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
CARL FORSTMANN MEMORIAL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)30 OLD MILL ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GREENWICH, CT06831
A Employer identification number

22-6042706
B Telephone number (see instructions)

(203) 629-2368
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$1,075,553J 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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 2,678 2,678  
4 Dividends and interest from securities... 12,822 12,822  
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 151,693
b Gross sales price for all assets on line 6a 293,869
7 Capital gain net income (from Part IV, line 2)... 151,693
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... 0    
12 Total. Add lines 1 through 11........ 167,193 167,193 0
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)......... 0      
b Accounting fees (attach schedule)....... 1,450      
c Other professional fees (attach schedule).... Click to see attachment 11,517 11,517    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 474      
19 Depreciation (attach schedule) and depletion... 0    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 3,374      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 16,815 11,517   0
25 Contributions, gifts, grants paid....... 76,000 76,000
26 Total expenses and disbursements. Add lines 24 and 25 92,815 11,517   76,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 74,378
b Net investment income (if negative, enter -0-) 155,676
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 1,232 4,445 4,445
2 Savings and temporary cash investments......... 7,726 21,887 21,887
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).....   0  
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet     0  
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)....... 793,314 Click to see attachment847,148 847,148
c Investments—corporate bonds (attach schedule)....... 167,443 Click to see attachment202,073 202,073
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   0  
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 969,715 1,075,553 1,075,553
Liabilities 17 Accounts payable and accrued expenses.......... 3,050 3,000
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe bullet) 0 0
23 Total liabilities (add lines 17 through 22)......... 3,050 3,000
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........... 966,665 1,072,553
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)..... 966,665 1,072,553
30 Total liabilities and net assets/fund balances (see instructions). 969,715 1,075,553
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
966,665
2
Enter amount from Part I, line 27a .....................
2
74,378
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
31,510
4
Add lines 1, 2, and 3 ..........................
4
1,072,553
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,072,553
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 8000 SH BROADCOM CORP P 2020-05-19 2021-01-15
b .50 SH LIBERTY BROADBAND P 2021-02-09 2021-02-26
c 9000 SH TRANSDIGM INC P 2020-09-11 2021-02-14
d 300 SH VANGUARD SHORT-TERM CORP BOND P 2021-10-28 2021-12-08
e 125 SH ALIBABA GROUP HLDG LTD P 2018-10-01 2021-12-23
10 SH ALPHABET INC P 2018-03-15 2021-07-08
200 SH APPLE INC P 2011-03-16 2021-01-28
250 SH APPLE INC P 2011-03-16 2021-07-08
50 SH APPLE INC P 2011-03-16 2021-12-08
200 SH CISCO SYSTEMS INC P 1997-09-29 2021-09-17
20 SH FACEBOOK INC P 2016-05-06 2021-07-08
30 SH FACEBOOK INC P 2016-05-06 2021-09-17
120 SH JP MORGAN CHASE & CO. P 2012-02-16 2021-12-08
10 SH LAM RESH CORP P 2020-04-07 2021-09-17
7000 SH MACQUARIE INFRASTURCTURE COP P 2020-06-12 2021-10-22
25 SH MID-AMERICA APARTMENT COMMUNITIES INC P 2020-08-13 2021-12-08
10 SH MONGODB INC P 2020-04-07 2021-09-17
40 SH ORGANON & CO P 2018-06-01 2021-06-10
8000 SH TWITTER INC P 2020-04-22 2021-09-15
5000 SH TWITTER INC P 2020-06-11 2021-09-15
150 SH VARIAN MED SYS INC P 2009-08-24 2021-02-01
20 SH ZSCALER INC P 2020-04-07 2021-11-10
25 SH ATLASSIAN CORP PLC P 2020-06-10 2021-09-17
21 SH REGENERON PHARMACEUTICALS P 2020-05-31 2021-01-05
(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 8,000 0 8,039 -39
b 74 0 74 0
c 9,146 0 9,050 96
d 24,369 0 24,599 -230
e 14,817 0 20,589 -5,772
25,885 0 11,459 14,426
27,572 0 2,429 25,143
35,865 0 3,036 32,829
8,718 0 607 8,111
11,316 0 1,644 9,672
6,934 0 2,372 4,562
10,916 0 3,558 7,358
19,293 0 4,508 14,785
6,061 0 2,519 3,542
7,000 0 6,420 580
5,451 0 2,891 2,560
5,072 0 1,298 3,774
1,211 0 1,143 68
8,000 0 8,000 0
5,000 0 5,000 0
26,404 0 5,365 21,039
6,747 0 1,237 5,510
10,055 0 4,263 5,792
9,963 0 12,076 -2,113
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 0 0 0 -39
b 0 0 0 0
c 0 0 0 96
d 0 0 0 -230
e 0 0 0 -5,772
0 0 0 14,426
0 0 0 25,143
0 0 0 32,829
0 0 0 8,111
0 0 0 9,672
0 0 0 4,562
0 0 0 7,358
0 0 0 14,785
0 0 0 3,542
0 0 0 580
0 0 0 2,560
0 0 0 3,774
0 0 0 68
0 0 0 0
0 0 0 0
0 0 0 21,039
0 0 0 5,510
0 0 0 5,792
0 0 0 -2,113
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 2 151,693
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 -2,286
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 2,164
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 2,164
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
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.............. Part VI Line 7 - Tax Paid with the Original Return: 0 7  
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 23
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,187
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 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)
    bullet
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletCHRISTINA GIAMMALVA Telephone no.bullet (203) 629-2368

