Form990-PF
Click to see attachment
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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
THE BILLI MARCUS FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)1266 W PACES FERRY RD 615
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ATLANTA, GA30327
A Employer identification number

58-2396542
B Telephone number (see instructions)

(404) 240-7700
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$42,369,905J 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) 4,605
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 628,635 657,823  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,493,621
b Gross sales price for all assets on line 6a 3,135,590
7 Capital gain net income (from Part IV, line 2)... 1,493,621
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........ 2,126,861 2,151,444 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 1,075 0 0 1,075
b Accounting fees (attach schedule)....... Click to see attachment 3,500 1,750 0 1,750
c Other professional fees (attach schedule).... Click to see attachment 21,517 21,517 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 18,466 0 0 30
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 654 0 0 654
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 45,212 23,267 0 3,509
25 Contributions, gifts, grants paid....... 1,238,535 1,238,535
26 Total expenses and disbursements. Add lines 24 and 25 1,283,747 23,267 0 1,242,044
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 843,114
b Net investment income (if negative, enter -0-) 2,128,177
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 685,818 312,486 312,486
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 24,889,856 Click to see attachment39,224,009 39,224,009
c Investments—corporate bonds (attach schedule)....... 1,430,800 Click to see attachment796,377 796,377
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,016,547 Click to see attachment2,037,033 2,037,033
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) 29,023,021 42,369,905 42,369,905
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........... 29,023,021 42,369,905
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 29,023,021 42,369,905
30 Total liabilities and net assets/fund balances (see instructions). 29,023,021 42,369,905
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
29,023,021
2
Enter amount from Part I, line 27a .....................
2
843,114
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
12,503,770
4
Add lines 1, 2, and 3 ..........................
4
42,369,905
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
42,369,905
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 PASS-THRU FROM K-1S 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 2,148,187   1,641,969 506,218
b 987,292     987,292
c 111     111
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       506,218
b       987,292
c       111
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 1,493,621
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 29,582
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 29,582
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 17,602
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 2,100
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 19,702
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 9,880
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletGA
    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 ofbulletDOUGLAS P DINAPOLI Telephone no.bullet (404) 240-7700

    Located atbullet1266 W PACES FERRY RD 615ATLANTAGA ZIP+4bullet30327
    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
    BILLI MARCUS CHAIRPERSON
    1.00     		0 0 0
    1266 W PACES FERRY RD 615
    ATLANTA,GA30327
    FREDERICK S SLAGLE SECRETARY/TREASURER
    1.00     		0 0 0
    1266 W PACES FERRY RD 615
    ATLANTA,GA30327
    CAROLYN PALLER DIRECTOR
    1.00     		0 0 0
    1266 W PACES FERRY RD 615
    ATLANTA,GA30327
    JASON SMITH DIRECTOR
    1.00     		0 0 0
    1266 W PACES FERRY RD 615
    ATLANTA,GA30327
    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
    34,693,028
    b
    Average of monthly cash balances.......................
    1b
    246,895
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    34,939,923
    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
    34,939,923
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    524,099
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    34,415,824
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,720,791
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    1,720,791
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    29,582
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    29,582
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,691,209
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,691,209
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    1,691,209
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 1,691,209
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 1,167,975
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,242,044
    a Applied to 2020, but not more than line 2a 1,167,975
    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..... 74,069
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........     		1,617,140
    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) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    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
