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
JEROME H STONE FAMILY FOUNDATION
C/O JIM STONE
Number and street (or P.O. box number if mail is not delivered to street address)83 WOODLEY RD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WINNETKA, IL60093
A Employer identification number

36-6061300
B Telephone number (see instructions)

(847) 441-0610
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$8,971,690J 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) 230,000
2 Check bullet.............
3 Interest on savings and temporary cash investments 5,817 5,817  
4 Dividends and interest from securities... 111,346 111,346  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 733,198
b Gross sales price for all assets on line 6a 1,358,214
7 Capital gain net income (from Part IV, line 2)... 733,198
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 1,500 0  
12 Total. Add lines 1 through 11........ 1,081,861 850,361  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 485 49   436
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 73,497 22,801   50,696
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 73,982 22,850   51,132
25 Contributions, gifts, grants paid....... 435,795 435,795
26 Total expenses and disbursements. Add lines 24 and 25 509,777 22,850   486,927
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 572,084
b Net investment income (if negative, enter -0-) 827,511
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............. 89,676 4,212 4,212
2 Savings and temporary cash investments......... 1,115,850 1,288,730 1,288,730
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) 299,510 Click to see attachment100,000 101,540
b Investments—corporate stock (attach schedule)....... 4,856,771 Click to see attachment5,510,949 7,547,208
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).......... 0 Click to see attachment30,000 30,000
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) 6,361,807 6,933,891 8,971,690
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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 492,344 492,344
28 Retained earnings, accumulated income, endowment, or other funds 5,869,463 6,441,547
29 Total net assets or fund balances (see instructions)..... 6,361,807 6,933,891
30 Total liabilities and net assets/fund balances (see instructions). 6,361,807 6,933,891
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
6,361,807
2
Enter amount from Part I, line 27a .....................
2
572,084
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
6,933,891
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
6,933,891
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 HARRIS - PUBLICLY TRADED SECURITIES      
b HARRIS - PUBLICLY TRADED SECURITIES      
c COLUMBIA - PUBLICLY TRADED SECURITIES      
d CAPITAL GAINS DIVIDENDS P    
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 198,245   125,683 72,562
b 625,459   391,707 233,752
c 100,000   107,626 -7,626
d 434,510     434,510
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       72,562
b       233,752
c       -7,626
d       434,510
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 2 733,198
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 11,502
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 11,502
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 16,926
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 7,500
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 24,426
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 12,924
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet12,924 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletJIM STONE Telephone no.bullet (847) 441-0610

