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 10-01-2021 , and ending 09-30-2022
Name of foundation
Blowitz-Ridgeway Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)1701 E Woodfield Road 201
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Schaumburg, IL60173
A Employer identification number

36-2488355
B Telephone number (see instructions)

(847) 330-1020
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$19,742,479J 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 37,659 37,659  
4 Dividends and interest from securities... 453,682 453,682  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -20,480
b Gross sales price for all assets on line 6a 12,456,989
7 Capital gain net income (from Part IV, line 2)... 0
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)....... Click to see attachment 52,614 0  
12 Total. Add lines 1 through 11........ 523,475 491,341  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 164,751 32,950   131,801
14 Other employee salaries and wages...... 66,450 13,290   53,160
15 Pension plans, employee benefits....... 43,350 8,670   34,680
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 10,738 8,590   2,148
c Other professional fees (attach schedule).... Click to see attachment 104,774 97,527   7,247
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 17,853 2,675   10,701
19 Depreciation (attach schedule) and depletion... Click to see attachment 2,230 446  
20 Occupancy.............. 15,933 3,187   12,746
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 76,232 3,498   18,548
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 502,311 170,833   271,031
25 Contributions, gifts, grants paid....... 1,049,150 1,049,150
26 Total expenses and disbursements. Add lines 24 and 25 1,551,461 170,833   1,320,181
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,027,986
b Net investment income (if negative, enter -0-) 320,508
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............. 100,150 133,353 133,353
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet295,000
Less: allowance for doubtful accounts bullet0 290,000 295,000 295,000
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........   6,745 6,745
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule)....... 5,609,252 Click to see attachment4,859,753 4,859,753
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 18,034,120 Click to see attachment14,363,022 14,363,022
14 Land, buildings, and equipment: basis bullet74,580
Less: accumulated depreciation (attach schedule) bullet72,033 1,957 Click to see attachment2,547 2,547
15 Other assets (describe bullet) Click to see attachment51,459 Click to see attachment82,059 Click to see attachment82,059
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 24,086,938 19,742,479 19,742,479
Liabilities 17 Accounts payable and accrued expenses.......... 11,449 3,923
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 11,449 3,923
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........... 24,075,489 19,738,556
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 24,075,489 19,738,556
30 Total liabilities and net assets/fund balances (see instructions). 24,086,938 19,742,479
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
24,075,489
2
Enter amount from Part I, line 27a .....................
2
-1,027,986
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
23,047,503
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
3,308,947
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
19,738,556
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 Huntington Private Bank      
b Capital Gains Dividends P    
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 12,430,583   12,477,469 -46,886
b 26,406     26,406
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       -46,886
b       26,406
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 -20,480
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 4,455
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,455
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 8,223
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,223
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,768
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet3,768 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletwww.Blowitzridgeway.org
    14
    The books are in care ofbulletSerena Moy Telephone no.bullet (847) 330-1020

    Located atbullet1701 E Woodfield Road No 201SchaumburgIL ZIP+4bullet60173
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Sandra Swantek MD President
    4.00     		7,200 0 0
    1701 E Woodfield Rd Suite 201
    schaumburg,IL60173
    Pierre LeBreton Vice President
    4.00     		6,000 0 0
    1701 E Woodfield Rd Suite 201
    Schaumburg,IL60173
    Esther Nieves Secretary
    4.00     		6,000 0 0
    1701 E Woodfield Rd Suite 201
    Schaumburg,IL60173
    Allen Wesolowski Treasurer
    4.00     		6,000 0 0
    1701 E Woodfield Rd Suite 201
    schaumburg,IL60173
    Anthony Dean Trustee (Deceased 11/2021)
    4.00     		600 0 0
    1701 E Woodfield Rd Suite 201
    Schaumburg,IL60173
    Edward Jacob Trustee
    4.00     		10,200 0 0
    1701 E Woodfield Rd Suite 201
    Schaumburg,IL60173
    Jennifer Arwade Trustee
    4.00     		8,400 0 0
    1701 E Woodfield Rd Suite 201
    Schaumburg,IL60173
    Rebekah Azar Rashidfarokhi Trustee
    4.00     		10,200 0 0
    1701 E Woodfield Rd Suite 201
    Schaumburg,IL60173
    Serena Moy Executive Director
    40.00     		110,151 25,921 0
    1701 E Woodfield Rd Suite 201
    Schaumburg,IL60173
    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
    Laura Romero Grants Manager
    32.00     		54,600 22,324 0
    c/o 1701 E Woodfield Rd No 201
    Schaumburg,IL60173
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 Loan to Illinois Facilities Fund 100,000
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet100,000
    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
    22,535,239
    b
    Average of monthly cash balances.......................