    A THOUSAND HILLS
    PO BOX 950030
    LAKE MARY,FL32795     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    ADOLPH & R LEVIS JEWISH COMMUNITY CENTER
    9801 DONNA KLEIN BLVD
    BOCA RATON,FL334281755     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 50,000
    ADOPT A FAMILY OF PALM BEACH
    1712 SECOND AVENUE NORTH
    LAKE WORTH,FL33460     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    AIR FORCE ASSOCIATION
    1501 LEE HWY
    ARLINGTON,VA22209     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    ALS ASSOCIATION
    5881 GLENRIDGE DRIVE 200
    ATLANTA,GA30328     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 2,000
    ALZHEIMERS ASSOCIATION
    GA CHAPTER PO BOX 96011
    WASHINGTON,DC200906011     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    AMERICAN BREAST CANCER SUPPORT
    322 NANCY LYNN LANE STE 3
    KNOXVILLE,TN37919     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    AMERICAN CANCER SOCIETY
    FLORIDA DIVISION 3709 WEST JETTON
    AVENUE
    TAMPA,FL33629     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 400
    AMERICAN COALITION FOR AUTISTIC CHILDREN
    228 W LINCOLN HWY STE 301
    SCHEREVILLE,IN46375     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    AMERICAN DIABETES ASSOCIATION
    PO BOX 7023
    MERRIFIELD,VA221167023     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    AMERICAN FEDERATION OF POLICE AND CC
    6350 HORIZON DR
    TITUSVILLE,FL32780     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    AMERICAN FRIENDS OF MAGEN D ADOM
    352 SEVENTH AVE SUITE 400
    NEW YORK,NY10001     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 2,000
    AMERICAN FRIENDS OF MEIR PANIN
    88 WALTON STREET SUITE B1
    BROOKLYN,NY112064479     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    AMERICAN HEART ASSOCIATION
    11207 BLUE HERON BLVD NORTH ST
    PETERSBURG,FL337163801     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    AMERICAN ISRAEL CULTURAL FOUNDATION
    178 COLUMBUS AVE PO BOX 237133
    NEW YORK,NY10023     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    AMERICAN JEWISH WORLD SERVICE
    45 WEST 36TH STREET 11TH FLOOR
    NEW YORK,NY100187904     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    AMERICAN KIDNEY FOUNDATION
    11921 ROCKVILLE PIKE STE 300
    ROCKVILLE,MD20852     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    AMERICAN LUNG ASSOCIATION
    SOUTHEAST REGION 6852 BELFORT OAKS
    PLACE
    JACKSONVILLE,FL32216     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    AMERICAN RED CROSS
    431 18TH STREET NW
    WASHINGTON,DC20006     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 800
    ANDEE'S ARMY INC
    PO BOX 420016
    ATLANTA,GA30342     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    ARTHRITIS FOUNDATION
    1335 WEST PEACHTREE ST NE STE 600
    ATLANTA,GA30309     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    ATLANTA COMMUNITY FOOD BANK
    732 JOSEPH E LOWERY BLVD NW
    ATLANTA,GA303186628     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    ATLANTA JEWISH FILM FESTIVAL
    2244-A NORTHWEST PARKWAY
    MARIETTA,GA300679304     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 25,000
    ATLANTA JEWISH LIFE FOUNDATION - JEWISH LIFE FESTIVAL
    270 CARPENTER DR NE SUITE 320
    ATLANTA,GA30328     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    ATLANTA MISSION
    PO BOX 20017
    ATLANTA,GA30325     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    AUTISM SPEAKS
    1060 STATE ROAD 2ND FLOOR
    PRINCETON,NJ08540     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    AUTISTIC CHILDREN OF AMERICA
    P O BOX 82877
    PHOENIX,AZ850712877     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    BETH ISRAEL DEACONESS MEDICAL CENTER
    330 BROOKLINE AVE
    BOSTON,MA02215     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    BIG BROTHERSBIG SISTERS ATL
    680 MURPHY AVE SW STE 1090
    ATLANTA,GA30310     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 4,000
    BIG BROTHERSBIG SISTERS BOCA
    4101 RAVENSWOOD RD STE 202
    FT LAUDERDALE,FL33312     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 2,000
    BIG BROTHERSBIG SISTERS WESTERN NCCASHIERS
    HIGHLANDS PO BOX 696
    CASHIERS,NC28717     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 2,000
    BIRTHRIGHT ISRAEL FOUNDATION
    33 EAST 33RD STREET 7TH FLOOR
    NEW YORK,NY10016     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    BLUE DOVE FOUNDATION (THE)
    1200 ASHWOOD PARKWAY SUITE 400
    ATLANTA,GA30338     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 4,000
    BLUE RIDGE FREE DENTAL CLINIC
    PO BOX 451
    CASHIERS,NC28717     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    BOBBY JONES GOLF COURSE FDN
    2560 BROOKDALE DR NW
    ATLANTA,GA30305     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 30,000
    BOCA RATON MUSEUM OF ART
    591 PLAZA REAL
    BOCA RATON,FL33432     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    BOCA RATON REGIONAL HOSPITAL FDN
    745 MEADOWS ROAD
    BOCA RATON,FL33486     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,040
    BOYS & GIRLS CLUB OF THE PLATEAU
    PO BOX 1812
    CASHIERS,NC28717     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    BOYS & GIRLS CLUB OF TRANSYLVANIA
    PO BOX 1360
    BREVARD,NC28712     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    BOYS TOWN JERUSALEM
