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
SAMUEL ABA AND SISEL KLURMAN
FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)4601 SHERIDAN STREET 500
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
HOLLYWOOD, FL33021
A Employer identification number

59-2532272
B Telephone number (see instructions)

(954) 985-2400
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$8,801,621J 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) 63,600
2 Check bullet.............
3 Interest on savings and temporary cash investments 745 745  
4 Dividends and interest from securities... 11,944 11,944  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 190,131
b Gross sales price for all assets on line 6a 246,417
7 Capital gain net income (from Part IV, line 2)... 190,131
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 111,496 127,715  
12 Total. Add lines 1 through 11........ 377,916 330,535  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 24,055 0   0
c Other professional fees (attach schedule)....        
17 Interest............... 187 187   0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 12 0   0
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 1,563 247   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 25,817 434   0
25 Contributions, gifts, grants paid....... 426,194 426,194
26 Total expenses and disbursements. Add lines 24 and 25 452,011 434   426,194
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -74,095
b Net investment income (if negative, enter -0-) 330,101
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 82,814 86,161 86,161
2 Savings and temporary cash investments......... 4,582,608 4,199,358 4,199,358
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)....... 302,010 Click to see attachment519,989 568,998
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).......... 3,309,578 Click to see attachment3,350,024 3,947,104
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment5,826 Click to see attachment0 Click to see attachment0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 8,282,836 8,155,532 8,801,621
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) Click to see attachment172,159 Click to see attachment116,522
23 Total liabilities (add lines 17 through 22)......... 172,159 116,522
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 8,110,677 8,039,010
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 8,110,677 8,039,010
30 Total liabilities and net assets/fund balances (see instructions). 8,282,836 8,155,532
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
8,110,677
2
Enter amount from Part I, line 27a .....................
2
-74,095
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2,495
4
Add lines 1, 2, and 3 ..........................
4
8,039,077
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
67
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
8,039,010
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 GC DADELAND LLC P    
b KAWA CANADIAN PREFERRED OFFSHORE P    
c TD AMERITRADE-PUBLICLY TRADED SECURITIES      
d TD AMERITRADE-CAPITAL GAIN DISTRIBUTIONS      
e ENERGY TRANSFER LP P    
(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 157,582     157,582
b 88,775   56,250 32,525
c 33   36 -3
d 26     26
e 1     1
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       157,582
b       32,525
c       -3
d       26
e       1
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 2 190,131
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 4,588
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 4,588
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 11,015
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 11,015
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 6,427
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet6,427 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletFL
    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 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 ofbulletZIPORA BEN-AVIV Telephone no.bullet (954) 985-2400

    Located atbullet4601 SHERIDAN STREET SUITE 500HOLLYWOODFL ZIP+4bullet33021
    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
    Yes
     
