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
LUCILE AND MAURICE POLLAK FUND
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 357
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MANAHAWKIN, NJ08050
A Employer identification number

22-6051671
B Telephone number (see instructions)

(609) 978-8718
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$4,957,556
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 30 30  
4 Dividends and interest from securities... 113,124 66,734  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 417,724
b Gross sales price for all assets on line 6a 1,041,861
7 Capital gain net income (from Part IV, line 2)... 417,724
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 Total. Add lines 1 through 11........ 530,878 484,488  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages...... 61,901 20,634   41,267
15 Pension plans, employee benefits....... 6,130 1,226   4,904
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 5,185 5,185   0
c Other professional fees (attach schedule).... 26,895 26,895   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 7,301 2,083   3,408
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 6,009 1,286   4,829
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 113,421 57,309   54,408
25 Contributions, gifts, grants paid....... 188,000 188,000
26 Total expenses and disbursements. Add lines 24 and 25 301,421 57,309   242,408
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 229,457
b Net investment income (if negative, enter -0-) 427,179
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............. 21,551 7,403 7,403
2 Savings and temporary cash investments......... 10,893 390,690 390,690
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) 98,246 Click to see attachment98,246 102,500
b Investments—corporate stock (attach schedule)....... 701,950 Click to see attachment630,866 2,308,318
c Investments—corporate bonds (attach schedule)....... 671,409 Click to see attachment757,809 765,544
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,223,847 Click to see attachment1,029,237 1,336,658
14 Land, buildings, and equipment: basis bullet3,556
Less: accumulated depreciation (attach schedule) bullet3,556      
15 Other assets (describe bullet) Click to see attachment3,341 Click to see attachment46,443 Click to see attachment46,443
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,731,237 2,960,694 4,957,556
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........ 5,943,437 5,943,437
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds -3,212,200 -2,982,743
29 Total net assets or fund balances (see instructions)..... 2,731,237 2,960,694
30 Total liabilities and net assets/fund balances (see instructions). 2,731,237 2,960,694
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
2,731,237
2
Enter amount from Part I, line 27a .....................
2
229,457
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,960,694
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,960,694
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 P    
b PUBLICLY TRADED SECURITIES P    
c CAPITAL GAINS DIVIDENDS P    
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 142,996   152,487 -9,491
b 870,651   471,650 399,001
c 28,214     28,214
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       -9,491
b       399,001
c       28,214
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 2 417,724
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 5,938
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 5,938
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 3,439
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 4,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,439
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 1,501
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,501 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)
    bullet
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletASH PARSONT LLP Telephone no.bullet (212) 953-1250

    Located atbullet122 EAST 42ND STREET SUITE 1507NEW YORKNY ZIP+4bullet10168
    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
    WILLIAM POLLAK PRESIDENT
    1.00
    0 0 0
    860 UNITED NATIONS PLAZA
    NEW YORK,NY10017
    JAMES STERN V-PRESIDENT
    1.00
    0 0 0
    5-4 OAK RIDGE DRIVE
    MAYNARD,MD01754
    PETER STERN SECRETARY
    1.00
    0 0 0
    28233 JEWEL FISH LANE
    BONITA SPRINGS,FL34135
    JOHN DEB POLLAK TREASURER
    1.00
    0 0 0
    3234 SEVENTH STREET
    BOULDER,CO80304
    JEAN DEB POLLAK EMERITUS
    0.25
    0 0 0
    3 LEITH PLACE
    WHITE PLAINS,NY10605
    LOIS P BRODER EMERITUS
    0.25
    0 0 0
    30 ADAMS WAY
    SHREWSBURY,NJ07702
    ROBERT STERN MANAGER
    0.25
    0 0 0
    124 LAKE SHORE DRIVE
    NEW HARTFORD,CT06057
    THOMAS POLLAK MANAGER
    0.25
    0 0 0
    1845 SPRING VALLEY ROAD
    OSSINING,NY10562
    STEVEN WALLACH MANAGER
    0.25
    0 0 0
    11 DELTA DRIVE
    WAYSIDE,NJ07712
    BRIAN POLLAK MANAGER
    0.25
    0 0 0
    239 WARREN AVENUE
    FORT LEE,NJ07024
    STEVEN POLLAK MANAGER
    0.25
    0 0 0
    1845 SPRING VALLEY ROAD
    OSSINING,NY10562
    PEGGY WALLACH MANAGER
    0.25
    0 0 0
    11 DELTA DRIVE
    WAYSIDE,NJ07712
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 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  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    4,596,233
    b
    Average of monthly cash balances.......................
