMENSKY CPA DIRECTOR, TREASURER
    2.00
    15,000 0 0
    268 MAIN STREET PO BOX 760
    SACO,ME04072
    JEFFREY A NATHANSON ESQ DIRECTOR, PRESIDENT
    10.00
    18,500 0 0
    BANKNORTH ONE PORTLAND SQUARE PO
    BOX 9540
    PORTLAND,ME04112
    SHERRY P BRODER ESQ DIRECTOR, SECRETARY
    2.00
    15,000 0 0
    7 WATERFRONT PLAZA SUITE 400 500
    ALA MOANA BLVD
    HONOLULU,HI96813
    JOHN SHOOS EXECUTIVE DIRECTOR
    40.00
    137,569 19,977 0
    83 GOUDY STREET
    SOUTH PORTLAND,ME04106
    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
    DANA BALDWIN PROGRAM OFFICER
    40.00
    80,000 17,098 0
    22 FREE STREET STE 401
    PORTLAND,ME04101
    GLORIA NICHOLSON GRANTS AND FINANCE M
    30.00
    50,527 2,496 0
    22 FREE STREET STE 401
    PORTLAND,ME04101
    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
    PRIME BUCHHOLZ INVESTMENT ADVISORY SERVICES 75,000
    273 CORPORATE DR PEASE INTL
    TRADEPORT
    PORTSMOUTH,NH03801
    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.........................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
    38,341,477
    b
    Average of monthly cash balances.......................
    1b
    1,901,761
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    40,243,238
    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
    40,243,238
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    603,649
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    39,639,589
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,981,979
    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
    1,981,979
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    51,411
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    51,411
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,930,568
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,930,568
    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
    1,930,568
    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 1,930,568
    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...... 126,777
    b From 2017...... 318,796
    c From 2018...... 151,167
    d From 2019...... 707,187
    e From 2020...... 1,163,868
    f Total of lines 3a through e ........ 2,467,795
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 4,194,070
    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..... 1,930,568
    e Remaining amount distributed out of corpus 2,263,502
    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 4,731,297
    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) ...
    126,777
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    4,604,520
    10 Analysis of line 9:
    a Excess from 2017.... 318,796
    b Excess from 2018.... 151,167
    c Excess from 2019.... 707,187
    d Excess from 2020.... 1,163,868
    e Excess from 2021.... 2,263,502
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    JOHN SHOOS
    22 FREE STREET STE 401
    PORTLAND,ME04101
