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
ADELSON FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)300 FIRST AVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEEDHAM, MA02494
A Employer identification number

04-7024330
B Telephone number (see instructions)

(781) 972-5950
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$5,626,414J Accounting method:
MODIFIED CASH
(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) 49,822,227
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 49,822,227 0 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 59,454 0 0 59,454
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 3,140 0 0 3,140
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,000 0 0 1,000
19 Depreciation (attach schedule) and depletion... Click to see attachment 1,331 0 862
20 Occupancy..............        
21 Travel, conferences, and meetings....... 1,363 0 0 1,363
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 590,572 0 0 590,572
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 656,860 0 862 655,529
25 Contributions, gifts, grants paid....... 78,938,686 78,938,686
26 Total expenses and disbursements. Add lines 24 and 25 79,595,546 0 862 79,594,215
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -29,773,319
b Net investment income (if negative, enter -0-) 0
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............. 35,397,145 5,375,157 5,375,157
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet250,000
Less: allowance for doubtful accounts bullet     250,000 250,000
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).......      
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)..........      
14 Land, buildings, and equipment: basis bullet7,012
Less: accumulated depreciation (attach schedule) bullet5,755 2,588 Click to see attachment1,257 1,257
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 35,399,733 5,626,414 5,626,414
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........... 35,399,733 5,626,414
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)..... 35,399,733 5,626,414
30 Total liabilities and net assets/fund balances (see instructions). 35,399,733 5,626,414
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
35,399,733
2
Enter amount from Part I, line 27a .....................
2
-29,773,319
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
5,626,414
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
5,626,414
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.)
1a
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
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 0
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 0
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
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
 
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)
    bulletMA, NV
    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 .Click to see attachment
    8b
     
    No
    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 instructionsClick to see attachment.................
    12
    Yes
     
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.ADELSONFOUNDATION.ORG
    14
    The books are in care ofbulletJOHN CARR Telephone no.bullet (702) 791-9400

    Located atbullet410 S RAMPART BLVD SUITE 440LAS VEGASNV ZIP+4bullet89145
    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)
    Yes
     
    (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)
    Yes
     
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (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
     