    1b
    111,064
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,707,297
    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
    4,707,297
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    70,609
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    4,636,688
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    231,834
    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
    231,834
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    5,938
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,938
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    225,896
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    225,896
    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
    225,896
    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 7 225,896
    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...... 25,899
    b From 2017...... 26,560
    c From 2018...... 32,505
    d From 2019...... 41,083
    e From 2020...... 4,850
    f Total of lines 3a through e ........ 130,897
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 242,408
    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..... 225,896
    e Remaining amount distributed out of corpus 16,512
    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 5 147,409
    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) ...
    25,899
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    121,510
    10 Analysis of line 9:
    a Excess from 2017.... 26,560
    b Excess from 2018.... 32,505
    c Excess from 2019.... 41,083
    d Excess from 2020.... 4,850
    e Excess from 2021.... 16,512
    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:
    LUCILE AND MAURICE POLLAK FUND
    PO BOX 357
    MANAHAWKIN,NJ08050
    (609) 978-8718
    bThe form in which applications should be submitted and information and materials they should include:
    UPON WRITTEN REQUEST AN APPLICATION WILL BE SENT SPECIFYING THE FORM AND INFORMATION THAT SHOULD BE SUBMITTED. PLEASE SEND YOUR APPLICATION REQUEST TO THE ATTENTION OF HENRY POLLAK II, PRESIDENT OR LOIS P. BRODER, VICE-PRESIDENT.
    cAny submission deadlines:
    NONE, BUT MEETINGS ARE GENERALLY HELD IN MAY AND NOVEMBER EACH YEAR
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS IN THE FIELDS OF HEALTH AND EDUCATION FAVORED. JEWISH CHARITIES AND SPECIAL SOCIAL SERVICES ARE EMPHASIZED AND FOCUSED IN MONMOUTH COUNTY, NJ AND WESTCHESTER, NY
    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
    180 TURNING LIVES AROUND
    1 BETHANY ROAD BLDG 3 SUITE 42
    HAZLET,NJ07730
    NONE PC FOR OPERATIONS 1,000
    AMERICAN FOLK ART MUSEUM
    2 LINCOLN SQUARE
    NEW YORK,NY10023
    NONE PC FOR OPERATIONS 500
    AMERICAN RED CROSS
    431 18TH STREET NW
    WASHINGTON,DC20006
    NONE PC FOR OPERATIONS 1,000
    AMERICARES
    88 HAMILTON AVENUE
    STAMFORD,CT06902
    NONE PC FOR OPERATIONS 2,000
    ANGELA HOSPICE HOME CARE
    14100 NEWBURGH ROAD
    LIVONIA,MI48154
    NONE PC FOR OPERATIONS 2,000
    AXELROD PERFORMING ARTS CENTER
