TY 2021 Form 990PF

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)
	1	Contributions, gifts, grants, etc., received (attach schedule)	290,360
2	Check .............
3	Interest on savings and temporary cash investments	142	142
4	Dividends and interest from securities...	98,192	98,192
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		1,415,981
b	Gross sales price for all assets on line 6a 1,676,345
7	Capital gain net income (from Part IV, line 2)...		1,415,981
8	Net short-term capital gain.........
9	Income modifications...........			1,700
10a	Gross sales less returns and allowances	32,565
b	Less: Cost of goods sold....	30,998
c	Gross profit or (loss) (attach schedule).....		1,567
11	Other income (attach schedule).......		140	0	0
12	Total. Add lines 1 through 11........	1,806,382	1,514,315	1,700
	13	Compensation of officers, directors, trustees, etc.	90,717			90,717
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........		1,829	0	0	915
b	Accounting fees (attach schedule).......		19,400	0	0	9,700
c	Other professional fees (attach schedule)....		2,638	0	0	1,317
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		0	0	0	0
19	Depreciation (attach schedule) and depletion...		0	0	0
20	Occupancy..............
21	Travel, conferences, and meetings.......	5,270			5,270
22	Printing and publications..........	170			170
23	Other expenses (attach schedule).......		5,143	0	0	5,143
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	125,167	0	0	113,232
25	Contributions, gifts, grants paid.......	462,122			463,822
26	Total expenses and disbursements. Add lines 24 and 25	587,289	0	0	577,054
	27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	1,219,093
b	Net investment income (if negative, enter -0-)		1,514,315
c	Adjusted net income (if negative, enter -0-)...			1,700

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
	1	Cash—non-interest-bearing.............
2	Savings and temporary cash investments.........	988,226	1,516,060	1,516,060
3	Accounts receivable
	Less: allowance for doubtful accounts	0	0	0
4	Pledges receivable
	Less: allowance for doubtful accounts	0	0	0
5	Grants receivable.................	16,250	0	0
6	Receivables due from officers, directors, trustees, and other
	disqualified persons (attach schedule) (see instructions).....	0	0	0
7	Other notes and loans receivable (attach schedule) 0
	Less: allowance for doubtful accounts 0	0	0	0
8	Inventories for sale or use..............
9	Prepaid expenses and deferred charges..........	22,393	20,021	20,021
10a	Investments—U.S. and state government obligations (attach schedule)	0	0	0
b	Investments—corporate stock (attach schedule).......	12,937,681	14,335,906	14,335,906
c	Investments—corporate bonds (attach schedule).......	0		0
11	Investments—land, buildings, and equipment: basis 0
	Less: accumulated depreciation (attach schedule) 0	0		0
12	Investments—mortgage loans.............
13	Investments—other (attach schedule)..........	0	0	0
14	Land, buildings, and equipment: basis 0
	Less: accumulated depreciation (attach schedule) 0	0		0
15	Other assets (describe )	0	0	0
16	Total assets (to be completed by all filers—see the
	instructions. Also, see page 1, item I)	13,964,550	15,871,987	15,871,987
	17	Accounts payable and accrued expenses..........	19,375	21,413
18	Grants payable.................
19	Deferred revenue.................
20	Loans from officers, directors, trustees, and other disqualified persons	0	0
21	Mortgages and other notes payable (attach schedule)......	0	0
22	Other liabilities (describe )
23	Total liabilities (add lines 17 through 22).........	19,375	21,413
		Foundations that follow FASB ASC 958, check here
	and complete lines 24, 25, 29 and 30.
24	Net assets without donor restrictions...........	13,945,175	15,850,574
25	Net assets with donor restrictions............
	Foundations that do not follow FASB ASC 958, check here
	and complete lines 26 through 30.
26	Capital stock, trust principal, or current funds........
27	Paid-in or capital surplus, or land, bldg., and equipment fund
28	Retained earnings, accumulated income, endowment, or other funds
29	Total net assets or fund balances (see instructions).....	13,945,175	15,850,574
30	Total liabilities and net assets/fund balances (see instructions).	13,964,550	15,871,987