    No
    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)
    Yes
     
    (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
    Yes
     
    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
    Yes
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment
    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
    DR MIRIAM ADELSON TRUSTEE
    1.00     		0 0 0
    410 S RAMPART BLVD SUITE 440
    LAS VEGAS,NV89145
    SHELDON G ADELSON DEC 11121 TRUSTEE
    1.00     		0 0 0
    410 S RAMPART BLVD SUITE 440
    LAS VEGAS,NV89145
    MICHAEL BOHNEN PRESIDENT
    30.00     		0 0 0
    300 1ST AVENUE
    NEEDHAM,MA02494
    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
    INTERFACE OPERATIONS LLC ACCT, IT & MGMT INCL PRES. COMP & BNFTS 482,738
    410 S RAMPART BLVD SUITE 440
    LAS VEGAS,NV89145
    ADELSON MEDICAL RESEARCH FOUNDATION ADMINISTRATIVE SUPPORT 52,757
    410 S RAMPART BLVD SUITE 440
    LAS VEGAS,NV89145
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    7,581,741
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    7,581,741
    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
    7,581,741
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    113,726
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    7,468,015
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    373,401
    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
    373,401
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    373,401
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    373,401
    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
    373,401
    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 7 373,401
    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...... 121,329,857
    b From 2017...... 89,653,025
    c From 2018...... 116,239,911
    d From 2019...... 117,211,353
    e From 2020...... 99,151,576
    f Total of lines 3a through e ........ 543,585,722
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 79,594,215
    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..... 373,401
    e Remaining amount distributed out of corpus 79,220,814
    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 5 622,806,536
    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) ...     		121,329,857
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		501,476,679
    10 Analysis of line 9:
    a Excess from 2017.... 89,653,025
    b Excess from 2018.... 116,239,911
    c Excess from 2019.... 117,211,353
    d Excess from 2020.... 99,151,576
    e Excess from 2021.... 79,220,814
    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).)
    DR MIRIAM ADELSON
    SHELDON G ADELSON DEC 11121
    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
    ADELSON CAMPUS FOR JEWISH LIFE
    410 S RAMPART BLVD
    LAS VEGAS,NV89145     		  PF GENERAL CHARITABLE PURPOSES 30,000
    ADELSON EDUCATIONAL INSTITUTE
    9700 HILLPOINTE RD
    LAS VEGAS,NV89134     		  PC GENERAL CHARITABLE PURPOSES 4,100,000
    AHA FOUNDATION
    30 7TH AVENUE SUITE 236
    NEW YORK,NY10011     		  PC GENERAL CHARITABLE PURPOSES 36,000
    AMERICA-ISRAEL FRIENDSHIP LEAGUE
    1460 BROADWAY 6030
    NEW YORK,NY10036     		  PC GENERAL CHARITABLE PURPOSES 50,000
    AMERICAN ASSOCIATION FOR THE TREATMENT OF OPIOD DEPENDENCE
    24 VARICK ST 4TH FLOOR
    NEW YORK,NY10014     		  PC GENERAL CHARITABLE PURPOSES 40,000
    AMERICAN FRIENDS OF BAT SHEVA DANCE
    1201 BROADWAY SUITE 611
    NEW YORK,NY10001     		  PC GENERAL CHARITABLE PURPOSES 10,000
    AMERICAN FRIENDS OF IDC
    116 EAST 116TH ST 11TH FLOOR
    NEW YORK,NY10003     		  PC GENERAL CHARITABLE PURPOSES 1,000,000
    AMERICAN FRIENDS OF ITIM INC
    5508 HUNTINGTON PKWY
    BETHESDA,MD20814     		  PC GENERAL CHARITABLE PURPOSES 18,000
    AMERICAN FRIENDS OF LUBAVITCH
    2110 LEROY PLACE NW
    WASHINGTON,DC20008     		  PC GENERAL CHARITABLE PURPOSES 30,000
    AMERICAN FRIENDS OF MAGEN DAVID ADOM
    352 7TH AVE
    NEW YORK,NY10001     		  PC GENERAL CHARIBABLE PURPOSES 1,550,000
    AMERICAN FRIENDS OF UNITED JEWISH APPEAL
    200 JEFFERSON PARK STE 400
    WHIPPANY,NJ07981     		  PC GENERAL CHARITABLE PURPOSES 50,000
    AMERICAN SOCIETY OF YAD VASHEM
    500 5TH AVE 42ND FL
    NEW YORK,NY10110     		  PC GENERAL CHARITABLE PURPOSES 3,900,000
    ARIEL UNIVERSITY
    RAMAT HAGOLAN 65
