Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
AM Josephs Family Foundation
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

27-1715734
B Telephone number (see instructions)

(800) 839-1754
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$2,113,659
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) 0
2 Check bullet.............
3 Interest on savings and temporary cash investments 31 31  
4 Dividends and interest from securities... 68,377 68,377  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -37,280
b Gross sales price for all assets on line 6a 548,633
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)....... 12,579 12,579  
12 Total. Add lines 1 through 11........ 43,707 80,987  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 11,647 11,647    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 200      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 11,645 44   11,601
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 23,492 11,691   11,601
25 Contributions, gifts, grants paid....... 113,040 113,040
26 Total expenses and disbursements. Add lines 24 and 25 136,532 11,691   124,641
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -92,825
b Net investment income (if negative, enter -0-) 69,296
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.............      
2 Savings and temporary cash investments......... 35,982 169,242 169,242
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,672,908 Click to see attachment1,434,244 1,821,051
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 117,351 Click to see attachment129,930 123,366
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,826,241 1,733,416 2,113,659
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 1,826,241 1,733,416
29 Total net assets or fund balances (see instructions)..... 1,826,241 1,733,416
30 Total liabilities and net assets/fund balances (see instructions). 1,826,241 1,733,416
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
1,826,241
2
Enter amount from Part I, line 27a .....................
2
-92,825
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
1,733,416
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,733,416
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a Publicly-traded Securities      
b
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 548,633   585,913 -37,280
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       -37,280
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 -37,280
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........................... 3 963
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- ..... 5 963
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,579
b Exempt foreign organizations—tax withheld at source...... 6b 0
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 1,579
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 616
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet616 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)
    bulletDE
    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 addressbullet  
    14
    The books are in care ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    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
    Allen Josephs Pres, Dir, Sec
    1.0
    0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    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
     