    Located atbullet30 OLD MILL ROADGREENWICHCT ZIP+4bullet06831
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
     
    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
    CHRISTINA GIAMMALVA PRESIDENT
    2.00     		0 0 0
    30 OLD MILL ROAD
    GREENWICH,CT06831
    CECILY LYLE SECRETARY
    2.00     		0 0 0
    432 WRIGHTS NECK ROAD
    CENTREVILLE,MD21617
    VICTORIA ARNOLD TRUSTEE
    1.00     		0 0 0
    3800 N LAKE SHORE DR 4A
    CHICAGO,IL60613
    MIA MORAN TRUSTEE
    1.00     		0 0 0
    8 VALLEY ROAD
    ARLINGTON,MA02476
    SARAH LYLE TRUSTEE
    1.00     		0 0 0
    505 HIGH STREET
    CHESTERTOWN,MD21620
    STEPHEN LYLE TRUSTEE
    1.00     		0 0 0
    6 VARVICK STREET
    NEW YORK,NY10013
    ELISSA MORAN TRUSTEE
    1.00     		0 0 0
    536 LAKE AVENUE
    GREENWICH,CT06830
    STEVE WILSON ADVISOR
    1.00     		0 0 0
    200 CONQUEST FARM LANE
    CENTREVILLE,MD21617
    TONY FORSTMANN TRUSTEE
    1.00     		0 0 0
    200 GREENWICH AVENUE
    GREENWICH,CT06830
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................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
    1,004,989
    b
    Average of monthly cash balances.......................
    1b
    17,645
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,022,634
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,022,634
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    15,340
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,007,294
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    50,365
    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
    50,365
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    2,164
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,164
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    48,201
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    48,201
    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
    48,201
    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 48,201
    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...... 35,566
    b From 2017...... 27,675
    c From 2018...... 26,719
    d From 2019...... 31,519
    e From 2020...... 28,727
    f Total of lines 3a through e ........ 150,206
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 76,000
    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)........     		0
    d Applied to 2021 distributable amount..... 48,201
    e Remaining amount distributed out of corpus 27,799
    5 Excess distributions carryover applied to 2021.    
    (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 5 178,005
    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......     		 
    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) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		35,566
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		142,439
    10 Analysis of line 9:
    a Excess from 2017.... 27,675
    b Excess from 2018.... 26,719
    c Excess from 2019.... 31,519
    d Excess from 2020.... 28,727
    e Excess from 2021.... 27,799
    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
    BRIDGEPORT RESCUE MISSION
    PO BOX 9057
    BRIDGEPORT,CT06601     		  PC CHARITABLE CONTRIBUTION 1,000
    SEALEGACY
    181 SUNNINGDALE ROAD W
      181 SUNNINGDALE RV9K 2E8
    CA     		  PC CHARITABLE CONTRIBUTION 4,000
    CHESTERTOWN RIVER ARTS
    315 HIGH STREET STE 106
    CHESTERTOWN,MD21620     		  PC CHARITABLE CONTRIBUTION 5,000
    CHILDRENS HOME FOUNDATION
    PO BOX 11537
    HARRISBURG,PA17108     		  PC CHARITABLE CONTRIBUTION 6,000
    FUTURE 5