    ARIEL    
    IS     		  PC GENERAL CHARITABLE PURPOSES 14,400,000
    B'NAI B'RITH YOUTH ORGANIZATION
    800 8TH ST NW
    WASHINGTON,DC20001     		  PC GENERAL CHARITABLE PURPOSES 10,000
    BIRTHRIGHT ISRAEL FOUNDATION
    33 EAST 33RD ST
    NEW YORK,NY10016     		  PC GENERAL CHARITABLE PURPOSES 9,000,000
    BRIGHAM AND WOMEN'S HOSPITAL
    116 HUNTINGTON AVE
    BOSTON,MA02116     		  PC GENERAL CHARITABLE PURPOSES 30,000
    CAMERA
    PO BOX 35040
    BOSTON,MA02135     		  PC GENERAL CHARITABLE PURPOSES 50,000
    CARIBBEAN JEWISH COMMUNITY
    1483 CARROLL ST
    BROOKLYN,NY11213     		  PC GENERAL CHARITABLE PURPOSES 18,000
    CENTER FOR JEWISH COMMUNITY STUDIES
    7 CHURCH LANE STE 9
    BALTIMORE,MD21208     		  PC GENERAL CHARITABLE PURPOSES 500,000
    CENTRAL FUND OF ISRAEL
    980 AVENUE OF THE AMERICAS
    NEW YORK,NY10018     		  PC GENERAL CHARITABLE PURPOSES 100,000
    CHABAD OF THE UNIVERSITY OF LAS VEGAS
    1261 S ARVILLE ST
    LAS VEGAS,NV89102     		  PC GENERAL CHARITABLE PURPOSES 40,000
    CHAI LIFELINE
    475 SOUTH ROBERTSON BLVD
    BEVERLY HILLS,CA90211     		  PC GENERAL CHARITABLE PURPOSES 18,000
    CHELSEA JEWISH NURSING HOME
    165 CAPTAINS ROW
    CHELSEA,MA02150     		  PC GENERAL CHARITABLE PURPOSES 200,000
    CITYARTS
    525 BROADWAY STE 602
    NEW YORK,NY10012     		  PC GENERAL CHARITABLE PURPOSES 45,000
    CLARK COUNTY PUBLIC EDUCATION FOUNDATION
    4350 SOUTH MARYLAND PKWY
    LAS VEGAS,NV89119     		  PC GENERAL CHARITABLE PURPOSES 36,000
    COMBINED JEWISH PHILANTHROPIES
    126 HIGH ST
    BOSTON,MA02110     		  PC GENERAL CHARITABLE PURPOSES 1,000,000
    DESERT SPACE FOUNDATION
    18 CERCHIO ALTO
    LAS VEGAS,NV89011     		  PC GENERAL CHARITABLE PURPOSES 10,000
    DRUG FREE AMERICA
    5999 CENTRAL AVE SUITE 301
    ST PETERSBURG,FL33710     		  PC GENERAL CHARITABLE PURPOSES 50,000
    ENDOWMENT FOR MIDDLE EAST TRUTH
    1050 CONNECTICUT AVE
    WASHINGTON,DC20036     		  PC GENERAL CHARITABLE PURPOSES 50,000
    FEELING GOOD FOUNDATION
    2660 SOLACE PLACE STE A
    MOUNTAIN VIEW,CA94040     		  PC GENERAL CHARITABLE PURPOSES 125,000
    FIDELITY CHARITABLE GIFT FUND
    200 SEAPORT BLVD
    BN,MA02210     		  PC GENERAL CHARITABLE PURPOSES 250,000
    FRIENDS OF ISRAEL DEFENSE FORCES
    1430 BROADWAY STE 1201
    NEW YORK,NY10018     		  PC GENERAL CHARITABLE PURPOSES 4,292,966
    FRIENDS OF ISRAEL DISABLED VETERANS
    1133 BROADWAY SUITE 232
    NEW YORK,NY10010     		  PC GENERAL CHARITABLE PURPOSES 20,000
    FRIENDS OF ISRAEL INITIATIVE
    2950 SW 27TH AVE SUITE 100
    MIAMI,FL33133     		  PC GENERAL CHARITABLE PURPOSES 50,000
    FRIENDS OF ISRAEL SCOUTS
    575 8TH AVE 11TH FL
    NEW YORK,NY10018     		  PC GENERAL CHARITABLE PURPOSES 400,000
    FRIENDS OF NAHAL HAREDI
    4586 SUNDERLAND RD
    TEANECK,NJ07666     		  PC GENERAL CHARITABLE PURPOSES 100,000
    FRIENDS OF TEL AVIV SOURASKY MEDICAL CENTER
    1461 FIRST AVE
    NEW YORK,NY10075     		  PC GENERAL CHARITABLE PURPOSES 6,000,000
    FRIENDS OF UNITED HATZALAH
    205 EAST 42ND ST 19TH FLOOR
    NEW YORK,NY10017     		  PC GENERAL CHARITABLE PURPOSES 250,000
    FRIENDS OF ZION
    410 S RAMPART BLVD
    LAS VEGAS,NV89145     		  PF GENERAL CHARITABLE PURPOSES 1,725,385
    FRIENDSHIP CIRCLE OF LV
    1261 ARVILLE ST
    LAS VEGAS,NV89102     		  PC GENERAL CHARITABLE PURPOSES 18,000
    FUNDS FOR ISRAEL'S TOMORROW
    1 US BANK PLAZA
    ST LOUIS,MO63101     		  PC GENERAL CHARITABLE PURPOSES 100,000
    GATEWAYS ACCESS TO JEWISH EDUCATION
    333 NAHANTON ST
    NEWTON,MA02459     		  PC GENERAL CHARITABLE PURPOSES 100,000
    GIFT OF LIFE BONE MARROW FOUNDATION
    800 YAMATO RD
    BOCA RATON,FL33431     		  PC GENERAL CHARITABLE PURPOSES 25,000
    GIRLS TOWN OR CHADASH
    1417 CONEY ISLAND AVE
    BROOKLYN,NY11230     		  PC GENERAL CHARITABLE PURPOSES 590,000
    HASHOMER HACHADASH
    ATZMON ST POB 691
    UPPER NAZARETH    
    IS     		  PC GENERAL CHARITABLE PURPOSES 2,000,000
    HEBREW SENIOR LIFE
    1200 CENTRE ST
    BOSTON,MA02131     		  PC GENERAL CHARITABLE PURPOSES 1,666,666
    INTERNATIONAL COALITION FOR ISRAEL - US
    PO BOX 14153
    NEW LIBERIA,LA70562     		  PC GENERAL CHARITABLE PURPOSES 100,000
    IRIS
    235 NICOLL ST FLOOR 2
    NEW HAVEN,CT06511     		  PC GENERAL CHARITABLE PURPOSES 6,110
    ISRAAID
    PO BOX 61227