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7		2	1,415,981
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 ...................	3	0

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2...........................	3	21,049
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	21,049
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	0
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............	7	0
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.......	9	21,049
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...	10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax	Refunded	11	0

(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
DANIEL G VAN CLIFF JR	MANAGING TRUSTEE (ended August 11, 2021) 1.000	0	0	0
40 East 52nd Street 15th Floor New York,NY10022
SHANNON KELLY	SECRETARY/EXECUTIVE DIRECTOR 16.000	74,903	8,698	0
40 East 52nd Street 15th Floor New York,NY10022
LAURA BARILLARO	TREASURER 2.000	0	0	0
40 East 52nd Street 15th Floor New York,NY10022
HELEN ALEXANDER	TRUSTEE 1.000	0	0	0
40 East 52nd Street 15th Floor New York,NY10022
C STEVEN DUNCKER	TRUSTEE (ended August 11,2021), MANAGING TRUSTEE (appointed August 11, 2021) 1.000	0	0	0
40 East 52nd Street 15th Floor New York,NY10022
SHANNON ARVIN	TRUSTEE (appointed August 11, 2021) 1.000	0	0	0
40 East 52nd Street 15th Floor New York,NY10022

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
Alejandro Quevedo 5319 Tahia Drive Louisville,KY40216	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,000
Andrea Terrill PO Box 1914 Hallandale,FL33008	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,400
Anna York 10350 N Vancouver Way Portland,OR97217	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,650
Anne Von Rosen 2407 W Paradise Lane Phoenix,AZ85023	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	7,200
Arlene Blake PO Box 25056 Farmington,NY14425	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,600
Artemio Cruz 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,300
Arturo Perez 422 Heywood Ave Louisville,KY40208	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,200
Backstretch Employee Service Team Of New York 285 W Huntington Dr Arcadia,CA91007	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,200
Barbara Gabriele 20 Warren Avenue Lincoln,RI02865	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,600
Backstretch Employee Service Team Of New York 1100 Eastshore Hwy Berkeley,CA94710	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,614
Backstretch Employee Service Team Of New York 2150 Hempstead Turnpike Elmont,NY11003	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,000
Blue Grass Farms Charities 360 Amsden Avenue Versailles,KY40383	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,000
Bonnie Castandeda 304 New Haven Road Lancaster,KY40444	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	6,000
Bonnie Lopez 1751 Gentilly Blvd New Orleans,LA70119	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,500
Carl Gambardelia 4 Danrich Court havehill,MA01832	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	7,200
Charles Lopez 6709 Raleigh St Hollywood,FL33024	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,400
Coleman Tait Cox PO Box 2376 Ruidoso Downs,NM88346	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,000
Danny Wolsey 702 Kingsmere Crescent SW Alberta T2V2H7 CA	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	12,000
David Flores 3585 SW 38th Terrace B104 Ocala,FL34474	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,000
David Prine 68-01 Cooper Avenue Glendale,NY11385	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	7,800
Diane Lake 93 Lakeside Drive Mechanicville,NY12118	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,400
Donald Brown 22 Meadow Lane Apt 5 Bridgewater,MA02324	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	9,630
Donna Donovan 1 Harness Court Apt T4 Pikesville,MD21208	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	16,752
Donna Israel 735 Edgwood Rd Tobyhanna,PA18466	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,700
Doris Hollander 83 Franklin Street Derry,NH03038	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,000
Down the Stretch Ministries Inc 183 Locust Ave Ste 485 West Long Branch,NJ07764	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,000
Ed Underwood 1124 Minnesota St St Shakopee,MN55379	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,000
Edmund Bruce 4661 Williamsport Pike Martinsburg,WV25404	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	9,000
Edwin Molinari 14 B Reed Street Londonderry,NH03053	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	9,000
Elizabeth Beltran 422 Heywood Ave Louisville,KY40208	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,000
Evangeline Christian Outreach Ministries 4129 Hwy 10 Washington,LA70589	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,000
Felipe Valdez 634 E Rt 66 Apt 39 Glendora,CA91740	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,000
Yony Barrera co Fender Funeral Directors 1593 Russell Cave Rd Lexington,KY40505	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,500
Michael Lee York Sr co Fender Funeral Directors 1593 Russell Cave Rd Lexington,KY40505	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,736
Frankie Cotrone PO Box 18470 Encino,CA91416	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,200
Frankie Cotrone Jr 3113 State Rd 850 Lot 206 Safety Harbor,FL34695	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,200
Gary Birzer 8916 Fawn Trail Blanchester,OH45107	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	6,900
Gregson Foundation co Golden Gate Fields 285 W Huntington Dr Arcadia,CA91007	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,000
Backstretch support co Gulfstream Park 6709 Raleigh St Hollywood,FL33024	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,400
Gwen Jocson 105 Majestic Oak Drive Goose Creek,SC29445	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	12,000
Halbert James Maupin 880 Smith Street SW Atlanta,GA30313	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,500
Harold Collins 439 S Sycamore St Lexington,KY46151	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,350
Hector Gutierrez 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,500
Henry Rytter 925 N Queen Street Martinsburg,WV25404	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	6,600
