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 08-01-2021 , and ending 07-31-2022
Name of foundation
JAMES J CAPONE CHARITABLE FOUNDATI
C/O LISA TROY TRUSTEE
Number and street (or P.O. box number if mail is not delivered to street address)27 TALL TIMBERS DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FARMINGTON, CT06032
A Employer identification number

26-1500381
B Telephone number (see instructions)

(860) 558-5756
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$12,591,248
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 50 50  
4 Dividends and interest from securities... 193,896 193,896  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 618,784
b Gross sales price for all assets on line 6a 919,619
7 Capital gain net income (from Part IV, line 2)... 618,784
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)....... 20,652   20,652
12 Total. Add lines 1 through 11........ 833,382 812,730 20,652
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 271,284 271,284 271,284 271,284
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 3,800   3,800  
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 275,084 271,284 275,084 271,284
25 Contributions, gifts, grants paid....... 387,879 387,879
26 Total expenses and disbursements. Add lines 24 and 25 662,963 271,284 275,084 659,163
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 170,419
b Net investment income (if negative, enter -0-) 541,446
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............. 24,509 383,776 383,784
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet5,737
Less: allowance for doubtful accounts bullet   6,115 5,737 5,737
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 13,823,083 Click to see attachment12,071,889 12,071,889
c Investments—corporate bonds (attach schedule)....... 143,065 Click to see attachment122,236 122,236
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment4,586 Click to see attachment7,602 Click to see attachment7,602
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 14,001,358 12,591,240 12,591,248
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable................. 467,480 387,879
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment13,050 Click to see attachment2,353
23 Total liabilities (add lines 17 through 22)......... 480,530 390,232
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........... 4,586  
25 Net assets with donor restrictions............ 13,516,242 12,201,008
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 13,520,828 12,201,008
30 Total liabilities and net assets/fund balances (see instructions). 14,001,358 12,591,240
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
13,520,828
2
Enter amount from Part I, line 27a .....................
2
170,419
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
13,691,247
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,490,239
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
12,201,008
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 PINTEREST INC P 2020-04-20 2022-01-04
b WARNER BROTHERS DISCOVERY P 2014-06-23 2022-04-30
c PINTEREST INC P 2020-04-20 2022-01-04
d ABBOT LABRATORIES P 2014-06-23 2022-02-04
e ABERCROMBIE & FITCH P 2016-11-25 2022-02-04
CME GROUP INC P 2014-06-23 2022-02-04
C3 AI INC P 2021-01-08 2022-02-04
GENERAL DYNAMICS CORP P 2014-06-23 2022-02-04
KLA CORP P 2014-06-23 2022-02-04
KYNDRYL HOLDINGS INC P 2014-06-23 2022-02-04
MICROSOFT CORP P 2014-06-23 2022-02-04
PFIZER INC P 2014-06-23 2022-02-04
PROCTOR & GAMBLE P 2014-06-23 2022-02-04
SALESFORCE.COM P 2014-06-23 2022-03-03
ABERCROMBIE & FITCH P 2017-03-31 2022-03-03
MICROSOFT CORP P 2014-06-23 2022-04-27
(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 3,658   1,773 1,885
b 24   31 -7
c 31,512   15,277 16,235
d 3,500   1,104 2,396
e 37,645   15,533 22,112
1,709   503 1,206
7,389   40,710 -33,321
5,328   2,978 2,350
37,624   7,004 30,620
6,323   15,257 -8,934
304,939   41,845 263,094
2,758   1,450 1,308
49,255   24,072 25,183
84,156   64,000 20,156
61,560   27,453 34,107
282,239   41,845 240,394
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       1,885
b       -7
c       16,235
d       2,396
e       22,112
      1,206
      -33,321
      2,350
      30,620
      -8,934
      263,094
      1,308
      25,183
      20,156
      34,107
      240,394
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 2 618,784
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 7,526
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 7,526
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 4,586
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 4,586
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,940
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCT
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletLISA B TROY Telephone no.bullet (860) 558-5756