    PALO ALTO,CA94306     		  PC GENERAL CHARITABLE PURPOSES 50,000
    ISRAEL GUIDE DOG CENTER FOR THE BLIND
    968 EASTON RD SUITE H
    WARRINGTON,PA18976     		  PC GENERAL CHARITABLE PURPOSES 30,000
    ISRAELI AMERICAN COUNCIL
    5900 CANOGA AVE STE 390
    WOODLAND HILLS,CA91369     		  PC GENERAL CHARITABLE PURPOSES 10,000,000
    ISRAFEST FOUNDATION
    324 S BEVERLY DR
    BEVERLY HILLS,CA90212     		  PC GENERAL CHARITABLE PURPOSES 25,000
    JEWISH AGENCY FOR ISRAEL N AMERICAN COUNCIL
    633 THIRD AVE 32ND FL
    NEW YORK,NY10017     		  PC GENERAL CHARITABLE PURPOSES 5,250,000
    JEWISH FEDERATION OF LAS VEGAS
    2317 RENAISSANCE DR
    LAS VEGAS,NV89119     		  PC GENERAL CHARITABLE PURPOSES 750,000
    JEWISH FUNDERS NETWORK
    150 WEST 30TH ST SUITE 900
    NEW YORK,NY10001     		  PC GENERAL CHARITABLE PURPOSES 50,000
    JEWISH INSTITUTE FOR NATIONAL SECURITY OF AMERICA
    1101 14TH STREET NW SUITE 1030
    NEW YORK,NY20005     		  PC GENERAL CHARITABLE PURPOSES 250,000
    JEWISH LIFE
    16501 VENTURA BLVD
    ENCINO,CA91436     		  PC GENERAL CHARITABLE PURPOSES 18,000
    JEWISH NATIONAL FUND
    42 EAST 69TH ST
    NEW HAVEN,NY10021     		  PC GENERAL CHARITABLE PURPOSES 35,000
    JEWISH NEWS SERVICE
    214 LINCOLN ST
    BOSTON,MA02134     		  PC GENERAL CHARITABLE PURPOSES 300,000
    JGIVE - FRIENDS OF ASOR FUND
    43 LUBLIN TERRACE
    LAKEWOOD,NJ08701     		  PC GENERAL CHARITABLE PURPOSES 15,000
    KADIMA HEBREW ACADEMY
    7011 SHOUP AVE
    WEST HILLS,CA91307     		  PC GENERAL CHARITABLE PURPOSES 50,000
    LAS VEGAS YOUNG ARTISTS ORCHESTRA
    75 N VALLE VERDE DR BLDG 3
    HENDERSON,NV89074     		  PC GENERAL CHARITABLE PURPOSES 50,000
    LETTER OF THE LAW
    111 LIVINGSTON ST STE 1928
    BROOKLYN,NY11201     		  PC GEBERAL CHARITABLE PURPOSES 100,000
    LUBAVITCH FOUNDATION OF LEXINGTON
    9 BURLINGTON ST
    LEXINGTON,MA02420     		  PC GENERAL CHARITABLE PURPOSES 18,000
    MAALEH ADUMIM FOUNDATION
    1430 BROADWAY RM 1804
    NEW YORK,NY10018     		  PC GENERAL CHARITABLE PURPOSES 20,000
    MACCABEE TASK FORCE FOUNDATION
    8363 W SUNSET RD STE 200
    LAS VEGAS,NV89110     		  PC GENERAL CHARITABLE PURPOSES 5,825,559
    MACHNE ISRAEL
    770 EASTERN PARKWAY
    BROOKLYN,NY11213     		  PC GENERAL CHARITABLE PURPOSES 10,000
    MAX STERN ACADEMIC COLLEGE
    NORTHERN DISTRICT
    YEZREEL VALLEY    
    IS     		  PC GENERAL CHARITABLE PURPOSES 10,000
    MIDDLE EAST MEDIA AND RESEARCH INSTITUTE
    1819 L ST NW 5TH FL
    WASHINGTON,DC20036     		  PC GENERAL CHARITABLE PURPOSES 250,000
    OSHMAN FAMILY JEWISH COMMUNITY CENTER
    3921 FABIAN WAY
    PALO ALTO,CA94303     		  PC GENERAL CHARITABLE PURPOSES 50,000
    REPORT
    100 SPRINGDALE RD STE A3
    CHERRY HILL,NJ08003     		  PC GENERAL CHARITABLE PURPOSES 135,000
    SMITH CENTER FOR THE PERFORMING ARTS
    241 W CHARLESTON BLVD SUITE 111
    LAS VEGAS,NV89102     		  PC GENERAL CHARITABLE PURPOSES 50,000
    STANFORD UNIVERSITY
    420 MONTGOMERY ST
    SAN FRANCISCO,CA94104     		  PC GENERAL CHARITABLE PURPOSES 200,000
    STOP STIGMA
    2 WASHINGTON WAY SUITE 2A
    LARCHMONT,NY10538     		  PC GENERAL CHARITABLE PURPOSES 30,000
    STUDENTS SUPPORTING ISRAEL
    16832 39TH AVE NORTH
    PLYMOUTH,MN55446     		  PC GENERAL CHARITABLE PURPOSES 25,000
    TEMPLE EMANUEL
    385 WARD ST
    NEWTON CENTRE,MA02459     		  PC GENERAL CHARITABLE PURPOSES 5,000
    THE ROCKEFELLER UNIVERSITY
    1230 YORK AVE BOX 164
    NEW YORK,NY10065     		  PC GENERAL CHARITABLE PURPOSES 100,000
    THIS WORLD JEWISH VALUES NETWORK
    394 PALISADES AVE
    ENGLEWOOD,CA07631     		  PC GENERAL CHARITABLE PURPOSES 500,000
    WE CARE FOUNDATION
    2216 S 6TH ST
    LAS VEGAS,NV89104     		  PC GENERAL CHARITABLE PURPOSES 5,000
    YEKIREI HATZALAR YEHUDA SHOMRON
    130 CHURH ST
    NEW YORK,NY10007     		  PC GENERAL CHARITABLE PURPOSES 42,000
    ZIONIST ORGANIZATION OF AMERICA
    4 EAST 34TH ST
    NEW YORK,NY10016     		  PC GENERAL CHARITABLE PURPOSES 500,000
    Total .................................bullet 3a 78,938,686
    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 ............     		         
    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 0 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    0
    (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
    ADELSON FAMILY FOUNDATION
     