    Located atbullet83 WOODLEY RDWINNETKAIL ZIP+4bullet60093
    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
    CYNTHIA RASKIN SECRETARY
    1.00     		0 0 0
    83 WOODLEY RD
    WINNETKA,IL60093
    JAMES H STONE TREASURER
    1.00     		0 0 0
    83 WOODLEY RD
    WINNETKA,IL60093
    ELLEN STONE BELIC PRESIDENT
    1.00     		0 0 0
    83 WOODLEY RD
    WINNETKA,IL60093
    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 N/A 0
    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
    7,252,003
    b
    Average of monthly cash balances.......................
    1b
    1,207,963
    c
    Fair market value of all other assets (see instructions)................
    1c
    30,000
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,489,966
    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
    8,489,966
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    127,349
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    8,362,617
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    418,131
    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
    418,131
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    11,502
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    11,502
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    406,629
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    1,500
    5
    Add lines 3 and 4............................
    5
    408,129
    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
    408,129
    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 7 408,129
    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...... 21,322
    b From 2017......  
    c From 2018...... 8,279
    d From 2019...... 50,366
    e From 2020...... 122,680
    f Total of lines 3a through e ........ 202,647
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 486,927
    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..... 408,129
    e Remaining amount distributed out of corpus 78,798
    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 5 281,445
    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) ...     		21,322
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		260,123
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018.... 8,279
    c Excess from 2019.... 50,366
    d Excess from 2020.... 122,680
    e Excess from 2021.... 78,798
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ALBANY PARK THEATER PROJECT
    PO BOX 25072
    CHICAGO,IL60625     		NONE PUBLIC CHARITABLE 1,000
    ALZHEIMER'S ASSOCIATION
    225 NORTH MICHIGAN AVENUE SUITE
    1700
    CHICAGO,IL60601     		NONE PUBLIC CHARITABLE 101,000
    AMERICAN JEWISH COMMITTEE
    165 EAST 56TH STREET
    NEW YORK,NY10022     		NONE PUBLIC CHARITABLE 2,500
    ANTI-DEFAMATION LEAGUE
    605 THIRD AVENUE
    NEW YORK,NY10158     		NONE PUBLIC CHARITABLE 500
    ART INSTITUTE OF CHICAGO
    111 SOUTH MICHIGAN AVENUE
    CHICAGO,IL60130     		NONE PUBLIC CHARITABLE 5,095
    CCGA
    1 COLLEGE DR
    BRUNSWICK,GA31520     		NONE PUBLIC CHARITABLE 10,000
    CHICAGO FOUNDATION FOR WOMEN
    140 SOUTH DEARBORN STREET SUITE 400
    CHICAGO,IL60603     		NONE PUBLIC CHARITABLE 1,000
    CHICAGO HUMANITIES FESTIVAL
    500 N DEARBORN STREET SUITE 825
    CHICAGO,IL60654     		NONE PUBLIC CHARITABLE 15,000
    CINEMA CHICAGO - EDUCATIONAL
    212 W VAN BUREN ST STE 400
    CHICAGO,IL60607     		NONE PUBLIC CHARITABLE 15,000
    COMMUNITY HEALTH
    2611 W CHICAGO AVE
    CHICAGO,IL60622     		NONE PUBLIC CHARITABLE 5,000
    CYSTIC FIBROSIS FOUNDATION
    4550 MONTGOMERY AVE SUITE 1100 N
    BETHESDA,MD20814     		NONE PUBLIC CHARITABLE 350
    GARDENEERS
    3414 W ROOSEVELT ROAD 2ND FLOOR
    CHICAGO,IL60624     		NONE PUBLIC CHARITABLE 20,015