    Located atbullet27 TALL TIMBERS DRIVEFARMINGTONCT ZIP+4bullet06032
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    LISA B TROY TRUSTEE
    000.00
    0 0 0
    27 TALL TIMBERS DRIVE
    FARMINGTON,CT06032
    MATTHEW TROY TRUSTEE
    000.00
    90,428 0 0
    27 TALL TIMBERS DRIVE
    FARMINGTON,CT06032
    MICHAEL TROY TRUSTEE
    000.00
    90,428 0 0
    27 TALL TIMBERS DRIVE
    FARMINGTON,CT06032
    SAMANTHA TROY TRUSTEE
    000.00
    90,428 0 0
    27 TALL TIMBERS DRIVE
    FARMINGTON,CT06032
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    13,421,890
    b
    Average of monthly cash balances.......................
    1b
    165,575
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    13,587,465
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    13,587,465
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    203,812
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    13,383,653
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    669,183
    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
    669,183
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    7,526
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,526
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    661,657
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    661,657
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    661,657
    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 7 661,657
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020...... 110,005
    f Total of lines 3a through e ........ 110,005
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 671,273
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount..... 661,657
    e Remaining amount distributed out of corpus 9,616
    5 Excess distributions carryover applied to 2021.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 119,621
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
     
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    119,621
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020.... 110,005
    e Excess from 2021.... 9,616
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    AMERICAN COLLEGE OF ROMAN
    3211 FOURTH STREET NE
    WASHINGTON,DC20017
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,205
    ASIAN RELIEF INC
    180 ADMIRAL COCHRANE DR
    ANNAPOLIS,MD21401
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    ASSOCIATION OF ST JOSEPH
    1811 WEST SAINT JOSEPH ST
    PERRYVILLE,MO63775
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    BENEDICTINE CONGREGATION
    273 FLANDERS ROAD
    BETHLEHEM,CT06751
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    BENEDICTINE MISSION HOUSE
    PO BOX 528
    SCHUYLER,NE68661
    NONE 501(C)(3) GENERAL CHARITBLE PURPOSES 3,205
    BENEDICTINE SOCIETY VIRGINIA
    12829 RIVER ROAD
    RICHMOND,VA23238
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    BLUE ARMY OF OUR LADY FATIMA
    PO BOX 150
    WASHINGTON,NJ07882
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CABRINI MISSION FOUNDATION
    222 EAST 19 STREET SUITE
    NEW YORK,NY10003
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CAPUCHIN FRANCISCAN FRIARS
    PO BOX 839
    UNION CITY,NJ07087
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CAPUCHIN PROVINCE OF MID-AMERICA
    3613 WYANDOT STREET
    DENVER,CO80211
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CARMELITE FATHERS INC
    PO BOX 868
    MIDDLETOWN,NY10940
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CAROLYN'S PLACE INC
    137 GRANDVIEW AVE
    WATERBURY,CT06708
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CATHOLIC CHURCH EXTENSION
    150 S WACKER DRIVE
    STE 2000
    CHICAGO,IL60606
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CATHOLIC FOREIGN MISSION
    PO BOX 306
    MARYKNOLL,NY10545
    NONE 501(C)(3) MARYKNOLL FATHERS & BROTHERS 3,205
    CATHOLIC NEAR EAST WELFARE
    1011 FIRST AVE 15TH FLOO
    NEW YORK,NY10022
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CATHOLIC RELIEFT SERVICES
    228 W LEXINGTON STREET
    BALTIMORE,MD21201
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CONGREGATION HOLY SPIRIT PROV
    6230 BRUSH ROAD
    BETHEL PARK,PA15102
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CONGREGATION MISSION OF ST VINCENT
    500 E CHELTEN AVENUE
    PHILADELPHIA,PA19144
    NONE 501(C)(3) VINCENTIAN HOUSE SOUTHHAMPTON, NY 3,205
    CONGREGATION MISSION ST VINCE
    500 E CHELTEN AVENUE