    (207) 871-5600
    bThe form in which applications should be submitted and information and materials they should include:
    REFER TO WWW.SAMLCOHENFOUNDATION.ORG FOR SPECIFIC INFORMATION
    cAny submission deadlines:
    REFER TO WWW.SAMLCOHENFOUNDATION.ORG FOR SPECIFIC INFORMATION
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    REFER TO WWW.SAMLCOHENFOUNDATION.ORG FOR SPECIFIC INFORMATION
    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
    AMISTAD
    66 STATE STREET
    PORTLAND,ME04101
      PC PEER SUPPORTED HOUSING FIRST PROJECT 25,000
    APEX YOUTH CONNECTION
    PO BOX 783
    BIDDEFORD,ME04005
      PC OPERATING SUPPORT 15,000
    BIDDEFORD FOOD PANTRY
    162 ELM STREET
    BIDDEFORD,ME04005
      PC OPERATING SUPPORT 15,000
    CHILDREN'S MUSEUM AND THEATRE OF MAINE
    PO BOX 4041 142 FREE STREET
    PORTLAND,ME04101
      PC GATHER 'ROUND CONCERT SERIES 11,800
    ENGINE INC
    PO BOX 1681
    BIDDEFORD,ME04005
      PC OPERATING SUPPORT 15,000
    FREEPORT COMMUNITY SERVICES
    53 DEPOT ST
    FREEPORT,ME04032
      PC FCS GENERAL OPERATING SUPPORT FOR ESSENTIAL NEEDS PROGRAMS 15,000
    GRAHAMTASTIC CONNECTION
    21 BRADEEB ST 107
    SPRINGVALE,ME04083
      PC OPERATING SUPPORT 10,000
    GREATER PORTLAND FAMILY PROMISE
    70 FOREST AVE
    PORTLAND,ME04101
      PC OPERATING SUPPORT 15,000
    HABITAT FOR HUMANITY YORK COUNTY
    PO BOX 267
    KENNEBUNK,ME04043
      PC KEEP YORK COUNTY WARM 10,000
    HARDY GIRLS HEALTHY WOMEN
    PO BOX 821
    WATERVILLE,ME049030821
      PC OPERATING SUPPORT FOR PORTLAND PROGRAMMING 10,000
    HEART OF BIDDEFORD
    205 MAIN STREET
    BIDDEFORD,ME04005
      PC OPERATING SUPPORT 8,000
    HOPE ACTS
    202 WOODFORD STREET
    PORTLAND,ME04103
      PC OPERATING SUPPORT 15,000
    HOSPICE OF SOUTHERN MAINE
    180 US ROUTE ONE
    SCARBOROUGH,ME04074
      PC MEETING POST-COVID HOSPICE DEMAND IN MAINE 10,000
    IMMIGRANT LEGAL ADVOCACY PROJECT
    PO BOX 17917
    PORTLAND,ME04112
      PC OPERATING SUPPORT 50,000
    IN HER PRESENCE
    41C WALKER STREET
    WESTBROOK,ME04092
      PC PARENT COACHING PROGRAM 15,000
    INTERCULTURAL COMMUNITY CENTER
    36 PATRICK DRIVE
    WESTBROOK,ME04092
      PC OPERATING SUPPORT 20,000
    JEWISH COMMUNITY ALLIANCE OF SOUTHERN MAINE
    1342 CONGRESS STREET
    PORTLAND,ME04102
      PC SUPPORT FOR PROGRAMS 50,000
    MAINE AUDUBON
    20 GILSLAND FARM RD
    FALMOUTH,ME04105
      PC BRINGING NATURE HOME MIDDLE SCHOOL YOUTH STEWARDSHIP PROGRAM 12,000
    MAINE CHILDREN'S CANCER PROGRAM
    22 BRAMHALL STREET
    PORTLAND,ME04102
      PC PEDIATRIC INFUSION CENTER, MEDICAL DIRECTOR CHAIR, & PATIENT CARE & FAMILY FUND 1,765,000
    MAINE EARLY CHILDHOOD FUNDERS GROUP
    ONE CANAL PLAZA SUITE 300
    PORTLAND,ME04101
      PC 2021 MEMBERSHIP DUES 6,000
    MAINE EQUAL JUSTICE
    126 SEWALL ST
    AUGUSTA,ME04330
      PC OPERATING SUPPORT 35,000
    MAINE INITIATIVES
    56 NORTH STREET SUITE 100