    100 GRANT AVENUE
    DEAL PARK,NJ07723
    NONE PC FOR OPERATIONS 600
    BANTAM LAKE PROTECTIVE ASSOC
    PO BOX 37
    MORRIS,CT06763
    NONE PC FOR OPERATIONS 500
    BETHANY HOUSE OF NO VIRGINIA
    6601 LITTLE RIVER TURNPIKE 110
    ALEXANDRIA,VA22312
    NONE PC FOR OPERATIONS 750
    BLOOMFIELD HILLS HIGH SCHOOL
    4200 ANDOVER ROAD
    BLOOMFIELD HILLS,MI48302
    NONE PC FOR OPERATIONS 2,000
    BLOOMFIELD HILLS SCHOOLS FOUND
    7273 WING LAKE ROAD
    BLOOMFIELD HILLS,MI48301
    NONE PC FOR OPERATIONS 500
    BRIDGE HOUSE
    4747 TABLE MESA DRIVE
    BOULDER,CO80305
    NONE PC FOR OPERATIONS 3,000
    CABRILLO EDUCATION FOUNDATIN
    POB 354
    HALF MOON BAY,CA94019
    NONE PC FOR OPERATIONS 500
    CAPITAL CITY RESCUE MISSION
    POB 1999
    ALBANY,NY122011999
    NONE PC FOR OPERATIONS 1,000
    CAPITAL REG YOUTH TENNIS FOUND
    785 WASHINGTON AVENUE
    ALBANY,NY12206
    NONE PC FOR OPERATIONS 1,000
    CENTERS FOR ARTS BONITA SPRINGS
    26100 OLD 41 ROAD
    BONITA SPRINGS,FL34135
    NONE PC FOR OPERATIONS 3,500
    CESAR E CHAVEZ SCHOOL
    20 CEDAR PLACE
    YONKERS,NY10705
    NONE PC FOR OPERATIONS 2,000
    CLEAN OCEAN ACTION
    49 AVENEL BOULEVARD
    LONG BRANCH,NJ07740
    NONE PC FOR OPERATIONS 1,000
    COALITION FOR THE HOMELESS
    129 FULTON STREET
    NEW YORK,NY10038
    NONE PC FOR OPERATIONS 1,000
    COLLIER YOUTH SERVICES FOUNDATION
    160 COVOVER ROAD
    WICKATUNK,NJ07765
    NONE PC FOR OPERATIONS 200
    CONGREGATION KOL AMI
    252 SOUNDVIEW AVENUE
    WHITE PLAINS,NY10606
    NONE PC FOR OPERATIONS 500
    CONNECTICUT PUBLIC BROADCASTING
    1049 ASYLUM AVENUE
    HARTFORD,CT06105
    NONE PC FOR OPERATIONS 1,000
    CORNELL UNIVERSITY
    130 E SENECA STREET 400
    ITHACA,NY14850
    NONE PC FOR OPERATIONS 3,000
    CPC BEHAVIORAL HEALTH CARE
    10 INDUSTRIAL WAY EAST
    EATONTOWN,NJ07724
    NONE PC FOR OPERATIONS 6,300
    CROTON HARMON EDUCATION FOUND
    PO BOX 172
    CROTON ON HUDSON,NY10520
    NONE PC FOR OPERATIONS 500
    CROTON HARMON UF SCHOOL DIST
    10 GERSTEIN STREET
    CROTON ON HUDSON,NY10520
    NONE PC FOR OPERATIONS 850
    CUNHA MIDDLE SCHOOL PTO
    600 CHURCH STREET
    HALF MOON BAY,CA94019
    NONE PC FOR OPERATIONS 500
    DOCTORS WO BORDERS
    40 RECTOR STREET
    NEW YORK,NY10006
    NONE PC FOR OPERATIONS 5,000
    EPILEPSY FOUNDATION NE
    650 SUFFOLK STREET 405
    LOWELL,MA01854
    NONE PC FOR OPERATIONS 500
    ESPERANZA-HOPE FOR THE CHILDREN
    19 WEST VIEW LANE
    STOW,MA017751263
    NONE PC FOR OPERATIONS 1,000
    FAMILY & CHILDREN'S SERVICES
    191 BATH AVENUE
    LONG BRANCH,NJ07740
    NONE PC FOR OPERATIONS 100
    FASHION INSTITUTE OF TECHNOLOGY
    227 WEST 27TH STREET
    NEW YORK,NY10001
    NONE PC FOR OPERATIONS 300
    FEEDING AMERICA
    PO BOX 96749
    WASHINGTON,DC200906749
    NONE PC FOR OPERATIONS 2,000
    FEEDING WESTCHESTER
    200 CLEARBROOK ROAD
    ELMSFORD,NY10523
    NONE PC FOR OPERATIONS 2,500
    FIRST PARISH IN CONCORD
    20 LEXINGTON ROAD
    CONCORD,MA01742