    GIARDANO DANCE
    1754 N CLARK ST
    CHICAGO,IL60614     		NONE PUBLIC CHARITABLE 3,000
    GLOBAL GIVING
    1 THOMAS NW SUITE 800
    WASHINGTON,DC20005     		NONE PUBLIC CHARITABLE 250
    HADLEY SCHOOL FOR THE BLIND
    700 ELM STREET
    WINNETKA,IL60093     		NONE PUBLIC CHARITABLE 5,000
    HIGHLAND PARK STRINGS
    433 VINE AVE
    HIGHLAND PARK,IL60035     		NONE PUBLIC CHARITABLE 600
    HUMAN RIGHTS WATCH
    350 FIFTH AVENUE 34TH FLOOR
    NEW YORK,NY10118     		NONE PUBLIC CHARITABLE 22,000
    IL HOLOCAUST MUSEUM
    9603 WOODS DR
    SKOKIE,IL60077     		NONE PUBLIC CHARITABLE 500
    IN THESE TIMES
    2040 N MILWAUKEE AVE
    CHICAGO,IL60647     		NONE PUBLIC CHARITABLE 1,000
    INFANT WELFARE SOUTH CHICAGO
    3600 W FULLERTON AVE
    CHICAGO,IL60647     		NONE PUBLIC CHARITABLE 1,000
    INNOVATIONS
    17 N STATE ST 3RD FLOOR
    CHICAGO,IL60602     		NONE PUBLIC CHARITABLE 1,000
    JPA JUNIOR EXEC BOARD
    1707 N HALSTED ST
    CHICAGO,IL60614     		NONE PUBLIC CHARITABLE 6,200
    JUVENILE PROTECTIVE ASSOCIATION
    1707 N HALSTED ST
    CHICAGO,IL60614     		NONE PUBLIC CHARITABLE 6,500
    LITTLE CITY FOUNDATION
    1760 W ALGONQUIN RD
    PALATINE,IL60067     		NONE PUBLIC CHARITABLE 18,800
    MERIT SCHOOL OF MUSIC
    JOY FAITH KNAPP MUSIC CENTER 38 S
    PEORIA ST
    CHICAGO,IL60607     		NONE PUBLIC CHARITABLE 1,000
    MONO LAKE
    PO BOX 29 HIGHWAY 395 AT THIRD
    STREET
    LEE VINING,CA93541     		NONE PUBLIC CHARITABLE 150
    MUSEUM OF CONTEMPORARY ART
    220 EAST CHICAGO AVENUE
    CHICAGO,IL60611     		NONE PUBLIC CHARITABLE 85
    NORTH SHORE CONGREGATION ISRAEL
    123 WILLIAM ST 10TH FLOOR
    GLENCOE,IL60022     		NONE PUBLIC CHARITABLE 12,280
    PARTNERSHIP CONNECTED
    1337 WABASH AVE
    SPRINGFIELD,IL62704     		NONE PUBLIC CHARITABLE 250
    PILGRIM CHAMBER PLAYERS
    805 MOSELEY RD
    HIGHLAND PARK,IL60035     		NONE PUBLIC CHARITABLE 5,000
    PLANNED PARENTHOOD
    123 WILLIAM ST 10TH FLOOR
    NEW YORK,NY10038     		NONE PUBLIC CHARITABLE 1,250
    RAVINIA FESTIVAL
    2502 N CLARK STREET
    CHICAGO,IL60614     		NONE PUBLIC CHARITABLE 1,400
    REFUGEE ONE
    5705 N LINCOLN AVE
    CHICAGO,IL60659     		NONE PUBLIC CHARITABLE 20,000
    SOCIAL & ENVIRONMENTAL ENTREPRENEURS
    23564 CALABASAS ROAD SUITE 201
    CALABASAS,CA91302     		NONE PUBLIC CHARITABLE 4,000
    SOUTHERN POVERTY LAW CENTER
    PO BOX 548
    MONTGOMERY,AL36104     		NONE PUBLIC CHARITABLE 500
    THE JEWISH HERITAGE FOR THE BLIND
    1655 E 24TH ST
    BROOKLYN,NY11229     		NONE PUBLIC CHARITABLE 1,500
    THE VILLAGE CHICAGO
    418 SHERIDAN ROAD
    HIGHLAND PARK,IL60035     		NONE PUBLIC CHARITABLE 2,000
    TREE PEOPLE
    12601 MULHOLLAND DR
    BEVERLY HILLS,CA90210     		NONE PUBLIC CHARITABLE 800
    UNIVERSITY OF CHICAGO
    5235 S HARPER COURTH 4TH FLOOR
    CHICAGO,IL60615     		NONE PUBLIC CHARITABLE 10,300
    UNIVERSITY OF HAIFA
    SUITE1004
    NEW YORK,NY10004     		NONE PUBLIC CHARITABLE 2,500
    WFMT
    5400 N SAINT LOUIS AVE
    CHICAGO,IL60625     		NONE PUBLIC CHARITABLE 2,000
    WOMEN'S MEDIA GROUP
    PO BOX 2119 GRAND CENTRAL STATION
    NEW YORK,NY10163     		NONE PUBLIC CHARITABLE 2,500
    WONDERWELL
    139 KINGSTON RDG
    BIRMINGHAM,AL35211     		NONE PUBLIC CHARITABLE 500
    WORLD JEWISH CONGRESS
    PO BOX 11032
    LEWISTON,ME04243     		NONE PUBLIC CHARITABLE 750
    ABOVE & BEYOND FAMILY RECOVERY
    2942 W LAKE STREET
    CHICAGO,IL60612     		NONE PUBLIC CHARITABLE 3,700
    ALZHEIMERS DISEASE RESEARCH FOUNDATION
    34 WASHINGTON ST NO 310
    WELLESLEY HILLS,MA02481     		NONE PUBLIC CHARITABLE 150
    CITY CLUB OF CHICAGO
    70 WEST HUBBARD STREET
    CHICAGO,IL60654     		NONE PUBLIC CHARITABLE 25