    PORTLAND,ME04101
      PC IMMIGRANT-LED ORGANIZATION ILO POOLED FUND 25,000
    MAINE INITIATIVES
    56 NORTH STREET SUITE 100
    PORTLAND,ME04101
      PC ILO POOLED FUND 15,000
    MAINE JEWISH FILM FESTIVAL
    PO BOX 7465
    PORTLAND,ME04112
      PC MAINE JEWISH FILM FESTIVAL (3 YEAR GRANT) 15,000
    MAINE JEWISH MUSEUM
    267 CONGRESS STREET
    PORTLAND,ME04101
      PC HALL OF FAME INDUCTION CEREMONY 5,000
    MAYO STREET ARTS
    10 MAYO STREET
    PORTLAND,ME04101
      PC GENERAL OPERATING SUPPORT 15,000
    MID COAST HUNGER PREVENTION PROGRAM
    12 TENNEY WAY
    BRUNSWICK,ME04011
      PC FOOD PURCHASING SUPPORT 20,000
    MILESTONE RECOVERY
    65 INDIA STREET
    PORTLAND,ME04101
      PC HOME TEAM 25,000
    PORTLAND CONNECTED
    550 FOREST AVENUE SUITE 100
    PORTLAND,ME04101
      PC OPERATING EXPENSES 25,000
    PREBLE STREET
    38 PREBLE ST
    PORTLAND,ME04101
      PC THE CAMPAIGN FOR PREBLE STREET 125,000
    SEEDS OF HOPE NEIGHBORHOOD CENTER
    35 SOUTH ST
    BIDDEFORD,ME04005
      PC OPERATING SUPPORT 20,000
    STARTING STRONG
    PO BOX 15200
    PORTLAND,ME041125200
      PC OPERATING SUPPORT 20,000
    UNITED WAY OF GREATER PORTLAND
    550 FOREST AVE SUITE 100
    PORTLAND,ME04101
      PC KEEP ME WARM 2021 10,000
    UNITED WAY OF GREATER PORTLAND
    550 FOREST AVE SUITE 100
    PORTLAND,ME04101
      PC COMMUNITY-WIDE ACES TRAINING INITIATIVE 22,500
    YORK COUNTY COMMUNITY ACTION CORPORATION
    6 SPRUCE STREET PO BOX 72
    SANFORD,ME04073
      PC HEATING ASSISTANCE 7,500
    ACORN PRODUCTIONS
    PO BOX 4644
    PORTLAND,ME04112
      PC PLAYWRITING PROGRAMS 5,250
    BARBARA BUSH FOUNDATION FOR FAMILY LITERACTY
    PO BOX 14380
    WASHINGTON,DC20044
      PC TEEN TRENDSETTERS 15,000
    BETH ISRAEL CONGREGATION
    862 WASHINGTON ST
    BATH,ME04530
      PC BETH ISRAEL LIBRARY 10,000
    BIDDEFORD CULTURAL AND HERITAGE CENTER
    PO BOX 896
    BIDDEFORD,ME04005
      PC OPERATING SUPPORT 5,000
    BIDDEFORD MILLS MUSEUM
    2 MAIN ST
    BIDDEFORD,ME04005
      PC FIXTURES 18-108 10,000
    BIG BROTHERS BIG SISTERS OF SOUTHERN MAINE
    625 MAIN ST
    WESTBROOK,ME04092
      PC OPERATING SUPPORT 15,000
    THE BRICK STORE MUSEUM
    117 MAIN STREET
    KENNEBUNK,ME04043
      PC FELLOWSHIPS IN MUSEUM EDUCATION 5,200
    CATHERINE MORRILL DAY NURSERY
    96 DANFORTH ST
    PORTLAND,ME04101
      PC OPERATING SUPPORT 10,000
    COMMITTEE TO RESTORE THE ABYSSINIAN
    73 NEWBURY STREET
    PORTLAND,ME04101
      PC RESTORATION PROJECT 50,000
    COMMON THREADS OF MAINE
    90 BRIDGE ST
    WESTBROOK,ME04092
      PC INDUSTRIAL SEWING WORK TRAINING PROGRAM 15,000
    CONGREGATION BETH ISRAEL
    49 E GRAND AVE
    OLD ORCHARD BEACH,ME04064
      PC SECURITY UPGRADE AND WINDOW UPGRADE 6,000
    COUNT ME IN
    482 CONGRESS ST
    PORTLAND,ME04101
      PC OPERATING SUPPORT 15,000
    CULTIVATING COMMUNITY
    58 BOYD ST
    PORTLAND,ME04101