    NONE PC FOR OPERATIONS 1,000
    FRIENDS OF BOSTON'S HOMELESS
    12 WISE STREET
    BOSTON,MA02130
    NONE PC FOR OPERATIONS 2,000
    FULFILL FORMERLY FOOD BANK OF MONOCEAN CTY
    3300 ROUTE 66
    NEPTUNE,NJ07753
    NONE PC FOR OPERATIONS 2,500
    GLOBALGIVING
    1110 VERMONT AVENUE NW SUITE 550
    WASHINGTON,DC20005
    NONE PC FOR OPERATIONS 1,000
    HABCORE
    PO BOX 2361
    RED BANK,NJ07701
    NONE PC FOR OPERATIONS 500
    HABITAT FOR HUMANITY INTERNATL
    121 HABITAT STREET
    AMERICUS,GA317093498
    NONE PC FOR OPERATIONS 250
    HANDS UP FOR HAITI
    POST OFFICE BOX 913
    MT KISCO,NY10549
    NONE PC FOR OPERATIONS 1,000
    HARRY CHAPIN FOOD BANK
    3760 FOWLER STREET
    FT MYERS,FL33901
    NONE PC FOR OPERATIONS 2,000
    HATCH ELEMENTARY SCHOOL PTO
    490 MIRAMONTES AVENUE
    HALF MOON BAY,CA94019
    NONE PC FOR OPERATIONS 500
    HEIFER INTERNATIONAL
    ONE WORLD AVENUE
    LITTLE ROCK,AR72202
    NONE PC FOR OPERATIONS 1,000
    HIAS
    411 FIFTH AVENUE SUITE 1006
    NEW YORK,NY10016
    NONE PC FOR OPERATIONS 1,000
    HOPE HOSPICE
    9470 HEALTH PARK CIRCLE
    FORT MYERS,FL33908
    NONE PC FOR OPERATIONS 2,000
    HUMANE SOCIETY OF NAPLES
    370 AIRPORT PULLING ROAD N
    NAPLES,FL34104
    NONE PC FOR OPERATIONS 2,000
    INTERNATIONAL RESCUE COMM
    122 E 42ND STREET
    NEW YORK,NY10168
    NONE PC FOR OPERATIONS 1,000
    INTL PLANNED PARENTHOOD FEDERATION
    125 MAIDEN LANE
    NEW YORK,NY10038
    NONE PC FOR OPERATIONS 2,000
    JBJ SOUL KITCHEN
    207 MONMOUTH STREET
    RED BANK,NJ07701
    NONE PC FOR OPERATIONS 500
    JEWISH COMMUNITY CENTER
    100 GRANT AVENUE 1
    DEAL PARK,NJ07723
    NONE PC FOR OPERATIONS 400
    JEWISH FAMILY & CHILDREN'S SERVICE
    705 SUMMERFIELD AVENUE
    ASBURY PARK,NJ07712
    NONE PC FOR OPERATIONS 250
    JEWISH FEDERATION
    230 OLD BRIDGE TURNPIKE
    SOUTH RIVER,NJ08882
    NONE PC FOR OPERATIONS 800
    JEWISH WAR VETERANS OF THE USA
    1811 R STREET NW
    WASHINGTON,DC20009
    NONE PC FOR OPERATIONS 100
    LEAGUE OF WOMEN VOTERS
    62 GRAND STREET
    ALBANY,NY12207
    NONE PC FOR OPERATIONS 250
    LUNCH BREAK
    121 DRS JAMES PARKER BOULEVARD
    RED BANK,NJ07702
    NONE PC FOR OPERATIONS 2,000
    MENTAL HEALTH ASSOC OF MONMOUTH CTY
    119 AVE AT THE COMMONS 5
    SHREWSBURY,NJ07702
    NONE PC FOR OPERATIONS 250
    MERCY CORPS
    45 SW ANKENY STREET
    PORTLAND,OR97204
    NONE PC FOR OPERATIONS 1,000
    METROPOLITAN MUSEUM OF ART
    1000 FIFTH AVENUE
    NEW YORK,NY10028
    NONE PC FOR OPERATIONS 111
    MONMOUTH ARTS COUNCIL
    105 MONMOUTH STREET
    RED BANK,NJ07701
    NONE PC FOR OPERATIONS 250
    MONMOUTH CONSERVATION FOUNDATION
    PO BOX 4150
    MIDDLETOWN,NJ07748
    NONE PC FOR OPERATIONS 1,000
    MONMOUTH COUNTY SPCA
    260 WALL STREET
    EATONTOWN,NJ07724
    NONE PC FOR OPERATIONS 700
    MONMOUTH DAY CARE CENTER
    9 DRS JAMES PARKER BOULEVARD
    RED BANK,NJ07701
    NONE PC FOR OPERATIONS 750
    MONMOUTH MEDICAL CTR FOUND
    300 SECOND AVENUE
    LONG BRANCH,NJ07740