    PMB 6250 1PENN PLZ
    NEW YORK,NY101173490     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    CAMP BILLI MARCUS MARCUS JEWISH COMMUNITY CENTER
    5342 TILLY MILL ROAD
    DUNWOODY,GA30338     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 25,000
    CAMP SUNSHINE
    1850 CLAIRMONT ROAD
    DECATUR,GA300333405     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    CAMP TWIN LAKES
    1100 SPRING STREET STE 406
    ATLANTA,GA30309     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    CANINE ASSISTANTS
    3160 FRANCIS RD
    MILTON,GA30004     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 25,000
    CAPITAL RESEARCH CENTER
    1513 16TH STREET NW W
    WASHINGTON,DC200361480     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    CARE
    151 ELLIS STREET NE
    ATLANTA,GA303032440     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    CASHIERS CARES
    PO BOX 1072
    CASHIERS,NC28717     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    CASHIERS-HIGHLANDS HUMANE SOCIETY
    PO BOX 638
    CASHIERS,NC28717     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    CATHOLIC MEDICAL MISSION
    100 WALL ST 9TH FL
    NEW YORK,NY10005     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    CHABAD OF BOCA RATON
    19701 STATE ROAD 7
    BOCA RATON,FL33498     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    CHABAD OF N FULTON
    10180 JONES BRIDGE ROAD
    ALPHARETTA,GA30022     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    CHILDRENS CANCER RESEARCH FUND
    7301 OHMS LANE STE 355
    MINNEAPOLIS,MN55439     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    CHILDREN'S HUNGER RELIEF FUND
    2360 PROFESSIONAL DRIVE STE 200
    SANTA ROSA,CA95403     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    CHILDHOOD LEUKEMIA FOUNDATION
    807 MANTOLOKING RD STE 202
    SANTA ROSA,CA95403     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    CHILDRENS RESTORATION NETWORK
    11285 ELKINS ROAD STE C-4
    ROSWELL,GA30076     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    CHATTAHOOCHEE NATIONAL PARK CONSERVANCY
    PO BOX 769332
    ROSWELL,GA30076     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    CITIZENS UNITED FOUNDATION
    1006 PENNSYLVANIA AVE SE
    WASHINGTON,DC20003     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    COALITION TO SALUTE AM HEROES
    12 GODFREY PLACE
    WILTON,CT06897     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    COAST GUARD FOUNDATION
    394 TAUGWONK ROAD
    STONINGTON,CT06378     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    COMMUNITY FOUNDATION OF WESTERN NC
    4 VANDERBILT PARK DRIVE
    ASHEVILLE,NC28803     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    COPS DIRECT
    2400 CAMINO RAMON STE 105 SAN
    RAMON,CA94583     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 700
    COUNT ME IN
    788 EAST 4TH STREET
    BROOKLYN,NY11218     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    COVENANT HOUSE FLORIDA
    5931 E COLONIAL DRIVE
    ORLANDO,FL32807     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    CROHN'S & COLITIS FOUNDATION
    2751 BUFORD HWY NE 780
    ATLANTA,GA30324     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    DAMON RUNYON CANCER RESEARCH
    ONE EXCHANGE PLAZA 55 BROADWAY
    SUITE 302
    NEW YORK CITY,NY10006     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    DANA FARBER CANCER INSTITUTE
    10 BROOKLINE PLACE WEST 6TH FLOOR
    BROOKLINE,MA024457226     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    DIABETES RESEARCH INSTITUTE FOUNDATION
    200 SOUTH PARK ROAD SUITE 100
    HOLLYWOOD,FL33021     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    DOCTORS WITHOUT BORDERS
    40 RECTOR ST 16TH FLOOR
    NEW YORK,NY10006     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    EAST LAKE FOUNDATION
    2606 ALSTON DRIVE SE
    ATLANTA,GA30317     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 11,000
    EASTER SEALS
    5171 GLENWOOD AVE
    RALEIGH,NC27612     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    EMORY WINSHIP CANCER INSTITUTE
    1762 CLIFTON ROAD STE 1400
    ATLANTA,GA30322     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    EMPTY STOCKING FUND
    1975 CENTURY BLVD
    ATLANTA,GA30345     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 400
    EPILEPSY FOUNDATION
    PO BOX 96546
    WASHINGTON,DC200777222     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    EPSTEIN SCHOOL
    335 COLEWOOD WAY NW
    SANDY SPRINGS,GA303282956     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    EXTENSION THE
    1507 CHURCH STREET EXT PO BOX 793
    MARIETTA,GA30061     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 20,000
    EXTRA SPECIAL PEOPLE
    189 VFW DRIVE
    WATKINSVILLE,GA30677     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 400
    FEEDING AMERICA
    35 EAST WACKER DRIVE STE 2000
    CHICAGO,IL60601     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 800
    FEMINIST WOMEN'S HEALTH CENTER
    1924 CLIFF VALLEY WAY
    ATLANTA,GA303292421     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    FERNBANK
    767 CLIFTON ROAD
    ATLANTA,GA30307     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    FINCA INTERNATIONAL INC
    1201 15TH STREET NW 8TH FLOOR
    WASHINGTON,DC20005     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 400
    FIRE FIGHTERS CHARITABLE FOUNDATION