      PC FOOD JUSTICE & ACCESS IN PORTLAND'S COMMUNITY GARDENS 15,000
    DEMPSEY CENTERS FOR QUALITY CANCER CARE
    29 LOWELL ST
    LEWISTON,ME04240
      PC DIRECT CLIENT SERVICES FOR ADULTS & YOUTH IMPACTED BY CANCER 20,000
    THE ECOLOGY SCHOOL
    184 SIMPSON RD
    SACO,ME04072
      PC AGROECOLOGY FOR RESILIENT COMMUNITIES (ARC) PROGRAM 20,000
    ELDER ABUSE INSTITUTE OF MAINE
    135 MAIN STREET
    BRUNSWICK,ME04011
      PC OPERATING SUPPORT 15,000
    EQUALITYMAINE FOUNDATION
    PO BOX 1951
    PORTLAND,ME04104
      PC OPERATING SUPPORT 20,000
    FOCUSMAINE
    128 STATE ST
    AUGUSTA,ME04330
      PC OPERATING SUPPORT 25,000
    THE FOUNDATION FOR MAINE'S COMMUNITY COLLEGES
    54 LIGHTHOUSE CIRCLE
    SOUTH PORTLAND,ME04106
      PC A PILOT PROGRAM TO UPGRADE CNAS TO LPNS 50,000
    THE GATHERING PLACE
    5 TENNEY WY
    BRUNSWICK,ME04011
      PC GENERAL OPERATING SUPPORT 7,500
    THE GREATER PORTLAND IMMIGRANT WELCOME CENTER
    24 PREBLE ST
    PORTLAND,ME04101
      PC OPERATING SUPPORT 40,000
    HABITAT FOR HUMANITY OF GREATER PORTLAND
    659 WARREN AVE
    PORTLAND,ME04103
      PC CRITICAL HOME REPAIR PROGRAM 10,000
    HOLOCAUST HUMAN RIGHTS CENTER OF MAINE
    46 UNIVERSITY DR
    AUGUST,ME04330
      PC PRIMARY SOURCE DOCUMENT MODULES FOR EDUCATION 20,000
    THE IRIS NETWORK
    189 PARK AVE
    PORTLAND,ME04102
      PC IRIS PARK - COMMUNITY HOUSING MODEL 10,000
    JUNIOR ACHIEVEMENT OF MAINE INC
    565 CONGRESS ST
    PORTLAND,ME04101
      PC ECONOMICS FOR SUCCESS 10,000
    KIDS FIRST CENTER
    51 US-1
    SCARBOROUGH,ME04074
      PC OPERATING SUPPORT 10,000
    LADDER TO THE MOON NETWORK
    24 PREBLE ST
    PORTLAND,ME04101
      PC AMJAMBO AFRICA HEALTH/HEALTH EDUCATION FEATURE 15,000
    LEVEY DAY SCHOOL
    400 DEERING AVE
    PORTLAND,ME04103
      PC THE LEVEY EDIBLE GARDEN, UPPER SCHOOL STUDENT LEADERSHIP PROGRAM 20,000
    MAINE BEHAVIORAL HEALTHCARE
    78 ATLANTIC PLACE
    SOUTH PORTLAND,ME04106
      PC CENTER OF EXCELLENCE IN AUTISM & DEVELOPMENTAL DISORDERS 100,000
    MAINE CHILDREN'S ALLIANCE
    331 STATE ST
    AUGUSTA,ME04330
      PC RIGHT FROM THE START COALITION 50,000
    MAINE CHILDREN'S ALLIANCE
    331 STATE ST
    AUGUSTA,ME04330
      PC ADVANCING CHILD HEALTH AND WELFARE 25,000
    MAINE COAST FISHERMEN'S ASSOCIATION
    93 PLEASANT ST
    BRUNSWICK,ME04011
      PC FISHERMEN FEEDING MAINERS 20,000
    MAINE HUMANITIES COUNCIL
    674 BRIGHTON AVE
    PORTLAND,ME04102
      PC HUMANITIES OUTREACH PROGRAMMING 11,000
    MAINE INSIDE OUT
    PO BOX 1062
    LEWISTON,ME04243
      PC ARTS-BASED COMMUNITY BUILDING BY SYSTEM-IMPACTED YOUTH 10,000
    MAINE PHILANTHROPY CENTER
    314 FOREST AVE
    PORTLAND,ME04101
      PC 2021 PHILANTHROPY PARTNERS CONFERENCE 2,500
    MAINE WOMEN'S LOBBY EDUCATION FUND
    295 WATER STREET
    AUGUSTA,ME04330
      PC MAINE WOMEN'S ECONOMIC SUMMIT 20,000
    MIDCOAST LITERACY
    9 PARK STREET
    BATH,ME04530
      PC OPERATING SUPPORT 10,000