    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
     
    No
    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
    ZIPORA BEN AVIV PRES/DIR
    1.00     		0 0 0
    9999 COLLINS AVENUE APT 5A
    BAL HARBOR,FL33154
    MATAN BEN-AVIV VP/DIR
    1.00     		0 0 0
    4601 SHERIDAN STREET SUITE 500
    HOLLYWOOD,FL33021
    HARVEY L LICHTMAN SEC/TREAS
    1.00     		0 0 0
    975 NE 174TH STREET
    NORTH MIAMI BEACH,FL33162
    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 N/A 0
    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
    3,987,124
    b
    Average of monthly cash balances.......................
    1b
    4,061,887
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,049,011
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    8,049,011
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    120,735
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    7,928,276
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    396,414
    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
    396,414
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,588
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,588
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    391,826
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    391,826
    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
    391,826
    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 7 391,826
    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......  
    b From 2017......  
    c From 2018......  
    d From 2019...... 1,491
    e From 2020...... 60,892
    f Total of lines 3a through e ........ 62,383
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 426,194
    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..... 391,826
    e Remaining amount distributed out of corpus 34,368
    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 96,751
    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) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		96,751
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019.... 1,491
    d Excess from 2020.... 60,892
    e Excess from 2021.... 34,368
    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
    770 MOSHIACH COMMUNITY CENTER
    4538 INVERRARY BLVD
    LAUDERHILL,FL33319     		NONE PUBLIC SOCIAL WELFARE 1,800
    AISH HATORAH
    4010 N 46 AVE
    HOLLYWOOD,FL33021     		NONE PUBLIC SOCIAL WELFARE 7,000
    ALZHEIMERS ASSOCIATION
    800 NORTHPOINT PARKWAY STE 101B
    WEST PALM BEACH,FL33407     		NONE PUBLIC MEDICAL ADVANCEMENT AND WELFARE 100
    AMERICAN CANCER SOCIETY
    3350 NW BOCA RATON BLVD
    WEST PALM BEACH,FL33431     		NONE PUBLIC MEDICAL ADVANCEMENT AND WELFARE 100
    AMERICAN COMMITTEE FOR SHAARE ZEDEK
    3275 W HILLSBORO BLVD STE 200
    DEERFIELD BEACH,FL33442     		NONE PUBLIC MEDICAL ADVANCEMENT AND WELFARE 15,000
    ANSHEI LUBAVITCH OF GREATER MIAMI
    2049 N BAY RD
    MIAMI BEACH,FL33140     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 400
    BAR ILAN UNIVERSITY OF ISRAEL
    160 EAST 56TH STREET
    NEW YORK,NY10022     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 5,000
    BIRTHRIGHT ISRAEL FOUNDATION
    711 3RD AVE STE 10
    NEW YORK,NY10017     		NONE PUBLIC SOCIAL WELFARE 1,800
    BONEI OLAM
    1755 46TH ST
    BROOKLYN,NY11204     		NONE PUBLIC SOCIAL WELFARE 1,000
    BRAUSER MAIMONIDES ACADEMY
    5300 SW 40 AVE
    HOLLYWOOD,FL33314     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 5,000
    CHABAD HOUSE MIAMI BEACH (MEALS ON WHEELS)