    1b
    92,057
    c
    Fair market value of all other assets (see instructions)................
    1c
    386,351
    d
    Total (add lines 1a, b, and c).........................
    1d
    23,013,647
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    23,013,647
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    345,205
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    22,668,442
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,133,422
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    1,133,422
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,455
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,455
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,128,967
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,128,967
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    1,128,967
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 1,128,967
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 208,452
    b From 2017...... 178,496
    c From 2018...... 289,986
    d From 2019...... 293,832
    e From 2020...... 384,751
    f Total of lines 3a through e ........ 1,355,517
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,420,181
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 1,128,967
    e Remaining amount distributed out of corpus 291,214
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,646,731
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		208,452
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		1,438,279
    10 Analysis of line 9:
    a Excess from 2017.... 178,496
    b Excess from 2018.... 289,986
    c Excess from 2019.... 293,832
    d Excess from 2020.... 384,751
    e Excess from 2021.... 291,214
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    Serena Moy
    1701 E Woodfield Road 201
    Schaumburg,IL60173
    (847) 330-1020
    bThe form in which applications should be submitted and information and materials they should include:
    Applications are only accepted through the online grant program. The application procedures can be found on our website: blowitzridgeway.org.
    cAny submission deadlines:
    Applications are accepted any time
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Grants will be made to organizations in the City of Chicago and the six collar counties (Cook, DuPage, Kane, Lake, McHenry, and Will).
    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
    Above and Beyond Family Recovery Center
    2942 West Lake Street
    Chicago,IL60612     		  PC For the West Garfield Park Supportive Housing and Employment Program Expansion, which integrates permanent supportive and emergency housing behavioral health treatment, and health and nutrition for low-income adults and families. 15,000
    All Chicago Making Homelessness History (Formerly Emergency Fund)
    651 W Washington Suite 504
    Chicago,IL60661     		  PC For the All Chicago Emergency Fund for Agencies. Funds could be used towards, for example, Mental Health Counseling, hiring staff, transportation, technology, or cover expenses related to the pandemic that is not covered by grants. 20,000
    Alternatives Inc
    4730 N Sheridan Rd
    Chicago,IL60640     		  PC For Behavioral Health Services, which provides comprehensive trauma-informed counseling services in schools & at a community-based center, substance abuse treatment, crisis intervention counseling for at-risk youth from low-income families in Chicago. 12,500
    Anew Building Beyond Violence & Abuse (formerly South Suburban Family Shelt
    18137 South Harwood
    Homewood,IL60430     		  PC For general operating support of its comprehensive coordinated domestic violence services in the south suburbs. Services include 24-hour bilingual hotline, crisis intervention, emergency shelter, transitional housing, individual and group counseling, etc. 10,000
    Antioch Area Health Accessibility Alliance (AAHAA)
    874 Main Street
    Antioch,IL60002     		  PC For General Operating Support. AAHAA links underserved individuals in need of healthcare with healthcare providers in the rural area Lake County. Funds will be used for Network Nurse Program, which provides direct/personal support to individuals in need. 10,000
    Association House of Chicago
    1116 N Kedzie Avenue
    Chicago,IL60651     		  PC For Integrated Health Program, which provides bilingual primary and mental healthcare services as well as intensive case management services on-site, in-home and telehealth to low-income African American & Latino adults in multiple Chicago neighborhoods. 15,000