    1 WEST STREET
    FARMINGDALE,NY11735     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    FIREFIGHTERS CANCER ALLIANCE
    3121 CIRCLE DR
    WHITE PINE,TN37890     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    FIX GEORGIA PETS
    6300 POWERS FERRY RD 600-191
    ATLANTA,GA30339     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 700
    FLORIDA SHERIFFS ASSOCIATION
    PO BOX 12519
    TALLAHASSEE,FL323172519     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    FLORIDA SHERIFFS YOUTH RANCHES
    2486 CECIL WEBB PLACE
    LIVE OAK,FL32064     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    FLORIDA STATE FIREFIGHTERS ASSOCIATION
    2450 US 27 SOUTH
    AVON PARK,FL33825     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    FOCUS - FAMILIES OF CHILDREN UNDER STRESS
    3825 PRESIDENTIAL PKWY STE 103
    ATLANTA,GA30340     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    FOLDS OF HONOR FOUNDATION
    5800 NORTH PATRIOT DR
    OWASSO,OK74055     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,300
    FOOD FOR THE POOR INC
    6401 LYONS ROAD COCONUT
    CREEK,FL330973602     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    FOR THE TROOPS
    PO BOX 96873
    WASHINGTON,DC20090     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    FOUNDATION FOR GOVT ACCOUNTABILITY-FGA
    15275 COLLIER BLVD STE 201-279
    NAPLES,FL34119     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    FREEDOM ALLIANCE
    22570 MARKEY CT
    DULLES,VA201666919     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    FRESH AIR FUND
    633 THIRD AVENUE 14TH FLOOR
    NEW YORK,NY10017     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 400
    FRIENDS OF THE ISRAEL DEFENSE FORCE
    5555 GLENRIDGE CONNECTOR SUITE 200
    ATLANTA,GA30342     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 4,000
    FRIENDS OF YASHAR LACHAYAL INC
    20 CHALMERS ROAD EAST
    BRUNSWICK,NJ08816     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    GEORGIA CORE
    50 HURT PLAZA STE 1415
    ATLANTA,GA30303     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    GEORGIA PUBLIC BROADCASTING
    260 14TH STREET NW
    ATLANTA,GA30318     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    GEORGIA SHERIFFS ASSOCIATION
    3000 HIGHWAY 42 NORTH
    STOCKBRIDGE,GA30281     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    GEORGIA SHERIFFS YOUTH HOMES
    3000 HIGHWAY 42 N
    MCDONOUGH,GA30253     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    GEORGIA STATE GOLF FOUNDATION
    2205 NORTHSIDE DRIVE NW
    ATLANTA,GA30305     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 25,000
    GLASSY MOUNTAIN FIRE DEPARTMENT
    2015 HIGHWAY 11
    LANDRUM,SC29356     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    GLENVILLE CASHIERS RESCUE SQUAD
    PO BOX 919
    CASHIERS,NC28717     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    GUIDE DOGS FOR THE BLIND
    PO BOX 151200 SAN
    RAFAEL,CA94915     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    HABITAT FOR HUMANITY
    824 MEMORIAL DRIVE SE
    ATLANTA,GA30316     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 2,000
    HADASSAH KEEPER OF THE GATE
    40 WALL STREET
    NEW YORK,NY10005     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    HANDS ON TZEDAKAH
    2901 CLINT MOORE ROAD 318
    BOCA RATON,FL33496     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 35,000
    HELP HEAL VETERANS
    36585 PENFIELD LANE
    WINCHESTER,CA92596     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    HELPING ISRAEL FUND
    3010 NORTH MILITARY TRAIL 318
    BOCA RATON,FL33431     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 50,000
    HERO BOX
    237 SENOIA ROAD
    PEACHTREE CITY,GA30269     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    HIGHLAND CASHIERS HEALTH FOUNDATION
    PO BOX 742
    HIGHLANDS,NC28741     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    HIGHLAND CASHIERS LAND TRUST
    348 SOUTH FIFTH STREET PO BOX 1703
    HIGHLANDS,NC28741     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    HILLEL OF BROWARD AND PALM BEACH
    777 GLADES ROAD BLDG LY-3A
    BOCA RATON,FL33431     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    HILLEL INTERNATIONAL (CHARLES & LYNN SCHUSTERMAN INTL CENTER)
    800 8TH ST NW
    WASHINGTON,DC200013724     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    HOLY CROSS HOSPITAL
    4725 NORTH FEDERAL HIGHWAY FORT
    LAUDERDALE,FL33308     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 6,000
    HOSEA FEED THE HUNGRY
    1035 DONNELLY AVENUE SW
    ATLANTA,GA30310     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    HOUSE OF HOPE
    1291 CORNWALL ROAD
    DECATUR,GA30032     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 8,000
    IAN'S FRIENDS FOUNDATION
    855 MARSEILLES DRIVE
    ATLANTA,GA30327     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 35,000
    IDDEAL FOUNDATION THE
    11480 W SAMPLE ROAD
    CORAL SPRINGS,FL330657054     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 6,000
    IN THE CITY CAMP
    2897 N DRUID HILLS ROAD NE 344
    ATLANTA,GA30329     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 50,000
    INCOMMUNITY (ENABLE OF GA)
    1200 OLD ELLIS ROAD
    ROSWELL,GA30076     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    INTL FELLOWSHIP OF CHRISTIANS & JEWS
    PO BOX 96105