    Employer identification number

    04-7024330
    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
    ADELSON FAMILY FOUNDATION
          		Employer identification number
    04-7024330
    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
    DR MIRIAM AND SHELDON G ADELSON CHARITABLE TRUST
     
    410 S RAMPART BLVD SUITE 440
     
    LAS VEGAS, NV89145

    		$ 44,219,489


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    DR MIRIAM AND SHELDON G ADELSON
     
    410 S RAMPART BLVD SUITE 440
     
    LAS VEGAS, NV89145

    		$ 5,482,738


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    PATRICK DUMONT
    410 S RAMPART BLVD SUITE 440
     
    LAS VEGAS, NV89145

    		$ 120,000


    (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.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    ADELSON FAMILY FOUNDATION
          		Employer identification number

    04-7024330
    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
     
    		$    
    (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
    ADELSON FAMILY FOUNDATION
          		Employer identification number

    04-7024330
    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:  

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

    TY 2021 DepreciationSchedule
    Name:
    ADELSON FAMILY FOUNDATION
    EIN:
    04-7024330
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    COMPUTER EQUIPMENT 2017-04-17 3,415 2,391 SL 5.000000000000 683 0 683  
    OFFICE FURNITURE 2017-05-11 1,250 626 SL 7.000000000000 179 0 179  
    COMPUTER EQUIPMENT 2018-01-01 2,347 1,407 SL 5.000000000000 469 0 0  