    Beds Plus Care
    9601 Ogden Avenue
    La Grange,IL60525     		  PC For General Operating Support. Beds Plus provides evidence-based services to individuals and families experiencing homelessness in Southwest Suburban Cook County. Services include Stabilization Services and Homelessness Prevention program, Etc. 15,000
    Between Friends
    PO Box 608548
    Chicago,IL60660     		  PC For General Operating Support. Between Friends provides comprehensive counseling and support services for individuals and families, as well as prevention education for both youth and adults in Chicago's northside. 15,000
    Casa Central
    1343 N California Ave
    Chicago,IL60622     		  PC For LaPosada Transitional/Interim Housing Program, which provides low-income families in Chicago with short-term housing with bilingual and cultural responsive support services. Each family is assigned a case manager who will assist with their needs. 15,000
    Catholic Charities Diocese of Joliet
    16555 Weber Road
    Crest Hill,IL60403     		  PC For Transitional Housing (TH) and Tenant-Based Rental Assistance (TBRA) Programs. TH Program serves homeless families with minor children, and TBRA is a rapid-rehousing program that addresses immediate needs of chronically homeless individuals/families. 10,000
    Center on Halsted (formerly Horizons Community Services)
    3656 N Halsted St
    Chicago,IL60613     		  PC For the Behavioral Health Services, which provides LGBTQ+ community with comprehensive bilingual (English/Spanish) therapeutic short-term and long-term individual, group family and relationship therapies, and crisis support in Chicago. 20,000
    Chicago Children's Advocacy Center
    1240 S Damen Ave
    Chicago,IL60608     		  PC For the Family Hope Center, which provides evidenced-based trauma-informed therapy for children and families impacted by child sexual abuse and other trauma in Chicago. The Center provides individual, group and family therapy as well as provides support. 15,000
    Chicago Workers Collaborative
    1914 S Ashland Ave
    Chicago,IL60608     		  PC For the Working Families Protection Program, which utilizes a community health worker approach to reaching workers at manufacturing, hospitality, landscaping and other day laborer sites in Kane, DuPage, Lake and Cook Counties. 15,000
    Children's Research Triangle
    70 East Lake Street Suite 1300
    Chicago,IL60601     		  PC For the Evaluation and Treatment Fund, which provides medical and developmental/psychological evaluations, individual, family, group psychotherapy, and medication management for low-income families. Funding would support 18 children and their families. 10,000
    Christian Outreach of Lutherans
    800 West Glen Flora Avenue
    Waukegan,IL60085     		  PC For the Family Housing Program, a transitional housing program for homeless families with children in Lake County. Families must demonstrate the potential to obtain permanent housing in 12-18 months by adhering to a structured plan with specific goals. 15,000
    Connections for Abused Women and their Children (CAWC)
    1115 N Kedzie Ave 5th Floor
    Chicago,IL60651     		  PC For General Operating Support. CAWC's comprehensive domestic violence services include crisis intervention, shelter, safety planning/assessment, legal and medical advocacy, individual and group counseling for survivors of domestic violence in Chicago. 20,000
    Connections for the Homeless
    2121 Dewey Ave
    Evanston,IL60201     		  PC For General Operating Support. Funding will help with expansion efforts for eviction prevention, shelter, housing, advocacy, and implement program improvements for homeless individuals and families in north suburban Cook County. 15,000
    Crisis Center for South Suburbia
    7700 Timber Drive
    Tinley Park,IL60477     		  PC Grant in honor of Tony Dean. The Crisis Center provides safety, hope and services to victims of domestic violence in the south suburbs through emergency, interim and transitional housing; individual and group counseling; legal and medical advocacy, etc. 12,500
    Crisis Center for South Suburbia
    7700 Timber Drive
    Tinley Park,IL60477     		  PC For general operating support. Crisis Center provides safety, hope and services to victims of domestic violence in the south suburbs through emergency, interim and transitional housing; individual and group counseling; legal and medical advocacy, etc. 10,000