    WASHINGTON,DC20090     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    IN-VEST USA
    PO BOX 1221
    MERRIFIELD,VA22116     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    ISRAEL CANCER ASSOCIATION USA
    2751 S DIXIE HIGHWAY STE 3A WEST
    PALM BEACH,FL33405     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 20,000
    ISRAEL CHILDRENS CANCER CENTER
    990 CEDARBRIDGE AVENUE SUITE B7
    BRICK,NJ08723     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    ISRAEL GUIDE DOG CENTER FOR THE BLIND
    968 EASTON RD STE H
    WARRINGTON,PA18976     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 25,000
    ISRAEL TENNIS CENTER FOUNDATION
    3275 WEST HILLSBORO BLVD STE 102
    DEERF
    PALM BEACH,FL33442     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    JACK & JILL LATE STAGE CANCER FOUNDATION
    PO BOX 20237
    ATLANTA,GA30325     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 6,000
    JACKSON FAMILY FOUNDATION SP
    2655 NORTHWINDS PKWY
    ALPHARETTA,GA30009     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    JAFCOJEWISH ADOPTION & FAMILY CARE OPTIONS)
    4200 N UNIVERSITY DRIVE
    SUNRISE,FL333516210     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 4,000
    JAMES DAILY MIDDLE SCHOOL
    150 FLEMING ST
    LOWELL,MA01851     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    JEWISH ASSN FOR RESIDENTIAL CARE (JARC)
    21160 95TH AVENUE SOUTH
    BOCA RATON,FL33428     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 25,000
    JEWISH EDUCATION CENTER (JEC) OF S FL
    500 NE SPANISH RIVER BLVD 16
    BOCA RATON,FL33431     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 43,000
    JEWISH EDUCATIONAL LOAN FUND JELF
    4549 CHAMBLEE DUNWOODY ROAD
    ATLANTA,GA30338     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 2,000
    JEWISH FAMILY & CAREER SERVICES
    4549 CHAMBLEE DUNWOODY ROAD
    ATLANTA,GA30338     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    JEWISH FEDERATION OF GREATER ATLANTA
    THE SELIG CENTER 1440 SPRING ST NW
    ATLANTA,GA30309     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 31,000
    JEWISH FEDERATION OF PALM BEACH
    ONE HARVARD CIRCLE NO 100
    WEST PALM BCH,FL33417     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    JEWISH FEDERATION OF S PALM BEACH
    4601 COMMUNITY DRIVE WEST
    PALM BEACH,FL33417     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 20,000
    JEWISH NATIONAL FUND
    42 E 69TH STREET
    NEW YORK,NY10021     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    JEWISH SERVICE DEVELOPMENTALLY DISABLED
    270 PLEASANT VALLEY WAY WEST
    ORANGE,NJ07052     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    JEWISH VOICE MINISTRIES INTL
    PO BOX 31998
    PHOENIX,AZ85046     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    JEWISH WOMEN'S FUND OF ATLANTA
    THE SELIG CENTER 1440 SPRING STREET
    NW
    ATLANTA,GA30309     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 3,000
    JUDICIAL WATCH
    425 THIRD STREET SW STE 800
    WASHINGTON,DC20024     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    JUPITER MEDICAL CENTER FOUNDATION
    1210 OLD SOUTH DIXIE HIGHWAY
    JUPITER,FL33458     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    JUST ONE LIFE
    587 FIFTH AVE STE 702
    NEW YORK,NY10017     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 180
    KIDS WISH NETWORK
    301 BEAR RIDGE CIRCLE PALM
    HARBOR,FL34683     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    KIDZ COUNT
    4778 W COMMERCIAL BLVD
    TAMARAC,FL33319     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    LAKE TOXAWAY CHARITIES
    PO BOX 163 LAKE
    TOXAWAY,NC28747     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 6,000
    LANTOS FDN FOR HUMAN RIGHTS & JUSTICE
    6 DIXON AVENUE 100
    CONCORD,NH03301     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    LAW ENFORCEMENT LEGAL DEFENSE
    1728 DUKE STREET
    ALEXANDRIA,VA22314     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    LEADERSHIP INSTITUTE THE
    1101 NORTH HIGHLAND STREET
    ARLINGTON,VA22201     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    LEKOTEK OF GEORGIA
    1901 MONTREAL ROAD SUITE 126
    TUCKER,GA30084     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    LEUKEMIA & LYMPHOMA SOCIETY
    3715 NORTHSIDE PKWY BLDG 400
    NORTHCREEK
    ATLANTA,GA30327     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    LIFELINE ANIMAL PROJECT
    PO BOX 15466
    ATLANTA,GA30333     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    LINK COUNSELING CENTER THE
    348 MT VERNON HIGHWAY NE
    SANDY SPRINGS,GA303284139     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 15,000
    LULU & LEO FUND
    1216 BROADWAY 2ND FLOOR
    NEW YORK,NY10001     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    LUPUS FOUNDATION OF AMERICA
    1850 LAKE PARK DR STE 101
    SMYRNA,GA30080     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 3,000
    LYMPHOMA RESEARCH FOUNDATION
    88 PINE STREET STE 2400
    NEW YORK,NY10005     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    MACULAR DEGENERATION RESEARCH
    22512 GATEWAY CENTER DRIVE
    CLARKSBURG,MD20871     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    MAKE A WISH FOUNDATION
    4491 SOUTH STATE ROAD 7 SUITE 201
    FT
    LAUDERDALE,FL333144035     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    MARCH OF DIMES
    7750 OKEECHOBEE BLVD 4-60 WEA
