Form990-PF
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Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
BURTON&ROSE KAHN FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)5353 FISHER ISLAND DRIVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MIAMI, FL33109
A Employer identification number

31-6658391
B Telephone number (see instructions)

(305) 261-2181
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$654,179J 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) 20,000
2 Check bullet.............
3 Interest on savings and temporary cash investments 34 34  
4 Dividends and interest from securities... 3,920 3,920  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 44,003
b Gross sales price for all assets on line 6a 1,155,404
7 Capital gain net income (from Part IV, line 2)...  
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........ 67,957 3,954  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 226 226    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 226 226   0
25 Contributions, gifts, grants paid....... 32,750 32,750
26 Total expenses and disbursements. Add lines 24 and 25 32,976 226   32,750
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 34,981
b Net investment income (if negative, enter -0-) 3,728
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.............      
2 Savings and temporary cash investments......... 300,622 471,837 471,837
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)....... 330,300 Click to see attachment182,342 182,342
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 bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 630,922 654,179 654,179
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
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........... 630,922 654,179
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)..... 630,922 654,179
30 Total liabilities and net assets/fund balances (see instructions). 630,922 654,179
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
630,922
2
Enter amount from Part I, line 27a .....................
2
34,981
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
665,903
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
11,724
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
654,179
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  
3 Add lines 1 and 2........................... 3 52
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 52
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 172
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 172
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
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 10 120
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet120 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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 .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletNA
    14
    The books are in care ofbulletMARC KAHN Telephone no.bullet (305) 261-2181