    Deborah's Place
    2822 W Jackson Blvd
    Chicago,IL60612     		  PC For General Operating Support. Deborah's Place provides housing and comprehensive supportive services to chronically homeless women in Chicago. Funding is needed to help expand programs and increase the number of women served. 17,500
    DuPage Health Coalition
    511 Thornhill Drive - C
    Carol Stream,IL60188     		  PC For Access DuPage (AD) Health Program, which provides health care for low-income, uninsured DuPage County residents. Services include primary care, specialty care, hospital services (x-rays, lab, diagnostics, therapy inpatient care, etc.) and medication. 12,000
    DuPage PADS
    601 W Liberty Dr
    Wheaton,IL60187     		  PC For Emergency Housing & Stabilizing Services, which provides supportive services to individuals and families staying in hotel-placed housing in DuPage. Funds will be used toward salary support of a case manager working with hotel-placed families. 15,000
    Enlace Chicago
    2759 S Harding Ave
    Chicago,IL60623     		  PC For the Community Health Worker-led Access to Care Initiative, in which trained public health workers assist community members in Chicago's Little Village with enrolling in Medicaid, health insurance, finding a medical home, etc. 15,000
    Family Health Partnership Clinic
    401 E Congress
    Crystal Lake,IL60014     		  PC For General Operating Support. FHPC provides a medical home for uninsured in McHenry County. They provide primary care, lab tests, pharmacy, dental, mental health therapy, case management services and onsite medical care at two area homeless shelters. 15,000
    Family Rescue
    8811 S Stony Island Ave
    Chicago,IL60617     		  PC General operating support of it programs which provide comprehensive support services and shelter to victims of domestic violence. 15,000
    Forefront (formerly Donors Forum of Chicago)
    208 South LaSalle Street Suite 740
    Chicago,IL60604     		  PC FY22 membership dues 2,150
    Franciscan Outreach Association
    717b W 18th St
    Chicago,IL60616     		  PC For General Operating Support of its programs and services, which include Emergency Shelters, Transitional Housing Program (Streets to Home Initiative/Interim Housing), case management, financial assistance fund, meals, access to health care, and more. 20,000
    Gads Hill Center
    1919 w Cullerton St
    Chicago,IL60608     		  PC For the Healthy Moves Program, which trains Health Promoters to provide critical community education on health, nutrition and mental wellness, and financial literacy. Funding will expand on educating on COVID-19 information and importance of vaccinations. 10,000
    Health & Medicine Policy Research Group
    29 E Madison Ste 602
    Chicago,IL60602     		  PC For the Chicago Area Schweitzer Fellows Program, a year-long service learning program that helps graduate students in healthcare professions design/implement innovative direct service projects in underserved communities. 15,000
    Howard Brown Health Center
    1025 W Sunnyside Ave Suite 300
    Chicago,IL60640     		  PC For the Broadway Youth Center, a drop-in center for LGBTQ and unstably housed youth in Chicago's Lakeview neighborhood, with services in the south side. The Center provides comprehensive low barrier medical care, behavioral health services, etc. 15,000
    Ignite (formerly Teen Living Programs)
    180 N Michigan Ave Suite 1900
    Chicago,IL60601     		  PC For General Operating Support. Ignite provides homeless youth, age 14-24, in Chicago's Bronzeville neighborhood with comprehensive services, such as emergency & transitional housing, Street and Community Outreach, case management, employment support, etc. 15,000
    Independence Center INC
    2025 Washington Street
    Waukegan,IL60085     		  PC For General Operating Support and Supplies. The Center provides Lake County individuals with chronic mental illness with inpatient and outpatient services, housing and transportation assistance, and vocational support. 10,000
    Infant Welfare Society of Chicago
    3600 W Fullerton Avenue
    Chicago,IL60647     		  PC For General Operating Support of the Angel Harvey Family Clinic, which provides medical, dental, optometry, therapeutic, and behavioral health services, and child development for low-income, uninsured families in Chicago. 10,000
    Inspiration Corporation
    4554 N Broadway Suite 207