Heriberto Ortiz 4201 Versailles Rd Lexington,KY40510	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,600
His Place Ministries 329 NW 153 Lane Pembroke Pines,FL33038	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,000
Humberto Garcia 1100 Eastshore Hwy Berkeley,CA94710	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	10,200
James Lopes 12351 Memorial Hwy Tampa,FL33635	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	6,000
Jason Lumpkins 15244 Timber Rock Rd Cambridge,OH43725	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,800
Jessica York 3507 Kimberly Dr Apt 4 Erlanger,KY41018	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,200
Jordano Tunon 90 North Board Apt 1 Canfield,OH44406	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,000
Jose Rodriguez 1100 Eastshore Hwy Berkeley,CA94710	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,026
Joseph Allen 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,665
Joseph Mileni 730 SW 69th Terrace Pembroke Pines,FL33023	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,888
Julio Contreras 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,075
Kentucky Race Track Chaplaincy PO Box 324 Simpsonville,KY40067	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,500
Larry Melacon 14927 Tradition Dr Louisville,KY40245	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,400
Laura Tilbury 93 Clothier Rd Corinth,NY12822	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	9,900
Luisa Alvarez 141 Norfolk Street New York,NY10022	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	11,200
Margaret Carman 4 Meadow Lane Hicksville,NY11801	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,000
Maria Candelaria Avalos Cortes 552 W Century Blvd Los Angeles,CA90044	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,700
Maria Hernandez 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,000
Maria Marquez 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,500
Marlisa Young 2900 Maple Leaf Drive LaGrange,KY40031	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	200
Marlon St Julien 506 W Seldon Lane Phoenix,AZ85021	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,500
Mary Ellen Carman 5101 SW 60th St Rd Apt 606 Ocala,FL34474	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,600
Backstretch support co Maryland Thoroughbred Horsemans Assoc 500 Redland Court Suite 105 Owings Mill,MD21117	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,000
Michael ledbetter 422 Heywood Ave Louisville,KY40208	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	851
Michael Straight 2215 N 42nd Street Hollywood,FL33021	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	16,200
Backstretch support co New York Racing Association PO Box 90 Jamaica,NY11430	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	2,173
Orlando Forbes 664 Greenwich Drive Richmond Hill,GA31324	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,000
Payson Park Thoroughbred 9700 SW Kanner Hwy Indiantown,FL34956	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,211
Backstretch support co Pony Express Caf 3957 Brown St Oceanside,CA92056	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,000
Randy Wilson 455129 Hwy 64 Vian,OK74962	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,000
Raul Rojas 165 Crowell Street Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	6,000
Raul Sanchez 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,800
Remington Park Church 1 Remington Place Oklahoma City,OK73111	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,000
Richard Mateo 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,200
Robert Werner 21511 SE 67th Place Morriston,FL32668	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	9,000
Rose Eileen Steele 11610 County Road 461 Tyler,TX75776	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	6,000
Rosemary Spinelli 100 S Woodberry Dr DeBary,FL32713	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,800
Rowdy Luark 4201 Versailles Rd Lexington,KY40510	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	782
Race Track Chaplaincy of America NY Division PO Box 37191 Elmont,NY11003	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	40,089
Race Track Chaplaincy of America Tampa Bay Downs 11225 Race Track Road Tampa,FL33626	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,000
Race Track Chaplaincy of America - Arizona 8008 W Willetta St Phoenix,AZ85043	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	7,000
Race Track Chaplaincy Of America Pa Division PO Box 1000 Bensalem,PA19020	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,500
Race Track Chaplaincy of California PO Box 2008 Downey,CA90242	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	6,840
Sam Feldpausch 422 Heywood Ave Louisville,KY40208	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,154
Shannon Rydman 1709 W 38t Street Apt 73 Kearney,NE68848	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	1,000
Sherri Nolan 8357 Beard Rd Minneapolis,MN55431	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,486
Southwest Lousiana Chaplaincy at Delta Downs 1915 Camelot St Orange,TX77630	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	4,000
Tiffany Easley 321 Beacon Hill Versailles,KY40383	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,600
Breeding Farmer Support co Tractor Supply Company 5401 Virginia Way Brentwood,KY37027	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,200
Ventura funeral 2150 Hempstead Turnpike Elmont,NY11003	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,500
Vincent Amico 5831 Secretariat Drive Vinton,LA70668	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	6,200
Virginia Thorsen 1100 Eastshore Hwy Berkeley,CA94710	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,250
William Turner 17152 NW 86th Terrace Reddick,FL32686	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,000
Winners Foundation 285 W Huntington Dr Arcadia,CA91007	NONE	PC	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	5,500
Zaida Barrera 370 Seventh Avenue Suite 1618 New York,NY10001	NONE	I	to provide financial support to individuals in need. This financial assistance is to cover medical, funeral and basic living expenses on a temporary basis for individuals with prolonged illness or permanent disabilities.	3,500
Total ................................. 3a				463,822