    PHILADELPHIA,PA19144
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CONGREGATION MOTHER COREDEMPT
    1900 GRAND AVENUE
    CARTHAGE,MO64836
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CONGREGATION OF PASSION HOLY
    660 BUSSE HIGHWAY
    PARK RIDGE,IL60068
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CONGREGATION OF THE BLESSED
    5384 WILSON MILLS ROAD
    CLEVELAND,OH44143
    NONE 501(C)(3) ST. ANN'S SHRINE 3,205
    CONGREGATION SACRED HEARTS
    PO BOX 111
    FAIRHAVEN,MA02719
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CONGREGATION SISTERS OF ST JOSEPH
    577 CAREW STREET
    SPRINGFIELD,MA01104
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    CONSOLATA SOCIETY FOR FOREIGN
    PO BOX 5550
    SOMERSET,NJ08875
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,205
    CROSIER FATHERS OF ONAMIA
    PO BOX 500
    ONAMIA,MN56359
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    DAUGHTERS OF ST PAUL INC
    50 SAINT PAULS AVENUE
    BOSTON,MA02130
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    DOMINICAN CONVENT OF OUR LADY
    175 ROUTE 340
    SPARKILL,NY10976
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    DOMINICAN FRIARS GUILDS
    141 EAST 65TH STREET
    NEW YORK,NY10065
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    DOMINICAN SISTERS OF HOPE
    299 NORTH HIGHLAND AVE
    OSSINING,NY10562
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    DOMINICANS PROVINCE OF ST AL
    1910 S ASHLAND AVENUE
    CHICAGO,IL60608
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,205
    ETERNAL WORD TELEVISION NET
    5817 OLD LEEDS ROAD
    IRONDALE,AL35210
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    FATHERS OF ST EDMUND
    1428 BROAD STREET
    SELMA,AL36701
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    FOOD FOR THE POOR INC
    6401 LYONS ROAD
    COCONUT CREEK,FL33073
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    FRANCISCAN FRIARS ASSUMPTION
    9230 WEST HIGHLAND PARK A
    FRANKLIN,WI53132
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,205
    FRANCISCAN FRIARS ATONEMENT
    40 FRANCISCAN WAY
    GARRISON,NY10524
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    FRANCISCAN FRIARS OUR LADY
    12300 FOLLY QUARTER ROAD
    ELLICOTT CITY,MD21042
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    FRANCISCAN FRIAS TOR PROVI
    PO BOX 139
    HOLLIDAYSBURG,PA16648
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    FRANCISCAN MISSION ASSOCIATES
    PO BOX 598
    MOUNT VERNON,NY10551
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    FRANCISCAN MISSIONARY UNION
    3140 MERAMEC STREET
    ST LOUIS,MO63118
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    FRANCISCAN SISTERS THE POOR
    60 COMPTON ROAD
    CINCINNATI,OH45215
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    GENERAL SECRETARIA FRANCISCA
    PO BOX 130
    WATERFORD,WI53185
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    GUEST HOUSE INC
    1601 JOSLYN ROAD
    LAKE ORION,MI48360
    NONE 501(C)(3) PROJECT RENEWED VOCATIONS 3,205
    HOME MISSIONERS OF AMERICA
    PO BOX 465618
    CINCINNATI,OH45246
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    HUMAN LIFE INTERNATIONAL INC
    4 FAMILY LIFE LANE
    FRONT ROYAL,VA22630
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,205
    INSTITUTE OF MISSION HELPERS
    1001 W JOPPA ROAD
    BALTIMORE,MD21204
    NONE 501(C)(3) GENERAL CHARTIABLE PURPOSES 3,205
    LEGION OF CHRIST INCORPORATED
    PO BOX 1122
    CHESHIRE,CT06410
    NONE 501(C)(3) GENERAL CHARTIABLE PURPOSES 3,205
    MARIAN FATHERS IMMACULATE CON
    PO BOX 716
    STOCKBRIDGE,MA01262
    NONE 501(C)(3) ASSOCIATION OF MARIAN HELPERS 3,206
    MARIANIST MISSION
    4435 EAST PATTERSON ROAD
    DAYTON,OH45430
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    MARIANNHILL MISSION SOCIETY
    23715 ANN ARBOR TRAIL
    DEARBORN HEIGHT,MI48127
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    MARIST SOCIETY INC
    4408 8TH ST NE
    WASHINGTON,DC20017
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    MARYKNOLL SISTERS OF ST DOM
    PO BOX 310
    MARYKNOLL,NY10545
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    MISSINARY SISTERS OF OUR LADY
    741 POLO ROAD
    BRYN MAWR,PA19010
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    MISSION OF OUR LADY OF MERCY
    1140 W JACKSON BLVD
    CHICGO,IL60607