    Chicago,IL60640     		  PC For the Housing Program, which provides individuals and families in Chicago who are experiencing homelessness with access to housing and rental support. Program includes transitional, permanent supportive housing, and supportive services. 10,000
    IWS Children's Clinic
    28 Madison Street
    Oak Park,IL60302     		  PC For General Operating Support. The Clinic is a full-service pediatric health clinic and medical home, providing medical, dental, and behavioral health services and social support services for children in the west side of Chicago, and Cook/DuPage County. 15,000
    Journeys-The Road Home
    1140 E Northwest Hwy
    Palatine,IL60074     		  PC "For General Operating Support. To provide shelter, social services and affordable housing to those experiencing homelessness in north/northwest suburban Cook. Services include Emergency Shelter, Day Program, mental health & vocational counseling, etc. 6,000
    Juvenile Protective Association
    1707 N Halsted St
    Chicago,IL60614     		  PC For the Treatment & Counseling Program in 16 schools in North Lawndale, and west and south side neighborhoods in Chicago. The Program includes Relationship-based individual and small group therapy, Therapist-led psycho-educational classroom groups, etc. 10,000
    Kids Above All (formerly ChildServ)
    8765 Higgins Road Suite 450
    Chicago,IL60631     		  PC For the Emerge Program, which provides homeless youth, ages 18-24, in Chicago with subsidized temporary housing and supportive services. Services include trauma-informed individual case management, therapeutic individual and group counseling, etc. 10,000
    La Casa Norte
    3533 W North Avenue
    Chicago,IL60647     		  PC For General Operating Support. La Casa Norte serves youth and families facing homelessness in Chicago. Services include emergency shelter, rapid rehousing, transitional housing, permanent supportive housing, counseling, health care, rental assistance etc 15,000
    Lake County Haven
    PO Box 127
    Libertyville,IL60048     		  PC For General Operating Support to continue providing homeless women and their children in Lake County with shelter, transitional housing, counseling/mental health support, access to medical care, life-skills training, career services, financial ed, etc. 15,000
    Law Center for Better Housing (formerly Lawyers Committee for Better Housin
    33 N LaSalle Suite 900
    Chicago,IL60602     		  PC For the Tenant Supportive Services, which provide integrated social service case management to renters in Chicago facing eviction with the goal of keeping them stably housed and avoiding court. 15,000
    Lazarus House
    214 Walnut Street
    St Charles,IL60174     		  PC For General Operating Support. Lazarus House is the only emergency shelter and transitional housing program in central Kane County serving homeless men, women and children. Services include Immediate needs shelter, food, health care); Case management 10,000
    Margaret's Village (Formerly Institute of Women Today)
    7315 S Yale Ave
    Chicago,IL60621     		  PC For General Operating Support. The agency operates Maria's Shelter, a 50-bed interim shelter for women and children in Englewood; Believe is a 50-bed interim facility for families in South Chicago; and Vincennes Senior Center for low-income seniors. 15,000
    Mercy Housing Lakefront
    120 S LaSalle Street Suite 1915
    Chicago,IL60603     		  PC For the Supportive Housing for the Homeless Program, which provides stable housing for families and individuals with supportive case management, health and wellness to address chronic conditions and mental illness, job training, and Tenant Leadership. 12,500
    Mobile CARE Chicago
    239 W Root St
    Chicago,IL60609     		  PC For General Operating. Mobile Care Chicago's mission is to deliver no-cost medical and preventative care, education, and support to low-income children and families within their native communities aboard mobile medical clinics. 12,000
    Mutual Ground
    418 Oak Avenue
    Aurora,IL60506     		  PC For General Operating Support. Mutual Ground is the only service provider of domestic and sexual violence services in Aurora and Kane County. Services include emergency shelter, counseling, 24-hour crisis hotline, hospital and legal advocacy, etc. 10,000
    NAMI of Dupage County
    115 N County Farm Road
    Wheaton,IL60187     		  PC For General Operating Support. Nami provides support and education programs for families and individuals living with mental health conditions. 10,000