    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
     
    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  
    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
    1,823,835
    b
    Average of monthly cash balances.......................
    1b
    145,380
    c
    Fair market value of all other assets (see instructions)................
    1c
    123,366
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,092,581
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,092,581
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    31,389
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,061,192
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    103,060
    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
    103,060
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    963
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    963
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    102,097
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    102,097
    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
    102,097
    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 7 102,097
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:2019, 2018, 2017  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017...... 1,944
    c From 2018......  
    d From 2019...... 15,418
    e From 2020...... 8,820
    f Total of lines 3a through e ........ 26,182
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 124,641
    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..... 102,097
    e Remaining amount distributed out of corpus 22,544
    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 48,726
    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 ......
    48,726
    10 Analysis of line 9:
    a Excess from 2017.... 1,944
    b Excess from 2018....  
    c Excess from 2019.... 15,418
    d Excess from 2020.... 8,820
    e Excess from 2021.... 22,544
    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).)
    Allen Josephs
    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 FRIENDS OF DARCHE NOAM INC
    176-25 UNION TPKE 336
    FRESH MEADOWS,NY11366
    N/A PC Charitable Event 1,000
    AMERICAN FRIENDS OF DARCHE NOAM INC
    176-25 UNION TPKE 336
    FRESH MEADOWS,NY11366
    N/A PC Midreshet Rachel Program 6,000
    AMERICAN FRIENDS OF YAD ELIEZER INC
    410 GLENN RD
    JACKSON,NJ08527
    N/A PC Meron tragedy fund 500
    BAIS MEDRASH OF BERGENFIELD
    371 S PROSPECT AVE
    BERGENFIELD,NJ07621
    N/A PC General & Unrestricted 180
    BEYNEYNU - THE COMMITTEE FOR GOOD RELATIONS INC
    8544 W BELLFORT ST PMB 152
    HOUSTON,TX77071
    N/A PC General & Unrestricted 500
    BOCA RATON KOLLEL
    21644 SONOMA CT
    BOCA RATON,FL33433
    N/A PC General & Unrestricted 20,500
    BOCA RATON KOLLEL
    21644 SONOMA CT
    BOCA RATON,FL33433
    N/A PC summer learning program 500
    BOCA RATON SYNAGOGUE INC
    7900 MONTOYA CIR N
    BOCA RATON,FL33433
    N/A PC For additional tents for outdoor minyanim 180
    CHASDEI AVOS
    14111 72ND CRESCENT
    FLUSHING,NY11367
    N/A PC General & Unrestricted 500
    COLEL CHABAD
    806 EASTERN PKWY
    BROOKLYN,NY11213
    N/A PC Charitable Event 1,000
    JEW IN THE CITY
    PO BOX 2168
    TEANECK,NJ07666
    N/A PC General & Unrestricted 10,000
    JEWISH EDUCATION CENTER OF SOUTH FLORIDA INC
    500 NE SPANISH RIVER BLVD STE 15
    BOCA RATON,FL33431
    N/A PC General & Unrestricted 5,000
    JEWISH EDUCATION CENTER OF SOUTH FLORIDA INC
    500 NE SPANISH RIVER BLVD STE 15
    BOCA RATON,FL33431
    N/A PC Building fund 5,000
    JEWISH HERITAGE CENTER OF QUEENS AND LONG ISLAND
    6829 MAIN ST
    FLUSHING,NY11367
    N/A PC General & Unrestricted 1,500
    MICHAEL LEVIN LONE SOLDIER FOUNDATION INC
    125 JERICHO TPKE STE 502
    JERICHO,NY11753
    N/A PC Passover Fund 500
    TORAH ACADEMY OF BOCA RATON INC
    3881 NW 3RD AVE
    BOCA RATON,FL33431
    N/A PC General & Unrestricted 4,000
    YAD L ACHIM PEYLEI ISRAEL
    172 1/2 LEE AVE
    BROOKLYN,NY11211
    N/A PC General & Unrestricted 1,000
    YESHIVA TIFERES TORAH OF BOCA RATON INC
    7200 PALMETTO CIR N
    BOCA RATON,FL33433
    N/A PC General & Unrestricted 10,000
    YESHIVAS D VAR JERUSALEM
    546 WILMERDING AVE
    TEANECK,NJ07666
    N/A PC General & Unrestricted 180
    YOUNG ISRAEL OF BOCA RATON
    7200 PALMETTO CIR NORTH
    BOCA RATON,FL33433
    N/A PC General & Unrestricted 9,000
    YOUNG ISRAEL OF BOCA RATON
    7200 PALMETTO CIR NORTH
    BOCA RATON,FL33433
    N/A PC Charitable Event 1,000
    YOUNG ISRAEL OF BOCA RATON
    7200 PALMETTO CIR NORTH
    BOCA RATON,FL33433
    N/A PC new building fund 20,000
    YOUNG ISRAEL OF BOCA RATON
    7200 PALMETTO CIR NORTH
    BOCA RATON,FL33433
    N/A PC building fund 15,000
    Total .................................bullet 3a 113,040
    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 31  
    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 -37,280  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aINCOME FROM ANNUITIES
        14 12,579  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   43,707  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    43,707
    (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

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

    TY 2021 DepreciationSchedule
    Name:
    AM Josephs Family Foundation
    EIN:
    27-1715734
    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