    NONE PC FOR OPERATIONS 6,000
    MONMOUTH PARK CHARITY FUND
    175 OCEANPORT AVENUE
    OCEANPORT,NJ07757
    NONE PC FOR OPERATIONS 250
    MONMOUTH UNIVERSITY
    400 CEDAR AVENUE
    WEST LONG BRANCH,NJ07764
    NONE PC FOR OPERATIONS 8,250
    MOUNT HOLYOKE COLLEGE
    50 COLLEGE STREET
    SO HADLEY,MA01075
    NONE PC FOR OPERATIONS 500
    MUSEUM AT ELDRIDGE STREET
    12 ELDRIDGE STREET
    NEW YORK,NY10002
    NONE PC FOR OPERATIONS 200
    MUSEUM OF MODERN ART
    11 WEST 53RD ST
    NEW YORK,NY10019
    NONE PC FOR OPERATIONS 130
    NAT RESOURCES DEFENSE COUNCIL
    40 W 20TH STREET
    NEW YORK,NY10011
    NONE PC FOR OPERATIONS 3,000
    NATIONAL MS SOCIETY
    733 THIRD AVENUE 3RD FLOOR
    NEW YORK,NY10017
    NONE PC FOR OPERATIONS 4,500
    NATIONAL PARK FOUNDATION
    1110 VERMONT AVE SUITE 200
    WASHINGTON,DC20005
    NONE PC FOR OPERATIONS 250
    NEW ISRAEL FUND
    2100 M STREET NW 619
    WASHINGTON,DC200371269
    NONE PC FOR OPERATIONS 2,000
    NEW YORK UNIVERSITY
    25 WEST 4TH STREET ROOM 405
    NEW YORK,NY10012
    NONE PC FOR OPERATIONS 500
    NEXTMARK FOUNDATION
    1000 CELLAR AVENUE
    SCOTCH PLAINS,NJ07076
    NONE PC FOR OPERATIONS 4,400
    NJ REPERTORY COMPANY
    179 BROADWAY
    LONG BRANCH,NJ07740
    NONE PC FOR OPERATIONS 200
    NORTH KINGSTON FOOD PANTRY
    445 SCHOOL STREET
    NORTH KINGSTON,RI02852
    NONE PC FOR OPERATIONS 500
    NORTHWEST CT YMCA
    WINSTED BRANCH 481 MAIN ST
    WINSTED,CT06798
    NONE PC FOR OPERATIONS 500
    ONE TREE PLANTED
    145 PINE HAVEN SHORES RD 1000D
    SHELBURNE,VT05482
    NONE PC FOR OPERATIONS 500
    OPEN DOOR FAMILY MEDICAL CENTER
    165 MAIN STREET
    OSSINING,NY10562
    NONE PC FOR OPERATIONS 1,000
    PARKER FAMILY HEALTH CLINIC
    211 SHREWSBURY AVENUE
    RED BANK,NJ07701
    NONE PC FOR OPERATIONS 500
    PENINSULA OPEN SPACE TRUST
    222 HIGH STREET
    PALO ALTO,CA94301
    NONE PC FOR OPERATIONS 500
    PLANNED PARENTHOOD HUDPECNC
    57 TAXTER ROAD 250
    ELMSFORD,NY10523
    NONE PC FOR OPERATIONS 2,000
    PLANNED PARENT FED OF AMERICA
    123 WILLIAM STREET 10TH FL
    NEW YORK,NY10038
    NONE PC FOR OPERATIONS 4,800
    RISING TREETOPS AT OAKHURST
    1140 BROADWAY SUITE 903
    NEW YORK,NY100015004
    NONE PC FOR OPERATIONS 1,000
    ROOSEVELT HIGH SCHOOL
    631 TUCKAHOE ROAD
    YONKERS,NY10701
    NONE PC FOR OPERATIONS 2,000
    ROSIE'S PLACE
    889 HARRISON AVENUE
    BOSTON,MA02118
    NONE PC FOR OPERATIONS 3,000
    SEABROOK VILLAGE INC
    3000 ESSEX ROAD
    TINTON FALLS,NJ07753
    NONE PC FOR OPERATIONS 1,000
    SEEDS OF PEACE
    370 LEXINGTON AVENUE SUITE 1201
    NEW YORK,NY10017
    NONE PC FOR OPERATIONS 1,000
    SHORE HOUSE
    279 BROADWAY SUITE 400
    LONG BRANCH,NJ07740
    NONE PC FOR OPERATIONS 2,000
    SOLDIER ON FOUNDATION
    421 NORTH MAIN STREET BLDG 6
    LEEDS,MA01053
    NONE PC FOR OPERATIONS 1,000
    SOUTHERN POVERTY LAW CENTER
    400 WASHINGTON AVENUE
    MONTGOMERY,AL36104
    NONE PC FOR OPERATIONS 1,800
    SPCA OF NO VA
    PO BOX 100220