(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	Security Sales
b
c
d
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,676,345	260,364	1,415,981
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	1,415,981
b
c
d
e

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
The Jockey Club	Professional Services	90,717
40 East 52nd St 15th Floor New York,NY10022	Professional Services	90,717

		(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7					745,366
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				0
b Total for prior years:2019, 2018, 2017			0
3 Excess distributions carryover, if any, to 2021:
a From 2016......	156,848
b From 2017......	160,136
c From 2018......	114,857
d From 2019......	95,241
e From 2020......	0
f Total of lines 3a through e ........		527,082
4Qualifying distributions for 2021 from Part
XI, line 4: $ 577,054
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.....					577,054
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2021.		168,312			168,312
(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		358,770
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) .......		0
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...		0
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		358,770
10 Analysis of line 9:
a Excess from 2017....	148,672
b Excess from 2018....	114,857
c Excess from 2019....	95,241
d Excess from 2020....	0
e Excess from 2021....	0

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	988,226	1,516,060	1,516,060
	3	Accounts receivable
		Less: allowance for doubtful accounts	0	0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts	0	0	0
	5	Grants receivable.................	16,250	0	0
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....	0	0	0
	7	Other notes and loans receivable (attach schedule) 0
		Less: allowance for doubtful accounts 0	0	0	0
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........	22,393	20,021	20,021
	10a	Investments—U.S. and state government obligations (attach schedule)	0	0	0
	b	Investments—corporate stock (attach schedule).......	12,937,681	14,335,906	14,335,906
	c	Investments—corporate bonds (attach schedule).......	0		0
	11	Investments—land, buildings, and equipment: basis 0
		Less: accumulated depreciation (attach schedule) 0	0		0
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	0	0	0
	14	Land, buildings, and equipment: basis 0
		Less: accumulated depreciation (attach schedule) 0	0		0
	15	Other assets (describe )	0	0	0
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	13,964,550	15,871,987	15,871,987
	17	Accounts payable and accrued expenses..........	19,375	21,413
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons	0	0
	21	Mortgages and other notes payable (attach schedule)......	0	0
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........	19,375	21,413
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	13,945,175	15,850,574
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	13,945,175	15,850,574
	30	Total liabilities and net assets/fund balances (see instructions).	13,964,550	15,871,987