    THE MITCHELL INSTITUTE
    75 WASHINGTON AVE
    PORTLAND,ME04101
      PC MITCHELL INSTITUTE SOS FUND 2021 15,000
    NORTHERN LIGHT HOME CARE & HOSPICE
    50 FODEN RD
    SOUTH PORTLAND,ME04106
      PC SUPPORT FOR IMMIGRANTS AND NEW MAINERS IN HOME HEALTHCARE PROFESSIONS 25,000
    THE OPPORTUNITY ALLIANCE
    190 LANCASTER ST
    PORTLAND,ME04101
      PC HEATING ASSISTANCE AND WEATHERIZATION 15,000
    OSHER MAP LIBRARY AND SMITH CENTER FOR CARTOGRAPHIC EDUCATION
    314 FOREST AVE
    PORTLAND,ME04101
      PC THE SAM L. COHEN EDUCATION CENTER AT THE OSHER MAP LIBRARY 20,000
    PALAVER STRINGS
    45 EXCHANGE STREET
    PORTLAND,ME04101
      PC PALAVER MUSIC CENTER EARLY CHILDHOOD MUSIC PROGRAM 5,000
    PINETREE INSTITUTE
    206 OLD RD
    ELIOT,ME03903
      PC ACES COMMUNITY AMBASSADOR TRAINING IN YORK COUNTY, ME 10,000
    PORT RESOURCES
    280B GANNETT DR
    SOUTH PORTLAND,ME04106
      PC GROUP HOME TECHNOLOGY EQUIPMENT UPGRADES 8,822
    PORTLAND CHAMBER MUSIC FESTIVAL
    PO BOX 15385
    PORTLAND,ME04112
      PC OPERATING SUPPORT 10,000
    PORTLAND HOUSING AUTHORITY
    14 BAXTER BLVD
    PORTLAND,ME04101
      PC PORTLAND HOUSING AUTHORITY FOSTER YOUTH INITIATIVE 25,000
    PORTLAND HOUSING SERVICES CORPORATION
    14 BAXTER BLVD
    PORTLAND,ME04101
      PC COMMUNITY HOPE THROUGH EDUCATION, EMPOWERMENT, TRAINING & ACTION 8,000
    PORTLAND MUSEUM OF ART
    7 CONGRESS SQ
    PORTLAND,ME04101
      PC SUPPORT FOR PMA ART AND EDUCATION PROGRAMS 10,000
    PORTLAND PUBLIC LIBRARY
    5 MONUMENT SQ
    PORTLAND,ME04101
      PC TEEN VOICES: GRAPHIC MEDICINE AS ART AND HEALING 30,000
    PORTLAND SCHOOL OF BALLET
    517 FOREST AVE
    PORTLAND,ME04101
      PC EMPEROR'S NEW CLOTHES 5,000
    RESTORATIVE JUSTICE INSTITUTE OF MAINE
    14 MAINE ST
    BRUNSWICK,ME04011
      PC SHAPING RESTORATIVE CULTURE IN MAINE 15,000
    ROBBIE FOUNDATION
    PO BOX 1534
    SCARBOROUGH,ME04070
      PC ARTS ADVENTURE PROGRAM 7,500
    SARSSM
    PO BOX 1371
    PORTLAND,ME04104
      PC OPERATING SUPPORT 35,000
    SEEDS OF PEACE
    183 POWHATAN RD
    OTISFIELD,ME04270
      PC MAINE SEEDS PROGRAM 15,000
    SOUTHERN MAINE AGENCY ON AGING INC
    30 BARRA RD
    BIDDEFORD,ME04005
      PC OPERATING SUPPORT 40,000
    TOWN OF BRUNSWICK WELCOME CENTER
    16 STATION AVE
    BRUNSWICK,ME04011
      PC BRUNSWICK WELCOME CENTER 10,000
    THE WINDOWDRESSERS INC
    PO BOX 1135
    ROCKLAND,ME04841
      PC WEATHERIZATION IN YORK AND CUMBERLAND COUNTIES 7,500
    YOUTH AND FAMILY OUTREACH
    331 CUMBERLAND AVE
    PORTLAND,ME04101
      PC BUILDING A BRIGHTER FUTURE EXPANSION CAMPAIGN 250,000
    Total .................................bullet 3a 3,762,072
    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 3,274,389  
    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 3,967,796 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    3,967,796