    National Foundation Of Dentistry For The Handicapped
    1800 15th St Ste 100
    Denver,CO80202     		  PC For the Chicago Donated Dental Services Program for Chicago area residents. The Program works with volunteer dentists to provide comprehensive dental care to elderly, disabled/medically fragile who are unable to afford dental treatment. 10,000
    New Moms
    5317 W Chicago Ave
    Chicago,IL60651     		  PC For General Operating Support. New Moms serves young mothers in need of housing stability in Chicago and near western suburbs. Programs include housing and support, job training, classroom training, home-based parent coaching, prenatal/parent support etc 15,000
    Northwest Compass (formerly CEDA Northwest Self-Help)
    1300 W Northwest Highway
    Mount Prospect,IL60056     		  PC For Homelessness Prevention, which aims to provide timely intervention and assistance to people experiencing housing crisis, reduce the rate of unsheltered homeless individuals in the Northwest Cook County Suburbs. 10,000
    Nourishing Hope (formerly Lakeview Pantry)
    3945 North Sheridan Road
    Chicago,IL60613     		  PC For General Operating Support. Hunger is often connected to unemployment, homelessness, and mental health, the Pantry provides groceries and social services to Chicago's Lakeview area. Services include, job training and search, access to healthcare etc. 15,000
    Old Irving Park Community Clinic
    5425 W Addison
    Chicago,IL60641     		  PC For General Operating Support. Funds will cover expenses incurred to provide free, quality primary and behavioral health care to uninsured and underserved low-income individuals in Chicago's northwest side. 15,000
    Organizing Neighborhoods for Equality Northside aka ONE Northside
    4648 N Racine Ave
    Chicago,IL60640     		  PC For the Mental Health Justice Campaign, which works with people living with mental illness to educate the broader community and break down the stigma of mental illness. Funds will be used toward salary support for a community organizer. 10,000
    People's Resource Center
    201 S Naperville Rd
    Wheaton,IL60187     		  PC For the Social Services Program, which supports families in DuPage County who are experiencing crises with financial assistance and at risk of homelessness. The Center provides direct financial assistance such as rent, security deposits. 10,000
    Primo Center for Women and Children
    6212 S Sangamon
    Chicago,IL60621     		  PC For General Operating Support. The Center provides housing and services to families who are homeless in Chicago's Austin and Englewood neighborhoods. Services include comprehensive behavioral/medical health treatment, which addresses trauma experienced. 15,000
    Public Action to Deliver Shelter dba Hesed House
    659 South River Street
    Aurora,IL60506     		  PC For General operating support. Hesed House has two on-site shelter programs as well as supportive housing programs both on-site and in the community. (The grant was changed from SEEDS Case Management to General operating due to COVID-19) 10,000
    Refugee One (formerly Interfaith Refugee and Immigration Ministries)
    6008 N California Ave
    Chicago,IL60659     		  PC For general operating support of its programs which create opportunities for refugees fleeing war, terror, and persecution to build new lives of safety, dignity, and self-reliance. 15,000
    Renaissance Collaborative
    3757 S Wabash Ave
    Chicago,IL60653     		  PC For General Operating Support of its affordable housing for low-income seniors and chronically homeless in Chicago's Bronzeville neighborhood. In addition to SROs, Renaissance offers supportive services such as case management, employment training, etc. 15,000
    Renaissance Social Services
    2501 W Washington Suite 401
    Chicago,IL60612     		  PC For General Operating Support. Programs serving homeless individuals and families in Chicago's west side include Street Outreach, rapid re-housing, mental health drop-in center, a new short-term supportive housing program, homeless prevention, etc. 15,000
    Resilience (formerly Rape Victim Advocates)
    Resilience 180 N Michigan Ave Suite
    600
    Chicago,IL60601     		  PC For General Operating Support. Resilience empowers people and communities to help prevent sexual violence and provides a full range of services to decrease trauma and support healing, such as follow-up health care, trauma-informed therapy. 15,000
    Sarah's Inn
    PO Box 1159