(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










Total number of other employees paid over $50,000...................				0

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	(e) Total

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

bApproved for future payment

Total ................................. 3b				0

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	(e) Related or exempt function income (See instructions.)
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 ...........			14	142
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	1,415,981
9 Net income or (loss) from special events:					1,567
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aMiscellaneous Income			1	140
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		1,514,455	1,567

Line No.	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.)
9	he Jockey Club Safety Net Foundation is primarily supported by investment earnings. Admissions, sponsorship, and donation revenue were included due to the foundation hosting a luncheon in 2020. The event raised awareness about The Jockey Club Safety Net Foundation and its mission to provide financial relief through grant assistance to individuals related to the thoroughbred industry.

(a) Name of organization	(b) Type of organization	(c) Description of relationship
The Jockey Club	501(c)(5)	The Jockey Club is the breed registry for thoroughbred horses in the United States, Canada, and Puerto Rico. The organization is dedicated to the improvement of thoroughbred breeding and racing, and it fulfills that mandate by serving many segments of the industry through its subsidiary companies and by providing support to a wide range of industry initiatives. The Jockey Club Safety Net Foundation is a charitable trust which provides, on a confidential basis, financial relief and assistance to needy members of the thoroughbred industry and their families. The Jockey Club Safety Net Foundation reimburses The Jockey Club for the services of its personnel. Also, The Jockey Club provides administrative and accounting services to The Jockey Club Safety Net Foundation. The Jockey Club Safety Net Foundation's operations are located in the New York office of The Jockey Club.

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Name of organization The Jockey Club Safety Net Foundation			Employer identification number 13-6124094

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
1	New York Racing Association Inc PO Box 90 Jamaica, NY11417	$ 31,055		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
2	Mary K Oxley Foundation 1437 South Boulder Suite 770 Tulsa, OK74119	$ 10,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
3	Adele Dilschneider 9 Apple Tree Lane St Louis, MO63124	$ 10,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
4	Duncker Foundation 475 Park Avenue S Fl 31 New York, NY10016	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
5	Barry Schwartz Foundation 159 Mahopac Avenue Granite Springs, NY10527	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
6	Diana Pulito 1707 Clay Spring Lane Lexington, KY40502	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization The Jockey Club Safety Net Foundation			Employer identification number 13-6124094
Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
7	Godolphin 3333 Bowman Mill Road Lexington, KY40513	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
8	Edith Allen Clark co Citi Private Bank One Court Square 43rd Fl Long Island City, NY11120	$ 36,311		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
9	Helen Alexander 112 E Pecan Street Suite 1025 San Antonio, TX78205	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
10	Ian Highet co Renaissance Charitable 1125 Park Avenue Apt 14C New York, NY10128	$ 50,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
11	Cornett 249 E Main Street Suite 400 Lexington, KY40507	$ 5,042		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
12	Charles Johnson 1220 S Ocean Blvd Palm Beach, FL34480	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization The Jockey Club Safety Net Foundation		Employer identification number 13-6124094

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Software ID:	21014044
Software Version:	2021v4.2


Name of organization The Jockey Club Safety Net Foundation			Employer identification number 13-6124094
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

Description	Revenue and Expenses per Books	Disbursements for Charitable Purposes
Miscellaneous Expenses	889	889
Credit Card Fees	1,537	1,537
Office Supplies	455	455
Mailing Costs	241	241
Telephone	404	404
Insurance	1,617	1,617