    669 N LINCOLN LANE
    MIAMI BEACH,FL33139     		NONE PUBLIC SOCIAL WELFARE 2,000
    CHABAD IN SOUTH BEACH
    320 MERIDIAN AVE
    MIAMI BEACH,FL33139     		NONE PUBLIC SOCIAL WELFARE 1,500
    CONG KHAL TZEMACH TZADIK VIZNITZ
    1231-51 ST
    BROOKLYN,NY11219     		NONE PUBLIC SOCIAL WELFARE 200,000
    DOR YESHURIM
    309 RUTLEDGE ST
    BROOKLYN,NY11211     		NONE PUBLIC MEDICAL ADVANCEMENT AND WELFARE 1,000
    EMORY INSTITUTE STUDY OF MODERN ISRAEL
    537 KILGO CIRCLE
    ATLANTA,GA30322     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 1,000
    FRIENDS OF ASOR
    209 COMMERCE ST
    ALEXANDRIA,VA22314     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 10,000
    FRIENDS OF ISRAEL DEFENSE FORCES
    2040 NE 163 ST STE 207
    NORTH MIAMI BEACH,FL33162     		NONE PUBLIC SOCIAL WELFARE 18,000
    FRIENDS OF LUBAVITCH OF FLORIDA
    17330 NW 7 AVE
    MIAMI,FL33169     		NONE PUBLIC SOCIAL WELFARE 1,800
    GREATER MIAMI JEWISH FEDERATION
    4200 BISCAYNE BLVD
    MIAMI,FL33137     		NONE PUBLIC SOCIAL WELFARE 40,144
    HACHNOSSOS KALLAH OF GREATER MIAMI
    1400 LENOX AVE
    MIAMI BEACH,FL33139     		NONE PUBLIC SOCIAL WELFARE 15,000
    JEWISH ADOPTION & FOSTER CARE OPTIONS (JAFCO)
    4200 N UNIVERSITY DR
    SUNRISE,FL33351     		NONE PUBLIC SOCIAL WELFARE 2,800
    JEWISH LEARNING CENTER DBA KESHER
    18900 NE 25 AVE
    NORTH MIAMI BEACH,FL33180     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 1,500
    MAZON A JEWISH RESPONSE TO HUNGER
    10850 WILSHIRE BLVD STE 400
    LOS ANGELES,CA90024     		NONE PUBLIC SOCIAL WELFARE 2,000
    MESIVTA BEVET CHAZON-ISH
    8210-21 AVENUE
    BROOKLYN,NY11236     		NONE PUBLIC SOCIAL WELFARE 10,000
    MOUNT SINAI MEDICAL CENTER FOUNDATION
    4300 ALTON ROAD
    MIAMI BEACH,FL33140     		NONE PUBLIC MEDICAL ADVANCEMENT AND WELFARE 7,500
    PET ALLIANCE OF GREATER ORLANDO
    2727 CONROY RD
    ORLANDO,FL32839     		NONE PUBLIC SOCIAL WELFARE 1,000
    RABBINICAL SEMINARY OF AMERICA
    76-01 147 STREET
    FLUSHING,NY11367     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 3,600
    SOREF JEWISH COMMUNITY CENTER
    6501 W SUNRISE BLVD
    PLANTATION,FL33313     		NONE PUBLIC SOCIAL WELFARE 850
    THE FAMILY SHUL
    5200 SW 38 WAY
    FT LAUDERDALE,FL33312     		NONE PUBLIC SOCIAL WELFARE 7,200
    TOMCHEI SHABBOS OF NORTH MIAMI BEACH
    951 NE 167 ST
    NORTH MIAMI BEACH,FL33162     		NONE PUBLIC SOCIAL WELFARE 1,000
    US FRIENDS MENACHEM BEGIN HERITAGE FDTN
    4525 SAGUARO TRI
    INDIANAPOLIS,IN46268     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 1,000
    WIZO - YONIT
    1150 KANE CONCOURSE 5TH FL
    BAY HARBOR ISLANDS,FL33154     		NONE PUBLIC SOCIAL WELFARE 10,000
    WOUNDED WARRIORS PROJECT
    PO BOX 758516
    TOPEKA,KS66675     		NONE PUBLIC SOCIAL WELFARE 100
    YESHIVA TORAS CHAIMTORAS EMES ACADEMY
    1025 NE MIAMI GARDENS DR
    MIAMI,FL33179     		NONE PUBLIC EDUCATIONAL ADVANCEMENT 50,000
    Total .................................bullet 3a 426,194
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 745  
    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 ............     		    18 190,131  
    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) .. 0 314,316 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    314,316
    (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.)
    1 N/A
    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
    SAMUEL ABA AND SISEL KLURMAN
    FOUNDATION INC
    Employer identification number