    DEPAUL UNIVERSITY SCHOOL OF MUSIC
    804 W BELDEN AVE
    CHICAGO,IL60614     		NONE PUBLIC CHARITABLE 1,550
    FRIENDS OF ELNET
    5215 OLD ORCHARD ROAD SUITE 880
    SKOKIE,IL60077     		NONE PUBLIC CHARITABLE 3,500
    FEEDING AMERICA
    161 NORTH CLARK STREET SUITE 700
    CHICAGO,IL60601     		NONE PUBLIC CHARITABLE 250
    GRAHAM SCHOOL ANNUAL FUND - UNIVERSITY OF CHICAGO
    1427 E 60TH ST STE 2
    CHICAGO,IL60637     		NONE PUBLIC CHARITABLE 1,000
    KARTEMQUIN EDUCATIONAL FILMS
    1901 W WELLINGTON AVE
    CHICAGO,IL60657     		NONE PUBLIC CHARITABLE 2,500
    HADASSAH
    40 WALL STREET 8TH FLOOR
    NEW YORK,NY10005     		NONE PUBLIC CHARITABLE 1,800
    HARVARD ALUMNI FOR GLOBAL WOMENS EMPOWERMENT
    220 RAMSAY ROAD
    DEERFIELD,IL60015     		NONE PUBLIC CHARITABLE 2,000
    HIGHLAND PARK STRINGS
    1601 OAKWOOD AVE APT 105
    HIGHLAND PARK,IL60035     		NONE PUBLIC CHARITABLE 1,100
    JCFS CHICAGO
    216 W JACKSON BLVD SUITE 700
    CHICAGO,IL60606     		NONE PUBLIC CHARITABLE 1,480
    JEWISH NATIONAL FUND USA
    42 E 69TH STREET
    NEW YORK,NY10021     		NONE PUBLIC CHARITABLE 1,000
    KARTEMQUIN EDUCATIONAL FILMS
    1901 W WELLINGTON AVE
    CHICAGO,IL60657     		NONE PUBLIC CHARITABLE 10,000
    KEYNOTE PRODUCTIONS NFP
    1540 GRANT ROAD
    NORTHBROOK,IL60062     		NONE PUBLIC CHARITABLE 7,500
    KHOLS CHILDREN'S MUSEUM
    2100 PATRIOT BLVD
    GLENVIEW,IL60026     		NONE PUBLIC CHARITABLE 5,000
    LAMBI FUND OF HAITI
    1050 CONNECTICUT AVE NW SUITE 500
    WASHINGTON,DC20036     		NONE PUBLIC CHARITABLE 1,000
    LIBENU
    8052 MONTICELLO AVE
    SKOKIE,IL60076     		NONE PUBLIC CHARITABLE 1,020
    MCA
    415 WALKER STREET
    NEW ORLEANS,LA70124     		NONE PUBLIC CHARITABLE 1,500
    NATIONAL WILDLIFE FEDERATION
    11100 WILDLIFE CENTER DRIVE
    RESTON,VA20190     		NONE PUBLIC CHARITABLE 100
    NEO PHILANTHROPY
    45 WEST 36TH STREET 6TH FLOOR
    NEW YORK,NY10018     		NONE PUBLIC CHARITABLE 50,000
    OLD TOWN SCHOOL OF FOLK MUSIC
    4544 N LINCOLN AVE
    CHICAGO,IL60625     		NONE PUBLIC CHARITABLE 1,500
    ONE HOPE UNITED
    333 S WABASH AVE STE 2750
    CHICAGO,IL60604     		NONE PUBLIC CHARITABLE 3,000
    ST JOSEPH'S INDIAN SCHOOL
    PO BOX 776
    CHAMBERLAIN,SD57325     		NONE PUBLIC CHARITABLE 130
    THE CHICAGO FURNITURE BANK
    4801 S WHIPPLE STREET
    CHICAGO,IL60632     		NONE PUBLIC CHARITABLE 10,000
    THE HUMANE SOCIETY OF THE UNITED STATES
    1255 23RD STREET NW SUITE 450
    WASHINGTON,DC20037     		NONE PUBLIC CHARITABLE 100
    THE NATURE CONSERVANCY
    4245 NORTH FAIRFAX DRIVE SUITE 100
    ARLINGTON,VA22203     		NONE PUBLIC CHARITABLE 15
    JEWISH UNITED FUND
    30 S WELLS ST
    CHICAGO,IL60606     		NONE PUBLIC CHARITABLE 1,800
    HARVARD CLUB OF CHICAGO
    5706 E MOCKINGBIRD LANE SUITE 115
    DALLAS,TX75206     		NONE PUBLIC CHARITABLE 1,000
    IMPACT
    219 E RUSHOLME ST
    DAVENPORT,IA52803     		NONE PUBLIC CHARITABLE 6,000
    LION'S CLUB INTERNATIONAL FOUNDATION
    300 W 22ND STREET
    OAK BROOK,IL60523     		NONE PUBLIC CHARITABLE 5,000
    Total .................................bullet 3a 435,795
    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 5,817  
    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 ............     		    18 733,198  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aRECOVERY OF AMOUNTS TREATED AS QUALIFYING DISTRIBUTIONS     		    14 1,500  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 851,861 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    851,861
    (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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    JEROME H STONE FAMILY FOUNDATION
    C/O JIM STONE
    Employer identification number