    ARLINGTON,VA222103220
    NONE PC FOR OPERATIONS 750
    STANFORD UNIVERSITY
    326 GALVEZ STREET
    STANFORD,CA94305
    NONE PC FOR OPERATIONS 500
    TEATOWN LAKE RESERVATION
    1600 SPRING VALLEY ROAD
    OSSINING,NY10562
    NONE PC FOR OPERATIONS 1,000
    TEMPLE BETH MIRIAM
    180 LINCOLN AVENUE
    ELBERON,NJ07740
    NONE PC FOR OPERATIONS 1,351
    TEMPLE ISRAEL NORTHERN WESTR
    31 GLENGARY ROAD
    CROTON ON HUDSON,NY10520
    NONE PC FOR OPERATIONS 1,500
    THE BOWERY MISSION
    MURRAY HILL STATION PO BOX 2000
    NEW YORK,NY101562000
    NONE PC FOR OPERATIONS 1,000
    THE DYSLEXIA FOUNDATION
    1 CLINTON PLACE
    NEW BEDFORD,MA02740
    NONE PC FOR OPERATIONS 500
    THE MERCY CENTER
    1106 MAIN STREET
    ASBURY PARK,NJ07712
    NONE PC FOR OPERATIONS 100
    TUFTS UNIVERSITY
    419 BOSTON AVENUE
    MEDFORD,MA02155
    NONE PC FOR OPERATIONS 250
    TWO RIVER THEATER CO
    21 BRIDGE AVENUE
    RED BANK,NJ07701
    NONE PC FOR OPERATIONS 1,256
    US HOLOCAUST MEMORIAL MUSEUM
    100 RAOUL WALLENBERG PLACE SW
    WASHINGTON,DC200242126
    NONE PC FOR OPERATIONS 200
    VNA OF CENTRAL JERSEY
    23 MAIN STREET
    HOLMDEL,NJ07733
    NONE PC FOR OPERATIONS 500
    WATERWHEEL FOUNDATION
    POB 4400
    BURLINGTON,VT05406
    NONE PC FOR OPERATIONS 750
    WELLESLEY COLLEGE
    106 CENTRAL STREET
    WELLESLEY,MA024818203
    NONE PC FOR OPERATIONS 1,000
    WESTCHESTER PHILHARMONIC
    123 MAIN STREET
    WHITE PLAINS,NY10601
    NONE PC FOR OPERATIONS 500
    WESTCOP
    2 WESTCHESTER PLAZA SUITE 137
    ELMSFORD,NY10523
    NONE PC FOR OPERATIONS 500
    WESTR COMMTY COLLEGE FOUNDATION
    HARTFORD HALL 75 GRASSLANDS ROAD
    VALHALLA,NY10595
    NONE PC FOR OPERATIONS 2,500
    WHITE MEMORIAL CONSERVATION CTR
    80 WHITEHALL ROAD
    LICHTFIELD,CT06759
    NONE PC FOR OPERATIONS 500
    WHITE PLAINS HOSPITAL CENTER
    41 DAVIS AVENUE
    WHITE PLAINS,NY10601
    NONE PC FOR OPERATIONS 5,000
    WNET 13
    825 EIGHTH AVENUE
    NEW YORK,NY100197435
    NONE PC FOR OPERATIONS 7,000
    YALE ALUMNI FUND
    POST OFFICE BOX 2038
    NEW HAVEN,CT065212038
    NONE PC FOR OPERATIONS 600
    AMERICAN CIVIL LIBERTIES UNION
    125 BROAD STREET
    NEW YORK,NY10004
    NONE PC FOR OPERATIONS 500
    AUTISM MVP FOUNDATION
    POST OFFICE BOX 365
    LITTLE SILVER,NJ07739
    NONE PC FOR OPERATIONS 1,000
    BRIDGE OF BOOKS FOUNDATION
    POST OFFICE BOX 39
    RUMSON,NJ07760
    NONE PC FOR OPERATIONS 500
    CHANGEBCC
    1000 DEAN STREET
    BROOKLYN,NY11238
    NONE PC FOR OPERATIONS 500
    CLEAN AIR TASK FORCE
    114 STATE STREET 6TH FLOOR
    BOSTON,MA02109
    NONE PC FOR OPERATIONS 500
    COLORADO SIERRA CLUB
    1536 WYNKOOP STREET 200
    DENVER,CO80202
    NONE PC FOR OPERATIONS 500
    DEVEREUX ADVANCED BEHAVIORAL HEALTH
    286 MANTUA GROVE ROAD BLDG 4
    WEST DEPTFORD,NJ08066
    NONE PC FOR OPERATIONS 750
    EDESIA INC
    550 ROMANO VINEYARD WAY
    NO KINGSTON,RI02852
    NONE PC FOR OPERATIONS 500
    FOOD BANK OF THE ROCKIES
    10700 EAST 45TH AVENUE