    Located atbullet5353 FISHER ISLAND DRIVEMIAMIFL ZIP+4bullet33109
    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
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    MARC KAHN SECRETARY
    000.00     		0 0 0
    5353 FISHER ISLAND DRIVE
    MIAMI,FL33109
    JANE K GOLDBERG OFFICER
    000.00     		0 0 0
    5353 FISHER ISLAND DRIVE
    MIAMI,FL33109
    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  
    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.............bullet  
    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  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    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
    268,210
    b
    Average of monthly cash balances.......................
    1b
    425,089
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    693,299
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    693,299
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    10,399
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    682,900
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    34,145
    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
    34,145
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    52
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    52
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    34,093
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    34,093
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    34,093
    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 34,093
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 1,898
    b From 2017...... 900
    c From 2018...... 1,090
    d From 2019...... 1,180
    e From 2020...... 1,691
    f Total of lines 3a through e ........ 6,759
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 32,750
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2021 distributable amount..... 32,750
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2021. 1,343 1,343
    (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 5,416
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    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......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    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) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		555
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		4,861
    10 Analysis of line 9:
    a Excess from 2017.... 900
    b Excess from 2018.... 1,090
    c Excess from 2019.... 1,180
    d Excess from 2020.... 1,691
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    MARC KAHN
    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
    ALEX'S LEMONADE STAND FOUNDATION
    111 PRESEIDENTIAL BLVD
    STE 203
    BALACYNWYD,PA19004     		  EXEMPT CHARITABLE 250
    ALS ASSOCIATION
    1275 K STREET NW
    SUITE 250
    WASHINGTON,DC20005     		  EXEMPT CHARITABLE 250
    ALZHEIMER'S ASSOCIATION
    1175 NE 125TH STREET
    SUITE 600
    NORTH MIAMI,FL33161     		  EXEMPT CHARITABLE 1,000
    ALZHEIMER'S DISEASE RESEARCH
    22512 GATEWAY CENTER DR
    CLARKSBURG,MD20871     		  EXEMPT CHARITABLE 1,000
    ALZHEIMER'S FD OF AMERICA INC
    322 EIGHTH AVENUE
    7TH FLOOR
    NEW YORK,NY10001     		  EXEMPT CHARITABLE 2,000
    AMERICAN CANCER SOCIETY
    PO BOX 22478
    OKLAHOMA CITY,OK73123     		  EXEMPT CHARITABLE 250
    AMERICAN FRIENDS OF MAGEN DAVID ADO
    4371 NORTHLAKE BLVD
    361
    PALM BEACH GARDENS,FL33410     		  EXEMPT CHARITABLE 250
    AMERICAN HEART ASSOCIATION
    7272 GREENVILLE AVE
    DALLAS,TX75231     		  EXEMPT CHARITABLE 250
    AMERICAN KIDNEY FUND
    11921 ROCKVILLE PIKE
    SUITE 300
    ROCKVILLE,MD20852     		  EXEMPT CHARITABLE 250
    AMERICAN LUNG ASSOCIATION
    2020 S ANDREWS AVE
    FORT LAUDERDALE,FL33316     		  EXEMPT CHARITABLE 250
    AMERICAN PARKINSON'S FOUNDATION
    200 SE 1ST
    STE 800
    MIAMI,FL33131     		  EXEMPT CHARITABLE 250
    ANTI-DEFAMATION LEAGUE
    ADL
    605 THIRD AVENUE
    NEW YORK,NY10158     		  EXEMPT CHARITABLE 250
    ARTHRITIS FOUNDATION
    1355 PEACHTREE ST NE
    STE 600
    ATLANTA,GA30309     		  EXEMPT CHARITABLE 250
    ASPCA
    1320 NW 62ND ST
    MIAMI,FL33147     		  EXEMPT CHARITABLE 100
    AUTISM SPEAKS
    5805 BLUE LAGOON DR
    STE 170