    DELRAY BEACH,FL33411     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    MAYO CLINIC
    4500 SAN PABLO ROAD
    JACKSONVILLE,FL32224     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    MD ANDERSON
    1515 HOLCOMBE BLVD
    HOUSTON,TX77030     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    MEALS ON WHEELS
    1705 COMMERCE DRIVE NW
    ATLANTA,GA30318     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,100
    MEMORIAL SLOAN-KETTERING CANCER CENTER
    1275 YORK AVENUE
    NEW YORK,NY10065     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    MERCY SHIPS
    PO BOX 1930 GARDEN
    VALLEY,TX75771     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    MET COUNCIL
    77 WATER STREET 26TH FLOOR
    NEW YORK,NY10005     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    METHODIST HEALTH SYSTEM FOUNDATION
    1441 BECKLEY AVE
    DALLAS,TX75203     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 3,000
    MORGAN PRESSEL FOUNDATION
    PO BOX 480157 DE
    PALM BEACH,FL33448     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    MOTHERS AGAINST DRUNK DRIVING
    511 E JOHN CARPENTER FREEWAY SUITE
    700
    IRVING,TX75062     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    MORNING DAY COMMUNITY SOLUTIONS
    2635 OLD OKEECHOBEE RD W
    VIRGINIA BEACH,FL33409     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    MUSCULAR DISTROPHY ASSOCIATION
    222 S RIVERSIDE PLAZA STE 1500
    CHICAGO,IL60606     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 400
    MUTTS WITH A MISSION
    PO BOX 17497
    WASHINGTON,DC200410497     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    NATIONAL 911 MEMORIAL & MUSEUM
    200 LIBERTY STREET 16TH FLOOR
    NEW YORK,NY10281     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 250
    NATIONAL ASSOCIATION OF POLICE ORG
    317 S PATRICK STREET
    ALEXANDRIA,VA22314     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    NATIONAL CENTER FOR THE POLICE DEFENSE
    10521 JUDICIAL DRIVE SUITE 200
    FAIRFAX,VA22030     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    NATIONAL COUNCIL OF JEWISH WOMEN
    2055 L ST NW SUITE 650
    WASHINGTON,DC20036     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    NATIONAL FEDERATION OF THE BLIND
    200 EAST WELLS STREET
    BALTIMORE,MD21230     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    NATIONAL GEOGRAPHIC SOCIETY
    1145 17TH ST NW
    WASHINGTON,DC20036     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    NATIONAL GLAUCOMA RESEARCH
    22512 GATEWAY CENTER DR
    CLARKSBURG,MD20871     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    NATIONAL JEWISH HEALTH
    1400 JACKSON ST
    DENVER,CO80206     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    NATIONAL LAW ENFORCEMENT OFFICER MEMORIAL
    901 E STREET NW STE 100
    WASHINGTON,DC20004     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    NATIONAL MS SOCIETY GEORIGA
    950 EAST PACES FERRY ROAD 820
    ATLANTA,GA30326     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 250
    NATIONAL POLICE ASSOCIATION
    8710 BASH ST
    INDIANAPOLIC,IN46256     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    NATIONAL TAY-SACHS ALLIED DISEASES
    2001 BEACON STREETSTE 204
    BOSTON,MA02135     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 12,500
    NATIONAL WORLD WAR II MUSEUM
    945 MAGAZINE ST
    NEW ORLEANS,LA70130     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    NEO NETWORKS
    4284 MEMORIAL DR STE B
    DECATUR,GA30032     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    NEW FREEDOM FARM INC
    6118 LITHIA ROAD
    BUCHANAN,VA24066     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    NICKLAUS CHILDRENS HOSPITAL FOUNDATION
    3100 S W 62 AVENUE
    MIAMI,FL33155     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    NOAH'S ARK
    712 LG GRIFFIN ROAD LOCUST
    GROVE,GA302484317     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    ODYSSEY FAMILY COUNSELING CENTER
    1919 JOHN WESLEY AVE
    COLLEGE PARK,GA30337     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    ONE HOPE
    600 SW 3RD ST
    POMPANO BEACH,FL330606932     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    OPERATION HOMEFRONT
    1255 CENTRAL PARKWAY S SUITE 100
    SAN ANTONIO,TX78232     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    OPERATION SMILE
    3641 FACULTY BOULEVARD
    VIRGINIA BEACH,VA23453     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    ORT AMERICA
    75 MAIDEN LANE 10TH FLOOR
    NEW YORK,NY10038     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    OUR HOUSE INC
    711 SOUTH COLUMBIA DRIVE
    DECATUR,GA30030     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    OVARIAN CANCER INSTITUTE
    960 JOHNSON FERRY RD STE 130
    ATLANTA,GA30342     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    OXFAM AMERICA
    PO BOX 97374
    WASHINGTON,DC200907374     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    PALM BEACH COUNTY FOOD BANK
    525 GATOR DRIVE
    LANTANA,FL33462     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    PALM BEACH ZOO
    1301 SUMMIT BLVD
    WEST PALM BCH,FL33405     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    PAP CORP THE
    3848 FAU BOULEVARD STE 305
    BOCA RATON,FL33431     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    PARALYZED VETERANS OF AMERICA
    PO BOX 758593