    135 ATLANTIC STREET
    STAMFORD,CT06901     		  PC CHARITABLE CONTRIBUTION 1,000
    GREENWICH COUNTRY DAY SCHOOL
    401 OLD CHURCH ROAD
    GREENWICH,CT06830     		  PC CHARITABLE CONTRIBUTION 1,000
    LAKOTA WALDORF SCHOOL
    PO BOX 279
    KYLE,SD57752     		  PC CHARITABLE CONTRIBUTION 8,000
    MONASTARY OF CHRIST IN THE DESERT
    PO BOX 270
    ABIQUIU,NM87510     		  PC CHARITABLE CONTRIBUTION 2,000
    NYAKA AIDS ORPHANS PROJECT
    2970 E LAKE LANSING RD
    EAST LANSING,MI48823     		  PC CHARITABLE CONTRIBUTION 3,000
    PACIFIC HOUSE
    137 HENRY STREET 205
    STAMFORD,CT06902     		  PC CHARITABLE CONTRIBUTION 1,000
    THE SISTERS OF LIFE
    20 CARDINAL HAYESPLACE
    NEW YORK,NY10007     		  PC CHARITABLE CONTRIBUTION 3,000
    THE WALDORF SCHOOL OF LEXINGTON
    739 MASSACHUSETTS AVENUE
    LEXINGTON,MA02420     		  PC CHARITABLE CONTRIBUTION 2,000
    TRANSPORTATION ALTERNATIVES
    127 WEST 26TH STREET STE 1002
    NEW YORK,NY10001     		  PC CHARITABLE CONTRIBUTION 2,000
    WASHINGTON COLLEGE
    300 WASHINGTON AVE
    CHESTERTOWN,MD21620     		  PC CHARITABLE CONTRIBUTION 4,000
    WILLIAMS COLLEGE
    75 PARK STREET
    WILLIAMSTOWN,MA01267     		  PC CHARITABLE CONTRIBUTION 1,000
    THE CHILDREN'S SCHOLARSHIP FUND
    8 WEST 38TH STREET STE 901
    NEW YORK,NY10018     		  PC CHARITABLE CONTRIBUTION 2,000
    SUNRISE MOVEMENT EDUCATION
    50 F STREET NW STE 700
    WASHINGTON,DC20001     		  PC CHARITABLE CONTRIBUTION 1,000
    THE BREAST CANCER FOUNDATION
    28 WEST 44TH STREET STE 609
    NEW YORK,NY10036     		  PC CHARITABLE CONTRIBUTION 1,000
    MASS AUDUBON
    208 SOUTH GREAT ROAD
    LINCOLN,MA01773     		  PC CHARITABLE CONTRIBUTION 2,000
    ADVENTURE RECOVERY
    45 WEST MORRIS ROAD
    BANTAM,CT06750     		  PC CHARITABLE CONTRIBUTION 2,000
    ONE TREE PLANTED
    145 PINE HAVEN SHORES ROAD
    SHELBURNE,VT05482     		  PC CHARITABLE CONTRIBUTION 1,000
    LAKEVIEW PANTRY
    3945 N SHERIDAN ROAD
    CHICAGO,IL60613     		  PC CHARITABLE CONTRIBUTION 1,000
    JANE GOODALL INSTITUTE
    1120 20TH ST NW 520S
    WASHINGTON,DC20036     		  PC CHARITABLE CONTRIBUTION 3,000
    WOODWELL CLIMATE RESEARCH CENTER
    149 WOODS HOLE ROAD
    FALMOUTH,MA02540     		  PC CHARITABLE CONTRIBUTION 2,000
    REBUILDING TOGETHER KENT COUNTY
    905 GATEWAY DR
    CHESTERTOWN,MD21620     		  PC CHARITABLE CONTRIBUTION 1,000
    MARTIAL ARTS INSTITUTE OF THE BERKSHIRES
    54 STATE ROAD
    GREAT BARRINGTON,MA01230     		  PC CHARITABLE CONTRIBUTION 3,000
    LOYOLA ACADEMY
    1100 LARAMIE AVE
    WILMETTE,IL60091     		  PC CHARITABLE CONTRIBUTION 3,000
    DEFENDERS OF WILDLIFE
    1130 17TH STREET NW
    WASHINGTON,DC20036     		  PC CHARITABLE CONTRIBUTION 1,000
    UNIVERSITY OF ST FRANCIS
    500 WILCOX STREET
    JOLIET,IL60435     		  PC CHARITABLE CONTRIBUTION 1,000
    ST IGNATIUS COLLEGE PREP
    1075 W ROOSEVELT ROAD
    CHICAGO,IL60608     		  PC CHARITABLE CONTRIBUTION 4,000
    GREEN AMERICA CO TREE SISTERS
    1612 K ST NW STE 1000
    WASHINGTON,DC20006     		  PC CHARITABLE CONTRIBUTION 4,000
    Total .................................bullet 3a 76,000
    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 ...........     		    14 2,678  
    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 ............     		    18 151,693  
    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) ..   167,193  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    167,193
    (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:  
    Part VI Line 7 - Tax Paid with the Original Return: 0