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    MISSION OFFICE SERAPHIC MASS
    3600 BUTLER STREET
    PITTSBURGH,PA15201
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    MISSIONARIES OF LA SALETTE
    915 MAPLE AVENUE
    HARTFORD,CT06114
    NONE 501(C)(3) PROVINCE OF MARY MOTHER OF AMERICAS 3,206
    MISSIONARIES OF THE POOR USA
    PO BOX 29893
    ATLANTA,GA30359
    NONE 501(C)(3) KINGSTON, JAMACIA MISSION 3,206
    MISSIONARIES SACRED HEARTS
    PO BOX 189
    LINWOOD,NJ08221
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    MISSIONARY SERVANTS MOST
    3501 SOLLY AVENUE
    PHILADELPHIA,PA19136
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    MISSIONARY SISTERS IMMACULATE
    PO BOX 1017
    PENITAS,TX78576
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    MISSIONARY SOCIETY ST COLUMB
    PO BOX 10
    ST COLUMBANS,NE68056
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    MISSIONHURST INC
    4651 NORTH 25TH STREET
    ARLINGTON,VA22207
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    NATIONAL SHRINE OF MARY
    1525 CARMEL ROAD
    HUBERTUS,WI53033
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    NATIONAL SHRINE OF ST ANTHONY
    144 WEST 32ND STREET
    NEW YORK,NY10001
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    NEW YORK PROVINCE SOCIETY
    39 EAST 83RD STREET
    NEW YORK,NY10028
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    NORBERTINE FATHERS
    1016 NORTH BROADWAY
    DE PERE,WI54115
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    OBLATE MISSIONARY SOCIETY INC
    9480 N DE MAZENOD DRIVE
    BELLEVILLE,IL62223
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    OBLATE MISSIONARY SOCIETY INC
    9480 N DE MAZENOD DRIVE
    BELLEVILLE,IL62223
    NONE 501(C)(3) SHRINE OF OUR LADY OF SNOWS 3,206
    OBLATE MISSIONARY SOCIETY INC
    9480 N DE MAZENOD DRIVE
    BELLEVILLE,IL62223
    NONE 501(C)(3) OBLATE MISSIONS SAN ANTONIO TX 3,206
    OBLATES OF ST FRANCIS DE SAL
    2200 KENTMERE PARKWAY
    WILMINGTON,DE19806
    NONE 501(C)(3) OBLATES ST. FRANCIS DE SALES IN MD 3,206
    ORDER OF CARMELITES PROVINCE
    1313 N FRONTAGE ROAD
    DARIEN,IL60561
    NONE 501(C)(3) LEAGUE OF MIRACULOUS INFANT 3,206
    ORDER OF FRIAR SERVANTS MARY
    3121 W JACKSON BOULEVARD
    CHICAGO,IL60612
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ORDER OF ST BENEDICT OF NJ
    230 MENDHAM ROAD
    MORRISTOWN,NJ07960
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    OUR LADY OF VICTORY HOMES
    780 RIDGE ROAD
    LACKAWANNA,NY14218
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    OUR LITTLE BROTHERS AND SISTERS
    3999 GREAT HARVEST COURT
    DUMFRIES,VA22025
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    PIOUS SOCIETY OF ST PAUL
    PO BOX 595
    CANFIELD,OH44406
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    PONTIFICAL INSTITUTE FOREIGN
    17330 QUINCY STREET
    DETROIT,MI48221
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    PRIESTS OF THE SACRED HEART
    PO BOX 367
    HALES CORNERS,WI53130
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    PROVINCE MOST SACRED HEART
    PO BOX 188
    LORETTO,PA15940
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    PROVINCE OF OUR LADY GUADALUP
    PO BOX 12395
    ALBUQUERQUE,NM87195
    NONE 501(C)(3) SOUTHWEST FRANCISCAN MISSION 3,206
    PROVINCE OF OUR LADY GUADALUP
    PO BOX 12395
    ALBUQUERQUE,NM87195
    NONE 501(C)(3) FRANCISCAN INDIAN MISSIONS 3,206
    PROVINCE OF ST MARY CAPUCHIN
    110 SHONNARD PLACE
    YONKERS,NY10703
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    PROVINCE OF ST JOSEPH
    1820 MT ELLIOTT STREET
    DETROIT,MI48207
    NONE 501(C)(3) CAPUCHIN MISSION ASSOCIATION 3,206
    PROVINCE OF ST JOSEPH CAPUCHIN
    301 CHURCH STREET
    MT CALVARY,WI53057
    NONE 501(C)(3) SAINT LAWRENCE SEMINARY 3,206
    PROVINCE OF ST MARY CAPUCHIN
    110 SHONNARD PLACE
    YONKERS,NY10703
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    PROVINCE ST JOSEPH CAPUCHIN
    1820 MT ELLIOTT STREET
    DETROIT,MI48207
    NONE 501(C)(3) ST. FIDELIS FRIARY 3,206
    REDEMPTORIST FATHERS OF NY
    7509 SHORE ROAD
    BROOKLYN,NY11209
    NONE 501(C)(3) THE BALTIMORE PROVINCE 3,206
    SACRED HEART SOUTHERN MISSION
    PO BOX 300
    WALLS,MS38680
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    SALESIAN SOCIETY-USA INC
    148 EMAIN ST PO BOX 639
    NEW ROCHELLE,NY10802
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SISTERS NOTRE DAME OF CHARDON