    TOPEKA,KS666758593     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    PARKINSON RESEARCH FOUNDATION
    PO BOX 96318
    WASHINGTON,DC200906318     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    PARTNERS IN HEALTH
    800 BOYLSTON ST STE 300
    BOSTON,MA02199     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    PATH FOUNDATION
    1601 WEST PEACHTREE STREET
    ATLANTA,GA30309     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 2,000
    PAWS ATLANTA
    5287 COVINGTON HIGHWAY
    DECATUR,GA300352202     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    PAWS FOR PURPLE HEARTS
    10201 OLD REDWOOD HWY
    PENNGROVE,CA949519571     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    PAWS OF HONOR
    1350 BEVERLY ROAD SUITE 115-33
    MCLEAN,VA22101     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    PEGGY ADAMS ANIMAL RESCUE LEAGUE
    3100/3200 N MILITARY T
    PALM BEACH,FL33409     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    PERKINS SCHOOL FOR THE BLIND
    179 N BEACON ST
    WATERTON,MA02472     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    PISGAH HEALTH FOUNDATION
    153 W JORDAN STREET
    BREVARD,NC28712     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    PLACE OF HOPE
    9078 ISAIAH LANE PALM BEACH
    GARDENS,FL33418     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    PLAY FOR PINK
    28 WEST 44TH STREET STE 609
    NEW YORK,NY10036     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    PRAGER UNIVERSITY FOUNDATION
    15021 VENTURA BVD SUITE 552
    SHERMAN OAKS,CA91403     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,500
    RAINBOW VILLAGE INC
    3247 DULUTH HIGHWAY 120
    DULUTH,GA30096     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 8,000
    RIVERWOOD HIGH SCHOOL FOUNDATION
    5900 RAIDER DR
    SANDY SPRINGS,GA30328     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 2,000
    RONALD MCDONALD HOUSE CHARITIES
    795 GATEWOOD ROAD NE
    ATLANTA,GA303294200     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    ROTARY CLUB OF BOCA RATON
    PO BOX 272651
    BOCA RATON,FL33427     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    RUTH RALES JEWISH FAMILY SERVICES
    21300 RUTH BARON COLEMAN BLVD
    BOCA RATON,FL33428     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    SALVATION ARMY
    PO BOX 930188
    NORCROSS,GA30093     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    SEMPER K9
    PO BOX 17618
    WASHINGTON,DC200417618     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    SHARE OUR STRENGTH
    PO BOX 715475
    PHILADELPHIA,PA191715475     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 25,000
    SHEPHERD CENTER AUXILARY
    2020 PEACHTREE ROAD NW
    ATLANTA,GA303091465     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    SHEPHERD CENTER FOUNDATION
    2020 PEACHTREE ROAD NW
    ATLANTA,GA303091465     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 10,000
    SHRINER'S HOSPITAL FOR CHILDREN
    2900 N ROCKY POINT DRIVE
    TAMPA,FL33607     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    SOLIDARITY SANDY SPRINGS
    5600 ROSWELL RD STE F150
    SANDY SPRINGS,GA30342     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    SOS CHILDREN'S VILLAGES
    3681 NW 59 PLACE COCONUT
    CREEK,FL33073     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 12,000
    SOUTH FLORIDA PBS
    PO BOX 610002
    MIAMI,FL332610002     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    SPECIAL OLYMPICS GEORGIA
    6046 FINANCIAL DRIVE
    NORCROSS,GA30071     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 6,000
    ST BONAVENTURE INDIAN
    25 NAVARRE BLVD W
    THOREAU,NM87323     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 125
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN381051942     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    ST LABRE INDIAN SCHOOL
    EAST TONGUE RIVER ROAD
    ASHLAND,MT59003     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    STOP BULLYING NOW
    9835-16 LAKE WORTH ROAD SUITE 302
    LAKE WORTH,FL33467     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    SUMMIT CHARTER SCHOOL FOUNDATION
    PO BOX 2493
    CASHIERS,NC28717     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    SUSAN G KOMEN
    5005 LBJ FREEWAY STE 526
    DALLAS,TX75244     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 51,000
    SWEET DREAM MAKERS
    55 NE 5TH AVE STE 400
    BOCA RATON,FL33432     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    TEAM BLUE LINE
    203 MARCIE COURT
    SENOIA,GA302761548     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    TIKVA CHILDREN'S HOME
    8 HENDERSON DRIVE WEST
    CALDWELL,NJ07006     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    TLC FOUNDATION THE
    716 SOQUEL AVENUE STE A SANTA
    CRUZ,CA95062     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 3,000
    TORAH ACADEMY OF BOCA RATON
    447 SPANISH RIVER BLVD
    BOCA RATON,FL33431     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 18,000
    TOYS FOR TOTS FOUNDATION
    PO BOX 4002036 DES
    MOINES,IA503402036     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    TRANSYLVANIA COUNTY RESCUE SQUAD
    233 FISHER ROAD
    BREVARD,NC28712     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 500
    TRUSTBRIDGE HOSPICE FOUNDATION
    5300 EAST AVE WEST
    PALM BEACH,FL33407     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 20,000