    Form 990PF - Special Condition Description:
    Special Condition Description

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

    TY 2021 GainLossSaleOtherAssetsSch
    Name:
    CARL FORSTMANN MEMORIAL FOUNDATION
    EIN:
    22-6042706
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
              293,869 142,176     151,693  

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    CARL FORSTMANN MEMORIAL FOUNDATION
    EIN:
    22-6042706
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BANK OF AMERICA CORP 130,653 130,653
    JP MORGAN CHASE & CO 10,050 10,050
    SPDR PORTFOLIO AGGREGATE BOND 44,430 44,430
    RYMAN HOSPITALITY PROP CO 9,180 9,180
    BALL CORP COMPANY 7,760 7,760

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    CARL FORSTMANN MEMORIAL FOUNDATION
    EIN:
    22-6042706
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ALPHABET INC 57,873 57,873
    AMERICAN TOWER CORP 11,700 11,700
    APPLE INC 53,271 53,271
    BROADCAM INC 16,635 16,635
    CISCO SYS INC 12,674 12,674
    COMCAST CORP 10,066 10,066
    DISNEY CO COM 15,489 15,489
    GOLDMAN SACHS GROUP INC 53,557 53,557
    JP MORGAN CHASE & CO 47,505 47,505
    LAM RESEARCH CORP 28,766 28,766
    MARVELL TECHNOLOGY GROUP LTD 21,873 21,873
    MERCK & CO INC 30,656 30,656
    META PLATFORMS INC 33,635 33,635
    MICROSOFT CORP 16,816 16,816
    PNC FINL SVCS GROUP INC 17,044 17,044
    RAYTHEON TECHNOLOGIES CORP 17,212 17,212
    REGENERON PHARMACEUTICALS 18,946 18,946
    SALESFORCE COM INC 16,518 16,518
    STARBUCKS CORP 27,488 27,488
    UNITED HEALTH GROUP INC 12,554 12,554
    VISA INC 15,170 15,170
    WALMART INC 14,469 14,469
    WELLS FARGO & CO 16,793 16,793
    AES CORP 17,010 17,010
    ALNYLAM PHARMACEUTICALS 11,871 11,871
    BRIXMOR PPTY GROUP INC 29,222 29,222
    CHENIERE ENERGY INC 22,820 22,820
    LIBERTY BRCADBAND-C 23,682 23,682
    LUMINAR TECHNOLOGIES INC 5,073 5,073
    MID-AMER APT CMNTYS INC 28,680 28,680
    MONGODB INC 13,234 13,234
    NORWEGIAN CRUISE LINE HLDGS LTD 10,370 10,370
    UPSTART HLDGS INC 6,052 6,052
    WILLIAMS COMPANIES DEL 19,530 19,530
    IONIS PHARMACEUTICALS 6,256 6,256
    LIBERTY MEDIA CORP DEL 5,620 5,620
    ZSCALER INC 9,640 9,640
    MARRIOTT VACATIONS WORLDWIDE CORP 13,372 13,372
    MARRIOTT VACATIONS CORP COM 12,674 12,674
    SANGAMO THERAPEUTICS INC 4,500 4,500
    ATLASSIAN CORP PLC COM 9,532 9,532
    KRANESHARES CSI CHINA 13,680 13,680
    SPDR S&P EMERGING ASIA PAC 17,620 17,620

    TY 2021 OtherExpensesSchedule
    Name:
    CARL FORSTMANN MEMORIAL FOUNDATION
    EIN:
    22-6042706
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATIVE EXPENSES 3,374      


    TY 2021 OtherIncreasesSchedule
    Name:
    CARL FORSTMANN MEMORIAL FOUNDATION
    EIN:
    22-6042706
    Description Amount
    UNREALIZED GAIN (LOSS) 31,510


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    CARL FORSTMANN MEMORIAL FOUNDATION
    EIN:
    22-6042706
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ALEXANDRIA CAPITAL CUSTODIAN AND ADVISORY FEES 11,517      


    TY 2021 TaxesSchedule
    Name:
    CARL FORSTMANN MEMORIAL FOUNDATION
    EIN:
    22-6042706
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Taxes 474