    Oak Park,IL60304     		  PC For the Intervention Program, which provides Advocacy and Counseling to victims of domestic violence in the west side of Chicago and near western suburbs. Services include emergency support and assistance, legal services and counseling, etc. 15,000
    Sargent Shriver National Center On Poverty Law
    67 E Madison St Suite 2000
    Chicago,IL60603     		  PC For Reaching the Remaining Uninsured & Keeping the Newly Insured in Coverage Project. The Center will conduct trainings, technical assistance public education, outreach on four programs: coverage for low-income noncitizens, etc. 15,000
    South Suburban PADS
    4411 W Gatling Blvd
    Country Club Hills,IL60478     		  PC Grant in memory of Tony Dean. SSPADS serves people who are homeless or were previously homeless who live in Suburban Cook County. 12,500
    South Suburban PADS
    4411 W Gatling Blvd
    Country Club Hills,IL60478     		  PC For General Operating Support. Programs & Services include Prevention (emergency funds), Street Outreach, Emergency Shelter, Rapid Rehousing, Permanent Supportive Housing, and Supportive Services for homeless individuals/families in south suburban Cook. 20,000
    Test Positive Aware Network
    5537 N Broadway
    Chicago,IL60640     		  PC For the Total Care Portal, a care coordination program that works to ensure that people living with HIV or are vulnerable to HIV and other chronic illnesses in Chicago are connected to primary care and supportive services. 10,000
    The Ark
    6450 North California Avenue
    Chicago,IL60645     		  PC For The Pharmacy Program, which provides medications for low-income, un- or under-insured Chicago residents who experience barriers to health care. Funds would be used to purchase needed medications not available through donations or wholesale. 15,000
    The Boulevard of Chicago (Formerly Interfaith House)
    542 S Dearborn 300
    Chicago,IL60605     		  PC For General Operating Support to provide transitional housing and support services for Chicago homeless adults discharged from the hospital with acute medical needs and prepare them for independent living. 17,000
    The Center of Concern
    1665 Elk Boulevard
    Des Plaines,IL60016     		  PC For General Operating Support. The agency addresses multiple housing needs of individuals and families in suburban Cook County. Services include Rapid Rehousing/Transitional Housing Program, case management, emergency rental/mortgage assistance, etc. 12,500
    The Community House aka Charlie's Gift
    415 West Eighth Street
    Hinsdale,IL60521     		  PC For Community-Based Counseling Center, which provides outpatient mental health care for uninsured low-income residents in DuPage. Funds are for trauma-informed mental health services focusing on youth/young adults utilizing evidence based interventions. 10,000
    The Harbour
    1440 Renaissance Drive Suite 240
    Park Ridge,IL60068     		  PC For General Operating Support of its programs which provide immediate, stable and safe housing to homeless young people and young mothers with children in north and northwest suburban Cook County. Services include emergency shelter, trauma informed, etc. 15,000
    The Night Ministry
    1735 North Ashland Avenue Suite
    2000
    Chicago,IL60622     		  PC For General Operating Support to meet the needs of homeless adults and youth in Chicago through Youth Services and Health Outreach. Services include the Health Outreach Bus, Street Medicine Team, Youth Outreach Team, Crib Overnight Emergency Shelter, etc. 15,000
    Transitional Living Services dba TLS Veterans
    805 South McHenry Avenue
    Crystal Lake,IL60014     		  PC Original request was for Veterans Community Action Team, which employs veterans to donated furniture, household items & meals to homeless veterans in transitional housing. Grant restricted to New Horizons, a 20-bed transitional housing shelter/program. 10,000
    Turning Point
    PO Box 723
    Woodstock,IL60098     		  PC For General Operating Support. Turning Point provides domestic violence survivors in McHenry County with Emergency Shelter, legal advocacy, individual and group counseling, mental health therapy, specialized children's programs, etc. 15,000
    UCP Seguin Services
    3100 South Central Avenue
    Cicero,IL60804     		  PC For the Oral Health Care Program for low-income adults with Intellectual Developmental Disabilities at the Adult Residential Services in the west suburbs of Chicago. The Program includes exams, cleanings, x-rays, extractions, fillings, crowns, etc. 10,000