    MIAMI,FL33126     		  EXEMPT CHARITABLE 400
    BIG BROTHERSBIG SISTERS
    550 NW 42ND AVE
    MIAMI,FL33126     		  EXEMPT CHARITABLE 250
    BOY'S TOWN
    14100 CRAWFORD STREET
    BOYS TOWN,NE68010     		  EXEMPT CHARITABLE 200
    CDC FOUNDATION
    PO BOX 117300
    ATLANTA,GA30368     		  EXEMPT CHARITABLE 250
    CHAPMAN PARTNERHSIP
    1550 N MIAMI AVE
    MIAMI,FL33136     		  EXEMPT CHARITABLE 250
    CONQUER CANCER
    2318 MILL RD
    ALEXANDRIA,VA22314     		  EXEMPT CHARITABLE 250
    COVENANT HOUSE
    733 BREAKERS AVE
    FORT LAUDERDALE,FL33304     		  EXEMPT CHARITABLE 250
    CROHN'S COLITIS FOUNDATION
    733 THIRD AVE
    SUITE 510
    NEW YORK,NY10017     		  EXEMPT CHARITABLE 250
    CURE ALZHEIMERS FUND
    34 WASHINGTON ST
    STE 310
    WELLESLEY HILLS,MA02481     		  EXEMPT CHARITABLE 500
    CYSTIC FIBROSIS FOUNDATION
    6931 ARLINGTON ROAD
    SUITE 200
    BETHESDA,MD20814     		  EXEMPT CHARITABLE 500
    DIABETES RESEARCH INSTITUTE FDTN
    200 S PARK ROAD
    SUITE 100
    HOLYWOOD,FL33021     		  EXEMPT CHARITABLE 1,000
    DIRECT RELIEF
    100 WALLACE BECKNELL ROAD
    SANTA BARBARA,CA93117     		  EXEMPT CHARITABLE 250
    DOCTORS WITHOUT BORDERS
    333 37TH AVENUE
    NEW YORK,NY10001     		  EXEMPT CHARITABLE 250
    EASTER SEALS OF SOUTH FLORIDA
    1475 NW 14TH AVENUE
    MIAMI,FL33125     		  EXEMPT CHARITABLE 250
    FEEDING AMERICA
    161 NORTH CLARK STREET
    SUITE 700
    CHICAGOO,IL60601     		  EXEMPT CHARITABLE 250
    FEED THE CHILDREN
    333 N MERIDIAN AVE
    OKLAHOMA,OK73107     		  EXEMPT CHARITABLE 550
    FEEDING SOUTH FLORIDA
    2501 SW 32 TERRACE
    PEMBROKE PARK,FL33023     		  EXEMPT CHARITABLE 250
    GILDA'S CLUB SOUTH FLORIDA
    119 ROSE DR
    FORT LAUDERDALE,FL33316     		  EXEMPT CHARITABLE 250
    GREATER MIAMI JEWISH FED
    4200 BISCAYNE BLVD
    MIAMI,FL33137     		  EXEMPT CHARITABLE 1,000
    HABITAT FOR HUMANITY INT
    270 PEACHTREE STREET NW
    SUITE 1300
    ATLANTA,GA30303     		  EXEMPT CHARITABLE 250
    HERALD CHARITIES INC
    11410 NW 20TH ST
    STE 222
    MIAMI,FL33172     		  EXEMPT CHARITABLE 250
    HOLOCAUST DOC & EDU CENTER
    303 N FEDERAL HWY
    DANIA BEACH,FL33004     		  EXEMPT CHARITABLE 400
    HUMANE SOCIETY
    2720 S DIXIE HWY
    MIAMI,FL33133     		  EXEMPT CHARITABLE 250
    INTL FELLOWSHIP OF CHRISTIANS AND J
    30 N L STASALLE
    STE 4300
    CHICAGO,IL60602     		  EXEMPT CHARITABLE 250
    JAFCO
    5100 N NOB HILL ROAD
    SUNRISE,FL33351     		  EXEMPT CHARITABLE 500
    JOE DIMAGGIO CHILDRENS HOSPITAL
    1150 N 35TH AVE
    STE 345
    HOLLYWOOD,FL33021     		  EXEMPT CHARITABLE 300
    LEUKEMIA & LYMPHOMA SOCIETY
    3440 HOLLYWOOD BLVD
    STE 150
    HOLLYWOOD,FL33021     		  EXEMPT CHARITABLE 250
    LIFE ALLIANCE
    1951 NW 7TH AVE
    STE 220
    MIAMI,FL33136     		  EXEMPT CHARITABLE 250
    LOTUS HOUSE
    1514 NW 2ND AVENUE
    SUITE 1
    MIAMI,FL33136     		  EXEMPT CHARITABLE 250
    LUPUS FOUNDATION OF AMERICA
    2121 K STREET NW
    SUITE 200
    WASHINGTON,DC20037     		  EXEMPT CHARITABLE 200
    MAKE A WISH FOUNDATION
    4491 STATE ROAD 7
    SUITE 201
    FT LAUDERDALE,FL33314     		  EXEMPT CHARITABLE 250
    MARINE TOYS FOR TOTS FDN
    18650 NW 62ND AVE
    HIALEAH,FL33015     		  EXEMPT CHARITABLE 250
    MEALS ON WHEELS AMERICA
    1110 W CROSS ST
    YPSILANTI,MI48197     		  EXEMPT CHARITABLE 300
    MERCY CORPS
    45 SW ANKENY ST
    PORTLAND,OR97204     		  EXEMPT CHARITABLE 250
    MIAMI FOUNDATION
    40 NW 3RD ST
    STE 305
    MIAMI,FL33128     		  EXEMPT CHARITABLE 2,250
    MIAMI LIGHTHOUSE FOR THE BLIND
    601 SW 8TH AVENUE
    MIAMI,FL33130     		  EXEMPT CHARITABLE 250
    MIAMI PROJECT TO CURE PARALYSIS
    1095 NW 14TH TERRACE
    LOIS POPE LIFE CTR
    MIAMI,FL33136     		  EXEMPT CHARITABLE 400
    MIAMI RESCUE MISSION
    2020 NW 1ST AVE
    MIAMI,FL33127     		  EXEMPT CHARITABLE 100
    MICHAEL J FOX FOUNDATION
    PO BOX 4777
    NEW YORK,NY10163     		  EXEMPT CHARITABLE 700
    NATIONAL CHILDRENS CANCER SOCIETY
    500 N BROADWAY
    STE 1850
    SINT LOUIS,MO63102     		  EXEMPT CHARITABLE 250
    NATIONAL FOUNDATION CANCER RESEARCH
    5515 SECURITY LN
    ROCKVILLE,MD20852     		  EXEMPT CHARITABLE 250
    NATIONAL PEDIATRIC CANCER FDTN