    36-6061300
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    JEROME H STONE FAMILY FOUNDATION
    C/O JIM STONE         		Employer identification number
    36-6061300
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    JAMES H STONE
    83 WOODLEY RD
     
    WINNETKA, IL60093

    		$ 200,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    RAYMOND CIACCI
    448 ADMIRALS ROAD
     
    VICTORIA, BRITISH COLUMBIAV9A2N1CA

    		$ 30,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    JEROME H STONE FAMILY FOUNDATION
    C/O JIM STONE         		Employer identification number

    36-6061300
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    2
    		 THREE PAINTINGS $ 30,000 2022-12-01
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    JEROME H STONE FAMILY FOUNDATION
    C/O JIM STONE         		Employer identification number

    36-6061300
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    JEROME H STONE FAMILY FOUNDATION
     
    C/O JIM STONE
    EIN:
    36-6061300
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AMERICAN FDS/INVEST CO OF AMERICAN 760,884 1,195,304
    ARIEL APPRECIATION FUND 77,954 88,654
    ARIEL FUND 130,264 206,877
    AT&T 64,503 42,804
    BANK OF AMERICA 105,737 266,940
    CHARLES SCHWAB CORP 126,941 260,710
    COLUMBIA / ACORN FUND Z 1,987,473 1,672,207
    COMCAST CORP 32,284 155,922
    CVS HEALTH CORP 122,919 216,636
    FIDELITY INVESTMENTS 223,709 500,479
    GAMING AND LEISURE PROPER 89,670 177,560
    GENERAL ELECTRIC 99,419 47,235
    HALLIBURTON 119,326 132,646
    HILTON WORLDWIDE 120,395 249,584
    HOWARD HUGHES 98,060 132,314
    INTERPUBLIC GROUP 145,008 262,150
    JOHNSON CONTROLS 78,047 195,144
    KEURIG DR PEPPER 127,174 158,498
    LIBERTY BROADBAND CL C 136,682 217,485
    OAKMARK FUND 170,504 476,820
    ORACLE 47,556 130,815
    VANGUARD VFSIF ST CORP 3,254 3,337
    VISA CL A 114,883 151,697
    WELLS FARGO 94,443 143,940
    CITIGROUP INC 222,526 193,248
    GENERAL DYNAMICS 133,056 177,200
    REYNOLDS CONSUMER PRODUCTS 77,551 90,275
    DIVIDEND RECEIVABLE 727 727

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    JEROME H STONE FAMILY FOUNDATION
     
    C/O JIM STONE
    EIN:
    36-6061300
    US Government Securities - End of Year Book Value:

    100,000
    US Government Securities - End of Year Fair Market Value:

    101,540
    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:
    JEROME H STONE FAMILY FOUNDATION
     
    C/O JIM STONE
    EIN:
    36-6061300
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    PAINTINGS AT COST 30,000 30,000

    TY 2021 LegalFeesSchedule
    Name:
    JEROME H STONE FAMILY FOUNDATION
     
    C/O JIM STONE
    EIN:
    36-6061300
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 485 49   436


    TY 2021 OtherExpensesSchedule
    Name:
    JEROME H STONE FAMILY FOUNDATION
     
    C/O JIM STONE
    EIN:
    36-6061300
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    IL SECRETARY OF STATE 10 0   10
    INVESTMENT COUNSELING 22,801 22,801   0
    CONSULTING FEES RELATED TO CHARITABLE EXPENDITURES 50,686 0   50,686


    TY 2021 OtherIncomeSchedule2
    Name:
    JEROME H STONE FAMILY FOUNDATION
     
    C/O JIM STONE
    EIN:
    36-6061300
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RECOVERY OF AMOUNTS TREATED AS QUALIFYING DISTRIBUTIONS 1,500   1,500