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    AM Josephs Family Foundation
    EIN:
    27-1715734
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ADAMS DIVERSIFIED EQUITY FUND 4,714 5,415
    ADVENT CLAYMORE CONV 24,494 30,717
    ALAMO GP INC 5,799 19,428
    ALERE INC 4,425 295
    ALLIANCEBERNSTEIN GLOBAL HIGH 10,972 12,239
    ALLIANZGI CONV & INC FUND (NCV 1,303 1,312
    ALLIANZGI CONV & INC FUND II ( 3,047 2,938
    ALLIANZGI NFJ DIVIDEND INT & P 37,322 53,367
    ALPINE GLOBAL DYNAMI 2,001 2,575
    ALPINE GLOBAL PREMIER PROP FD 7,997 10,910
    ALPINE TOTAL DYNAMIC DIVIDEND 32,279 43,312
    APOLLO SENIOR FLOATING RATE FU 2,441 2,900
    APOLLO TACTICAL INCOME FUND IN 3,994 4,504
    APPLE INC 5,203 49,720
    ARES DYNAMIC CR ALLOCATION FD 5,728 6,777
    BLACKROCK CORE BOND TRUST 23,430 28,579
    BLACKROCK CREDIT ALLOCATION IN 57,267 62,623
    BLACKROCK FLOATING RATE INCOME 3,460 3,854
    BLACKROCK GLOBAL OPPORTUNITIES 19,479 25,006
    BLACKROCK INTL GROWTH & INCOME 6,162 7,172
    BLACKROCK RESOURCES & COMMODIT 10,764 13,885
    BLKRK GLBL E&R TRUST 827 920
    BOULDER GROWTH AND INCOME FUND 7,154 9,876
    BRAINSTORM CELL THERAPEUTICS 3,835 4,000
    BRANDYWINE GLOBAL INCOME OPPOR 15,855 15,773
    CAPITAL PRODUCT PARTNERS UNITS 13,134 18,414
    CBRE CLARION GLOBAL REAL ESTAT 18,733 26,844
    CENTRAL SECURITIES CORP 685 1,070
    CLOUGH GLOBAL OPPRT FUND 2,022 1,990
    DEBT STRATEGY FUND 3,943 4,224
    DELTA APPAREL INC 1,903 5,948
    DOUBLELINE INCOME SOLUTIONS FU 755 725
    DUCOMMUN INC 5,524 10,757
    DUFF & PHELPS GLOBAL UTILITY I 2,028 2,569
    EATON VANCE LIMITED DURATION I 3,616 3,982
    ENNIS BUSINESS FORMS 5,666 5,957
    FAB UNIVERSAL CORP INC 2,176 4
    FIRST TRUST DOW JONES INTERNET 18,649 17,186
    FIRST TRUST HIGH INCOME LONG S 8,772 9,416
    FIRST TRUST INTERMEDIATE DURAT 18,808 20,663
    FLEXSTEEL INDUSTRIES INC 5,794 6,446
    GENERAL AMER INVESTORS 2,354 3,182
    GOLDEN STAR RESOURCES LTD 3,049 11,490
    HIMAX TECHNOLOGIES - ADR 11,208 30,381
    HOOKER FURNITURE CORPORATION 3,041 4,656
    IDT CORP CL B 7,457 27,953
    INTERNATIONAL PAPER CO 4,239 4,698
    INTERNATIONAL SEAWAYS INC 8,612 6,371
    INVESCO QQQ TRUST 15,695 35,011
    ISHARES CORE MSCI EAFE ETF 39,341 44,859
    ISHARES CORE MSCI EMERGING MAR 28,487 31,546
    ISHARES CURRENCY HEDGED MSCI J 10,071 10,465
    ISHARES MSCI GLOBAL GOLD MINER 38,640 40,455
    ISHARES RUSSELL 1000 INDEX FD 15,240 22,741
    ISHARES RUSSELL MIDCAP VALUE 9,930 10,647
    ISHARES S&P 500 GROWTH INDEX F 12,238 34,305
    ISHARES S&P 500 INDEX FD 29,522 46,745
    ISHARES S&P U.S. PREFERRED STO 3,003 3,036
    ISHARES TRUST MSCI EAFE INDEX 20,137 26,043
    IVY HIGH INCOME OPPORTUNITIES 533 710
    JOHN HANCOCK PFD INCOME FUND I 1,015 1,128
    KAYNE ANDERSON MIDSTREAM ENERG 2,141 2,250
    KEYTRONIC CORPORATION 5,654 3,284
    KIMBALL ELECTRONICS, INC 1,680 8,726
    KIMBALL INTERNATIONAL, INC 4,002 5,473
    LA JOLLA PHARMA 14,760 3,720
    LIBERATED SYND COM 72 1,424
    M F S INTRMDT INC TR 7,199 6,947
    MARLIN BUSINESS SERVICES CORP 5,619 5,587
    MFS CHARTER INC. SH BEN INT 20,197 20,959
    MFS MULTIMARKET INCOME TRUST 22,170 24,467