    5550 WEST EXECUTIVE DR
    SUITE 200
    TAMPA,FL33609     		  EXEMPT CHARITABLE 250
    OPERATION SMILE
    3641 FACULTY BOULEVARD
    VIRGINIA BEACH,VA23453     		  EXEMPT CHARITABLE 250
    ORBIS INTERNATIONAL
    52 VANDERBILT AVENUE
    8TH FLOOR
    NEW YORK,NY10017     		  EXEMPT CHARITABLE 250
    OXFAM AMERICA
    226 CAUSEWAY ST
    5TH FLOOR
    BOSTON,MA02114     		  EXEMPT CHARITABLE 250
    PARKINSON'S FOUNDATION
    200 SE 1ST STREET
    STE 800
    MIAMI,FL33131     		  EXEMPT CHARITABLE 250
    PERKINS SCHOOL FOR THE BLIND FOUNDA
    175 N BEACON ST
    WATERTOWN,MA02472     		  EXEMPT CHARITABLE 250
    PREVENT CANCER FOUNDATION
    1600 DUKE ST
    ALEXANDRIA,VA22314     		  EXEMPT CHARITABLE 250
    PROJECT HOPE
    2801SOMERSET DRIVE
    STE G401
    LAUDERDALE LAKES,FL33311     		  EXEMPT CHARITABLE 250
    ROBINHOOD FOUNDATION
    826 BROADWAY
    9TH FLOOR
    NEW YORK,NY10003     		  EXEMPT CHARITABLE 250
    RONALD MCDONALD HOUSE
    1145 NW 14TH TER
    MIAMI,FL33136     		  EXEMPT CHARITABLE 300
    SAVE THE CHILDREN
    PO BOX 97132
    WASHINGTON,DC20090     		  EXEMPT CHARITABLE 250
    SHRINERS HOSPITALS FOR CHILDREN
    2900 N ROCKY POINT DR
    TAMPA,FL33607     		  EXEMPT CHARITABLE 400
    SMILE TRAIN
    41 MADISON AVE
    28TH FLOOR
    NEW YORK,NY10010     		  EXEMPT CHARITABLE 250
    SOUTH FLORIDA PBS
    14901 NE 20TH AVE
    NORTH MIAMI,FL33181     		  EXEMPT CHARITABLE 200
    SPECIAL OLYMPICS
    1133 19TH STREET NW
    WASHINGTON,DC20036     		  EXEMPT CHARITABLE 100
    ST JUDE CHILDRENS RESEARCH HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105     		  EXEMPT CHARITABLE 1,000
    STUTTERING ASSOC FOR THE YOUNG
    247 WEST 37TH STREET
    5TH FLOOR
    NEW YORK,NY10018     		  EXEMPT CHARITABLE 250
    SYLVESTER COMPREHENSIVE CANCER CTR
    1475 NW 12TH AVENUE
    MIAMI,FL33136     		  EXEMPT CHARITABLE 500
    THE HOLE IN THE WALL GANG CAMP
    555 LONG WHARF DRIVE
    NEW HAVEN,CT06511     		  EXEMPT CHARITABLE 250
    THE KEY CLUBHOUSE OF SOUTH FLORIDA
    1400 NW 54TH STREET
    SUITE 102
    MIAMI,FL33142     		  EXEMPT CHARITABLE 250
    THE LUSTGARTEN FOUNDATION
    1111 STEWERT AVENUE
    BETHPAGE,NY11714     		  EXEMPT CHARITABLE 700
    THE SALVATION ARMY
    901 W FLAGLER ST
    STE 305
    MIAMI,FL33130     		  EXEMPT CHARITABLE 300
    THE USO
    PO BOX 96860
    WASHINGTON,DC20077     		  EXEMPT CHARITABLE 200
    TISCH MS RESEARCH CENTER OF NY
    521 W 57TH
    STE 4
    NEW YORK,NY10019     		  EXEMPT CHARITABLE 250
    UCP
    6601 SW 41ST ST
    DAVIE,FL33314     		  EXEMPT CHARITABLE 250
    UNITED MITOCHONDRIAL DISEASE FDTN
    UMDF
    8085 SALTSBURG ROAD
    SUITE 201
    PITTSBURGH,PA15239     		  EXEMPT CHARITABLE 250
    UNITED WAY OF MIAMI-DADE
    3250 SW 3RD AVE
    MIAMI,FL33129     		  EXEMPT CHARITABLE 500
    US HOLOCAUST MEMORIAL MUSEUM
    100 RAOUL WALLENBERG PL S
    WASHINGTON,DC20024     		  EXEMPT CHARITABLE 250
    WOUNDED WARRIOR PROJECT
    PO BOX 758517
    TOPEKA,KS66675     		  EXEMPT CHARITABLE 250
    B&G CLUBS OF BR COUNTY
    877 NW 61ST
    FORT LAUDERDALE,FL33309     		  EXEMPT CHARITABLE 250
    BE THE MATCH FOUNDATION
    3001 BRIADWAY ST NE
    MINNEAPOLIS,MN55413     		  EXEMPT CHARITABLE 250
    HUNTERS HOPE FOUNDATION
    21 PRINCETON PL
    ORCHARD PARK,NY14127     		  EXEMPT CHARITABLE 250
    GUIDE DOG FOR THE BLIND
    371 EAST JERICHO TURNPIKE
    SMITHTOWN,NY11787     		  EXEMPT CHARITABLE 250
    PROSTATE CANCER FOUNDATION
    1250 4TH ST
    SANTA MONICA,CA90401     		  EXEMPT CHARITABLE 250
    CAMILLUS HOUSE
    1603 NW 7TH AVE
    MIAMI,FL33136     		  EXEMPT CHARITABLE 150
    THE SEEING EYE
    PO BOX 375
    MORRISTOWN,NJ07963     		  EXEMPT CHARITABLE 250
    Total .................................bullet 3a 32,750
    bApproved for future payment
    Total .................................bullet 3b  
    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 ...........     		        34
    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 ............     		        44,003
    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) ..     47,957
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    47,957
    (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
    BURTON&ROSE KAHN FAMILY FOUNDATION
     