    Young Invincibles
    125 S Clark Street FL 17
    Chicago,IL60603     		  PC For the Health Care Program, including Mental Health needs of young adults. Working in partnership with NAMI Chicago, the program will target higher education institutions to ensure students' mental health needs are being met. 10,000
    Youth & Opportunity United (formerly Youth Organizations Umbrella)
    1911 Church Street
    Evanston,IL60201     		  PC Request restricted to Mental Health Program. The Mental Health Services is particularly unique as they provide free mental health services at safe and familiar school locations; draw on partnerships between community, school, and institutional resources. 10,000
    Youth Crossroads
    6501 Stanley Ave
    Berwyn,IL60402     		  PC For General Operating Support. The agency provides trauma informed individual/group counseling support programs to teens in Cicero and Berwyn school districts. Counseling services are designed to help youth deal with anger, trauma, and other issues. 15,000
    Youth Outreach Services
    2411 West Congress Parkway
    Chicago,IL60612     		  PC For general operating support of its programs which help at-risk youth in the Chicago area to reach their potential. Programs include counseling, child welfare and prevention services which help youth and families develop the skills/opportunities 15,000
    Zacharias Sexual Abuse Center (formerly LaCASA)
    4275 Old Grand Avenue
    Gurnee,IL60031     		  PC For General Operating Support. ZCenter provides comprehensive services for survivors of sexual violence and abuse in Lake County. Services include a 24-hour hotline, trauma informed counseling, medical/legal advocacy, prevention education, etc. 15,000
    Total .................................bullet 3a 1,049,150
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 37,659  
    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 -20,480  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aProgram Related Investments     		        6,619
    bFederal excise tax benefit - deferred         45,995
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 470,861 52,614
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    523,475
    (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.)
    11 Interest on Program Related Investment
    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:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting Fees 10,738 8,590   2,148

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

    TY 2021 DepreciationSchedule
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    Furniture and equipment   74,580 72,033 SL 0 % 0 0    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Corporate bonds 4,859,753 4,859,753

    TY 2021 InvestmentsOtherSchedule2
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Money market funds FMV 307,714 307,714
    Common stocks FMV 8,299,822 8,299,822
    Mutual fund - equity FMV 3,102,265 3,102,265
    Mutual funds - fixed income FMV 2,653,221 2,653,221

    TY 2021 LandEtcSchedule2
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Furniture and equipment 74,580 72,033 2,547  


    TY 2021 OtherAssetsSchedule
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Accrued Interest and Dividends 43,260 41,546 41,546
    Excise Tax on Deposit 8,199 3,827 3,827
    Deferred excise tax benefit   36,686 36,686


    TY 2021 OtherDecreasesSchedule
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Description Amount
    Unrealized Gains/Losses 3,308,947


    TY 2021 OtherExpensesSchedule
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Dues and Subscriptions 4,556 0   4,556
    Insurance 3,493 699   2,794
    Miscellaneous 3,362 672   2,690
    Office Expense 5,426 1,085   4,341
    Telephone 3,609 722   2,887
    Seminars 1,600 320   1,280
    Amortization 54,186 0   0


    TY 2021 OtherIncomeSchedule2
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Program Related Investments 6,619   6,619
    Federal excise tax benefit - deferred 45,995   45,995


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Fees 68,539 68,539   0
    Consultant Fees 35,000 28,000   7,000
    Payroll service 1,235 988   247


    TY 2021 TaxesSchedule
    Name:
    Blowitz-Ridgeway Foundation
    EIN:
    36-2488355
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Payroll Taxes 13,376 2,675   10,701
    Excise Tax 4,477 0   0