    13000 AUBURN ROAD
    CHARDON,OH44024
    NONE 501(C)(3) MISSIONS IN INDIA 3,206
    SISTERS OF CHARITY OF ST VIN
    6301 RIVERDALE AVENUE
    BRONX,NY10471
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SISTERS OF DIVINE COMPASSION
    52 NORTH BROADWAY
    WHITE PLAINS,NY10603
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SISTERS OF ST DOMINIC
    ONE RYERSON AVENUE
    CALDWELL,NJ07006
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    SISTERS OF ST FRANCIS ASSISI
    3221 S LAKE DRIVE
    ST FRANCIS,WI53235
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SISTERS OF THE DIVINE SAVIOR
    4311 N 100TH STREET
    MILWAUKEE,WI53222
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SOCIETY MISSIONARIES OF AFRICA
    1622 21ST STREET NW
    WASHINGTON,DC20009
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SOCIETY MISSIONARIES SACRED HEART
    PO BOX 270
    AURORA,IL60507
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SOCIETY OF CATHOLIC MEDICAL
    8400 PINE ROAD
    PHILADELPHIA,PA19111
    NONE 501(C)(3) MEDICAL MISSION SISTERS 3,206
    SOCIETY OF THE DIVINE SAVIOR
    1303 MILWAUKEE DRIVE
    NEW HOLSTEIN,WI53061
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SOCIETY OF THE DIVINE WORLD
    1985 WAUKEGAN ROAD
    TECHNY,IL60082
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    SOCIETY OF THE DIVINE WORLD CHICAGO
    PO BOX 6067
    TECHNY,IL60082
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SOCIETY OF THE LITTLE FLOWER
    1313 N FRONTAGE ROAD
    DARIEN,IL60561
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SOCIETY PROPAGATION OF FAITH
    467 BLOOMFIELD AVE
    BLOOMFIELD,CT06002
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST ANTHONY SHRIN
    100 ARCH STREET
    BOSTON,MA02110
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST BENEDICT'S ABBEY
    12605 224TH AVENUE
    BENET LAKE,WI53102
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST BONAVENTURE INDIAN MISSION
    PO BOX 610
    THOREAU,NM87323
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST FRANCIS XAVIER FOREIGN
    12 HELENE COURT
    WAYNE,NJ07470
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST IGNATIUS PROVINCE
    1105 BOYLSTON STREET
    BOSTON,MA02215
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST JOSEPH ABBEY SEMINARY
    75376 RIVER ROAD
    SAINT BENEDICT,LA70457
    NONE 501(C)(3) BENEDICTINE MISSIONS 3,206
    ST JOSEPH SOCIETY SACRED
    911 WEST LAKE AVENUE
    BALTIMORE,MD21210
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST JOSEPH'S INDIAN SCHOOL
    PO BOX 100
    CHAMBERLAIN,SD57325
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST JUDE LEAGUE
    205 W MONROE ST
    CHICAGO,IL60606
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    ST JUDE SHRINE
    512 W SARATOGA STREET
    BALTIMORE,MD21201
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSE 3,206
    ST MARY MOUNT CARMEL PARISH
    226 FRENCH STREET
    HAMMONTON,NJ08037
    NONE 501(C)(3) OUR LADY MT. CARMEL SHRINE 3,206
    ST PAUL'S BENEVOLENT
    111 S RIDGE ST 3RD FL ST
    RYE BROOK,NY10573
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    SUPPORT OUR AGING RELIGIOUS
    3025 4TH ST NE STE 14
    WASHINGTON,DC20017
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    THE ORATORY
    PO BOX 11586
    ROCK HILL,SC29731
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    THE SOCIETY OF JESUS OF NE
    39 EAST 83RD STREET
    NEW YORK,NY10028
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    UNIVERSITY OF ST MARY LUKE
    1000 EAST MAPLE AVENUE
    MUNDELEIN,IL60060
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    UNIVERSITY ST THOMAS ST PAUL
    2115 SUMMIT AVENUE DEV
    ST PAUL,MN55105
    NONE 501(C)(3) AQUINAS SCHOLARS 3,206
    US FOUNDATION CONGREGATION
    1700 WEST ALABAMA STREET
    HOUSTON,TX77098
    NONE 501(C)(3) GENERAL CHARITABLE PURPOSES 3,206
    Total .................................bullet 3a 387,879
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
        14 50  
    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 ............
        1 618,784  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aRETURNED CHARITABLE CONTRI
        1 20,652  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   833,382  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    833,382
    (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:
    JAMES J CAPONE CHARITABLE FOUNDATI
     