    Employer identification number

    31-6658391
    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
    BURTON&ROSE KAHN FAMILY FOUNDATION
          		Employer identification number
    31-6658391
    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
    MARC KAHN
    5353 FISHER ISLAND DRIVE
     
    MIAMI, FL33109

    		$ 20,000


    (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
    BURTON&ROSE KAHN FAMILY FOUNDATION
          		Employer identification number

    31-6658391
    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
    BURTON&ROSE KAHN FAMILY FOUNDATION
          		Employer identification number

    31-6658391
    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


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    TY 2021 GainLossSaleOtherAssetsSch
    Name:
    BURTON&ROSE KAHN FAMILY FOUNDATION
    EIN:
    31-6658391
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    SEE ATTACHED MORGAN STANLEY STMT-A/C   PURCHASE 2021-12   98,330 96,580     1,750  
    SEE ATTACHED MORGAN STANLEY STMT-A/C   PURCHASE 2021-12   1,057,074 1,014,821     42,253  

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    BURTON&ROSE KAHN FAMILY FOUNDATION
    EIN:
    31-6658391
    Name of Stock End of Year Book Value End of Year Fair Market Value
    BANK OF AMERICA CORP    
    BRISTOL MEYERS SQUIBB CO 62,350 62,350
    DOW INC    
    DUPONT DE NEMOURS INC 64,624 64,624
    GENERAL ELECTRIC CO 34,198 34,198
    ISHARES GLOBAL CLEAN 21,170 21,170
    VIACOMBS INC CL B    
    WELLS FARGO & CO    

    TY 2021 OtherDecreasesSchedule
    Name:
    BURTON&ROSE KAHN FAMILY FOUNDATION
    EIN:
    31-6658391
    Description Amount
    FEDERAL TAXES 250
    UNREALIZED LOSSES 11,474


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    BURTON&ROSE KAHN FAMILY FOUNDATION
    EIN:
    31-6658391
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MS FEES 226 226