    59-2532272
    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
    SAMUEL ABA AND SISEL KLURMAN
    FOUNDATION INC         		Employer identification number
    59-2532272
    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
    DEBBIE KLURMAN 1994 TRUST
     
    4601 SHERIDAN STREET SUITE 500
     
    HOLLYWOOD, FL33021

    		$ 60,000


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

    		$  


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

    		$  


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

    		$  


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

    		$  


    (Complete Part II for noncash contributions.)
    (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
    SAMUEL ABA AND SISEL KLURMAN
    FOUNDATION INC         		Employer identification number

    59-2532272
    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
    SAMUEL ABA AND SISEL KLURMAN
    FOUNDATION INC         		Employer identification number

    59-2532272
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 24,055 0   0

    TY 2021 ExplnOfNonFilingWithAGStmt
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Statement:
    THIS ORGANIZATION IS EXEMPT FROM FURNISHING THE FLORIDA ATTORNEY GENERAL'S OFFICE WITH A COPY OF 990-PF IN ACCORDANCE WITH CHAPTER 496 OF THE FLORIDA STATUTES.

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AMERICAN EXPRESS 11,745 24,540
    AT&T INC 30,484 24,600
    GENERAL ELECTRIC 5,007 2,362
    BANK OF AMERICA CORPORATION 26,547 44,490
    CORTEVA INC 9,547 15,744
    DOW INC 51,497 52,920
    DUPONT DE NEMOURS INC 27,360 26,900
    PHILIP MORRIS INTL INC 7,066 9,500
    WELLS FARGO & COMPANY 46,317 47,980
    BERKSHIRE HATHAWAY 17,500 29,900
    COCA COLA CO 25,102 35,526
    MERCK & CO INC 15,112 15,328
    PFIZER INC 22,025 35,430
    VANGUARD 5,944 6,357
    ARK ETF TR INNOVATION ETF 11,387 9,459
    AMAZON COM INC 34,230 33,343
    ENERGY TRANSFER LP 13,780 16,460
    GLAXOSMITHKLINE ADR SPONSORED 11,325 13,230
    MADISON SQUARE GARDEN ENTERTAINMENT 10,640 8,441
    MGM GROWTH PROPERTIES LLC 9,250 10,213
    ORGANON & CO 757 609
    PAYPAL HOLDINGS 61,127 47,145
    SCOTTS MIRACLE-GRO COMPANY 11,051 12,075
    VANGUARD INF TECH ETF 4,278 4,582
    VERIZON COMMUNICATIONS 19,880 18,186
    VIMEO INC 7,596 2,748
    VORNADO REALTY TRUST 23,435 20,930

    TY 2021 InvestmentsOtherSchedule2
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ADLER KAWA RE FUND II, LLC AT COST 35,115 44,883
    ADLER KAWA LEASEHOLD PORTFOLIO I, LLC AT COST 175,191 442,093
    GC DADELAND, LLC AT COST 3,453 3,453
    GF OPP CARE-CARDIO, LLC AT COST 158 158
    GF PRESBY, LLC AT COST 8,846 8,846
    GF VISION, LLC AT COST 1,652,581 1,719,720
    GF VISION II, LLC AT COST 145,673 145,673
    KFAB, LLC AT COST 49,537 49,537
    ADLER KAWA RE FUND III, LLC AT COST 135,377 326,848
    ADLER US PROPERTY IV INVESTORS AT COST 955,000 1,016,800
    KCP NNN OFFSHORE FUND II AT COST 189,093 189,093

    TY 2021 OtherAssetsSchedule
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    2020 DISTRIBUTION DUE FROM OPPENHEIMER PRIVATE EQUITY FUND 5,826 0 0


    TY 2021 OtherDecreasesSchedule
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Description Amount
    BOOK/TAX DIFFERENCES 67


    TY 2021 OtherExpensesSchedule
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE REPRESENTATION, FILLING FEES AND ANNUAL REPORT 185 0   0
    DUES AND SUBSCRIPTIONS 95 0   0
    OTHER DEDUCTIONS FROM PASS THROUGH ENTITIES 493 247   0
    GC DADELAND EXPENSES 750 0   0
    MISCELLANEOUS FEES - TD AMERITRADE 40 0   0


    TY 2021 OtherIncomeSchedule2
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    REBATES FROM ADLER KAWA RE FUNDS 15,030 15,030 15,030
    DIVIDENDS FROM PASS THROUGH ENTITIES 65,982 65,982 65,982
    INTEREST FROM PASS THROUGH ENTITIES 17,116 17,116 17,116
    RENTAL INCOME FROM PASS THROUGH ENTITIES 32,588 48,907 32,588
    ORDINARY INCOME FROM PASS THROUGH ENTITIES -19,220 -19,320 -19,220


    TY 2021 OtherIncreasesSchedule
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Description Amount
    PY ADJUSTMENT TO INCOME 2,495


    TY 2021 OtherLiabilitiesSchedule
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Description Beginning of Year - Book Value End of Year - Book Value
    MISCELLANEOUS 7,193 1,981
    AMERICAN EXPRESS GREEN 97,900 45,000
    OTHER INVESTMENTS WITH NEGATIVE BOOK VALUES 67,066 69,541


    TY 2021 TaxesSchedule
    Name:
    SAMUEL ABA AND SISEL KLURMAN
     
    FOUNDATION INC
    EIN:
    59-2532272
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN INCOME TAX PAID-TD AMERITRADE 12 0   0