    MITCHAM INDS 5,619 532
    NUVEEN CREDIT STRATEGIES INCOM 9,743 10,098
    NUVEEN FLOATING RATE INCOME OP 1,282 1,357
    NUVEEN GLOBAL HIGH INCOME FUND 2,873 2,858
    NUVEEN MLT STR I&G 3,174 3,299
    NUVEEN QUALITY PREFERRED INC F 5,999 6,435
    NUVEEN REAL ASSET INCOME AND G 12,627 15,507
    NUVEEN SENIOR INCOME FUND 1,534 1,823
    OLYMPIC STEEL INC 5,680 4,935
    PC CONNECTION 5,737 15,527
    PRECIGEN 4,351 742
    PRUDENTIAL GLOBAL SHORT DURATI 17,474 18,440
    PRUDENTIAL SHORT DURATION HIGH 10,430 11,845
    PUTNAM PREMIER INCM 5,968 5,440
    RAFAEL HOLDINGS, INC 2,756 1,612
    RENEWABLE ENERGY GROUP INC 5,776 16,552
    REX AMERICAN RESOURCES CORPORA 5,653 15,840
    RIVERNORTH DOUBLELINE STRATEGI 5,717 5,453
    ROYCE MICRO CAP TRUST INC 3,898 5,798
    ROYCE VALUE TRUST, INC 25,981 51,835
    SALEM COMMUNICATIONS CORP 5,758 2,173
    SCHWAB US BROAD MARKET 17,081 22,489
    SHOE CARNIVAL, INC 5,558 16,804
    SPDR DOW JONES INDUSTRIAL AVER 15,959 20,346
    SPDR S&P MIDCAP 400 EFT TRUST 22,820 22,778
    STANDARD MOTOR PRODS 5,641 8,906
    SUPERCOM LTD 114,222 41,251
    SYLVAMO CORP 236 251
    TEMPLETON EMERGING MARKETS INC 5,246 4,855
    TEMPLETON GLOBAL INCOME FUND 11,381 10,494
    TEVA PHARMACEUTICAL INDUSTRIES 14,957 7,209
    TRAVELCENTERS OF AMERICA 5,838 6,194
    TRI CONTL CP 8,170 9,857
    TUPPERWARE CORP 4,370 765
    USD ROCKY BRANDS INC 4,650 11,940
    VANGUARD MID-CAP ETF 16,130 20,891
    VANGUARD S&P 500 ETF 31,309 44,530
    VANGUARD SM-CAP ETF 16,071 20,341
    VANGUARD TOTAL STOCK MARKET ET 82,437 152,591
    VANGUARD VALUE ETF 48,950 57,226
    VAXIL BIO LTD CA COM NPV 6,530 1,965
    VERITIV CORPORATION 34 123
    VERTEX PHARMCTLS INC 12,023 21,960
    VIRTUS GLOBAL MULTI-SECTOR INC 861 971
    VOXX INTERNATIONAL CORPORATION 5,565 4,170
    VOYA GLOBAL ADVANTAGE AND PR 1,559 1,638
    VOYA GLOBAL EQ DIV & PREM OPPT 5,738 6,471
    WEC ENERGY GROUP, INC 4,195 9,707
    WELLS FARGO ADVANTAGE INCOME O 8,740 9,966
    WESTERN ASSET EMERGING MARKETS 19,101 17,318
    WESTERN ASSET/CLAYMORE US TREA 13,056 14,313
    WESTERN ASSET/CLAYMR 1,437 1,431
    WILLIS LEASE FINANCE CORPORATI 5,791 15,248
    XOMA LTD 9,238 2,606
    ZEDGE, INC 1,854 1,794

    TY 2021 InvestmentsOtherSchedule2
    Name:
    AM Josephs Family Foundation
    EIN:
    27-1715734
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ANNUITY - JACKSON LIFE #102246   129,930 123,366

    TY 2021 OtherExpensesSchedule
    Name:
    AM Josephs Family Foundation
    EIN:
    27-1715734
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 11,576     11,576
    Bank Charges 44 44    
    State or Local Filing Fees 25     25


    TY 2021 OtherIncomeSchedule2
    Name:
    AM Josephs Family Foundation
    EIN:
    27-1715734
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Income from Annuities 12,579 12,579  


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    AM Josephs Family Foundation
    EIN:
    27-1715734
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 11,647 11,647    


    TY 2021 TaxesSchedule
    Name:
    AM Josephs Family Foundation
    EIN:
    27-1715734
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2021 200