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

    TY 2021 ExpenditureResponsibilityStmt
    Name:
    ADELSON FAMILY FOUNDATION
    EIN:
    04-7024330
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    HASHOMER HACHADASH
          		ATZMON ST POB 691
    UPPER NAZARETH    
    IS     		2021-06-14 42,000 CHARITABLE PURPOSES   NO PERIODIC UPDATES   AFF MADE A 2021 CONTRIBUTION TO HASHOMER HACHADASH, A CHARITABLE ENTITY IN ISRAEL. AFF MAINTAINS EXPENDITURE RESPONSIBILITY FOR THE GRANT PURSUANT TO REGULATION SEC. 53-4945-5(D). ALL FUNDS HAVE BEEN USED FOR CHARITABLE PURPOSES.
    ARIEL UNIVERSITY
          		RAMAT HAGOLAN 65
    ARIEL    
    IS     		2021-03-19 14,400,000 CHARITABLE PURPOSES   NO PERIODIC UPDATES   AFF MADE A 2021 CONTRIBUTION TO ARIEL UNIVERSITY, A CHARITABLE ENITY IN ISRAEL. AFF MAINTAINS EXPENDITURE RESPONSIBILITY FOR THE GRANT PURSUANT TO REGULATION SEC. 53.4945-5(D). ALL FUNDS HAVE BEEN USED FOR CHARITABLE PURPOSES.
    MAX STERN ACADEMIC COLLEGE
          		NORTHERN DISTRICT
    YEZREEL VALLEY    
    IS     		2021-09-17 10,000 CHARITABLE PURPOSES   NO PERIODIC UPDATES   AFF MADE A 2021 CONTRIBUTION TO THE MAX STERN ACADEMIC COLLEGE, A CHARITABLE ENTITY IN ISRAEL. AFF MAINTAINS EXPENDITURE RESPONSIBILITY FOR THE GRANT PURSUANT TO REGULATION SECITON 53.4945-5(D). ALL FUNDS HAVE BEEN USED FOR CHARITABLE PURPOSES.

    TY 2021 ExplnOfNonFilingWithAGStmt
    Name:
    ADELSON FAMILY FOUNDATION
    EIN:
    04-7024330
    Statement:
    NOT REQUIRED TO FILE WITH NEVADA ATTORNEY GENERAL

    TY 2021 LandEtcSchedule2
    Name:
    ADELSON FAMILY FOUNDATION
    EIN:
    04-7024330
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    COMPUTER EQUIPMENT 3,415 3,074 341 341
    OFFICE FURNITURE 1,250 805 445 445
    COMPUTER EQUIPMENT 2,347 1,876 471 471


    TY 2021 LegalFeesSchedule
    Name:
    ADELSON FAMILY FOUNDATION
    EIN:
    04-7024330
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MILLBANK, TWEED, HADLEY & MCCLOY 37,134 0 0 37,134
    SKLAR, WILLIAMS 6,850 0 0 6,850
    MEITER, LIQUORNIK 15,470 0 0 15,470


    TY 2021 OtherExpensesSchedule
    Name:
    ADELSON FAMILY FOUNDATION
    EIN:
    04-7024330
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INSURANCE 6,950 0 0 6,950
    TELECOMMUNICATIONS 696 0 0 696
    CELLPHONES 1,005 0 0 1,005
    BANK FEES 7,703 0 0 7,703
    OFFICE SUPPLIES 373 0 0 373
    MEALS 87 0 0 87
    MEMBERSHIP, DUES, SUBSCRIPTIONS 17,462 0 0 17,462
    SHARED SERVICES 535,495 0 0 535,495
    OPERATING MISCELLANEOUS 20,801 0 0 20,801


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    ADELSON FAMILY FOUNDATION
    EIN:
    04-7024330
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CYBERGRANTS 3,140 0 0 3,140


    TY 2021 TaxesSchedule
    Name:
    ADELSON FAMILY FOUNDATION
    EIN:
    04-7024330
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MA FORM PC TAX EXPENSE 1,000 0 0 1,000