    TURNING POINT
    8010 ROSWELL ROAD STE 120
    ATLANTA,GA30350     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    TWIN PALMS CENTER FOR THE DISABLED
    306 NW 35TH STREET
    BOCA RATON,FL33431     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 5,000
    TUNNELS TO TOWERS
    2361 HYLAN BLVD
    STATEN ISLAND,NY10306     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    UNICORN CHILDREN'S FOUNDATION
    99 E MIZNER BLVD SUITE 120
    BOCA RATON,FL33432     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 3,000
    US DEPUTY SHERIFFS ASSOC
    2233 S WEST ST CT
    WICHITA,KS67213     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    US HOLOCAUST MEMORIAL MUSEUM
    100 RAOUL WALLENBURG PLACE SW W
    WASHINGTON,DC20024     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    US VETERANS HOSPICE COMMITTEE
    1425 K STREET NW STE 350
    WASHINGTON,DC20005     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    US NAVY MEMORIAL
    701 PENNSYLVANIA AVENUE
    WASHINGTON,DC200042608     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    USHER 1F COLLABORATIVE
    228 321 WALNUT STREET
    NEWTONVILLE,MA02460     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    USO
    2111 WILSON BLVD 1200
    ARLINGTON,VA22201     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    VETERANS IN NEED FOUNDATION
    1000 E ATLANTICE BLVD
    POMPANO BEACH,FL33060     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    VETERANS OF FOREIGN WARS
    406 W 34TH STREET
    KANSAS CITY,MO64111     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 150
    VIETNAM VETERANS MEMORIAL FUND
    1235 SOUTH CLARK STREET STE 910
    ARLINGTON,VA22202     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    VISITING NURSE HOSPICE
    5775 GLENRIDGE DRIVE NE STE E200
    ATLANTA,GA30328     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    VOLUNTEER FIREFIGHTS ALLIANCE
    3121 CIRCLE DR
    WHITE PINT,TN378903307     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    WEEQUAHIC HIGH SCHOOL ALUMNI ASSOCIATION
    279 CHANCELLOR AVENUE
    NEWARK,NJ07112     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 1,000
    WEINSTEIN HOSPICE
    3150 HOWELL MILL ROAD NW
    ATLANTA,GA303272108     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 16,000
    WILLIAM BREMAN JEWISH HOME AUXILARY
    3150 HOWELL MILL ROAD NW
    ATLANTA,GA30327     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 17,140
    WORLD HELP
    1148 CORPORATE PARK DR
    FOREST,PA24551     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    WORLD JEWISH CONGRESS
    PO BOX 70343
    PHILADELPHIA,PA19176     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 200
    WORLD WILDLIFE FUND
    1250 TWENTY-FOURTH ST NW PO BOX
    97180
    WASHINGTON,DC200907180     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    WOUNDED WARRIOR PROJECT
    4899 BELFORT ROAD
    JACKSONVILLE,FL32256     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 300
    YEHUDI ADAM EISENBERG
    ATTN ADAM EISENBERG 3790 ROYAL PALM
    AVENUE
    MIAMAI BEACH,FL33140     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 18,000
    YELLOW RIBBON FUND THE
    PO BOX 41048
    BETHESDA,MD20824     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    YESHIVA TIFERES TORAH
    7200 PALMETTO CIRCLE NORTH
    BOCA RATON,FL33433     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 20,000
    YOUNG AMERICA'S FOUNDATION
    11480 COMMERCE PARK DR SIXTH FL
    RESTON,VA20191     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    HELP OUR MILITARY AND POLICE DOGS (RETIRED POLICE CANINE FD)
    PO BOX 5687
    SPRING HILL,FL34611     		NONE 501(C)(3) NON-PROFIT GENERAL OPERATIONS 100
    Total .................................bullet 3a 1,238,535
    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 ...........     		         
    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 1,493,621  
    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 2,122,256 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,122,256
    (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:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 3,500 1,750 0 1,750

    TY 2021 GeneralExplanationAttachment
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Identifier Return Reference Explanation
    PASS-THRU UBI INVESTMENT INCOME: FORM 990-PF, PART I, DIVIDENDS & INTEREST: TAX EXEMPT INTEREST INCOME INCLUDED $0PASS-THRU UBI INVESTMENT INCOME INCLUDED ($29,188)

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 796,377 796,377

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK 39,224,009 39,224,009

    TY 2021 InvestmentsOtherSchedule2
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ALTERNATIVE INVESTMENTS FMV 2,037,033 2,037,033

    TY 2021 LegalFeesSchedule
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 1,075 0 0 1,075


    TY 2021 OtherExpensesSchedule
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 54 0 0 54
    PROGRAM EXPENSES 600 0 0 600


    TY 2021 OtherIncreasesSchedule
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Description Amount
    UNREALIZED APPRECIATION OF THE INVESTMENT PORTFOLIO 12,503,770


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 21,517 21,517 0 0


    TY 2021 TaxesSchedule
    Name:
    THE BILLI MARCUS FOUNDATION INC
    EIN:
    58-2396542
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAXES 18,436 0 0 0
    STATE TAX 30 0 0 30