    (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:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 6,750 3,375   3,375

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Name of Bond End of Year Book Value End of Year Fair Market Value
    VANGUARD TOTAL BOND MKT INDEX FUND 2,507,748 2,440,357
    BAIRD FUNDS INCOME ULTRA SHORT INSTL FUND 4,646,402 4,632,601

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Name of Stock End of Year Book Value End of Year Fair Market Value
    VANGUARD TOTAL STOCK MKT INDEX FUND 3,216,881 6,416,508
    FIDELITY INTRNTL SUSTAINABILITY INDEX FUND 2,407,184 3,041,377
    ARTISAN INTERNATIONAL VALUE FUND 1,942,700 2,022,393
    PARNASSUS CORE EQUITY INSTITUTIONAL FUND 2,000,000 2,045,711

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    US Government Securities - End of Year Book Value:

    4,053,891
    US Government Securities - End of Year Fair Market Value:

    4,126,986
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ADAGE CAPITAL PARTNERS LP AT COST 3,726,989 5,998,333
    SEAPORT GLOBAL PROPERTY SECURITIES FUND AT COST 1,220,129 1,702,145
    NYES LEDGE CAPITAL FUND AT COST 1,219,663 3,164,558
    VANGUARD INFLATION-PROTECTED SECURITIES AT COST 844,735 907,124
    BLACKROCK STRATEGIC INCOME OPPORTUNITIES FUND AT COST 554,290 567,989
    WELLINGTON EMERGING MARKETS AT COST 1,290,150 1,603,764

    TY 2021 LegalFeesSchedule
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 225 23   202


    TY 2021 OtherExpensesSchedule
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INSURANCE 5,208 521   4,687
    BANK CHARGES 15,575 1,558   14,017
    MEMBERSHIPS 1,150 115   1,035
    OFFICE EXPENSE 22,508 2,251   20,257
    TELEPHONE 2,092 209   1,883
    POSTAGE 204 20   184
    PAYROLL PROCESSING FEES 1,949 195   1,754
    GIFTS DATABASE 13,808 0   13,808
    MISCELLANEOUS 4,630 463   4,167
    SUBSCRIPTIONS AND PUBLICATIONS 7,950 795   7,155
    K1 OTHER DEDUCTIONS ADAGE CAPITAL PARTNERS 22,786 22,786   0
    K1 OTHER DEDUCTIONS WELLINGTON EMERGING MKTS 5,367 5,367   0
    K1 OTHER DEDUCTIONS SEAPORT GLOBAL 1,641 1,641   0
    K1: NONDEDUCTIBLE EXPENSES 302 0   0


    TY 2021 OtherIncomeSchedule2
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    K1 OTHER INCOME SEAPORT GLOBAL 105,695 105,695 105,695
    K1 OTHER INCOME ADAGE 36,010 36,010 36,010
    K1 OTHER INCOME SANDERSON 6,276 6,276 6,276


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORY FEES - PRIME BUCHHOLZ 75,000 75,000   0
    INVESTMENT ADVISORY FEES - SANDERSON 21,706 21,706   0
    INVESTMENT ADVISORY FEES - ADAGE CAPITAL PARTNERS L.P. 28,545 28,545   0
    INVESTMENT ADVISORY FEES - SEAPORT GLOBAL 7,663 7,663   0
    INVESTMENT ADVISORY FESS - WELLINGTON EMERGING MKTS 18,621 18,621   0


    TY 2021 TaxesSchedule
    Name:
    SAM L COHEN FOUNDATION
    EIN:
    20-2262822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 16,145 16,145   0
    PAYROLL TAXES 20,509 2,051   18,458
    FEDERAL NET INVESTMENT INCOME TAX 26,000 0   0