    DENVER,CO80239
    NONE PC FOR OPERATIONS 500
    FRIENDS OF THE JOHNSON NATURE CENTER
    3325 FRANKLIN ROAD
    BLOOMFIELD HILLS,MI48302
    NONE PC FOR OPERATIONS 500
    HIMALAYAN CATARACT PROJECT
    POST OFFICE BOX 55
    WATERBURY,VT05676
    NONE PC FOR OPERATIONS 500
    MONTEFIORE MT VERNON HOSPITAL
    12 NORTH SEVENTH AVENUE
    MT VERNON,NY10550
    NONE PC FOR OPERATIONS 500
    NAMI WESTCHESTER INC
    100 CLEARBROOK ROAD
    ELMSFORD,NY10523
    NONE PC FOR OPERATIONS 400
    NJY CAMPS
    21 PLYMOUTH STREET
    FAIRFIELD,NJ07004
    NONE PC FOR OPERATIONS 3,000
    NEW YORK PUBLIC RADIO
    160 VARICK STREET 9TH FLOOR
    NEW YORK,NY10013
    NONE PC FOR OPERATIONS 500
    NORTHWEST CT COMMUNITY FOUNDATION
    33 E MAIN DTREET
    TORRINGTON,CT06790
    NONE PC FOR OPERATIONS 1,000
    NYS EDUCATION FOUNDATION
    164 W 25 STREET
    NEW YORK,NY10001
    NONE PC FOR OPERATIONS 1,000
    PACE UNIVERSITY-LIENHARD SCHOOL OF NURSING
    41 PARK ROW 16TH FLOOR
    NEW YORK,NY10038
    NONE PC FOR OPERATIONS 1,000
    PACE UNIVERSITY - DYSON COLLEGE OF ARTS & SCIENCES
    41 PARK ROW 16TH FLOOR
    NEW YORK,NY10038
    NONE PC FOR OPERATIONS 2,000
    PEACE LOVE AND HORSES
    LUCKY STAR FARM 160 BOWNR ROAD
    ATLANTIC HIGHLANDS,NJ07716
    NONE PC FOR OPERATIONS 500
    PERFECT 33 FOUNDATION
    13046 RACE TRACK ROAD SUITE 331
    TAMPA,FL33626
    NONE PC FOR OPERATIONS 500
    PLANNED PARENTHOOD OF CENTRAL NJ
    196 SPEEDWELL AVE
    MORRISTOWN,NJ07960
    NONE PC FOR OPERATIONS 902
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN38105
    NONE PC FOR OPERATIONS 900
    STEEP ROCK ASSOCIATION
    POST OFFICE BOX 279
    WASHINGTON DEPOT,CT06794
    NONE PC FOR OPERATIONS 500
    SOUTHERN JERSEY DREAM CENTER
    POST OFFICE BOX 52
    WEST DEPTFORD,NJ08086
    NONE PC FOR OPERATIONS 750
    THE MICHAEL GERARD PUHARIC MEMORIAL FUND
    POST OFFICE BOX 787
    MATAWAN,NJ07747
    NONE PC FOR OPERATIONS 1,000
    THE SEEING EYE
    POST OFFICE BOX 375
    MORRISTOWN,NJ079630375
    NONE PC FOR OPERATIONS 1,000
    TRIBBLES CORP
    823 E LINDEN AVENUE
    LINDENWOLD,NJ08021
    NONE PC FOR OPERATIONS 250
    VASCULAR BIRTHMARK FOUNDATION
    POST OFFICE BOX 106
    LATHAM,NY12110
    NONE PC FOR OPERATIONS 300
    WORLD CENTRAL KITCHEN
    655 NEW YORK AVENUE NW 6TH FLOOR
    WASHINGTON,DC20001
    NONE PC FOR OPERATIONS 1,000
    YWCA NORTHERN NJ
    214 STATE STREET 203A
    HACKENSACK,NJ07601
    NONE PC FOR OPERATIONS 500
    THE MICHAEL GERARD PUHARIC MEMORIAL FUND CO MICHAEL'S FEAT
    PO BOX 787
    MATAWAN,NJ07747
    NONE PC FOR OPERATIONS 1,000
    THE TRUSTEES OF RESERVATIONS 1
    200 HIGH STREET 4TH FLOOR
    BOSTON,MA02110
    NONE PC FOR OPERATIONS 3,500
    TISCH MS RESEARCH CENTER OF NY
    521 WEST 57TH STREET 4TH FLOOR
    NEW YORK,NY10019
    NONE PC FOR OPERATIONS 3,000
    Total .................................bullet 3a 188,000
    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 30  
    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 ............