    C/O LISA TROY TRUSTEE
    EIN:
    26-1500381
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 3,800   3,800  

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    JAMES J CAPONE CHARITABLE FOUNDATI
     
    C/O LISA TROY TRUSTEE
    EIN:
    26-1500381
    Name of Bond End of Year Book Value End of Year Fair Market Value
    INVESCO QQQ TRUST 31,546 31,546
    ISHARES BIOTECHNOLOGY 37,224 37,224
    SPDR DOW JONES 32,866 32,866
    SPDR S&P 500 ETF IV 20,600 20,600

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    JAMES J CAPONE CHARITABLE FOUNDATI
     
    C/O LISA TROY TRUSTEE
    EIN:
    26-1500381
    Name of Stock End of Year Book Value End of Year Fair Market Value
    A T & T INC 28,170 28,170
    ABBOTT LABORATORIES 59,862 59,862
    ABBVIE INC 100,457 100,457
    ABERCROMBIE & FITCH    
    AIRBNB INC 33,294 33,294
    ALPHABET INC CLASS A 58,160 58,160
    ALPHABET INC CLASS C 58,320 58,320
    AMGEN INC 606,302 606,302
    ANTHEM INC    
    APPLE INC 682,542 682,542
    ASPEN INSURA 23,690 23,690
    BAXTER INTERNATIONAL INC 11,732 11,732
    BECTON DICKSON & CO 61,078 61,078
    BERKSHIRE HATHAWAY INC 104,008 104,008
    BLOCK INC 76,060 76,060
    BOEING CO 63,724 63,724
    BRISTOL MYERS SQUIBB CO 95,914 95,914
    BROADCOM LTD 53,548 53,548
    CME GROUP INC 35,906 35,906
    COLGATE-PALMOLIVE CO 7,874 7,874
    CVS HEALTH CORP 47,840 47,840
    C3 AI INC    
    DANAHER CORP 29,147 29,147
    DOW INC 53,210 53,210
    EATON CORP PLC 55,943 55,943
    ELEVANCE HEALTH INC 47,710 47,710
    EMBECTA CORP 1,472 1,472
    EMERSON ELECTRIC CO 18,014 18,014
    EXPRESS INC 16,900 16,900
    FORD MOTOR CO 58,760 58,760
    GENERAL DYNAMICS CO 90,668 90,668
    GENERAL MOTORS CO 36,260 36,260
    GILEAD SCIENCES INC 59,750 59,750
    GOLDMAN SACHS INC 33,339 33,339
    HOME DEPOT INC 60,188 60,188
    HONEYWELL INTERNATIONAL 383,765 383,765
    IBM CORP 261,580 261,580
    ILLINOIS TOOL WORKS 20,776 20,776
    INTEL CORP 18,155 18,155
    INTERCONTINENTAL EXC 50,995 50,995
    JOHNSON & JOHNSON 785,340 785,340
    JP MORGAN CHASE & CO 57,680 57,680
    KELLOGG CO 14,784 14,784
    KLA CORP 153,416 153,416
    LILLY ELI & CO 329,690 329,690
    LOCKHEED MARTIN CORP 20,691 20,691
    LYFT 13,860 13,860
    L3HARRIS TECHNOLOGIES IN 31,196 31,196
    MASTERCARD INC 17,690 17,690
    MCDONALDS CORP 26,337 26,337
    MEDTRONIC PLC 185,040 185,040
    MERCK & CO INC 53,604 53,604
    MICROSOFT CORP 4,772,580 4,772,580
    NIKE INC 57,460 57,460
    NORDSTROM INC 23,510 23,510
    NORTHROP GRUMMAN 47,890 47,890
    NOVO-NORDISK 116,060 116,060
    NXP SEMICONDUCTORS 91,940 91,940
    ORGANON & CO 1,903 1,903
    PALO ALTO NETWORKS 49,910 49,910
    PARKER-HANNIFIN CORP 43,364 43,364
    PAYPAL HOLDINGS INC 34,612 34,612
    PEPSICO INC 17,496 17,496
    PFIZER INC 70,714 70,714
    PINTREST INC 19,480 19,480
    PROCTER & GAMBLE 208,365 208,365
    PRUDENTIAL FNL 99,990 99,990
    QUALCOMM INC 72,530 72,530
    RAYTHEON CO 93,210 93,210
    ROCKWELL AUTOMATION 25,528 25,528
    SALESFORCE COM    
    SEAGEN INC 35,996 35,996
    SNAP INC 19,760 19,760
    SQUARE INC    
    STANLEY BLACK & DECKER 9,733 9,733
    STARBUCKS CORP 42,390 42,390
    STRYKER CORP 42,950 42,950
    THE COCA-COLA CO 12,834 12,834
    THERMOO FISHER SCIENTIFI 119,682 119,682
    TRUIST FINL CORP 50,470 50,470
    UBER TECHNOLOGIES INC 23,450 23,450
    UNION PACIFIC CORP 113,650 113,650
    UNITED AIRLINES 55,125 55,125
    UNITED HEALTH GROUP INC 54,234 54,234
    VERIZON COMM 46,190 46,190
    VERTEX PHARMACEUTICALS 28,041 28,041
    VF CORP 13,404 13,404
    VISA INC 42,422 42,422
    WALT DISNEY CO 106,100 106,100
    WARNER BROTHERS DISCOVER 5,430 5,430
    WELLS FARGO CO 65,805 65,805
    3M CO 143,240 143,240

    TY 2021 OtherAssetsSchedule
    Name:
    JAMES J CAPONE CHARITABLE FOUNDATI
     
    C/O LISA TROY TRUSTEE
    EIN:
    26-1500381
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    PENDING RETURNING CHARITY DIST   7,602 7,602
    PREPAID INCOME TAX 4,586    


    TY 2021 OtherDecreasesSchedule
    Name:
    JAMES J CAPONE CHARITABLE FOUNDATI
     
    C/O LISA TROY TRUSTEE
    EIN:
    26-1500381
    Description Amount
    INCOME TAX FOR CURRENT YEAR 6,939
    UNREALIZED LOSSES ON INVESTMENTS 1,483,300


    TY 2021 OtherIncomeSchedule2
    Name:
    JAMES J CAPONE CHARITABLE FOUNDATI
     
    C/O LISA TROY TRUSTEE
    EIN:
    26-1500381
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RETURNED CHARITABLE CONTRI 20,652   20,652


    TY 2021 OtherLiabilitiesSchedule
    Name:
    JAMES J CAPONE CHARITABLE FOUNDATI
     
    C/O LISA TROY TRUSTEE
    EIN:
    26-1500381
    Description Beginning of Year - Book Value End of Year - Book Value
    DUE TO CHARITY 13,050  
    EXCISE TAX PAYABLE   2,353