        14 417,724  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 530,878 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    530,878
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 5,185 5,185   0

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ACE INA HOLDINGS DTD 5/27/2014 3.35% 05/15/2024 50,642 52,705
    ANHEUSER-BUSCH COS LLC DTD 02/01/2019 3.65% 02/01/2026 54,803 53,683
    APPLE INC. DTD 09/11/2019 2.2% 09/11/2029 49,077 51,177
    CIGNA CORP DTD 04/15/2019 4.375% 10/15/2028 28,913 28,413
    IBM CORP DTD 11/09/2015 2.875% 11/09/2022 NON CALLABLE 51,095 50,985
    JP MORGAN CHASE & CO DTD 07/31/2019 VAR CPN 12/31/2099 CALLABLE 50,000 51,375
    KING CNTY WASHINGTON SWR WATER REVENUE DTD 08/10/2021 0.188% 07/01/2022 NON 50,000 49,973
    MASSACHUSETTS STATE EDUCATIONAL FING EDUCATION REVENUE DTD 06/27/2013 4.376% 9,767 10,194
    MORGAN STANLEY DTD 04/29/2014 VAR CPN 07/29/2049 50,000 50,026
    ORACLE CORPORATION DTD 11/09/2017 3.25% 11/15/2027 53,265 52,647
    RABOBANK NEDERLAND MEDIUM TERM NOTE DTD 11/29/20113 4.625% 12/01/2023-NON C 50,753 53,279
    SHERWIN-WILLIAMS CO DTD 07/31/2015 3.45% 08/01/2025 54,050 53,176
    STANFORD UNIVERSITY DTD 03/28/2019 3.089% 05/01/2029 27,395 26,772
    UNITEDHEALTH GROUP INC DTD 12/17/2018 3.875% 12/15/2028 25,833 28,019
    VANGUARD HIGH YIELD CORPORATE FUND 53,700 53,253
    WALMART INC DTD 09/22/2021 1.5% 09/22/2028 49,947 49,691
    WALT DISNEY COMPANY MEDIUM TERM NOTE DTD 03/06/2017 2.45% 03/04/2022 NON CAL 48,569 50,176

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS 26,565 42,222
    ACCENTURE PLC CL A 9,356 124,365
    ADOBE INC 24,684 39,694
    ALPHABET INC CL A 14,390 101,396
    AMAZON,COM INC 23,776 100,030
    APPLE INC 2,458 118,972
    AUTOZONE INC 19,134 104,820
    BERKSHIRE-HATHAWAY INC CL B 65,557 92,690
    BESTBUY COMPANY INC 35,232 53,340
    BLACKROCK INC CL A 37,944 91,556
    BLACKSTONE GROUP INC CL A 19,113 106,100
    BORGWARNER AUTOMOTIVE INC 28,331 40,112
    BUILDERS FIRSTSOURCE INC 52,566 102,852
    CBRE GROUP INC 30,666 127,499
    CDW CORP 23,730 47,099
    CELANESE CORP COMMON 15,388 67,224
    CHUBB LTD 14,388 69,592
    CONSTELLATION BRANDS INC 23,409 37,646
    HOME DEPOT INC 13,893 70,552
    MASTERCARD INC CL A 3,696 82,644
    MICROSOFT CORP 11,375 112,667
    MORGAN STANLEY 50,871 117,301
    NIKE INC-CLASS B 8,552 88,335
    ROPER TECHNOLOGIES INC 14,905 88,535
    TEXAS INSTRUMENTS INC 24,660 62,195
    THERMO FISHER SCIENTIFIC INC. 24,555 113,431
    UNITEDHEALTH GROUP INC 11,672 105,449

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    US Government Securities - End of Year Book Value:

    98,246
    US Government Securities - End of Year Fair Market Value:

    102,500
    State & Local Government Securities - End of Year Book Value:


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


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MAINSTAY MACKAY HIGH YIELD MUNICIPAL BOND FUND AT COST 53,700 53,116
    AMERICAN TOWER CORP REIT AT COST 10,167 105,300
    ARTISAN INTL VALUE FUND-INS AT COST 100,000 112,205
    DFA US SUSTAINABILITY CORE 1 AT COST 275,000 564,099
    DOUBLELINE TOTAL RETURN BOND FUND AT COST 101,663 95,500
    GQG PART EMERG MKTS EQ-INST AT COST 80,000 99,810
    INFINITY Q DIVERS ALPHA -INST AT COST 103,581 296
    METROPOLITAN WEST TOTAL RETURN BOND FUND AT COST 92,600 86,127
    VANGUARD INTL GROWTH FUND AD AT COST 113,000 126,190
    VOYA SECURITIZED CREDIT FUND AT COST 99,526 94,015

    TY 2021 OtherAssetsSchedule
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DUE FROM BROKER 3,341 46,443 46,443


    TY 2021 OtherExpensesSchedule
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WORKMEN'S COMP INS 315 130   259
    OFFICE EXPENSE 211 0   211
    POSTAGE 391 0   423
    UTILITIES 1,223 408   815
    PAYROLL PROCESSING FEE 2,245 748   1,497
    INSURANCE 1,594 0   1,594
    DUES & SUBS 30 0   30


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORS FEES 26,895 26,895   0


    TY 2021 TaxesSchedule
    Name:
    LUCILE AND MAURICE POLLAK FUND
    EIN:
    22-6051671
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 5,112 1,704   3,408
    FOREIGN TAXES 379 379   0
    FEDERAL EXCISE TAX 1,810 0   0